The Gut Guide: The digestive system part B 

To build on our understanding of how the digestive system works—its intricate network of organs and enzymes working in harmony—it’s equally important to recognise when this system is out of balance. The gut mirrors what we put into our bodies, and when it’s not functioning well, it sends clear signals that it needs support, and tuning into these signs can be key to restoring digestive health. 

In this next blog, we’ll explore the common symptoms of an unhappy gut and how simple yet powerful changes in nutrition, stress management, and sleep can support and heal our digestive system from within. 

Here are some key signs to watch for:

  • Poor bowel movement: Constipation, diarrhea, or irregularity can indicate that your digestive system is struggling, possibly due to a lack of fibre, dehydration, or an imbalance in gut bacteria.
  • Upset stomach: Bloating, gas, cramps, or heartburn are classic signs of an unhappy gut. These symptoms suggest that your digestive system is struggling to process food efficiently, often due to poor diet or gut flora imbalances.
  • Skin irritation: Conditions like acne, eczema, or rashes may be linked to gut issues. Poor digestion and an imbalance in gut bacteria may lead to inflammation, which often shows up in the skin.
  • Sleep disturbances: Your gut produces serotonin, a hormone that affects sleep. An unhealthy gut may disrupt serotonin levels, leading to trouble sleeping or insomnia, impacting overall rest.
  • Constant fatigue: A gut that’s not absorbing nutrients properly may leave you feeling drained and tired all the time. Gut imbalances may also increase inflammation, which eventually drains your energy.
  • Unintentional weight changes: If you’re losing or gaining weight without trying, it could be a sign that your gut health is out of balance. Malabsorption of nutrients or a disrupted metabolism often causes unexplained weight shifts.

Nutrition plays a crucial role in maintaining good gut health, hence making it easier for the gut to absorb and utilise the nutrients. Let us delve into various practices and ideas to manage gut health. 

1. Eat your fibre

    There are mainly 2 kinds of fibre, soluble and insoluble fibre. Soluble fibre dissolves in water and comes from the inner parts of plants, like pectin and gums. It forms a gel in the gut, which helps lower blood sugar and cholesterol levels. This type of fibre is also broken down by bacteria in the colon. Insoluble fibre, found in the outer skin of plants, doesn’t dissolve in water and isn’t broken down by gut bacteria. It adds bulk to stools, helping to keep the bowel movement regular. Examples include cellulose and lignin. 

    Food sources of soluble fibre: fruits, oats, root vegetables, legumes, beans

    Food sources of insoluble fibre: banana, avocado, skin of most fruits such as apples, many green vegetables such as zucchini, green beans, celery, and cauliflower, some fruit plants such as tomatoes and kiwi.

    Health Benefits of a High-Fibre Diet:

    • Promotes Regular Bowel Movements: Insoluble fibre softens stools, making them easier to pass, preventing constipation, and adding bulk to stools to avoid diarrhea.
    • Improves Bowel Health: A high-fibre diet may help prevent or reduce issues like hemorrhoids and diverticular disease (small bulges in the colon), and it may lower the risk of colorectal cancer.
    • Lowers Cholesterol: Soluble fibre binds to cholesterol in the gut, reducing its absorption and may help to prevent heart disease.
    • Controls Blood Sugar Levels: Soluble fibre slows the digestion of carbs, this may lead to more stable blood sugar and insulin levels after meals.
    • Aids in Weight Loss: Soluble fibre helps you feel fuller for longer, reducing hunger and may support weight loss.
    • May Reduce Cancer Risk: Some soluble fibres like pectin have antioxidant properties and may lower the risk of cancers like breast cancer.
    • Supports Longevity: A high-fibre diet is linked to a reduced risk of type 2 diabetes, heart disease, stroke, and better immune function.

    2. Stay hydrated:

      In human adults, the total body water accounts for about 70% of the lean body mass. Low fluid intake is a common cause of constipation. To prevent this, it’s important to drink enough fluids from water, other beverages, and water-rich foods. Experts recommend drinking plenty of water daily, especially if you’re in a warm climate, exercising, or feeling sick. Non-caffeinated drinks like herbal teas can also help. Eating fruits and vegetables high in water, like cucumbers, strawberries, and oranges, is another way to boost fluid intake. The recommended intake for water is 8-10 glasses per day.  

      ​A high-fibre diet is often recommended to promote digestive health and prevent constipation. However, increasing fibre intake without sufficient water consumption can exacerbate constipation. Fibre adds bulk to the stool, but without adequate hydration, this bulk can become dry and hard, making it difficult to pass. Therefore, it’s essential to balance increased fibre intake with adequate fluid consumption to maintain regular bowel movements and prevent gastrointestinal discomfort.

      3. Incorporate Probiotics and prebiotics:

      Probiotics are live microorganisms that provide the body with multiple benefits. The most common probiotics belong to two main groups of good bacteria: Bifidobacteria and Lactobacillus.

