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What Additional Symptoms Should I Watch Out For A Gastrointestinal Problem?

Our gut, while commonly known as a food processor, is more than that. The gut is essential for nutrient absorption, waste elimination, and maintaining the body's balance. But when things don’t go as expected, the symptoms may not be very easy to guess as is in the case of stomach cramps or bloating. Gastrointestinal (GI) issues can begin quietly, with symptoms that may seem out of the ordinary.

It is natural to link digestive problems with heartburn, acidity, or stomach pain. But with GI disorders, symptoms may not directly point out a issue with the gut itself. But any type of disruption should not be ignored and needs to be checked immediately.  It is vital to know the other symptoms that signal a possible GI problem so that timely medical attention can be sought.

Uncommon Symptoms of GI Problems

Although indigestion and abdominal pain are common symptoms, GI conditions may present in less common forms. A few of these are:

1. Unexplained Fatigue

If you're persistently tired, it might not be because of lack of sleep. GI disorders such as celiac disease, Crohn's disease, and chronic gastritis can cause malabsorption of nutrients, leading to a vitamin and mineral deficiency. Iron or B12 deficiencies may lead to anaemia, that may fatigue, dizziness, and weakness.

2. Unexplained Weight Loss

When there’s sudden and unexplained weight loss without any changes in the diet or even in the absence of physical activity, it can be an alarm for GI disorders such as ulcers, inflammatory bowel disease (IBD), pancreatitis, or even GI cancers. If the body is not absorbing nutrients well or if the metabolism is compromised due to chronic inflammation, you can begin to lose weight unintentionally. Weight loss of even 5-10% of body weight over a few months is a cause of concern.

3. Chronic Skin Problems

Your skin’s health is indirectly related to your gut health. A healthy gut is reflected through a healthy skin. However, GI disorders tend to show up as chronic skin problems. Disorders such as celiac disease, ulcerative colitis, and Crohn's disease can result in red, itchy rashes, eczema, or acne-like eruptions. Leaky gut syndrome, where the intestines let toxins enter the bloodstream, can also initiate inflammation of the skin.

4. Long-standing Bad Breath (Halitosis)

Brushing and flossing can't always solve bad breath if the cause is in your digestive system. Acid reflux disease, H. pylori infection, and inefficient digestion are among the conditions that may cause bad-smelling breath that isn't improved by oral hygiene.

5. Persistent Heartburn and Swallowing Difficulty

Heartburn may be common and occasional, but chronic acid reflux (GERD) may irreversibly hurt the oesophagus if it persists long enough. Occasionally, it even causes Barrett's oesophagus, and this raises oesophageal cancer risk. If you tend to feel something stuck in the throat when eating, you should consider having stricture of the oesophagus or disorders of motility.

6. Joint Pain and Inflammation

Interestingly, GI diseases such as ulcerative colitis and coeliac disease can lead to joint pain and inflammation. This is because an overactive immune response causes inflammation in various parts of the body, including the joints.

7. Chronic Bloating and Gas

Although bloating following a meal is common, chronic bloating and abnormal gas can point to conditions such as irritable bowel syndrome (IBS), small intestinal bacterial overgrowth (SIBO), or intolerance to food. A slow digestion process can result in fermentation of food within the gut, producing more gas and discomfort.

8. Blood in Stool or Black Stool

Blood in the stool is never normal and should never be dismissed. It may be a sign of internal bleeding due to ulcers, haemorrhoids, inflammatory bowel disease, or colorectal cancer. Dark, tarry stools are a sign of bleeding in the upper GI tract, while bright red blood is a sign of bleeding lower in the intestines or rectum.

When Should You Go to the Doctor?

Some gastrointestinal symptoms go away on their own, but long-standing, inexplicable, or worsening symptoms should be evaluated by a doctor. It's essential to consult with a gastroenterologist if you have:

  • Unexplained weight loss, ongoing bloating, or extended bowel habit changes
  • Blood in stool or black, tarry stools
  • Trouble swallowing or persistent heartburn
  • Skin issues, joint pain, or inexplicable fatigue in addition to digestive symptoms

How Can You Support Your GI Health?

Having a healthy gut isn't all about avoiding processed food; it's about achieving balance. Making some simple lifestyle changes can avoid digestive problems and maintain overall wellness:

  • Add fibre-rich foods, probiotics, and lean proteins to help digestion.
  • Regular movement keeps your digestive system running smoothly.
  • Adequate water consumption supports digestion and avoids constipation.
  • Cut down on excess sugar, alcohol, and very processed foods that lead to gut inflammation.
  • A healthy gut is associated with a well-regulated nervous system.


    Listen Carefully to What Your Gut is Saying

    Gastrointestinal issues are more than simple stomach aches; they can take a toll on your energy levels, skin, joints, and overall well-being. Identifying unusual symptoms at an early stage can avoid potential complications and lead to early diagnosis and treatment.

    Dr. Santhosh Anand, a renowned surgical gastroenterologist in Chennai, is a specialist in the diagnosis and treatment of GI disorders with precision and expertise, making sure patients are given the optimal care.