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Updated: May 21, 2025

Chronic Salmonella Infection Induced Intestinal Fibrosis
Published on: September 22, 2019
Uncovering the Hidden Link Between the Aberrant Intestinal Microbiome and Fibromyalgia.
Ade Waterman1, Stavros A Doumas1, Michele Fischer2
1Department of Internal Medicine, MedStar Georgetown University Hospital, Washington, DC.
Altered gut bacteria may contribute to fibromyalgia, a chronic pain and fatigue syndrome. Targeting the gut microbiome shows promise for improving fibromyalgia symptoms and diagnosis.
Area of Science:
- Gastroenterology
- Neurology
- Immunology
Background:
- Fibromyalgia is a complex condition characterized by widespread pain and fatigue.
- The exact mechanisms of fibromyalgia pathogenesis are not fully understood.
- Emerging evidence points to a significant role for intestinal dysbiosis in fibromyalgia.
Purpose of the Study:
- To explore the role of the gut microbiome in fibromyalgia pathogenesis.
- To identify potential diagnostic biomarkers related to gut microbiome alterations.
- To review therapeutic interventions targeting the gut microbiome for fibromyalgia.
Main Methods:
- Review of current research on the gut microbiome and fibromyalgia.
- Examination of potential diagnostic biomarkers (e.g., Helicobacter pylori, metabolite profiles, cytokines).
- Evaluation of therapeutic strategies including probiotics and fecal microbiota transplantation.
Main Results:
- Gut microbiome alterations, including changes in bacterial composition and diversity, are implicated in fibromyalgia.
- The gut-brain axis plays a crucial role in mediating the effects of gut dysbiosis on fibromyalgia.
- Specific biomarkers and targeted therapies show potential for managing fibromyalgia.
Conclusions:
- The gut microbiome is a key factor in fibromyalgia pathogenesis.
- Further research is needed to enhance diagnostic accuracy and therapeutic efficacy.
- Targeting the gut microbiome offers a promising avenue for fibromyalgia treatment.
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