Digestive Health Archive

Articles

The dos and don'ts of managing diverticular disease

People who have diverticular disease have tiny pouches (diverticula) in the lining of the colon that can bleed or perforate and develop infection (called diverticulitis). People with diverticular disease should eat a healthy diet rich in fiber, drink lots of water, exercise regularly, maintain a healthy weight, not smoke, avoid straining in the bathroom, and report bleeding or pain to a doctor. However, it's not necessary to avoid eating nuts, seeds, or popcorn, which were once believed to lodge in diverticula and cause problems. That old advice turned out to be wrong.

Tough to swallow

Losing the ability to properly swallow should not be attributed to older age. If older adults have persistent trouble swallowing, like the sensation something is stuck in their throat, or if it’s painful to swallow, it could be a sign of an underlying problem and should be checked out. Treatment depends on the source of the swallowing problem, but might include medication, lifestyle changes, and in some cases, surgery.

Constipation: A connection to cardiovascular disease?

People with chronic constipation may be more prone to heart disease, but the connection remains unclear. Straining and bearing down to have a bowel movement can temporarily boost blood pressure, putting the cardiovascular system at risk. And a possible link between constipation and blood clots may be worth further study. In rare cases, clots form in the veins that serve the gastrointestinal organs, including the large intestine (colon). Known as splanchnic venous thrombosis, the problem seems to be far more common in people with constipation than in those without.

What are postbiotics?

Postbiotics are created by digestion. Like probiotics and prebiotics, they may contribute to gut health and overall health.

Gastroparesis: A slow-emptying stomach can cause nausea and vomiting

Gastroparesis is a condition that causes delay in the emptying of food from the stomach. This can cause uncomfortable symptoms like nausea, vomiting, and abdominal pain, and can affect nutrition and quality of life. Treatment may involve medication or a procedure, but a correct diagnosis is necessary first.

Keep ultra-processed foods off the menu

A study published online July 14, 2021, by the BMJ suggests that eating ultra-processed foods is associated with substantially increased risks of developing inflammatory bowel disease, such as Crohn’s disease or ulcerative colitis.

Inflammatory bowel disease on the rise in older adults

The number of Crohn’s disease and ulcerative colitis cases among older adults has increased every year over the past decade. While all racial and ethnic groups were affected, the most significant annual percentage increase was among non-Hispanic Black individuals.

Battle of the bulges

A majority of people over 60 have diverticulosis, a condition in which tiny bulges (called diverticula) appear in weak areas of your colon’s inner wall. The bulges themselves don’t cause symptoms, but they can lead to bleeding or diverticulitis, which occurs when a diverticulum becomes inflamed or infected. People can reduce their risk by eating more fiber and staying physically active.

Adjusting gut bacteria may improve response to cancer treatment

Gut bacteria may play a role in response to cancer treatments that target the immune system.

Facts about fiber

Fiber improves digestion and may help lower a person’s risk for heart disease, diabetes, and cancer. But according to the 2020–2025 Dietary Guidelines for Americans, most people meet only half their daily fiber needs. The main reason is not following a basic healthy diet with foods high in fiber. Making small changes in dietary habits and adopting new fiber-rich foods can help people reach their quota.

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