The Gut Show

Trauma isn't just in your mind—it can live in your body, shaping how your gut feels and functions. On this episode of The Gut Show I talk to @drriehl from @theguthealthpodcast and we explore what trauma is, how it connects to IBS, feelings of hopelessness and options for treatment. Mentioned in this episode: Tailored to the Core: Breathing, Bloating and Precision Medicine: https://www.buzzsprout.com/2293918/episodes/17382514 Poop Personality Quiz: https://quiz.tryinteract.com/#/657789ba420624001409ca1a MASTER Method Membership: https://www.ibsmastermethod.com/master-method About our guest: Dr. Megan Riehl, PsyD, AGAF is an Associate Professor of Medicine at the University of Michigan and a leading expert in psychogastroenterology. With a full-time clinical practice, she specializes in GI behavioral health, providing patient care, peer consultation, and professional training. Dr. Riehl also holds key leadership roles within Michigan Medicine focused on the area of wellbeing. A recognized thought leader, she serves on the national Board of Trustees for the Crohn's and Colitis Foundation. She is also the co-author of Mind Your Gut: The Science-Based, Whole-Body Guide to Living Well with IBS and co-host of The Gut Health Podcast alongside Kate Scarlata. Mind Your Gut: https://amzn.to/3Ji96HB GI Psychology: www.gipsychology.com Psychology Today: www.psychologytoday.com The Gut Health Podcast: https://theguthealthpodcast.buzzsprout.com Thank you to our partners: This episode is made possible with support from Ardelyx. @gemellibiotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! @fodzyme is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.

Crave certain high FODMAP foods but struggle to enjoy them without IBS symptoms? Ever wish there was a magic pill that let you eat what you love, without the symptoms? That's exactly what the founders of FODZYME set out to create… and they made it happen! Listen to this bonus episode of The Gut Show as I talk with the founders of FODZYME about how they came up with this idea and how it works. Thank you to our partners: @fodzyme FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. @gemellibiotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!

If you've ever wondered how pelvic floor therapy fits into gut health, this episode of The Gut Show is for you! Dr. Janelle shares what vaginismus is, how this relates to IBS, how pelvic floor PT can help, and where to start if this is something you're struggling with. You are not the only one dealing with this. Mentioned in this episode: What's your poop personality quiz MASTER Method Membership About our guest: Dr. Janelle Frederick (formerly Dr. Janelle Howell), DPT, WCS The Vagina Rehab Doctor | Award-Winning Pelvic Floor Specialist Dr. Janelle Frederick, known as the Vagina Rehab Doctor, is a world-renowned pelvic floor specialist dedicated to helping individuals overcome pelvic floor dysfunction and reclaim their confidence. Recently married, she proudly embraces her new name while continuing her mission to break the stigma surrounding pelvic health. Originally from a small city in Alabama, Dr. Janelle brings warmth, expertise, and a passion for empowering others. Her groundbreaking work has earned her the prestigious title of Sexpert of the Year 2022 and widespread recognition in publications such as The New York Times, US News & World Report, Essence Magazine, and Insider. She has also been a featured guest on leading platforms like Therapy for Black Girls, where she shares her expertise on sexual health, intimacy, and pelvic wellness. As an award-winning doctor, speaker, and advocate, Dr. Janelle is on a mission to educate and empower people about the wonders of their bodies. Through speaking engagements, media appearances, and clinical practice, she continues to lead the charge in revolutionizing pelvic health care." Website: https://www.vaginarehabdoctor.com Podcast: The Vagina Rehab Doctor Podcast Instagram: @vaginarehabdoctor Thank you to our partners: This episode is made possible with support from Ardelyx. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. Connect with Erin Judge, RD: IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd Work with Gutivate: https://gutivate.com/services

