Your Complete Guide to Causes of Constipation and Finding Relief – Part 4: Metabolic Disorders - Thyroid & Diabetes

Your Complete Guide to Causes of Constipation and Finding Relief – Part 4: Metabolic Disorders – Thyroid & Diabetes

Your Complete Guide to Causes of Constipation and Finding Relief – Part 4: Metabolic Disorders – Thyroid & Diabetes

Though constipation seems like a simple discomfort that can be easily blamed on something you ate and readily remedied by over the counter stool softeners, it’s actually a condition that shouldn’t be taken so lightly. Recurring constipation is usually a sign of an underlying condition that could be very serious.

Defined as less than three stool movements per week, constipation blocks new nutrients from passing through your body and can lead to compounding health consequences.

So in addition to potential health issues causing your constipation, leaving it untreated could add complications, which can make identifying the original cause of the constipation difficult. This is the compounding nature of constipation due to the fact that it impacts overall gut health, which is why it’s important to bring it up with your doctor.

In this six-part series, we are investigating the different causes of constipation so we can help you identify the problem and find you lasting constipation relief. In parts one through four, we looked at low hydrochloric acid, low bile flow, and dysbiosis (imbalanced gut microflora).

You can read part 1part 2 and part 3 from Dr Klimenko’s blog.

In part four of this series, we are going to look at the different metabolic disorders that can cause chronic constipation. We will examine diabetes and hypothyroidism and examine how we can influence better digestion despite these disorders.

What helps constipation is completely dependent on the underlying cause, so let’s take a closer look at constipation caused by metabolic disorders.

Part 4: Metabolic Disorders

Constipation is the most common gastrointestinal issue in America, impacting as many as 63 million people. Nearly everyone will experience constipation at some point in their life. In fact, you shouldn’t worry about your constipation unless it lasts longer than 10 days or it becomes a reoccurring issue.

A metabolic disorder can occur when there are abnormal chemical reactions occurring in the body (such as hormones), which then alter metabolic processes. Metabolic disorders may be present when you born or may be developed or diagnosed later in life.

Gut microflora is very important to metabolic processes, so it shouldn’t come as a surprise that constipation would be a symptom that commonly accompanies metabolic disorders.

The two metabolic disorders we want to focus on are diabetes and hypothyroidism – these are well known to cause chronic constipation if go undiagnosed and untreated.

Diabetes and Constipation

Constipation in diabetics is a common complication of the disease. Poor blood sugar control, nerve damage, and medications are all factors of diabetes that can lead to constipation.

Studies have found that people with diabetes are 60 percent more likely to experience constipation. When your constipation is related to diabetes, in conventional medicine your treatment will be to focus on long term solutions, which may include stool softeners and laxatives.

When there’s elevated sugar level in a diabetic, this slows down digestion and peristalsis of the intestine so sugar does not absorb into the bloodstream too fast, which further increases overall blood sugar levels. This is your body’s innate defense mechanism trying to reduce the rate of sugar elevation after the meal.

Lifestyle choices regarding diet and aiding your body in metabolism regulation is going to be the solution to helping reduce your constipation episodes. Work closely with your doctor to manage these metabolic processes and listen to your body to work with it, not against it.

If you’re diabetic or suffer from constipation and suspect you’re diabetic, it’s important to make an appointment with your doctor to look into these suspicions. Also keep in mind that the earlier you catch your diagnosis and implement necessary  changes the better because you can prevent damage and work to counterbalance the impact of your diabetes.

Thyroid Disorders and Constipation

Constipation is often one of the first apparent symptom of an underactive thyroid (hypothyroidism). Your thyroid is responsible for producing important hormones that impact your metabolism and when there isn’t sufficient production it can cause the muscles that move your stool through the gastrointestinal system to become weak.

If you have already been diagnosed with an underactive thyroid, it’s also important to look at your gut health if you are experiencing chronic constipation. Certain gut bacteria is essential to converting T4 hormone to T3, which is needed for proper metabolism and digestion. Have your doctor check your thyroid if you experience regular issues with constipation.

