#3: Repair Your Gut
Small gaps in the intestinal wall called tight junctions allow water and nutrients to pass through into the bloodstream, while blocking the passage of harmful substances. Intestinal permeability refers to how easily substances pass through the intestinal wall.
Certain external factors, including food, infections, toxins, and stress, can break apart the tight junctions in your intestinal wall.
When the tight junctions of intestinal walls become loose, the gut becomes more permeable, which may allow toxins, microbes, and undigested food particles to pass from the gut into the bloodstream. This phenomenon is commonly referred to as “leaky gut.”
When the gut is “leaky” and bacteria and toxins enter the bloodstream, it can cause widespread inflammation and possibly trigger a reaction from the immune system.
Leaky gut and associated low-grade immune activation affect between 12 and 50 percent of people suffering from IBS. (3, 4, 5)
Supplements that can help re-establish the intestinal barrier and heal a leaky gut include: L-glutamine, MSM and quercetin, N-acetyl glucosamine, nucin, DGL, slippery elm, marshmallow, chamomile and cat’s claw.
The supplement I use and recommend is GI-Revive since it contains several of the above supplements in an effective blend. Learn more about GI Revive here.
Probiotics can also help repair gut permeability, which brings me to my next step …
#4: Repopulate Your Gut with Good Bacteria
IBS symptoms have been linked to certain changes in the gut bacteria. For example, people with IBS have lower amounts of Lactobacillus and Bifidobacterium in their guts, and higher levels of harmful Streptococcus, E. coli and Clostridium. (6, 7)
Additionally, up to 80% of IBS patients experience bacterial overgrowth in their small intestines (also known as SIBO), which can lead to many of their symptoms. (8)
It’s important to note that certain medications used to treat IBS can damage the healthy bacteria living in the gut. (9)
Changes in the gut flora may influence IBS symptoms which is why probiotics are being increasingly investigated as a treatment option for IBS. Aside from their potential to reshape the gut microbiome, there are several ways probiotics may improve IBS symptoms: changing intestinal motility, reducing gut sensitivity, improving intestinal barrier function, and calming gut inflammation and immune activation, to name a few.
The overwhelming trend is that probiotics have a beneficial impact on people with IBS, and there’s more than enough evidence to support their incorporation into a treatment protocol. (10, 11, 12, 13)
However, not all probiotics are alike. In fact, the term “probiotic” covers many different strains and types of bacteria and yeasts. Their health effects vary depending on the type.
Probiotics that have had positive results in treating IBS in placebo-controlled trials include various Lactobacillus species like L. rhamnosus GG and L. acidophilus, various Bifidobacterium species like B. infantis and B. longum, and mixtures of strains. (14, 15, 16)
ProbioMed 50 contains many of the bacteria species listed above which is why it’s my recommended probiotic for people with IBS. Learn more about ProbioMed 50 here.

#5: Reduce Stress
It’s very clear that many, if not most, cases of IBS involve physical causes, BUT extensive research on the gut–brain connection shows how impactful mental function is on the gut and digestion.
The digestive system is connected to the brain directly through nerve pathways and also indirectly via the endocrine and immune systems. Stress signals in these pathways can cause changes in intestinal motility and secretion, increased visceral sensitivity and intestinal permeability, and even disruptions of the intestinal microbiota–all of which are symptoms of IBS. (17) Stress can not only trigger IBS symptoms, but often makes them worse and longer-lasting.
Several approaches targeting the gut-brain connection have been studied and found to be effective for treating IBS patients. Here are some well researched strategies that may help:
Yoga
A 2015 study in the European Journal of Integrative Medicine found that people with IBS who took an hour-long yoga class three days a week for 12 weeks had less severe symptoms and improved quality of life. The researchers noted that the combination of yoga postures and breath control exercises worked to help alleviate stress and reduce anxiety related to IBS.
TRY: If you are new to yoga, find a studio near you and start with beginner, gentle or relaxation classes, 1-3 times/week. You can also do a regular at-home yoga practice since there are plenty of online yoga classes available.
Meditation & Breath Work
In a 2015 study in the journal PLOS ONE, people with IBS attended a weekly relaxation program that included meditation and breathing exercises and were encouraged to practice the routine for 15 to 20 minutes every day at home. After nine weeks, the group reported much lower levels of IBS-related anxiety.
TRY: Download a meditation app on your phone (ie. Headspace, Calm, Aura) and fit 15 to 20 minutes of meditation and/or breathing exercises into your day. You can split this up during the day to make it easier. For example, try a 5-minute meditation before getting out of bed, then a 5-minute breathing exercise mid-day and a 5 to 10 minute meditation before bed.
Cognitive behavioral therapy (CBT)
The goal of CBT is to help you increase awareness of your thoughts and behavior and learn how to change your reactions to stressful situations. A 2015 study in Clinical Gastroenterology and Hepatology found that four weeks of CBT sessions reduced symptom severity among IBS patients and that the effect lasted up to three months.
TRY: Google “cognitive behavioral therapist near you” to find a therapist you can work with.
It’s clear that stress reduction and mind-body techniques have an important role to play in treating IBS, and it’s vital for people with IBS to have some way of managing mental stress in order for other treatments, including the ones listed above, to be maximally effective.

In summary, there are many effective natural strategies for treating IBS, and these strategies are even more powerful when used together. The strategies described here are low risk and often high reward and thus deserve consideration when treating IBS.
In my work with clients (and my own personal journey), I have seen people who have suffered from symptoms of IBS recover after fixing their diets and implementing the strategies listed in this article. The process is not always quick and easy, but the end result is usually worth the time and energy you invest in your health.
If you are seeking more guidance and support in treating your IBS, I recommend the Love Your Gut E-Book.