The Gut "Connections to Health & Disease"

Car accidents can cause more than broken bones or bruises. Sometimes, the injuries go deeper—affecting systems you wouldn’t expect, like your digestive tract. While chiropractors do not directly treat the gut, they play a supportive role by restoring spinal alignment and enhancing nervous system function. This approach can alleviate pain and discomfort associated with gut injuries by reducing inflammation and improving communication between the brain and digestive organs.

This article examines how chiropractic care, particularly in the context of motor vehicle accident (MVA) recovery, can help alleviate gut-related symptoms. It also discusses the unique dual-scope approach of Dr. Alexander Jimenez, DC, APRN, FNP-BC, who blends chiropractic and medical care to support physical and legal recovery after car accidents.

Car Accidents and Gut Injuries: An Overlooked Connection

Gut injuries after a car accident can happen from direct trauma or internal stress caused by spinal misalignment. For example, seatbelt injuries may compress the abdominal area during impact, damaging organs like the intestines or stomach. Other gut-related symptoms—such as bloating, nausea, cramping, and constipation—can result from nerve disruptions due to spinal injuries.

Even when the digestive organs are not directly injured, spinal trauma can interfere with how nerves communicate with the gut. These nerves exit the spine, particularly around the thoracic and lumbar regions, and play a crucial role in controlling digestion. Misalignments (called subluxations) in these areas can irritate nerves and trigger digestive issues.

Car accidents may also cause inflammation and tension in the musculoskeletal system. When the body is inflamed or in pain, it shifts into a stress response (fight-or-flight), which diverts energy away from digestion. Over time, this can exacerbate gut symptoms and prolong healing.

Read more on gut-related pain after accidents.

Chiropractic Adjustments: A Path to Nerve and Gut Relief

Chiropractors do not directly treat internal organs, but they focus on restoring spinal health, which is essential for optimal nerve function. Misaligned vertebrae can press on nerves and block proper communication between the brain and body—including the gastrointestinal system. Spinal adjustments aim to reduce these interferences.

Research and clinical observations indicate that spinal alignment can help reduce nerve irritation and inflammation. This can help alleviate symptoms such as bloating, constipation, indigestion, and cramping. These improvements happen as spinal health influences how well the body regulates internal organs.

Explore chiropractic effects on digestion.

Gut Health and the Nervous System

The digestive system is heavily influenced by the nervous system. Nerves originating from the spine help regulate the movement of the intestines, stomach acid production, and the release of digestive enzymes. Disruptions in nerve signals—caused by whiplash, spinal misalignments, or inflammation—can upset digestion.

When chiropractors adjust the spine, they help reduce subluxations that irritate these nerves. With improved nerve flow, digestive functions may return to normal. Patients with symptoms like nausea, acid reflux, or irregular bowel movements may experience improvement after chiropractic care.

Learn about the spine-gut connection.

Dr. Alexander Jimenez’s Clinical Perspective

Dr. Alexander Jimenez, DC, APRN, FNP-BC, is a chiropractic doctor and nurse practitioner based in El Paso, Texas. With decades of experience, Dr. Jimenez has helped thousands of patients recover from injuries caused by motor vehicle accidents. His dual-scope practice allows him to offer both chiropractic adjustments and medical treatment, including diagnostic imaging and legal documentation for personal injury claims.

According to Dr. Jimenez, “Patients with digestive symptoms after car accidents are often dealing with a combination of nerve irritation, inflammation, and stress-induced gut dysfunction. By correcting spinal misalignments and improving musculoskeletal balance, we can enhance the function of nerves that serve the gastrointestinal system.”

Dr. Jimenez also uses imaging tools like MRIs and X-rays to assess spinal damage. This helps him identify which areas may be affecting digestion and which injuries might require further medical attention. His care extends beyond pain relief—he assists patients with physical recovery, legal paperwork, and holistic wellness strategies, including diet and stress management.

Connect with Dr. Jimenez

Spinal Misalignments and Digestive Distress

The thoracic and lumbar spine houses nerves that connect to the stomach, pancreas, liver, gallbladder, and intestines. Even a minor misalignment can disrupt nerve signaling, causing bloating, gas, constipation, or diarrhea. For example:

• Misalignments in the T5–T9 region may affect stomach acid and digestive enzyme regulation.

• Misalignments in the L1–L3 area can disrupt colon motility and absorption.

When these segments are misaligned due to car accidents, spinal adjustments can help reduce pressure and inflammation, allowing the nerves to function properly again.

Read about spinal levels and digestion.

Addressing Whiplash and Autonomic Imbalance

Whiplash, a common result of car accidents, can also influence gut health. It affects not only the neck but also the autonomic nervous system (ANS), which controls involuntary body functions such as heart rate, digestion, and respiration.

When the ANS is dysregulated—especially the parasympathetic nervous system, which controls rest and digestion—patients may develop irritable bowel symptoms. Chiropractic care can help regulate this system by removing physical stressors on the spine, leading to better nervous system balance and improved digestion.

Read about gut-autonomic regulation.

Chiropractic Care vs. Medication for Digestive Relief

Medication can help control symptoms but may not fix the root cause of post-accident digestive issues. Pain relievers and anti-inflammatories often come with digestive side effects like constipation or acid reflux.

Chiropractic care offers a drug-free, non-invasive alternative by treating the musculoskeletal causes of digestive symptoms. Through spinal adjustments, soft tissue therapy, and nervous system rebalancing, patients can experience lasting improvements without relying on medications.

Compare treatment approaches.

Chiropractic Helps Identify Hidden Injuries

Not all gut injuries show immediate symptoms. Internal bruising or organ strain might appear days or weeks after an accident. Chiropractors like Dr. Jimenez are trained to detect subtle signs of distress through spinal palpation, movement tests, and imaging when necessary.

He emphasizes the importance of early care to prevent long-term damage, including chronic digestive issues, hernias, or adhesions resulting from inflammation. Addressing musculoskeletal imbalances early can support a faster recovery and return to full digestive health.

Why early care matters.

The Legal Side: Chiropractic Documentation in Personal Injury Claims

One of Dr. Jimenez’s most notable contributions is his expertise in supporting personal injury cases. As a chiropractor and nurse practitioner, he provides comprehensive medical documentation, including:

• Diagnostic assessments

• Imaging reports

• Progress notes

• Functional evaluations

This paperwork is vital when filing legal compensation claims. Insurance companies and attorneys require detailed records showing how an accident affected your body—including gut symptoms. Chiropractors who understand both medical and legal processes, such as Dr. Jimenez, are invaluable in guiding patients through this challenging time.

Learn how gut injuries impact legal cases.

Integrative Healing: Chiropractic, Nutrition, and Functional Medicine

For patients experiencing gut distress, a well-rounded recovery plan goes beyond spinal adjustments. Dr. Jimenez often incorporates dietary guidance, anti-inflammatory nutrition, hydration support, and stress-reduction techniques. His integrative approach may also involve referrals to gastrointestinal specialists or functional medicine providers when deeper evaluation is needed.

By addressing the structural, nervous, and inflammatory components of gut symptoms after a car accident, chiropractic care becomes a key piece of a whole-person healing strategy.

Explore chiropractic for inflammation.

Conclusion: Spinal Alignment Supports Digestive Recovery

While chiropractors don’t treat the gut directly, they help alleviate digestive symptoms by restoring spinal alignment and enhancing nerve function. After a car accident, musculoskeletal imbalances, inflammation, and nerve irritation can all affect digestion. With chiropractic adjustments, patients often experience improvements in symptoms like bloating, cramping, or irregular bowel movements.

Dr. Alexander Jimenez, DC, APRN, FNP-BC, plays a critical role in this recovery process through his dual-scope expertise. He combines chiropractic care, medical diagnostics, and legal support to provide patients with a comprehensive recovery plan after an auto accident, by identifying the root causes of pain and discomfort—including hidden influences on the gut—Dr. Jimenez helps individuals regain health, comfort, and confidence in their bodies.

Why Choose Chiropractic? | El Paso, TX

References

1. Atlas Injury to Health. (n.d.). The Benefits of Chiropractic Care for Digestive Health.

2. David Ricks Law. (n.d.). California Personal Injury Claims Involving Organ Damage.

3. Dr. Kal. (n.d.). Early Chiropractic Care After Car Crashes.

4. Essential Chiropractic. (n.d.). The Link Between Gut Health and Spinal Alignment.

5. Family First Chiropractic. (n.d.). Digestive Disorders.

6. Fox Integrated Healthcare. (n.d.). How a Chiropractor Can Help With Accident-Related Stomach Pain.

7. Kinney Chiropractic. (n.d.). Digestive Disorders.

8. LJ Chiropractic. (n.d.). From Spines to Stomachs.

9. My Chiro Solutions. (n.d.). Chiropractic Care for Bloating and IBS.

10. Uptown Denver Chiropractor. (n.d.). How Chiropractic Helps Auto Accident Victims.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for injuries or disorders affecting the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has made a reasonable attempt to provide supportive citations and identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Introduction

When most people think of a motor vehicle accident (MVA), the first injuries that come to mind are visible ones—broken bones, whiplash, or bruises. But not all damage is seen on the outside. One of the more overlooked yet deeply impactful areas is the digestive system. Gut health can take a serious hit after a car accident, even when abdominal injuries aren't immediately obvious. This blog explores how physical trauma, emotional stress, and medical treatments related to MVAs can affect the gastrointestinal (GI) system and what patients can do to recover.

1. The Gut-Brain Axis: Why Stress from an Accident Affects Your Stomach

The gut and brain are deeply connected through what's known as the gut-brain axis. After a traumatic event like a car accident, stress hormones surge, impacting the digestive system. High levels of cortisol and adrenaline can disrupt the balance of bacteria in the intestines, leading to symptoms such as nausea, diarrhea, constipation, or stomach pain.

According to Khiron Clinics, trauma—especially sudden or severe trauma like that from an MVA—can lead to increased intestinal permeability, more commonly known as "leaky gut" (Khiron Clinics, n.d.).

2. Physical Trauma to the Abdomen: The Hidden Internal Injuries

Not all car accidents result in external injuries. Some victims walk away thinking they’re fine, only to experience stomach pain hours or even days later. That’s because blunt force trauma to the abdomen can cause internal bleeding, bowel perforation, or damage to the spleen or liver.

According to AICA Orthopedics, delayed stomach pain is a red flag for possible organ damage, especially when caused by the seatbelt’s pressure during the impact. These injuries may require diagnostic imaging, a key focus in the care model provided by Dr. Alexander Jimenez.

3. The Role of Medication: How Painkillers Affect Digestion

Medications used to manage pain and inflammation post-accident can come with digestive side effects. Non-steroidal anti-inflammatory drugs (NSAIDs) can irritate the stomach lining, while opioids can slow down intestinal motility, leading to constipation and bloating.

This is not just a mild inconvenience—it can exacerbate existing gut conditions or contribute to new issues, such as gastroparesis. According to Gastroenterology Advisor, trauma combined with medications often compounds digestive problems.

4. Gut Dysbiosis: Changes in Microbiota After a Traumatic Event

The gut hosts trillions of bacteria vital for digestion, immunity, and even mood regulation. After a traumatic brain injury or high-stress event like a car crash, the microbial balance in the gut can shift. This imbalance, known as dysbiosis, is associated with reduced immunity, poor digestion, and chronic inflammation.

Research published by the National Institutes of Health indicates that trauma-induced shifts in gut microbiota lead to reduced levels of beneficial bacteria and increased intestinal permeability. (Liu et al., 2018).

5. Digestive Symptoms After an MVA: What to Look For

Patients often report symptoms like:

• Nausea

• Bloating

• Acid reflux

• Diarrhea or constipation

• Sharp abdominal pain

These can indicate underlying conditions such as internal bruising, organ damage, or nervous system dysfunction, and should not be ignored. Michigan Auto Law outlines how such symptoms may indicate organ bleeding, particularly if they appear after prolonged periods.

6. Dr. Alexander Jimenez’s Clinical Approach in El Paso

As a dual-licensed chiropractor and nurse practitioner, Dr. Alexander Jimenez uses a holistic yet clinically rigorous method for evaluating and treating post-accident injuries. In his El Paso clinics, Dr. Jimenez incorporates:

• Advanced imaging (MRI, CT)

• Biomechanical assessments

• Gastrointestinal evaluations

• Legal documentation support

His approach ensures that gut-related symptoms are not dismissed as anxiety-related alone. By combining chiropractic techniques with functional medicine protocols, Dr. Jimenez addresses both spinal alignment and vagus nerve function—a crucial nerve that communicates between the gut and the brain (Dr. Alex Jimenez, n.d.).

Additionally, Dr. Jimenez’s documentation plays a vital role in personal injury cases. By clinically correlating symptoms to imaging and lab findings, he ensures that patients receive both the care and the legal representation they deserve. His reports are admissible in court and provide the necessary foundation for validating injury claims.

7. Long-Term Consequences of Ignoring Digestive Issues Post-Accident

If left untreated, gut problems stemming from MVAs can develop into:

• Irritable bowel syndrome (IBS)

• Gastritis

• Ulcers

• Leaky gut syndrome

• Nutritional deficiencies

These chronic conditions can lower quality of life and lead to additional healthcare costs. According to MD Searchlight, intestinal trauma—even when not surgical—can result in systemic inflammatory responses.

8. Legal-Medical Integration: Why Proper Documentation Matters

One of the most overlooked aspects of MVA recovery is the legal documentation of injuries, particularly those that are not visible to the eye. GI issues can be dismissed as unrelated unless carefully documented. Dr. Jimenez’s unique dual role allows him to capture these connections.

Using advanced diagnostics, including lab testing and imaging, he links gut disturbances to spinal trauma or medication use. His evaluations are thorough and emphasize the legal relevance of symptoms that might otherwise go undocumented.

9. Gut and Musculoskeletal Pain: The Overlapping Pathways

It may seem unrelated, but gut inflammation can worsen musculoskeletal pain. Inflammatory cytokines released from a damaged gut lining can heighten pain perception and worsen existing joint or back injuries. This bidirectional influence is particularly important in patients recovering from whiplash or lumbar trauma.

Dr. Jimenez observes that addressing gut dysfunction can accelerate healing in the spine and joints. Chiropractic adjustments combined with nutritional and probiotic therapies support not only musculoskeletal recovery but also gastrointestinal healing (Heuer & Fischer Law, n.d.).

10. Taking Action: What to Do If You Have GI Issues After an MVA

If you’re experiencing stomach problems after a car accident:

1. Seek medical care immediately. Delayed symptoms can indicate internal injury.

2. Obtain imaging or diagnostic testing from a provider like Dr. Jimenez, who understands both the legal and clinical requirements.

3. Monitor your symptoms daily and keep a log.

4. Avoid self-medicating with NSAIDs or over-the-counter painkillers without consulting a provider.

5. Request an evaluation of gut function in conjunction with spinal or orthopedic assessments.

Conclusion: Gut Health Is Whole-Body Health

Motor vehicle accidents impact far more than just the bones and muscles. They can deeply disturb the digestive system through stress, physical trauma, and side effects from medications. When properly diagnosed and treated—especially by professionals like Dr. Alexander Jimenez who understand the full scope of injury care—patients have a better chance of long-term recovery and legal clarity.

Don't ignore gut symptoms. They're not just in your head, and they’re certainly not minor. Your body is telling you something important. Listen.

Injury Recovery With Chiropractic Care

References

AICA Orthopedics. (2024). What To Do About Delayed Stomach Pain After a Car Accident. https://aica.com/delayed-stomach-pain-after-car-accident

Gastroenterology Advisor. (n.d.). Visceral Manipulation for Constipation. https://www.gastroenterologyadvisor.com/features/visceral-manipulation-a-manual-therapy-technique-for-relieving-constipation

Heuer & Fischer Law. (n.d.). TBI and Gut Health. https://www.heuerfischer.com/firm-overview/blog/tbi-and-gut-health/

Janice K. Law. (n.d.). Gut Health and Mental Health. https://www.janiceklaw.com/blog/gut-health-and-mental-health/

Khiron Clinics. (n.d.). The Gut-Brain Connection. https://khironclinics.com/blog/the-gut-brain-connection-how-stomach-issues-and-trauma-are-linked

Liu, X., et al. (2018). Trauma-induced gut microbiota changes. NIH. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025245/

MD Searchlight. (n.d.). Gut Injury Overview. https://mdsearchlight.com/gut-health/intestinal-trauma-gut-injury

Michigan Auto Law. (n.d.). Stomach Pain and Diarrhea After Car Accident. https://www.michiganautolaw.com/personal-injury-lawyer/stomach-pain-diarrhea-after-car-accident

Dr. Alex Jimenez. (n.d.). El Paso Injury and Gut Health Insights. https://dralexjimenez.com/

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed to practice. We utilize functional health and wellness protocols to treat and support care for injuries or disorders affecting the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has made a reasonable attempt to provide supportive citations and identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez, DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

Email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Perimenopause can be challenging. Find valuable insights and tips for navigating this important phase of life.

Introduction

When it comes to a person’s health and wellness, many individuals will often realize that their bodies are changing naturally. This can range from natural skeletal degeneration within the joints to hormonal changes for both males and females. For males, their testosterone hormone levels start to decline, known as andropause. For females, when their estrogen and progesterone hormones begin to fall naturally, thus starting the aging progression known as menopause. However, before menopause occurs, perimenopause begins before women go through the menopausal process. In today’s article, we will look at what perimenopause is and its symptoms, how it affects the musculoskeletal system, and ways to manage perimenopausal symptoms.

What Is Perimenopause?

Do you experience mental fogginess, where you can’t remember what you were doing? How often do your joints ache after doing a simple errand? Or how frequently does your bladder feel full that you constantly need to go to the bathroom? Many of these issues are associated with hormonal changes within the body. For women, perimenopause is a transformative menopausal stage that usually occurs in women in their 40s and early 50s, which is widely recognized for hormonal shifts and reproductive changes in the body.

Additionally, perimenopause usually starts when a woman is dealing with a persistent difference in their menstrual cycle length after 12 months. (Lega & Jacobson, 2024) This is due to the ovarian hormone production of estrogen and progesterone fluctuating unpredictably.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Enzymes’ function is to help trigger bodily processes ranging from digestion to blood clotting to growth. What is the best way to support enzyme production?

Enzymes

Enzymes are proteins that act as biological catalysts. They cause and speed up crucial chemical reactions and help the body complete necessary chemical reactions. They are vital for many biological processes, including digestion, metabolism, and molecule building and breaking down. This includes breaking down food, facilitating growth, and forming blood clots. Too little of a certain type can lead to serious health implications like a fatal buildup of toxins. Individuals missing a certain kind of enzyme or having too little of it can develop serious health conditions.

