If Your Stomach Sounds the Alarm Before an Exam, Stress May Be the Reason

With millions of students taking the university entrance exam this weekend, the rising stress before the exam can tire not only the mind but also the digestive system. Dr. Nurettin COŞKUN, Gastroenterology Specialist at Yeditepe University Hospitals Gastroenterology, drew attention to the fact that exam anxiety can increase complaints such as heartburn, bloating, indigestion, and reflux, and provided information about the effects of stress on the stomach.

Does Stress Affect the Stomach?

Stating that the relationship between stress and the digestive system is scientifically explained by the "brain-gut axis," Dr. Nurettin COŞKUN said: "The brain and the digestive system are in constant communication. Therefore, stress, anxiety, and emotional burdens can directly affect stomach and intestinal functions." Explaining that stress affects the stomach through different mechanisms, Dr. Nurettin COŞKUN said: "Stress can increase stomach acid secretion, and accordingly, heartburn and sour taste may become more pronounced. At the same time, it can slow down gastric emptying, causing bloating, early satiety, and a feeling of fullness."

Can Stress Cause Reflux?

Stating that stress can increase the sensitivity of the stomach and intestines to pain, Dr. Nurettin COŞKUN said that even gas or tension that would not normally cause discomfort can be felt as pain. Drawing attention to the fact that reflux complaints can also increase during stressful periods, Dr. COŞKUN said: "It has not been clearly proven that stress causes reflux. However, it can lead to existing reflux complaints being felt more frequently and more severely. In addition, symptoms such as nausea, loss of appetite, and abdominal pain may also be observed."

What Causes Stomach Complaints?

Emphasizing that stress can exacerbate symptoms, especially in conditions such as functional dyspepsia and irritable bowel syndrome (IBS), Dr. Nurettin COŞKUN explained that in some cases, patients' complaints may persist even though tests come back normal: "If complaints increase during intense work tempo, exam periods, family problems, or periods of anxiety, show variability during the day, and are accompanied by sleep disorders or anxiety, this may suggest stress-related digestive system problems."
Pointing out that stomach and intestinal complaints may not always be stress-related, Dr. COŞKUN, Gastroenterology Specialist at Yeditepe University Hospitals, stated that some symptoms must definitely be evaluated in detail: "If there are alarm signs such as weight loss, anaemia, difficulty swallowing, recurrent vomiting, or gastrointestinal bleeding, complaints should not be attributed solely to stress. In such cases, investigating underlying organic causes is of great importance."

What Is Good for Stomach Health Before an Exam?

Dr. Nurettin COŞKUN, Gastroenterology Specialist at Yeditepe University Hospitals, made recommendations for protecting stomach and intestinal health before the exam:

Get regular sleep:

Try to go to sleep and wake up at similar times every day. Quality sleep contributes to reducing stress and maintaining regular digestive system function.

Eat a balanced and regular diet:

Do not skip meals; avoid excessively fatty and spicy foods. Prefer foods rich in vegetables, fruits, and fibre.

Do not neglect physical activity:

Regular walking and exercise help reduce stress hormones while supporting a healthier digestive system.

Pay attention to stress management:

Breathing exercises, meditation, hobbies, and social activities can help reduce daily stress.

Consult a specialist if your complaints persist:

If complaints such as heartburn, bloating, abdominal pain, or reflux continue, be sure to consult a gastroenterology specialist.