03/29/2026
The Endometriosis Summit 2026
Gut Signals, Blue Prints and New Clues: The Enteric Nervous System
This was a not to miss talk this morning
Recognizing the role of GI and understanding the Endo- IBS overlap.
When pain comes from constipation, treat constipation.
Imaging does provide information! Examination is needed!
And why does it all happen: The Enteric Nervous System. Yes neurons in the gut. Communication with the entire nervous system.
Vagus nerve, Pudendal Nerve, Splanchnic Nerves
Endo in the GI clinic: painful bowel movement, painful filling or urge, increased OR decreased evacuations, obstructive symptoms.
Are you trying to evacuate, but instead your muscles are tightening and you are just straining?
Has chronic staining led to a bulge, descent/dropping? And now you are even more constipated and uncomfortable?
Is it the food or is it the sensitivity within that is bloating and giving pain.
There is so much to consider and we must do better and listen to the patients. For many with Endo, their bowel symptoms start early on and others later.
We need to consider
💩the pelvic floor, inflammation, tissue laxity and other mechanical issues.
💩inflammation
💩central sensitization