Oxytocin is released into plasma in response to a meal (Ohlsson et al., 2002) and injection of cholecystokinin (CCK) (Ohlsson et al., 2004a). There are 2 phases in the release after a meal, whereas only one phase after CCK injection. Postprandially, the peak value in oxytocin release comes after the peak level of CCK (Ohlsson et al., 2002). This is in line with the findings in rats, where both parvocellular neurons projecting to the dorsal vagal complex, and magnocellular neurons projecting to the pituitary, secrete oxytocin in response to CCK (Verbalis et al., 1991). Oxytocin and its receptor mRNA is detected by the PCR method in almost all segments of the human gastrointestinal (GI) tract (Monstein et al., 2004). The indirect immunofluorescence approach has shown that oxytocin is expressed in myenteric and submucous ganglia, suggesting that it is important for both GI sensitivity and motility (Ohlsson et al., 2006a). It has not been possible to demonstrate the oxytocin receptor by immunohistochemistry. In human, oxytocin has been shown to stimulate gastric emptying (Hashmoni et al., 1979, Petring 1989) and colonic peristalsis (Ohlsson et al., 2004b). In addition, inhibition of the binding of endogenous oxytocin by the receptor antagonist atosiban delays gastric emptying (Ohlsson et al., 2006b), and diabetics with gastro paresis have impaired oxytocin secretion (Faraj et al., 2008). Despite the stimulatory effect of oxytocin on peristalsis, treatment with nasally administered oxytocin does not improve the stool habits in women with refractory constipation (Ohlsson et al., 2005). In animals, oxytocin exerts divergent effects in different species and segments of the GI tract. Oxytocin is also known to have analgetic and antidepressive effects in rats (Arletti et al., 1995, Petersson et al., 1996), and its plasma levels are found to be decreased in patients suffering from dyspepsia and IBS (Uvnäs-Moberg et al., 1991). Furthermore, children suffering from recurrent abdominal pain exhibit lower plasma levels of oxytocin than healthy controls (Alfven 2004). Interestingly, both depression and fibromylagia are associated with IBS (Lydiard et al., 1993, Sperber et al., 1999), and both of these conditions are also characterised by low plasma levels of oxytocin (Frash et al., 1995, Anderberg et al., 2000). Accordingly, treatment of IBS patients with intravenously (Louvel et al., 1996) or nasally (Ohlsson et al., 2005) administered oxytocin result in the reduction of abdominal pain and reduced depression. The questions remain as to whether oxytocin could be used clinically to improve the suffering of patients with IBS, fibromyalgia and depression by reducing their pain and their depressive mood, or improve gastric emptying in patients suffering from gastro paresis. Further randomised clinical trials are needed to answer these questions.