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Can Common Drugs Cause G.I. Issues? The Effects of Medications on the Gut

This entry was posted in Drug Side Effects and tagged on by .
Medically Reviewed Fact Checked

Last Updated on June 2, 2022 by Carol Gillette

Alternative to Meds Editorial Team
Medically Reviewed by Dr Samuel Lee MD

The gut is a complex system that includes the stomach and intestines, as well as other organs such as the liver and pancreas. The gut is responsible for digesting food and extracting nutrients, and it also plays a role in immune system function.

Because the gut is so important, it’s no surprise that medications can impact its function.1 An examination of the effects of common drugs on the gut can provide greater insight into the potential for drug-induced gastrointestinal issues.


Why Is Gut Health Important?

The gut is responsible for digesting food and extracting nutrients. This process is necessary for obtaining the energy and nutrients that our bodies need to function.

The gut also plays a role in immune system function. The gut is home to a large number of bacteria, and these bacteria are important for maintaining gut health.2 They help protect the gut from infection and inflammation, and they also play a role in digestion.

The gut is important for overall health. Gut health is linked to a variety of diseases, including obesity, diabetes, and heart disease.3 It’s essential to preserve the health and function of the gut to maintain proper health, and there are many ways to do it.

What Are Common G.I. Health Problems?

Irritable bowel syndrome (IBS)

IBS occurs when the gut becomes inflamed, and the muscles that control the movement of food through the intestines become spastic. As a result, the movement of food is disrupted, leading to symptoms such as abdominal pain, cramping, diarrhea, and constipation.

Celiac disease

Celiac disease is an autoimmune condition that affects the gut. It occurs when the body reacts to gluten, a common protein found in wheat, barley, and rye products. When someone suffering from celiac disease eats gluten, the immune system responds by damaging the small intestine. This often will lead to a wide range of symptoms, including diarrhea, constipation, abdominal pain, and weight loss.

Crohn’s disease

Crohn’s is a common chronic inflammatory condition affecting the gastrointestinal tract, and it can cause inflammation anywhere along the digestive tract, from the mouth to the anus. This can lead to various symptoms, including abdominal pain, diarrhea, nausea, and vomiting.

Ulcerative colitis

Ulcerative colitis is a chronic inflammatory condition that affects the large intestine, and it causes inflammation and ulcers in the lining of the intestine. This can lead to distressing symptoms, including abdominal pain, diarrhea, rectal bleeding, and weight loss.

GERD

Gastroesophageal Reflux Disease (GERD) is a condition that occurs when stomach acid leaks up into the esophagus. This can lead to a variety of symptoms, including heartburn, chest pain, and difficulty swallowing.

Each of these conditions can cause a variety of symptoms, which can range from mild to severe. They can also interfere with daily life, causing difficulty with activities such as working, eating, and sleeping.

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How Do Medications Affect the Gastrointestinal System?

Medications can have many different effects on the gut. Some medications can irritate the gut, while others can cause inflammation.4 Medications can also affect gut bacteria, leading to gut health problems. This is why many people ask, “what are the symptoms of drug toxicity in the gastrointestinal tract?”

Some of the most common ways that medications affect the gut include:

1. Leaky Gut

Our stomachs have extensive interior lining. Actually, we have more than 4,000 square feet of surface area in our stomachs. Intestinal lining forms a barrier of protection and controls what is absorbed into the blood. However, an unhealthy or “leaky gut” may have large tears, holes, and cracks, which allows food and toxins to penetrate the tissue. Inflammation or changes to the gut’s bacteria may result, leading to serious digestive problems or worse.

2. Diarrhea

Many medications, including antibiotics, anti-inflammatory drugs, and laxatives, can cause diarrhea.5 This is because they disrupt the balance of bacteria in the gut, which can lead to an overgrowth of harmful bacteria. Chronic diarrhea can lead to dehydration and nutrient deficiencies that make it difficult to maintain good health.

3. Constipation

Medications such as antidepressants, anti-anxiety drugs, and pain medications can cause constipation. This is because they can slow down the movement of food through the intestines. This can lead to a buildup of waste in the gut, which can cause discomfort and health problems.

