Digestive Health Archive

Digestive enzyme supplements are promoted to fix problems like bloating, gas, and bowel irregularity. However, for most people, there's little evidence that they help. Doctors may prescribe enzyme pills for people who can't make enough digestive enzymes because of a health condition.

In recent years, treatment options for inflammatory bowel disease have expanded rapidly, with new types of drugs, new medications within existing classes, and new combinations of treatments for some patients.

Nearly half of all people with inflammatory bowel disease have symptoms that occur outside of the gastrointestinal tract. These conditions, known as extraintestinal manifestations (EIMs), can affect the musculoskeletal system, eyes, lungs, and other areas of the body.

Everyone experiences acute (short-term) diarrhea at some time. The unpleasant experience often resolves on its own in a few days, but there are situations that require medical attention. Examples include bloody diarrhea, severe abdominal pain, a high fever, and episodes that continue for a week or longer. A medical consultation can help determine if diarrhea is related to a specific bacterium or parasite, a medication side effect, a food intolerance, or an inflammatory bowel disease.

Lactose intolerance can develop at any age, prompting gas, bloating, nausea, or diarrhea after people eat or drink dairy products. Secondary lactose intolerance can happen after the small intestine is jolted by surgery, illness, or injury.

Proton-pump inhibitors are a commonly prescribed anti-acid medication, but new guidelines from the American Gastroenterological Association recommend that they should be taken at the lowest dose and shortest duration for the condition being treated.

Around menopause, a decline in estrogen can trigger low-grade inflammation that leads to unexpected symptoms from head to toe. Symptoms can affect the digestive tract, skin, joints, eyes, ears, and heart, among other areas. A 2022 study found that estrogen loss can even fuel the jaw pain known as temporomandibular disorder. A year or longer can pass before many women connect symptoms with menopause. Women can take lifestyle measures to lower inflammation, such as eating more fruits and vegetables, avoiding processed foods, and exercising.

Clostridioides difficile, a bacterium that causes severe diarrhea and colon inflammation, is common in hospitalized people. New research suggests that even patients who are not diagnosed with the infection in the hospital can bring it home and expose family members.

Fiber-rich diets may lower the risk of heart attack and stroke, in part by decreasing inflammation. This benefit appears to be facilitated by the breakdown of prebiotic fiber in the gut microbiome to create short-chain fatty acids. These compounds circulate through the bloodstream and interact with specific receptors on cells that quell inflammation. Short-chain fatty acids may also play a role in keeping blood sugar, blood pressure, and cholesterol levels in check, as well as helping to prevent harmful blood clotting.

Inflammatory bowel disease is commonly diagnosed at a point in life when many people are planning families. People who have been diagnosed with IBD are likely to have questions and concerns regarding fertility, conception, pregnancy, delivery, and breastfeeding.