Back Clinic Gut and Intestinal Health. The health of an individual’s gut determines what nutrients are absorbed along with what toxins, allergens, and microbes are kept out. It is directly linked to the health of the whole body. Intestinal health could be defined as optimal digestion, absorption, and assimilation of food. But this is a job that depends on many other factors. More than 100 million Americans have digestive problems. Two of the top-selling drugs in America are for digestive problems, and they run in the billions. There are more than 200 over-the-counter (OTC) remedies for digestive disorders. And these can and do create additional digestive problems.
If an individual’s digestion is not working properly, the first thing is to understand what is sending the gut out-of-balance in the first place.
A low-fiber, high-sugar, processed, nutrient-poor, high-calorie diet causes all the wrong bacteria and yeast to grow in the gut and damages the delicate ecosystem in your intestines.
Overuse of medications that damage the gut or block normal digestive function, i.e., acid blockers (Prilosec, Nexium, etc.), anti-inflammatory medication (aspirin, Advil, and Aleve), antibiotics, steroids, and hormones.
Undetected gluten intolerance, celiac disease, or low-grade food allergies to foods such as dairy, eggs, or corn.
Chronic low-grade infections or gut imbalances with overgrowth of bacteria in the small intestine, yeast overgrowth, parasites.
Toxins like mercury and mold toxins damage the gut.
Lack of adequate digestive enzyme function from acid-blocking medications or zinc deficiency.
Stress can alter the gut’s nervous system, cause a leaky gut, and change the normal bacteria.
Visits for intestinal disorders are among the most common trips to primary care doctors. Unfortunately, most, which also includes most doctors, do not recognize or know that digestive problems wreak havoc in the entire body. This leads to allergies, arthritis, autoimmune disease, rashes, acne, chronic fatigue, mood disorders, autism, dementia, cancer, and more. Having proper gut and intestinal health is absolutely central to your health. It is connected to everything that happens in the body.
Fermentation is a process where bacteria and yeast are used to break down foods. The fermentation process has been around for centuries and was initially produced to preserve foods, improve flavor and eliminate toxins. Research has found that eating fermented foods can also increase the beneficial bacteria/probiotics in the gut. Functional medicine practitioners recommend these foods for their health benefits, including improved digestion, increased immunity, and weight loss and maintenance.
Fermented Foods
Fermented foods and beverages undergo controlled microbial growth and fermentation in which microorganisms like yeast and bacteria break down food elements like sugars/glucose into other products like organic acids, gases, or alcohol. The process gives fermented foods unique taste, aroma, texture, and appearance. There are many different types of fermented foods, including:
Whole foods like vegetables, fruits, cereals, dairy, meat, fish, eggs, legumes, nuts, and seeds can go through fermentation. These foods are nutritious in their original form, but through fermentation, they can provide probiotic and prebiotic health benefits.
Probiotics
Probiotics are live microorganisms that benefit the gut by creating a more favorable digestive environment. This helps:
Digest food easier.
Support a healthy immune system.
Support organ health – lungs, reproductive organs, skin.
Improves mood.
However, not all fermented foods contain probiotics, especially commercially produced foods that are pasteurized, killing bacteria and their associated health benefits.
Prebiotics
Prebiotics are food ingredients that the microorganisms like gut bacteria consume to grow and live, leading to improving the digestive environment. These include:
Milk
Honey
Tomato
Garlic
Onions
Asparagus
Wheat
Barley
Rye
However, most fruits, vegetables, and legumes contain prebiotics.
The Benefits of Fermented Foods
Fermented foods’ health benefits include reduced risk of:
Diabetes
Inflammation
High blood pressure
Cardiovascular disease
Obesity
They have also been linked to:
Better weight management
Improved brain activity
Increased bone health
Faster recovery after exercise and physical activity
There are currently no official guidelines regarding how often individuals should eat fermented foods. It is recommended to consult a nutritionist or dietician to figure out the best nutrition plan for the individual and their needs.
