The terms diverticulosis and diverticulitis sound similar, but what’s the difference?

And is one more serious than the other?

These are common questions I get when discussing the topic of diverticulosis and diverticulitis, so, let’s discuss. They are different, but related. The short version: Diverticulosis is an out-pouching of the wall of the intestine, and diverticulitis refers to the process of one or more of these pouches becoming infected and inflamed.

So, what exactly is diverticulosis (the longer version)? Diverticulosis occurs when part of the wall of the colon (usually, but can also form in the small intestine) forms a pouch, like a pothole. According to the American College of Gastroenterology 2023 guidelines, it is not clearly understood what the actual cause of this is, but there is a genetic link, and it is not uncommon in people who have connective tissue disorders, such as Ehlers Danlos syndrome (EDS).

Additionally, some experts believe that straining to have a bowel movement may weaken the colon wall and cause the outpouching. It does not occur commonly among people under 30, has about a 20% occurrence rate in people 40-60 years of age, and up to 60% occurrence in those over 60 years of age. Some of the risk factors associated with developing diverticulosis include a low fiber diet, elevated BMI, smoking, increased consumption of alcohol, and regular use of NSAIDS.

As such, some of the recommendations to prevent diverticulosis from progressing or developing into diverticulitis include maintaining a healthy weight, regular physical activity (some studies report the more vigorous the activity the better), consuming sufficient dietary fiber (in the form of fresh fruits, vegetables, whole grains, and legumes), limiting red meat, reducing sweets in the diet, smoking cessation (if applicable), moderation of alcohol consumption, and avoidance of NSAIDs.

According to the American College of Gastroenterology, diverticulosis is thought to be mostly asymptomatic, although some sources indicate people can have some abdominal discomfort, changes in bowel function (such as diarrhea or constipation), gas, and bloating with diverticulosis. Diverticulosis can be found with the use of barium enema, colonoscopy, or CT scan.

Sometimes, the pouches, or diverticula, can become infected and inflamed, and then it becomes diverticulitis. This is considered a relatively rare complication of diverticulosis, occurring in about 5% of people who develop diverticulosis. Symptoms of diverticulitis can include fever, fatigue, abdominal pain, either constipation (if a blockage occurs) or diarrhea, nausea, and poor appetite. Some of the complications that can develop, leading to blockage are abscess, stricture, or fistula. Diverticulitis is often treated with an antibiotic, as well as bowel rest. This refers to consuming only liquids for several days to enable the inflamed bowel to heal up. Surgery may be required if one of the mentioned complications occurs.

Are you wondering if you might have diverticulosis? Or already of a history of the condition? As a specialist in integrative gastroenterology, I can work with you to determine the correct diagnosis and develop a comprehensive treatment plan to not only manage symptoms, but to help heal your GI tract, and improve function long term.

Natural medicine can work very well to improve GI health. Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

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Chances are, if you’ve been handed off from doctor to doctor, without finding a resolution for your gastroenterological issues, you may be at the end of your patience with standard medical practices. 

After all, you are an individual person with individual symptoms – not just someone who can be placed in a box and given a one-size-fits-all solution. Have you Googled your symptoms looking for answers? Trust me, you are not alone! Everyone does it. 

As a Naturopathic Doctor specializing in chronic gastroenterological issues, patients come to me when they are frustrated and feeling hopeless with the diagnosis they’ve been given. Often the patients I see start discussing their symptoms by saying, “I know I shouldn’t have Googled it, but…” 

Let me reassure you. Googling your symptoms shows that you are engaged in taking an active role in your health care which is one of the foundations of Naturopathic Medicine. Having an interest in and finding autonomy with your healthcare decisions is not a bad thing. 

After you’ve done your search, you might find diagnosis and treatment recommendations can be straightforward and easy to figure out via Google, but what happens when they are not? 

If you’re not sure how to proceed with the information you have, it can be beneficial to discuss your findings and concerns with a knowledgeable provider, like a Naturopathic Doctor, who can help determine which of the many diagnostic possibilities is most likely in your case. 

Googling symptoms often casts a very wide net. You get suggestions from the most benign diagnosis to the worst-case scenario. There are often specific symptoms and simple lab values that a knowledgeable provider can utilize to help determine where you fall on the spectrum. As a Naturopathic Doctor, I can take a more in-depth and integrative approach to really get to the root of your symptoms.

