Demystifying Chronic Gut Issues
Despite the escalating prevalence of digestive issues, there remains a disconcerting trend within the medical system to overlook or trivialize these concerns. In an era marked by an abundance of processed foods, environmental toxins, and heightened stress levels, gastrointestinal ailments have become increasingly commonplace. However, the gravity of these conditions is often underestimated or dismissed, leading to inadequate diagnosis and treatment. Patients navigating the labyrinth of medical consultations frequently encounter a lack of understanding or empathy regarding their digestive woes, with symptoms often attributed to a blanket diagnosis or dismissed as minor inconveniences. Consequently, individuals grappling with chronic digestive issues are left feeling marginalized and invalidated, exacerbating their physical and emotional distress. I should know, I used to be one them!
In my years of experience treating gastrointestinal conditions and concerns as a Naturopathic Doctor, these are the top contributing root-cause factors that could be causing your chronic gut issues:
1) Low stomach acid
Stomach acid, primarily composed of hydrochloric acid (HCl), plays a pivotal role in the digestive process. It serves multiple functions, including breaking down food, activating enzymes, and helping to sterilize the stomach from pathogens. Adequate levels of stomach acid are essential for optimal digestion and nutrient absorption. Contrary to common belief, the prevalence of low stomach acid is more widespread than we give it credit. Factors such as stress, aging, dietary habits, and certain medications can contribute to decreased stomach acid production. When stomach acid levels are insufficient, digestion becomes compromised. Food may linger in the stomach for longer periods, leading to bloating, gas, diarrhea or loose stools and indigestion. Moreover, the incomplete breakdown of food can result in multiple nutrient deficiencies leading to dry skin, hair thinning or loss, weakness, brain fog and fatigue.
2) Increased Intestinal Permeability (Leaky gut syndrome)
This is a condition where the lining of the intestines becomes compromised, allowing undigested food particles, toxins, and pathogens to leak into the bloodstream. Chronic inflammation, poor dietary choices, stress, and imbalances in gut microbiota can contribute to the development of leaky gut. Leaky gut can happen to anyone at any point in their life and it really becomes a concern when it is widespread. I see this a lot in my practice when patients say they have food sensitivities because more often than not, it is not a true food sensitivity. It is actually due to food antigens leaking into the bloodstream and binding to your immune cells causing an immune response…they are in a place that they should not be! Simply reducing the degree of leaky gut can reduce the amount of food protein antigens and often times, patients see dramatic improvements in their gut symptoms.
3) Microbiome dysbiosis
A dysbiosis in your gut microbiome includes an alteration in the species present beyond what is considered normal. Small Intestinal Bacterial Overgrowth (SIBO) occurs when there is an abnormal increase in the population of bacteria in the small intestine, surpassing healthy levels. This overgrowth can result from various factors such as impaired motility, reduced stomach acid, anatomical abnormalities and past antibiotic use. Similarly, Small Intestinal Fungal Overgrowth (SIFO) involves an overgrowth of fungal organisms, primarily Candida species, in the small intestine. Both SIBO and SIFO disrupt the delicate equilibrium of the gut microbiome, leading to a cascade of symptoms. These may include bloating, abdominal pain, diarrhea, constipation, and nutrient malabsorption. It can be common for symptoms to become worse after eating sugars and carbohydrates. This is because the fermentation of carbohydrates by excess bacteria or fungi can produce gas and other by-products, contributing to discomfort and distension. There are testing options available including a SIBO breath test or GI-MAP to help facilitate treatment. Addressing microbiome dysbiosis through targeted interventions such as antimicrobial therapy, dietary modifications, and probiotic supplementation is crucial for restoring gut health and alleviating associated symptoms.
If you are struggling with gastrointestinal symptoms or you suspect you might have some of these underlying issues, I always recommend an initial consultation so we can dive deep into your health history to find the best path forward.
Dr. Hailey Traut ND
Health Rediscovered. Healthcare Redefined.
