Spotlight on IBS

Irritable Bowel Syndrome is a problem I see so often in clinic, and it is problematic on many different levels. If you have been diagnosed with this condition, you may well have been suffering with it for years and, while a diagnosis can – at first– offer comfort in finally having a recognised problem, the satisfaction is short lived because often that’s where all support ends, and you’re left no further forward in actually fixing what the problem is. 

The difficulty begins because IBS is essentially meaningless; it’s a catch-all term used to encompass a huge variety of digestive issues. If you’re serious about getting to the bottom of the problem (no pun intended), I’m happy to discuss your symptoms and help find a way forward. You can book a free IBS health check with me by clicking here.

In my experience, it’s likely to be one of the following five conditions.

1 SIBO (small intestine bacterial overgrowth)

Around 60% of people with IBS will have SIBO. Though you might have heard about good (and bad) bacteria in the gut, really what experts are talking about is the balance of bacteria in the large intestine: the colon. 

The small intestine shouldn’t have any bacteria, and each day the body should perform a flush to sweep bacteria from the small intestine and into the large intestine. This flush is called the ‘migrating motor complex’. For a huge variety of reasons (historic food poisoning being the most common, but also low levels of stomach acid or adhesions play a role, among others) the bacteria are not swept away. 

The trouble is that these bacteria can ferment the food in your small intestine, causing gas, belching, bloating, pain and a variety of other symptoms, including constipation and/or loose stools, and even anxiety. A breath test can establish which gases are present, and we can devise an action plan based on your results. 

2 Lactose intolerance

This is when your body is not able to tolerate lactose, a type of sugar found naturally in milk and other dairy products. Essentially, bacteria in your intestine feed on these milk sugars, leading to a host of IBS symptoms, like bloating and gas, nausea, constipation or diarrhoea. 

It can go hand in hand with other digestive complaints, such as coeliac disease or increased intestinal permeability (‘leaky gut’). Lactose intolerance can be diagnosed via a simple at-home breath test. 

3 Fructose malabsorption

The symptoms are very similar to lactose intolerance. Fructose (which is found in fruit, honey and many processed foods) is a sugar, which, like lactose, is digested in the small intestine. 

Some people cannot absorb fructose, and what is not absorbed is fermented by intestinal bacteria, causing bloating, cramping, gas and distension of the stomach. You might also experience brain fog and headaches. A breath test will diagnose the condition. 

4 Dysbiosis

This is an imbalance in the levels of beneficial (good) and pathogenic (bad) bacteria in the large intestine or colon. 

This is now common due to overuse of antibiotics and alcohol, an increase in high sugar diets, and stress. 

Symptoms can vary from a sluggish bowel or diarrhoea, pain, bloating and flatulence, to chronic bad breath, joint pain, fatigue and food sensitivities. 

Dysbiosis is also implicated in a variety of health conditions like diabetes, heart disease and obesity. A stool test can help establish whether your gut bacteria are out of balance, along with a host of other markers that might be useful in getting to the root of your digestive problems. 

 

5 Yeast overgrowth

Where the gut environment becomes out of balance (due to dysbiosis), yeast can thrive. Diets high in sugar feed the yeast – although if you think you might have a yeast overgrowth, it’s worth noting that long-term yeast problems can mean that the yeast cells are pathogenic or disease causing, and that the yeast has switched its metabolism to also be able to digest protein and fat. 

Symptoms of yeast overgrowth include recurring thrush, gas or bloating, fatigue, bad breath, cravings for sweet foods, joint pain and brain fog. 

A stool test can establish the presence of candida or other yeast overgrowth. 

Some people struggle with digestive problems for years. If you are ready to make fixing your gut health a priority, I would love to work with you. Please click the link here to book your free IBS health check now. 

 

How to improve the health of your microbiome

While there are a number of factors that can contribute to your microbiome, such as your environment, infections or illnesses, food poisoning exercise, diet is one of the most powerful factors.  Here are some foods which are really good for supporting your microbiome:

FIBRE

Fibre is one of the best things to eat to support healthy digestion. Fibre is described as either insoluble or soluble.