Function

They help speed up chemical reactions in the body (National Human Genome Research Institute, 2025). They facilitate chemical reactions in everything from digesting food to muscle growth. Enzymes facilitate this by binding to a cell, creating the reactions needed. With enzyme binding, chemical reactions can occur without destroying the cell. (Nemours KidsHealth, 2023) Each cell in the body has thousands of enzymes to help facilitate all the complex reactions to maintain health. (National Human Genome Research Institute, 2025)

Factors Affecting Production

In healthy individuals, the body produces the enzymes it needs. However, metabolic disorders can occur if the body does not produce enough of a certain type. (Kennedy Krieger Institute, 2025) These disorders can be serious and are usually caused by a genetic malfunction that impacts production.

Types

There are thousands of different types. Digestive enzymes, for example, aid in the breakdown of food and convert it into energy. Common enzymes that are critical for health include (Nemours KidsHealth, 2023)

Amylase

• Digestive helps break down starches.

Aspartate aminotransaminase (AST) and Alanine Aminotransaminase (ALT)

• Help the liver convert sugar into energy.

Creatine Kinase (CK)

• Helps muscles create energy.

DNA Polymerase

• Facilitates growth by allowing DNA to duplicate.

Glucose-6-Phosphate Dehydrogenase

• Keeps red blood cells healthy by preventing damage to the cells.

Lipase

• A digestive enzyme that helps break down fats and oils.

Protease

• Digestive helps break down proteins.

Thrombin

• Causes blood to clot.

Deficiencies

If the body doesn’t make enough of a certain enzyme, it cannot undergo the bodily processes that the enzyme helps facilitate. This can lead to a variety of symptoms. Some are minor, like not being able to eat lactose. Others are serious, like developmental delays caused by the build-up of toxins. (Kennedy Krieger Institute, 2025) Usually, these deficiencies are caused by genetics.

Types

There are various deficiencies. Some are very rare, while others can lead to conditions such as: (Nemours KidsHealth, 2023)

Lactose Intolerance

• This is caused by not having enough of the enzyme that breaks down lactose, a sugar found in milk, leading to gas and bloating.

Tay-Sachs Disease

• An often fatal disease caused by a missing hexosaminidase, which is responsible for breaking down fats

Gilbert’s Syndrome

• This is caused by a missing enzyme that removes waste product (bilirubin) from the blood, leading to bilirubin buildup and
• Jaundice or yellowing of the skin and whites of the eyes

Galactosemia

• This leads to slow growth and trouble gaining weight, which is caused by the missing galactose-1-phosphate uridylyltransferase (GALT), which helps break down a sugar called galactose.

Phenylketonuria (PKU)

• This is caused by having too little phenylalanine hydroxylase, which breaks down a protein called phenylalanine, causing brain damage.

Morquio Syndrome

• This is caused by having too few enzymes that break down glycosaminoglycans, a type of sugar molecule.
• This leads to bone and growth abnormalities.

Wilson’s Disease

• A liver disease is caused by a missing protein that helps break down copper in the body.

Enzyme Production Support

Eat a healthy, well-balanced diet of fruits and vegetables to support enzyme production. Avoid processed foods, especially those that are very fatty (Johns Hopkins Medicine, 2025). The body produces all the necessary enzymes unless the individual has a genetic condition. Supplements aren’t usually required, but they can help with lactose intolerance or digestion in cystic fibrosis patients. (Nemours KidsHealth, 2023)

One supplement type, pancreatic enzyme replacement therapy (PERT), is available. PERT is an FDA-regulated prescription medication prescribed to patients with serious illnesses such as cystic fibrosis. (U.S. Food and Drug Administration, 2019)

Injury Medical Chiropractic & Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Chiropractic Care and Metabolism: The Hidden Link

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Human Genome Research Institute. (2025). Enzyme. Retrieved from https://www.genome.gov/genetics-glossary/Enzyme

Nemours KidsHealth. (2023). Enzymes. https://kidshealth.org/en/parents/enzymes.html

Kennedy Krieger Institute. (2025). Metabolic disorders. https://www.kennedykrieger.org/patient-care/conditions/metabolic-disorders

Johns Hopkins Health. (2025). Digestive enzymes and digestive enzyme supplements. https://www.hopkinsmedicine.org/health/wellness-and-prevention/digestive-enzymes-and-digestive-enzyme-supplements#:~:text=You're%20better%20off%20building,your%20diet,%20especially%20fried%20foods.

U.S. Food and Drug Administration. (2019). FDA approves new breakthrough therapy for cystic fibrosis. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-approves-new-breakthrough-therapy-cystic-fibrosis

Can drinking parsley tea help improve overall health?

Parsley Tea

Parsley is commonly used as a garnish and to increase flavor in dishes. Some use parsley leaves instead of salt in their food to reduce their sodium intake. It is widely available in grocery stores and can be grown at home. Parsley tea is an herbal tea. Surprisingly, parsley tea benefits health, but not all of this is supported by scientific evidence. There are different kinds of parsley:

• Curly leaf (Petroselinum crispum)
• Flat leaf (Petroselinum neapolitanum) or Italian parsley.
• Parsley is high in vitamins A, B, C, E, and K.

• Parsley also provides fiber, iron, copper, calcium, and potassium.

The kind used in tea is up to you, based on flavor preferences.

Benefits

Parsley is believed to have various benefits, some of which are derived from consuming parsley tea. For example, parsley is used to freshen breath; however, adding sugar reduces dental benefits. Many women also suggest that parsley helps to ease menstrual cramps, and others say that consuming parsley or tea helps them eliminate excess water weight. However, further research is needed to support its benefits that include: (Ganea M. et al., 2024)

• Asthma
• Cough
• Digestive problems
• Menstrual problems
• Fluid retention and swelling (edema)
• Urinary tract infections
• Kidney stones
• Cracked or chapped skin
• Bruises
• Insect bites
• Liver disorders
• Tumors

Preparation

The quickest way to enjoy parsley tea is to use a parsley tea bag. Brands are available online and in health food stores. Parsley tea bags are manufactured using dried leaves, which can be stored in a cool, dry place and last much longer than fresh parsley. The herb is inexpensive, and making parsley tea at home is also cheap and easy.

Choose Parsley

• Flat or curly.
• Remove the leaves from the stems.
• Gather about 1/8-1/4 cups of leaves for each cup of tea.
• Place the leaves at the bottom of your cup or in a tea infuser.
• Note: you can also use a French press to make parsley tea.
• To do so, place the loose leaves at the bottom of the French press.

Heat Water

• Once boiling, fill the cup or press with hot water.

Allow the Leaves to Steep

• For about four minutes.
• Steep longer if you prefer a stronger cup.
• If you are new to parsley tea, start with a weaker cup and gradually increase the strength as you get used to the taste.

Remove the Parsley Leaves

• With a spoon, remove the infuser and discard the leaves.
• If you use a press, place the plunger on top and slowly press down to separate the leaves from the tea.
• Flavor your tea with lemon or a little sugar (optional).

Side Effects

The FDA generally recognizes parsley as safe (GRAS). However, consuming large amounts—more than you would typically consume in amounts commonly found in food—can be dangerous. Having a cup of tea daily is not considered a large amount, but if you make tea with parsley oil or ground parsley seeds, your intake could be much higher than normal. Individuals who consume too much parsley may experience anemia and liver or kidney problems. (Alyami F. A., & Rabah D. M. 2011) Individuals who have diabetes, fluid retention, high blood pressure, or kidney disease should talk to their doctor to see if consuming parsley is safe for them, as it may cause side effects that can worsen their condition. Patients who undergo surgery are advised to avoid parsley in the two weeks before their procedure.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic focuses on and treats injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs to relieve pain. Our providers use an integrated approach to create customized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, electroacupuncture, and various medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Optimizing Your Wellness

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Ganea, M., Vicaș, L. G., Gligor, O., Sarac, I., Onisan, E., Nagy, C., Moisa, C., & Ghitea, T. C. (2024). Exploring the Therapeutic Efficacy of Parsley (Petroselinum crispum Mill.) as a Functional Food: Implications in Immunological Tolerability, Reduction of Muscle Cramps, and Treatment of Dermatitis. Molecules (Basel, Switzerland), 29(3), 608. https://doi.org/10.3390/molecules29030608

Alyami, F. A., & Rabah, D. M. (2011). Effect of drinking parsley leaf tea on urinary composition and urinary stones' risk factors. Saudi journal of kidney diseases and transplantation: an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 22(3), 511–514.

For individuals looking to improve their gut and overall health, can drinking chamomile manzanilla tea help?

Chamomile Manzanilla Tea

Chamomile (Manzanilla is Spanish for chamomile) is a herb that belongs to the Asteraceae family. Chamomile tea is made from the dried flowers of the chamomile plant steeped in hot water and is used as a natural remedy for various health issues. The tea can calm stomach upset, relieve anxiety, improve sleep, and reduce muscle spasms or flatulence. (Srivastava J. K., Shankar E., & Gupta S. 2010) It is caffeine-free and often drunk before bed because it can calm the brain and help with sleep. It also contains natural plant compounds that promote antioxidant activity, which may help reduce the risk of certain diseases. The nutrients it contains, vitamins A and B, magnesium, manganese, potassium, calcium, iron, copper, and zinc, can help manage diabetes, menstrual pain, and sleep problems.

Types

There are two kinds of chamomile: German, also known as wild or Hungarian chamomile and Roman chamomile. Each type is believed to provide various benefits.

German Chamomile

• This type is believed to provide help with a wide range of conditions, including travel sickness, flatulence, diarrhea, ADHD, stomach upset, restlessness, and insomnia.
• It is sometimes also used in cosmetics and soaps.

Roman Chamomile

• This type may relieve heartburn, loss of appetite, menstrual discomfort, and other conditions.
• Roman chamomile is also used as a fragrance in perfumes and tobacco products.

The tea can be made with either type. However, many medical sources that report the health benefits of manzanilla tea focus on German chamomile. (Srivastava J. K., Shankar E., & Gupta S. 2010)

Preparation

Chamomile Manzanilla tea is sold in tea bags and loose-leaf varieties. It is prepared like most traditional teas.

1. Place a tea bag or infuser containing about one tablespoon of loose tea leaves in a teacup. Or place loose tea leaves at the bottom of a cup.
2. Heat water to 194-205 F.
3. Bring water to a boil and let it sit for a minute to reduce the temperature slightly.
4. Pour water over the tea bag, infuser, or tea leaves.
5. Let the tea leaves steep for as long as desired, up to four or five minutes.
6. Remove the tea bag or infuser or strain loose leaves from the cup before drinking.
7. Optional: add a small amount of milk, honey, or sugar to sweeten the drink.

Benefits

• Chamomile tea is believed to have calming properties, and individuals consume the beverage in times of stress to reduce anxiety or before bed to induce sleep. (Srivastava J. K., Shankar E., & Gupta S. 2010)
• A study in the Journal of Advanced Nursing found that drinking chamomile tea helped postpartum women alleviate depression and sleep better. (Chang S. M. & Chen C. H. 2016)
• Other reports say that chamomile helps to relieve gastrointestinal conditions such as upset stomach, gas, and diarrhea. However, the National Institutes of Health National Center for Complementary and Integrative Health explains that insufficient research has been conducted to ensure these health benefits are certain. (National Center for Complementary and Integrative Health, 2024)

Side Effects

Individuals allergic to ragweed, chrysanthemums, marigolds, or daisies may experience an allergic reaction to chamomile manzanilla tea. They should also avoid drinking the tea if they are on warfarin or any blood thinners or if they are taking a sedative. Chamomile may increase the risk of side effects if taking cyclosporine or cytochrome P450 substrate meds. (Colombo D., Lunardon L., & Bellia G. 2014) If unsure if drinking chamomile manzanilla tea may interfere with medication, speak to a healthcare provider.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic providers use an integrated approach to create customized care plans for each patient and restore health and function to the body through nutrition and wellness, chiropractic adjustments, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

From Inflammation to Healing

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Srivastava, J. K., Shankar, E., & Gupta, S. (2010). Chamomile: A herbal medicine of the past with bright future. Molecular medicine reports, 3(6), 895–901. https://doi.org/10.3892/mmr.2010.377

Chang, S. M., & Chen, C. H. (2016). Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial. Journal of advanced nursing, 72(2), 306–315. https://doi.org/10.1111/jan.12836

National Center for Complementary and Integrative Health. (2024). Chamomile. Retrieved from https://www.nccih.nih.gov/health/chamomile

Colombo, D., Lunardon, L., & Bellia, G. (2014). Cyclosporine and herbal supplement interactions. Journal of toxicology, 2014, 145325. https://doi.org/10.1155/2014/145325

Can the short-term potato diet be a solution for individuals trying to lose weight?

Potato Diet

There is no one-size-fits-all approach to a healthy lifestyle diet. A successful nutrition plan needs to be personalized to the individual. Potatoes are an excellent source of fiber, vitamins, and minerals and are the primary source of calories in this diet. The potato diet has variations, but followers eat plain potatoes for several days in the diet's simplest form.

What Can Be Eaten?

While there are variations, all potato diets are vegan, low in dietary fat, and encourage eating until satisfied. Instead of weighing portions or counting calories, individuals are encouraged to eat until full. The potato diet encourages volume eating, when individuals fill up on foods that are naturally lower in calories. Eating a large volume leaves the body feeling full, though fewer calories are eaten throughout the day.

Potato Types

The variety of potatoes allowed depends on the version of the potato diet being followed. Some require sticking to plain white potatoes, while a more forgiving version allows other varieties, such as yellow, red, and sweet potatoes.

Plant-based Foods, Low-Calorie, and Whole

In its purest form, the diet does not allow for other food besides potatoes, even fruits and vegetables. However, looser forms of the potato diet are designed to be more sustainable in the long term. Depending on the version of the potato diet being followed, individuals may be able to consume unprocessed foods in their whole form. However, potatoes should make up the bulk of the plate even when other foods are permitted. The additional foods are supplements to the potatoes for their nutritional content and include:

• Fruits
• Grains
• Legumes
• Vegetables

Condiments and Seasonings

Condiments, sauces, and seasonings are limited to small quantities of low-fat condiments like mustard and homemade ketchup. Salt is allowed to season the potatoes, but only a little. Sauces and seasonings should generally be made with fat-free ingredients and kept to a minimum.

Beverages

Water, plain tea, and plain coffee are the only beverages allowed on the potato diet. Staying hydrated is essential, so drinking plenty of water is encouraged.

What Is Restricted?

Depending on the diet version, certain foods are not allowed. In the strictest form, individuals eat only plain potatoes for several days.

Added Fats

Because the potato diet is low-fat, it strictly prohibits animal products and fats such as vegetable oils. Fats are a dense source of calories; even small amounts add up quickly. However, healthy fats can promote the absorption of potato nutrients. Because it is designed for maximum weight loss over a short period, the diet restricts added fats like:

• Butter
• Vegetable oil
• Avocado
• Nuts
• Seeds

Processed and Refined Foods

The diet encourages eating whole, unprocessed foods during the plan's duration. Processed foods are usually high in calories, fat, and sodium and are lower in nutrients than whole foods. For example, a baked potato is more nutritious than tater tots, fries, and potato chips, even though all are made with potatoes. Others include:

• Bread
• Cereal
• Crackers
• Muffins
• Pasta
• Doughnuts

Animal Products

All variations of the potato diet are vegan. While following the diet, all animal products are restricted and include:

• Eggs
• Dairy
• Meat
• Poultry
• Fish
• Seafood

Preparation

The diet is designed to be followed short-term for quick weight loss, so there is no meal schedule. Followers can eat breakfast, lunch, dinner, and snacks until full. Typically, individuals participate for two to five days, though some may follow the diet for up to a week. The potato preparation method is as important as the type of potato. It is recommended to use cooking methods that do not require added fat, such as boiling, steaming, baking, and roasting.

How many potatoes to eat in a day depends on the individual. A general recommendation is to eat approximately two to five pounds daily. Consuming enough calories in this diet is important since it is restrictive, and followers may not get enough nutrients if they eat too few calories. An extremely low-fat or fat-free diet is not sustainable. (Harvard Health Publishing, Harvard Medical School, 2021)

Pros

The potato diet can help with short-term weight loss and reduce fat and sodium intake, as well as a few other health benefits and include the following:

Weight Loss

• The diet is designed for weight loss.
• It is effective because it is naturally low in fat and calories.

Short-term

• Individuals who prefer shorter diets for quick results may appreciate that the diet lasts two to five days.

Improve Digestion

• Some like the diet for digestive benefits.
• Potatoes are easy to digest, making this food gentle on the gastrointestinal tract.
• Potatoes contain a rich source of fiber, which keeps food moving smoothly through the digestive system.

Easy to Follow

• Mono diets are the easiest to follow.
• It is easy to understand what is allowed and what to avoid.
• Individuals who struggle with complicated rules will appreciate the simplicity.

Cons

The potato diet can come with health risks that include the following:

Sustainability

• Eating only one food, even a root vegetable, is not sustainable.

Unbalanced

• Many nutrient-rich foods are not allowed.
• Though potatoes are nutritious, they lack some essential nutrients.
• The diet can result in nutritional deficiencies.

Short-term Weight Loss 

• The weight loss may not be sustainable since the diet is followed for a few days.
• Any weight lost during the diet may not be kept off long-term.
• This may be water weight, which is different from losing body fat.
• Once the individual returns to their normal lifestyle, they may regain some or all of the weight lost and possibly gain weight.

Discourages Healthy Eating

• A nutrient-dense diet is rich in various foods.
• The potato diet is nutritionally unbalanced and discourages healthy eating habits.
• Consuming one food may promote disordered eating habits. (Schaumberg K. and Anderson D. 2016)

Calorie Count

• There is no set calorie requirement on the potato diet.
• The USDA recommends 1,600 to 2,000 calories daily for adult women and 2,000 to 2,400 daily for adult men.
• According to the 2020-2025 Dietary Guidelines, the potato diet does not meet nutritional recommendations.  
• The guidelines list potatoes as a healthy source of starchy vegetables that should also include foods from the primary food groups.
• The USDA recommends between 28 and 34 grams of fiber and 46 and 56 grams of protein daily for adults. (U.S. Department of Health and Human Services and U.S. Department of Agriculture, 2020) 

Injury Medical Chiropractic and Functional Medicine Clinic

This is a restrictive diet that is not meant to be followed long-term. Before starting a new diet plan, consult a healthcare provider or a registered dietitian, especially if underlying health conditions exist. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment plan through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility programs to relieve pain and help individuals return to optimal function. Our providers use an integrated approach to create personalized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Functional Nutrition and Lifestyle Change

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Harvard Health Publishing, Harvard Medical School. (2021). Know the facts about fats. https://www.health.harvard.edu/staying-healthy/know-the-facts-about-fats

Schaumberg, K., & Anderson, D. (2016). Dietary restraint and weight loss as risk factors for eating pathology. Eating behaviors, 23, 97–103. https://doi.org/10.1016/j.eatbeh.2016.08.009

U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2020). 2020–2025 Dietary Guidelines for Americans. Retrieved from https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf

For individuals with chronic pain conditions, what are the risks of developing peptic ulcers?

