Gut Disorders

Evidence-Based Medical Nutrition Protocols

IBS – Irritable Bowel Syndrome

• Low FODMAP Protocol: Eliminate fermentable carbohydrates, then reintroduce systematically.
• Include soluble fiber, peppermint oil, stress management.

Chronic Constipation

• High fiber (oats, flax, greens), warm fluids, prunes, chia, triphala.
• Regular toilet routine, abdominal massage.

Diarrhea

• BRAT diet, hydration, probiotics, cooked vegetables post-stabilization.

Foods included in the BRAT diet: Bananas: Provide potassium and help replenish electrolytes lost during diarrhea.
Rice: White rice is easily digested and can help bind stools.
Applesauce: Provides some fiber and can be soothing to the stomach.
Toast: Plain white toast is bland and easy to digest.

Leaky Gut Syndrome

• 4R Protocol: Remove, Replace, Reinoculate, Repair.
• Support with zinc, glutamine, collagen, aloe, turmeric.

Autoimmune Disorders

• Elimination diet for 3–6 weeks: no gluten, dairy, sugar, soy, corn, eggs.
• Reintroduce slowly. Emphasize gut healing with broths, omega-3, adaptogens.

SIBO (Small Intestinal Bacterial Overgrowth)

• Breath testing, followed by herbal or antibiotic protocol.
• Low FODMAP or Bi-Phasic Diet. Reintroduce probiotics carefully.

IBD (Crohn’s, Ulcerative Colitis)

• Low-residue during flares, high-calorie and nutrient-dense meals.
• Monitor inflammation (CRP, calprotectin) and anemia markers.

Gastritis / Acid Reflux

• Alkaline foods, soft-cooked grains, small meals.
• Eliminate irritants: caffeine, vinegar, citrus, alcohol.

Gut & Skin Disorders (Eczema, Psoriasis, Acne)

• Anti-inflammatory diet: avoid sugar, gluten, dairy, processed fats.
• Support liver detox: bitter greens, beetroot, zinc, A, omega-3s.

Drug–Nutrient Interactions

• Antibiotics: replenish with probiotics.
• PPIs: impair B12, calcium, iron absorption.
• NSAIDs: damage lining — use turmeric and gut-healing herbs.

🧪 Lab Tests for Gut Disorders

• Stool culture, Calprotectin, H. pylori, Zonulin, SIBO breath test, IgG panels.
• Autoimmune: ANA, TPO, ESR, CRP, CBC.

🩺 Practitioner-Only Gut Protocols

• Elemental Diet: Used under supervision for SIBO, IBD, Crohn’s (amino acids, glucose, MCTs only).
• FMT (Fecal Microbiota Transplant): Last-resort for resistant C. difficile or dysbiosis (doctor-guided).
• Antimicrobial Rotations: Berberine, oregano, neem, allicin — used cyclically.
• Methylation support: Active B-complex, magnesium, SAMe for detox & gut-brain support.

Liver Detox Protocol

• Bitters (dandelion, arugula), milk thistle, NAC, turmeric, burdock, castor oil packs.
• Dry brushing + sauna or sweat daily. Avoid alcohol, seed oils, and added sugars.

Kidney Detox Protocol

• Hydration with lemon water, coconut water, barley water, coriander tea.
• Parsley juice, watermelon, cranberries, cucumber, celery.

🧫 Parasite & Worm Cleanse

• Wormwood, clove, black walnut, neem, garlic, papaya seeds — 7–21 day herbal rotation.
• Use binder (activated charcoal, bentonite clay) to reduce die-off symptoms.

🧈 Gallbladder Cleanse

• Olive oil + lemon juice flush (done cautiously); artichoke, taurine, beets, dandelion.
• Castor oil packs & abdominal massage. Avoid heavy fats during cleanse.

Digestive System Reset

• Light diet (soups, khichdi), ghee, cumin-fennel-coriander tea, triphala, timed meals.
• Align with circadian rhythm — eat biggest meal at noon, no late-night eating.