There’s a lot to consider with chronic stomach pain, but please digest this — stomach aches aren’t normal.

Stomach irritation complaints are seemingly easy for healthcare providers to brush aside as a normal variant; “many patients go undiagnosed and under-treated because the GI tract has not been traditionally associated with diabetes and its complications,” Clinical Diabetes tells us. And with 75% of diabetics complaining of gastrointestinal issues, there’s a common malady at hand.

Diabetes and the Gut

Diabetes is a complex condition that has the potential to wreak havoc on organs, including the bowel. The length of your diabetes diagnosis and how often your blood sugars are at a normal level impact bowel disease.

Healthcare providers are very tuned into exterior neuropathy and checking a patient’s feet because they are visible and measureable. When it comes to the bowel it can be another story. The bowel is just as vulnerable to neuropathy, but it’s not easily seen or tested — everything in this arena is invasive, meaning doctors must use instruments to look into your body. Neuropathy in the gut can slow down or speed up motility or normal rate of contractions in the gut, resulting in gastrointestinal upset.

Diabetics prone to stomach neuropathy are also tied to a higher incidence of autoimmune gut diseases, and like it or not, autoimmune disease breeds more autoimmune disease.

When a patient mentions diabetes and gut symptoms, providers should pay attention.

Identifying the Culprit

In order to get the best treatment possible it’s necessary to identify the culprit. In the case of celiac disease, for example, the prescription is actually diet — once the irritating factor gluten is removed from the diet the gut slowly begins its healing process. Other diagnoses may entail medications, diet changes, and other procedures.

Diseases of the gut that you may be tested for are gastroparesis, celiac disease, inflammatory bowel disease, Crohn’s disease, ulcerative colitis, h-pylori, yeast infections of the gastrointestinal tract, and perhaps gallbladder disease amongst others.

Diabetes can cause specific issues such as “diabetic diarrhea”. Clinical Diabetes reports a longstanding history of diabetes may be a precursor to frequent diarrhea “in up to 22% of patients”.
Blood sugar maintenance is always an important prescriptive part of managing any gut disease when living with diabetes.

Seek Help with Symptoms

Don’t grin and bear it; bowel changes and other physical symptoms are important to notify your provider about. These can feel like embarrassing topics to broach with your healthcare provider, but they are vital to convey. You may receive a referral to a gastrointestinal specialist that can treat, diagnose and perform the necessary testing to get to the bottom of your uncomfortable issues.

If you are experiencing any of the following symptoms be sure to communicate them to your healthcare team so they can help you move toward better health.
• Nausea
• Vomiting
• Diarrhea
• Rectal bleeding
• Constipation
• Stomach pain
• Abnormal stools
• Heartburn
• Bloating
• Appetite changes

To learn more about neuropathy and diabetes:

Neuropathy Pain, Interrupted
Neuropathy and Exercise
Supplements for Neuropathy