Insoluble fibre is part of the plant wall in fruit and veg. It’s indigestible so it passes right through your system, sweeping up toxins and other waste products as it goes, and keeping you regular. The undigested fibre is also fermented by gut bacteria, producing the beneficial short chain fatty acids I mentioned earlier. 

You can find insoluble fibre in:

·      Fruit and veg

·      Beans and lentils

·      Oats

·      Wholegrain foods like brown rice and wheat

 

Soluble fibre can be partially digested and is well-celebrated for its ability to reduce cholesterol in the blood and normalise blood sugar levels.

You can find soluble fibre in:

·      Oats

·      Veg 

·      Fruit (especially apples, pears, berries and citrus fruits)

·      Beans and lentils

 

FERMENTED FOODS 

Fermented foods have a long tradition in some parts of the world, especially Asia, Africa and Eastern Europe. Bacteria (and sometimes beneficial yeasts) might be involved in the process and the result is an increase of good bacteria in the foods. 

You’ve probably heard of live or ‘bio’ yoghurt. Some of these other probiotic foods might sound peculiar and a little ‘advanced’ for most regular people. However, they are now commonly found on supermarket shelves (you’ll find them in the world foods aisle where the Oriental products are) and, while they might not be the kind of product you would usually go for, it is always worth experimenting. 

Kimchi, in particular, is often combined with chilli and other flavours and is far tastier than its name might suggest. 

•       Yoghurt

•       Pickles (gherkins)

•       Sauerkraut

•       Kimchi (fermented cabbage)

•       Tempeh (fermented soya beans)

•       Natto (fermented soya beans) 

•       Miso soup (fermented soya beans) 

•       Tamari soy sauce. 

•       Buttermilk

•       Some cheeses like cottage cheese, gouda, mozzarella & cheddar.

 

Fermented drinks

Like other fermented products, these were once only found in health food shops and were perhaps the prevail of people who ate a very clean and unprocessed diet. These were a secret waiting for the masses to discover. Often flavoured with fruits, they really are delicious and do not taste ‘worthy’. You’ll find them in the chilled drinks section in most supermarkets.

•       Kombucha (fermented tea – sweet and fizzy but without sugar) 

•       Kefir (fermented dairy drink very much like a yoghurt drink).

The only way you’ll know if it’s for you is to try!

 

CRUCIFEROUS VEGETABLES

These smelly veg bring amazing health benefits on a number of different levels. Since we’re talking about foods that are helpful for your digestion, you should know that they contain compounds called glucosinolates, which are fermented by bacteria and used as fuel. They are prebiotic. 

Examples are:

Bok choy

Broccoli

Brussels sprouts

Cabbage

Cauliflower

Kale 

Rocket

Spring greens

Watercress

 

ANTI-MICROBIAL FOODS

Some foods exert a natural antibiotic or anti-fungal effect and can be useful for keeping nasties like pathogenic bacteria or unwelcome yeasts at bay. 

These include caprylic acid found in coconut. Coconut oil is also a very good oil to use in cooking, especially at high temperatures. 

Garlic contains the ingredient allicin, which has historically proven itself to be an effective killer of both bacteria and viruses, making it a great immune-boosting ingredient. Use it raw wherever possible.

Olive oil – the oleic acid has anti-bacterial properties. Use it generously to dress salads and veg.

 

WHAT TO AVOID

In the same way there are things your digestive system loves, there are things it will not love you for. 

Sugar. That’s the number one thing to avoid, plus anything that contains added sugar. 

Other things your tummy is not fond of include highly refined products like white rice, pasta, pastry and snacks like crisps and biscuits.

And if you'd like to know further, why not book a free call? You can book in here.

The “Microbiome” - Master Controller of your Health

Do you ever stop to think about the bustling community inside you, one that plays a vital role in your health and wellbeing? I'm not talking about a trendy neighbourhood or a bustling city. I'm referring to your microbiome – the busy metropolis of microorganisms that call your body home sweet home. Unless you have digestive problems, you probably don’t normally give this a second’s thought - but you should. 

