By Dr. Ryan Kneessi, ND — licensed naturopathic doctor in Maryland · Move Forward Natural Health, Odenton, MD (in-office and telehealth visits) · Last reviewed: October 9, 2026
Quick answer: The gut-brain axis is the two-way communication network between your gut and brain. It runs through the enteric nervous system, the vagus nerve, the HPA stress axis, immune signals and gut microbes. Chronic stress can change gut motility, immunity and the microbiome, while gut health can influence mood. Diet, mind-body practices and sleep support both.
What is the gut-brain axis?
A two-way signaling network between the gut and brain. Signals travel both ways, constantly.
How it’s built
- Enteric nervous system: the “second brain” in the gut wall
- Autonomic nervous system, including the vagus nerve
- HPA axis: the stress hormone system
- Gut microbiota: microbes that make signaling molecules
How stress affects the gut
Stress activates the HPA axis and cortisol, which can change motility, immune function and the gut lining. See stress, sleep and the gut and cortisol.
Mind-body techniques
- Meditation
- Yoga
- Slow, deep breathing to activate the vagus nerve
Food and lifestyle approaches
- Fiber, fruit and vegetables to feed beneficial microbes
- Fermented foods or probiotics if appropriate
- Regular exercise and sleep
- Digestive support if needed, guided by your provider
The gut-brain axis and healthy aging
Gut-derived inflammation and microbial changes may affect brain health over time. Caring for the gut supports mood, cognition and resilience.
When to see a naturopathic doctor
- Ongoing bloating, gas, diarrhea or constipation
- Food reactions that seem to be multiplying
- Fatigue, skin flares or joint aches alongside gut symptoms
- You want a personalized gut plan instead of guessing
See a medical provider promptly for blood in your stool, black stools, unexplained weight loss, persistent vomiting, severe abdominal pain, fever, or trouble swallowing.
Want help finding the root of your gut symptoms?
A free 15-minute consultation with Dr. Kneessi. No cost, no obligation. In-office in Odenton, MD or by telehealth.
Frequently asked questions
What is the gut-brain axis?
The two-way communication between your gut and brain.
Can stress cause digestive problems?
Yes, through the HPA axis and nervous system.
Can gut health affect mood?
Research suggests links via microbes, inflammation and the vagus nerve.
What helps the gut-brain axis?
Mind-body practices, fiber, fermented foods, sleep and exercise.
Sources
This article is for educational purposes only and is not medical advice. It does not replace an individual evaluation. Talk with your healthcare provider before starting supplements or changing medications, especially if you are pregnant, nursing, or managing a health condition.
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