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Poor gut health can severely restrict and reduce quality of life. The resulting symptoms can make every day and turn everything into an immense struggle, from knowing what you can safely eat and drink to climbing up stairs. We share our experiences of what it’s like to live with broken guts and provide tips to help boost and aid digestion and soothe/calm the symptoms.
***Remember to always consult a health professional and conduct your own thorough research before attempting any health interventions. Each body and case is unique and individual and some methods may not be appropriate for you.
To understand gut health, we must first understand the anatomy behind the GI tract and digestive function. We’ve written about each stage in depth, from beginning to it’s inevitable end on the Anatomy of the Digestive System page.
The process of digestion is a fascinating and complex one that turns the food we place in our mouths, into energy. This process takes place in the gastrointestinal tract, a long connected, tubular, muscular structure that starts with the mouth and ends you know where :P Food is moved along the system, altered by enzymes and hormones into usable molecules which are absorbed and used for all functions in the body. A handful of organs that sit along the GI tract support the digestive process - the liver, gallbladder, and pancreas. The time it takes for food to travel from entering the mouth to be excreted as waste (poop) is normally around 30 to 40 hours. Average intestinal transit times in healthy individuals vary a lot from person to person (affected by the types of solids, mixed foods and liquids ingested) and differs between men and women)(1) -
There are many ways to optimise digestion, and because our guts are controlled by their very own, localised nervous system (the second brain/Enteric Nervous System (ENS)) even our mental and emotional health can affect our gut function! We look at Stress + the Gut in the Mental Wellbeing section and we list a few ways to optimise digestion in Health + Beauty. To learn about the gut's nervous system and its relationship to the brain see the Gut-Brain Axis.
These exercises and stretches can help promote gut motility (peristalsis) in a gentle but effective way and can be done any time of the day -
Play around with the list we’ve created below to see which work best for you and feel free to check out our Recipe pg for ideas on how to incorporate the below into your diet. See Essential Supplements page for full list of natural supplements and agents included here.
The vagus nerve is the longest nerve in your body. It connects your brain to many important organs throughout the body, including the gut (intestines, stomach), heart and lungs. "Vagus" means “wanderer” in Latin, accurately representing how the nerve wanders all over the body and influences the function of numerous organs. The vagus nerve plays a key part of your parasympathetic “rest and digest” nervous system, influencing breathing, digestive function and heart rate. Thus, it has a huge impact on your mental and physical health. Stimulating the vagus nerve can activate vagal tone and thus, the parasympathetic nervous system. Having higher vagal tone means that your body can relax faster after stress, while also provide other numerous health benefits, including improved digestion(5). Activating your vagus nerve can be done by doing the following -
Many agents on this list stimulate digestion and/or gut motility. You’ll want to do all that you can to support and aid the digestion process and these do just that, soothing indigestion symptoms along the way.
“The best of all medicines is resting and fasting.” - Benjamin Franklin
“Natural forces within us are the true healers of disease.” - Hippocrates
For anyone with gut issues, abstinence from food (and most beverages) and thus allowing your gut to rest and heal is just about the best and safest thing you can do. Water-only fasting is the most powerful medicinal tool we’ve come across over the years and it’s roots are as old as mankind, perhaps even older(8). We list many of the profound benefits of this ancient medicinal practice on the Fasting page, as well as the role it played in human evolution and our health today.
Fasting Has Saved Our Lives
It’s no exaggeration to say that fasting has saved our lives. We try not to think about the state we’d be in now if we hadn’t known about fasting and been experimenting and practicing multiple forms of this powerful health intervention, for a few years now.
As great as the agents, supplements and exercises we list above are, we’ve found that nothing compares to the power of water fasting when it comes to easing digestive discomfort, regenerating gut health as well as overall health in the body.
“Fasting has many effects in the intestine, which include boosting regeneration as well as potential uses in any type of ailment that impinges on the intestine, such as infections or cancers."(9) - Ömer H. Yilmaz
We are biologically adapted to experience these fast and feed cycles and when we halt caloric intake, our bodies naturally shift from the “Go-Go” mode into the “Rest and Repair” mode. Having an abundance of food available and eating too frequently does not allow your body the time it needs to rest and repair, and undertake processes essential for the maintenance and optimal functioning of our internal systems. Dr Michael Mosley discusses on his site The Fast 800, how 21st century western populations’ eating-habits have been attributed to diseases which did not exist until very recently, such as the increasingly common 80+ different types of autoimmune diseases. Lack of fasting, over-feeding, stress and the Hygiene Hypothesis are all modern phenomena which are directly linked to poor physical wellbeing and mental health conditions.
“Fasting is the greatest remedy—the physician within.” - Paracelsus
The most powerful of all the fasting types is the dry fast - abstinence from liquids as well as solids, followed by water fasts - where you consume only clean, filtered water for a period of days or weeks. However, there are many different types of fasting and all have profound benefits. It’s best to try the top three fasting types we list below if you haven’t fasted before. You can then progress to water fasting which has even more benefits(10) and is an especially powerful healing tool for those with chronic gut disorders. It’s also one of the most powerful methods of reducing pathogenic bacterial populations, rebalancing the gut flora in favour of beneficial bacteria and promoting gut barrier/lining healing(11), which is also completely free!