The Science
References
Aslam, Hajara, et al. “Fermented foods, the gut, and mental health: a mechanistic overview with implications for depression and anxiety.” Nutritional neuroscience vol. 23,9 (2020): 659-671. doi:10.1080/1028415X.2018.1544332
Dimidi, Eirini, et al. “Fermented Foods: Definitions and Characteristics, Impact on the Gut Microbiota and Effects on Gastrointestinal Health and Disease.” Nutrients vol. 11,8 1806. 5 Aug. 2019, doi:10.3390/nu11081806
King, Sarah, et al. “Effectiveness of probiotics on the duration of illness in healthy children and adults who develop common acute respiratory infectious conditions: a systematic review and meta-analysis.” The British journal of nutrition vol. 112,1 (2014): 41-54. doi:10.1017/S0007114514000075
Kok, Car Reen, and Robert Hutkins. “Yogurt and other fermented foods as sources of health-promoting bacteria.” Nutrition reviews vol. 76, Suppl 1 (2018): 4-15. doi:10.1093/nutrit/nuy056
Parker, Elizabeth A et al. “Probiotics and gastrointestinal conditions: An overview of evidence from the Cochrane Collaboration.” Nutrition (Burbank, Los Angeles County, Calif.) vol. 45 (2018): 125-134.e11. doi:10.1016/j.nut.2017.06.024
Şanlier, Nevin, et al. “Health benefits of fermented foods.” Critical reviews in food science and nutrition vol. 59,3 (2019): 506-527. doi:10.1080/10408398.2017.1383355
Yogurt is a dairy product made by the bacterial fermentation of milk. The bacteria used are called yogurt cultures, which ferment lactose, which is the natural sugar found in milk. This process produces lactic acid that causes milk proteins to curdle, giving yogurt its flavor and texture. It can be made from all types of milk. Although research is ongoing, the benefits of adding yogurt to one’s nutrition plan can improve overall health, including improved bone health, circulation, immune system function, and probiotics/healthy bacteria that improve digestion and gut health.
Health Benefits
Yogurt comes from milk that varies; some are made from skim and fat-free, whereas whole milk is full-fat. Other nutrients include calcium, vitamin B-2, vitamin B-12, potassium, and magnesium. More research is needed, but there is some evidence that active cultures can help certain gastrointestinal conditions, including:
The faster time food takes to circulate through the bowels.
Immune system improvement.
Feel Fuller
Yogurt is rich in protein and healthy fats, which makes it very filling. Both of these nutrients are key to feeling full for longer. A study found consuming high-protein Greek yogurt in the afternoon resulted in less hunger, increased fullness and delayed the need to eat before dinner.
It can replace the fat, oil, and/or butter in muffin, brownie, or cake recipes.
Speak with a nutritionist and health coach to find out if yogurt would be beneficial. Nutritionists work with individuals to find the best foods for their body type, age, and health condition, explain how different foods impact the body, and what foods to avoid.
Functional Nutrition
References
Andoh, Akira. “Physiological Role of Gut Microbiota for Maintaining Human Health.” Digestion vol. 93,3 (2016): 176-81. doi:10.1159/000444066
Bull, Matthew J, and Nigel T Plummer. “Part 1: The Human Gut Microbiome in Health and Disease.” Integrative medicine (Encinitas, Calif.) vol. 13,6 (2014): 17-22.
Cleveland Clinic: “Which Yogurt is Right For You?” “Why — and When — You Should Include Probiotics in Your Diet.”
Jandhyala, Sai Manasa, et al. “Role of the normal gut microbiota.” World journal of gastroenterology vol. 21,29 (2015): 8787-803. doi:10.3748/wjg.v21.i29.8787
Le Roy, C.I., Kurilshikov, A., Leeming, E.R. et al. Yoghurt consumption is associated with changes in the composition of the human gut microbiome and metabolome. BMC Microbiol 22, 39 (2022). doi.org/10.1186/s12866-021-02364-2
Wu, Hsin-Jung, and Eric Wu. “The role of gut microbiota in immune homeostasis and autoimmunity.” Gut microbes vol. 3,1 (2012): 4-14. doi:10.4161/gmic.19320
The immune system‘s role is to be the “protectors” of the body by attacking invaders that enter the body, cleaning up old cells, and making room for new cells to flourish in the body. The body needs the immune system to function and be healthy from many environmental triggers the body is exposed to daily. When environmental triggers come in contact with the body, it can cause many disruptive factors over time and causes the immune system to mistakenly attack healthy, normal cells as they see it as a foreign invader, thus causing the body to develop autoimmune diseases. Some environmental triggers like toxic metals could be associated with autoimmune diseases that can affect the body, causing various symptoms to affect the body. Today’s article looks at the effects of toxic metals on the body, how it affects the immune system, and ways to manage the impact of toxic metals on the immune system. We refer patients to certified providers specializing in autoimmune treatments to help many individuals with autoimmune diseases associated with toxic metals. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
The Effects of Toxic Metals On the Body
Have you been experiencing abdominal pain in your gut? Do you have a bitter metallic taste in your mouth? What about experiencing inflammation affecting not only your joints but your gut as well? Many of these symptoms are signs correlating that you might suffer from toxic metals in your body. The body is constantly exposed to various environmental factors that affect many individuals over time. It can be the foods consumed, the environment a person is exposed to, and their physical activity. Studies reveal that heavy metal pollutants from environmental pollution can enter the human body through various pathways like the respiratory, cutaneous, and gastrointestinal paths and begin to accumulate in different organs. When the body suffers from autoimmune diseases associated with toxic metals, symptoms of inflammation will start to affect the joints in the body. To that point, toxic metals will begin to facilitate their interaction with the immune system, causing the development of autoimmune disease symptoms.
