Anxiety and stomach aches: Another key way your body and mind are linked

Curious if your stomach ache could be a symptom of anxiety?

“If your stomach hurts, you might think the culprit is some misbehaving organ in your abdomen. That’s a definite possibility, but the offender could actually be your brain. Yup, just like chest pain, abdominal pain can be physical or mental.” (

This is very common.  So why am I including it in a series about interesting, lesser known facts about anxiety?

Stomach aches could be anything.  Something physical, like IBS, gas, constipation, or any other host of ailments.  That is usually the first thing people think of when they are experiencing them on a regular basis.  It goes undiagnosed way too often as a symptom of anxiety, or misdiagnosed as something else.

Getting stomach aches is the fourth fact about anxiety that I wanted to talk about in this series.  I am also going to talk about an increased need to urinate, since it is a similar sort of symptom. The series is based off of a post about anxiety that I wrote several months ago.

It affects millions with anxiety, and some with other mental illnesses as well.

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My Story

I have been struggling with anxiety to some degree since grade school.  I was teased a lot, and I also struggled with test phobia. It was an age where I was taking standardized tests in school, and for whatever reason those days filled me with dread.  

Maybe it was a fear of failure.  Maybe it was feeling claustrophobic at knowing we weren’t allowed to leave the classroom during the test.  As I mentioned, I was teased a lot by my peers, and so everything slightly anxiety inducing about school was magnified more than normal.

I didn’t know at the time what I was experiencing was anxiety.  I didn’t know it had a name. All I knew was that I constantly felt like I had to go to the bathroom at school, and my stomach hurt a lot.  I would often go to the nurse and call my mom to come and get me.

It was a really hard time.  Looking back I wish I had better tools for dealing with it, but you live and learn.  Hopefully this post can help people identify what they’re struggling with, and can point them in the right direction.

anxiety and stomach aches
Journaling has a lot of really great benefit for those with depression and anxiety!anxiety symptoms

How anxiety and stomach aches are linked

One article I read said, “…the majority of your body’s production of serotonin, a neurotransmitter that plays a role in mood, takes place in the digestive tract, Jacqueline Sperling, Ph.D., a clinical psychologist and director of training and research the McLean Anxiety Mastery Program, tells SELF. ‘When you’re experiencing something going on in your brain, it can communicate to the gut and vice versa,’ she says.”

Your mind and body are linked more than we thought possible in previous years.  Every year, more research is emerging about this, and I hope it will help a lot of scared people get their anxiety diagnosed and treated.

In my long time experience, having an anxiety disorder can also affect your bladder.  That is something I still struggle with to this day, especially on a long car trip. (Long for me, meaning over an hour.)

So, why is that?  Why when you’re anxious do you often feel the need to go to the bathroom? Well, according to Medical News Today:

“Anxiety and stress can increase the need to urinate, and this reaction is more common in people with phobias. The need to urinate or a loss of control over urination may have an evolutionary basis, as it is easier to flee with an empty bladder. However, the link between anxiety and an increased urge to urinate remains unclear.”

If you get frequent stomach aches, and have an increased need for urination, try not to worry. Check with your primary care physician.  They may be able to do some tests to rule out any underlying physical problems. And then, you can go from there.

I recommend a probiotic for everyone, really, but especially for anyone with chronic stomach issues. Definitely bring it up at your next appointment.stomach aches

How to spot it in a friend

Maybe you’re not the anxious one.  Maybe your friend is suffering from anxiety.  As I mentioned in my previous post about anxiety, it is incredibly common.  40 million adults live in the United States live with anxiety per year, so it is likely that your friend is one of them.

Here are some common signs that your stomach aches are physical according to Self:

  • You ate food that could possibly have been bad
  • You are burping or farting
  • Swollen stomach and issues pooping or keeping food down
  • You can pinpoint an exact source of pain
  • Taking NSAIDs on an empty stomach
  • The pain is intense and has other side effects such as bleeding, fever, or throwing up,

Here are a couple of signs it could be mental, according to the same article:

  • The stomach aches bother you preceding stressful or anxiety inducing situations, like a big job interview or major surgery.
  • The pain is accompanied by emotional feelings like panic.

If your friend has even one or more of these last two signs, they are possibly living with some form of stomach aches related to anxiety.  Speaking from experience, these are awful feelings to live with, and they can be the reason that many anxious people find themselves isolating themselves when they’re unwell.  They don’t want to be seen as a burden to their loved ones.

What you can do

anxiety and stomach aches, anxiety symptoms, stomach aches

I know it’s hard.  I’ve been there. I’ve had people tell me it is all in my head.  That all I had to do was stop feeling anxious. (Yes, people have actually said that.  Let that sink in.)  

And maybe it is, technically, all in my head.  After all, anxiety is a disorder of the brain that subsequently affects other parts of your body.  So, yes, your anxious symptoms do originate in your head. But as a wise man named Albus Dumbledore once said, “Of course it is happening inside your head, Harry, but why on earth should that mean it is not real?” 

