By Stacy Seslowsky, RD, LDN, MS

Common symptoms of irritable bowel syndrome (IBS) are gastrointestinal (GI) distress, abdominal pain, changes in motility, depression, and anxiety. Mood disorders are highly correlated with GI disorders and we can appropriately ask what comes first, the chicken or the egg?

The gut-brain connection has been extensively studied and we, as dietitians and nutritionists focus tremendous amounts of energy on improving the integrity of the gut lining, promoting the density and diversity of the gut microbiome, replenishing nutrients in the diet, and eliminating intolerable foods, but we may be missing an important piece of this puzzle.

"We are missing an important piece of this puzzle"