How Does It Affect The Immune System
So how do toxic metals affect the immune system, thus causing symptoms associated with autoimmunity? As stated earlier, the immune system is the body’s protector and, when exposed to environmental disruptors over time, leads to the development of autoimmune diseases. For toxic metals, many people are usually exposed to low levels of metals through consuming fish and shellfish (containing low levels of mercury). However, when individuals are exposed to high levels of heavy metals, studies reveal that certain metals can seriously affect the immune system by overstimulating the different muscle tissues and soluble mediators that cause chronic-inflammatory reactions associated with heavy metals. Some of the symptoms associated with toxic metals causing autoimmunity in the body include:
Numbness
Prickly sensation down hands or feet
Abdominal pain
Inflammation
Joint pain
Muscle weakness
Introduction The Immune System-Video
Have you been experiencing inflammation in your joints? How about feeling muscle weakness in your back, arms, legs, or neck? Or have you been feeling overall discomfort in your body? Many of these symptoms are signs of autoimmune diseases associated with toxic metals. The video above introduces the immune system and how it plays its role in the body. When the body gets exposed to environmental factors like heavy toxic metals, it can cause the development of autoimmune diseases associated with chronic issues like joint inflammation and muscle pain. Different heavy toxic metals can affect other body parts, as studies reveal that these different heavy toxic metals are systemic toxicants that induce adverse health effects on the body. When an individual has been exposed to high levels of heavy toxic metals, chronic issues like joint inflammation can progressively cause pain over time unless treated early on. Luckily, treatments are available to help manage the effects of toxic metals in the immune system associated with joint inflammation.
Managing The Effects Of Toxic Metals In The Immune System
Since the body is exposed to environmental factors constantly, if it is not treated right away, it can lead to autoimmunity associated with chronic symptoms like joint inflammation. Fortunately, there are ways to manage the effects of environmental factors, like lowering the impact of toxic metals on the body system. Studies reveal that incorporating essential minerals protects the DNA sequence from further oxidative damage in the body’s immune system. Other treatments like chiropractic care utilize spinal manipulation on spinal subluxation or spinal misalignment on the joints to reduce inflammation associated with toxic metal autoimmunity. Since there are many ways that autoimmunity can affect the body through environmental triggers, the symptoms associated with autoimmunity are treated through chiropractic care. Chiropractic care not only utilizes spinal manipulation but can help improve the immune system in the body by increasing lymphatic fluid circulation and loosening stiff muscles surrounding the joints. To that point, it allows the body to get rid of toxins and waste that is in the body. Incorporating treatments like chiropractic care can help restore the body to its functional state.
Conclusion
The immune system is the body’s protector from foreign invaders that enter the body. When there are environmental triggers that the body is being exposed to, it can put the body at risk of developing autoimmune disease associated with chronic symptoms like inflammation of the joints. Environmental triggers like heavy metals can be associated with joint inflammation and cause pain in the body. When this happens, the body experiences pain and dysfunction due to inflamed joints. Fortunately, chiropractic treatments utilize spinal manipulation on subluxation (spinal misalignment) to reduce joints’ inflammation and improve lymphatic system circulation. These treatments can help the body manage autoimmunity associated with heavy metals and their symptoms.