Home Remedies for Constipation Caused by Metabolic Disorders

There are some natural remedies for constipation caused by metabolic disorders you can start at home. However, because each disorder is inherently different it’s a good idea to incorporate these suggestions under the supervision of your regular doctor (if she or he know what to do) or seek for a certified functional medicine doctor to get a thorough evaluation. Natural remedies for constipation that are also safe for those with metabolic disorders include:

  • Adding good fiber to your diet
  • Drink more water
  • Increase physical activity
  • Careful blood sugar management
  • Heal your gut microflora imbalance
  • Consider trying gluten and dairy free diets
  • Be sure you’re getting enough healthy fats
  • Take magnesium supplements
  • Try starting your day with warm lemon water

Unlike low stomach acid, where we recommended an apple cider vinegar test, you’ll have to be tested in-office for metabolic disorders. How to get rid of constipation completely depends on the cause, so get tested early and you may save yourself a lot of discomfort down the road.

When to See Your Functional Medicine Doctor for Constipation

Your certified functional medicine doctor is your best ally in helping you figure out how to get rid of constipation once and for all. Treating constipation alone means you’re only treating the symptom and not the underlying cause. If you want long term relief, especially if you suspect your constipation is due to a metabolic disorder, see your doctor and get a diagnosis earlier rather than later.

Check for thyroid issues and diabetes if you experience long lasting or chronic constipation. And be sure to tell your doctor how often and for how long you’re affected by constipation to help them gain a clear understanding of you condition. Your certified functional medicine doctor helps you identify the underlying cause and build a comprehensive treatment plan so you can find lasting comfort and relief.

Elena Klimenko, MD, a certified functional medicine physician, will help you choose the right course of action to identify the root cause and relief your unsettled symptoms. Call today to find out more about functional medicine and speak with Dr. Klimenko at 212-696- HEAL(4325).

If you want more information about Functional Medicine, contact us to receive a FREE copy of Dr Klimenko’s E-book.

 

Your Complete Guide to Causes of Constipation and Finding Relief – Part 3: Dysbiosis

Your Complete Guide to Causes of Constipation and Finding Relief – Part 3: Dysbiosis

Your Complete Guide to Causes of Constipation and Finding Relief – Part 3: Dysbiosis

Defined as fewer than three stool movements per week, constipation can be uncomfortable or downright painful for anyone. Feeling stopped up, bloated, uneasy, full or as though everything isn’t passing when going to the bathroom can distract from your day and negligence can lead to worse health issues.

Constipation shouldn’t be taken lightly. When stool doesn’t pass fully through your digestive system it’s preventing new food and nutrients from fully entering digestive system.

If you regularly suffer from constipation, you’re not alone. Constipation is the most common gastrointestinal problem in the United States, literally impacting nearly 20 percent of the population.

Even though constipation is an incredibly common condition, many still don’t know how important it is to obtain a proper diagnosis to treat their condition long-term.

When you’re suffering it’s easy to reach for fast relief through laxatives or stool softeners. But these quick fixes could cause you to overlook an underlying condition that may have future health consequences.

In this six-part series, we are looking what causes constipation in order to find you true constipation relief. In the first two parts, we looked at low hydrochloric acid and low bile blow.

In part three of this series, we are going to look at a condition called dysbiosis – a microbial imbalance in the gut. We will examine what causes dysbiosis, suspicious symptoms that may indicate dysbiosis, and constipation remedies when it’s caused by dysbiosis.

Part 3: Dysbiosis

While nearly everyone experiences constipation at some point in their life, constipation becomes a problem when it happens for longer than 10 days or more and when it’s a chronic or recurring condition. How to get rid of constipation completely, depends on correctly identifying the underlying cause.

Dysbiosis refers to when there is a microbial imbalance somewhere in the body, which can be internal or external. In the case of constipation, dysbiosis is referring to an imbalance of your gut microbiota – or your gut flora.

Constipation caused by dysbiosis is most commonly caused by small intestinal bacterial overgrowth (SIBO) or small intestinal fungal overgrowth (SIFO) but it can occur anywhere in the intestinal tract where colonies making up your microbiota are thrown out of balance.

Your gut microbiota contains tens of trillions of microorganisms. Comprised of over 1000 species of known bacteria, which together contain three million genes (150 times more than human genes), your gut microbiota can weigh up to four pounds!

When your gut microbiota is thrown off balance it can lead to a cascade of health problems. Constipation is a common indicator of an unbalanced microbiota that needs attention.