NSAIDs and Peptic Ulcers

A peptic ulcer is a sore in the lining of the stomach or duodenum, the first area of the small intestine. The most common symptom is a burning stomach pain that may come and go for several days or weeks. Other symptoms include:

• Feeling full
• Feeling bloated
• Belching
• Heartburn
• Nausea
• Stress and spicy foods can worsen ulcers but do not cause them.

A peptic ulcer is a sore that occurs in the mucosal lining of the stomach, small intestine, or esophagus. It is caused by stomach acids or other digestive juices damaging the stomach or duodenum lining. When the ulcer is in the stomach, it might also be called a gastric ulcer. The acid can create a painful open sore that may bleed. The most common cause of a peptic ulcer is a type of bacteria called Helicobacter pylori (H. pylori). A second, less common cause of peptic ulcers is the use of non-steroidal anti-inflammatory medications or NSAIDs like aspirin, ibuprofen, and naproxen. (Fashner J. & Gitu A. C. 2015) Using over-the-counter NSAIDs for the occasional headache or achy back won’t cause a peptic ulcer. Rather, peptic ulcer disease is something that can occur with longer-term use, especially at high doses, such as for chronic pain associated with arthritis or other inflammatory conditions. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

NSAIDs and Ulcer Development

NSAIDs can cause ulcers because they can interfere with the stomach's ability to protect itself from gastric acids as they slow the production of protective mucus in the stomach and change its structure. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022) While these acids are vital to the digestive process, they can compromise the stomach's protective barriers. The stomach has three protections against gastric acid:

• Foveolar cells that line the stomach produce a protective mucus.
• Bicarbonate is produced by the foveolar cells, which help neutralize stomach acid.
• Blood circulation aids in repairing and renewing cells in the stomach’s mucosal layer.

Specific lipids called prostaglandins, which the body makes, affect pain receptors. NSAIDs work to reduce pain by blocking enzymes involved in the production of certain prostaglandins. Prostaglandins also protect the stomach's mucosal layer, which can be broken when depleted. Suppressing the body's natural defenses against gastric acids can lead to inflammation in the stomach lining. Over time, this can cause a capillary blood vessel to rupture, causing bleeding and the development of an open, ulcerative sore. (Bjarnason I. et al., 2018)

Symptoms

A peptic ulcer may cause symptoms in the digestive tract, but some individuals may have no symptoms. The most common symptom is upper abdominal pain, which can feel dull or burning. The pain can range in severity, with some experiencing mild discomfort and others having severe pain. Most of the time, the pain will occur after a meal, but it might also happen at night for some. It could go on from a few minutes to a few hours. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)  Other symptoms are less common but can include:

• Bloating
• Burping
• Gas
• Nausea
• Vomiting
• Loss of appetite
• Weight loss
• Feeling sick in the stomach.
• Feeling full after even a small meal.

In rare cases, individuals with peptic ulcers may see blood in their stool or have black stools because blood is present. Blood coming from one or more peptic ulcers could also be visible in vomit. Call a healthcare provider right away if there is blood in stool or vomit, as this can be a sign of excessive bleeding or other serious problems. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

Diagnosis

When peptic ulcer symptoms occur, a healthcare provider may order several tests to determine the cause. For individuals who are receiving NSAIDs for chronic pain, a healthcare provider may already have a high suspicion that the medication is the cause or is contributing to peptic ulcer disease. Because infection with H. pylori is the most common cause, it is normally ruled out through a breath, blood, or stool test. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022) Tests to look for ulcers inside the upper digestive tract can include:

Upper GI Series

• Patients drink a barium substance to help the internal organs appear on imaging.
• A series of X-rays are taken.

Upper Endoscopy

• A flexible tube with a camera is used to look inside the esophagus, the stomach, and the duodenum.
• Patients are sedated during the procedure, and small pieces of tissue are taken from the lining for further testing. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

Risk Factors

All NSAIDs have the potential to cause indigestion, gastric bleeding, and ulcers. However, some individuals are more susceptible to developing peptic ulcer disease than others. Peptic ulcers caused by NSAIDs are more likely to occur in individuals who: (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

• Are 70 or older
• Have a history of ulcers
• Take corticosteroids
• Take high-dose NSAIDs
• Take NSAIDs regularly for a long time
• Take more than two types of NSAIDs
• Use aspirin daily, including low-dose aspirin, for cardioprotective purposes.
• Take blood thinners
• Drink alcohol regularly
• Smoke

Studies suggest that 25% of those who use NSAIDs long-term will develop an ulcer, but only a small percentage will go on to develop serious complications. (Lanza F. L. et al., 2009)

Treatment

NSAID-induced ulcers usually heal once the NSAID is stopped. Certain treatments may be recommended to expedite the healing process depending on the severity of the peptic ulcer. In severe cases, surgery may be recommended to repair the damage.

Medications

A healthcare provider may recommend taking one or more medications. Over-the-counter options may include:

• Antacids help neutralize stomach acid.
• A proton pump inhibitor or PPI, such as omeprazole, lowers acid levels in the stomach. (Begg M. et al., 2023)
• Bismuth subsalicylate - Pepto-Bismol or Kaopectate. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

Prescription Medications

These might be recommended and can include the following:

• An H2-blocker, which prevents the production of stomach acid by blocking histamine
• Prescription PPIs such as Aciphex - rabeprazole or Konvomep - omeprazole and sodium bicarbonate.
• Mucosal protective agents, or MPAs, maintain the mucosal layer in the stomach. (National Institute of Diabetes and Digestive and Kidney Diseases, 2022)

The bigger problem for individuals is how to manage pain when the medications are discontinued. For individuals with chronic pain, this may require the help of a physical therapy team, including a pain management healthcare provider. Certain medications called COX inhibitors could be used to control pain for some. COX inhibitors have been shown to work for pain relief and are associated with fewer digestive side effects than other types of NSAIDs. These meds have also been shown to have cardiovascular side effects, however, so it’s usually recommended they be used at the lowest dosage. (Scarpignato C. et al., 2015)

Lifestyle Adjustments

Lifestyle adjustments may be recommended to heal peptic ulcers, including:

• Avoiding foods that worsen symptoms.
• Avoiding caffeine
• Avoiding alcohol
• Quitting smoking

Surgery

In some cases, surgery may be recommended, but this is more often the case when there are complications as a result of the ulcer, such as:

• Serious bleeding
• Perforation or  a hole in the stomach or small intestine (Lee C. W. & Sarosi G. A. Jr 2011)
• Obstruction or bowel blockage

Prevention

Avoiding long-term and high-dose use of NSAIDs or not using these medications can help protect and prevent peptic ulcers. For individuals who have to take an NSAID due to a condition they are trying to manage, a healthcare provider may prescribe one of the meds used to treat peptic ulcers to prevent them from occurring. Some believe that spicy food and stress cause ulcers, but that has been discredited. (Cleveland Clinic, 2022) Most individuals who take NSAIDs will not experience peptic ulcer disease. (Drini M. 2017) However, those who have chronic pain and who are receiving high doses should be aware of the potential.

Injury Medical Chiropractic and Functional Medicine Clinic

Individuals who have any concerns about the use of NSAIDs and how the digestive system will be affected should ask a healthcare provider if there are ways to prevent ulcers and if those measures should be implemented while receiving high doses of NSAIDs. Left untreated, ulcers can lead to complications, which is why it is important to get a diagnosis and receive treatment. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign naturally.

Root Causes of Gut Dysfunction

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Fashner, J., & Gitu, A. C. (2015). Diagnosis and Treatment of Peptic Ulcer Disease and H. pylori Infection. American Family Physician, 91(4), 236–242.

National Institute of Diabetes and Digestive and Kidney Diseases. (2022). Peptic ulcers (stomach ulcers). Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/peptic-ulcers-stomach-ulcers

Bjarnason, I., Scarpignato, C., Holmgren, E., Olszewski, M., Rainsford, K. D., & Lanas, A. (2018). Mechanisms of Damage to the Gastrointestinal Tract From Nonsteroidal Anti-Inflammatory Drugs. Gastroenterology, 154(3), 500–514. https://doi.org/10.1053/j.gastro.2017.10.049

Lanza, F. L., Chan, F. K., Quigley, E. M., & Practice Parameters Committee of the American College of Gastroenterology (2009). Guidelines for prevention of NSAID-related ulcer complications. The American journal of gastroenterology, 104(3), 728–738. https://doi.org/10.1038/ajg.2009.115

Begg, M., Tarhuni, M., N Fotso, M., Gonzalez, N. A., Sanivarapu, R. R., Osman, U., Latha Kumar, A., Sadagopan, A., Mahmoud, A., & Khan, S. (2023). Comparing the Safety and Efficacy of Proton Pump Inhibitors and Histamine-2 Receptor Antagonists in the Management of Patients With Peptic Ulcer Disease: A Systematic Review. Cureus, 15(8), e44341. https://doi.org/10.7759/cureus.44341

Scarpignato, C., Lanas, A., Blandizzi, C., Lems, W. F., Hermann, M., Hunt, R. H., & International NSAID Consensus Group (2015). Safe prescribing of non-steroidal anti-inflammatory drugs in patients with osteoarthritis--an expert consensus addressing benefits as well as gastrointestinal and cardiovascular risks. BMC Medicine, 13, 55. https://doi.org/10.1186/s12916-015-0285-8

Lee, C. W., & Sarosi, G. A., Jr (2011). Emergency ulcer surgery. The Surgical Clinics of North America, 91(5), 1001–1013. https://doi.org/10.1016/j.suc.2011.06.008

Cleveland Clinic. (2022). Can stress give you an ulcer? https://health.clevelandclinic.org/can-stress-give-you-an-ulcer

Drini M. (2017). Peptic ulcer disease and non-steroidal anti-inflammatory drugs. Australian prescriber, 40(3), 91–93. https://doi.org/10.18773/austprescr.2017.037

For individuals dealing with constipation issues, can using an osmotic laxative help treat and prevent constipation?

Osmotic Laxative

Osmotic laxatives can help treat or prevent constipation by increasing the amount of water in the colon, softening stools, and making them easier to pass. Some osmotic laxatives are used for bowel preparation to help clear the colon before a colonoscopy. They are available over the counter and by prescription and can contain different active ingredients, including polyethylene glycol/PEG, lactulose, sorbitol, magnesium citrate, and magnesium hydroxides.

How They Work

Constipation occurs when stools are irregular and hard to pass, as they are usually hard and dry. An osmotic laxative helps relieve constipation by increasing the amount of fluid in the intestines. They pull water from the colon's wall to the inside, softening stools and making them easier to pass. The term osmotic refers to the movement of fluids through a membrane with the concentration equal on both sides. In individuals with constipation problems, the concentration of water in the colon's wall and the inside of the colon/lumen is balanced but insufficient to compensate for hard, dry stools. This is especially true of those who don't drink enough water. Osmotic laxatives alter the balance with substances like salts, sugars, and other organic compounds to encourage water movement into the lumen.

How Are They Different?

Most laxatives are generally used for the treatment of occasional constipation. Osmotic laxatives work differently because they are used to prevent or treat chronic constipation. Other types of laxatives include:

Emollient

• These are made with a surfactant called docusate.
• Surfactants are substances that draw and spread fats and water.
• Docusate increases the passage of water and fats into stools to soften them.

Lubricant

• These are made with oily substances, like mineral oil, that help the stool slide through the intestine.

Stimulant

• These laxatives relieve constipation by causing the intestines to contract and push out the stools.

Osmotic Laxatives

The common osmotic laxatives are made with different active ingredients that include:

Polyethylene Glycol - PEG

• This organic compound is derived from petroleum and can be safely ingested to manage constipation.
• Available over the counter.
• These include Miralax and GlycoLax.

Lactulose

• This is a type of sugar that is not absorbed by the intestine.
• Instead, the sugar sits and ferments in the intestines, producing fatty acids that pull water into the lumen.
• Available by prescription, including Cephulac, Duphalac, Kristalose, and others.

Sorbitol

• This is also a non-absorbable sugar with activation similar to lactulose.
• Over-the-counter and prescription versions include Arlex and GeriCare.

Magnesium Citrate

• Magnesium citrate is magnesium in salt form combined with citric acid.
• The salts help pull water into the lumen.
• Over-the-counter versions include Citrate of Magnesia, Citroma, and LiquiPrep.

Magnesium Hydroxide

• This milder form of magnesium is sold under the brand Milk of Magnesia.
• Milk of Magnesia is also an antacid and is available over the counter.

Potential Side Effects

As with all medications, there can be potential side effects. Most are relatively mild and resolve independently within a few days. Common side effects include:

• Abdominal cramping
• Bloating
• Nausea
• Diarrhea
• Flatulence

Overusing laxatives can cause dehydration and the loss of electrolytes like sodium, calcium, potassium, minerals the body needs to regulate heartbeat, muscle contractions, and other essential functions. (Tropini, C. et al., 2018) Consult with a healthcare provider to ensure you use any laxative correctly, whether over-the-counter or prescription. For those thinking about using osmotic laxatives, be sure to follow the dosing instructions carefully, avoid complications, and use only when needed. Individuals with chronic constipation should see a healthcare provider so that they can identify the underlying cause. Diet, exercise, and increased fluid intake can improve the condition. Others may require treatments that extend beyond the use of laxatives.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to create personalized treatment programs. We passionately focus on treating patients’ injuries and chronic pain syndromes. Using an integrated approach to improve ability through flexibility, mobility, and agility programs tailored to the individual. Our providers use Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine principles. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers if other treatments are needed. Our goal is to relieve pain naturally by restoring health and function to the body.

Poop Testing: What? Why? and How?

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Tropini, C., Moss, E. L., Merrill, B. D., Ng, K. M., Higginbottom, S. K., Casavant, E. P., Gonzalez, C. G., Fremin, B., Bouley, D. M., Elias, J. E., Bhatt, A. S., Huang, K. C., & Sonnenburg, J. L. (2018). Transient Osmotic Perturbation Causes Long-Term Alteration to the Gut Microbiota. Cell, 173(7), 1742–1754.e17. https://doi.org/10.1016/j.cell.2018.05.008

Can understanding the philosophy of intuitive eating help individuals achieve and maintain health goals by breaking free from diets and getting healthy by improving their relationship with food and exercise?

Intuitive Eating

Intuitive eating is a non-diet approach to eating that focuses on listening to the body with internal body cues. Strict food rules are the main reason diets don’t work and negatively impact overall health and well-being. (Linardon, J., & Mitchell, S. 2017) Intuitive eating is characterized by eating in response to physiological hunger and satiety cues rather than emotional cues. The body was born to eat when hungry and stop when full. However, this natural way of eating can get lost in emotions, food rules, and restrictions. Fortunately, getting back to intuitive eating is possible for everyone.

How Does It Work?

Intuitive eating is a non-diet approach that steps away from a diet mentality and applies healthy behaviors around food. It focuses on unlearning external rules, like diet rules and expectations of what and how much to eat, and emphasizes internal cues like hunger, fullness, and how foods make you feel. It is based on principles that help build a healthier relationship with food. Individuals become aware of what to eat, how much to eat, and when to eat naturally, without worry or guilt.

Mindful Eating

Mindful eating is different from intuitive eating. Individuals can think of mindful eating as a skill or practice, while intuitive eating is a philosophy.

Principles

Understanding the ten core principles and how they work together is important. 

Remove The Diet Mentality

Let go of the quick fixes and gimmick diets. These offer false hope that weight loss is easy, quick, and permanent and can make individuals feel like failures for losing and regaining weight.

Honor Hunger

Hunger is a normal, biological process. The body requires adequate amounts of energy and carbohydrates to function properly. Ignoring these cues and hunger can lead to cravings, overeating, and binges. Learning to honor hunger cues sets the stage for rebuilding trust with food. A food scale can help determine proper portions.

Make Friends With Food

Allow yourself unconditional permission to eat what you want. This means including all foods without labeling them as good or bad. Once an individual tells themself they can’t have a certain food, they can feel deprived, and intense cravings can build that often lead to overeating, binges, and extreme food guilt.

Get the Food Police Out Of Your Head

Learn to say no to self-induced thoughts of good or bad based on what is being eaten or how many calories are involved. Diets often say eating too many calories or enjoying a cookie is bad. These rules and restrictions can lower self-esteem and cause feelings of guilt. Removing negative food thoughts, guilt, and other rules is critical to intuitive eating.

Respect The Body's Fullness

Listen for body cues that say you are full. This means your body is no longer hungry and should stop eating. Enjoy the flavors, stay aware of satiety signals throughout meals, and always be aware of your fullness level.

Satisfaction Factor

Learn to find joy and satisfaction in the eating experience. Eating what they want in an inviting environment promotes happiness and satisfaction, and a positive eating experience has been shown to promote satisfaction with even less food.

Honor Feelings Without Using Food

Refrain from fixing problems with food. Learn healthy ways to cope with emotions like stress, anxiety, anger, or boredom without turning to food. Feeding emotional hunger only makes feelings worse and adds guilt to the mix.

Respect Your Body

Body size and shape are unique for each person. Acceptance is an important part of self-respect and love. Instead of being critical, embrace individual genetic blueprints.
Being unrealistic and critical about one's body makes it difficult to reject the diet mentality.

Exercise

Exercise doesn’t have to be intense or extreme to be effective. Individuals should focus on how good it feels to be active and moving their bodies rather than how many calories are burned during the workout sessions. Feeling great and motivated about exercise is easy when there is increased energy, better sleep, and improved quality of life.

Honor Health

Individuals don’t have to be perfect eaters. Infrequently eating a certain snack or meal won’t make you gain weight or cause health problems.
It’s what is eaten consistently over time that matters. Making food choices that taste good and nourish the body is what counts.

Weight Loss Benefits

Intuitive eating is not designed for weight loss. It aims to improve an individual's relationship with food, including building healthier food behaviors and not focusing on the weight scale. However, learning to be an intuitive eater can help individuals lose weight by allowing the body to break the diet cycle and settle into its natural set point weight range.

Overall Health Benefits

Intuitive eating has been shown to have both physical and emotional health benefits that include:

• Higher levels of contentment and satisfaction
• Reduced stress
• Increased self-esteem
• Better body image outlook
• Improved cholesterol levels
• Improved metabolism
• Lower rates of emotional and disordered eating

In a 24-study review that examined the psychosocial effect intuitive eating had on adult women was associated with the following positive results (Bruce, L. J., and Ricciardelli, L. A. 2016)

• Decreased eating disorders
• Improved positive outlook on body image
• Higher emotional functioning

Another study compared restrictive diets and intuitive eating among men and women. The study found that intuitive eating uniquely and consistently presented lower levels of disordered eating and body image concerns. (Linardon, J., & Mitchell, S. 2017) Participants using intuitive eating expressed high levels of body appreciation, and researchers suggested promoting the practice within public health approaches to eating disorder prevention. The study also supported intuitive eating by promoting body acceptance and removing unhealthy thinking about food and eating.

