How Gut Inflammation Can Change Your Digestive Nerves?
by Anna Sandhu | Apr 20, 2026
Reviewed by Dr. Arun, M.Pharm., PGDRA, Ph.D.
This study looks at how inflammation in the gut can change the nerves that control digestion.
Your gut has its own nervous system. It is called the enteric nervous system. These nerves help control how food moves through your digestive system. They also help with gut function like muscle movement and timing.
When the gut becomes inflamed, such as in conditions like inflammatory bowel disease, things start to change.
The researchers found that inflammation can “rewire” or change these gut nerves.
Here is how it happens in a simple way.
During inflammation, the nerve cells in the gut send out signals that attract certain immune cells. These immune cells are called monocytes.
These monocytes move into the gut’s nerve area. Once there, they turn into another type of immune cell called macrophages. These cells are helpful in fighting damage, but they can also change how nerves behave.
As more of these immune cells gather, they start to affect the structure of the nerve system.
Some nerve cells get damaged or lost. At the same time, new nerve cells may grow. This causes a change in how the nerve network is built.
Because of this change, the gut may not work the same way as before.
For example, food may move too fast or too slow through the gut. This can lead to symptoms like discomfort, bloating, or irregular bowel movements.
One important finding is that these changes can last even after the inflammation goes down.
This means the gut may continue to have problems, even when a person feels better.
The study also found that the body has a way to protect itself.
When oxygen levels drop during inflammation, the nerve cells try to reduce the signals that bring in too many immune cells. This helps limit damage and keeps the system more balanced.
In simple terms, inflammation in the gut does not just cause short-term problems. It can change the gut’s nerve system in a lasting way.
This research helps us understand why some digestive issues continue even after inflammation improves.
It also opens the door for new ways to support gut health by protecting both the immune system and the gut’s nerve system.
More information: Inflammation rewires the enteric nervous system through neurogenic monocyte recruitment. DOI: https://doi.org/10.1084/jem.20251761