The “microbiome” is the guardian of your health, and your gut environment could be the reason you have anxiety or low mood, painful periods, terrible menopause symptoms, or difficulty losing weight.

What is the microbiome?

Think of it as your very own ecosystem, but on a microscopic scale. It's made up of trillions of bacteria, viruses, fungi, and other microscopic critters that live in various parts of your body, from your gut to your skin and everything in between.

You might be thinking, "bacteria? That doesn't sound healthy’. Although we used to hearing about bacteria as the bad guys, not all bacteria are bad.  In fact, many of them are crucial for keeping you in good health. They help with digestion (of course), support your immune system, and even play a role in regulating your mood, hunger levels, sleep, stress and hormones. 

That’s because what happens in the gut doesn’t stay in the gut. 

The microbiome and mental health

There is a constant two-way communication with your brain and your digestive system. In my world, we call it the gut-brain axis. It’s been the subject of a lot of research in the last decade and there is increasing evidence that your gut bacteria heavily influence your mood. 

Your gut bacteria make chemicals that affect your brain. They produce neurotransmitters, chemical messengers that help transmit signals in the brain. One of these neurotransmitters is serotonin, often referred to as the "happy hormone" because it plays a crucial role in regulating mood and emotions.

A whopping 90% of your body's serotonin is produced in your gut. The balance of bacteria in your gut can directly impact your serotonin levels, and subsequently, your mood. When you have a healthy and diverse microbiome, it's like having a team of cheerful little helpers churning out serotonin to keep your spirits high.

But here's where it gets interesting: your brain can speed up your gut (very simply, how quickly food moves through your body) and change what microbes are present.

And when your gut bacteria are out of whack, it can throw this delicate balance off-kilter. Imbalances in the microbiome have been linked to conditions like depression and anxiety. 

The microbiome and immunity

If you’re the kind of person who catches every bug going, consider this might be down to what’s happening in your gut. The microbiome and your immune system are heavily linked.

Imagine your immune system as your body's very own security team, constantly on the lookout for intruders and ready to spring into action at a moment's notice. The microbiome plays a crucial role in training and coordinating this defence force.

The bacteria are like the teachers in an elite military academy, helping to educate and train your immune cells to distinguish between friend and foe. Your gut bacteria also produce molecules called metabolites, which act as messengers in the intricate dance between your microbiome and your immune system. These metabolites help regulate the activity of your immune cells, ensuring they respond appropriately to threats without going overboard and causing inflammation.

Inflammation is a bit like setting off a fire alarm – it's a necessary response to danger, but too much of it can cause chaos and damage. Luckily, your gut bacteria are there to keep things in check, helping to maintain a delicate balance between fighting off invaders and keeping the peace within your body.

But the relationship between your microbiome and your immune system is a two-way street. Your immune system also plays a crucial role in shaping the composition of your microbiome, keeping the peace by promoting the growth of beneficial bacteria and keeping harmful bacteria in check.

The microbiome and your hormones

Your gut bacteria aren't just masters of digestion and immunity; they also have a hand in regulating your hormones. One of the key players is cortisol, often referred to as the "stress hormone".

When you're feeling stressed out, your body releases cortisol to help you cope with the situation. Your gut bacteria can influence the production and regulation of cortisol, potentially shaping how your body responds to stress.

Certain types of gut bacteria can affect the HPA (hypothalamic-pituitary-adrenal) axis, a complex network of hormones involved in the stress response. By producing metabolites that interact with this system, your gut bacteria can influence the production and regulation of cortisol, potentially impacting how your body responds to stressors.

But that's not all – your gut bacteria can also influence other hormones, like insulin, which plays a crucial role in regulating blood sugar levels. Studies have shown that imbalances in the microbiome can lead to insulin resistance, a condition where your cells become less responsive to insulin, potentially leading to high blood sugar levels and type 2 diabetes.

The microbiome and female hormone health

One of the hormones especially affected by gut health is oestrogen, one of the main female hormones. In fact, there is a collection of specialised bacteria in the microbiome called the “oestrobolome”. The oestrobolome contains, among other things, the bacteria responsible for breaking down and eliminating hormones, principally oestrogen. 

