How the Digestive System Works With the Respiratory System (and Why They’re Important)

You may understand the respiratory and digestive systems as separate entities but, in many ways, the two are intimately connected.
Here’s an overview of the digestive and respiratory systems and how they work together.
How the Digestive System Functions

- You chew your food and pass it into your esophagus.
- Once you swallow, your body automatically activates a process called peristalsis. This is when the muscles in your GI tract sequentially relax and contract to push food through your digestive system.
- As food moves through your esophagus, your sphincter muscle relaxes so it can pass food into your stomach.
- Food mixes with digestive juices in your stomach that help break it down.
- Food then passes into the small intestine, where it mixes with more digestive juices from your liver, pancreas, and intestine to further break down. During this process, your small intestine absorbs fluid and nutrients.
- Peristalsis moves the leftover waste materials down your GI tract, where the large intestine absorbs water to turn them into stool.
- Peristalsis moves stool to your rectum, which is the end of the large intestine, eventually pushing it out your anus during a bowel movement.
How the Respiratory System Functions

Here are the steps of respiration:
- Your mouth and nose pull in air from your environment.
- The air travels to your lungs.
- Your lungs remove oxygen from the air and pass it into your bloodstream.
- Blood carries oxygen throughout your body to nourish organs, tissues, and cells.
- Your blood carries carbon dioxide and other waste, which is released from your body when you exhale.
How Digestion Depends on Respiration
Your digestive system needs your respiratory system to provide oxygen to support its functions, including fueling peristalsis — when the muscles in your GI tract relax and contract — to move food through the digestive process.
The respiratory system also aids the digestive system by removing waste products that cells produce during digestion, such as carbon dioxide.
How Respiration Depends on Digestion
Your respiratory system also depends on digestion.
Your digestive system provides your respiratory organs and tissues with the nutrients they need to work properly. Lungs are highly metabolically active organs, meaning they require a great deal of energy to function.
The Gut-Lung Axis
There’s a substantial body of research focusing on the gut-lung axis, or the communication and interaction between our digestive system and lungs.
The Takeaway
- Your digestive system relies on oxygen from the respiratory system for essential functions like peristalsis, while the respiratory system needs nutrients from digestion for energy.
- The respiratory system also helps remove waste, like carbon dioxide, produced during digestion, and the digestive system provides the vital fuel your respiratory organs need to function.
- Emerging research highlights a significant connection between your gut microbiome and lung health, suggesting that an imbalanced gut microbiome can affect respiratory conditions and vulnerability to infections.
- Peiqi L et al. The Interaction Between the Respiratory System and The Digestive System: A Preliminary Study. International Journal of Science and Engineering Applications. 2024.
- Digestive System. Cleveland Clinic. October 25, 2024.
- Your Digestive System & How It Works. National Institute of Diabetes and Digestive Kidney Diseases. December 2017.
- Respiratory System. Cleveland Clinic. April 2, 2024.
- Ward JBJ et al. Oxygen in the regulation of intestinal epithelial transport. The Journal of Physiology. April 7, 2014.
- Chunxi L et al. The Gut Microbiota and Respiratory Diseases: New Evidence. Journal of Immunology Research. July 31, 2020.
- Marrella V et al. Microbiota and Immunity During Respiratory Infections: Lung and Gut Affair. International Journal of Molecular Sciences. April 5, 2024.

Grant Chu, MD
Medical Reviewer
Grant Chu, MD, is an assistant clinical professor at the David Geffen School of Medicine at UCLA. Dr. Chu is also the associate director of education at the UCLA Center for East-West Medicine, using technology to further medical education.
He is board-certified in internal medicine by the American Board of Internal Medicine and is a diplomate of the National Certification Commission for Acupuncture and Oriental Medicine.
He received a bachelor's degree in neuroscience from Brown University, where he also earned his medical degree. He has a master's in acupuncture and oriental medicine from South Baylo University and a master's in business administration from the University of Illinois. He completed his residency in internal medicine at the University of California in Los Angeles and a fellowship at the Center for East-West Medicine at UCLA.
He has held academic appointments at the University of California in Irvine and the University of Queensland in Australia.