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Dr. Joseph Salhab

@thestomachdoc • 2,200,000 subscribers

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Fiber options that are less likely to bloat you If you’re trying to increase fiber but every high-fiber food seems to leave you gassy, bloated, or uncomfortable, start with lower-FODMAP fiber options. Foods like blueberries, raspberries, chia seeds, and plain popcorn can all be relatively low in FODMAPs in appropriate portions, which means they contain fewer of the highly fermentable carbohydrates that can trigger gas and bloating in some people. That can make them easier options if you have IBS, a sensitive gut, or you’re trying to fibermaxx without feeling completely blown up afterward. Just remember that low-FODMAP does not mean zero fermentation, and portion size matters. Your gut bacteria still ferment fiber, and everyone’s tolerance is different. So no, this isn’t a perfect list, and some of these foods may still bother you while others work great. They’re simply good fiber options to experiment with if bloating usually gets in the way of eating more fiber. #fibermaxxing

Fiber options that are less likely to bloat you If you’re trying to increase fiber but every high-fiber food seems to leave you gassy, bloated, or uncomfortable, start with lower-FODMAP fiber options. Foods like blueberries, raspberries, chia seeds, and plain popcorn can all be relatively low in FODMAPs in appropriate portions, which means they contain fewer of the highly fermentable carbohydrates that can trigger gas and bloating in some people. That can make them easier options if you have IBS, a sensitive gut, or you’re trying to fibermaxx without feeling completely blown up afterward. Just remember that low-FODMAP does not mean zero fermentation, and portion size matters. Your gut bacteria still ferment fiber, and everyone’s tolerance is different. So no, this isn’t a perfect list, and some of these foods may still bother you while others work great. They’re simply good fiber options to experiment with if bloating usually gets in the way of eating more fiber. #fibermaxxing

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Ditch the alcohol. Try these delicious liver healthy drinks instead. There’s no magic liver detox, but there ARE drinks that contain compounds linked with better liver health, fatty liver, metabolic health, and antioxidant protection. Lemon water: Dietary Vitamin C is protective. This is not a magic detox. It’s simply an easy morning drink to get more vitamin C and hydration, especially if plain water is hard for you to drink. Coffee, including decaf: probably the strongest evidence on this list. Regular coffee intake has been associated with a lower risk of liver fibrosis, cirrhosis, and liver cancer. Green tea: rich in catechins and EGCG, powerful polyphenols that have been studied for fatty liver, oxidative stress, and liver health. Matcha: basically a more concentrated form of green tea, so you’re getting a concentrated source of those same catechins and antioxidants. Dark chocolate cacao: packed with cocoa flavanols and polyphenols. Higher dark chocolate intake has been associated with lower liver fat in observational research. Beetroot juice: provides betalains and nitrates, which support antioxidant activity and blood flow. Small studies in people with fatty liver have also shown improvements in liver-related markers. Pomegranate juice: rich in polyphenols and antioxidants and has been studied for oxidative stress and metabolic health in people with fatty liver. Berry smoothies: berries are loaded with anthocyanins, fiber, and antioxidants, making them an easy liver-friendly option, especially when you blend the whole fruit. #fattyliver #liverhealth

Ditch the alcohol. Try these delicious liver healthy drinks instead. There’s no magic liver detox, but there ARE drinks that contain compounds linked with better liver health, fatty liver, metabolic health, and antioxidant protection. Lemon water: Dietary Vitamin C is protective. This is not a magic detox. It’s simply an easy morning drink to get more vitamin C and hydration, especially if plain water is hard for you to drink. Coffee, including decaf: probably the strongest evidence on this list. Regular coffee intake has been associated with a lower risk of liver fibrosis, cirrhosis, and liver cancer. Green tea: rich in catechins and EGCG, powerful polyphenols that have been studied for fatty liver, oxidative stress, and liver health. Matcha: basically a more concentrated form of green tea, so you’re getting a concentrated source of those same catechins and antioxidants. Dark chocolate cacao: packed with cocoa flavanols and polyphenols. Higher dark chocolate intake has been associated with lower liver fat in observational research. Beetroot juice: provides betalains and nitrates, which support antioxidant activity and blood flow. Small studies in people with fatty liver have also shown improvements in liver-related markers. Pomegranate juice: rich in polyphenols and antioxidants and has been studied for oxidative stress and metabolic health in people with fatty liver. Berry smoothies: berries are loaded with anthocyanins, fiber, and antioxidants, making them an easy liver-friendly option, especially when you blend the whole fruit. #fattyliver #liverhealth