The Importance of Your Gut Microbiota

Your gut microbiota is so important to your overall health, that it is now considered an organ. Interestingly, babies are not born with a microbiota at birth. We acquire this organ as we grow. From the moment you are born, your gut microbiota begins to develop. Colonizing from the birthing process, breastfeeding, and through life exposures. By the age of three, your gut microbiota is similar to an adult’s but it continues to evolve throughout life.

Everyone has a unique microbiota composition but each are composed of similar elements and responsible for the same physiological functions. Some of the most important functions of your gut microbiota include:

  • Aiding in food digestion, especially items your stomach or small intestine haven’t been able to fully breakdown
  • Production of vitamins, in particular vitamins B and K
  • Combat invading microorganisms
  • Maintaining the integrity of your intestinal mucosa
  • Acts as a barrier in the immune system
  • A key factor in an overall smooth digestion process

When your gut microbiota is off balance, you can experience a myriad of uncomfortable and sometimes life impacting symptoms, such as:

  • Irritable Bowel Syndrome (IBS) symptoms – belching, bloating, constipation, diarrhea, greasy stools, abdominal pain, indigestion, heartburn
  • Lactose intolerance
  • Mental fog
  • Chronic fatigue
  • Low libido
  • Joint pain
  • Sugar and alcohol cravings
  • Weight gain
  • Skin problems
  • Yeast infections
  • Thrush
  • Poor nail health
  • Depression
  • Hyperactivity
  • Iron deficiency
  • Malnutrition

When your constipation is caused by dysbiosis – an unbalanced gut microbiota – not only are you directly uncomfortable due to the constipation but it’s probably causing other conditions. Additionally, dysbiosis can also contribute to nutritional deficiencies, even if you’re eating all the right things.

If you are experiencing constipation, it’s important to find out the underlying cause through a diagnosis. If your constipation is caused by dysbiosis, rebalancing your gut microbiota is the only way to truly treat your condition permanently.

Causes of Dysbiosis

 Since dysbiosis occurs when your gut microbiota has become unbalanced, the causes can be anything that would interfere with healthy bacterial and fungal growth of the gastrointestinal tract, including:
  • Antibiotics
  • NSAIDS use (Ibuprofen, Aspirin, etc.)
  • Stress
  • Diets high in sugar and carbohydrates or low in nutritional quality
  • Excessive alcohol consumption
  • Suppressed immune system
  • Intestinal infections
  • Parasite infections
  • Hormone imbalance
  • Exposure to different bacteria or viruses from overseas travel
  • Environmental exposures such as mold, fungus or heavy metals

If you suspect your constipation is caused by gut microbiota imbalance, this should be taken seriously – make an appointment with your certified functional medicine doctor to accurately diagnose the cause of your constipation so it can be properly treated and relieve your symptoms once and for all.

Home Remedies for Constipation Caused by Dysbiosis

What helps constipation completely depends on the underlying cause. Keeping this in mind, here are several natural remedies for constipation caused by dysbiosis that you can incorporate into your habits immediately, including:

Eliminate sugar and simple carbohydrates (completely – at least for a period of time)

Stop drinking tap water because of the fluoride and chlorine damages the good microbes

Avoid antibiotics whenever possible

Don’t casually take medications such as Advil and Aspirin

Add gut healing foods to your diet such as bone broth, raw cultured dairy, fermented vegetables and variety of root vegetables

These changes are a great way to support a healthy gut microbiota but doesn’t replace the advice of a functional medicine doctor. Your doctor can help you incorporate new habits, foods, and supplements so as to fully heal your gut flora. If you experience long lasting or chronic constipation take care of it early, so you can prevent the myriad of illnesses that can occur when dysbiosis goes unchecked.

When to See Your Certified Functional Medicine Doctor for Constipation

Treating symptoms does not tackle the underlying cause of constipation. Taking stool softeners or laxatives may work temporarily but can leave you struggling with discomfort and other health consequences down the road. If your constipation that lasts longer than a couple of weeks, it’s time to schedule an appointment with a certified functional medicine doctor. We emphasize the fact that a functional medicine doctor should be certified because it means they’ve fully completed their training.

