The Ins and Outs of GUT HEALTH

Gastrointestinal (GI) problems often strike when you’re least expecting them — 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 GI problems are normal. If it becomes an everyday concern, or you experience a sudden increase in symptoms, there could be something more going on.

WHAT’S CAUSING YOUR SYMPTOMS?

One explanation may be that you have irritable bowel syndrome (IBS). However, the symptoms may also be a sign of something more serious, such a s co lorectal cancer. But how can you tell the difference?

IBS is a chronic GI disorder that affects the large intestine, known as the colon. Symptoms of IBS are typically triggered by food allergies, intolerances or sometimes stress. Symptoms of IBS include:

■ Abdominal pain

■ Bloating

■ Changes in bowel habits

■ Cramping

■ Constipation

■ Diarrhea

■ Difficulty controlling bowel movement urges

■ Difficulty swallowing

■ Nausea

IBS and colorectal cancer share similar symptoms, but there are distinctions to watch out for. These additional red flags can look like:

■ Fatigue and weakness

■ Heartburn

■ Loss of appetite

■ Rectal bleeding or blood in the stool

■ Stools thinner than usual

■ Unexplained weight loss

■ Vomiting

“Many concerning symptoms don’t necessarily mean you have cancer,” said Dr. Max E. Quintana, board-certifid family medicine physician with Houston Methodist Primary Care Group in Rosenberg. “But they could be more than IBS. You should schedule an appointment with your doctor immediately if symptoms came on suddenly and last more than two weeks.”

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 happening. 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, your primary care provider, or PCP, will review your symptoms, ask about your health history and perform any necessary exams. Depending on the severity of your symptoms, your PCP may refer you to a gastroenterologist.

“Don’t ignore the warning signs,” Quintana emphasized. “ The earlier colorectal cancer is caught, the better the outcome.” •

Talk to a Primary Care Provider

If you have a gut feeling that something may be wrong with your digestive system, don’t delay. Houston Methodist Primary Care Group is here to help. Visit houstonmethodist.org/pcg/southwest or call 832.416.1678 to schedule your in-person or virtual visit.