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GI doctor’s top bloating hacks for after you eat. If certain foods leave you feeling bloated, gassy, or uncomfortable, these are some simple things that may help. After beans or vegetables: Try alpha-galactosidase (Beano) with the first bites of your meal. It helps break down certain fermentable carbohydrates before your gut bacteria turn them into gas. After yogurt or dairy: Try lactase with your dairy if you’re lactose intolerant. It helps break down lactose, which can cause bloating, gas, and diarrhea. After carbonated drinks: Simethicone (Gas-X) can help gas bubbles combine so they’re easier to pass, potentially relieving trapped gas, bloating, and abdominal pressure. After a large meal: Try sucking on peppermint candy made with real peppermint oil. Peppermint can relax intestinal smooth muscle and may help with gas pain, cramping, and IBS-related bloating. Avoid it if peppermint worsens your acid reflux. After a big dinner: Take a 15-minute walk. Gentle movement can help move trapped gas through your intestines and reduce that uncomfortable fullness after eating. After a high-protein meal: Try kiwi or pineapple. Kiwi contains actinidin, while pineapple contains bromelain, natural enzymes that help break down proteins and may support digestive comfort. Whether you’re dealing with IBS, food-related bloating, lactose intolerance, trapped gas, or stomach discomfort after meals, these are some practical bloating tips worth knowing. Save this for the next time your stomach feels like a balloon.

GI doctor’s top bloating hacks for after you eat. If certain foods leave you feeling bloated, gassy, or uncomfortable, these are some simple things that may help. After beans or vegetables: Try alpha-galactosidase (Beano) with the first bites of your meal. It helps break down certain fermentable carbohydrates before your gut bacteria turn them into gas. After yogurt or dairy: Try lactase with your dairy if you’re lactose intolerant. It helps break down lactose, which can cause bloating, gas, and diarrhea. After carbonated drinks: Simethicone (Gas-X) can help gas bubbles combine so they’re easier to pass, potentially relieving trapped gas, bloating, and abdominal pressure. After a large meal: Try sucking on peppermint candy made with real peppermint oil. Peppermint can relax intestinal smooth muscle and may help with gas pain, cramping, and IBS-related bloating. Avoid it if peppermint worsens your acid reflux. After a big dinner: Take a 15-minute walk. Gentle movement can help move trapped gas through your intestines and reduce that uncomfortable fullness after eating. After a high-protein meal: Try kiwi or pineapple. Kiwi contains actinidin, while pineapple contains bromelain, natural enzymes that help break down proteins and may support digestive comfort. Whether you’re dealing with IBS, food-related bloating, lactose intolerance, trapped gas, or stomach discomfort after meals, these are some practical bloating tips worth knowing. Save this for the next time your stomach feels like a balloon.

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5 constipation warning signs you should NEVER ignore. Constipation is common, but sometimes a change in your bowel movements can be a sign of something more serious. 1. Abdominal pain that radiates to your back: Severe or persistent stomach pain that travels to your back may indicate something more serious than ordinary constipation and needs medical attention. 2. Can’t pass gas, swollen belly, and vomiting: These can be warning signs of a bowel obstruction, where something is blocking your intestines. This is a medical emergency. 3. Blood in your stool: Bright red blood, maroon stools, or black, tarry stools can indicate gastrointestinal bleeding. Never automatically assume it’s hemorrhoids. 4. Pencil-thin stools and incomplete emptying: A persistent change in stool shape, especially if you never feel completely emptied, can sometimes indicate narrowing in the colon or rectum. 5. New constipation after age 45: If you’ve always had regular bowel movements and suddenly develop constipation that lasts longer than a week, get it checked out. These symptoms don’t automatically mean colon cancer or a bowel obstruction. Conditions like IBS, medications, and other digestive problems can also cause changes in bowel habits. But new, persistent, or unexplained constipation should never be ignored, especially when accompanied by other warning signs. And remember, if you’ve always been regular and suddenly you’re not, that’s a reason to talk to your doctor.

Dr. Joseph Salhab

57,800 Aufrufe • vor 4 Tagen

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How I try to avoid food poisoning when I travel ✈️ A few simple habits can lower your risk: • Wash your hands before you eat. It sounds simple, but germs from stool can easily spread to your hands from bathroom surfaces, door handles, phones, and other frequently touched objects. • Choose foods that are freshly cooked and served hot. This is especially important in airports, food courts, and buffets. • Avoid foods that have been sitting out at room temperature, especially meat, seafood, dairy products, rice, and sauces. One thing many people don’t know is that bismuth subsalicylate has been shown in studies to reduce the risk of travelers’ diarrhea and is included as an option in travel medicine guidelines for some travelers. However, bismuth is not appropriate for everyone. It can interact with certain medications, including blood thinners, aspirin, and other medications, and may not be safe for people with certain medical conditions. Be sure to discuss it with your healthcare professional before taking it. Even if you do everything right, food poisoning and travelers’ diarrhea can still happen. But practicing good hand hygiene, choosing freshly cooked foods, and following food safety recommendations can significantly lower your risk while traveling. This is not medical advice. This post is a review of gastroenterology and travel medicine guidelines for educational purposes only. Always discuss medications with your own healthcare professional before taking them.