***Remember to always consult a health professional and conduct your own thorough research before attempting any kind of fast - liquid, water etc. Each body and case is unique and individual and some fasting types may not be appropriate for you.
“We know from a variety of animal and human studies that what we eat, such as the relative amounts of fats, carbohydrates and proteins that we consume, can remodel the microbial communities living in our guts. But when we eat can also impact our gut microbiomes, and thus our metabolic health.”(12)
“Your gut is an ecosystem.” - Dr John Bergman
The gut is the largest and most dynamic immunological environment and organ within the body. “Indeed, gut-associated lymphoid tissue (GALT) is the prominent part of mucosal-associated lymphoid tissue (MALT) and represents almost 70% of the entire immune system; moreover, about 80% of plasma cells [mainly immunoglobulin A (IgA)-bearing cells] reside in GALT.”(13) Thus, 80% of the immune system resides in the gut, lending meaning to the saying “All disease begins in the gut”. 10% of your daily energy expenditure is required for the energy-intensive task of digestion alone(14). Considering these facts, it’s no surprise that by allowing your gut to rest, your body can switches into “Rest and Repair” mode where the energy and resources usually sapped by digestion, are reappropriated into restorative and rejuvenating processes such as autophagy, in turn, maintaining, detoxing and cleansing our internal systems. For those with a gut disorder, the best thing you can do is to allow your gut to rest. While in “Rest and Repair” mode your gut will also begin to heal itself (in numerous ways!) and even after a short water fast of 40-72 hours, you can notice a huge improvement in gut motility and digestion.
“Fasting has many effects in the intestine, which include boosting regeneration as well as potential uses in any type of ailment that impinges on the intestine, such as infections or cancers."(15) - Ömer H. Yilmaz
More research needs to be undertaken on this however as the gut is still little understood and studied.
“Cyclical changes in the gut microbiome from feeding/fasting rhythms contribute to the diversity of gut microflora and likely represent a mechanism by which the gut microbiome affects host metabolism.” — Zarrinpar et al. 2014
The gut microbiome - a vast ecosystem of organisms including bacteria, yeasts, fungi, viruses and protozoans - that reside in our digestive pipes, collectively weigh up to 2kg - more than the average human brain(21)! And these (100 trillion) microorganisms regulate our immune health(22) and much more besides.
Although microbiome studies and the science of fasting are relatively new, we know that fasting profoundly affects our microbiota populations and can “balance” our gut flora in favour of the good bacteria, or in other words it can: “increase gut bacteria richness”(23). And this makes sense; “Only recently have humans and domesticated animals had constant access to food. During their evolution, many animals and humans ate only intermittently. For many microorganisms and invertebrates, long periods of starvation are normal and, correspondingly, many of them (including C. elegans) have evolved forms of quiescence in response to the onset of food shortage.”(24) “...many species of ‘bad bacteria’ have a relatively short doubling time. So, if you fast, they will tend to starve more quickly than the healthy bacteria in your gut. Many of these ‘good bacteria’ have longer doubling times, and won’t be as greatly affected by your fasting…”(25)
More IF/TRF studies are currently underway in human trials and more prolonged water fasts in human trials have yet to be undertaken. However, we have both experienced this die-off/rebalancing effect first-hand while water fasting and have found it a powerful tool and not only in decreasing our bacterial burden, but also in promoting gut motility and healing (the underlying cause of SIBO being gut motility dysfunction which was triggered by years of chronic anxiety). Water and intermittent fasting is an integral part of our healing journey and we discuss how this practice has positively impacted our lives in more depth in the Our Stories section and a below.
Pooping - the great leveler. What goes in, has to come out and how people choose to poop is, believe it or not, a cultural decision. People adapt their “defecation postures” to suit the toilet types available to them. Though sit-down lavs have existed at least since Egyptian antiquity, for almost all of our history, the vast majority of Homo Sapiens defecated squatting in the open(26). We have evolved to ‘go’ while squatting with our knees close to our chest and thus in the “anorectal angle”, the intra-abdominal pressure rises, the bowel straightens, lengthens and movements pass more quickly, easily and without any need for force. The squat posture also beneficial for strengthening the thigh and pelvic floor muscles. Passing fecal matter with force can lead to serious internal damage and a host of severe health conditions(27). For those unable to squat due to physical restrictions or fatigue, you should place a bucket/stack of yellow pages etc by the loo to use as a substitute and free “squat potty”. “Elimination is love” people.
There are risks attached to enemas so we recommend you read health articles such as this to understand them before jumping straight in. It’s important not to do enemas too often as they can interfere with the large intestinal microbiome. However, enemas are a highly useful tool while water fasting and to relieve symptoms of SIBO-C. We bought a medical-grade enema kit from Amazon which is super easy to use and there are many options to choose from online. Doing enemas once weekly has caused us no problems at all but we also water fast regularly and practice intermittent fasting daily to promote and improve gut function and motility - enemas alone are not enough.
A word of warning from Dr Chris Kresser - “...some studies show that a bowel lavage, colonic, or a laxative kind of thing, can lower or even eliminate methane production. But I would be careful with that, because colonics, while they do wash out some of the bad gut flora, they also wash out a lot of the good gut flora. They’re also pretty invasive.”(28)