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Article Category: Highlights

What You May Not Realize About Gut and Digestive Health

Published on November 19, 2025

Last updated 09:09 AM November 19, 2025

A woman holds both hands to her stomach in pain

The Weekly Check-up Atlanta


We’ve all done it—taken an over-the-counter pain reliever for a headache, popped an antacid after a heavy meal or ignored bloating because it “comes and goes.” But some of these everyday habits can quietly damage the digestive system over time.

The gut is more connected to overall health than most people realize. “The digestive system reflects what’s happening in the rest of the body,” said Wellstar Gastroenterologist  Dr. Manjusha Das. “When something feels off, it’s often your body’s first warning sign.” Scientists now know that the gut and brain communicate through a complex network of nerves and hormones—meaning stress, mood and even sleep can influence how well your digestive system works.

Here, we share key ways to protect your gut and overall digestive health, as well as insights from Dr. Das’ experience in treating and preventing gastrointestinal disease.

1. Can common medications harm your stomach and gut?

Over-the-counter doesn’t always mean risk-free. Pain relievers such as ibuprofen, naproxen, aspirin or Goody Powder can irritate the stomach lining and lead to ulcers or internal bleeding when taken too often or on an empty stomach.

“Most people have no idea that ibuprofen causes peptic ulcer disease,” said Dr. Das. “All of these things we call non-steroidal, they help my headache, they help my back pain, but they are extremely caustic to the intestinal lining,” she said. “Even small doses taken regularly can cause problems over time. If you rely on these medications often, talk with your provider about safer long-term options.”

2. What really builds a healthy gut?

A healthy gut depends more on daily habits than on any single capsule.

What really matters:

  • Eat more fiber from vegetables, fruits and whole grains.
  • Drink plenty of water each day.
  • Get enough good sleep and find ways to manage stress.
  • Limit processed foods, sugary drinks and alcohol.

Probiotics can play a role, but they’re not a cure-all. Persistent bloating, diarrhea or abdominal pain could signal  irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD)—conditions that require professional medical care. “If your symptoms last more than two weeks or keep returning, schedule a GI evaluation,” Dr. Das advised.

3. Can colon cancer screening wait?

Don’t wait to schedule your colorectal cancer screening, such as a colonoscopy. Colon cancer often grows quietly, which is why screening can save lives. Colon cancer is also showing up in younger patients, which is why national guidelines now recommend you start screening at age 45—and earlier for anyone with a family history or concerning symptoms. “A colonoscopy doesn’t just detect cancer—it prevents it,” Dr. Das said. “We remove pre-cancerous polyps before they become dangerous.”

4. How do you protect your liver before problems start?

Liver disease often develops silently, with no obvious symptoms until significant damage occurs. Dr. Das has seen a sharp increase in fatty liver disease —both alcohol-related and non-alcoholic—since the pandemic, often tied to higher stress, poor diet and inactivity.

The encouraging news: The liver can heal when damage is caught early.

To protect your liver:

  • Drink alcohol in moderation—or skip it altogether.
  • Stay active and maintain a healthy weight.
  • Choose fresh, whole foods instead of processed ones.
  • Ask your provider for a simple blood test to check your liver health, especially if you have diabetes, high cholesterol or obesity.

“Most liver conditions are preventable,” Dr. Das said. “Small lifestyle changes make a lasting difference.”

5. When should you listen to your gut—literally?

Your digestive system is a built-in feedback loop. Bloating, reflux or bowel changes are signals worth listening to—not ignoring or masking with over-the-counter remedies. Frequent self-treatment can hide underlying issues such as ulcers, celiac disease or inflammatory conditions that need targeted care. “When symptoms repeat, they’re trying to tell you something,” Dr. Das explained. “The earlier we investigate, the easier it is to treat.”

Prevention starts with awareness

Digestive health doesn’t require complicated cleanses or trendy supplements. What truly matters is awareness, balance and consistent preventive care—habits that support the gut, liver and entire body. “The best medicine is preventive medicine,” Dr. Das said. “When you know your risks and act early, you can avoid most GI complications.”

What can you do next?

  • Schedule your screening colonoscopy if you’re 45 or older.
  • Ask your primary care provider about your liver health.
  • Find a Wellstar gastroenterologist near you for guidance that fits your needs.

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Manjusha Das Digestive Care
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Your late teens, 20s & 30s
Striving for top health performance
You may feel on top of your game—even unbeatable—In your 20s and 30s. You may be tempted to think, “Why even bother with a physical?” Yet this is training season for building up lifelong healthy habits.

Establish your care coach: In your late teens to early 20s, transition from your pediatrician and establish yourself with a primary care physician, nurse practitioner or physician assistant by scheduling a physical.

“When young men show up for preventive care, we talk about the future,” said Dr. Dean Seehusen, chair of Family & Community Medicine at Wellstar MCG Health Medical Center in Augusta. “Then we talk about what that’s going to take habit-wise. What you can do in your 60s and 70s is based on what you’re doing in your 20s, 30s and 40s.”