If diagnosed with dysbiosis, your doctor will walk you through the Four R Program – Remove, Restore, Repair, Renoculate. Here’s how this program treats dysbiosis:

Remove – First, it’s important to remove everything that’s contributing to your dysbiosis to give your gut flora a chance to heal. This includes sugar, simple carbs, alcohol, antibiotics, and anything else that may throw your microbiota out of balance. This step may require a proper gut flora restoration treatment — “Weed and Seed”

Restore – Through adding dietary changes and supplements, you can begin to restore your gut.

Repair – Through vitamins such as A,C, and E, zinc, fish oil, and the amino acid glutamine you can support your GI tract as it begins to repair itself. In my practice I use healing the gut treatment — “Heal and Seal”.

Renoculate – Probiotics and prebiotics will help your gastrointestinal tract rebuild it’s microbiota and return the needed balance for a healthy gut.

Constipation caused by dysbiosis is a serious health condition that can complicate other areas of your health. Your functional medicine doctor will work closely with you to identify the exact cause of your constipation and create a comprehensive treatment plan.

Click here to read more about treatment of dysbiosis on our blog. 

Click here to view a video about dysbiosis.

Your Complete Guide to Causes of Constipation and Finding Relief – Part 2: Low Bile Flow

Your Complete Guide to Causes of Constipation and Finding Relief – Part 2: Low Bile Flow

Your Complete Guide to Causes of Constipation and Finding Relief – Part 2: Low Bile Flow

Constipation is incredibly uncomfortable for those who suffer from being stopped up. Often you feel uneasy, bloated, full, as though everything isn’t coming out, and even nauseous.

But constipation is more than discomfort. Stool that doesn’t pass fully through the digestive system actually rots and prevents absorption of nutrients from new food. Defined as fewer than three stool movements a week, it’s the most common gastrointestinal problem in the United States.

When you’re suffering from constipation, it seems easy to take over-the-counter laxatives or stool softeners – but you’d just be treating the symptom, not the underlying cause.

If you only treat the symptoms, you might continue to struggle with constipation for the rest of your life. How to get rid of constipation depends on the underlying causes, which we aim to help you identify in this guide.

In this six-part series, we are looking at the different causes of constipation in an effort to find you true constipation relief. The first part of the series, we discussed low hydrochloric acid or stomach acid levels, an often-overlooked cause of constipation.

The second part of this series, we are going to take a closer look at low bile flow, what causes it, and what helps constipation caused by low bile levels.

Part 2: Low Bile Flow

Bile is a digestive fluid created by your liver and stored in your gallbladder. Bile is important in digestion and absorption of fat in the small intestine. Bile’s makeup includes:

  • Water
  • Bile acids (also called bile salts)
  • Bilirubin
  • Fats (cholesterol and fatty acids)

Fat is digested differently than carbohydrates and proteins, it requires the help of bile to break it down after it passes through the stomach. When fat reaches the small intestine, it looks like large fat droplets. Your bile then breaks down these large fat droplets, with bile salts, which emulsifies (breaks)  them into fatty acids and monoglycerides. These particles are then small enough to pass through the intestine wall. Bile is also important in breaking down bilirubin (old blood cells byproduct) and cholesterol.

When your liver isn’t producing enough bile or it is too thick to flow freely (peanut butter vs water-like) fat can build up in the intestinal wall and cause slower movements via digestive tract therefore cause constipation. If your constipation is due to low bile flow, symptom treating medications won’t help you in the long run. Identifying low bile flow as the cause of your constipation brings you one step closer to lasting relief.

The Importance of Bile Flow

Why is bile so important? Bringing to mind a yellowish, green slime, it’s a common reaction to think of bile as vile, but it’s critical to gut health and smooth digestion. Bile is important in a number of critical roles, including:

  • Aid in fat digestion and absorption (and some digestion of proteins and starches)
  • Emulsify fats (the detergent-like reaction done by bile salts)
  • Assist in absorption of fat-soluble substances, such as vitamins A, D, E, and K
  • Helps regulate your intestinal microflora
  • Encourages fecal matter movement through your digestive tract
  • Serve as a route of excretion of bilirubin
  • Help your liver rid your body of waste products
  • Aid in destroying unwanted organisms that invade the body through the digestive system

When your body isn’t making enough bile, you can experience several uncomfortable and sometimes painful symptoms, such as:

  • Fatigue
  • Mood swings
  • Constipation
  • Acid reflux
  • Acne
  • Gastro-Esophageal Reflux Disease (GERD)
  • Gall bladder disease (stones and inflammation)
  • Migraines
  • Vitamin deficiencies
  • Jaundice
  • Poor gut microflora
  • Impaired liver function
  • High cholesterol
  • Greasy, foul smelling, and light colored stools

If your body has low bile flow, your constipation is also probably contributing to nutritional deficiencies, even if you’re eating healthy. This is why it’s so important to find the cause of your constipation instead of reaching for a quick fix.

