Eating for Your Gut

A healthy, balanced diet that is high in fiber can alleviate many GI issues. Reach for plenty of fruits and vegetables, lean proteins and whole grains, such as brown rice instead of white rice and whole wheat bread instead of white bread. Likewise, certain foods should be avoided. Extremely fatty foods can cause the colon to contract, resulting in cramping. Very spicy foods cause trouble with acid reflux and ulcers. Foods high in sugar tend to cause bloating and cramping. You might even opt for fruits lower in fructose, or fermentable sugars, if you notice those symptoms.

Paying Attention to Symptoms

While you might experience mild intestinal distress on rare occasions, there are times when you should seek attention from a health care provider. This includes:

• Any new or severe abdominal pain
• Abdominal swelling or distension
• Bloody, black or maroon stool
• Severe constipation or diarrhea
• Unintentional weight loss
• Choking or difficulty swallowing
• Coughing when eating or drinking
• Persistent nausea or vomiting

Most importantly, pay attention to any significant changes in your bowel habits. There is no specific normal, but it is important to know what your normal is. If there is any change or deviation from your baseline, such as an increase or decrease in frequency, see your doctor.

Focusing on Prevention

Preventive GI care is also important, including being screened for colon cancer. New guidelines recommend colonoscopies begin at age 45 for anyone of average risk. Some factors can raise your risk, including family history and other medical conditions, in which earlier screening may be recommended. Speak with your primary care provider about what is best for you.

While you may be weary of a colonoscopy or hesitant to speak to your doctor about GI issues, remember that in doing so, you’re helping ensure you stay at your healthiest and feeling your best.

Matt Telmer, FNP, is a BJC Medical Group family nurse practitioner specializing in gastroenterology. He sees patients at his office at Barnes-Jewish St. Peters Hospital. You can schedule an appointment with Matt by calling 636.928.WELL.