      • Bifidobacteria: Found in foods and supplements, these bacteria help your immune system, prevent harmful bacteria from growing, and break down lactose (milk sugar) into nutrients your body can use.
      • Lactobacillus: These bacteria make lactase, the enzyme that helps digest lactose, and produce lactic acid. Lactic acid helps control bad bacteria and boosts your body’s absorption of minerals.

      When you see probiotic labels, the names of these bacteria are often shortened. For example, Lactobacillus acidophilus may appear as L. acidophilus on food or supplement labels. 

      Each species of probiotic has its own specific benefits for your body.

      Prebiotics are nutrients that gut bacteria break down, and they play an important role in supporting overall health. By feeding gut bacteria, prebiotics produce short-chain fatty acids that can positively impact not just the gut but other organs in the body. Two key types of prebiotics, fructo-oligosaccharides and galacto-oligosaccharides, have shown health benefits, but they naturally occur in small amounts in foods. Scientists are working on producing them in larger quantities for wider use. Prebiotics are considered a safe and effective way to improve health, either on their own or alongside probiotics, and they offer advantages in production and storage.

      4. Manage stress and improve sleep:  

        Stress and sleep deprivation disrupts the body’s balance and reduces the diversity of gut bacteria, and can have both immediate and long-term impacts on the gut. Poor sleep and immense stress affects the connection between the brain and the digestive system often referred to as the brain-gut-microbiome axis, leading to various gut issues like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), peptic ulcers, and acid reflux (GERD). Stress influences the gut in several ways, including changing bowel movements, increasing sensitivity to pain, altering digestion, making the gut lining more permeable, slowing down healing in the gut, and disrupting the balance of gut bacteria. 

        Common stress-busting activities like walking, journaling, listening to music, meditation, planning ahead might help manage stress better. For better sleep quality try avoiding the use of gadgets 45-60 mins prior to sleep, listening to calming music or mediating, hot showers are helpful to increase the levels of melatonin which is responsible for the sleep-wake cycle.

        5. Reduce the intake of processed and packaged foods

        The typical Western diet, high in saturated fats and sugars but low in plant fibres, is linked to a higher risk of metabolic and heart diseases, as well as ongoing low-grade inflammation. One reason for these negative effects is the gut microbiota, which changes in response to a poor diet. High sugar intake increases harmful bacteria while reducing beneficial ones, which help protect the gut and control inflammation. This imbalance can lead to inflammation, weaken the gut’s protective barrier, and contribute to metabolic issues, making a high-sugar diet harmful in many ways beyond just extra calories. 

        Foods like bakery items, confectioneries, refined flour and its products must be avoided. 

        Gut brain hypnotherapy: 

        Gut-focused hypnotherapy is a therapeutic approach that leverages the mind-body connection to alleviate symptoms of functional gastrointestinal disorders (FGIDs) such as irritable bowel syndrome (IBS). This technique involves guiding individuals into a deeply relaxed state, during which a trained therapist uses calming imagery and suggestions specifically targeting gut function. For instance, patients might be encouraged to visualise their digestive system operating smoothly, akin to a gently flowing river, which may help reduce pain, normalise bowel movements, and decrease gut sensitivity. 

        The therapy aims to recalibrate the communication between the brain and the gut, addressing the miscommunication that often underlies FGIDs. Clinical studies have demonstrated that gut-focused hypnotherapy can be highly effective, with significant improvements observed in patients who had not responded to conventional treatments. Benefits include reduced abdominal pain, improved bowel habits, and decreased reliance on medications.

        By fostering a state of deep relaxation and utilizing targeted mental imagery, gut-focused hypnotherapy empowers individuals to influence their digestive health positively, offering a non-invasive and holistic option for managing chronic gastrointestinal symptoms.

        Key Takeaways: 

        1. Listen to Your Gut’s Signals: Symptoms like irregular bowel movements, skin issues, sleep disturbances, fatigue, unintentional weight changes, and upset stomach are signs that your gut may need support.
        2. Prioritise Fibre and Hydration: Incorporate both soluble and insoluble fibres into your diet to promote regular bowel movements, lower cholesterol, manage blood sugar levels and support weight management. Stay hydrated by drinking plenty of water and eating water-rich fruits and vegetables to prevent constipation.
        3. Include Probiotics and Prebiotics: Probiotics help balance gut bacteria and aid digestion. Prebiotics, nutrients that feed good gut bacteria, can enhance overall health by supporting gut flora and producing beneficial short-chain fatty acids.
        4. Manage Stress: Stress disrupts the brain-gut connection, leading to digestive issues like IBS, IBD, and acid reflux. Engage in stress-reducing activities like walking, meditation, or journaling to support gut health.
        5. Maintain Good Sleep: Poor sleep can lead to imbalances in gut bacteria, increasing inflammation and compromising digestion. Prioritising quality sleep is crucial for maintaining a healthy gut microbiome and preventing digestive issues.