Nutritional deficiencies can lead to conditions that may appear unrelated to your constipation. If you experience regular constipation it’s important that you share that information with your functional medicine doctor.

Causes of Low Bile Flow

Since bile is produced in the liver, any impairment to the liver can cause low bile flow. Impairments of the liver include:

  • Jaundice
  • Bleeding in the liver
  • Infection of the liver
  • Liver inflammation
  • Vitamin D deficiency

Additionally, because bile is stored in the gallbladder, any impairment of the gall bladder could lead to low bile flow, including:

  • Gallstones
  • Cholecystitis
  • Gallbladder cancer
  • Gallbladder polyps
  • Abscess

Other causes of low bile flow could include:

  • Obesity
  • Having a high-cholesterol diet
  • Diabetes
  • Old age

If you suspect you are suffering from constipation caused by low bile flow, it should be taken very seriously – schedule an appointment with a certified  functional medicine doctor to get your constipation cause pinned down and be on your way to smooth digestion.

Home Remedies for Constipation Caused by Low Bile Flow

Remember, what helps constipation best is determined by the underlying cause. With that in mind, there are several natural remedies for constipation caused by low bile flow that you can take at home, including:

  • Lemon juice – Lemon juice activates the liver and stimulates digestion. Try this in warm water on an empty stomach in the morning.
  • Healthy, raw oils – Fish oil, olive oil, flaxseed oil, nuts, seeds, and avocados are good sources.
  • Promote good gut health – By reducing sugar, processed foods, and grains you’ll be encouraging a healthy gut.
  • Foods believed to stimulate bile production – Add garlic, beets, radicchio, kale, endive, arugula, celery, and radish to your diet.

There’s also Betafood and Cholachol, two additional natural remedies that your functional medicine doctor may recommend.

  • Betafood** – This is an extract derived from organic beet root and tops. It mobilizes the bile and transforms it from a thick, peanut butter consistency, to a water-like consistency.

With as much as 10 percent of the population suffering from gallstones, this is a great supplement that helps prevent and reduce gallstones and aid in fat metabolism.

  • Cholacol** – These are purified bile salts, which are great for stasis and gallbladder relief. If you’ve had your gallbladder removed, these are a necessity. You’re missing the bolus bile release that occurs during normal food digestion. Those without a gallbladder suffer from fat digestion and therefore lack nutrients that are fat absorbent such as vitamin A, K, D, and E (and many others).

If you’ve had your gallbladder removed (cholecystectomy) and were left disabled in your ability to digest fats and other nutrients, you are not alone. Every year about 700,000 people have their gallbladder removed and require purified bile salts to aid in normalizing digestion.

These foods and supplements are a great way to start supporting your bile production. Be sure to see your functional medicine doctor in the early stages of your constipation issues. By seeing your doctor when constipation starts, prevents low bile production from going untreated and potentially leading to a cascade of conditions.

**To order these products you can call our office at 212-696-HEAL(4325)

When to See Your Functional Medicine Doctor for Constipation

As with many conditions, treating symptoms ignores the underlying cause. Additionally, waiting to see your doctor about your constipation can make diagnosis more difficult and the treatment more complicated. If you experience constipation that lasts longer than a couple of weeks, it’s time to schedule an appointment with your functional medicine doctor.

By working closely with a functional medicine doctor, you can discover constipation remedies that helps stimulate bile production and relieve your constipation discomfort for good.

Elena Klimenko, MD, a certified functional medicine physician, will help you choose the right course of action to identify the root cause and relief your unsettled symptoms. Call today to find out more about functional medicine and speak with Dr. Klimenko at 212-696- HEAL(4325).
If you want more information about Functional Medicine, contact us to receive a FREE copy of Dr Klimenko’s E-book.