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop a personalized treatment plan through an integrated approach to create personalized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Eating Smart To Feel Better

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, don't hesitate to contact Dr. Alex Jimenez or us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Linardon, J., & Mitchell, S. (2017). Rigid dietary control, flexible dietary control, and intuitive eating: Evidence for their differential relationship to disordered eating and body image concerns. Eating behaviors, 26, 16–22. https://doi.org/10.1016/j.eatbeh.2017.01.008

Bruce, L. J., & Ricciardelli, L. A. (2016). A systematic review of the psychosocial correlates of intuitive eating among adult women. Appetite, 96, 454–472. https://doi.org/10.1016/j.appet.2015.10.012

Can kimchi benefit individuals trying to incorporate more fermented foods into their diet?

Kimchi

Kimchi is a flavorful and nutritious food packed with nutritious vegetables. It is high in vitamin C, vitamin A, and iron. It is made of salted, fermented vegetables and typically served as a side dish that starts with cabbage as the base. Other varieties use different vegetables, like radish, cucumber, and onion. It has minimal calories, a low carb count, zero fat, and health benefits like an abundance of probiotics from its fermentation process.

Nutrition

Kimchi is an excellent source of vitamin C and vitamin A. A typical half-cup of kimchi is 85 grams and provides the following. (U.S. Department of Agriculture. 2017)

• Calories - 20
• Fat - 0g
• Sodium - 290 milligrams
• Carbohydrates - 4 grams
• Fiber - 1 grams
• Sugars - 2 grams
• Protein - 1 grams
• Vitamin C - 18 milligrams
• Iron - 1.08 milligrams
• Vitamin A - 375 micrograms
• Calcium - 40 milligrams

Calories

• A half-cup serving provides 20 calories, about 53% of which are carbohydrates, 21% are protein, and 26% are fat.

Carbohydrates

• Kimchi comprises 4 grams of carbohydrates per serving, with 1 being fiber.
• However, many kimchi recipes add sweeteners, like honey or fruit juice, to balance the sourness.
• More sweeteners means more carbohydrates.

Fats

• Because it is primarily vegetables, it is naturally fat-free.

Protein

• Kimchi isn’t exactly a protein-power player.
• A half-cup serving provides just 1 gram of plant-based protein from veggies.
• However, recipes that include seafood like shrimp or squid will contain higher amounts of this macronutrient.

Vitamins and Minerals

• Vitamins and minerals vary depending on the vegetables used.
• A Napa cabbage-based kimchi includes abundant vitamins C and K and smaller amounts of iron, calcium, copper, and potassium.
• A recipe with carrots will contain significant vitamin A.
• A recipe with radishes will supply folate, potassium, and riboflavin.
• All varieties are made with salt, so sodium is a mineral to watch.
• A half-cup serving may provide nearly 300 milligrams or 13% Daily Value of sodium.

Benefits

Kimchi is a versatile food that can provide health benefits.

Digestion

• The lactic acid that ferments the cabbage also provides healthy gut bacteria.
• Consuming probiotics through kimchi promotes healthy digestion and helps alleviate constipation problems. (Higashikawa, F. et al., 2010)

Compatible with Special Diets

• With simple plant-based ingredients it can be suitable for specialized diets.
• It suits vegan, vegetarian, low-carb, gluten-free, and dairy-free diets.

Immune System Support

• The probiotics in fermented foods improve digestion and may help improve immune function.
• Research has suggested that when individuals stop eating fermented foods, their immune response decreases. (Olivares, M. et al., 2006)
• Vitamin C is recognized to increase immune system health. (National Institutes of Health Office of Dietary Supplements. 2021)

Decrease Inflammation

• Researchers isolated a compound in kimchi called HDMPPA - 3-(4'-hydroxyl-3',5'-dimethoxyphenyl) propionic acid -
  and studied its interaction with inflammatory proteins.
• They discovered that HDMPPA counteracted the proteins' inflammatory effect.
• It is not enough to conclude that kimchi readily reduces inflammation, but further research could help confirm its ability. (Jeong, J. W. et al., 2015)

Improve Asthma Symptoms

• A study of Korean adults with asthma found that the more kimchi they consumed, the less likely they were to experience an asthma attack.
• Further research is needed, but the results are promising. (Kim, H. et al., 2014)

Allergies

• Commercial and home-prepared kimchi is often free of all top eight food allergens—but check ingredient labels to be sure.
• Some preparations, for example, may contain fish sauce, shrimp, or shrimp paste, which are a no-go for those with a fish or shellfish allergy.

Adverse Effects

• Kimchi may have adverse effects on some individuals depending on its preparation.
• It could be high in sodium, which may not be recommended for individuals on a heart-healthy or sodium-restricted diet.
• With high levels of probiotics, it could cause bloating or an upset stomach.
• Individuals sensitive to strong flavors may not enjoy the taste.

Varieties

Traditionally, kimchi is made from cabbage, but a wide variety of vegetables can be substituted for or combined with recipes that use alternative vegetables, spices, or other additions. Some recipes include fish or meat to turn it inta a main dish. Water kimchi is a soup version served in broth. But what makes kimchi is its base of fermented vegetables.

Storage and Safety

Fermentation can be tricky when it comes to food safety. Store-bought or homemade kimchi properly canned in a sterilized jar can be kept at room temperature for up to a week after opening. Stored in the refrigerator, it will stay fresh for three to six months. The beneficial bacteria working and fermentation process is ongoing, making the taste increasingly sour and texture mushier over time. This does not mean the jar has gone bad as long as it has no odd smell or mold.

Preparation

The process is not that complex.

• Select a recipe with vegetables like cabbage, radish, and carrots.
• Slice the vegetables into chunks and rub with salt.
• Leave the vegetables in salt; some recipes include water for several hours to allow fermentation.
• Drain the excess water, then add flavoring ingredients like sweeteners and spices.
• Serve as a side dish with fried rice or noodles, or make it a main course by adding fish, meat, or tofu.

Injury Medical Chiropractic and Functional Medicine Clinic focuses on and treats injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs to relieve pain. Our providers use an integrated approach to create personalized care plans for each patient, to restore health and function to the body through Nutrition and Wellness, Functional Medicine, Acupuncture, Electro-Acupuncture, and Sports Medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them, as Dr. Jimenez has teamed up with the top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

The Healing Diet

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, don't hesitate to contact Dr. Alex Jimenez or us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

U.S. Department of Agriculture. FoodData Central. (2017). Kimchi. Retrieved from https://fdc.nal.usda.gov/fdc-app.html#/food-details/516912/nutrients

Higashikawa, F., Noda, M., Awaya, T., Nomura, K., Oku, H., & Sugiyama, M. (2010). Improvement of constipation and liver function by plant-derived lactic acid bacteria: a double-blind, randomized trial. Nutrition (Burbank, Los Angeles County, Calif.), 26(4), 367–374. https://doi.org/10.1016/j.nut.2009.05.008

Olivares, M., Paz Díaz-Ropero, M., Gómez, N., Sierra, S., Lara-Villoslada, F., Martín, R., Miguel Rodríguez, J., & Xaus, J. (2006). Dietary deprivation of fermented foods causes a fall in innate immune response. Lactic acid bacteria can counteract the immunological effect of this deprivation. The Journal of dairy research, 73(4), 492–498. https://doi.org/10.1017/S0022029906002068

National Institutes of Health Office of Dietary Supplements. (2021). Vitamin C: Fact sheet for health professionals. Retrieved from https://ods.od.nih.gov/factsheets/VitaminC-HealthProfessional/

Jeong, J. W., Choi, I. W., Jo, G. H., Kim, G. Y., Kim, J., Suh, H., Ryu, C. H., Kim, W. J., Park, K. Y., & Choi, Y. H. (2015). Anti-Inflammatory Effects of 3-(4'-Hydroxyl-3',5'-Dimethoxyphenyl)Propionic Acid, an Active Component of Korean Cabbage Kimchi, in Lipopolysaccharide-Stimulated BV2 Microglia. Journal of medicinal food, 18(6), 677–684. https://doi.org/10.1089/jmf.2014.3275

Kim, H., Oh, S. Y., Kang, M. H., Kim, K. N., Kim, Y., & Chang, N. (2014). Association between kimchi intake and asthma in Korean adults: the fourth and fifth Korea National Health and Nutrition Examination Survey (2007-2011). Journal of medicinal food, 17(1), 172–178. https://doi.org/10.1089/jmf.2013.3013

Can knowing which foods to eat help individuals recovering from food poisoning restore gut health?

Food Poisoning and Restoring Gut Health

Food poisoning can be life-threatening. Fortunately, most cases are mild and short-lived and last only a few hours to a few days (Centers for Disease Control and Prevention, 2024). But even mild cases can wreak havoc on the gut, causing nausea, vomiting, and diarrhea. Researchers have found that bacterial infections, like food poisoning, can cause changes in gut bacteria. (Clara Belzer et al., 2014) Eating foods that promote gut healing after food poisoning may help the body recover and feel better faster.

Foods to Eat

After food poisoning symptoms have resolved, one may feel that returning to the usual diet is fine. However, the gut has endured quite an experience, and even though acute symptoms have subsided, individuals may still benefit from foods and drinks that are easier on the stomach. Recommended foods and beverages after food poisoning include: (National Institute of Diabetes and Digestive and Kidney Diseases. 2019)

• Gatorade
• Pedialyte
• Water
• Herbal tea
• Chicken broth
• Jello
• Applesauce
• Crackers
• Toast
• Rice
• Oatmeal
• Bananas
• Potatoes

Hydration after food poisoning is crucial. Individuals should add other nutritious and hydrating foods, like chicken noodle soup, which helps because of its nutrients and fluid content. The diarrhea and vomiting that accompany the illness can leave the body severely dehydrated. Rehydrating beverages help the body replace lost electrolytes and sodium. Once the body is rehydrated and can hold down bland foods, slowly introduce foods from a regular diet. When resuming the usual diet after rehydration, eating small meals frequently, every three to four hours, is recommended instead of eating a large breakfast, lunch, and dinner meal daily. (Andi L. Shane et al., 2017) When choosing Gatorade or Pedialyte, remember that Gatorade is a sports-rehydrating drink with more sugar, which could irritate an inflamed stomach. Pedialyte is designed for rehydrating during and after illness and has less sugar, making it a better option. (Ronald J Maughan et al., 2016)

When Food Poisoning Is Active Foods To Avoid

During food poisoning, individuals typically do not feel like eating at all. However, to avoid worsening the illness, Individuals are recommended to avoid the following while actively ill (Ohio State University. 2019)

• Caffeinated drinks and alcohol can further dehydrate.
• Greasy foods and high-fiber foods are hard to digest.
• Foods and beverages high in sugar can cause the body to produce high glucose levels and weaken the immune system. (Navid Shomali et al., 2021)

Recovery Time and Resuming Regular Diet

Food poisoning doesn't last long, and most uncomplicated cases are resolved within a few hours or days. (Centers for Disease Control and Prevention, 2024) Symptoms depend on the type of bacteria. Individuals may become ill within minutes of consuming contaminated food up to two weeks later. For example, Staphylococcus aureus bacteria generally cause symptoms almost immediately. On the other hand, listeria may take up to a couple of weeks to cause symptoms. (Centers for Disease Control and Prevention, 2024) Individuals can resume their usual diet once symptoms are gone, the body is thoroughly hydrated and can hold down bland foods. (Andi L. Shane et al., 2017)

Recommended Gut Foods Post Stomach Virus

Gut-healthy foods can help restore the gut microbiome or all the living microorganisms in the digestive system. A healthy gut microbiome is essential for immune system functioning. (Emanuele Rinninella et al., 2019) Stomach viruses can disrupt the balance of gut bacteria. (Chanel A. Mosby et al., 2022) Eating certain foods may help restore the gut balance. Prebiotics, or indigestible plant fibers, can help break down in the small intestines and allow the beneficial bacteria to grow. Prebiotic foods include: (Dorna Davani-Davari et al., 2019)

• Beans
• Onions
• Tomatoes
• Asparagus
• Peas
• Honey
• Milk
• Banana
• Wheat, barley, rye
• Garlic
• Soybean
• Seaweed

In addition, probiotics, which are live bacteria, may help increase the number of healthy bacteria in the gut. Probiotic foods include: (Harvard Medical School, 2023)

• Pickles
• Sourdough bread
• Kombucha
• Sauerkraut
• Yogurt
• Miso
• Kefir
• Kimchi
• Tempeh

Probiotics can also be taken as a supplement and come in tablets, capsules, powders, and liquids. Because they contain live bacteria, they need to be refrigerated. Healthcare providers sometimes recommend taking probiotics when recovering from a stomach infection. (National Institute of Diabetes and Digestive and Kidney Diseases, 2018) Individuals should consult their healthcare provider to see whether this option is safe and healthy.

At Injury Medical Chiropractic and Functional Medicine Clinic, we treat injuries and chronic pain syndromes by developing personalized treatment plans and specialized clinical services focused on injuries and the complete recovery process. If other treatment is needed, individuals will be referred to a clinic or physician best suited to their injury, condition, and/or ailment.

Learning About Food Substitutions

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Centers for Disease Control and Prevention. (2024). Food poisoning symptoms. Retrieved from https://www.cdc.gov/foodsafety/symptoms.html

Belzer, C., Gerber, G. K., Roeselers, G., Delaney, M., DuBois, A., Liu, Q., Belavusava, V., Yeliseyev, V., Houseman, A., Onderdonk, A., Cavanaugh, C., & Bry, L. (2014). Dynamics of the microbiota in response to host infection. PloS one, 9(7), e95534. https://doi.org/10.1371/journal.pone.0095534

National Institute of Diabetes and Digestive and Kidney Diseases. (2019). Eating, diet, & nutrition for food poisoning. Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/food-poisoning/eating-diet-nutrition

Shane, A. L., Mody, R. K., Crump, J. A., Tarr, P. I., Steiner, T. S., Kotloff, K., Langley, J. M., Wanke, C., Warren, C. A., Cheng, A. C., Cantey, J., & Pickering, L. K. (2017). 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 65(12), e45–e80. https://doi.org/10.1093/cid/cix669

Maughan, R. J., Watson, P., Cordery, P. A., Walsh, N. P., Oliver, S. J., Dolci, A., Rodriguez-Sanchez, N., & Galloway, S. D. (2016). A randomized trial to assess the potential of different beverages to affect hydration status: development of a beverage hydration index. The American journal of clinical nutrition, 103(3), 717–723. https://doi.org/10.3945/ajcn.115.114769

Ohio State University. Kacie Vavrek, M., RD, CSSD Ohio State University. (2019). Foods to avoid when you have the flu. https://health.osu.edu/wellness/exercise-and-nutrition/foods-to-avoid-with-flu

Shomali, N., Mahmoudi, J., Mahmoodpoor, A., Zamiri, R. E., Akbari, M., Xu, H., & Shotorbani, S. S. (2021). Harmful effects of high amounts of glucose on the immune system: An updated review. Biotechnology and applied biochemistry, 68(2), 404–410. https://doi.org/10.1002/bab.1938

Rinninella, E., Raoul, P., Cintoni, M., Franceschi, F., Miggiano, G. A. D., Gasbarrini, A., & Mele, M. C. (2019). What is the Healthy Gut Microbiota Composition? A Changing Ecosystem across Age, Environment, Diet, and Diseases. Microorganisms, 7(1), 14. https://doi.org/10.3390/microorganisms7010014

Mosby, C. A., Bhar, S., Phillips, M. B., Edelmann, M. J., & Jones, M. K. (2022). Interaction with mammalian enteric viruses alters outer membrane vesicle production and content by commensal bacteria. Journal of extracellular vesicles, 11(1), e12172. https://doi.org/10.1002/jev2.12172

Davani-Davari, D., Negahdaripour, M., Karimzadeh, I., Seifan, M., Mohkam, M., Masoumi, S. J., Berenjian, A., & Ghasemi, Y. (2019). Prebiotics: Definition, Types, Sources, Mechanisms, and Clinical Applications. Foods (Basel, Switzerland), 8(3), 92. https://doi.org/10.3390/foods8030092

Harvard Medical School. (2023). How to get more probiotics. https://www.health.harvard.edu/staying-healthy/how-to-get-more-probiotics

National Institute of Diabetes and Digestive and Kidney Diseases. (2018). Treatment of viral gastroenteritis. Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/viral-gastroenteritis/treatment

For individuals dealing with ulcerative colitis, can acupuncture treatment benefit those with UC and other GI-related issues?

Acupuncture For Ulcerative Colitis

Acupuncture has been used to treat symptoms related to pain and inflammation. Studies suggest it may help reduce inflammation and symptoms like diarrhea and abdominal pain, which could benefit individuals with inflammatory bowel disease. Individuals with ulcerative colitis, an inflammatory bowel disease/IBD affecting the large intestine, may find acupuncture beneficial in managing symptoms, including pain and gastrointestinal symptoms. (Crohn's and Colitis Foundation, 2019)

• There are 2,000 acupoints in the body connected by pathways known as meridians. (Wilkinson J, Faleiro R. 2007)
• The pathways connecting the acupoints generate energy, which contributes to overall health.
• A disruption to the energy flow can cause injury, illness, or disease.
• When acupuncture needles are inserted, energy flow and health are improved.

Benefits

Acupuncture can be used for the relief of various conditions. Studies have shown that acupuncture can reduce inflammation and disease activity in individuals with an IBD, like UC and Crohn's disease. It can help with: (Gengqing Song et al., 2019)

• Pain symptoms
• Gut microbiome imbalances 
• Gut motor dysfunction
• Intestinal barrier function
• Anxiety
• Depression

Studies suggest the use of acupuncture with heat, known as moxibustion, can improve several GI symptoms including (Crohn's and Colitis Foundation, 2019)

• Bloating
• Abdominal pain
• Constipation
• Gas
• Diarrhea
• Nausea

It is effective in the treatment of digestive issues that include: (Johns Hopkins Medicine. 2024)

• Gastritis
• Irritable bowel syndrome/IBS
• Hemorrhoids
• Hepatitis

Reduces Pain and Inflammation

• Acupuncture treatment works by releasing endorphins, which help reduce pain. (Harvard Medical School. 2016)
• Applying pressure to acupoints triggers the central nervous system.
• This is believed to cause the release of chemicals that stimulate the body's healing mechanisms. (Johns Hopkins Medicine. 2024)
• Studies have also found acupuncture can trigger the production of cortisol.
• This hormone helps control inflammation. (Arthritis Foundation. N.D.)
• Studies found the use of acupuncture along with moxibustion reduced inflammation in individuals with Crohn's disease and ulcerative colitis. (Crohn's and Colitis Foundation, 2019)

Stress and Mood

Chronic conditions like ulcerative colitis can cause feelings of depression and/or anxiety. Acupuncture may be used to address symptoms related to stress and mood and can benefit emotional health issues that include: (Johns Hopkins Medicine. 2024)

• Insomnia
• Anxiety
• Nervousness
• Depression
• Neurosis - mental health condition characterized by chronic distress and anxiety.