In short, the microbiome plays a key role in oestrogen metabolism, so an imbalance in healthy bacteria can result in too much or too little circulating oestrogen, which can lead to an imbalance between oestrogen and other hormones. This can have a knock-on effect on your weight, sex drive and your mood.

For healthy oestrogen levels, you want optimal levels of an enzyme called beta-glucuronidase. If levels of this enzyme are too high, oestrogen that might have been marked for excretion gets reactivated, potentially leading to too much oestrogen in relation to other hormones (unopposed oestrogen or oestrogen dominance). This can create a range of problems ranging from PMS, infertility, obesity and metabolic syndrome, and oestrogen-related cancers.

The microbiome and your skin

Your skin is your body's largest organ and serves as a vital barrier between you and the outside world. And just like your gut, your skin is home to a bustling community of bacteria, fungi, and other microorganisms that make up your skin microbiome.

Again, bacteria on your skin might sound like a recipe for disaster but the vast majority of these microbes are harmless or even beneficial, playing essential roles in maintaining healthy skin.

One of the skin microbiome's primary functions is to act as a barrier against harmful pathogens, preventing them from invading your body and causing infections. When your skin microbiome is in balance, it helps keep your skin healthy and resilient, warding off pesky invaders like bacteria, viruses, and fungi.

Your skin microbiome isn't just a passive bystander; it actively interacts with your immune system, helping to educate and train immune cells to distinguish between friend and foe. Studies have shown that imbalances in the skin microbiome can lead to inflammatory skin conditions like acne, eczema, and psoriasis, suggesting that maintaining a diverse and balanced microbiome is crucial for healthy skin.

When the microbiome misbehaves

Any disruption to the microbiome may result in an imbalance in the microbiota leading to ‘dysbiosis’. Dysbiosis means:

• A loss or lack of friendly bacteria
• Overgrowth of potentially pathogenic (bad) bacteria
• Loss of overall bacterial diversity

When your gut health gets imbalanced and dysbiosis happens, you’re more likely to have stomach and other health issues. These conditions can include:  

• Inflammatory Bowel Disease (IBD)
• Irritable Bowel Syndrome (IBS)
• Diabetes
• Obesity
• Cardiovascular problems 
• Anxiety and low mood

Typical symptoms of dysbiosis include:

• Wind and gas pain
• Bloating
• Poor digestion and reflux
• Lower abdominal pain
• Diarrhoea and/or constipation

Testing can be invaluable in finding out what is happening with your microbiome. A comprehensive stool test can map out your microbiome, detailing friendly bacteria, and potentially pathogenic bacteria, funguses or parasites. If you’d like to know more, why not get in touch? Just book a link here.

How to beat the festive bloat

We’re all prone to a little indulgence at Christmas, but rich food and overeating can play havoc with your digestion, leaving you bloated and uncomfortable. It’s not surprising - we consume on average 6,000 calories on Christmas Day alone! That’s nearly three times the recommended daily intake for women!

There are a variety of reasons why the holidays create more tummy troubles than the rest of the year: 

• You often eat more than you usually would, putting pressure on the digestive system.
• You might be drinking a lot more when you eat – whether it’s prosecco at a party or red wine on Christmas Day – and this dilutes stomach acid, making it harder to digest your food properly. 
• More rich, creamy foods than you’re used to can trigger heartburn or reflux or else make IBS symptoms worse. 

USE YOUR SENSES

The first step in the digestive process is often overlooked, but it’s a critical one. Known as the cephalic phase, it’s triggered when you see or smell food. You are literally whetting your appetite. 

When you start thinking about the lovely meal you are going to prepare, you are getting your digestive juices flowing. The enzymes in your saliva help you break down your food more easily. So, when the time comes, your body is ready to start digesting food before you have even cut the first slice – never mind actually put anything in your mouth.