References
Ebrahimi, Maryam, et al. “Effects of Lead and Cadmium on the Immune System and Cancer Progression.” Journal of Environmental Health Science & Engineering, Springer International Publishing, 17 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7203386/.
Jan, Arif Tasleem, et al. “Heavy Metals and Human Health: Mechanistic Insight into Toxicity and Counter Defense System of Antioxidants.” International Journal of Molecular Sciences, MDPI, 10 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4691126/.
Lehmann, Irina, et al. “Metal Ions Affecting the Immune System.” Metal Ions in Life Sciences, U.S. National Library of Medicine, 2011, pubmed.ncbi.nlm.nih.gov/21473381/.
Tchounwou, Paul B, et al. “Heavy Metal Toxicity and the Environment.” Experientia Supplementum (2012), U.S. National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC4144270/.
Experiencing low back pain and diarrhea can be a symptom of a viscerosomatic reflex,somatovisceral reflex, or a combination. A reflex is an involuntary response to nervous system stimulation. A doctor tapping below the knee causes the foot to kick forward is a basic example of a reflex. This is a somatovisceral or body organ reflex. Back pain could be from awkward posture, repetitive motions like bending or twisting, or injury that affects the spinal column. The effects could cause nerve compression and damage that can cause firing misinterpreted signals impacting/damaging internal organ function, causing pain and other symptoms.
However, the damage caused to the compressed/injured organ nerves can also cause back pain symptoms. This is a viscerosomatic or organ body reflex. One study found that a group of chiropractic patients dealing with low back pain also had increased bowel problems, even though there was no specific cause, link, or association between the two. Lower back pain and diarrhea may be completely unrelated, but if symptoms are recurring, there is an increased chance of an underlying medical issue.
Chiropractic Medicine
Chiropractic medicine is founded on the nervous system’s control of the body’s organ systems, whose impulse signals travel through the spinal cord. Body systems include the muscles, bones, and all organs. Any problems with the spine and/or nerve changes from normal wear and tear, injury, or infection can affect signal transmissions that can alter system functions. Altered nerve conduction can impact overall health and is referred to as reflex pathways in the nervous system. A somatovisceral reflex is where the musculoskeletal system causes altered nerve conduction creating organ system dysfunction and/or illness. Diarrhea brought on by back pain is an example.
Causes Of Back Pain and Diarrhea
Appendicitis
The appendix extends from the colon in the lower right abdomen. Appendicitis is inflammation of the appendix. The pain usually appears near the belly button and spreads to the right side of the stomach. Some individuals’ appendix extends behind the colon, which can also cause low back pain. Symptoms include:
Loss of appetite
Inability to relieve gas
Constipation
Abdominal pain – Moderate to severe
Diarrhea
Fever
Nausea
Vomiting
Appendicitis can be life-threatening and requires immediate treatment; if left untreated, the condition can worsen within hours, causing a rupture that can leak through the abdominal cavity.
Fecal impaction
Fecal impaction is stools that have become hard, dry, and stuck in the rectum and can cause abdominal and low back pressure and pain. It is commonly caused by chronic constipation, which can be associated with dehydration, lack of fiber, physical inactivity, medication side effects, or long-term use of laxatives. Taking laxatives for a long time can cause the intestines to shut off automatic evacuation of the bowels. Although the condition is common in older individuals, it can happen to individuals of any age who experience chronic constipation. Symptoms can include:
Bloating
Cramping
Bladder pressure
Bladder incontinence
Leakage or sudden diarrhea after long-term constipation.
Rectal bleeding
Enteropathic arthritis
Enteropathic arthritis is a chronic inflammatory arthritis associated with inflammatory bowel disease or IBD. Types include:
Ulcerative colitis
Crohn’s disease
Different arthritic diseases like ankylosing spondylitis and psoriatic arthritis can cause symptoms like diarrhea and abdominal pain or be associated with developing inflammatory bowel disease. Varying symptoms depend on the bowel disease and arthritis type and include:
Fatigue
Cramping
Joint pain
Joint stiffness
Loss of appetite
Bloody diarrhea
Pancreatic Cancer
The symptoms of pancreatic cancer vary depending on the type, location, and cancer stage. Pancreatic cancers in the early stages usually don’t cause signs or symptoms. Possible symptoms can include:
Chiropractic is ideal for addressing reflex issues. A doctor of chiropractic adjusts the spine to improve alignment, joint motion, and nerve energy transmission, improving nerve circulation/signal flow, which can help with unrelated health conditions. A chiropractor will locate any areas of spinal misalignment; once identified, a personalized treatment plan will return the correct alignment to the spine, enabling the nervous system to return to optimal function.