I am a specialist in integrative gastroenterology. Therefore, I can help you obtain a specific diagnosis and personalized treatment plan unique to your case. I can help you sift through the plethora of information you’ve gathered. I can help you decipher your list of treatment recommendations and let you know if they are right for your personal situation. I can recommend supplements, dietary options, and lifestyle changes complementary to your current goals for the most healthy outcome.

If you are googling your symptoms, most likely you have a higher interest in taking healthy steps towards gaining control of your symptoms. You are proactively involved in your health. Instead of shaming yourself for gathering knowledge on the internet about your symptoms, share your concerns and findings with your provider. I like to come alongside my patients and guide them beyond the discovery process into an individualized and successful treatment plan.

Natural medicine can work very well to improve GI health. Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

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HYDRATION AND ELECTROLYTE REPLACEMENT

Admittedly, I was thinking about this blog topic after our late May heat wave, when I thought we might escape “Juneuary” here in Seattle, but alas, our weather can be very unpredictable. That said, it’s definitely bound to heat up after July 4th (at least we can count on that!) With that in mind, it’s time to talk about hydration and electrolyte replacement. I don’t often write about general health in my blogs, as a naturopathic doctor specializing in gastroenterology, however, this topic can be very relevant to one of my favorite topics – bowel function. Whether you’re dealing with chronic constipation or recovering from a bout of diarrhea, understanding how to stay hydrated in the right way can make a world of difference for your overall well-being.

As a rule of thumb, drink at least ½ ounce of water per pound of body weight each day. If you exercise frequently, increase the amount to 1 ounce per pound. If that seems like a challenging amount of liquid to ingest, start where you are and increase your intake by 12-16 ounces a week until you reach the targeted amount of hydration. It is important to take small incremental steps towards your goal so it may become a sustainable part of your daily liquid intake.

Choosing the right type of hydration for different situations is also crucial. If you’re experiencing chronic constipation, for example, opt for water-based hydration sources. This includes plain water, coconut water, and herbal teas (think hibiscus, mint or Green). However, it’s important to be mindful of your choices. Avoid fruit juices unless they’re heavily diluted with water. Coffee and black tea, while they do provide hydration, can also act as a diuretic which may increase urine output and counteract the goal of water absorption.

Now, let’s talk about electrolyte replacement. Many people know that it is important to replace electrolytes after activities in the sun and heat, but it is also important to replace electrolytes and fluid if you are having diarrhea. It can be hard to tell which products on the shelf might be best for supporting electrolytes, as creative marketing can be employed, and is often misleading. For instance, if an “electrolyte water” says it has electrolytes added for flavor, there may not be enough electrolyte present in sufficient amounts for replacement. Instead, choose products that truly replenish your electrolytes by looking for options that list the amounts of essential electrolytes such as potassium, magnesium, sodium, and chloride. These electrolytes play a vital role in maintaining your body’s balance and should be included as ingredients in a rehydration drink. While some sports drinks may contain carbohydrates in the form of sugar, they might not necessarily provide sufficient electrolyte replacement. A small amount of sugar can increase absorption of water however, high fructose corn syrup and artificial sweeteners should be avoided. Be sure to read the labels and choose wisely.

If you’re looking to add a little zest to your hydration routine, infused water is a fantastic option. Simply add fruits and veggies to your water and allow them to infuse it with delicious flavors. Some delightful combinations include lemon, cucumber, and mint for a refreshing twist. And if you prefer a less sugary option than fruit juice or sports drinks, infusing water with fruits adds a subtle essence without excessive sweetness. Ginger-infused water is also a wonderful choice, known for its refreshing and soothing properties.

Maintaining proper hydration and replenishing electrolytes is crucial for your overall health, especially as the temperatures rise. Remember to choose the right type and amount of hydration for your specific needs, avoid excessive sugar and artificial additives, and be mindful of electrolyte replacement options. Cheers to a hydrated and healthy you!

Natural medicine can work very well to improve GI health. Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

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I’m not one for New Year’s resolutions, they are hard to stick to. Instead, setting life goals and intentions that can actually be obtained are more helpful. Especially after the health scape of the last few years, it’s important to take care of the issues that we’ve put on the back burner.

In the new year, consider getting in touch with your body and revisiting the health needs you have been ignoring. For instance, I have patients who have had diarrhea for years. Years. We have spent so much time in survival mode, it’s time to thrive.

If you are someone who has been experiencing chronic GI issues it is long past time to get it checked out. Ask yourself the following questions:

• Have I had intermittent GI pain?
• Alternating diarrhea/ constipation?
• Acid reflux?
• Bloating or gas?
• Unexplained, ongoing nausea?

