Introduction: A clear guide to protecting your digestive health
Digestive health is a cornerstone of overall well-being. When the stomach and gut are off, energy, mood, and daily life can feel disrupted. Recently, a prominent gastroenterologist, Dr. Joseph Salhab, known online as “thestomachdoc,” highlighted three essential don’ts that can make a meaningful impact on your digestive system. His guidance, based on clinical experience and emerging evidence, emphasizes practical steps you can take today to maintain a healthier gut.
Don’t rely on Colace for constipation relief
One of the most debated topics in constipation management is the use of docusate sodium, commonly sold under the brand Colace. Dr. Salhab says he would avoid using Colace to soften stools or alleviate constipation. This stance aligns with a growing body of research suggesting that docusate is not superior to a placebo in improving bowel movements for many individuals. In other words, the benefit may be limited, and there are more reliable strategies to address constipation.
Experts often recommend a multifaceted approach: increasing dietary fiber through fruits, vegetables, and whole grains; ensuring adequate water intake; and incorporating regular physical activity. Some patients also find psyllium husk supplements effective as a more consistent stool-softening option. When constipation persists, it’s important to work with a healthcare provider to rule out underlying conditions and to tailor a plan that suits your body.
Don’t rely on NSAIDs for the long term
The second important don’t concerns medications such as ibuprofen and naproxen, non-steroidal anti-inflammatory drugs (NSAIDs) commonly used for pain relief. Dr. Salhab cautions against prolonged NSAID use because these medications can irritate the digestive tract and increase the risk of bleeding ulcers and other complications. NSAID-associated GI risk is well-documented and can occur even in people without prior stomach issues.
For those who need ongoing pain management, alternatives may include acetaminophen (paracetamol) when appropriate, topical treatments, or non-pharmacological strategies like physical therapy, heat/cold therapy, or mind-body approaches. If NSAIDs are essential, healthcare providers may implement protective strategies such as using the lowest effective dose for the shortest duration and, in some cases, co-prescribing protective agents. Always discuss your medications, risks, and alternatives with a clinician rather than making changes on your own.
Don’t ignore swallowing difficulties – seek prompt evaluation
The third warning focuses on swallowing problems, which should never be ignored. Difficulty swallowing can be caused by a range of issues, from benign conditions to serious disorders. Dr. Salhab recommends taking any persistent swallowing discomfort seriously and pursuing an evaluation. An upper endoscopy, a procedure that allows direct visualization of the esophagus, stomach, and beginning of the small intestine, is a commonly recommended test when swallowing symptoms arise.
Early investigation can identify causes such as esophageal strictures, ulcers, rings, or motility disorders, enabling timely treatment and reducing the risk of complications. If you experience persistent coughing while eating, food sticking in the throat, or a sensation of food lingering, consult a gastroenterologist promptly. Your doctor can guide you on the appropriate diagnostic steps and next steps in management.
Putting it into practice: practical steps for better gut health
While the three don’ts provide clear guardrails, there are positive, proactive steps you can take daily. Emphasize dietary fiber from a variety of sources, stay hydrated, and maintain regular physical activity. If you’re dealing with chronic constipation, consider adding psyllium alongside fiber-rich foods rather than relying solely on laxatives. For pain management, review your medications with a clinician to minimize GI risk, and explore alternatives when appropriate. Finally, listen to your body and seek timely medical advice for swallowing difficulties or any persistent GI symptoms.
Conclusion: A balanced approach to digestive health
Dr. Salhab’s practical reminders—reconsider Colace for constipation, be cautious with long-term NSAID use, and never ignore swallowing problems—offer a concise framework for protecting digestive health. While individual needs vary, the overarching message remains the same: prioritize evidence-based strategies, seek professional guidance when symptoms persist, and stay proactive about gut wellness for a healthier, more comfortable life.
