Digestive Health Archive

When doctors say that it's okay to take proton-pump inhibitors (PPIs) "on demand" for chronic heartburn, the advice doesn't apply to everyone. PPIs inhibit the production of stomach acid, which can back up into the esophagus and can cause pain (heartburn) and damage the lining of the esophagus. People with damage to the esophagus often stay on PPIs long-term to prevent further problems. People without damage to the esophagus can take a short course of PPIs as needed.

Everyone feels bloated at times after eating. Bloating is a feeling of tightness, fullness, or pressure in the belly that comes along with abdominal swelling and mild to intense pain. Excessive gas buildup from a sluggish digestive system and problems digesting certain foods are the leading causes. While most bloating goes away after a while, for regular occurrences, people should examine their diet for trigger foods and use over-the-counter anti-gas remedies as needed. In cases of frequent or extended bloating, a doctor should see if other problems are present.

There is a lot of anecdotal information about people using apple cider vinegar to treat heartburn, but no published research examining the validity of it.

Emotional stress can aggravate gastroesophageal reflux disease (GERD), a condition in which gastric acid washes backward into the esophagus from the stomach. Managing stress through meditation or exercise can help.

Gut bacteria may influence our emotions and cognitive capabilities. For example, some bacteria make oxytocin, a hormone the body produces that encourages increased social behavior. Other bacteria make substances that cause symptoms of depression and anxiety. Still others make substances that help people to be calmer under stress. Gut bacteria also have been shown to influence people's vulnerability to certain brain diseases, including Alzheimer's disease, Parkinson's disease, and autism. For example, a substance found in the brains of people with Parkinson's disease (synuclein) is made by gut bacteria and can travel via nerves from the gut to the brain.

Many conditions of the gastrointestinal tract are easy to diagnose using standard testing. But some such diseases can impact the GI tract without a clear test finding. Disorders of gut-brain interaction are so called because they involve impaired communication between the gut and brain via the nervous system.

Heartburn and gastroesophageal reflux disease are two of the most common digestive-related problems, but they often get confused with each other because they share many of the same traits. While the two conditions are connected, they are quite different. Recognizing the difference can help a person adopt lifestyle changes to manage symptoms and know when to seek other options, like medication and surgery.

Pea, potato, and pistachio milk? Supermarkets now sell multiple kinds of plant-based milks made from nuts, beans, grains, vegetables, or fruit. Before trying these, some people might like to know more about nutritional benefits and any other reasons to choose or avoid them.

People with celiac disease must avoid all foods that contain the protein gluten, found in wheat, barley, rye, and other grains. Those with nonceliac gluten sensitivity can also benefit from a gluten-free diet.

Burping is often seen (and heard) as something rude and crude, but it serves an essential purpose by preventing the stomach from overinflating with air from eating.