Rather than pushing past the pain and guessing why you continue to have these symptoms, take the time to look into it deeper. I can help decipher what’s going on with your body through testing and by offering dietary modifications that will alleviate discomfort.

The big goal should be restoring normal function to your GI tract, your body and your everyday life. Don’t set a resolution this year; instead follow through on your intention to take care of yourself and to be well.

Natural medicine can work very well to improve bowel function. Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

The post STARTING THE NEW YEAR WITH INTENTION first appeared on Pacific Northwest Integrative Medicine.

Often times rather than narrowing down information to achieve diagnosis, independent investigation adds a level of complexity to the issues at hand. It can be hard deciphering the nuances of the symptoms on your own.

Commonly, people who have diarrhea, gas, or bloating start by googling their symptoms and begin to modify nutrition based on perceived food sensitivities. They might suffer through discomfort, pain, or worse – long term damage – by merely managing symptoms. Not understanding the root of the problem, the symptoms of IBS and IBD may appear similar but in reality, the treatments are very different.

IBS is a functional issue; chronic symptoms that develop into a syndrome affecting the body’s systems. As the symptoms of IBS are alleviated, the function of the body can be restored and maintained.

IBD, on the other hand, is a pathological issue causing inflammation of tissues in the GI tract. It is a disease rather than a syndrome, often manifesting as Chron’s Disease or Ulcerative Colitis. As such, there’s more of an algorithm to the treatment of IBD than IBS.

If you have IBD and treat the symptoms, they might alleviate to some degree but won’t go away. There are three red flags that we look at when differentiating IBD from IBS:

• Blood in the stool (usually diarrhea)
• Weight Loss
• Fatigue

It’s important to get a definitive diagnosis if you suspect IBD and better to rule out the other (IBS). Rather than gathering and deciphering the information on your own, it’s useful to have someone help you narrow down what you’re dealing with.

As a naturopathic doctor with a specialty in gastroenterology, I will recommend specific labs that make the distinction between an IBS or IBD diagnosis definitive. For instance, I can perform basic blood work and stool studies, but if IBD is suspected I will refer you to a GI doctor for endoscopy and/ or colonoscopy to rule it out. The definitive diagnosis is achieved through tissue biopsy. I will partner with you by offering a more educated distinction between IBS and IBD than you would be able to correlate independently.

Natural medicine can work very well to improve bowel function. Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

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There is nothing like the beginning of a school year to send the minds and bodies of our family into a tailspin. Suddenly all the little things that went by the wayside over the summer start to add up. We’ve forgotten the importance of time management and nutrition. While scheduling movement during the workday is becoming impossible.

One of the most difficult components of back-to-school season is the stress it can bring on. 

Maybe you’ve noticed your family feels a bit off right now – schedules and immune systems. It’s no wonder. You just got comfortable with summer when the urgency of fall comes knocking on your door. 

It’s the perfect time of year to recalibrate a sense of normalcy in your home. 

Let’s get back to basics. Here are some important pieces of health and wellness that are of benefit to your family – mind, body and spirit.

Use the following information to guide your decisions as you re-establish back to school routines:

SLEEP  

Natural sleep rhythms change in the summer. We are awake more hours of the day because of the presence of sunlight. Especially in the northwest. When the school year gets underway, though, we need regular sleep for. 

It’s helpful to get back into a normal sleep routine before school starts. It is good for cognitive function, immunity, and overall wellness. Sleep requirements vary from 7-10 or more hours nightly, depending on age and individual requirements.

With teenagers in the house, it can be hard to get anyone to adhere to a common sleep schedule. Teens are at the age where it’s normal for their internal clocks to be geared towards a later bedtime and wake-up time. Did you know studies show that young adults function better in schools with a late start?

One helpful thing to try is the practice of sleep hygiene. Here’s what to do: 

• at least a week before school starts, go to bed earlier
• dim lights 
• take a warm shower before bed 
• listen to calm music 
• put lavender essential oil in a diffuser by the bed 
• put technology away before entering the bedroom

MOVEMENT

Movement helps the sleep/ wake cycle and supports both cognitive function and immunity. However, movement can look different for each person depending on individual physiology. It’s not a one size fits all solution. One form of movement that can be beneficial to all humans is mindful breathing.

Try the technique called box breathing. It is a simple practice you can incorporate into your daily routine: 

Breathe in for 4 seconds, hold for 4 seconds, breathe out for 4 seconds, hold for 4 seconds. 

Repeat.

