IBS-D, the Gut–Brain Axis and South India: A Narrative Review
This narrative review explains how gut–brain axis dysregulation, chronic stress, high-FODMAP diets and capsaicin-rich cuisine interact to drive diarrhea-predominant irritable bowel syndrome (IBS-D). It synthesizes global and Asia–Pacific evidence, then honestly highlights how little high-quality epidemiological and interventional research exists for South Indian populations — especially Telangana and Andhra Pradesh.
