Still searching for an answer to your symptoms?

by Valerie Polley | Jan 17, 2019 | 0 comments

Over my years as a dietitian, I have seen many individuals struggle with various symptoms. Even while working at Johns Hopkins, there were some they just couldn't quite figure out what was going on. I was always under the impression that if you go to the doctor, you come out with answers. That is not always the case. Not because they don't understand, but because they can't know everything and there is so much we don't know. With a focus on GI nutrition, I try and learn everything I can about it, but I also keep my eyes and ears open for
other conditions, diseases, etc, that can have overlapping symptoms. I can't make a diagnosis for a client, but I can give advice to clients about what questions they can ask their doctors.

So, are you still on a search for your health journey? You have had every test done under the sun and still don't have a clue why you don't feel good? For many it can take years to get the correct diagnosis. For example, it has been shown that individuals with celiac disease see multiple physicians over an average of 11 years before receiving a definitive diagnosis. This was discovered in research studies conducted at Columbia University in New York and by the Canadian Celiac Association. It is estimated that only 5%-20% in the U.S. and Canada have been diagnosed. What about IBS? IBS generally takes a long time to diagnose. So much needs to be ruled out, such as celiac disease, inflammatory bowel disease, etc., before an IBS diagnosis is given.

I mostly see clients with gastrointestinal issues, but I also see many with outlying issues, such as joint pain, brain fog, body aches, etc. Yes, something like celiac disease and IBS can cause these symptoms, but what if you aren't feeling better after following all of the necessary recommendations?

I love the fact that we have so many options for healthcare right now. We have traditional doctors, functional medicine doctors and also many nurse practitioners that have their own practice. Functional medicine doctors are medical doctors that have just taken a different route in their studies. Some were traditional doctors, and at some point decided they wanted a different approach for their patients. I believe there is a fit for all doctors for different reasons. Many of my clients over time made a choice to go the functional medicine route because they needed a different focus on their symptoms.

Our bodies are intricate machines, so figuring them out takes many great minds. That is why we need all kinds of practitioners. No one is better than the other, but you need to find your fit and that can take time and money.

So many of these illnesses have overlapping symptoms. I am going to list many that I have learned about over the past years and what I have seen in my clients, learned at conferences, or have seen in my personal story.

-Celiac Disease
-Irritable Bowel Syndrome (IBS)
-Inflammatory Bowel Disease (Crohn's and Colitis)
-Small Intestinal Bacterial Overgrowth (SIBO)
-Sucrase-Isomaltase Deficiency
-Mast Cell Activation Syndrome (MCAS)
-Lyme Disease
-Chronic Inflammatory Response Syndrome (CIRS)

I have written about a few of these on previous blogs. Kate Scarlata, dietitian from For A Digestive Peace of Mind recently wrote a 3 part blog on MCAS. She also has a great blog on SIBO. Go to her website at katescarlata.com or google search Kate Scarlata MCAS/SIBO blog. Dr. Carnahan is a functional medicine doctor and has blogs on many of the above illnesses. Some of these fit a traditional doctor diagnosis and others are more for a functional medicine doctor. It is your health and your life, so it is up to you to help navigate it. I tell my clients that their health journey is like a puzzle. It may take weeks, months or even years to get the pieces to fit together, but that is the ultimate goal. You have to decide how you are going to try and attain that goal, and where your comfort level is with varying health practitioners.

The information in this blog is not a substitute for professional medical advice, examination, diagnosis and treatment. Always seek advice from your physician or other qualified healthcare provider before altering your diet, starting a new treatment or making changes to an existing treatment.

With summer here, many people are getting excited about upcoming vacations. But for people with digestive issues, symptoms like constipation and bloating are often unwelcome travel companions. Traveling disrupts our body's natural rhythms and daily habits, which can lead to digestive chaos.

This article will help you understand how sudden changes in hydration, diet, and airplane cabin pressure impact the gut, as well as provide practical, evidence-based tips for keeping your gut happy on the road.

The Perfect Storm for Constipation: Fluid and Fiber Drops

One of the biggest contributors to digestive issues like constipation when you're traveling is a change in your normal hydration and fiber intake patterns. Here's how each affects your gut.

Inconsistent Hydration

Disrupted routines often lead to forgetting to drink water. Plus, strict airport security rules mean you can't carry a full water bottle through security checkpoints. Travelers often intentionally avoid drinking to skip using tiny airplane toilets or unfamiliar public restrooms. Finally, plane cabins are incredibly dry, which can quickly lead to dehydration.