Some triggers don't get talked about enough. We focus a lot on food and lifestyle habits, but there are other pieces that often get overlooked. They might not come up at your doctor's office, but they can still fill your trigger bucket… and eventually make it overflow. Thank you to our partners: This episode is made possible with support from Ardelyx. FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! Covered in this episode: Your trigger bucket [3:41] Stressors [4:55] Sleep [6:25] Hormones [7:21] What about eating too fast or too slow? [8:55] Processed foods vs whole foods [14:31] Carbonation [22:41] Added fibers [24:31] Scar tissue or adhesions [26:27] Pelvic floor dysfunction [29:38] Travel [34:31]

"When was the last time you felt normal?" For many living with mysterious, fluctuating symptoms...that question feels all too familiar. I'm chatting with Dr. Zachary Spiritos about Mast Cell Activation Syndrome (MCAS) - what it is, what his classic patient looks like, and what to do if you suspect it's behind your symptoms. If you've been told everything looks fine but you still don't feel right, this episode of The Gut Show is for you! Covered in this episode: (00:00) Welcome to The Gut Show (03:10) Introducing Dr. Zachary Spiritos (08:41) What are mast cells His classic patient [12:51] When is the last time you felt normal? [16:00] Why do patients get MCAS? [19:24] Evaluation for MCAS [21:27] Treatment [24:09] Medications [29:12] Histamine vs MCAS [32:39] Is a low histamine diet forever? [34:56] ARFID [37:10] How to find the right provider for MCAS [38:20] Thank you to our partners: FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! About Dr. Zachary Spiritos: Dr. Zachary Spiritos is a Philadelphian turned North Carolinian, having made his way south for college and ultimately putting down roots after meeting his wife. He graduated cum laude from Davidson College and went on to ultimately complete his gastroenterology fellowship at Duke University. Dr. Spiritos specializes in neurogastroenterology, with a focus on disorders like postural orthostatic tachycardia syndrome (POTS), mast cell activation syndrome (MCAS), and gastrointestinal issues related to hypermobility syndromes. He also cares for patients with irritable bowel syndrome (IBS), functional GI disorders, and complex motility conditions. Passionate about patient education and whole-person care, he integrates nutrition, stress management, and gut-brain therapies into his treatment approach. Outside of medicine, Dr. Spiritos and his wife stay busy chasing after their two young kids. He enjoys hiking, playing basketball, and fitting in workouts whenever he can. Connect with Dr. Spiritos on his website or on Instagram. Mentioned in this episode: What's your poop personality? MASTER Method Membership Connect with Erin Judge, RD: IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd Work with Gutivate: https://gutivate.com/services

Food doesn't cause IBS. But the fear around food? That's real. In this episode of The Gut Show, I'm talking about when restrictions help, when they don't, and what else could be driving your symptoms. Thank you to our partners: @GemelliBiotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! @FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. Covered in this episode: Why I work with IBS [3:10] The most common reason for dietary restriction in IBS [4:09] Food intolerance in IBS [6:10] Visceral hypersensitivity [7:45] Immune activation [9:05] Dysbiosis [9:54] Intestinal permeability [10:51] Food does not cause IBS [12:42] (social?) When do restrictions work? [14:01] When restrictions work against you [16:47] Pitfalls to be aware of [23:06] Support for food fear [36:59] How to approach dietary restrictions [45:59] Sustainable ways to approach restrictions [47:27] Non food restriction strategies [51:23] What does managing IBS look like? [52:15] How do you get there? [56:20] Mentioned in this episode: MASTER Method Membership Take the quiz: What's your poop personality? Malabsorption Overlapping With or Masking as IBS Connect with Gutivate: IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd Work with Gutivate: https://gutivate.com/services

If you're doing "all the right things" for IBS but still struggling, it might be time to look beyond IBS itself. In this episode of The Gut Show, I talk with Dr Lee and Dr Singh about other conditions that can mimic or worsen IBS symptoms, such as food intolerances, malabsorption, SID and bile acid diarrhea. Covered in this episode: Introducing our guests [3:29] Food intolerance vs food allergy [5:05] Food intolerance in IBS [8:23] Malabsorption [8:38] SID [10:31] Lactose intolerance [14:23] Bile acid diarrhea/malabsorption [16:04] Exocrine Pancreatic insufficiency [28:15] How to assess food intolerance [34:32] Q&A [41:10] Thank you to our partners: @FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. @GemelliBiotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order!

