Three don’ts for better digestive health, according to a gastroenterologist
Digestive health is about consistent habits and knowing which practices can harm your system. Dr. Joseph Salhab, a well-known gastroenterologist often seen as @thestomachdoc on social media, recently highlighted three critical things people should avoid to protect their digestion. His guidance is backed by research and clinical experience, and it emphasizes practical, everyday steps you can take.
1) Don’t rely on Colace for constipation relief
One of the most debated topics in routine bowel care is the use of Colace, the brand name for docusate sodium, a stool softener. Dr. Salhab says he would not use Colace himself, citing studies that show it performs no better than a placebo for improving constipation. The takeaway is not that all laxatives are useless, but that stool softeners like docusate may not provide the expected benefit for many people.
Clinical guidance suggests focusing on proven, lifestyle-based strategies first. These include increasing daily fiber intake (for example, psyllium, which has robust evidence for improving stool consistency), staying well hydrated, and maintaining regular physical activity. Some patients may benefit from targeted medical therapies, but a first-line emphasis on natural approaches tends to support better long-term outcomes with fewer risks.
Practical tips to manage constipation without Colace
- Increase fiber through foods like oats, beans, fruits, and vegetables, or consider psyllium supplements if advised by a clinician.
- Drink adequate water daily and spread fluid intake through the day.
- Move more: regular walking or light cardio can stimulate bowel movements.
- Limit reliance on over-the-counter laxatives and seek medical advice if constipation persists beyond a few weeks.
2) Avoid long-term NSAID use (Ibuprofen, Naproxen) for digestion
The second caution from Dr. Salhab concerns chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen and Naproxen. While these medications can be effective for pain relief, their long-term use is associated with risks that extend to the gastrointestinal tract. NSAIDs can irritate the stomach lining and increase the likelihood of ulcers and bleeding. In some patients, these effects can be serious and require medical intervention.
Evidence in medical literature supports a cautious approach to NSAIDs, especially for individuals with a history of peptic ulcers, gastritis, or other digestive disorders. Alternatives—when appropriate—include acetaminophen, topical agents, or non-pharmacologic pain management strategies. If NSAIDs are necessary, using the lowest effective dose for the shortest possible duration and taking them with food can reduce risk, but not eliminate it. Always discuss pain management options with a healthcare provider, particularly if you have existing digestive concerns.
3) Do not ignore swallowing difficulties
Dysphagia, or difficulty swallowing, is not just a nuisance; it can signal conditions requiring medical evaluation. Dr. Salhab stresses that persistent swallowing problems deserve attention rather than casual self-assessment. An Upper Endoscopy (EGD) is a diagnostic test used to visualize the esophagus, stomach, and the first part of the small intestine. If you’ve noticed ongoing trouble swallowing, feeling a lump in the throat, coughing or choking on foods, or regurgitation, a medical assessment is warranted to identify potential causes such as reflux, strictures, or other esophageal conditions.
Timely evaluation with endoscopy can lead to early detection and treatment, improving outcomes and reducing potential complications. If a clinician suspects a digestive issue beyond simple reflux, they may recommend additional tests or referrals to a gastroenterology specialist. Prioritizing listening to your body and seeking professional advice is a proactive step toward preserving digestive health.
Putting it into practice
These three precautions—reconsidering Colace use, avoiding unnecessary long-term NSAID exposure, and not ignoring swallowing problems—are part of a broader approach to digestive wellness. Pairing evidence-based medical guidance with everyday healthy habits supports a resilient digestive system. If you’re facing persistent constipation, chronic pain requiring NSAIDs, or swallowing difficulties, consult a healthcare provider to tailor a plan that fits your needs and reduces unnecessary risks.
Image credits: Getty Images
