Short, plain-language guides to common digestive problems, with sources. They are a starting point for a conversation with your doctor, not a diagnosis.
A common disorder of gut–brain interaction that causes belly pain with diarrhea, constipation or both. It does not damage the bowel. Diagnosis uses symptom criteria plus a few targeted tests, and treatment combines diet, gut–brain therapies and, when needed, medicine 1.
Gastroesophageal reflux disease happens when stomach contents flow back into the esophagus often enough to cause symptoms or damage. Lifestyle steps and acid-reducing medicines help many people. Trouble swallowing, weight loss, bleeding or vomiting needs prompt evaluation 2.
Chronic constipation
Infrequent, hard or difficult bowel movements lasting months. Fiber (especially soluble fiber), fluids and activity are first steps; several over-the-counter and prescription medicines are supported by a joint AGA–ACG guideline 3.
Bloating & gas
Very common and usually harmless, but it can be uncomfortable. Patterns linked to meals, bowel habits or certain foods help point to a cause, such as IBS, constipation or poorly absorbed carbohydrates 4.
Celiac disease
An immune reaction to gluten that damages the small intestine. It can cause diarrhea, bloating, anemia or no obvious symptoms. Testing should be done before cutting out gluten, because a gluten-free diet can make tests falsely normal 5.
Diverticular disease
Small pouches in the colon wall are common with age. When one becomes inflamed (diverticulitis) it can cause pain, fever and changes in bowel habits. Many mild cases are managed without antibiotics under medical guidance 6.
Fatty liver disease (MASLD)
Now called metabolic dysfunction-associated steatotic liver disease, it is linked with excess weight, diabetes and high cholesterol. It often causes no symptoms and is found on blood tests or scans 7.
Colon polyps
Small growths in the colon. Some types can slowly turn into cancer, which is why screening that finds and removes them is so effective. How often you need follow-up depends on what is found 8.
See a doctor promptly for blood in your stool or black stools, unexplained weight loss, trouble or pain swallowing, persistent vomiting, iron-deficiency anemia, or digestive symptoms that wake you at night. Call 911 for severe sudden belly pain, vomiting blood, or fainting.
Sources & references
Lacy BE, Pimentel M, Brenner DM, et al. ACG Clinical Guideline: Management of Irritable Bowel Syndrome. Am J Gastroenterol. 2021;116(1):17-44. View source
Katz PO, Dunbar KB, Schnoll-Sussman FH, Greer KB, Yadlapati R, Spechler SJ. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am J Gastroenterol. 2022;117(1):27-56. View source
Chang L, Chey WD, Imdad A, et al. American Gastroenterological Association–American College of Gastroenterology Clinical Practice Guideline: Pharmacological Management of Chronic Idiopathic Constipation. Gastroenterology. 2023;164(7):1086-1106. View source
Chey WD, Hashash JG, Manning L, Chang L. AGA Clinical Practice Update on the Role of Diet in Irritable Bowel Syndrome: Expert Review. Gastroenterology. 2022;162(6):1737-1745.e5. View source
Rubio-Tapia A, Hill ID, Semrad C, et al. American College of Gastroenterology Guidelines Update: Diagnosis and Management of Celiac Disease. Am J Gastroenterol. 2023;118(1):59-76. View source
Peery AF, Shaukat A, Strate LL. AGA Clinical Practice Update on Medical Management of Colonic Diverticulitis: Expert Review. Gastroenterology. 2021;160(3):906-911.e1. View source
Rinella ME, Lazarus JV, Ratziu V, et al. A multisociety Delphi consensus statement on new fatty liver disease nomenclature. Hepatology. 2023;78(6):1966-1986. View source
Shaukat A, Kahi CJ, Burke CA, Rabeneck L, Sauer BG, Rex DK. ACG Clinical Guidelines: Colorectal Cancer Screening 2021. Am J Gastroenterol. 2021;116(3):458-479. View source
Appointments
Seeing Dr. Srivastava as a patient
Dr. Srivastava sees patients at Sentara Gastroenterology Specialists – Charlottesville, part of Sentara Martha Jefferson Hospital. Start on the contact page, or email [email protected].