One of the worst parts of suffering from a debilitating disease is not knowing for certain where it comes from or what causes it. Such is the case of individuals suffering from Irritable Bowel Syndrome or “IBS.”
For most of the individuals suffering from IBS, it may be frustrating getting tested only to know that everything in their system is normal and the cause or origin of their symptoms cannot be pinpointed. People suffering from this condition are always on the lookout for ways to treat and/ or alleviate the symptoms associated with IBS. We invite you to read on as we discuss the role medical marijuana (cannabis) may have in treating IBS and relieving some of its worst effects.
What is Irritable Bowel Syndrome? (IBS)
What exactly is IBS and what does it entail? IBS, or Irritable Bowel Syndrome, is a common long-term disorder that can cause unpleasant and painful symptoms including abdominal pain, bloating (presence of gas on gaseous sensations in the stomach), diarrhea, and/or constipation. IBS is different from Inflammatory Bowel Disease (IBD), which includes Crohn’s Disease and Ulcerative Colitis, conditions marked by visible and measurable auto-immune changes.
The main cause and/or origin of IBS is unknown, and scientists are still researching various factors to determine the source of this illness. There may be individuals who may be genetically predisposed to IBS.
The Gut-Brain Axis in IBS
According to a publication by Annals of Gastroenterology in 2015, “The gut-brain axis (GBA) consists of bidirectional communication between the central and the enteric nervous system, linking emotional and cognitive centers of the brain with peripheral intestinal functions… This interaction between microbiota and GBA appears to be bidirectional, namely through signaling from gut-microbiota to brain and from brain to gut-microbiota by means of neural, endocrine, immune, and humoral links.”
The central nervous system contains the brain and spinal cord, while the enteric nervous system is a web of neurons that controls the gastrointestinal (GI) tract. The study above is important because it helps to understand how the brain-gut relationship affects people with IBS. If there is a disruption in normal communication between these two important parts of the human body, problems like IBS may occur.
How is IBS Treated?
There are currently several alternatives that people suffering from IBS can choose from. Some of the common treatments for IBS include:
- Probiotics – The stomach is home to millions of bacteria that play a key role in the digestive system. However, there may be some types of bacteria that adversely affect the gut. That is where probiotics come into play. Certain probiotics can help regulate the digestive system, alleviating some of the symptoms associated with IBS.
- Prescription Drugs – Depending on the degree and severity of the IBS, a physician may prescribe medicine to help treat several symptoms, such as diarrhea, bloating and constipation. For these conditions, anti-spasmodic, antidiarrheals, and laxatives are commonly prescribed.
- Mental Health Consultation – Due to IBS’ potential psychological effects, certain individuals may opt to undergo counseling or behavioral therapy to find a way to cope with their condition.
IBS and the Endocannabinoid System
You’re probably wondering, how does medical cannabis can help patients suffering from IBS? Medical marijuana does not cure IBS. However, it could be beneficial in alleviating the symptoms and enabling patients to enjoy a better quality of life. To better understand how medical cannabis can help, it is important to understand the endocannabinoid system and its role in the human body.
The endocannabinoid system or “ECS” is comprised of a bunch of receptors on various cells that are triggered by our own internal cannabinoid neurotransmitters. Yes, we have internal cannabinoids! It is because we have our own system that we can use cannabis-derived cannabinoids to treat illness.
Of the more than 100 chemicals found in cannabis, the most researched are THC (or tetrahydrocannabinol) and CBD (or cannabidiol). These two components, both of which are cannabinoids, have different effects on the human body. For instance, THC can be used to treat symptoms associated with chemotherapy in cancer patients. CBD, at very high doses, is an anti-inflammatory and can help with anxiety.
Medical Marijuana for Treating IBS Symptoms
The evidence for treating IBS specifically is sparse at this time. We’re beginning to see clinical experience suggesting effectiveness. Much of this effect appears to be related to a group of conditions that often go together.
A 2008 study published by the Neuro Endocrinology Letter concluded, “Migraine, fibromyalgia, IBS, and related conditions display common… patterns that suggest an underlying clinical endocannabinoid deficiency that may be suitably treated with cannabinoid medicines.”
Another study published in 2016 by Neuropharmacology stated that “Cannabidiol (CBD), the main non-psychotomimetic component of mari[j]uana, exhibits anxiolytic-like properties in many behavioral tests,” suggesting that this component in cannabis can help reduce stress-like symptoms which many people with IBS may suffer. (An “anxiolytic” is a drug that helps to treat anxiety.) However, further investigation on this matter is still necessary.
Similarly, a review in 2016 of illness likely related to Clinical Endocannabinoid Deficiency suggested “GI propulsion, secretion, and inflammation in the gut are all modulated by the ECS, providing a rationale for cannabinoids as treatment candidates for IBS. As examples, GI propulsion is under tonic control of the ECS,21and cannabis was one of the first effective clinical interventions in the 19th century for the intense secretory diarrhea associated with cholera, a finding which was more recently validated with modern methodology.”
Clearly, more research remains to be done. However, many patients with IBS appear to be getting benefit from the low-dose, controlled application of cannabis. This may be one of many potential benefits of medical marijuana for certain patients.
However, it is absolutely important that you always consult with a cannabis specialist before deciding to use medical cannabis. She or he will help you decide if cannabis is likely to help, what kind to get, how to use it properly and safely, and be available to you to adjust the plan as time goes by.
Boston, MA Medical Marijuana Doctor for IBS Patients
As stated before, there is no cure for IBS, and that includes cannabis. However, the possible link between the endocannabinoid system, endocannabinoid receptors, and the cannabinoids found in medical marijuana may provide relief from some of IBS’ symptoms.
The article is written by Dr. Jordan Tishler, the CEO of inhaleMD, a cannabis medicine clinic in Massachusetts. The article first appeared on inhaleMD’s website. Through his training in Internal Medicine and years of practice as an Emergency Physician, Dr. Tishler brings his knowledge, reason, and caring to patients here at inhaleMD, and through his advocacy work at the local and national levels.