Sengupta, Jyoti N. “Visceral pain: the neurophysiological mechanism.” Handbook of experimental pharmacology,194 (2009): 31-74. doi:10.1007/978-3-540-79090-7_2
Walden, Anna L et al. “Bladder and bowel symptoms among adults presenting with low back pain to an academic chiropractic clinic: results of a preliminary study.” Journal of chiropractic medicine vol. 13,3 (2014): 178-87. doi:10.1016/j.jcm.2014.07.006
Wood, Jackie D. “Neuropathophysiology of functional gastrointestinal disorders.” World journal of gastroenterology vol. 13,9 (2007): 1313-32. doi:10.3748/wjg.v13.i9.1313
The gut-brain axis is fundamental to the body as it communicates bi-directional with the brain and the gut. Separately they provide different functions that are required of the body. The brain, part of the central nervous system, allows the neurons to travel to each overlapping nerve root while having a causal relationship with different muscles and organs connected to the spinal cord. While the gut, which is part of the gastrointestinal and digestive system, helps modulate the body’s homeostasis and regulates the immune system. The nerves, muscles, and organs correspond as the nerve pathways interconnect to the spinal cord. When injuries or traumatic events affect the body, it can lead the individual to suffer from pain affecting their body while increasing the risk associated within different locations. For example, chronic stress causing gut inflammation is associated with headaches or neck and back pain. Today’s article focuses on the gut-brain axis, what happens when chronic issues affect the gut-brain axis, and how somatovisceral pain affects the gut-brain axis. We refer patients to certified providers specializing in gastroenterology treatments that help those with issues that affect the gut-brain axis and overlapping problems impacting the body. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
How Does The Gut & Brain Work Together?
The way the gut and brain correlate together is quite remarkable. The gut allows food to be digested in the stomach to be bio-transformed into nutrients the body needs to function. While the brain sends neuron signals through the spinal cord, those signals help provide the sensory-motor functions to make the body move. Now, how do the brain and gut work together in the body? Well, studies reveal that the gut-brain axis correlates to the various systems like the autonomic nervous system, the HPA axis, and the nerves surrounding the gastrointestinal tract help the brain influence intestinal activity and regulate cognitive function. Each of these vital organs has a causal relationship where they:
Help with sleep regulation
Improve memory functionality
Helps coordinate physical and emotional well-being
Regulating inflammatory responses
When chronic issues affect the gut-brain axis, it can cause an overlap in risk profiles that rise in the body and not just in the brain or the gut. Studies reveal that issues that begin to affect the gut-brain axis can cause alteration within the bi-directional pathway and trigger other problems that correlate to the body.
Chronic Issues Affecting The Gut-Brain Axis
Have you been suffering from fatigue? How about reoccurring headaches that never seem to go away? Do digestive complaints like IBS, GERD, or gut inflammation affect more than your gut? These chronic issues can be various factors that impact the bi-directional connection of the gut-brain axis. Stress, gut inflammation, traumatic events, food allergens, autoimmunity, and metainflammation are some overlapping risk profiles associated with neck and back pain. Studies reveal that chronic stress in the brain can affect the gut’s composition and functionality by alternating intestinal permeability. When the gut microbiome is being affected, the harmful bacteria begin to overproduce and trigger the sympathetic branch of the nervous system to cause an imbalance of hormones to be released and be associated with stress-related muscle dysfunction in the body. So what does this implicates to the body? Let’s say, for example, that you have been experiencing pain in the cervical region of the spine, but your brain is telling the body that it is a headache. This is known as somato-visceral pain.
An Overview Of Somatosensory Tract-Video
Have you been suffering from cognitive and memory dysfunction? How about experiencing gastrointestinal issues that are affecting your gut? Or have you experienced any cramping, gnawing, or sharp pain that seems to be triggered by movement and appears in one area of the body? This is known as somato-visceral pain and is defined as soft tissues and muscles experiencing pain that can affect the internal organs. Somato-visceral pain is much easier to identify than viscero-somatic pain because visceral pain is caused by damaged internal organs associated with distress in different body locations. At the same time, somato-visceral pain is often associated with musculoskeletal pain. The video above explains the somatosensory tract that is in the body and how the body responds to the somatosensory system. The somatosensory system is located within the peripheral and central nervous systems. It is responsible for modulating the body’s sense of touch, vibration, temperature, and pain receptors that are located in the body. When traumatic events affect the somatic nerves, they can trigger changes in the gut-brain axis and cause alterations to the affected organs.
