Regarding the use of over-the-counter medications for gastrointestinal issues and maintaining gut health?
Hello, Doctor: About seven years ago, I suffered from depression, which led to binge eating that only started to improve last year.
However, due to my part-time work and study situation, my eating habits have changed again.
Six months ago, after changing jobs, I got used to eating only one meal a day, usually around 10 or even 11 PM.
This late-night meal typically consists of high-calorie or fried foods.
Recently, I suddenly noticed that I have soft stools, with bowel movements occurring throughout the day, but in small amounts and with a foul odor.
Eating slightly greasy foods makes me feel nauseous, and I often experience discomfort in my stomach.
I have already been to the hospital for an examination, and a colonoscopy showed no issues.
The doctor advised me to improve my eating habits (I also had three hemorrhoids at that time).
Now that I have quit my job, my routine is more normal and less stressful.
I would like to ask the doctor:
* If I take Wakamoto tablets long-term, will it effectively improve my current condition? Are there any drawbacks?
* I have developed the habit of drinking a glass of warm water in the morning, and I usually eat cherry tomatoes for breakfast.
However, I have heard that tomatoes are considered "cold" food.
Should I adjust this habit?
* Given my situation, what dietary habits should I focus on maintaining or developing? Are there any specific things I should pay attention to?
* I am very concerned that my long history of binge eating may affect my gastrointestinal health in the future, and I worry that as I age, I might discover serious illnesses.
What should I be mindful of regarding my gastrointestinal health?
Thank you, Doctor, for taking the time to respond.
hachiko, 20~29 year old female. Ask Date: 2008/08/26
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Hachiko: *Long-term use of WAKAMOTO may not improve your current digestive and absorption issues.* Breakfast does not need to follow a fixed recipe; feel free to try different options.* Given your situation, it is best to adhere to a routine of three meals a day, allowing your digestive system to function during the day.
Nighttime is not for digestion but rather a time for the gastrointestinal and hepatobiliary systems to reset, so it is important to get good sleep during that period.* As long as your depression is managed with medication, binge eating will naturally improve, as binge eating is also a specific manifestation of mania.
LeSheng Rehabilitation Hospital, Gastroenterology and Hepatobiliary Department, Dr.
Zhang Siyuan.
Reply Date: 2008/08/26
More Info
Managing gastrointestinal health is crucial, especially after experiencing significant dietary changes and health issues. Based on your description, it appears that your eating habits have shifted dramatically, which can lead to various gastrointestinal symptoms, including soft stools, discomfort, and changes in bowel habits. Here are some recommendations to help you manage your gastrointestinal health effectively.
Dietary Recommendations
1. Regular Meal Times: It’s essential to establish a regular eating schedule. Eating only one meal a day, especially late at night, can disrupt your digestive system. Aim for three balanced meals a day, spaced out evenly, to allow your body to digest food properly.
2. Balanced Diet: Focus on a balanced diet that includes a variety of food groups. Incorporate whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. This variety ensures you receive essential nutrients and fiber, which is vital for digestive health.
3. Fiber Intake: Increase your fiber intake gradually. Foods high in fiber, such as whole grains, fruits, vegetables, and legumes, can help regulate bowel movements and improve gut health. However, if you have experienced bloating or discomfort, introduce fiber slowly to allow your digestive system to adjust.
4. Hydration: Staying hydrated is crucial for digestive health. Drink plenty of water throughout the day, especially if you are increasing your fiber intake. Aim for at least 8-10 cups of water daily.
5. Limit Processed Foods: Reduce your intake of high-calorie, processed, and fried foods. These can contribute to gastrointestinal discomfort and may exacerbate symptoms like bloating and nausea.
6. Mindful Eating: Practice mindful eating by paying attention to your hunger cues and eating slowly. This can help prevent overeating and improve digestion.
Supplements
Regarding the use of Wakamoto (若元錠), which is a probiotic supplement, it can be beneficial for gut health. Probiotics help maintain a healthy balance of gut bacteria, which can improve digestion and reduce gastrointestinal discomfort. However, it’s essential to consult with a healthcare professional before starting any new supplement, especially if you have underlying health conditions or are taking other medications.
Specific Foods and Habits
1. Tomatoes: While tomatoes are often considered "cooling" in traditional medicine, they are also rich in vitamins and antioxidants. If you enjoy them, continue to include them in moderation, but pay attention to how your body reacts. If you notice discomfort, consider reducing your intake.
2. Avoid Trigger Foods: Identify and avoid foods that trigger your symptoms. Common culprits include spicy foods, high-fat meals, and dairy products if you are lactose intolerant. Keeping a food diary can help you track what you eat and how it affects your gastrointestinal health.
3. Probiotics and Fermented Foods: Incorporate natural sources of probiotics, such as yogurt, kefir, sauerkraut, and kimchi, into your diet. These can help promote a healthy gut microbiome.
Long-term Considerations
Given your history of binge eating and recent dietary changes, it’s understandable to be concerned about the long-term effects on your gastrointestinal health. Here are some tips to consider:
1. Regular Check-ups: Continue to have regular check-ups with your healthcare provider to monitor your gastrointestinal health, especially as you age.
2. Stress Management: Since stress can significantly impact gut health, consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or gentle exercise.
3. Education: Educate yourself about gastrointestinal health and nutrition. Understanding how different foods affect your body can empower you to make healthier choices.
4. Seek Professional Guidance: If you continue to experience gastrointestinal issues, consider consulting a registered dietitian or a gastroenterologist for personalized advice and support.
In summary, managing your gastrointestinal health involves establishing regular eating habits, focusing on a balanced diet rich in fiber, staying hydrated, and being mindful of how specific foods affect your body. Supplements like probiotics can be beneficial, but always consult with a healthcare professional before starting any new regimen. By taking these steps, you can improve your digestive health and reduce the risk of future gastrointestinal issues.
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