Chronic abdominal pain is one of the most debilitating symptoms of inflammatory bowel disease. Microgliosis in central pain circuits drives persistent visceral hypersensitivity, but how spinal microglia are activated remains unclear. Adenosine triphosphate released from transient receptor potential vanilloid member 1 þ visceral afferents drives microglial reactivity via P2RY12 in colitis-induced visceral pain.