Side Effects

Acupuncture is considered a safe practice. The most common side effects are: (GI Society. 2024)

• Bruising
• Minor bleeding
• Increased pain
• Fainting can occur due to needle shock.
• Needle shock can cause dizziness, feeling faint, and nausea. (Harvard Medical School. 2023)
• Needle shock is rare but more common in individuals:
• Who are regularly nervous.
• Who are nervous around needles.
• Who are new to acupuncture.
• Who have a history of fainting.
• Who are extremely fatigued.
• Who have low blood sugar.

For some, GI symptoms may worsen before they improve. It is recommended to try at least five sessions as this is part of the healing process. (Cleveland Clinic. 2023)  However, individuals should contact their doctor if symptoms become severe or last more than two days. (GI Society. 2024) Individuals considering acupuncture to help manage symptoms of ulcerative colitis should speak with their healthcare provider to help determine the appropriate treatment and where to start.

Gastro-Intestinal Dysfunction Treatment

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Crohn's and Colitis Foundation. (2019). Acupuncture in Inflammatory Bowel Disease. IBDVisible Blog. https://www.crohnscolitisfoundation.org/blog/acupuncture-inflammatory-bowel-disease

Wilkinson J, Faleiro R. (2007). Acupuncture in pain management. Continuing Education in Anaesthesia, Critical Care and Pain. 7(4), 135-138. https://doi.org/10.1093/bjaceaccp/mkm021

Johns Hopkins Medicine. (2024). Acupuncture (Health, Issue. https://www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

Song, G., Fiocchi, C., & Achkar, J. P. (2019). Acupuncture in Inflammatory Bowel Disease. Inflammatory bowel diseases, 25(7), 1129–1139. https://doi.org/10.1093/ibd/izy371

Harvard Medical School. (2016). Relieving pain with acupuncture. Harvard Health Blog. https://www.health.harvard.edu/healthbeat/relieving-pain-with-acupuncture

Arthritis Foundation. (N.D.). Acupuncture for Arthritis. Health Wellness. https://www.arthritis.org/health-wellness/treatment/complementary-therapies/natural-therapies/acupuncture-for-arthritis

Harvard Medical School. (2023). Acupuncture: what is it? Harvard Health Publishing Harvard Medical School Blog. https://www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.

Cleveland Clinic. (2023). Acupuncture. Health Library. https://my.clevelandclinic.org/health/treatments/4767-acupuncture

GI Society. (2024). Acupuncture and Digestion. badgut.org. https://badgut.org/information-centre/a-z-digestive-topics/acupuncture-and-digestion/

Motor vehicle accidents (MVAs) are a leading cause of trauma-related injuries in the United States. While much attention is given to head, neck, and spine damage, abdominal and gastrointestinal (GI) injuries are frequently overlooked—especially when symptoms are delayed. However, car crashes can seriously harm the digestive system due to blunt force trauma, compression from seatbelts, or stress-induced GI issues. These injuries can result in internal bleeding, perforated organs, disrupted digestion, or even life-threatening infections.

Many people don’t realize that seatbelts, while life-saving, can cause bruising or tearing of abdominal organs like the liver, spleen, or intestines. Furthermore, the impact of blunt force trauma from airbag deployment or dashboard collisions can lead to serious internal damage that takes hours or even days to show up. Symptoms may include bloating, hard stomach, diarrhea, constipation, nausea, or abdominal pain—all signs of possible GI trauma.

Fortunately, a dual-scope approach that blends conventional care with chiropractic, nurse practitioner support, acupuncture, and integrative medicine can play a significant role in recovery. Dr. Alexander Jimenez, DC, APRN, FNP-BC, a dual-licensed chiropractor and nurse practitioner in El Paso, specializes in diagnosing and treating post-accident injuries through this unique approach. By combining advanced diagnostic imaging, functional medicine, and hands-on therapy, Dr. Jimenez offers a comprehensive path to healing that addresses both the visible symptoms and underlying causes of gastrointestinal distress following an accident.

The Barnes Firm, 2024

The Hidden Danger of Abdominal Injuries in Auto Accidents

Gastrointestinal injuries from MVAs can be life-threatening if left undiagnosed. According to autopsy and trauma studies, injuries to the liver, spleen, intestines, and kidneys frequently occur in high-speed crashes or when the body absorbs significant force (BMC Emergency Medicine, 2024). These injuries might not be visible externally, which makes them especially dangerous.

Even when the skin looks unbroken, internal organs may be bruised, lacerated, or perforated. The most common causes of GI trauma in car crashes include:

• Seatbelt syndrome: Internal bruising, bowel injury, or mesenteric tears caused by the seatbelt's sudden compression.

• Blunt force trauma: Injury to the stomach, intestines, or spleen from impact with the steering wheel or dashboard.

• Stress-related complications: Gastritis, ulcers, and irritable bowel syndrome (IBS) can develop from post-accident anxiety or shock.

A study in BMC Emergency Medicine found that even in non-penetrating injuries, internal organ damage was reported in more than 10% of front-seat passengers. Signs such as a hard abdomen, referred shoulder pain, or blood in the stool should never be ignored (BMC Emergency Medicine, 2024).

Dr. Alexander Jimenez uses advanced diagnostics—including ultrasound, MRI, and CT scans—to detect hidden abdominal damage. His dual-scope practice allows him to assess both physical trauma and systemic symptoms, helping prevent complications like infection, organ failure, or chronic gastrointestinal dysfunction.

Plaxen Adler Muncy, 2024

Delayed Stomach Pain: A Red Flag for Internal Damage

It’s common for stomach pain to show up hours or days after an accident, especially if adrenaline masked the symptoms immediately after the crash. Many individuals dismiss early signs of discomfort, thinking it’s just soreness or stress. However, this can be a dangerous mistake.

Delayed symptoms may include:

• Bloating or abdominal swelling

• Sudden nausea or vomiting

• Pain when pressing the belly

• Fever or chills

• Loss of appetite

These signs may indicate bleeding, internal rupture, or peritonitis—all of which require urgent medical care (Smith & Hassler, 2024). For instance, a ruptured spleen may cause pain in the upper left abdomen and referred pain in the shoulder. Similarly, bowel perforation can lead to infection and sepsis.

Dr. Jimenez has treated numerous El Paso patients who delayed care after their car accidents. Through careful history-taking and full-body diagnostic workups, he uncovers the underlying injuries causing GI symptoms. His integrative treatments include:

• Chiropractic adjustments to relieve spinal misalignments that may disrupt vagus nerve function and gut-brain signaling.

• Acupuncture to reduce inflammation and enhance parasympathetic activity for better digestion.

• Nutritional protocols to heal the gut lining and promote microbiome balance.

Early diagnosis is crucial. Dr. Jimenez emphasizes that anyone experiencing delayed abdominal symptoms after a crash should undergo a comprehensive evaluation, even if the pain seems mild.

Smith & Hassler Injury Lawyers, 2024

Seatbelt Syndrome and Gastrointestinal Compression Injuries

Seatbelts save lives. But during high-speed collisions, they can also cause what doctors refer to as “seatbelt syndrome”—a cluster of injuries affecting the abdominal organs, spine, and soft tissue structures across the torso. The most commonly affected areas are the small intestine, colon, liver, spleen, pancreas, and kidneys.

Seatbelt-related GI trauma often presents with:

• Horizontal bruising or abrasions across the lower abdomen (the “seatbelt sign”)

• Internal bleeding or hematomas

• Mesenteric tears (damage to the membrane that holds the intestines in place)

• Bowel perforation or rupture

I

n a study of autopsy cases from road traffic accidents, abdominal trauma from seatbelts was a major factor in cases involving internal bleeding and fatal injury (ResearchGate, 2022). Additionally, the Rhône Road Trauma Registry noted that over 10% of front-seat passengers sustained abdominal injuries during collisions (PMCID: PMC3503429, 2012).

According to Dr. Alexander Jimenez, seatbelt syndrome is one of the most underdiagnosed causes of chronic abdominal pain after MVAs. Patients often experience vague or shifting symptoms such as cramps, bloating, or constipation. Using MRI and CT imaging, Dr. Jimenez can detect mesenteric tears or hidden hematomas that primary care clinics may miss. Once the root injury is identified, chiropractic care, spinal decompression, and neuromuscular rehabilitation are used to realign the core and support gut healing.

ResearchGate, 2022
National Library of Medicine, 2012

How Stress and Trauma Disrupt Gut Function

Physical injuries aren’t the only culprits behind GI problems after a car accident. The emotional trauma of an accident can affect the digestive system by triggering or worsening conditions such as:

• Irritable Bowel Syndrome (IBS)

• Stress-induced gastritis

• Ulcer formation

• Appetite changes and nausea

The brain and the gut are connected through the gut-brain axis, which includes the vagus nerve, the enteric nervous system, and multiple hormonal pathways. After a traumatic event, the sympathetic nervous system (fight or flight response) becomes overactive. This can suppress digestion, reduce blood flow to the gut, and disrupt the microbiome—leading to pain, bloating, or diarrhea (Michigan Auto Law, 2024).

Dr. Jimenez frequently treats patients who develop post-accident IBS symptoms, including urgent bowel movements, food sensitivities, or fluctuating constipation and diarrhea. Using acupuncture and chiropractic adjustments focused on the vagus nerve, he helps reactivate the parasympathetic (rest and digest) system, allowing the GI tract to heal naturally. He also integrates stress-reducing tools like:

• Functional nutrition protocols to repair the gut lining

• Adaptogenic herbs to support adrenal health

• Guided breathing and vagal nerve stimulation techniques

This mind-body approach helps stabilize both the nervous and digestive systems, making it ideal for treating post-MVA GI dysfunction that’s driven by trauma.

Michigan Auto Law, 2024

Dr. Alexander Jimenez’s Dual-Scope Diagnostic Approach

Dr. Alexander Jimenez brings a unique perspective to post-accident recovery. As both a Doctor of Chiropractic (DC) and Advanced Practice Registered Nurse (APRN, FNP-BC), he blends medical diagnostics with hands-on therapy—an approach that’s rare and highly effective in personal injury care.

Key Features of Dr. Jimenez’s Dual-Scope Method:

• Medical Assessment: Orders and interprets labs, imaging (MRI, CT, X-ray), and GI tests (e.g., stool studies, abdominal ultrasound).

• Chiropractic Evaluation: Assesses spinal alignment, nerve interference, and soft tissue dysfunction linked to digestive or abdominal symptoms.

• Functional Medicine Testing: Evaluates microbiome imbalances, leaky gut markers, and food sensitivities.

• Documentation for Legal Claims: Provides full personal injury reports, SOAP notes, ICD-10 codes, and collaborates with attorneys on medical-legal cases.

This dual-scope capacity allows him to bridge the gap between emergency room medicine and ongoing rehabilitation. For example, if a patient presents with delayed abdominal pain and fatigue, Dr. Jimenez will evaluate for internal injury using clinical palpation, nerve function tests, and functional GI diagnostics.

If red flags appear—such as rebound tenderness or guarding—he may refer for emergency imaging. But if structural injury is ruled out, he can offer drug-free interventions to address inflammation, nervous system imbalance, and microbiome disruption.

Patients benefit because they get both diagnostic clarity and holistic recovery strategies under one roof. This reduces medical errors, improves recovery time, and ensures complete documentation for insurance and legal cases.

Dr. Alexander Jimenez on LinkedIn
Dr. Jimenez’s Clinical Website

Chiropractic and Acupuncture in Treating Abdominal Injuries

Chiropractic care is often associated with back and neck injuries, but it also plays a crucial role in addressing gastrointestinal dysfunctions following a motor vehicle accident. When the spinal column is misaligned—particularly in the thoracic or lumbar regions—it can interfere with the nerves that control digestive organs. This interference may worsen issues such as abdominal pain, constipation, acid reflux, or irregular bowel movements.

Dr. Alexander Jimenez explains that spinal adjustments are not just about alignment—they improve the function of the autonomic nervous system, which directly impacts digestion. For example, correcting subluxations in the lower thoracic spine can relieve pressure on the nerves that regulate the liver, stomach, and intestines. In addition to chiropractic therapy, acupuncture has proven helpful for reducing:

• Nausea and vomiting

• Abdominal bloating or distention

• Pain from abdominal wall contusions

• Sympathetic nervous system overdrive (i.e., chronic stress)

A study published in BMC Emergency Medicine emphasized the importance of managing blunt abdominal trauma through multimodal care, especially when patients suffer from lingering pain despite normal imaging (BMC Emergency Medicine, 2024). In these cases, acupuncture helps activate natural pain relief pathways and restore gut motility. At his El Paso clinic, Dr. Jimenez frequently combines:

• Segmental spinal adjustments

• Myofascial release around the abdomen

• Auricular (ear-based) acupuncture

• Electroacupuncture on GI-related points

This integrated approach can help relieve symptoms when medication alone is insufficient or causes side effects.

BMC Emergency Medicine, 2024

The Role of Integrative Nutrition and Functional Medicine

Gastrointestinal injuries from car accidents can leave lasting effects on digestion, nutrient absorption, and gut-brain communication. After the initial trauma is treated, patients often face long-term symptoms like:

• Poor appetite or food intolerance

• Constipation or diarrhea

• Nutritional deficiencies

• Fatigue or mood changes related to gut dysfunction

Dr. Jimenez incorporates functional medicine protocols to rebuild gut integrity. He often begins with a “4R” strategy for post-trauma digestive repair:

1. Remove irritants (e.g., processed foods, allergens, antibiotics)

2. Replace digestive enzymes or bile acids if impaired

3. Reinoculate with probiotics to restore microbiome balance

4. Repair with nutrients like zinc, glutamine, omega-3s, and antioxidants

For example, after blunt force trauma or internal bruising from a seatbelt, the gut’s mucosal lining may become inflamed or compromised—resulting in increased intestinal permeability (commonly referred to as “leaky gut”). This can trigger systemic inflammation and immune reactions.

Dr. Jimenez utilizes stool analysis, food sensitivity testing, and micronutrient assessments to personalize each patient's nutritional plan. He may recommend anti-inflammatory foods, medicinal herbs like turmeric and licorice root, or advanced formulations designed to seal the gut lining. In his integrative clinic setting, patients also receive education on how to:

• Eat small, frequent meals during gut healing

• Incorporate gut-friendly foods (bone broth, aloe vera juice, fermented vegetables)

• Avoid common triggers such as NSAIDs, caffeine, or dairy (when necessary)

By blending nutritional science with functional testing, Dr. Jimenez helps car accident victims heal not just their gut—but their overall health and energy.

Maguire Law Firm, 2024
Fletcher Law, 2024

Legal-Medical Documentation and Personal Injury Support

Many gastrointestinal issues caused by car accidents are not immediately obvious, which can complicate insurance and legal claims. Insurance companies may argue that abdominal pain or digestive symptoms are unrelated to the accident unless they are properly documented. This is where Dr. Jimenez’s dual-scope training becomes invaluable. As both a licensed chiropractor and nurse practitioner, he can:

• Provide a full injury diagnosis

• Document gastrointestinal symptoms and internal injuries

• Order imaging or lab tests to confirm organ involvement

• Submit medical records for legal use

• Work with personal injury attorneys to support the patient's case

For instance, if a patient develops delayed diarrhea, abdominal tenderness, and internal bruising after an accident, Dr. Jimenez can document these symptoms in both narrative reports and SOAP notes. He codes them accurately using ICD-10 standards, which are accepted by insurance companies and courts.

When necessary, he also refers patients to gastroenterologists, trauma surgeons, or radiologists for collaboration. His team coordinates care while ensuring all symptoms are traced back to the MVA if clinically justified. This level of integrated documentation is critical when:

• Patients seek compensation for long-term GI issues

• Imaging is negative, but symptoms persist

• Legal cases require expert testimony linking trauma to internal organ damage

By combining his clinical and legal insight, Dr. Jimenez becomes an advocate for both healing and justice, ensuring patients aren’t left suffering without acknowledgment or support.

Smith & Hassler, 2024
Lorfing Law, 2024

Conclusion: Healing the Gut After a Car Crash with Integrative Care

The gastrointestinal system is more vulnerable than most people realize after a motor vehicle accident. Whether from blunt force trauma, seatbelt compression, or psychological stress, the gut often suffers in silence—its symptoms dismissed or misdiagnosed as minor discomfort. Yet delayed abdominal pain, diarrhea, bloating, or appetite changes may all signal a more serious internal problem.

As we’ve explored, these hidden injuries require more than just emergency care. They demand a full-body, multi-disciplinary approach—one that examines the nervous system, musculoskeletal alignment, digestive health, and emotional trauma together. That’s where integrative medicine truly shines.

Under the care of experts like Dr. Alexander Jimenez, DC, APRN, FNP-BC, patients benefit from a dual-scope method that blends diagnostics, chiropractic adjustments, acupuncture, and nutrition-based healing. This approach doesn’t just patch the problem—it uncovers the root, supports the whole body, and helps accident victims return to their lives with renewed strength and confidence.

If you or someone you love is experiencing persistent abdominal pain, nausea, or digestive problems after an accident—don’t wait. Early intervention and integrative care may prevent serious complications and improve your long-term quality of life.

Recovery Tips: Supporting Your Digestive System After an MVA

Here are a few simple but effective strategies to promote gastrointestinal recovery following an auto accident:

1. Seek a full evaluation – Even if your symptoms are mild, abdominal pain should be assessed with imaging and physical examination.

2. Don’t ignore delayed symptoms – Pain, bloating, or diarrhea that starts days or weeks after a crash could still be related.

3. Watch for red flags – A hard abdomen, vomiting, fever, or blood in your stool requires emergency attention.

4. Follow a gut-healing diet – Stick to anti-inflammatory foods (bone broth, cooked veggies, lean protein, turmeric) and avoid processed items.

5. Consider chiropractic or acupuncture – These therapies can restore nervous system balance, improve blood flow to digestive organs, and reduce pain.

6. Use functional testing when appropriate – This can identify food sensitivities, leaky gut, or microbiome imbalances that slow recovery.

7. Document everything for your legal case – Keep a symptom journal and work with providers who understand personal injury claims.

Remember: The gut is often the silent victim in car accidents—but with the right care, it doesn’t have to suffer in silence.

