Irritable Bowel Symptoms? How to Know When to Get Help

Your gut is one of the hardest working systems in your body.

Your digestive systems sole purpose is to digest your food and extract the nutrients required to sustain you. However, your gut can experience occasional performance hiccups, leading to digestive symptoms. While many of these are normal, others may indicate something more serious. Read on to discover what your symptoms say about your gut and ways to improve them.

Normal, Everyday Symptoms

1. Transient Belly Bloating

What is it? Short-lived abdominal swelling due to trapped gas.
What causes it? During and after meals, your gut produces enzymes and acids that break down your food, creating gas during this process. While bloating isn’t considered normal, it commonly occurs if you deviate from your standard diets, such as eating larger portions, rich and fatty meals or foods that are more laborious to breakdown, including excess carbohydrates and fibre. These place more burden on your digestive processes, subsequently increasing gas production and bloating.
How do you improve it? While mild bloating generally passes with time, chewing your food thoroughly, consuming smaller meals and spacing out your carbohydrate and fibre intake can help.

ENZYMES AID DIGESTION 

During and after meals, your gut produces enzymes and acids that break down your food, creating gas during this process. While bloating isn’t considered normal, it commonly occurs if you deviate from your standard diets, such as eating larger portions, rich and fatty meals or foods that are more laborious to breakdown, including excess carbohydrates and fibre. These place more burden on your digestive processes, subsequently increasing gas production and bloating.

The good news is, natural enzymes exist in uncooked vegetables and fruits. Some fruits, in particular (fresh pineapple, kiwis and papaya fruit) contain proteolytic enzymes and help break down proteins when eaten with meals. So, increasing raw vegetables, reducing fatty meals & refined carbohydrates and including a small piece of fresh pineapple, kiwi or papaya after your meal is a good start to give digestion a helping hand. Alternatively, adding a digestive enzyme supplement to main meals can be helpful to improve digestive symptoms for a while.

2. Flatulence
What is it?……… Farting.

What causes it? Gas is produced by normal digestive processes, and ‘passed’ at regular intervals. Additionally, increased fibre, fat or sugar intake can create gas. Your microbiome (gut bacteria) also influences the amount of gas produced by fermenting foods to help your digestion.1
How do you improve it? It is normal to pass wind around 15 times per day. Additionally, the odd smelly fart is no big deal, particularly if caused by an increase in refined, processed foods (who can say no to the occasional slice of pizza?). However, if you would like to reduce flatulence, moderate your intake of these foods.

3. BORBORYGMUS

What is it? Stomach growling or rumbling.
What causes it? The movement of food, liquid or gas through your digestive tract. Your gut may also ‘growl’ to signal hunger.
How do you improve it? Give your gut a helping-hand by chewing your meals thoroughly, which helps break down your food more efficiently prior to digestion, and reduces gas. Additionally, satisfying your hunger will stop the growl.

Symptoms That Require Attention

4. Chronic Constipation

What is it? The infrequent passage of hard poop (less than once daily), often accompanied by straining, a sense of incompletely emptying the bowel and discomfort.
What causes it? Insufficient fibre or reduced fluid intake can slow your transit time (the time it takes for your food to travel from your mouth through to the other end), making you less ‘regular’. Dysbiosis (an imbalance in the types and levels of gut bacteria) can also influence digestive processes and reduce your transit time. Additionally, chronic constipation is associated with irritable bowel syndrome (IBS), a condition that affects the function of the bowel.
How do you improve it? Consume more fibre-rich foods, including fruit and vegetables, and drink enough water. A prebiotic and probiotic supplement, such as Metagenics Ultra Flora GI Regulate, may also support bowel regularity and provide relief for symptoms of medically diagnosed IBS.

5. Diarrhoea

What is it? Soft, loose or watery stool that occurs more than three times daily.
What causes it? Diarrhoea may be a symptom of a bacterial or viral infection, such as gastroenteritis, or be related to certain medications, particularly antibiotics.6 Additionally, IBS and inflammatory bowel disease (IBD), a condition involving inflammation of the digestive tract, may cause diarrhoea.
How do you improve it? IBS and IBD are serious conditions that require a professional diagnosis and care from a Health Practitioner.

However, if your symptoms are associated with antibiotic use, certain probiotic strains may help to restore healthy intestinal bacteria and relieve diarrhoea.

6. Malodorous Gas

What is it?………… Farts that clear a room.

What causes it? Your microbiome consists of a range of bacteria (38 trillion microbes!) that help digestion by fermenting your food, particularly fibre. Imbalances in the levels of different bacterial species can lead to increased gas production with a pungent odour.

How do you improve it?

Three specific probiotic strains (types of bacteria) have been shown to help restore a healthy balance of bacteria within your microbiome.

  • Lactobacillus rhamnosus (LGG®)
  • Saccharomyces cerevisiae (boulardii) and
  • Bifidobacterium animalis ssp lactis (BB-12®)

7. Abdominal Pain

What is it? Sharp, dull, stabbing, cramp-like, or twisting pain in your abdomen. Most people experience occasional gut discomfort, however severe gut pain that is episodic, regular or continuous requires assessment, particularly if accompanied by other symptoms such as fever, changes to your poop, nausea and/or vomiting.
What causes it? Abdominal pain has many potential causes, the most common being gas pain, food intolerances or allergies, or indigestion. However, abdominal pain can also be a sign of something more serious, including appendicitis, gallstones, ulcers, infections, kidney stones, and many other conditions.
How do you improve it? If gut pain has become a pattern rather than a one-off incident, seek guidance from a healthcare professional.

If you regularly experience one or more problematic symptoms, consult with a Natural Health Practitioner for further investigation, particularly if it is new or getting worse. Additionally, healthcare Practitioners have a suite of testing available to investigate the driver behind your symptoms.

 

Original article by Julia Mellios from Metagenics. Updated by Vital Health Naturopathy.

Reference

Colledge NR, Walker BR, Ralston SH. Davidson’s principles and practice of medicine. 21st ed. Edinburgh (UK): Elsevier/Churchill Livingstone; 2010. p. 763-844.
Manichanh C, Eck A, Varela E, Roca J, Clemente JC, González A, et al. Anal gas evacuation and colonic microbiota in patients with flatulence: effect of diet. Gut. 2014 Mar;63(3):401-8. doi:10.1136/gutjnl-2012-303013.

NPS Medicinewise. What are the side effects of antibiotics? [Internet]. Sydney NSW: NPS Medicinewise; 2012 [updated 2017 Mar; cited 2020 Feb 18]. Available from: http://www.nps.org.au/medicines/infections-and-infestations/antibiotics/for-individuals/side-effects-of-antibiotics.

Victoria State Government, Better Health Channel. Flatulence [Internet]. Melbourne VIC: Victoria State Government, Better Health Channel; 2014 [updated 2014 Aug; cited 2020 Jan 30]. Available from: https://www.betterhealth.vic.gov.au/health/ConditionsAndTreatments/flatulence.

Zhao Y, Yu YB. Intestinal microbiota and chronic constipation. Springerplus. 2016 Jul 19;5(1):1130. doi: 10.1186/s40064-016-2821-1.

Probiotics

UF GI Soothe (ARTG claim: relief of symptoms of medically diagnosed IBS. Helps reduce the occurrence of diarrhoea. Supports bowel regularity)
UF Intensive Care re-infection and AB therapy (ARTG claim: helps relieve diarrhoea after antibiotic use. Helps to restore healthy intestinal flora balance)