Understanding and Managing Diarrhea After Concussion: A Comprehensive Guide
Experiencing symptoms such as diarrhea after a concussion can be unsettling and worrisome. While most people associate concussions with head-related symptoms, it’s essential to be aware that gastrointestinal issues, such as diarrhea, can also occur as a result of the concussion.
Many of the areas that regulate the GI system live deeper in deeper areas called the “brain stem.” This region is especially vulnerable after injuries involving the rotation of the head.
In this comprehensive guide, we will explore the connection between concussions and diarrhea, delve into the underlying causes, and provide effective management strategies to help individuals navigate this challenging symptom during their recovery journey.
The Link Between Concussions and Gastrointestinal Symptoms
Concussions, which are mild traumatic brain injuries, are often caused by a blow or jolt to the head. While they primarily affect the brain, they can also impact other bodily systems, including the gastrointestinal tract.
Researchers have found a correlation between post-concussive syndrome and gastrointestinal symptoms, such as diarrhea, nausea, and vomiting. Gastrointestinal symptoms after a concussion result from the disruption of the autonomic nervous system, hormonal changes, and altered gut-brain axis communication, although the exact mechanisms are not fully understood.
Understanding the Causes of Diarrhea After Concussion
Several factors can contribute to the development of diarrhea following a concussion. Firstly, the trauma to the head can trigger a stress response in the body, leading to an increase in stress hormones like cortisol, which can disrupt the normal functioning of the digestive system.
The mechanism of injury is also important to consider. Injuries that involve a twisting of the head put pressure through the structures in the brainstem. Many of the functional controlling GI function live deep within this structure, leaving it vulnerable to torsional types of concussive trauma.
Additionally, changes in blood flow and oxygen supply to the gastrointestinal tract can affect digestion and absorption, leading to more long-term GI issues. These changes in the gut-brain axis can alter the vagal output, leading to challenges in digesting food, absorbing nutrients, and maintaining a healthy gut lining.
Left unchecked, this leads to a phenomenon called ” leaky gut,” which commonly leads to diarrhea. More advanced GI dysfunction can lead to a condition called SIBO (small intestinal bacterial overgrowth), which causes more chronic diarrhea.
Furthermore, medication side effects, dietary changes, and altered eating patterns during recovery can also contribute to diarrhea.
Managing Diarrhea After Concussion
1. Hydration and Diet
Staying hydrated and maintaining a balanced diet during concussion recovery is crucial. Consuming plenty of fluids, especially water and electrolyte-rich beverages, can help prevent dehydration from diarrhea.
Following a diet that includes easily digestible foods such as lean proteins, fruits, vegetables, and whole grains is recommended while avoiding spicy, greasy, and high-fiber foods that could exacerbate diarrhea symptoms.
2. Medication Adjustment
Speak to your healthcare provider about any medications you are taking and discuss potential changes or alternatives to alleviate diarrhea symptoms. Some medications, such as pain relievers or antibiotics, may contribute to diarrhea.
3. Probiotics
Probiotic supplements or foods rich in probiotics can support gastrointestinal health by replenishing beneficial gut bacteria. Consult your healthcare provider to determine which probiotic strains and dosages suit your needs. This is especially important as some probiotic strains will worsen diarrhea if not explicitly recommended by a trained professional.
4. Stress-Reduction Techniques
Since stress can exacerbate gastrointestinal symptoms, implementing stress-reduction techniques such as meditation, deep breathing exercises, yoga, or engaging in hobbies can help manage both stress and diarrhea symptoms.
They can also help jumpstart the vagal system, which helps support a healthy GI system. Additional vagal therapies include external vagal stimulators (GammaCore, Truvaga), and gradual cold exposure.
5. Gradual Return to Regular Activities
As you recover from a concussion, gradually reintroduce normal activities while listening to your body’s cues. Slowly return to exercise routines and daily activities to avoid overwhelming physical and emotional stress, which can worsen digestive symptoms.
6. Stool Analysis
A stool analysis can provide valuable insight into an individual’s digestive health during concussion recovery. This non-invasive test can assess factors such as gut microbiome composition, inflammation markers, and imbalances in digestive enzymes.
Healthcare professionals can identify potential gastrointestinal issues, such as bacterial overgrowth or inflammation, which may be contributing to symptoms like diarrhea or digestive disturbances after a concussion. This can guide personalized treatment plans and optimize concussion recovery by addressing underlying gastrointestinal concerns.
When to Seek Medical Attention
Please keep in mind the following information: Diarrhea is a common symptom following a concussion. If the diarrhea continues for an extended period or gives you severe abdominal pain, blood in the stool, or other worrisome symptoms, seek medical attention.
It is crucial to speak with a healthcare professional in these cases. They will evaluate your condition and decide if further assessment or treatment is needed.
Diarrhea After Concussion Isn’t Your New Normal
Though it may not be the most commonly discussed symptom associated with concussions, diarrhea after a concussion is common. It can come with some uncomfortable side effects.
Understanding the link between concussions and gastrointestinal symptoms, as well as implementing appropriate management strategies help individuals effectively address and alleviate diarrhea symptoms.
Each person’s concussion recovery is unique, so working closely with healthcare professionals who specialize in concussion management is essential for tailored guidance and support throughout the healing process.
Click here for a free 30-minute consultation with a provider at The Neural Connection if you’re dealing with unresolved concussion issues. Read our 88+ 5 star Google reviews to see we’ve helped people with lingering post concussion symptoms.
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*Note: The information provided in this article is for educational purposes only and does not constitute a doctor-patient relationship. Patients are advised to consult their medical provider or primary care physician before trying any remedies or therapies at home.