4. Nausea and vomiting

Many medications, including chemotherapy drugs and antibiotics, can cause nausea and vomiting. This is because they can irritate the stomach and esophagus. Nausea and vomiting can lead to dehydration and malnutrition.

5. Heartburn

Many medications, including pain medications, antihistamines, and steroids, can cause heartburn. This is because they relax the muscles in the stomach and esophagus, allowing stomach acid to leak up into the esophagus. This can lead to a burning sensation in the chest and throat.

6. Malnourishment

Some medications can cause malnutrition by interfering with the absorption of nutrients from food. This can lead to a variety of health problems, including abnormal weight loss, weakness, and hair loss. As you can see, medications can have several different effects on the gut. It is important to be aware of what drugs affect the digestive system and their effects so that you can take steps to protect your gut health.

What Drugs Commonly Cause G.I. Issues?

There are a number of different drugs that can cause gut health problems. Some of the most common include:

Antibiotics

Antibiotics are drugs that are used to treat infections, and they work by killing bacteria. However, antibiotics can also kill the beneficial bacteria in the gut, which can lead to diarrhea and other gut health problems.

Nonsteroidal anti-inflammatory drugs (NSAIDs)

NSAIDs are drugs that are used to treat pain and inflammation. They work by blocking the production of prostaglandins, which are chemicals that cause pain and inflammation. However, NSAIDs can also irritate the gut, which can lead to diarrhea and other gut health problems.6

Laxatives

Laxatives are drugs that are used to treat constipation. They work by stimulating the muscles in the intestine, which causes them to contract and push the waste products out of the body. However, laxatives can also irritate the gut and cause diarrhea.

Chemotherapy drugs

Chemotherapy drugs are drugs that are used to treat cancer. They work by killing cancer cells. However, chemotherapy drugs can also damage the healthy cells in the gut, which can lead to nausea, vomiting, and other gut health issues.

Antidepressants

Antidepressants are drugs that are used to treat depression, and they work by increasing the levels of serotonin in the brain. However, antidepressants can also disrupt the balance of bacteria in the gut, leading to a host of gut issues, including diarrhea.7

Anti-anxiety drugs

Anti-anxiety drugs are medications that are used to treat anxiety disorders. They work by increasing the levels of serotonin in the brain. However, anti-anxiety drugs can also disrupt the balance of bacteria in the gut, which can lead to diarrhea and other gut health problems.8

Pain medications

Pain medications are used to treat pain, and they work by blocking the transmission of pain signals from the brain to the body. However, pain medications can also irritate the gut and cause diarrhea.9

How Can I Prevent Gut Health Problems From Medications?

There are a few things that you can do to help protect your gut health from the negative effects of medications:

Talk to your doctor. Your healthcare provider will know about the potential gut health effects of any medications that you are taking. This will help you be aware of the risks and take steps to protect your gut health.

Follow the instructions on the medication label carefully. This will help minimize the gut health risks associated with the medication.

Drink plenty of water. Stay hydrated with plenty of water and other liquids. This will help flush out any harmful bacteria that may be causing problems.

Eat a healthy diet. This can provide your gut with the nutrients it needs to stay healthy. Strive to eat five to seven servings of fruits and vegetables per day. This will give your gut the fiber and nutrients it needs to stay healthy and function as normal.

Avoid processed foods. These types of foods are high in unhealthy fats and chemicals that can harm the gut.

Limit alcohol intake. Limit the amount of alcohol you drink, as excessive alcohol consumption can damage the gut and lead to health problems.

Exercise regularly to keep your gut healthy and functioning properly. This can include aerobic exercise, such as running or biking, and strength training.

Ensure you get enough quality rest to allow your gut to rest and repair itself. Most adults need seven to eight hours of sleep per night, but everyone’s needs for rest vary. Listen to your body.

Use a probiotic. This can help maintain the balance of bacteria in your gut.10 This can help protect your gut health from the negative effects of medications. The best probiotic for this is a high-quality, multi-strain probiotic. This is because it will contain a variety of probiotic strains, which will help maintain the balance of bacteria in your gut.