The result: When the body is dehydrated, the colon absorbs more water from food waste, leading to hard, dry, and difficult-to-pass stools.

Reduced Fiber Intake

Most people in the United States don't get enough fiber at the best of times, and traveling only makes this worse. Convenience foods at airports, gas stations, and roadside stops are typically highly processed, high in sodium, and low in fiber. Experiencing local cuisines often means prioritizing rich restaurant meals over fresh fruits, vegetables, and whole grains.

Not getting enough fiber quickly contributes to constipation because fiber is essential for adding bulk to stool and keeps things moving through the digestive tract. A sudden drop in fiber stalls peristalsis (the wave-like muscle contractions in the gut), leading to less frequent bowel movements. 

The Combined Effect

The simultaneous drop in both fluid and fiber creates a "logjam" effect in the intestines. Not having enough fluid and fiber slows the movement of waste through your gut. This leads to more water being absorbed from the stool, resulting in hard, difficult-to-pass stool. The traffic jam effect makes acute constipation one of the most common (yet preventable) gut-related travel complaints.

Cabin Pressure and Bloating

Have you ever noticed that you get more bloated during air travel than other forms of travel? No, you're not imagining things. This is due to a law of physics called Boyle's Law. Simply put, this law of physics states that as atmospheric pressure decreases, the volume of a gas naturally increases.

Here's how that works with your gut and air travel. Airplane cabins are pressurized to simulate an altitude of around 6,000 to 8,000 feet. Because of this shift, the gas that's already present in your gut expands during flight. This rapid gas expansion stretches your intestinal walls, leading to pain, cramping, and bloating often referred to as "airplane belly."

Additionally, several common travel habits can aggravate this trapped gas. Drinking carbonated beverages before or during the flight, chewing gum (which leads to swallowing excess air), and remaining stationary for hours on end all trap and intensify the expanding gas.

Tips for a Happy Travel Gut

Fortunately, a few small tweaks to your travel routine can make a huge difference in whether you end up constipated and bloated while traveling.

Pre-Flight and In-Transit Tactics

  • Hydrate on the go: Bring an empty, reusable water bottle through airport security and fill it once you reach the departure lounge (most airports now have water bottle filling stations). Aim for consistent sipping throughout your journey to keep hydrated.
  • Be mindful of foods that can worsen bloating: Avoid fizzy drinks, heavy or fried foods, and gas-producing foods like beans, broccoli, and cabbage, for at least 24 hours before your flight. This can reduce the amount of gas present in your gut, which can reduce the bloating associated with a drop in cabin pressure.
  • Pack smart snacks: Since airport snacks are typically high in sodium and low in fiber, bringing your own high-fiber, travel-friendly snacks can help boost your fiber intake. Consider packing dried chickpeas, almonds, dried fruit, or on-the-go fiber supplements to bridge the gap.

On-Arrival Habits

  • Prioritize fiber: While there's nothing wrong with enjoying the local cuisine wherever you're traveling, try to prioritize fiber at your destination whenever possible. I recommend starting your day with a high-fiber breakfast, such as oatmeal with fruit, nuts, and seeds.
  • Get moving: Try to avoid being sedentary on arrival. Going for a leisurely walk helps stimulate intestinal motility and releases trapped gas (there's a reason a short walk after meals is commonly called a "fart walk"!).
  • Keep a regular sleep schedule: Vacation can throw a serious wrench into your routine, but wherever possible, try to maintain it. Gut issues can be worsened by poor sleep, so sticking to your routine can help support gut comfort on vacation.

Final Thoughts

Travel naturally changes our dietary habits and challenges our digestive system through abrupt changes in cabin pressure, but digestive discomfort doesn't need to ruin your vacation. By being mindful of your fluid and fiber intake, staying active, and making strategic changes in pre-flight eating habits to minimize the effects of cabin pressure changes, you can keep your digestion on track and enjoy every minute of your vacation.

If you're worried about an upcoming trip and need personalized strategies for managing your digestion on vacation, I'd love to help. You can get in touch with me at Blue Tree Nutrition to book your appointment with a registered dietitian.

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Hello, I am

Valerie

My name is Valerie Polley. I am a Indianapolis-based registered dietitian and owner of Blue Tree Nutrition. I consult with clients both local and far away.
I have a bachelor’s degree in nutrition from Purdue University and I have been practicing for 20 years.
I thoroughly enjoy helping clients through their gut health journey. I see a range of GI issues including, but not limited to celiac disease, IBS and SIBO. I also specialize in the FODMAP elimination diet.