Somatovisceral Pain Affecting The Gut-Brain Axis
When dealing with chronic stress, the effects cause a dysfunctional gut-brain axis and cause issues affecting the two organs. Studies reveal that when chronic stress becomes an associated mediator for gut disturbances and dysregulation of the gut-brain axis, it can cause an overlap in risk profiles in the body. So what does this mean, and how is the body affected by somato-visceral pain? First, let’s look at what happens when the body is affected by chronic stress. When stress affects the gut and the brain, it can cause issues like IBS (irritable bowel syndrome) or headaches. Studies reveal that IBS is one of the most common gastrointestinal disorders that trigger visceral and somatic hypersensitivity on the sensory nerves. So the body experiencing sharp pain in the back or neck may be associated with IBS.
Now looking at headaches and their causes on the body, it is one example of somato-visceral pain. When a person is dealing with neck trauma due to an auto accident that causes whiplash can trigger cervicogenic headache. How do the two correlate with somato-visceral pain? Well, somato-visceral pain is when soft muscles and tissues are affected and can cause an impact on the internal organs. For cervicogenic headaches may trigger mechanical pain along the cervical spine to be aggravated by movement and be associated with musculoskeletal issues like rheumatoid arthritis, ankylosing spondylitis, or muscle strain on the upper cervical spine. Many individuals go to available treatments that can help them better understand the issue that is causing them to be in pain and how to alleviate them.
Conclusion
The gut-brain axis is fundamental in the body as it communicates bi-directional with the brain and the gut. These two organs help keep the body functioning as the brain provides neuron signals while the gut regulates homeostasis. The gut-brain axis helps the body by correlating with the various systems that help influence intestinal activity and control cognitive function. When traumatic factors affect the body’s soft tissues and muscles and trigger organ issues, this is known as somato-visceral pain. Somato-visceral pain is when the muscles are affecting the organs, and an example is cervical muscle strain associated with headaches. Providing much-needed information on available treatments can help many individuals when being examined by their physicians.
References
Appleton, Jeremy. “The Gut-Brain Axis: Influence of Microbiota on Mood and Mental Health.” Integrative Medicine (Encinitas, Calif.), InnoVision Health Media Inc., Aug. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6469458/.
Carabotti, Marilia, et al. “The Gut-Brain Axis: Interactions between Enteric Microbiota, Central and Enteric Nervous Systems.” Annals of Gastroenterology, Hellenic Society of Gastroenterology, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4367209/.
Martin, Clair R, et al. “The Brain-Gut-Microbiome Axis.” Cellular and Molecular Gastroenterology and Hepatology, Elsevier, 12 Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6047317/.
Suslov, Andrey V, et al. “The Neuroimmune Role of Intestinal Microbiota in the Pathogenesis of Cardiovascular Disease.” Journal of Clinical Medicine, MDPI, 6 May 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8124579/.
Yuan, Yao-Zong, et al. “Functional Brain Imaging in Irritable Bowel Syndrome with Rectal Balloon-Distention by Using Fmri.” World Journal of Gastroenterology, Baishideng Publishing Group Inc, June 2003, www.ncbi.nlm.nih.gov/pmc/articles/PMC4611816/.
The digestive system in the body helps with the process of digesting food that the host consumes. The food being digested goes through a bio-transformation where it turns into nutrients and is stored in the intestines, liver, and gallbladder, where it turns into bile to be excreted out of the system to ensure a healthy functional gut system and body. But when disruptive factors like poor eating habits or gut issues start to affect the body and gallbladder, this causes many problems that can make an individual miserable. This affects their quality of life since they are dealing with painful issues in their bodies that overlap the primary source risk profiles. Today’s article looks at the gallbladder, how it functions with the body and parasympathetic nervous system, and how referred shoulder pain and gallbladder dysfunction are connected. We refer patients to certified providers specializing in gastroenterology and chiropractic treatments that help those with issues that affect their shoulders and gallbladder. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
What Is The Gallbladder?
