Abstract

Gastrointestinal symptom and stress recall survey in frontline healthcare workers after consumption of a combined quebracho/conker tree/M. balsamea willd extract during the COVID-19 pandemic

Highlights

  • Since the coronavirus (SARS-CoV-2) pandemic began, frontline workers in general face the stress of uncertainty and fear in encountering infected individuals in the wider public

  • Researchers and clinicians have shown that there is an interplay between diet, the microbiome and psychological stress on function of the endocrine and nervous systems with regard to digestive distress in functional GI disorders or more recently described as disorders of gut-brain interaction (DGBI) [7]

  • The multiple factors involved in symptomatology of DGBI have greatly influenced the treatment of these disorders with numerous agents that directly impact the microbiome, stress, motility as well as complementary alternative medicine approaches that focus on the brain-gut connection [7,10,11,12]

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Summary

Introduction

Since the coronavirus (SARS-CoV-2) pandemic began, frontline workers in general face the stress of uncertainty and fear in encountering infected individuals in the wider public. Frontline healthcare workers are at particular risk for increasing stress levels when treating and caring for COVID-19 patients. These healthcare professionals experience anxiety, psychological pressure and post-traumatic stress with their associated workloads [1,2,3]. The multiple factors involved in symptomatology of DGBI have greatly influenced the treatment of these disorders with numerous agents that directly impact the microbiome (i.e., antibiotics, probiotics), stress (i.e., neuromodulatory agents), motility (i.e., peripheral opioid receptor agonists/antagonists) as well as complementary alternative medicine approaches that focus on the brain-gut connection (i.e., dietary modification, dietary supplements, acupuncture, etc) [7,10,11,12]. Psychological stress induces gastrointestinal (GI) symptoms such as bloating, constipation, abdominal pain/discomfort and diarrhea sometimes of unknown etiology which impairs quality-of-life (QoL) in affected individuals. After a year of the COVID-19 pandemic, the stress impact on healthcare workers is becoming apparent

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