Common Gastrointestinal Issues in Men
May 31, 2023 09:31AM ● By Alora Frederick, RDN, LDNAccording to the National Institute
of Health, more women than men seek out support and health advice when it comes
to gut-related issues. Although women are more likely than men to have
irritable bowel syndrome and other gastrointestinal (GI)-related disorders does
not mean that men don’t experience GI distress. There is a bundle of GI concerns
that men regularly experience and yet may not seek assistance for them. Common
GI problems that affect men include but are not limited to lactose intolerance,
diarrhea, acid reflux, IBS and colon cancer.
The
occasional gas or bloating post-meal is not an indicator of a deeper GI
imbalance. However, if a man experiences continuous diarrhea, nausea, stomach
cramps, bloating or gas after dairy consumption, he most likely has a lactose
intolerance or dairy sensitivity. Around 65 to 70 percent of the world’s
population has some degree of lactose intolerance. Each individual is uniquely
affected and has a different tolerance threshold for dairy products. For
example, a man may find he can handle some Greek yogurt for breakfast, but a
whey protein shake wreaks havoc on his gut. Whey products like whey protein are
heavily marketed to men, especially in the fitness arena, yet it often proves
difficult to digest for many men who unknowingly have some degree of dairy
sensitivity.
It’s
possible for a man to not have a lactose intolerance, but instead be reactive
to the two proteins found in dairy products: whey and casein. It’s imperative
to keep a food log and track symptoms to discover which dairy products, if any,
are tolerated. Some dairy products like sheep’s yogurt and goat cheese may be
easier to digest for those that typically cannot tolerate cow’s dairy. This is
in part due to the lack of A1 protein that is found in cow’s dairy. Dairy
products are nutrient-dense and provide essential vitamins and minerals for
men’s health. Some men may need to cut out dairy entirely or utilize digestive
enzymes with dairy intake. However, it’s possible to still incorporate some
dairy even with a lactose intolerance or dairy sensitivity. The key is to be
aware of the personal tolerance threshold of dairy on a daily basis.
Men
have faster motility and intestinal transit times than most women, which can
make them more susceptible to loose stools or diarrhea. If loose stools and
diarrhea are a daily occurrence then an underlying gut imbalance may be at
play, such as lactose intolerance, candida overgrowth, small intestinal
bacterial overgrowth, consumption of artificial sweeteners or sugar alcohols or
more. A digestive enzyme or the beneficial probiotic Saccharomyces Boulardii
would be a good approach at first. If chronic diarrhea does not resolve it may
lead to chronic dehydration. In this case, seeking out the help of a health
professional is imperative.
Colon
cancer is most common in older adults, yet of all cancers, colorectal cancer is
predicted to affect individuals under 50 the most by 2023, with one in 23 men
diagnosed with colorectal cancer. Fortunately, there are modifiable risk
factors that men can take note of. These key preventative factors are physical
activity, maintaining a healthy weight, minimizing alcohol intake and avoidance
of all tobacco products. The combination of high consumption of processed meat
and a very low intake of fruits and vegetables is also a major risk factor.
Men
don’t need to become vegan or even vegetarian to cut their risk, rather they
need to ensure adequate fiber intake from fruit, vegetables, legumes, whole
grains, nuts and seeds on a daily basis. The recommended daily amount of fiber
for men is 30 to 38 grams daily. Without the need for calculations, men instead
should be mindful to have at least one fibrous plant-based food at each meal.
This may include, for examples, a leafy green, broccoli, an avocado or a pear.
Gut health is the foundation of
systemic health and optimal immune function. Therefore, comfortable and
predictable gut health should be a priority for all men.
Alora Frederick,
RDN, LDN, is an integrative and functional dietitian in Waltham, MA. She is
currently accepting new patients at Johnson Compounding and Wellness for
virtual nutrition appointments. Schedule a free,15-minute, introductory call at NaturalCompounder.com/Alora.