12/23/2025
5 gut health myths that actually irritate me as a gastroenterologist đ
I see these every day â online and in clinic â and they keep people stuck with symptoms theyâve been told to normalize.
MYTH #1: âBloating is normal â just live with it.â
âĄď¸ REALITY: Chronic bloating is common, but not normal. It often points to issues like SIBO, constipation, food intolerances, or motility problems.
MYTH #2: âProbiotics help everyone.â
âĄď¸ REALITY: Probiotics are not one-size-fits-all. In some people â especially with SIBO â they can worsen gas and bloating. Strain, dose, and timing matter.
MYTH #3: âMore fiber is always better.â
âĄď¸ REALITY: Fiber is powerful, but too much or the wrong type can backfire, particularly in IBS or slow gut motility.
MYTH #4: âIf your colonoscopy is normal, your gut is fine.â
âĄď¸ REALITY: A colonoscopy doesnât evaluate the small intestine. Conditions like SIBO, malabsorption, or NSAID-related injury can still be present.
MYTH #5: âNSAIDs are harmless if you take them with food.â
âĄď¸ REALITY: NSAIDs can injure the small intestine, cause ulcers, and even mimic Crohnâs disease â food doesnât fully protect the gut.
Gut symptoms arenât random â theyâre information.
Evidence-based gut care starts with asking why, not just masking discomfort.
Save this for later and share with someone whoâs been told âeverything looks normalâ.