It may sound like an incredibly simple step – and it is – but these days we are often so busy that we don’t make the time to think about our food in this way. If you find you’re always eating on the go, throwing a sandwich down your neck at your desk or having a TV dinner, this is a vital step you are missing out on. One trick is to be mindful and try and spend a few minutes thinking about your tasty lunch before you eat it to get the digestive juices going.

CHEW YOUR FOOD

Remember what Mum used to say? Chewing your food (the second phase of digestion) is key when it comes to good gut health. With proper chewing, you are mechanically breaking down the food into smaller pieces so that there’s a greater surface area and the digestive enzymes can get to work more easily, doing their job.

If you’re not chewing properly, it’s highly likely that you’re not digesting your food very well. And that means you won’t be absorbing the vital nutrients either. Not chewing also means that the food you eat takes much longer to break down, and, as it hangs around in your digestive system, it can start to ferment, causing uncomfortable wind, gas and bloating. 

Don’t worry about chewing a certain number of times – that all depends on what you are eating and various other factors. 

Instead, try this test: chew your food enough so that if someone asked you to spit it out, they wouldn’t be able to identify what it was. Another sign you need to chew more is if you start to see undigested food in your stools.

BALANCE YOUR STOMACH ACID

Sales for heartburn tablets are skyrocketing, because so many people wrongly assume that their digestive troubles are due to too much stomach acid. What nutritionists like me find more frequently in clinic is the total opposite! Getting older, stress and some over-the-counter medications can make your stomach acid levels drop to the extent that you don’t produce enough to digest food sufficiently.

Why is this important? The stomach acid you produce not only kills any bacteria in the food you are eating, it also breaks down the protein in your meal. If you’re not fully digesting the protein element in food, it can start to putrefy, creating gases that force open the oesophageal sphincter muscle (a type of ring muscle) and what little stomach acid there is can escape. So, the burning feeling, especially if accompanied by smelly gas, can be a sign your digestion isn’t working as well as it should be.

One solution is to have a teaspoon of apple cider vinegar before each main meal. It’s important you choose apple cider vinegar with the ‘mother’, rather than one you can buy in the supermarket (that’s for your chips).

Some people genuinely produce too much stomach acid and, if you try the apple cider vinegar trick and it seems to make things worse, you can neutralise the acid by taking a little bicarbonate of soda, stirred into water.

PLAN WHEN YOU WON’T EAT

As well as WHAT to eat, one of the things I find myself talking a lot about in clinic is NOT eating. It’s never truer than at this time of year.

It’s important to space out your meals, so the digestive system actually gets a chance to rest. This might require some self-discipline if your house is routinely full of bowls of nuts or towers of chocolate boxes. 

Eating no more than every 4 hours is a good benchmark to aim for, and it gives the body enough time to completely digest the previous meal and have a break before you put it to work again. Of course, there will be days when your eating routine falls out of whack, but don’t beat yourself up. Just get back on track the following day.

And if any of your symptoms are really bugging you, or lasting longer than expected, why not get in touch?

Happy Tummy Foods

Some foods are excellent for supporting our digestion and here are some of my favourites that I suggest to clients on a regular basis:

Cruciferous vegetables

These smelly veg bring amazing health benefits on a number of different levels. Since we’re talking about foods that are helpful for your digestion, you should know that they contain compounds called glucosinolates, which are fermented by bacteria and used as fuel. They are prebiotic.

Examples:

Bok choy, broccoli, Brussels sprouts, cabbage, caulifiower, kale , rocket, spring greens, watercress.

Fermented foods

Fermented foods have a long tradition in some parts of the world, especially Asia, Africa and Eastern Europe. Bacteria (and sometimes beneficial yeasts) might be involved in the process and the result is an increase of good bacteria in the foods. You’ve probably heard of live or ‘bio’ yoghurt.

Some of these other probiotic foods might sound peculiar and a little ‘advanced’ for most regular people. However, they are now commonly found on supermarket shelves (you'll find them in the world foods aisle where the Oriental products are) and, while they might not be the kind of product you would usually go for, it is always worth experimenting. Kimchi, in particular, is often combined with chilli and other flavours and is far tastier than its name might suggest.