Chiropractic Care for Healing After Trauma

References

• Barnes Firm. (2024). Delayed stomach pain after a car accident. https://www.thebarnesfirm.com/delayed-stomach-pain-after-a-car-accident

• Smith & Hassler Injury Lawyers. (2024). Stomach pain after a car accident. https://www.smithandhassler.com/articles/stomach-pain-after-car-accident

• Maguire Law Firm. (2024). Gastrointestinal distress after car accidents. https://maguirelawfirm.com/stomach-pain-after-a-car-accident

• Lorfing Law. (2024). Hard stomach after a Texas car accident. https://lorfinglaw.com/blog/stomach-rigid-hard-after-car-accident-texas

• Plaxen Adler Muncy. (2024). Abdominal injuries from vehicle crashes. https://www.plaxenadler.com/2024/07/16/abdominal-injuries-from-vehicle-crashes

• BMC Emergency Medicine. (2024). Trauma in car crash victims. https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-024-01002-0

• National Library of Medicine. (2012). Blunt abdominal trauma and road accidents. https://pmc.ncbi.nlm.nih.gov/articles/PMC3503429

• ResearchGate. (2022). Autopsy study on abdominal injuries in traffic accidents. https://www.researchgate.net/publication/360421866_Abdominal_injuries_in_road_traffic_accidents_-_autopsy_study

• Michigan Auto Law. (2024). Stomach pain and diarrhea after car crash. https://www.michiganautolaw.com/personal-injury-lawyer/stomach-pain-diarrhea-after-car-accident

• Fletcher Law USA. (2024). Internal injuries after Texas car accident. https://www.fletcherlawusa.com/blog/stomach-pain-after-a-texas-car-accident

• Patterson Personal Injury. (2024). Common pelvic and abdominal injuries from car crashes. https://pattersonpersonalinjury.com/common-car-injuries/pelvic-abdominal-injury

• UpToDate. (2024). Blunt abdominal trauma in adults. https://www.uptodate.com/contents/blunt-abdominal-trauma-in-adults-initial-evaluation-and-management/print

• Dr. Alexander Jimenez. (2024). Functional medicine and injury diagnostics. https://dralexjimenez.com

• Dr. Alexander Jimenez. (2024). Professional profile on LinkedIn. https://www.linkedin.com/in/dralexjimenez

Histamine intolerance can impact your well-being. Find out what it is and how to address it in your daily life.

Introduction

How often does your stomach experience pain or have a burning sensation after eating food? Does your skin feel warm and itchy after eating a certain food? Or have you noticed that you are sneezing constantly, which causes your upper muscles to start to ache? Many individuals experiencing these situations could be dealing with a histamine attack affecting their bodies and immune systems. In today’s article, we will look at histamine’s role in the body and its symptoms, what causes histamine intolerance, and strategic dietary interventions that may help reduce histamine-related reactions in the body.

What Is Histamine?

When it comes to the human body, the immune system is the body’s first line of defense against any foreign invaders in the body. Histamine plays an essential role in the human body. As a chemical messenger, it helps regulate immune and inflammatory responses and stomach acid secretion and acts as a neurotransmitter in the brain. It’s naturally produced by mast cells, basophils, and certain neurons and is also found in many foods. Histamine binds to histamine receptors (H1, H2, H3, and H4) throughout the body. (Patel & Mohiuddin, 2025) These receptors mediate processes such as:

• Vasodilation (widening of blood vessels)
• Gastric acid secretion
• Smooth muscle contraction
• Neurological signaling
• Immune system activation

In short, histamine is essential for maintaining homeostasis and defending against pathogens. However, balance is key. Excessive histamine—especially when the body can’t efficiently degrade it—leads to symptoms commonly mistaken for allergies, gastrointestinal disorders, or hormone imbalance.

What Is Histamine Intolerance

Histamine intolerance is not a true allergy. Instead, it refers to a reduced ability to break down histamine in the body, often due to insufficient levels of the enzymes diamine oxidase (DAO) or histamine-N-methyltransferase (HNMT), both of which are responsible for metabolizing histamine. (Comas-Baste et al., 2020) When these enzymes are impaired or overwhelmed, histamine accumulates and causes a cascade of symptoms that may be chronic, intermittent, or situational, depending on dietary intake, gut health, hormone levels, and environmental factors.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

For individuals dealing with digestive issues and conditions, can incorporating Tai Chi help improve gut health?

Tai Chi For Gut Health

Tai Chi is an exercise that has been referred to as moving meditation. The practice is rooted in Chinese medicine, which fuses martial arts and meditation. The art of Tai Chi is used to improve physical health. It can also positively impact gut health by improving digestive function, reducing inflammation, and influencing the gut microbiota composition. The slow, controlled movements and deep breathing can stimulate abdominal and pelvic organs, promoting digestion. Additionally, it has been shown to reduce inflammation in the gut and increase the diversity of gut bacteria, including beneficial butyrate-producing bacteria. (Kang D., Wang X., & Wang J., 2023)

Types

The idea is to slow down your mind and body by repeating rhythmic choreography and breathwork for about 30 to 60 minutes, culminating in finding a sense of inner peace and tranquility.

Primary Forms/Styles

These include Chen, Yang, Wu, Sun, and Wu/Hao. Each follows the same origins and principles with variations. (Tai Chi for Health Institute, 2007)

Chen Style

• Considered the oldest and original style, the Chen style is characterized by explosive power, low stances, and a combination of fast and slow movements, including jumping, kicking, and striking.
• Chen also utilizes a movement called "silk reeling," a spiral-esque, flowing movement that starts at the feet and moves into the hands.

Yang Style

• Yang is often considered the most popular form of Tai Chi and is practiced worldwide.
• Yang Tai Chi focuses more on improving flexibility through grand, sweeping movements executed slowly and gracefully.

Wu Style

• Wu Tai Chi emphasizes small, compact movements and a medium stance. Its focus is on extending the body by leaning forward and backward.

Sun Style

• Sun Tai Chi combines elements of Tai Chi, Xing Yi, and Ba Gua, resulting in a unique style with fluid, circular movements.

Hao Style

• This style is characterized by small-frame movements focusing on accurate position and internal strength.

Gut Health

By improving various aspects of gut health, Tai Chi can contribute to overall well-being. (Kang D., Wang X., & Wang J., 2023)

Relieves Stress and Anxiety

• Stress can lead to digestive problems
• Tai Chi can indirectly benefit gut health by reducing stress levels.
• Its emphasis on slow movements and deep breathing can help reduce stress.
• Combining meditative practices with physical movement can help calm the mind, improve focus, and even trigger the release of endorphins.

Improved Digestion

• Gentle, flowing movements, particularly those involving the diaphragm, can massage and stimulate the abdominal and pelvic organs, aiding the digestive process.

Reduced Inflammation

• Tai Chi can help reduce gut inflammation, a common issue in conditions like inflammatory bowel disease (IBD).

Gut Microbiota Changes

• Tai Chi has been found to positively influence the gut microbiota composition, increasing the diversity and abundance of beneficial bacteria.

Improved Gut Barrier Function

• Tai Chi may help improve the integrity of the gut barrier, which is essential for preventing harmful substances from entering the bloodstream and causing inflammation.

Increased Butyrate Production

• Tai Chi can promote the growth of butyrate-producing bacteria, which are important for intestinal health and can reduce inflammation.

Overall Health Benefits

Increases Cognitive Function

• In addition to improving your mental well-being, Tai Chi has also been found to boost cognitive abilities.
• A meta-analysis stated that physical exercise, in general, improves cognitive function, and researchers specifically recommended Tai Chi for elderly individuals since it’s a gentler and more accessible form of physical exercise that also combines mental exercises through repeated choreography. (Yin Wu, et al., 2013)

Increases Flexibility and Agility

• Similar to yoga, Tai Chi often involves body extensions that can improve flexibility and agility.
• This is useful in daily activities and makes you more agile and capable in other sports.

Improves Balance and Coordination

• In addition to improving flexibility and agility, the intricate movements can help balance and coordination.
• This skill is useful in daily life.
• It can help with fine motor skills and even prevent trips, stumbles, falls, and other sports.

Enhances Strength and Stamina

• As with any form of physical exercise, Tai Chi can build upon existing strength and stamina.
• With ongoing practice, individuals become leaner, their muscles are more defined, and they can exercise longer.

Injury Medical Chiropractic & Functional Medicine Clinic

Talk to a healthcare provider to learn what interventions would help the most. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, and prevent injury. Regarding musculoskeletal pain, specialists like chiropractors, acupuncturists, and massage therapists can help mitigate the pain through spinal adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal issues.

Body Maintenance

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice. Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol. To discuss the subject matter above further, please contact Dr. Alex Jimenez or us at 915-50-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Kang, D., Wang, X., & Wang, J. (2023). Intervention study of tai chi training on the intestinal flora of college student basketball players. Medicine, 102(36), e35044. https://doi.org/10.1097/MD.0000000000035044

Wu Y, W. Y., Burgess EO, Wu J. (2013). The effects of Tai Chi exercise on cognitive function in older adults: A meta-analysis. Journal of Sport and Health Science, 2(4), 193-203. https://doi.org/https://doi.org/10.1016/j.jshs.2013.09.001

Tai Chi for Health Institute. (2018). History of Tai Chi. https://taichiforhealthinstitute.org/history-of-tai-chi/#:~:text=Based%20on%20Qigong%20and%20martial%20art%20techniques,It%20contains%20explosive%20power%20and%20low%20stances.

Can adding dates to one's diet be nutritious and provide various health benefits for individuals looking for a naturally sweet snack?

Dates

Dates are a type of dried fruit from the date palm tree. Dates are a healthy source of fiber, calcium, magnesium, potassium, niacin, folate, vitamin A, beta-carotene, lutein, and selenium. They can be a healthier alternative to refined sugar because they have a low glycemic index and do not cause a rapid spike in blood sugar levels. They are a rich source of nutrients, including:

• Fiber: High in fiber, which promotes good digestion and helps keep you feeling full.
• Potassium: This is essential for heart health and muscle function.
• Magnesium: supports bone health and energy production.
• Antioxidants: which protect the body from damage caused by free radicals.
• Vitamins: a good source of vitamins B6, K, and A.

Consuming them in moderation is recommended, especially for individuals who are trying to lose weight or have diabetes. They are high in sugar, so individuals need to be mindful to avoid or limit additional sources of sugar. Nutritionists and dieticians recommend a modest dose of two large or three small dates, which is around 50 grams and provides half the sugar and calories.

Benefits

Lower Cholesterol

Research has shown that eating dates may also help lower cholesterol and triglyceride levels. However, further research is needed as the current evidence is still inconclusive. (Mirghani H. O. 2024) A recent meta-analysis also showed no significant effect on LDL cholesterol but reduced total cholesterol in individuals with type 2 diabetes.

Help Regulate Blood Sugar

Pitted dates generally don’t contain added sugars but can still contain a significant amount of natural sugars in sucrose, glucose, or fructose. Although their high sugar level may prevent individuals from eating dates as a healthy snack, a key difference between dates and sugary drinks, snacks, or other processed foods is that they contain high levels of fiber. Because of the fiber, which slows glucose absorption in the bloodstream, they also have a low glycemic index, which causes a smaller spike in blood sugar levels. (Mirghani H. O. 2021) Using dates as a sweetener can also be a healthier alternative to refined sugar and can be used in recipes to replace sugar. However, portion control is important.

Support Gut Health

Since dates are high in fiber, they can help the gastrointestinal tract but should be eaten in moderation as part of a balanced, healthy diet. However, they are recommended to be eaten with other fiber-rich foods, specifically those with lower sugar, that includes:

• Leafy greens
• Non-starchy vegetables
• Whole grains
• Legumes
• Nuts
• Seeds

Adding these foods to a diet can also benefit the microbiome. Dates and other fruits can improve the ratio of beneficial gut microbiota. (Eid N. et al., 2015) Eating too many dates could also cause diarrhea, but eating a few daily can help constipation.

Alternatives

• Other dried fruits, such as prunes, figs, and apricots, are alternatives, but fresh fruits are an even better choice as they are much lower in calories.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and integrated medicine protocols. We focus on what works for you to relieve pain, restore function, prevent injury, and mitigate issues through adjustments that help the body realign itself. The clinic can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Personalized Medicine and Wellness

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Mirghani H. O. (2024). Effect of dates on blood glucose and lipid profile among patients with type 2 diabetes. World journal of diabetes, 15(6), 1079–1085. https://doi.org/10.4239/wjd.v15.i6.1079

Mirghani H. O. (2021). Dates fruits effects on blood glucose among patients with diabetes mellitus: A review and meta-analysis. Pakistan journal of medical sciences, 37(4), 1230–1236. https://doi.org/10.12669/pjms.37.4.4112

Eid, N., Osmanova, H., Natchez, C., Walton, G., Costabile, A., Gibson, G., Rowland, I., & Spencer, J. P. (2015). Impact of palm date consumption on microbiota growth and large intestinal health: a randomised, controlled, cross-over, human intervention study. The British journal of nutrition, 114(8), 1226–1236. https://doi.org/10.1017/S0007114515002780

Can individuals dealing with gut issues incorporate the beneficial properties of probiotics and prebiotics to improve body function?

How The Gut Works Together With The Body

When many individuals are dealing with chronic issues that are causing referred pain in their bodies, it could be an issue that is affecting their gut system. Have you experienced unpredictable food reactions that make you unable to enjoy your favorite meal or food item anymore? Do you notice any abdominal swelling after a heavy meal? Or have you been more constipated and found it difficult to go to the bathroom? This is because the gut system is the second brain of the human body. The gastrointestinal (GI) system provides many beneficial properties to the host and the human body. It helps strengthen the gut’s integrity, harvest and give energy, protect the body from foreign pathogens, and regulate the immune system. (Thursby & Juge, 2017) Inside the gut system is home to trillions of bacteria that help transport the nutrients and vitamins of food to different areas of the body. This, in turn, gives the individual the energy to be mobile and complete their daily activities.  However, environmental factors like illnesses, stress, bad dietary habits, and lifestyles can cause the gut ecosystem to undergo abnormal changes, causing gut dysbiosis. (Zhang et al., 2015)

When environmental factors impact the body, especially the gut system, the immune system produces inflammatory cytokines caused by certain bacteria. Once certain structural component bacteria strains trigger inflammation, it can cause a cascade of inflammatory pathways to affect the entire body, causing the individual to experience pain and discomfort. (Al Bander et al., 2020) Additionally, gut dysbiosis can also be associated with the occurrence of several chronic metabolic diseases that are developed. (Xiong et al., 2023) Fortunately, there are numerous ways people can reduce the impact of gut dysbiosis and help restore normal body function by including probiotics and prebiotics. We associate with certified medical providers who inform our patients of how the gut system can affect the body when environmental factors impact it. While asking important questions to our associated medical providers, we advise patients to integrate various probiotic and prebiotic foods to help regulate healthy bacteria back to the gut and reduce pain and discomfort in the body. Dr. Alex Jimenez, D.C., envisions this information as an academic service. Disclaimer.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

Individuals who wake up with a burning feeling in the chest or throat, along with a bitter taste, more than likely are experiencing morning or waking heartburn. Can simple steps, like not having any food three hours before going to bed, help prevent heartburn when waking up?

Waking Up With Heartburn

Heartburn is characterized by a burning sensation in the chest and neck and an acidic, bitter taste. It occurs when stomach acid flows into the esophagus tube that connects the throat to the stomach and often happens when lying down. Heartburn is a symptom of acid reflux, a digestive disorder that occurs when the stomach contents back up into the esophagus. Waking up with heartburn throughout the night or when waking in the morning is common during pregnancy and after drinking alcohol. (UCSF Health, 2024) But chronic acid reflux can also be a sign of a health condition like gastroesophageal reflux disease (GERD) and hiatal hernia, or another condition may cause it and can be triggered by stress, certain foods, and other factors.

Causes

Having occasional heartburn is normal. However, frequently waking up with heartburn may indicate gastroesophageal reflux disease (GERD). Other possible causes of this condition and factors that may contribute to frequently waking up with heartburn include: (National Library of Medicine, 2023)

• Increased stress
• Wearing belts or clothes that are tight around the waist.
• Medications include sedatives, bronchodilators, beta-blockers, calcium channel blockers, and tricyclic antidepressants.
• Pregnancy
• Hiatal hernia - the top area of the stomach pushes through an opening in the diaphragm.

Sleeping and Heartburn

Research shows a relationship between sleep disorders like insomnia and an increased risk of acid reflux (Qin S. et al., 2023). A study of over 6,000 people found that those who woke up less often during the night were 50% less likely to experience heartburn than those with disrupted sleep.

Symptoms

Symptoms can include: (Johns Hopkins Medicine, 2024)

• A burning sensation in the chest that can last from minutes to hours
• Pain in the chest when lying down or bending
• Burning sensation in the throat
• A hot, acidic, and/or salty sour taste in the back of the throat

Along with these symptoms, individuals who have GERD may also experience: (National Institute of Diabetes and Digestive and Kidney Disease, 2020)

• Chronic cough or hoarseness
• Pain and difficulty swallowing
• Nausea
• Chest pain

When symptoms are constant, it's important to see a healthcare provider.

See a Healthcare Provider

If heartburn persists long-term, it can lead to inflammation, breathing problems, and narrowing of the esophagus. Seeing a healthcare provider is recommended if lifestyle adjustments don't help or symptoms continue despite taking over-the-counter antacids. Other symptoms that need professional diagnosis include: (National Institute of Diabetes and Digestive and Kidney Disease, 2020)

• Chest pain or difficulty breathing, like wheezing or hoarseness
• Loss of appetite, nausea, vomiting
• Unexpected weight loss
• Difficulty swallowing
• Signs of blood in the digestive tract or stool

Tell a healthcare provider when and how you are experiencing symptoms. It may be helpful to keep a journal of frequency, specific symptoms, times when waking up with heartburn, what foods and the time of day when eating, and any other information.

Heart Attack Symptoms

Heartburn can feel like the chest pain associated with a heart attack. See a healthcare provider if you're unsure if your heart or digestive system is causing the discomfort. Seek emergency medical attention if you have any of the following (American Heart Association, 2022)

• Squeezing pressure, fullness, or pain in the center of the chest that lasts several minutes or stops and returns
• Shortness of breath with or without chest pain
• Pain in either or both arms, the back, neck, jaw, or abdomen
• Other signs include lightheadedness, nausea, and breaking out in a cold sweat 

Diagnosis

A healthcare provider can diagnose heartburn and related conditions based on the following (UCSF Health, 2024)

• Discussing symptoms
• X-rays, or imaging tests, that look at the esophagus, stomach, and small intestine
• An esophageal pH monitoring test that checks how often and how long stomach acid stays in the esophagus
• An upper endoscopy procedure where a small tube with a camera is inserted down the mouth to examine the esophagus and stomach

Prevention

Making a few lifestyle changes can reduce waking up with heartburn (National Institute of Diabetes and Digestive and Kidney Disease, 2020)

• Elevate body when sleeping
• Stop eating at least three hours before going to bed
• Lose weight
• Avoid spicy, high-fat, and acidic foods
• Limit coffee and other forms of caffeine
• Avoid carbonated drinks and alcoholic beverages

Staying hydrated helps with overall digestion. However, drinking too much water at once can make heartburn worse. Drinking small amounts throughout the day and avoiding sparkling water is recommended since carbonated drinks can trigger heartburn. (Harvard Health Publishing, 2023)

Treatment

There are various over-the-counter and prescription medications for heartburn. (National Institute of Diabetes and Digestive and Kidney Disease, 2020) Be sure to discuss the risks and benefits of the medicines with your healthcare provider. Heartburn treatments include:

Antacids

• These oral over-the-counter medications help relieve symptoms of mild heartburn and GERD.
• They should not be used daily or for severe symptoms as they can cause side effects like diarrhea or constipation.