Protect Your Gut From Side Effects With Natural Alternatives

Many different medications can have negative effects on gut health. However, there are natural alternatives that can help protect your gut from the side effects of medications. Many people are already familiar with using various alternative sources of medications, like herbs and supplements. Learn more about how you can take better control of your G.I. health and combat any gut health problems caused by medications.

Sources:


1. Philpott, H. L., Nandurkar, S., Lubel, J., & Gibson, P. R. (2014). Drug-induced gastrointestinal disorders. Frontline gastroenterology, 5(1), 49–57. https://doi.org/10.1136/flgastro-2013-100316

2. Zhang, Y. J., Li, S., Gan, R. Y., Zhou, T., Xu, D. P., & Li, H. B. (2015). Impacts of gut bacteria on human health and diseases. International journal of molecular sciences, 16(4), 7493–7519. https://doi.org/10.3390/ijms16047493

3. Tang, W. H., Kitai, T., & Hazen, S. L. (2017). Gut Microbiota in Cardiovascular Health and Disease. Circulation research, 120(7), 1183–1196. https://doi.org/10.1161/CIRCRESAHA.117.309715

4. Matsui, H., Shimokawa, O., Kaneko, T., Nagano, Y., Rai, K., & Hyodo, I. (2011). The pathophysiology of non-steroidal anti-inflammatory drug (NSAID)-induced mucosal injuries in stomach and small intestine. Journal of clinical biochemistry and nutrition, 48(2), 107–111. https://doi.org/10.3164/jcbn.10-79

5. Chassany, O., Michaux, A., & Bergmann, J. F. (2000). Drug-induced diarrhea. Drug safety, 22(1), 53–72. https://doi.org/10.2165/00002018-200022010-00005

6. Maseda, D., & Ricciotti, E. (2020). NSAID-Gut Microbiota Interactions. Frontiers in pharmacology, 11, 1153. https://doi.org/10.3389/fphar.2020.01153

7. Sjöstedt, P., Enander, J., & Isung, J. (2021). Serotonin Reuptake Inhibitors and the Gut Microbiome: Significance of the Gut Microbiome in Relation to Mechanism of Action, Treatment Response, Side Effects, and Tachyphylaxis. Frontiers in psychiatry, 12, 682868. https://doi.org/10.3389/fpsyt.2021.682868

8. Clapp, M., Aurora, N., Herrera, L., Bhatia, M., Wilen, E., & Wakefield, S. (2017). Gut microbiota’s effect on mental health: The gut-brain axis. Clinics and practice, 7(4), 987. https://doi.org/10.4081/cp.2017.987

9. Philpott, H. L., Nandurkar, S., Lubel, J., & Gibson, P. R. (2014). Drug-induced gastrointestinal disorders. Frontline gastroenterology, 5(1), 49–57. https://doi.org/10.1136/flgastro-2013-100316

10. Khan, A., Ding, Z., Ishaq, M., Bacha, A. S., Khan, I., Hanif, A., Li, W., & Guo, X. (2021). Understanding the Effects of Gut Microbiota Dysbiosis on Nonalcoholic Fatty Liver Disease and the Possible Probiotics Role: Recent Updates. International journal of biological sciences, 17(3), 818–833. https://doi.org/10.7150/ijbs.56214



This content has been reviewed and approved by a licensed physician.

Dr. Samuel Lee

Dr. Samuel Lee is a board-certified psychiatrist, specializing in a spiritually-based mental health discipline and integrative approaches. He graduated with an MD at Loma Linda University School of Medicine and did a residency in psychiatry at Cedars-Sinai Medical Center and University of Washington School of Medicine in Seattle. He has also been an inpatient adult psychiatrist at Kaweah Delta Mental Health Hospital and the primary attending geriatric psychiatrist at the Auerbach Inpatient Psychiatric Jewish Home Hospital. In addition, he served as the general adult outpatient psychiatrist at Kaiser Permanente.  He is board-certified in psychiatry and neurology and has a B.A. Magna Cum Laude in Religion from Pacific Union College. His specialty is in natural healing techniques that promote the body’s innate ability to heal itself.

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