Examples include yoghurt, pickles (gherkins), sauerkraut, kimchi (fermented cabbage), tempeh (fermented soya beans), natto (fermented soya beans), miso soup (fermented soya beans), tamari soy sauce, buttermilk, some cheeses like cottage cheese, gouda, mozzarella and cheddar.

Fermented drinks

Like other fermented products, these were once only found in health food shops and were perhaps the prevail of people who ate a very clean and unprocessed diet. 

These were a secret waiting for the masses to discover. Often flavoured with fruits, they really are delicious and do not taste 'worthy'. You'll find them in the chilled drinks section in most supermarkets.

Kombucha (fermented tea - sweet and fizzy but without sugar) and kefir (fermented dairy drink very much like a yoghurt drink) are examples.

The only way you’ll know if it’s for you is to try!

Fibre

Fibre is one of the best things to eat to support healthy digestion. Fibre is described as being either insoluble or soluble.

This is part of the plant wall in fruit and veg. It’s indigestible so it passes right through your system, sweeping up toxins and other waste products as it goes, and keeping you regular. The undigested fibre is also fermented by gut bacteria, producing the beneficial short chain fatty acids mentioned earlier.

YOU CAN FIND INSOLUBLE FIBRE IN:

Fruit and veg, beans and lentils, oats and wholegrain foods like brown rice and wheat.

This can be partially digested and is well-celebrated for its ability to reduce cholesterol in the blood and normalise blood sugar levels.

YOU CAN FIND SOLUBLE FIBRE IN:

Oats, veg, fruit (especially apples, pears, berries, and citrus fruits), beans and lentils.

Anti-Microbial Foods

Some foods exert a natural antibiotic or anti-fungal effect and can be useful for keeping nasties like pathogenic bacteria or unwelcome yeasts at bay.

These include caprylic acid found in coconut. Coconut oil is also a very good oil to use in cooking, especially at high temperatures.

Garlic contains the active ingredient allicin, which has historically proven itself to be an effective killer of both bacteria and viruses, making it a great immune-boosting ingredient. Use it raw wherever possible.

Olive oil – the oleic acid has anti-bacterial properties. Use it generously to dress salads and veg.

And we can’t have a list of the foods to add in, without looking at what we need to avoid for a happy tummy:

Sugar and refined carbohydrates

In same way there are things your digestive system loves, there are things it will not love you for. Sugar. That’s the number one thing to avoid, plus anything that contains added sugar.

Other things your tummy is not fond of include highly refined products like white rice, pasta, pastry and snacks like crisps and biscuits.

If you would like to take a look at your gut health – whether you have symptoms or would just like to be optimally well – why not book in a free call? You can book via the link here.

Fix Your Digestion Naturally

There are few things worse than tummy troubles. If your digestive system doesn’t work as it should, the result might be pain or discomfort right through to downright embarrassment at the gurgly noises and bad smells your body produces. It doesn’t have to be that way and, as a nutrition practitioner, I am always amazed by how long some of my clients have been trying to muddle through before they seek my help.

What scientists now call the ‘microbiome’ is a parallel universe of all kinds of different microorganisms running all through your digestive tract, that runs from your mouth to… well, the other end.

Most of these organisms are bacteria, and there are lots more of these than there are cells in your body - about ten times as many. The balance of the bacteria in your digestive system has implications for your health in general and not just your innards. In short, it’s important to have the right kinds of bacteria in the right places. It matters that the ratio of good to bad bacteria works – when you’re out of balance (there are more unfavourable bacteria and other microorganisms) nutritionists call this ‘dysbiosis’.

Dysbiosis can result in your digestive system becoming a more favourable environment for yeasts like candida or parasites. There are some places you don’t really want many bacteria, whether good or bad, like in the small intestine. Your body really should do a daily swoosh of all bacteria from the small intestine down to the colon (it's called the Migrating Motor Complex).

There are many reasons why this might happen – like having had food poisoning in the past – and the result is that the bacteria left behind feast on the food you’re eating, causing bloating, wind, feelings of nausea, diarrhoea and constipation (or a combination of the two). Essentially, all those things you might be linking to your irritable bowel syndrome (IBS).