H2 Blockers

• Histamine-2 receptor antagonists - These medications reduce the stomach's acid to help promote healing in the esophagus.
• H2 blockers are available over-the-counter and by prescription.

Proton Pump Inhibitors (PPIs)

• These medications, available over-the-counter and by prescription, reduce acid and help heal the esophageal lining in individuals with GERD.
• They are often used for long-term treatment.

If medication and lifestyle changes don’t help, a healthcare provider may recommend surgery to strengthen the valve between the esophagus and stomach. (National Institute of Diabetes and Digestive and Kidney Disease, 2020)

Injury Medical Chiropractic and Functional Medicine Clinic

Lifestyle and dietary changes, as well as medications, may be used to treat the condition. See a healthcare provider if your heartburn is persistent or accompanied by other symptoms. A healthcare provider can determine the most effective treatment strategies. Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop an optimal health and wellness solution. We focus on what works for you to relieve pain, restore function, prevent injury, and help mitigate issues through adjustments that help the body realign itself. They can also work with other medical professionals to integrate a treatment plan to resolve musculoskeletal problems.

Functional Medicine's Influence Beyond Joints

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

UCSF Health.(2024). Heartburn. https://www.ucsfhealth.org/conditions/heartburn

National Library of Medicine. (2023). Heartburn. Retrieved from https://medlineplus.gov/ency/article/003114.htm

Qin, S., Wang, C., Wang, X., Wu, W., & Liu, C. (2023). Causal association of gastroesophageal reflux disease with obstructive sleep apnea and sleep-related phenotypes: a bidirectional two-sample Mendelian randomization study. Frontiers in neurology, 14, 1283286. https://doi.org/10.3389/fneur.2023.1283286

Johns Hopkins Medicine. (2024). Gastroesophageal Reflux Disease (GERD). https://www.hopkinsmedicine.org/health/conditions-and-diseases/gastroesophageal-reflux-disease-gerd

National Institute of Diabetes and Digestive and Kidney Disease. (2020). Symptoms and causes of GER & GERD. Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes

American Heart Association. (2022). American Heart Association. Heartburn or Heart Attack? https://www.heart.org/en/health-topics/heart-attack/angina-chest-pain/heartburn-or-heart-attack

Harvard Health Publishing. (2023). 9 at-home treatments for acid reflux. https://www.health.harvard.edu/newsletter_article/9-ways-to-relieve-acid-reflux-without-medication

How is eucalyptus tea made, and what are its health benefits?

Eucalyptus Tea

Eucalyptus tea is an herbal tea made from the leaves of the Australian eucalyptus tree. It is drunk as a hot tea and is commonly used to treat cold and flu symptoms. It can also be combined with other teas as a tonic. Researchers have been studying its benefits.

Eucalyptus Tree

There are different varieties of eucalyptus trees. The blue gum or Australian fever tree is a fast-growing tree that produces long grey-greenish leaves whose glands contain essential oil to prepare eucalyptus tea and oil. Eucalyptus tea is made from crushed leaves of the tree, not from the oil. The hot drink is sometimes called eucalyptus leaves tea to avoid confusion. The tea has a pale green color and a strong scent that can be described as woody or piney and clean or fresh. The smell is familiar to many because many lip balms and skin creams are made with eucalyptus.

Making The Tea

Eucalyptus or loose-leaf tea bags can be purchased in grocery stores, health markets, and online. Follow the instructions provided on the box. Eucalyptus leaves can be prepared for tea at home, but it must be prepared with leaves and not with eucalyptus oil, as using the oil can produce harmful side effects.

Home Preparation

• To make the tea, use one dried eucalyptus leaf (around a teaspoon).
• Add the crushed leaf to the bottom of an eight-ounce teacup.
• Heat water to 194-205 Fahrenheit if using a temperature-controlled teapot.
• Or bring water to a boil and let it sit for a minute to reduce the temperature.
• Pour six ounces of water over the tea leaves.
• Let the leaves steep for as long as desired, up to 10 minutes.
• Breathe in the vapors while the tea is steeping.
• Strain loose leaves from the cup before drinking.

Adding honey to the tea will increase sugar, sweetness, and calories. However, if you drink the tea to soothe a sore throat, the honey can also help ease symptoms. (Allan G. M. and Arroll B. 2014) The tea can also be blended with peppermint and chamomile (manzanilla) to increase its soothing properties.

Caffeine

Eucalyptus tea is not a traditional tea and is not made from Camellia sinensis plant leaves, like black or green tea. It is brewed from just the leaves of the eucalyptus tree, which do not contain any caffeine, making the tea completely caffeine-free. However, the vapors can be described as bright and refreshing.

Health Benefits

Most scientific research on eucalyptus's health benefits uses the oil rather than the tea. The oil is much more concentrated, so drinking the tea is unlikely to provide the same benefits. However, according to a study, the leaves contain flavonoids and tannins that provide antioxidant and anti-inflammatory properties. (Panche A. N., Diwan A. D., and Chandra S. R. 2016)

Eucalyptus tea is commonly used as an inhalant to relieve cold or flu symptoms. Its vapors are often described as healing because inhaling them helps open up congested airways. However, there isn't enough evidence to recommend using eucalyptus for cold. (American Lung Association, 2024) In addition to treatment for the common cold, eucalyptus has gained a variety of other health benefits, including (Dhakad A. K. et al., 2018)

• Headache relief
• Asthma treatment
• Bronchitis treatment
• Diabetes treatment
• Reduce dental plaque and bad breath
• Help treat liver and gallbladder problems
• Prevent insect bites
• Eliminate head lice

Toothpaste, mouthwash, bath products, and body creams made with eucalyptus are commonly found in stores.

Side Effects

Eucalyptus leaves are generally safe when consumed in the small amounts found in foods. However, there isn't enough information to determine whether supplements containing larger amounts of eucalyptus leaf are safe when taken by mouth. Consulting with a healthcare provider before using this or any other herbal treatment is always recommended.

Injury Medical Chiropractic and Functional Medicine Clinic

Injury Medical Chiropractic and Functional Medicine Clinic focuses on and treats injuries and chronic pain syndromes through personalized care plans that improve ability through flexibility, mobility, and agility programs to relieve pain. Our providers use an integrated approach to create customized care plans for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and sports medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Assessing Patients in a Chiropractic Setting

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Allan, G. M., & Arroll, B. (2014). Prevention and treatment of the common cold: making sense of the evidence. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 186(3), 190–199. https://doi.org/10.1503/cmaj.121442

Panche, A. N., Diwan, A. D., & Chandra, S. R. (2016). Flavonoids: an overview. Journal of nutritional science, 5, e47. https://doi.org/10.1017/jns.2016.41

American Lung Association. (2024). Facts About the Common Cold. https://www.lung.org/lung-health-diseases/lung-disease-lookup/facts-about-the-common-cold

Dhakad, A. K., Pandey, V. V., Beg, S., Rawat, J. M., & Singh, A. (2018). Biological, medicinal and toxicological significance of Eucalyptus leaf essential oil: a review. Journal of the science of food and agriculture, 98(3), 833–848. https://doi.org/10.1002/jsfa.8600

Can individuals dealing with back pain find treatment to reduce gut pain associated with SIBO to improve body health?

Introduction

Many individuals have noticed that when it comes to improving their health and well-being, many will incorporate small changes into their daily routines. From exercising for at least 30 minutes to incorporating healthy nutritional foods into their diet, many people don’t realize that the best way to have a healthy style starts with the gut. The gut system helps the body digest food and nutrients to be transported to the body, helps regulate growth and metabolism, and provides immune support to all the organ systems. However, when harmful pathogens and environmental factors start to impact the gut, it can cause the development of harmful pathogens inside the gut system and, over time, cause overlapping risk profiles in the body. This leads to gut dysfunction and musculoskeletal issues in the individual and can cause pain and discomfort if not treated right away. Luckily, numerous ways exist to improve gut health and reduce musculoskeletal issues. Today’s article focuses on a gut issue known as SIBO, how SIBO is correlated with back pain, and what treatments can help reduce SIBO. We talk with certified associated medical providers who provide our patients’ information to assess and identify how SIBO is correlated with back pain. We also inform patients while asking their associated medical provider intricate questions to formulate customized treatment plans to reduce the effects of SIBO and help restore gut health. Dr. Alex Jimenez, D.C., includes this information as an academic service. Disclaimer.

What is SIBO?

How often do you feel general aches or pain in your gut or around your lower back? Do you constantly feel tired throughout the day, even after a full night’s rest? Or have you been constantly feeling constipated or bloated after eating a meal? Many of these scenarios are associated with a gut issue known as SIBO or small intestinal bacterial overgrowth. Before diving into what SIBO is, it is important to see the gut’s main function to the body. Known as the second brain of the body, the gut system is home to trillions of good bacteria that help with food digestion and protect the body from bad bacteria. When environmental factors like poor dieting, physical inactivity, or inflammatory effects affect the body, the gut’s delicate ecosystem is also affected. This can cause gut dysfunction to the body and, over time, when it is not being treated, lead to SIBO.

SIBO is the presence of excess bad bacteria in the small intestines, which causes protective barriers that help the small intestines weaken. (Sorathia et al., 2024) Additionally, SIBO can correlate with conditions as it can accompany other gut issues by stimulating the immune system. (Banaszak et al., 2023) When the immune system becomes hyperactively stimulated by SIBO, it can cause the inflammatory cytokines to mass produce and cause a ripple effect on the entire body. Since inflammation is the body’s natural response to remove harmful pathogens that cause issues, mass production of inflammatory cytokines in the gut can cause toxins and bad bacteria to enter the bloodstream and travel to different body areas to cause pain. At the same time, SIBO can disrupt the gut-brain axis, which leads to intestinal motility changes and secretion, thus causing overlapping risk profiles like back pain to affect the body. (Carter et al., 2023)

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

For individuals looking to improve their gut health, can learning about the supportive digestive organs help with how digestion works and how it can be affected by inflammatory bowel disease/IBD?

Supportive Digestive Organs

Most people are familiar with food movement from the mouth through the esophagus, stomach, small intestine, and large intestine. However, digestion begins in the mouth with the formation of saliva, and the supportive digestive organs provide the necessary fluids to digest food and used by the body. The digestive tract runs from the mouth to the anus in one long, continuous tube. Several supportive digestive organs assist digestion but are not considered part of the digestive tract, including the salivary glands, pancreas, liver, and gallbladder.

Salivary Glands

The salivary glands produce saliva passed through ducts and into the mouth. Saliva is a clear liquid containing various substances important for digestion and the beginning of the food breakdown process (National Institute of Diabetes and Digestive and Kidney Diseases, 2017). Saliva is important to digestion because it aids chewing, contains antibodies, and helps keep the mouth clean. Infections, mumps, obstructions, Sjogren’s syndrome, and cancer are diseases and conditions that can affect the salivary glands.

Pancreas

Behind the stomach is the pancreas, which is important to digestion because it is where digestive enzymes and hormones are produced. Digestive enzymes help break down food (National Institute of Diabetes and Digestive and Kidney Diseases, 2017). The pancreas also creates Insulin, a hormone that helps balance blood sugar levels. Individuals with Type 1 diabetes are unable to make insulin and need insulin shots to balance sugar levels. Individuals with Type 2 diabetes also need insulin because their body is either resistant to insulin or their pancreas does not respond correctly. (American Diabetes Association, 2024) Glucagon is another hormone produced in the pancreas to raise blood sugar when the levels are very low. For individuals who have diabetes, glucagon can increase blood sugar levels too high. Insulin and glucagon work together to regulate blood sugar. (American Diabetes Association, 2024) Some diseases and conditions affecting the pancreas include pancreatitis, cancer, and cystic fibrosis.

Liver

The liver is one of the largest organs. Its functions include creating bile, storing nutrients and glycogen, converting toxins into harmless substances, and/or enabling their removal. Bile is passed through ducts that run from the liver to the duodenum of the small intestine. Blood circulates through the digestive tract and liver, where vitamins and nutrients are processed and stored (Johns Hopkins Medicine, 2024). The liver is also the body's detox organ, helping remove byproducts produced by alcohol and medications. The liver also helps break down old or damaged blood cells and produces substances to help with blood clotting. (Johns Hopkins Medicine, 2024) Diseases and conditions of the liver include cirrhosis, hepatitis, hemochromatosis, and cancer.

Gallbladder

The gallbladder is a much smaller organ located just under the liver. This supportive digestive organ stores bile after it is made in the liver. After eating, the small intestine releases a special hormone called cholecystokinin, which prompts the gallbladder to send bile through ducts and into the small intestine. Once in the small intestine, the bile breaks down the fat from the food. Conditions that can affect the gallbladder include gallstones. Surgery to remove the gallbladder, known as a cholecystectomy, is common. Some individuals may initially need to make adjustments to their diet after surgery. (Johns Hopkins Medicine, 2024)

Injury Medical Chiropractic and Functional Medicine Clinic works with primary healthcare providers and specialists to develop highly effective treatment plans through an integrated approach for each patient and restore health and function to the body through nutrition and wellness, functional medicine, acupuncture, Electroacupuncture, and integrated medicine protocols. If the individual needs other treatment, they will be referred to a clinic or physician best suited for them. Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, nutritionists, and health coaches to provide the most effective clinical treatments.

Healthy Diet and Chiropractic

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

National Institute of Diabetes and Digestive and Kidney Diseases. Dis (2017). Your digestive system & how it works. Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works

American Diabetes Association. (2024). About diabetes: common terms. https://diabetes.org/about-diabetes/common-terms

Johns Hopkins Medicine. (2024). Liver: anatomy and functions. https://www.hopkinsmedicine.org/health/conditions-and-diseases/liver-anatomy-and-functions

Johns Hopkins Medicine. (2024). Cholecystectomy. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/cholecystectomy

Emotional challenges like anxiety and depression or digestive disorders can cause individuals to experience a nervous stomach. Can knowing common symptoms, what causes them, and when to see a healthcare provider help manage the disorder?

Nervous Stomach

A nervous stomach is usually nothing to worry about, but it can happen occasionally as a reaction to a new environment, groups of people, foods, stress, and anxiety. Symptoms include indigestion, fluttering stomach/butterflies, or a gut-wrenching feeling. (Anxiety and Depression Association of America. 2023) Causes include underlying psychological and physical health conditions, certain medications, and lifestyle factors. Individuals experiencing chronic or ongoing symptoms should speak with a healthcare provider about their full range of symptoms. Treatments include medication, therapy, and lifestyle changes.

Symptoms

Nervous stomach symptoms can vary. Stress and anxiety can lead to physical symptoms, and physical symptoms may also lead to stress and anxiety. This is because the brain and gut connection communicates which hormones and neurotransmitters will be released and when. Common symptoms include: (Anxiety and Depression Association of America. 2023)

• Loss of appetite
• Butterflies or fluttering feeling in the stomach
• Upset stomach
• Indigestion
• Bloating
• Flatulence
• Gut-wrenching feeling
• Cramping
• Nausea, dry heaving
• Increased need to urinate or have bowel movements
• Constipation
• Diarrhea
• Out-of-sync hunger cues

Causes

In most cases, a nervous stomach will come and go. However, it can also be caused by disorders such as anxiety disorder, depression, or gastrointestinal and digestive disorders. Brain health contributes to gut health, and vice versa. The brain is always communicating with the digestive system, and the digestive system is always sending information back to the brain. (Foster, J. A., and McVey Neufeld, K. A. 2013) (University of Chicago Medical Center, 2024) Common causes of a nervous stomach include: (Anxiety and Depression Association of America. 2023)

• Stress
• Anxiety
• Depression
• Depressive disorders
• Schizophrenia (Fadgyas-Stanculete, M. et al., 2014)
• Irritable bowel syndrome
• Inflammatory bowel disease
• Lifestyle factors like smoking, drinking coffee, and alcohol use can upset the stomach lining. (Ness-Jensen, E., and Lagergren, J. 2017)
• Peptic ulcers can contribute to and be a cause of symptoms and a result of an untreated nervous stomach. (Anxiety and Depression Association of America. 2023)

Medications

Over-the-counter and prescription medications can cause a nervous stomach as a side effect. This can happen when taking a single medication or more than one simultaneously. It can also occur in those with food sensitivities or other medical conditions. (Johns Hopkins Medicine, 2024) This is why consulting and updating a healthcare provider on the current list of prescribed and over-the-counter medications is important. Some meds can irritate the stomach, while others can cause constipation or diarrhea, leading to discomfort and nervous stomach symptoms. Common medications that may cause stomach side effect symptoms include: (Johns Hopkins Medicine, 2024)

• NSAIDs - non-steroidal anti-inflammatory drugs such as ibuprofen can weaken the stomach lining.
• Iron, antacids, and pain meds can cause constipation.
• Antibiotics can cause diarrhea.

Home Treatment

Treatment depends on the severity and cause/s. An infrequently nervous stomach may benefit from over-the-counter therapies to calm it and/or lifestyle changes to reduce stress. Tips for reducing stress and anxiety include (Anxiety and Depression Association of America. 2023)

• More frequent short breaks during the day
• Practicing slow and deep breathing
• Listening to guided meditations for stress-relief
• Adding exercise to the daily routine
• Realizing that stomach problems are part of anxiety and worrying about symptoms may make them worse.

Medical Treatment

Individuals may benefit from additional support treatment options with a healthcare provider (Johns Hopkins Medicine, 2024)

• Antidepressant treatment for nervous stomach and/or irritable bowel syndrome.
• Cognitive behavioral therapy for stress relief and learning how to manage anxiety.
• Medical hypnotherapy
• If symptoms are a side effect of medication or certain foods, a healthcare provider can develop an effective treatment plan that includes using another medication that is easier on the stomach or seeing a dietician.

