Leading Medicine, Winter 2020, Houston Methodist Sugar Land Hospital edition

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The Ins and Outs of Gut Health

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astrointestinal (GI) problems often strike when you’re least expecting it — and at the worst possible time. You might have a gas attack at the movies, indigestion at a dinner party or diarrhea while on vacation. “Occasional gastrointestinal upset is normal,” said Dr. Sreelatha Reddy, board-certified Dr. Sreelatha gastroenterologist at Houston Methodist Sugar Reddy Land Hospital. “However, if gastrointestinal distress becomes an everyday concern, or you experience a sudden increase in symptoms, there could be something more going on.”

WHAT’S CAUSING YOUR SYMPTOMS?

If you’re struggling with unexplained symptoms, your doctor may recommend seeing a gastroenterologist, a specialist who treats diseases affecting the esophagus, stomach, intestines, liver, pancreas and gallbladder. GI disorders can be classified into two main groups: Functional GI disorders occur when the GI tract isn’t functioning as it should. When there’s a functional problem, the GI tract typically looks normal and diagnostic tests show normal results, making it harder to pinpoint the cause of persistent and recurrent symptoms. Irritable bowel syndrome (IBS) and chronic constipation are examples of functional disorders. Treatments may include lifestyle changes, medication and other therapies to keep the digestive system in balance. Structural GI disorders happen when there’s a structural problem in the bowel that needs to be repaired or healed. This includes conditions, such as anal fissures, hemorrhoids, colitis, diverticular disease and colon polyps. Improving bowel habits can help with symptoms, but surgery may be needed in some cases. “Gastrointestinal issues can be difficult to diagnose and treat,” said Reddy, “so it’s important to listen to your body, and discuss symptoms with your doctor.” If you experience any of

the following symptoms, it may be time to see your doctor or a gastroenterologist: Abdominal pain or bloating Excessive gas or belching Changes in bowel habits Heartburn Diarrhea Loss of appetite Difficulty controlling bowel Rectal bleeding movement urges Unexplained weight loss Difficulty swallowing Vomiting Abdominal pain can mean any number of things — from constipation to more serious conditions like appendicitis or diverticulitis. Call your doctor right away when abdominal pain is severe, getting worse or recurring, or accompanied by dizziness, high fever or shortness of breath.

TRUST YOUR GUT — AND TALK TO YOUR DOCTOR

You know your digestive system better than anyone, and you may have the best insight (or at least a gut feeling) about what’s going on. Use this knowledge to your advantage by keeping a journal of your digestive episodes. Record the time of day and frequency of symptoms, such as frequent or loose bowel movements, constipation, cramps or heartburn. Also note any food or other triggers that might be related. At your appointment, a gastroenterologist will review your symptoms, ask about your health history and perform a complete exam. Depending on the severity of your symptoms, blood tests, X-rays, ultrasound exams and GI endoscopic procedures may be ordered to diagnose your issue. “Don’t wait until it’s unbearable to get help,” Reddy urged. “If your quality of life is suffering, talk to your doctor.”

Schedule an Appointment

To schedule an appointment with Dr. Reddy or to find another gastroenterologist in your area, call 281.205.4514.

WHAT DOES A GASTROENTEROLOGIST TREAT? A gastroenterologist has specialized training to treat and manage digestive disorders, including: Acid reflux Gallbladder disease Pancreatitis Celiac disease Hemorrhoids Polyps or growths Crohn’s disease Irritable bowel syndrome Ulcers

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