Dr. Joseph Salhab

1,100,000 Aufrufe • vor 3 Monaten

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Warning signs of colon cancer you should never ignore. Save and share! Duet with @Jessica Sanchez Changes in bowel habits: New constipation, diarrhea, or changes in how often you poop that persist for more than a week. A growing tumor can sometimes narrow the colon and interfere with normal bowel movements. Blood in your stool: Colon cancer can cause bleeding anywhere along the colon or rectum. Sometimes the blood is bright red, darker, or even invisible to the naked eye. Persistent abdominal pain or cramping: A tumor can cause narrowing, pressure, or irritation inside the colon, leading to unexplained abdominal discomfort that keeps returning. Feeling like you haven’t completely emptied: A growth in the rectum can make you feel like you still need to poop, even after you’ve just gone to the bathroom. Unexplained weight loss: Colon cancer can affect your appetite, metabolism, and how your body uses energy, sometimes causing weight loss without any changes to your diet or exercise. Unusual fatigue or weakness: Slow bleeding from colon cancer can lead to iron-deficiency anemia, leaving you feeling exhausted, dizzy, or short of breath. These symptoms don’t automatically mean you have colon cancer, but new, persistent, or unexplained changes should never be ignored. And unexplained rectal bleeding deserves evaluation even if it happens only once. Early detection matters. Colon cancer screening can find precancerous polyps before they turn into cancer. #coloncancer #coloncancerawareness #healthtips #medicine

Dr. Joseph Salhab

171,100 Aufrufe • vor 19 Tagen

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How to eat healthy and save money on groceries. Eating healthy doesn’t have to be expensive. These are some of my favorite budget-friendly grocery shopping tips for getting more protein, fiber, and nutritious foods while spending less money. Buy canned beans. They’re packed with cheap protein and fiber, and you can often find them for around $1 a can at Aldi. Buy dry lentils. They’re incredibly affordable. Soak them if you want, cook them, and mix them into ground beef. You’ll stretch your meat further and have more leftovers for the next day while adding extra fiber and plant protein. Buy frozen fish. It lasts much longer, so there’s no pressure to cook it right away. Look for bulk bags at Costco to save money. Buy frozen fruit. Perfect for smoothies, Greek yogurt bowls, oatmeal, and healthy desserts. Walmart’s store brand is a great place to look for affordable options. Buy frozen vegetables. They’re nutritious, convenient, and easy to throw into a pan, soup, or stir-fry. You can sometimes find bags for around $1 at Aldi. Freeze your bread and toast it later. Freezing and reheating bread may increase resistant starch, which can help reduce its blood sugar impact. Plus, your bread lasts longer, so you waste less. Healthy eating on a budget doesn’t have to be complicated. A few smart grocery swaps can help you save money, reduce food waste, eat more fiber, and get plenty of protein without spending a fortune. #grocerieshopping #savingmoney

Dr. Joseph Salhab

153,900 Aufrufe • vor 23 Tagen

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Foods I tell people to eat with a fatty liver. Diet is just one part of this but it is an important part! Fatty liver, also called metabolic dysfunction-associated steatotic liver disease (MASLD), is one of the most common liver conditions, and the good news is that liver fat can often improve with the right dietary changes. Certain foods are especially helpful because they contain fiber, antioxidants, healthy fats, and nutrients that support liver health and metabolic function. High-fiber foods help support blood sugar control, cholesterol levels, and your gut microbiome. That’s important because gut health and liver health are closely connected through the gut-liver axis. Foods rich in omega-3 fatty acids, especially fatty fish, may help reduce liver fat and improve triglyceride levels. Extra-virgin olive oil, nuts, and avocados provide unsaturated fats that can support liver health, particularly when they replace foods high in saturated fat. Colorful fruits and vegetables provide vitamin C, vitamin E, polyphenols, and other antioxidants that may help protect liver cells from oxidative stress. And don’t forget coffee, one of the best-studied beverages for liver health, with research linking regular consumption to a lower risk of liver fibrosis and cirrhosis. The biggest improvements in fatty liver usually come from combining these foods with regular exercise, reducing added sugars and excess saturated fat, and losing weight when appropriate. Fatty liver can improve, and in many cases liver fat can return to normal. The goal is to build a diet that supports your liver every day, not rely on a detox or cleanse. #fattyliver #liverhealth

Dr. Joseph Salhab

130,400 Aufrufe • vor 29 Tagen