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Complex Link Exists Between ADHD and IBS, Gastric Reflux, Ulcers: New Research

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July 22, 2025ADHD and post-traumatic stress disorder (PTSD) may cause several common gastrointestinal diseases, and individuals with ADHD are 63% more likely to develop irritable bowel syndrome (IBS) than their neurotypical peers, according to new genetic research1 and a meta-analysis.2 Together, these two studies shed light on the multi-layered relationship between ADHD and common gastrointestinal disorders such as reflux, gastritis, and IBS, offering support for the growing awareness of gut health’s influence on ADHD symptoms.The first study, published in Medicine, sought to determine whether a causal relationship exists between gastrointestinal diseases and ADHD as well as PTSD.

Researchers performed a Mendelian randomization analysis using data from the FinnGen study related to 24 gastrointestinal diseases, and data from the Psychiatric Genomics Consortium related to ADHD and PTSD.Researchers found that genetic susceptibility to ADHD was linked to:Genetic susceptibility to PTSD was linked to:This data, concluded the study authors, “provides evidence supporting causal relationship between PTSD and ADHD with specific gastrointestinal diseases.”A second study, published in Scientific Reports, investigated the association between ADHD and intestinal disorders.

The large-scale meta-analysis analyzed 11 studies conducted on 3.8 million people from four continents, including more than 175,000 with an ADHD diagnosis.

Researchers explored associations with nine intestinal disorders, including irritable bowel disease (IBD), IBS, celiac disease, peptic ulcers, and recurrent abdominal pain.Individuals with ADHD were found to be 63% more likely to have IBS than their neurotypical peers.

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Study: Serotonin Dysregulation Is the Common Denominator in Most ADHD Comorbidities
August 13, 2025Serotonin dysfunction occurs in nearly three-quarters of psychiatric and somatic comorbidities linked to ADHD, according to a new systematic review published in Neuroscience & Biobehavioral Reviews.1The study identified 182 comorbidities in ADHD populations and found strong evidence linking 135 (74.2%) of them, including 91 psychiatric and 44 somatic conditions, to imbalances in the brain’s serotonergic system.“This association confirmed the occurrence of comorbidities within a clearly defined ADHD population (rather than the presence of ADHD within a population with a particular condition), and also confirmed that the comorbidity was a co-occurring condition and not an adverse event elicited by ADHD treatment,” the researchers wrote.The research team examined close to 50,000 papers published between January 2010 and March 2024. Based on the volume of articles and the overall high grade of evidence, they concluded that the top five psychiatric ADHD comorbidities associated with serotonin dysregulation include:The top five somatic ADHD comorbidities associated with a serotonin dysregulation include:The brain’s “feel good” chemical, serotonin is a neurotransmitter that helps regulate mood, impulsivity, and physical functions, such as sleep and digestion.According to a recent study in Nature, serotonin neurons signal to the brain the expected value of near-future rewards.
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