The digestive system comprises the mouth, the internal organs from the GI tract, the liver, the gallbladder, and the anus, where food is consumed, digested, and excreted out of the body to keep it healthy. The gallbladder is a small organ that store and releases bile at the appropriate time into the intestines to be mixed with the digested foods to be excreted out of the body. This pear-shaped organ inflates and deflates like a balloon when it stores and releases bile while having a casual relationship with the nerves and hormones that help regulate the gallbladder functioning properly. Studies reveal that the ganglia become the target of causing the hormone cholecystokinin and the parasympathetic nerve to up or downregulate the neurotransmission to the gallbladder. This causes the gallbladder to be functional in the body.
What Are Its Functions In The Parasympathetic Nervous System?
So what are the functions that the gallbladder provides to the body? For starters, the parasympathetic nervous system allows the body to rest and digest the consumed food to be turned into nutrients. The parasympathetic nervous system also provides gallbladder stimulation as studies reveal that the gallbladder receives innervation from the parasympathetic nervous system connected to the vagus nerve that transmits information to the spine and the brain. Keeping and releasing bile from this pear-shaped organ helps regulate the gastrointestinal tract. This causal relationship between the gallbladder and the parasympathetic nerve is essential because the body needs to know when to store and release bile from the gallbladder, or it might trigger some issues that can do more harm to the body and even affect the gallbladder itself.
Do You Have Shoulder Pain?- Video
Have you been experiencing gut issues causing a sharp or dull ache in your back or sides? How about questionable shoulder pain that seems to come out of nowhere? Or are your experiencing inflammation in your digestive system? Many of these symptoms are signs of visceral-somatic pain affecting the gallbladder. Visceral-somatic pain is defined when there is damage to the organ, and it starts to affect the muscles in a different location in the body. The video above gives an excellent example of visceral-somatic pain in the gallbladder and the shoulder. Now many people wonder how shoulder pain is the mediator of the gallbladder? Well, inflammation in the liver and gallbladder causes the nerve roots to be hypersensitive and compressed. This leads to overlapping profiles, triggering pain in the shoulder muscles and associated with upper mid-back pain.
Referred Shoulder Pain & Gallbladder Dysfunction
Now say the individual is experiencing shoulder pain; however, when they rotate their shoulder, there is no pain? Where is the source of shoulder pain localized, and what is causing the issue? And why is it correlating to the gallbladder? This is known as referred pain, where the source of pain is poorly localized when it is located elsewhere. Studies reveal that gallbladder dysfunctions like cholecystitis might be associated with acute thoracolumbar shoulder pain. So what does this mean? It means that any referred pain that is the causation of shoulder pain gives the impression that something is wrong with the gallbladder. This would provide much-needed information when individuals are being examined by their physicians.
Conclusion
The body needs the digestive system to help process food the host consumes and excretes for a healthy functioning system. The gallbladder stores and releases bile to the digested food. This ensures that the nutrients and bile are transported and passed out of the body. When disruptive factors cause gut issues and affect the gallbladder, it can correlate to different problems impacting the body. An example would be gallbladder issues associated with shoulder pain. This is referred to as pain, which is from an affected organ and associated with the muscle in a different location. This can make the individual feel miserable and wonder what is going on with their shoulders when it might be something associated with their gallbladder. Available treatments can provide better knowledge to determine the problem and how to alleviate the issues.
References
Carter, Chris T. “Acute Thoracolumbar Pain Due to Cholecystitis: A Case Study.” Chiropractic & Manual Therapies, BioMed Central, 18 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4683782/.
Jones, Mark W, et al. “Anatomy, Abdomen and Pelvis, Gallbladder.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK459288/.
Viscerosomatic Gut Bloating: Everybody has healthy bacteria in the gut, but it can get thrown off balance with unhealthy bacteria that start taking over. Stress, viruses, and antibiotics can disrupt healthy bacteria levels. The bacterial balance known as the microbiome in the intestines is an essential factor in body wellness. The connection between intestinal and overall health is an important one as the gut is responsible for producing serotonin, a primary chemical necessary for emotional wellbeing. A viscerosomatic reflex is an organ/s causing pain to show up in the area where the injured, infected, dysfunctional organ is or, as referred pain in other areas of the body. Stress and unhealthy foods contribute to weight gain, organ stress, and chronic pain.