Stay on top of your stats: The information from your annual exam can help you stay on track to live out your vision, measured in part by important health stats—like glucose and cholesterol levels, body mass index and blood pressure. Staying on top of your trending numbers can help prevent heart disease, stroke and diabetes down the road.

It’s also a good time to talk about your vaccine status, such as tetanus (needed every 10 years) and HPV. To protect yourself and your partner, it’s important to test for human papillomavirus. Also known as HPV, it’s the most common sexually transmitted infection and can cause several types of cancer for men and women, even though you likely won’t have symptoms. You may have already received this vaccine in your teens, but if you haven’t yet, it’s recommended through the age of 26.

Men may also consider self-screening for testicular cancer through self-exams during these earlier healthcare years, according to John Aaron III, a physician assistant who cares for patients at Wellstar Family Medicine in Alpharetta.

Look for weaknesses: Make your health team aware of your family medical history, from heart disease and stroke to cancer. This will help them create a personalized health plan for you. You may need screenings or tests for certain health conditions at an earlier age than the average population.

Find a Men’s Health care team near you, including the Wellstar KSU Health Center for Kennesaw State University for students.

 

Keep reading
Former Chicago Cubs outfielder CJ Stewart shares how he faced his colonoscopy fears.

PeopleCare

CJCare

Former former major league baseball player CJ Stewart didn’t want to have a colonoscopy. He dreaded the liquid diet. The needles. The IV sedation. The possibility of cancer.

So how did CJ face his fears—and what happened next?

On track for a heart attack

It started in 2020 when CJ scouted a new primary care provider. He chose Dr. Randy Hines II, Wellstar Primary Care. He said Dr. Hines was the most straightforward doctor he had ever visited.

“I was overweight,” CJ remembered. “My health changed positively because Dr. Hines said things to me in a very positive way. He was direct with me and that helped save my life.”

Dr. Hines learned CJ’s father was a diabetic and had quadruple bypass heart surgery to treat a heart attack. CJ remembered him saying, “‘You’re on track to have the same thing but you can control it.’” 

CJ admitted that he had a daily dose of French fries and two peanut butter and jelly sandwiches before bed. Dr. Hines challenged him to rethink his relationship with food if he wanted to see his daughters walk down the aisle one day. It was tough talk and it meant something.

“I really love my daughters!” CJ said. “It made me change.”

As a result, he modified his diet, took up running and lost 45 pounds.

Former Chicago Cubs outfielder CJ Stewart shares how he faced his colonoscopy fears.


Preventing colorectal cancer

Then CJ’s mom revealed a family history of colon cancer.

“My wife and daughters were like, ‘We really need you to go get checked to make sure you’re good,’” he said.

Because of his fears related to the colonoscopy, CJ wanted to have Cologuard, an at-home screening test for colon cancer. But Dr. Hines recommended the 47-year-old have a preventive colonoscopy screening instead, explaining that if pre-cancerous polyps are detected during the procedure, they can be removed before becoming cancerous. 

“I didn’t want to hear it,” CJ laughed. “But hearing that from a fellow African American man, I trusted that it was the right thing to do.”

Keep reading
Person laying down and holding stomach

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Feeling ‘Backed Up’? Your Care Team Can Help You Fix Constipation

Constipation can be defined as a change in frequency of stool, consistency of stool or both. Normal frequency of bowel movements is thought to be anywhere between three times a day to three times a week. Additionally, having very hard or pellet-like stools is an indication of constipation. 

Constipation can be caused by a variety of things, including dietary changes (like decreased water or fiber intake), thyroid issues, slow gut motility, electrolyte imbalances, medication changes and sometimes even more serious medical disorders such as cancer. 

“It is important to talk to your provider if you’re experiencing an issue with constipation,” said Wellstar Gastroenterologist Dr. Shani Clay. “There are specific laboratory studies and even imaging that can be done to further evaluate abnormal stools. If you're noticing blood in your stool or unexplained weight loss, a colonoscopy may even be warranted to rule out a more serious condition.”

Wellstar gastroenterologists can help you determine the cause of your constipation.

If you are feeling a little “backed up,” there are also a few things you can do to help you have more regular bowel movements. Ensuring you are drinking at least 64 ounces of water daily helps to soften your stool so that it can pass more easily out of the colon. Further, it is important you follow a diet high in fiber. This includes eating things like raspberries, pears, apples with skin, green peas, broccoli, whole wheat spaghetti, oatmeal and black beans. If dietary changes do not work, there are a variety of both over-the-counter and prescribed medications that your provider may recommend to help get you going.

Constipation occurs quite frequently in the general population and may warrant further work-up. Increasing water intake and modifying your diet to include more fiber may help, but it is important that your symptoms are conveyed to your provider in case additional testing needs to be done. Staying regular helps you to feel better, both physically and mentally. Gut health is important, so make sure you are keeping it clean!

Learn more about how you can start healthy habits to benefit your digestive wellness.

Keep reading
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