NUTRITION

A whole-foods, plant-based diet has the best outcomes for overall health and immunity. That doesn’t mean you have to be a vegetarian. Rethinking how you add food to your plate is a good way to start. 

The first step is to fill your plate with vegetables (avoid letting meat take up the largest part of your plate). Next, supplement your plant-based meal with lean meat or eggs for protein. Then, add in nuts, seeds, and legumes. Finally, flavor your food with healthy fats such as olive oil or avocado.

FOUNDATIONAL SUPPLEMENTS

Especially in times of transition, our bodies might need extra support to function at an optimal level. One way to add support to your regular diet is to supplement your meals with foundational nutrients. 

Here are the key supplements I recommend at this time of year:

• Probiotic – Basic gut health impacts the way all other systems in your body work. A probiotic supports healthy digestion and immunity.
• vitamin D – Especially in the Pacific Northwest, people are often low in vitamin D because of the lack of sun. Getting tested for vitamin deficiency is important because it’s possible to get too much. I will recommend a maintenance dose if you are not deficient, and a repletion dose if you are deficient.
• Multivitamin with the active form of B vitamins – B vitamins help keep our energy levels up while supporting the nervous system and stress response.
• Fish Oil – supports cognitive function and mental health.

Rhythms of life change with the seasons. During the fall, many aspects of our daily routines are in transition. Focusing on a healthy lifestyle – sleep, movement and nutrition – can improve our overall cognitive function and immunity. In addition, this healthy lifestyle is an important stress management tool which helps us deal with change in a more productive way, both mentally and physically.

Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for any gastrointestinal issues you may have. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

The post BACK TO SCHOOL BASICS OF HEALTH first appeared on Pacific Northwest Integrative Medicine.

This age-old story is one and the same when it comes to gut permeability and the havoc it can wreak on a person’s body.

Does leaky gut cause discomfort in the GI tract or is discomfort in the GI tract causing the gut to leak?

Let’s take a closer look:

Leaky gut is not an actual diagnosis. It is a term used by doctors to describe the deterioration of the mucosal lining in the small intestine. It’s theoretical at this point even though people are developing tests to learn more about why this deterioration happens.

When the mucosal lining of the small intestine is weakened it is called intestinal permeability or hyper-permeability. It’s normal for nutrients and water to permeate the lining of the intestine – that’s how it’s supposed to work. But when the intestinal lining becomes too permeable larger waste products and toxins leak out causing adverse reactions in the body. 

One obvious side effect of leaky gut would be low level food allergies found through a food allergy panel. As allergens leave the gut and enter the blood stream they can cause a response by the immune system. Other more severe indicators of leaky gut could be chronic conditions like:

• Chron’s Disease
• Colitis
• Celiac Disease
• SIBO
• Inflammatory diseases
• Auto-immune diseases

As there are no definitive tests for leaky gut – at this time it is only a theory – we constantly assess the reliability of the intestinal lining rather than running a myriad of tests to inform our treatment plan.

If you are experiencing symptoms of leaky gut, such as:

• abdominal pain
• diarrhea
• bloating
• always hungry
• poor nutrient absorption
• don’t gain weight
• do gain weight
• water weight gain.

It may be time to look at leaky gut from a naturopathic perspective. We can always improve outcomes by treating gut permeability, even if there is no “cure” for the overall syndrome.

Naturopathic medicine is instrumental in treating the underlying causes of illnesses. In the case of leaky gut, we can do that by looking into medications, stress, nutrition, food sensitivities, alcohol, and smoking – things that might cause the mucosal lining to become more permeable. Intervening when leaky gut is suspected can also help us understand if the hyper permeability is causing the symptoms or if the symptoms are causing hyper permeability.

As a naturopathic physician with a specialty in gastroenterology, it is my goal to equip you with information so that you can make the most informed decisions about your health. In fact, at the heart of naturopathic medicine is the philosophy of doctor as teacher. My intention is to empower you to participate in your own healing process.

Please contact Dr. Heather Buckle ND, FABNO if you have questions about integrative solutions for your health care needs. If you live in Washington state and would like to learn more about Dr. Buckle’s naturopathic approach to your wellness, please call (206) 643-2239 or CLICK HERE to schedule a consultation.

RESOURCES:

“Leaky Gut Syndrome.” Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/22724-leaky-gut-syndrome#:~:text=Leaky%20gut%20syndrome%20is%20a%20theory%20that%20intestinal%20permeability%20is,letting%20toxins%20into%20your%20bloodstream.

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