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Johns Hopkins Health Alert

Three Popular Myths About Digestive Disorders

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The truth about the causes of peptic ulcers, inflammatory bowel disease and gastroparesis

Before the advent of modern medicine, the average person relied on folklore, old wives’ tales and remedies handed down from previous generations to treat various ailments of the digestive tract. Today, despite extensive research, misunderstandings about the causes and treatments of many digestive disorders still persist. Here, then, are three common myths, according to the National Digestive Diseases Information Clearinghouse—and the real truths based on the latest research findings.

Digestive Disorders Myth #1: Spicy foods and stress cause peptic ulcers.

Truth: Most peptic ulcers are caused by infection with the bacterium Helicobacter pylori (H. pylori) or by frequent use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen (Advil, Motrin) and naproxen (Aleve, Naprosyn). Spicy foods, however, can worsen peptic ulcer symptoms in some people, which is why you may want to avoid them if you have a peptic ulcer.

Digestive Disorders Myth #2: Inflammatory bowel disease is caused by psychological problems.

Truth: There’s no evidence to support the notion that Crohn’s disease and ulcerative colitis, collectively known as inflammatory bowel disease (IBD), are caused by stress, anxiety or any other psychological problem. Instead, most experts believe these diseases are triggered by a virus or bacteria that sets off an abnormal reaction by the body’s immune system that results in inflammation in the intestines. That said, stress does appear to worsen the symptoms of abdominal pain and diarrhea associated with IBD.

Digestive Disorders Myth #3: Diabetes does not affect the digestive tract.

Truth: Both type 1 diabetes and type 2 diabetes put people at risk for digestive disorders due to nerve damage (neuropathy). Neuropathy occurs when high blood glucose (sugar) levels— which result because the body doesn’t make enough insulin to remove glucose from the blood and usher it into cells—causes chemical changes and injury to the blood vessels.

For instance, damage to the vagus nerve, which controls the movement of food through the digestive tract, can lead to gastroparesis, in which the stomach empties at a slower than normal rate. Signs and symptoms of gastroparesis include heartburn, nausea, vomiting of undigested food, weight loss, stomach bloating and spasms of the stomach wall. Neuropathy can also cause diarrhea or constipation if the nerves that control the intestines are damaged.

Posted in Digestive Health on September 27, 2006
Reviewed June 2011


Medical Disclaimer: This information is not intended to substitute for the advice of a physician. Click here for additional information: Johns Hopkins Health Alerts Disclaimer


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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


Three years ago I was diagnosed with IBD, Ulcerative Colitis. Over a period of a year I had not responded well to any of the treatments given to me by my specialist. In November of 2008 I had my first surgery to remove the complete large intestine and construction of an Illial J Pouch. In February of 2009 it was all reattached and put into operation. I believe this technology is fantastic but in my case I came away with Pouchitis. Only 1-2% of people who go thru this proceedure develop this condition and what a condition it is. Out of the pan and into the fire, as it is said. This is a very shortened version of my story, even as it is I am not willing to give up my J pouch, at least not yet.

What are the new development for treating Pouchitis. What is available to at least to hold it at bay, give some relief from the constant burning and soreness, diarreha?

Posted by: maplewood1 | April 20, 2011 12:06 PM

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