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Restoring Gastrointestinal Health and Function: Part Two — Testing and Treatment

Welcome Part Two in my series on gastrointestinal (gut) health and function. In Part One, I covered several ways that the gut supports overall health, explained common factors that can impair gut health and function, and described obvious and not-so-obvious symptoms that can arise when gut health is compromised. In this part, I turn my focus to testing for gut dysfunction and restoring and optimizing gut health and function.

Graphic for Digestive Repair Protocol

Testing to Rule Out or Confirm and Identify Gut Issues

Based on our initial consultation and examination, I may suspect that the health issues you are experiencing are related to your digestive system. However, testing is required to confirm any suspicion I may have (or rule it out) and to identify more precisely what is going on. If I suspect that gut dysfunction may be at the root of your symptoms, I will recommend one or more of the following tests:

  • GI Map Stool: This comprehensive study of bacteria, viruses, parasites, and digestive function checks for leaky gut, inflammatory bowel disease, gluten sensitivity, blood loss, and pancreatic enzymes.
  • Microbial Organic Acids Test (MOAT): This urine test checks for overgrowth of potentially harmful bacteria and yeasts, levels of beneficial bacteria, and metabolic issues. Organic acids are metabolic intermediates involved in several processes, including energy production, detoxification, and the breakdown of neurotransmitters. Levels of specific organic acids serve as valuable indicators of digestive function.
  • SIBO Breath Test: This test measures gases produced by bacteria in the small intestine. Results can help identify a bacterial overgrowth.
  • Abdominal/Liver Sonogram: This exam is often used to check for fatty liver, which can disrupt metabolism and detoxification pathways. Results reveal any signs of inflammation or indications of any blockage of bile flow from the gallbladder. Based on the results, I may refer you to a gastroenterologist for an endoscopy or colonoscopy and follow-up treatment.
  • Pelvic Sonogram: This exam may reveal uterine fibroids or cysts that can cause abdominal discomfort, pain, and altered digestion. If I think a transvaginal sonogram is required, I will refer you to a gynecologist.

I may also recommend the elimination of certain inflammatory foods from the diet, such as dairy, sugary foods or beverages, alcohol, fried foods, or refined carbohydrates to determine whether certain foods or classes of foods trigger or worsen symptoms.

Targeting the Three Factors That Impact Gut Health and Function

Gut health is complex but can best be understood by examining the following three factors that play a pivotal role in gut health and function: Continue reading…

Restoring Gastrointestinal Health and Function: Part One — Causes and Symptoms

By |2023-08-21T18:19:30-04:00August 21st, 2023|Categories: Gut Health|Tags: , , , , , , , , |0 Comments

Many of my patients are surprised when I recommend a gut repair and restore protocol as part of their personalized treatment plan.

“What does my gut have to do with my sinus allergies?” they ask, or “How will repairing and restoring my gut improve my mood and energy?” These are fair questions. The link between the gut and certain illnesses is counterintuitive — at least on the surface.

But that should come as no surprise. Since the earliest days of medicine, physicians have recognized the importance of gut health and function on overall health. In fact, Greek physician Hippocrates, widely considered the father of Western medicine, claimed that “all disease starts in the gut.”

Graphic for why gut health matters

In this two-part series, I explore the vital role that the gastrointestinal system (the gut) plays in overall health, symptoms that frequently accompany gastrointestinal dysfunction, and the four-step protocol I often use with patients to restore and optimize gut health and function.

How the Gut Supports Overall Health

Although I wouldn’t go so far as to say all disease starts in the gut, the gut does have a positive impact on health in many ways, including the following: Continue reading…

Is Your Antacid Making You Sick?

By |2020-09-15T20:38:01-04:00September 15th, 2020|Categories: Gut Health|Tags: , , , , , |0 Comments

Heartburn has been in the news a lot lately — and I’m not talking about the heartburn you get from watchingthe news. All those stories about COVID 19, peaceful protests, looting, and the upcoming presidential election are certainly enough to cause indigestion. But before you reach for that “little purple pill” to relieve your heartburn, consider its potential impact on your overall health.

As highlighted in a number of recent reports, prescription and over-the-counter drugs commonly used to alleviate symptoms associated with heartburn, gastroesophageal reflux disease (GERD), acid reflux, and ulcers, may increase the risk of numerous health conditions, some of which can be fatal. Among these risks are cardiovascular disease, chronic kidney disease, and cancer.

Most recently, the news buzzed about the U.S. Food and Drug Administration’s (FDA’s) recall of all prescription and over the counter (OTC) ranitidine medications, commonly known by the brand name Zantac. The FDA discovered a contaminant called N-Nitrosodimethylamine (NDMA) in some ranitidine products that “increases over time and when stored at higher than room temperatures and may result in consumer exposure to unacceptable levels.” NDMA is a probable human carcinogen (a substance that could cause cancer).

Ranitidine is a histamine-2 (H2) blocker, a class of heartburn medication that’s normally not nearly as harmful as another class of medications commonly used to treat heartburn (I should say commonly overused) — proton pump inhibitors (PPIs). One study of PPIs — Estimates of mortality associated with proton pump inhibitors among US veteranswas published in May of 2019 in the British Medical Journal. In that peer-reviewed study, researchers from the Department of Veterans Affairs-Saint Louis, Saint Louis University, and Washington University School of Medicine in Saint Louis concluded that taking proton pump inhibitors (PPIs) is associated with a small excess of cause-specific mortality, including death in 45 out of every 1,000 people. Another study published in 2006 in the Journal of the American Medical Association, concluded that long-term PPI therapy is associated with an increased risk of hip fracture.

Other potential adverse side effects associated with PPIs include Continue reading…