Celiac disease or gluten sensitivity Archive

The brain communicates with the gastrointestinal tract through a connection scientists call the gut-brain axis. Evidence suggests that when the gut is irritated by triggers such as infection, stress, food, allergies, alcohol, or heredity, the resulting inflammation could influence mood.

Gut health plays a bigger role in overall well-being than many people realize, affecting digestion, mood, and immunity. Simple daily choices around food, movement, sleep, stress, and hydration can support a healthier, more resilient gut.

Dietary changes can make a big difference for people with gastroesophageal reflux disease (GERD). Foods to limit or avoid include chocolate, onions, and tomato sauce. Adjusting eating habits-by eating smaller portions, for example-might also help people avoid heartburn and other symptoms.

People with irritable bowel syndrome (IBS) often struggle with stress, anxiety, and depression. Cognitive behavioral therapy and gut-directed hypnotherapy have the strongest evidence for treating these IBS-related issues. Other interventions like aerobic exercise, yoga, acupuncture, and biofeedback also may be helpful.

Pelvic floor exercises can involve strengthening or stretching the muscles that support the bladder, bowel, and core. The exercises can lead to better bladder and bowel control. They can also help improve sexual function.

Celiac disease is an autoimmune digestive condition triggered by gluten, a sticky protein found in grains such as wheat, barley, and rye. Celiac disease is typically diagnosed later in life, and occurs more often in women. Symptoms include intestinal distress, weight loss, rashes, fatigue, and nutrient deficiencies. Celiac patients must adopt a strictly gluten-free diet, which can be challenging after decades of eating gluten. Helpful strategies include creating gluten-free kitchen areas, buying naturally gluten-free items, and examining food labels.

The gut microbiota contains trillions of microbes, including both good and bad bacteria. Good bacteria help digest food and absorb nutrients, regulate appetite, synthesize vitamins, and support the immune system. When the gut microbiota becomes unbalanced because of an increasing number of bad bacteria, problems can arise. Keeping the gut balanced and healthy involves eating more probiotics (foods containing good bacteria) and prebiotics (foods that help existing good bacteria grow).

Bowel preparation (prep) is considered the most unpleasant part of the colonoscopy process, but it's also crucial. A clean bowel helps the gastroenterologist more easily locate and remove polyps, small growths that can develop into cancer. If the prep is inadequate, the patient will have to repeat the process. Updated guidelines for gastroenterologists, published in 2025, can help them guide their patients to have more successful preps.