Could a past food poisoning incident be the reason your gut hasn't felt right since? In this episode of The Gut Show, we're diving into how foodborne illness connects to IBS—and what you can do to protect yourself. Have you ever traced your IBS back to a foodborne illness? In this episode, we cover: My goal with this episode [3:10] The most known cause of IBS [3:34] How do you get foodborne illness? [7:33] Signs of foodborne illness [12:53] When will symptoms pass? [15:20] Can repeat infections make things worse? [19:29] Preventing foodborne illness [24:49] What if you're not the one making the food? [35:35] Food recalls and contamination [45:32] What if you get foodborne illness? [50:49] Mentioned in this episode: SIBO episode What's your poop personality? MASTER Method Membership Thank you to our partners: FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. This episode is made possible with support from Ardelyx. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! Connect with Erin Judge, RD: IG: https://www.instagram.com/erinjudge.rd TikTok: https://www.tiktok.com/@erinjudge.rd Work with Gutivate: https://gutivate.com/services

Struggling with sleep and IBS? You're not alone and there's a deeper connection than you think. Tune in to the latest episode of The Gut Show to learn from @pacificintegrativepsych to learn more! From melatonin to mindset, we've got integrative tools you can actually use tonight! Mentioned in this episode: Melatonin brand guide What's your poop personality? MASTER Method Membership Thank you to our partners: This episode is made possible with support from Ardelyx. Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider! Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! FODZYME is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer. Covered in this episode: About Dr. Bhopal [3:10] Take a deep breath [4:29] Sleep 101 - why is sleep important? [6:03] What happens when you're sleeping? [7:30] Is lack of sleep raising your blood pressure? [11:51] How much sleep do you need? [10:32] Is it a good idea to nap? [12:08] 4 sleep pillars [13:19] Those with IBS are more likely to have sleep disorders [15:29] Why this matters for you [18:15] Integrative strategies for better sleep [19:37] Can melatonin improve IBS symptoms? [24:07] Sleep drive [25:13] Mindset and nervous system [26:12] Chronic insomnia [28:01] Yoga [30:03] Aromatherapy [31:30] Nutrition and dietary supplements [32:56] Answering your questions [40:28] About Dr. Bhopal: Nishi Bhopal MD is board certified in Psychiatry, Sleep Medicine, and Integrative Holistic Medicine. She is the founder and medical director of Pacific Integrative Psychiatry, an online practice in California where patients receive a whole-person approach to anxiety and sleep disorders, including sleep coaching, and integrative and functional medicine. In addition to her private practice, Dr. Bhopal is the founder of IntraBalance, an educational platform for physicians and therapists that includes a YouTube channel and online courses on clinical sleep medicine for healthcare practitioners. Her passion is making clinical sleep medicine easy to understand and accessible to all. LI: https://www.linkedin.com/in/nishibhopal/ YT: https://www.youtube.com/c/intrabalance IG: https://www.instagram.com/pacificintegrativepsych Private practice website: https://pacificintegrativepsych.com/ Connect with Erin Judge, RD: Download My Gut Journal for free Work with Gutivate Instagram TikTok

Dr. Mark Pimentel, a leading expert on IBS and the gut microbiome, dives deep into the complexities of SIBO, IMO, and IBS. He discusses the importance of breath and stool testing for accurate diagnoses. Discover the significant role of antibiotics like Rifaximin in treatment, as well as emerging therapies that could change the game. Pimentel highlights the challenges in managing these conditions and emphasizes the emotional struggles of patients, advocating for better support and understanding in gut health.