Viscerosomatic Gut Bloating
Bloating
Bloating is the feeling of pressure or gas in the abdomen. Distention refers to the physical expansion of the abdomen. However, these symptoms can present separately or in combination. Bloating can be a symptom on its own but often presents alongside other gastrointestinal disorders like:
After eating, flatulence, belching, bloating, and distention are a normal part of the digestive process. These issues are not considered problems until they cause pain and/or disrupt everyday life.
Stress
Stress can cause inflammation in the digestive tract, increasing pain receptors and distress-related bloating. Stress can disrupt the normal microbiome, creating intestinal dysbiosisand bacterial overgrowth. This can lead to digestive problems and symptoms that include bloating. This can be partly from excess gas production causing the sensation of bloating and physical distention combined with stress, creating an increased perception of bloating.
Foods Can Cause Inflammation
Animal products can cause inflammation because meat, poultry, and fish contain endotoxins/lipopolysaccharides found in the outer membrane of bacterial cells. These compounds are classified as toxins as they can cause health problems. No matter how these foods are cooked or prepared, the endotoxins are still present, absorbed into the body, and can trigger immune responses like inflammation. Eggs can cause inflammation because they contain high levels of cholesterol and arachidonic acid, which is an acid that is part of the inflammatory response. Excess cholesterol in the blood can trigger inflammation as well.
Dairy products can also trigger the inflammatory response in individuals that don’t produce the lactase enzyme, which breaks down the lactose in dairy products, are intolerant of casein and whey, two proteins in cow milk, or from the hormones and antibiotics given to cows to stimulate milk production and prevent infection. Dairy consumption has been linked to an increased risk of cancer and inflammatory conditions that include:
Acne
Asthma
Type 1 diabetes
Arthritis
Multiple sclerosis
Other Causes of Bloating
Other health conditions can present with visceral gut bloating and distention. This includes disorders and other underlying causes that include:
Musculoskeletal disorders can increase bloating and abdominal distention and can be triggered by stress. Two include:
Abdominal Muscle Dysfunction
These are abnormal contractions of the diaphragm and belly muscles that can occur after eating that can cause the nervous system to create a sense of bloating.
This viscerosomatic reflex leads to unhealthy postures and enlargement of the abdominal muscles that can worsen bloating sensations.
Exercises can be recommended to retrain the muscles to contract, usually after eating, which can help reduce bloating.
Pelvic Floor Dysfunction
Stressful situations naturally cause muscles to tighten, leading to increased contractions in the pelvic floor muscles.
These muscles control the bladder, bowel, and sexual function.
The opposite can happen when the pelvic floor muscles become too relaxed. This can make it difficult to have regular bowel movements.
Increased tone and/or over-relaxed muscles can lead to various symptoms, including bloating.
Chiropractic and Health Coaching
The nervous system controls the digestive process. Properly aligning the spine releases the stress and strain on the bones, muscles, and nerves to work correctly. Chiropractic body adjustments, diet/lifestyle adjustments, supplemental recommendations, and exercises can reduce the underlying causes of viscerosomatic gut bloating. Digestive problems such as:
Chronic heartburn
Gas
Constipation
Diarrhea
Bloating
Irritable bowel syndrome
Chiropractic offers a medication-free approach to treating digestive issues.
Descompresion Espinal DRX9000
References
Dragan, Simona, et al. “Dietary Patterns and Interventions to Alleviate Chronic Pain.” Nutrients vol. 12,9 2510. 19 Aug. 2020, doi:10.3390/nu12092510
Fifi, Amanda C, and Kathleen F Holton. “Food in Chronic Pain: Friend or Foe?.” Nutrients vol. 12,8 2473. 17 Aug. 2020, doi:10.3390/nu12082473
Lacy, Brian E et al. “Management of Chronic Abdominal Distension and Bloating.” Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association vol. 19,2 (2021): 219-231.e1. doi:10.1016/j.cgh.2020.03.056
Mari, Amir et al. “Bloating and Abdominal Distension: Clinical Approach and Management.” Advances in therapy vol. 36,5 (2019): 1075-1084. doi:10.1007/s12325-019-00924-7
Rice, Amanda D et al. “Decreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled study.” World journal of gastroenterology vol. 24,19 (2018): 2108-2119. doi:10.3748/wjg.v24.i19.2108
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