Complications

Left untreated, a nervous stomach can contribute to further symptoms and other health problems. One study looked at the relationship between irritable bowel syndrome and certain psychiatric disorders. (Fadgyas-Stanculete, M. et al., 2014) This does not mean that a psychiatric disorder causes a nervous stomach or that a nervous stomach causes a psychiatric disorder. It is more likely that a combination of chemicals released when stressed can hurt gut health. This creates imbalances known to be risk factors for digestive disorders and conditions. (Anxiety and Depression Association of America. 2023)

Seeing a Healthcare Provider

Most nervous stomach symptoms resolve on their own. However, certain signs and symptoms can indicate that it is time to see a healthcare provider. Discuss symptoms with a healthcare provider who will order lab tests to check for underlying causes like anemia. See a healthcare provider immediately if you notice the following (University of Chicago Medical Center, 2024)

• Symptoms are making work and/or normal life challenging.
• Chronic or unresolved gastrointestinal issues like heartburn.
• Unexplained weight reduction - losing weight without exercising or diet changes.
• Blood in stool or blackish, tarry stools.
• Vomiting

If there is a medical history of digestive disorders or cancers such as stomach cancer or colon cancer, this will help a healthcare provider. Depending on overall symptoms and family medical history, individuals may be referred to a gastroenterologist and/or a mental healthcare provider, like a counselor or psychiatrist. At Injury Medical Chiropractic and Functional Medicine Clinic, we treat injuries and chronic pain syndromes by developing personalized treatment plans and specialized clinical services focused on injuries and the complete recovery process. We work with primary healthcare providers and specialists to develop an optimal health and wellness solution through an integrated approach to treating injuries and chronic pain syndromes, improving flexibility, mobility, and agility programs to relieve pain and help individuals return to optimal health. If other treatments are needed, Dr. Jimenez has teamed up with top surgeons, clinical specialists, medical researchers, and rehabilitation providers to provide the most effective treatments.

Root Causes of Gut Dysfunction Part 3

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, don't hesitate to contact Dr. Alex Jimenez or us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Anxiety and Depression Association of America. (2023). How to calm an anxious stomach: The brain-gut connection. Anxiety and Depression Association of America.
Triumphing Through Science, Treatment, and Education. https://adaa.org/learn-from-us/from-the-experts/blog-posts/consumer/how-calm-anxious-stomach-brain-gut-connection

Foster, J. A., & McVey Neufeld, K. A. (2013). Gut-brain axis: how the microbiome influences anxiety and depression. Trends in neurosciences, 36(5), 305–312. https://doi.org/10.1016/j.tins.2013.01.005

University of Chicago Medical Center. (2024). Stress and stomach pain: When should you see a specialist? Forefront. https://www.uchicagomedicine.org/forefront/gastrointestinal-articles/2024/january/stress-stomach-pain-when-to-see-a-doctor

Fadgyas-Stanculete, M., Buga, A. M., Popa-Wagner, A., & Dumitrascu, D. L. (2014). The relationship between irritable bowel syndrome and psychiatric disorders: from molecular changes to clinical manifestations. Journal of molecular psychiatry, 2(1), 4. https://doi.org/10.1186/2049-9256-2-4

Ness-Jensen, E., & Lagergren, J. (2017). Tobacco smoking, alcohol consumption, and gastro-oesophageal reflux disease. Best practice & research. Clinical gastroenterology, 31(5), 501–508. https://doi.org/10.1016/j.bpg.2017.09.004

Johns Hopkins Medicine. (2024). Medicines and the digestive system. Health. https://www.hopkinsmedicine.org/health/conditions-and-diseases/medicines-and-the-digestive-system

For individuals who are dealing with constant constipation due to medications, stress, or lack of fiber, can walking exercise help encourage regular bowel movements?

Walking For Constipation Assistance

Constipation is a common condition. Too much sitting, medications, stress, or not getting enough fiber can result in infrequent bowel movements. Lifestyle adjustments can regulate most cases. One of the most effective ways is to incorporate regular moderate-vigorous exercise, encouraging the bowel muscles to contract naturally (Huang, R. et al., 2014). This includes jogging, yoga, water aerobics, and power or brisk walking for constipation alleviation.

The Research

A study analyzed middle-aged obese women who had chronic constipation over a 12-week period. (Tantawy, S. A., et al., 2017)

• The first group walked on a treadmill 3 times a week for 60 minutes.
• The second group did not engage in any physical activity.
• The first group had greater improvement in their constipation symptoms and quality of life assessments.

A gut bacteria imbalance is also linked to constipation issues. Another study focused on the effect of brisk walking versus exercises that strengthened core muscles like planks on intestinal microbiota composition. (Morita, E., et al., 2019) The results showed that aerobic exercises like power/brisk walking can help increase intestinal Bacteroides, an essential part of healthy gut bacteria. Studies have shown a positive effect when individuals engage in at least 20 minutes of brisk walking daily. (Morita, E., et al., 2019)

Exercise Can Help Decrease Colon Cancer Risks

Physical activity can be a significant protective factor in decreasing colon cancer. (National Cancer Institute. 2023) Some estimate the risk reduction to be 50%, and exercise can even help prevent recurrence after a colon cancer diagnosis, also 50% in some studies for patients with stage II or stage III colon cancer. (Schoenberg M. H. 2016)

• The best effects were obtained through moderate-intensity exercise, such as power/brisk walking, about six hours per week.
• Mortality was reduced by 23% in individuals who were physically active for at least 20 minutes several times a week.
• Inactive colon cancer patients who began exercising after their diagnosis had significantly improved outcomes than individuals who remained sedentary, showing that it is never too late to start exercising.(Schoenberg M. H. 2016)
• The most active patients had the best outcomes. 

Exercise-Related Diarrhea Prevention

Some runners and walkers experience an overly active colon, resulting in exercise-related diarrhea or loose stools, known as runner's trots. Up to 50% of endurance athletes experience gastrointestinal problems during intense physical activity. (de Oliveira, E. P. et al., 2014) Prevention steps that can be taken include.

• Not eating within two hours of exercising.
• Avoid caffeine and warm fluids before exercising.
• If sensitive to lactose, avoid milk products or use Lactase.
• Ensure the body is well-hydrated before exercise.
• Hydrating during exercise.

If exercising in the morning:

• Drink about 2.5 cups of fluids or a sports drink before bed.
• Drink about 2.5 cups of fluids after waking up.
• Drink another 1.5 - 2.5 cups of fluids 20-30 minutes before exercising.
• Drink 12-16 fluid ounces every 5-15 minutes during exercise.

If exercising for over 90 minutes:

• Drink a 12 - 16 fluid-ounce solution containing 30-60 grams of carbohydrates, sodium, potassium, and magnesium every 5-15 minutes.

Professional Help

Periodic constipation may resolve with lifestyle adjustments like increased fiber intake, physical activity, and fluids. Individuals who are experiencing bloody stools or hematochezia, have recently lost 10 pounds or more, have iron deficiency anemia, have positive fecal occult/hidden blood tests, or have a family history of colon cancer need to see a healthcare provider or specialist to perform specific diagnostic tests to ensure there aren't any underlying issues or serious conditions. (Jamshed, N. et al., 2011) Before engaging in walking for constipation assistance, individuals should consult their healthcare provider to see if it is safe for them.

At Injury Medical Chiropractic and Functional Medicine Clinic, our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. We focus on what works for you to achieve improvement goals and create an improved body through research methods and total wellness programs. If other treatment is needed, individuals will be referred to a clinic or physician best suited to their injury, condition, and/or ailment.

Poop Testing: What? Why? and How?

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

Huang, R., Ho, S. Y., Lo, W. S., & Lam, T. H. (2014). Physical activity and constipation in Hong Kong adolescents. PloS one, 9(2), e90193. https://doi.org/10.1371/journal.pone.0090193

Tantawy, S. A., Kamel, D. M., Abdelbasset, W. K., & Elgohary, H. M. (2017). Effects of a proposed physical activity and diet control to manage constipation in middle-aged obese women. Diabetes, metabolic syndrome, and obesity: targets and therapy, 10, 513–519. https://doi.org/10.2147/DMSO.S140250

Morita, E., Yokoyama, H., Imai, D., Takeda, R., Ota, A., Kawai, E., Hisada, T., Emoto, M., Suzuki, Y., & Okazaki, K. (2019). Aerobic Exercise Training with Brisk Walking Increases Intestinal Bacteroides in Healthy Elderly Women. Nutrients, 11(4), 868. https://doi.org/10.3390/nu11040868

National Cancer Institute. (2023). Colorectal Cancer Prevention (PDQ(R)): Patient Version. In PDQ Cancer Information Summaries. https://www.cancer.gov/types/colorectal/patient/colorectal-prevention-pdq
https://www.ncbi.nlm.nih.gov/pubmed/26389376

Schoenberg M. H. (2016). Physical Activity and Nutrition in Primary and Tertiary Prevention of Colorectal Cancer. Visceral medicine, 32(3), 199–204. https://doi.org/10.1159/000446492

de Oliveira, E. P., Burini, R. C., & Jeukendrup, A. (2014). Gastrointestinal complaints during exercise: prevalence, etiology, and nutritional recommendations. Sports medicine (Auckland, N.Z.), 44 Suppl 1(Suppl 1), S79–S85. https://doi.org/10.1007/s40279-014-0153-2

Jamshed, N., Lee, Z. E., & Olden, K. W. (2011). Diagnostic approach to chronic constipation in adults. American Family Physician, 84(3), 299–306.

Can incorporating nopal or prickly pear cactus into one's diet help individuals trying to lower blood glucose, inflammation, and risk factors associated with heart and metabolic diseases? 

Nopal

Nopal, also known as prickly pear cactus, is a versatile vegetable that can be added to nutrition plans to increase fiber intake, vitamins, minerals, and plant-based compounds.  It grows in the U.S. Southwest, Latin America, and the Mediterranean. The pads, or the nopales or cactus paddles, have a texture like okra and slight tartness. The prickly pear cactus fruit, referred to as tuna in Spanish, is also consumed. (University of Arizona Cooperative Extension, 2019) It is often used in fruit salsas, salads, and desserts and is available as a supplement in tablet and powder form.

Serving Size and Nutrition

One cup of cooked nopales, around five pads, without added salt, contains: (U.S. Department of Agriculture, FoodData Central, 2018)

• Calories - 22
• Fat - 0 grams
• Sodium - 30 milligrams
• Carbohydrates - 5 grams
• Fiber - 3 grams
• Sugars - 1.7 grams
• Protein - 2 grams
• Vitamin A - 600 international units
• Vitamin C - 8 milligrams
• Vitamin K - 8 micrograms
• Potassium - 291 milligrams
• Choline - 11 milligrams
• Calcium - 244 milligrams
• Magnesium - 70 milligrams

It is generally recommended that most individuals consume 2.5 to 4 cups of vegetables per day. (U.S. Department of Agriculture, MyPlate, 2020)

Benefits

Nopal is highly nutritious, low in calories, free of fat, sodium, or cholesterol, and full of fiber, vitamins, minerals, and betalains. (Parisa Rahimi et al., 2019) Betalains are pigments with anti-inflammatory properties. The variety of fibers creates a low glycemic index (measures how much a specific food raises blood sugar levels after consumption) of about 32, a recommended addition to a diabetes-friendly diet. (Patricia López-Romero et al., 2014)

Compounds

• Nopal contains a variety of beneficial carbohydrates, vitamins, and minerals.
• Nopal has soluble and insoluble fiber, which benefits blood sugar.
• It also contains vitamin A, carotenoids, vitamin C, calcium, and plant-based compounds like phenols and betalains. (Karina Corona-Cervantes et al., 2022)

Blood Sugar Regulation

Research has evaluated regular nopal consumption and supplementation for blood sugar control. A study on blood sugar evaluated adding nopal to a high-carbohydrate breakfast or a breakfast high in soy protein in Mexican individuals with type 2 diabetes. The study found that consuming nopales, about 300 grams or 1.75 to 2 cups before a meal, could reduce after-meal/postprandial blood sugars. (Patricia López-Romero et al., 2014) An older study had similar results. (Montserrat Bacardi-Gascon et al., 2007) Individuals were randomly assigned to consume 85 grams of nopal with three different breakfast options:

• Chilaquiles - a casserole made with corn tortilla, vegetable oil, and pinto beans.
• Burritos - made with eggs, vegetable oil, and pinto beans.
• Quesadillas - made with flour tortillas, low-fat cheese, avocado, and pinto beans.
• The groups assigned to eat nopales had reductions in blood sugar. There was a:
• 30% reduction in the chilaquiles group.
• 20% decrease in the burrito group.
• 48% reduction in the quesadilla group.

However, the studies were small, and the population was not diverse. so further research is needed.

Increased Fiber

The combination of soluble and insoluble fiber benefits the gut in various ways. Soluble fiber can act as a prebiotic, feeding beneficial bacteria in the gut and assisting in removing low-density lipoprotein (LDL) cholesterol from the body. Insoluble fiber increases transit time, or how quickly food moves through the digestive system and promotes bowel regularity. (Centers for Disease Control and Prevention, 2022) In a short-term randomized clinical control trial, researchers found an improvement in irritable bowel syndrome symptoms in individuals supplemented with 20 and 30 grams of nopal fiber. (Jose M Remes-Troche et al., 2021) For individuals not used to consuming fibrous foods, it may cause mild diarrhea, so it is recommended to increase intake slowly and with adequate water to prevent gas and bloating.

Plant Based Calcium

One cup of nopal provides 244 milligrams or 24% of daily calcium needs. Calcium is a mineral that optimizes bone and teeth health. It also assists in blood vessel contraction and dilation, muscle function, blood clotting, nerve transmission, and hormonal secretion. (National Institutes of Health. Office of Dietary Supplements 2024) Individuals who follow diets that exclude dairy products can benefit from plant-based calcium sources. This includes cruciferous vegetables like kale, collards, and arugula.

Other Benefits

Studies done in animals and test tubes suggest that fresh nopal and extracts may assist in reducing triglycerides and cholesterol in metabolic dysfunction-associated steatotic liver disease or when unhealthy amounts of fat accumulate in the liver. (Karym El-Mostafa et al., 2014) Other potential benefits with limited evidence include:

• Inflammation and pain reduction.
• Body mass index (BMI), systolic, and diastolic blood pressure reduction. (Igho J Onakpoya et al., 2015)
• Positive changes in the gut microbiota and weight loss. (Karina Corona-Cervantes et al., 2022)

Consult a Dietician or Healthcare Provider

Unless individuals are allergic to it, most can eat whole nopal without a problem. However, supplementing is different because it provides a concentrated source. Individuals taking medication to manage diabetes and consuming nopal regularly may contribute to an increased risk of developing hypoglycemia or low blood sugar. Dermatitis has also been reported from contact with the cactus spines. (U.S. Department of Agriculture, FoodData Central, 2018) There have been rare reports of bowel obstruction in individuals who consume large amounts of the seeds found in the fruit. (Karym El-Mostafa et al., 2014) Ask a registered dietitian or primary healthcare provider if nopal can provide safe benefits.

Nutrition Fundamentals

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please contact Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

Licensed in: Texas & New Mexico*

References

University of Arizona Cooperative Extension. Hope Wilson, M. W., Patricia Zilliox. (2019). Prickly pear cactus: food of the desert. https://extension.arizona.edu/sites/extension.arizona.edu/files/pubs/az1800-2019.pdf

U.S. Department of Agriculture. FoodData Central. (2018). Nopales, cooked, without salt. Retrieved from https://fdc.nal.usda.gov/fdc-app.html#/food-details/169388/nutrients

U.S. Department of Agriculture. MyPlate. (2020-2025). Vegetables. Retrieved from https://www.myplate.gov/eat-healthy/vegetables

Rahimi, P., Abedimanesh, S., Mesbah-Namin, S. A., & Ostadrahimi, A. (2019). Betalains, the nature-inspired pigments, in health and diseases. Critical reviews in food science and nutrition, 59(18), 2949–2978. https://doi.org/10.1080/10408398.2018.1479830

López-Romero, P., Pichardo-Ontiveros, E., Avila-Nava, A., Vázquez-Manjarrez, N., Tovar, A. R., Pedraza-Chaverri, J., & Torres, N. (2014). The effect of nopal (Opuntia ficus indica) on postprandial blood glucose, incretins, and antioxidant activity in Mexican patients with type 2 diabetes after consumption of two different composition breakfasts. Journal of the Academy of Nutrition and Dietetics, 114(11), 1811–1818. https://doi.org/10.1016/j.jand.2014.06.352

Corona-Cervantes, K., Parra-Carriedo, A., Hernández-Quiroz, F., Martínez-Castro, N., Vélez-Ixta, J. M., Guajardo-López, D., García-Mena, J., & Hernández-Guerrero, C. (2022). Physical and Dietary Intervention with Opuntia ficus-indica (Nopal) in Women with Obesity Improves Health Condition through Gut Microbiota Adjustment. Nutrients, 14(5), 1008. https://doi.org/10.3390/nu14051008

Bacardi-Gascon, M., Dueñas-Mena, D., & Jimenez-Cruz, A. (2007). Lowering effect on postprandial glycemic response of nopales added to Mexican breakfasts. Diabetes care, 30(5), 1264–1265. https://doi.org/10.2337/dc06-2506

Centers for Disease Control and Prevention. (2022). Fiber: the carb that helps you manage diabetes. Retrieved from https://www.cdc.gov/diabetes/library/features/role-of-fiber.html

Remes-Troche, J. M., Taboada-Liceaga, H., Gill, S., Amieva-Balmori, M., Rossi, M., Hernández-Ramírez, G., García-Mazcorro, J. F., & Whelan, K. (2021). Nopal fiber (Opuntia ficus-indica) improves symptoms in irritable bowel syndrome in the short term: a randomized controlled trial. Neurogastroenterology and motility, 33(2), e13986. https://doi.org/10.1111/nmo.13986

National Institutes of Health (NIH). Office of Dietary Supplements. (2024). Calcium. Retrieved from https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/

El-Mostafa, K., El Kharrassi, Y., Badreddine, A., Andreoletti, P., Vamecq, J., El Kebbaj, M. S., Latruffe, N., Lizard, G., Nasser, B., & Cherkaoui-Malki, M. (2014). Nopal cactus (Opuntia ficus-indica) as a source of bioactive compounds for nutrition, health and disease. Molecules (Basel, Switzerland), 19(9), 14879–14901. https://doi.org/10.3390/molecules19091487

Onakpoya, I. J., O'Sullivan, J., & Heneghan, C. J. (2015). The effect of cactus pear (Opuntia ficus-indica) on body weight and cardiovascular risk factors: a systematic review and meta-analysis of randomized clinical trials. Nutrition (Burbank, Los Angeles County, Calif.), 31(5), 640–646. https://doi.org/10.1016/j.nut.2014.11.015

Corona-Cervantes, K., Parra-Carriedo, A., Hernández-Quiroz, F., Martínez-Castro, N., Vélez-Ixta, J. M., Guajardo-López, D., García-Mena, J., & Hernández-Guerrero, C. (2022). Physical and Dietary Intervention with Opuntia ficus-indica (Nopal) in Women with Obesity Improves Health Condition through Gut Microbiota Adjustment. Nutrients, 14(5), 1008. https://doi.org/10.3390/nu14051008