Do you suffer from stomach aches related to anxiety? Let me know in the comments, and make sure you share the article!

Don’t let your anxiety symptoms get you down. You’re not alone.

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Related posts about anxiety symptoms:

Anxiety: What It Is and What You Can Do

7 Interesting Facts About Anxiety

What to do when you’re overwhelmed

How to recognize the physical symptoms of depression and anxiety

How to manage your anxiety while traveling

68 thoughts on “Anxiety and stomach aches: Another key way your body and mind are linked”

  1. I know this feeling way too well. I’ve been struggling with anxiety-related stomach pain for years. For me, it’s usually followed by a panic. And when I fall into this pain-panic-pain loop it’s hard to pull yourself out. Luckily I have a supportive husband. He helps me a lot when I have these attacks.

    1. Hey Natalie, I totally understand the whole physical-emotional-physical loop! I deal with that with some of my anxiety symptoms as well sometimes. Hang in there, and thanks for reading!

  2. Thanks for all this info. It’s so useful. Some time ago my kid had some stomach problems and my doctor suggested that it can be because of school anxiety. I am more careful with him now and these problems disareared!


    From a medical perspective, there definitely is a link between the mind and the stomach/bowel. Stress and anxiety can cause problems. By identifying the cause of the anxiety you can reduce or manage it in order to reduce the knock on symptoms.

  4. Wow i didn’t knew this. I sometimes experience this but i didn’t know that it’s causing from my anxiety. This is very informative. Thank you for informing us!

  5. It is interesting to think that our minds could be causing physical responses in our bodies beyond just stomach aches. Paying attention to the mental and physical relationships is a great way to get to know ourselves better.

    Thanks for sharing!

    1. Hey Mar, anxiety is the worst. I know that’s a bit glib because we can’t compare our suffering to others. But it is so so tough. Hang in there, and take care. Thanks for reading!

  6. I grew up with this for so many years. The first day of school, birthday parties, etc. Anytime I was in a new situation use to make me a nervous wreck. I grew out of it when having to move from city to city while my dad was in the military. I had to learn to adapt and meet new friends.

  7. I suffer really badly with my stomach and it ends up being a vicious cycle between that and anxiety – am I anxious because I have a bad stomach, or do I have a bad stomach because I’m anxious? I also suffer with emetophobia (vomit phobia) which really doesn’t help matters! I think stomach stuff is often quite a taboo in general, so I think it adds to the anxiety as a result – like you feel you can’t say anything because people will think it’s gross! Thank you for sharing 🙂 x

    1. Hey Amy, that is very true!! The vicious cycle is definitely a thing, and it can be embarrassing to reach out for help. But it’s very very common. Just remember that 🙂 Take care and thanks for reading!

  8. Pam Wattenbarger

    When I was a kid, I had anxiety so bad in 4th grade that I had to hospitalized for stomach issues. I still have problems with my stomach when I am stressed.

  9. This was so so interesting. I have anxiety and occasionly get stomach aches when I’m feeling particular anxious. It’s crazy how our bodies work, the fact that our worried mind can cause our stomachs to ache or need the toilet is mind blowing!

  10. This is totally my son. However, I’m wondering if his stomachaches are in fact, his severe anxiety, or the supplement he’s taking to help with his anger (which is how his anxiety manifests). So hard to tell!!!

  11. I’ve seen this symptom of anxiety so often as a school teacher! This is incredibly common for children (as well as many others), yet it sometimes takes a while to link it to anxiety. Thank you for sharing this information!

  12. Great post (as always!). I definitely feel the anxiety in my gut. I’m an actor, so I go on auditions frequently (well, not so much recently). And every time I’m about to go into the room, my guts twist into knots and I feel stomach sick. I have to remind myself that it’s nerves and adrenaline, but it’s still not fun! Thanks for posting this and all the insight and research for you do for those of us with anxiety.

    1. Thank you so much for your kind words. Stomach aches from anxiety is more common than people think! Hopefully you can get back to those auditions soon.

  13. I loved this post – stomach aches are the number one symptom I get with anxiety and of course the anxiety ends up making the stomach aches worse. It’s a vicious cycle a lot of the time! I’m at the point where I can now tell an “anxiety” stomach ache from a real one most of the time, but occasionally I’m caught out and an anxiety one masks itself as something I’ve not experienced before! Thanks for sharing x

  14. Your series on anxiety and especially this one on the correlation between anxiety and stomach pains has truly helped me to better understand some of my students and friends. I knew they dealt with a lot, but had no true idea of the scope. I’m very appreciative of your transparency on the issue of anxiety.

  15. Yup! I know this all too well. Even though I’ve had anxiety all my life I wasn’t truly diagnosed until I was a teenager. I was diagnosed with IBS and Anxiety at the same time. Stomach stuff is a given with my anxiety. I love probiotics and digestive enzymes!

  16. Thank you for sharing this wonderful post. It was great to read something I can so easily relate to. Anxiety has caused so many physical symptoms, including stomach cramps and pains. It’s weird what the mind can do to the physical body. xxx

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