973 - 5 Microbiome Fixes for Abdominal Pain and Bloating

Dr. Ruscio Radio, DC: Health, Nutrition and Functional Healthcare

Dr. Michael Ruscio, DC

Medical, Health, Functionalmedicine, Alternative Health, Health & Fitness

4.5 • 774 Ratings

🗓️ 30 June 2025

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

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Summary

Struggling with a bloated stomach after eating or chronic abdominal distension? In this episode, I’ll explain why dysfunction in three major systems causes bloating and reveal 5 evidence-based microbiome fixes that can help reduce stomach bloating while healing your gut naturally.

Start healing with us! Learn more about our virtual clinic: https://drruscio.com/virtual-clinic/

Free downloadable Low FODMAP Diet guide: https://drruscio.com/guides/get-low-fodmap-diet-guide/

Timestamps

00:00 Intro

01:49 Digestive dysfunction

06:00 Immune system misfiring

07:36 Gut-brain dysregulation

11:05 Low fodmap diet

18:19 Elemental diet

20:15 Probiotics

27:09 Antimicrobials & antibiofilm agents

31:00 Vagus nerve stimulation

Featured Studies

📉Gut-brain interaction in the US:

https://pubmed.ncbi.nlm.nih.gov/36961084/

📉FODMAP Restriction & Symptom Response during FODMAP Reintroduction: https://pubmed.ncbi.nlm.nih.gov/37375587/

📉Elemental Diet & Microbial Overgrowth:

https://eposters.ddw.org/ddw/2024/ddw-2024/413102/ali.rezaie.compliance.safety.and.effect.of.exclusive.palatable.elemental.diet.html?f=menu%3D16%2Abrowseby%3D8%2Asortby%3D2%2Ace_id%3D2673%2Alabel%3D27495%2Atrend%3D19514%2Amarker%3D5007

📉A 14-day elemental diet is highly effective in normalizing the lactulose breath test:

https://pubmed.ncbi.nlm.nih.gov/14992438/

📉Treatment of Active Crohn's Disease in Children: https://pubmed.ncbi.nlm.nih.gov/37960328/

📉The Crohn's disease exclusion diet: https://pubmed.ncbi.nlm.nih.gov/34739863/

📉Vagus Nerve Stimulation in Patients With IBS-C: https://pubmed.ncbi.nlm.nih.gov/39689011/

📉SIBO in patients with different subtypes of IBS: https://pubmed.ncbi.nlm.nih.gov/31750966/

📉Low FODMAP diet in IBS: https://pubmed.ncbi.nlm.nih.gov/34376515/

📉High FODMAP diet causes barrier loss via lipopolysaccharide-mediated mast cell activation: https://pubmed.ncbi.nlm.nih.gov/34618688/

📉FODMAPs alter symptoms and the metabolome of patients with IBS: https://pubmed.ncbi.nlm.nih.gov/26976734/

📉Effect of diet and individual dietary guidance on gastrointestinal endocrine cells in patients with IBS: https://pubmed.ncbi.nlm.nih.gov/28849091/

📉Is rheumatoid arthritis a disease that starts in the intestine? https://pubmed.ncbi.nlm.nih.gov/17308218/

📉Probiotics fortify intestinal barrier function: https://pubmed.ncbi.nlm.nih.gov/37168869/

📉Interactions between symptoms and psychological status in IBS: https://pubmed.ncbi.nlm.nih.gov/36178333/

📉Mucosal Biofilms Are an Endoscopic Feature of Irritable Bowel Syndrome and Ulcerative Colitis:

https://pubmed.ncbi.nlm.nih.gov/34146566/

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DISCLAIMER: The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment.

Music featured in this video: "Modern Technology" by Andrew G, https://audiojungle.net/user/andrew_g

*Full transcript available on YouTube by clicking the “Show transcript” button on the bottom right of the video.

Transcript

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0:00.0	Welcome to Dr. Rucho Radio, providing practical and science-based solutions to feeling your best.
0:14.8	To stay up to date on the latest topics, as well as all of our prior episodes, make sure to subscribe in your podcast player.
0:22.2	For weekly updates, visit Dr.ruciot.com.
0:25.7	Welcome back. Let's discuss abdominal pain and bloating.
0:29.9	Obviously, these are super annoying symptoms, and what I'm hoping to provide you today
0:34.1	is a little bit more of a deeper dive into what's causing the
0:39.3	bloating and pain so that you can repair the cause and not have to resort to
0:44.3	palliative anti-blote medications or diets that require you to restrict a lot of foods.
0:50.3	And not to get too deep, too quick, but bloating is not consolidated to the gut.
0:57.0	It really crosses three systems and pain.
1:01.0	The gut, the immune system, and the nervous system, and that's what you're seeing here.
1:06.7	You're seeing the lining of the gut, the microbiota, or the world of bacteria, and how this
1:13.1	interfaces directly with the immune system, mass cells, histamine, a number of inflammatory
1:19.7	cytokines, which is sort of the language that the immune system speaks. And as you see here,
1:25.7	aferrant and eferent neurons.
1:28.6	So we'll unpack this.
1:30.2	I know this image might seem a little bit busy,
1:32.6	but it provides us with these very important points of understanding
1:37.5	that bloating has to be addressed across all three of these systems,
1:42.4	and that's how we can achieve long-lasting resolution that will
1:47.0	allow you to expand your diet and not, again, resort to or have to resort to these highly
1:52.1	avoidant diets, or using things like gas X or whatever to sort of quell the pain when it does
	...

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