Today, an expert decodes digestion.

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| We talk about trusting our gut, feeling things in our gut, taking a gut punch, and this is closer to how things work than you might think. The digestive system has its own nerve network and exchanges messages with the brain throughout the day, suggesting that bloating, cramps, and off days contain useful information. The trick is telling an ordinary stomach grumble from something more serious. Gastroenterologist Dr. Salhab explains how to read yours, below. |
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Listen in,
Tim Snaith Newsletter Editor, Healthline |
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Written by Tim Snaith
July 16, 2026 • 3 min read |
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| LET’S ASK THE GASTROENTEROLOGIST |
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| Your gut’s daily signals, decoded |
| “The gut most commonly ‘speaks up’ with bloating, excess gas, abdominal cramping, changes in bowel habits … reflux or heartburn, early fullness, nausea, or a sense that your stomach is ‘off,’” says Dr. Salhab, a board-certified gastroenterologist. |
| Most of these flares are harmless and tied to short-term triggers like stress, travel, a run of ultra-processed meals, or starting a new medication. It’s useful to learn what is normal for you, then pay attention to what is new. |
| Some signals get waved off for too long. Dr. Salhab says people routinely downplay: |
- chronic bloating
- iron-deficiency anemia
- frequent “heartburn” that persists despite antacids
- unintentional weight changes
- new lactose or fructose intolerance
- stools that alternate between constipation and diarrhea
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| He reminds us that trouble outside the gut can count too, since recurrent mouth ulcers, joint pain, or skin rashes alongside digestive symptoms can point toward inflammatory bowel disease. “A sudden need to locate bathrooms everywhere you go. That change in confidence can be diagnostic.” |
| A “gut feeling,” Dr. Salhab explains, draws on “the enteric nervous system, the vagus nerve, immune signals, hormones, and the microbiome … constantly messaging the brain in a two-way conversation.” It is a genuine gut-brain loop, two “teammates on a live intercom,” which is why stress can knot the stomach and why a calmer gut can steady your mood and help you maintain energy. |
| A few signals mean you should book an appointment: |
- bleeding
- black stools
- unexplained weight loss
- persistent vomiting
- anemia, fever
- nighttime symptoms
- trouble swallowing
- anything that lingers for weeks rather than days
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| Dr. Salhab’s rule of thumb travels well: “Stay curious, stay consistent, and seek care when something feels off.” |
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| Want to learn more about food, diets, cooking, or some other nutrition subject? Let us know at nutritionedition@healthline.com and we’ll look into it for you! (Heads up, we may use your response in an upcoming newsletter.) |
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| Until next time, |
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Take care of yourself, and we’ll see
you again soon! |
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