        Disclaimer: The information provided in this blog is sourced from research articles and reputable websites. However, as each individual’s body and health needs are unique, it is essential to consult with your doctor, dietitian, or healthcare provider for personalised advice and plans tailored specifically to your condition.

        Acknowledgement: I would like to extend my heartfelt gratitude to our CEO, Purva Gulyani – Accredited Practising Dietitian, for providing me with the opportunity to contribute to this blog. Your valuable feedback, along with your time spent proofreading and editing, has greatly enhanced the quality of this work. Your guidance and support are truly appreciated.

        References: 

        1. https://www.ncbi.nlm.nih.gov/books/NBK559033/ 
        2. Fardet A. (2010). New hypotheses for the health-protective mechanisms of whole-grain cereals: what is beyond fibre?. Nutrition research reviews, 23(1), 65–134. https://doi.org/10.1017/S0954422410000041 
        3. Petruzziello, L., Iacopini, F., Bulajic, M., Shah, S., & Costamagna, G. (2006). Review article: uncomplicated diverticular disease of the colon. Alimentary pharmacology & therapeutics, 23(10), 1379–1391. https://doi.org/10.1111/j.1365-2036.2006.02896.x 
        4. Brown, L., Rosner, B., Willett, W. W., & Sacks, F. M. (1999). Cholesterol-lowering effects of dietary fiber: a meta-analysis. The American journal of clinical nutrition, 69(1), 30–42. https://doi.org/10.1093/ajcn/69.1.30 
        5. de Leeuw, J. A., Jongbloed, A. W., & Verstegen, M. W. (2004). Dietary fiber stabilizes blood glucose and insulin levels and reduces physical activity in sows (Sus scrofa). The Journal of nutrition, 134(6), 1481–1486. https://doi.org/10.1093/jn/134.6.1481 
        6. Anderson, J. W., & Bryant, C. A. (1986). Dietary fiber: diabetes and obesity. The American journal of gastroenterology, 81(10), 898–906. 
        7. Higgins, J. A., & Brown, I. L. (2013). Resistant starch: a promising dietary agent for the prevention/treatment of inflammatory bowel disease and bowel cancer. Current opinion in gastroenterology, 29(2), 190–194. https://doi.org/10.1097/MOG.0b013e32835b9aa3 
        8. Mearin, F., Ciriza, C., Mínguez, M., Rey, E., Mascort, J. J., Peña, E., Cañones, P., & Júdez, J. (2016). Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Revista espanola de enfermedades digestivas, 108(6), 332–363. https://doi.org/10.17235/reed.2016.4389/2016 
        9. https://www.healthline.com/health/types-of-probiotics#common-probiotics 
        10. Davani-Davari, D., Negahdaripour, M., Karimzadeh, I., Seifan, M., Mohkam, M., Masoumi, S. J., Berenjian, A., & Ghasemi, Y. (2019). Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications. Foods (Basel, Switzerland), 8(3), 92. https://doi.org/10.3390/foods8030092 
        11. Konturek, P. C., Brzozowski, T., & Konturek, S. J. (2011). Stress and the gut: pathophysiology, clinical consequences, diagnostic approach and treatment options. Journal of physiology and pharmacology : an official journal of the Polish Physiological Society, 62(6), 591–599. 
        12. Satokari R. (2020). High Intake of Sugar and the Balance between Pro- and Anti-Inflammatory Gut Bacteria. Nutrients, 12(5), 1348. https://doi.org/10.3390/nu12051348 
        13. Vasant, Dipesh H, and Peter J Whorwell. “Gut-focused hypnotherapy for Functional Gastrointestinal Disorders: Evidence-base, practical aspects, and the Manchester Protocol.” Neurogastroenterology and motility vol. 31,8 (2019): e13573. doi:10.1111/nmo.13573 
        14. Smith, R. P., Easson, C., Lyle, S. M., Kapoor, R., Donnelly, C. P., Davidson, E. J., Parikh, E., Lopez, J. V., & Tartar, J. L. (2019). Gut microbiome diversity is associated with sleep physiology in humans. PloS one, 14(10), e0222394. https://doi.org/10.1371/journal.pone.0222394 

        Image credits: 

        1. Nadeem, R., Imran, A., Wei, C. R., Naz, S., Waheed, W., Akram, M. A., … & Befa Kinki, A. (2024). A review on the potential impact of probiotics and prebiotics in enhancing health benefits. Cogent Food & Agriculture, 10(1), 2409831. 

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        Our Director
        Purva Gulyani

        Purva Gulyani – an Accredited Practising Dietitian and lifelong member of the Indian Dietitian Association. Currently pursuing PhD at Latrobe University. Purva brings over 16+ years of clinical dietitian experience to the table.

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