I’m going to be straight with you and say that the ideal situation is that you bring your digestive problems to me, and that we talk about getting to the bottom (excuse the pun) of exactly why your system isn’t working the way it should, and this usually involves some testing. When you’re ready to prioritise your health, you know where I am.

In the meantime, here are my top 5 tips to help to fix your digestion

1. Use your senses

The first step in the digestive process is often overlooked but it's a really important one. Known as the cephalic phase, it’s triggered when you see or smell food. You are literally whetting your appetite. When you start thinking about the lovely meal you are going to prepare, you are getting your digestive juices flowing. The enzymes in your saliva help you break down your food more easily so, when the time comes, your body is actually ready to start digesting food before you have even cut the first slice – never mind actually putting anything in your mouth.

It may sound an incredibly simple step – and it is – but these days we are often so busy that we don’t make the time to think about our food in this way. If you find you're always eating on the go, throwing a sandwich down your neck at your desk or having a TV dinner, this is a vital step you are missing out on. One trick is to be mindful and try and spend a few minutes thinking about your tasty lunch before you eat it to get the digestive juices going.

2. Chew Your Food

Your stomach does not have teeth! Chewing your food is the second phase of digestion, and it’s key when it comes to good gut health. With proper chewing, you are mechanically breaking down the food into smaller pieces, so that there’s a greater surface area and the digestive enzymes can get to work more easily, doing their job. And the bad news?

If you’re not chewing properly, it’s highly likely that you’re not digesting your food properly. And that means you won’t be absorbing vital nutrients either. Not chewing also means the food you eat takes much longer to break down and, as it hangs around in your digestive system, it can start to ferment, causing uncomfortable wind, gas and bloating. Don’t worry about chewing a certain number of times – that all depends on what you are eating and various other factors.

Instead try this test: chew your food enough so that if someone asked you to spit it out, they wouldn’t know what you had been eating. Another sign you need to chew more is if you start to see undigested food in your stools.

3. Balance Your Stomach Acid

Sales for heartburn tablets are skyrocketing because so many people wrongly assume that their digestive troubles are because of too much stomach acid. What nutritionists like me find more frequently in the clinic is the total opposite! Getting older, stress and some over-the-counter medications can make your stomach acid levels drop to the extent that you don’t produce enough to digest food sufficiently.

Why is this important? The stomach acid you produce not only kills any bacteria in the food you are eating, but it also breaks down the protein in your meal. If you’re not properly digesting the protein element in food, it can start to ferment, creating gases that force up the oesophagal sphincter muscle (a type of muscle flap) and what little stomach acid there is can escape. So that burning feeling, especially if accompanied by smelly gas, can be a sign your digestion isn’t working as well as it should be.

One solution is to have a teaspoon of apple cider vinegar before each main meal. It’s important you choose apple cider vinegar with the ‘mother’ rather than one you can buy in the supermarket (that’s for your chips).

There are people who genuinely produce too much stomach acid and, if you try the apple cider vinegar trick and it seems to make things worse, you can neutralise the acid by taking a little bicarbonate of soda.

4. Take a digestive enzyme supplement

Digestive enzymes break down your food into nutrients so your body can absorb them. But as you age, you naturally produce fewer of these helpful enzymes. You can counteract this by increasing your intake of foods that are higher in them – eating pineapple or papaya before a meal can help.

If you aren’t a fan of these fruits, instead try a digestive enzyme capsule (available from health food shops), which will give your system a gentle boost to help it do its job properly.

5. Take time out

Not eating is almost as important for your health as eating. It’s important to space out your meals so the digestive system actually gets a chance to rest. This might require some self-discipline if you’re a frequent grazer.

Eating every 4-6 hours is a good benchmark to aim for and gives the body enough time to completely digest the previous meal and have a break before you put it to work again.

Of course, there will be days when your eating routine falls out of whack, but don’t beat yourself up. Just try and get back on track the following day.

And if you would like some help working out *why* you have these symptoms, why not get in touch? You can book a free call here.