{"id":7485,"date":"2026-09-09T21:19:12","date_gmt":"2026-09-09T21:19:12","guid":{"rendered":"https:\/\/integrativa.pt\/?p=7485"},"modified":"2026-09-23T14:55:51","modified_gmt":"2026-09-23T14:55:51","slug":"nutrition-and-digestive-health-a-personalised-approach-to-gastrointestinal-diseases-and-symptoms","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/nutricao-e-saude-digestiva-uma-abordagem-personalizada-as-doencas-e-sintomas-gastrointestinais\/","title":{"rendered":"Nutrition and Digestive Health: a personalised approach to gastrointestinal diseases and symptoms"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><span style=\"font-weight: 400;\">Digestive health has a significant impact on well-being and quality of life. Symptoms such as abdominal bloating, reflux, constipation, diarrhoea or discomfort after meals can interfere with your daily routine and, in some cases, be associated with specific conditions of the digestive system.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Diet can play an important role in the management of these symptoms. However, there is no single dietary strategy that suits everyone. Nutritional support should be based on an individual assessment, taking into account each person's clinical condition, symptoms, dietary habits, lifestyle and needs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In <\/span>Integrativa<span style=\"font-weight: 400;\">, this is the basis of <a href=\"https:\/\/integrativa.pt\/en\/specialities\/clinical-and-functional-nutrition\/\">Nutrition consultation<\/a> dedicated to digestive health.<\/span><\/p>\n<h4>In which situations can nutritional counselling be useful?<\/h4>\n<p><span style=\"font-weight: 400;\">The Nutrition consultation can integrate the approach to various gastrointestinal symptoms and conditions, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">irritable bowel syndrome (IBS);\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">SIBO;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastro-oesophageal reflux;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">gastritis;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">constipation;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">diarrhoea;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">bloating and abdominal distension;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">intolerances and digestive difficulties;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">malabsorption syndromes;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">inflammatory bowel diseases;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">diverticulosis;\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hepatic, pancreatic or biliary tract disorders.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Each of these situations presents different characteristics. Even among people with the same diagnosis, symptoms, food tolerances and nutritional needs can vary considerably.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For this reason, nutritional intervention must always be tailored to each case.<\/span><\/p>\n<h4>Much more than removing food<\/h4>\n<p><span style=\"font-weight: 400;\">When digestive symptoms are present, the idea that it will be necessary to eliminate various foods from the diet often arises. But an appropriate nutritional approach should not automatically start with restriction.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before any changes, it is important to realise <\/span>what is happening, what the symptoms are, when they appear and how they relate to the person's diet and routine<span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In some cases, it may be necessary to temporarily adjust certain foods or food groups. In others, the focus may be on the quantity, frequency, preparation of the food, distribution of meals or the overall balance of the diet.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Whenever a restriction is deemed necessary, there must be a clear reason for its use and an appropriate strategy to avoid unnecessary nutritional limitations.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The aim is not to make eating progressively more restrictive, but to find a way of eating that is simultaneously <\/span>nutritionally adequate, well tolerated and sustainable in daily life<span style=\"font-weight: 400;\">.<\/span><\/p>\n<h4>A consultation tailored to each person's reality<\/h4>\n<p><span style=\"font-weight: 400;\">During the initial consultation, a detailed assessment of the individual context is carried out. In addition to dietary habits, digestive symptoms, health history, existing diagnosis, medication or supplementation, routine, preferences and goals are all taken into account.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Previous examinations and tests may also be important for a better understanding of the clinical context.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An individualised nutritional strategy is defined from this assessment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This means that two people with similar symptoms do not necessarily receive the same recommendations. Diet must be adjusted not only to the clinical condition, but also to what each person can realistically apply in their life.<\/span><\/p>\n<h4>Digestive health and irritable bowel syndrome<\/h4>\n<p><span style=\"font-weight: 400;\">A <\/span>irritable bowel syndrome<span style=\"font-weight: 400;\">, for example, can present in very different ways. Some people predominantly have constipation, others diarrhoea, and others alternate between the two. Bloating, gas and abdominal pain are also frequent.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In these cases, a detailed dietary assessment makes it possible to identify potential patterns and establish a strategy appropriate to the symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Depending on the situation, aspects such as fibre intake, hydration, meal distribution, tolerance to certain foods, or other specific nutritional interventions can be addressed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">More restrictive dietary protocols, when indicated, should be used judiciously and with supervision, avoiding prolonged eliminations without necessity.<\/span><\/p>\n<h4>And in the case of SIBO?<\/h4>\n<p><span style=\"font-weight: 400;\">O <\/span>SIBO \u2014 <em>Small Intestinal Bacterial Overgrowth<\/em><span style=\"font-weight: 400;\">, or small intestinal bacterial overgrowth, is another situation where questions related to diet frequently arise.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Bloating, gas, changes in bowel habits and abdominal discomfort may be present, but these symptoms can also occur in other digestive conditions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Therefore, it is not advisable to start highly restrictive diets based on symptoms alone. Medical evaluation and diagnosis, when necessary, should accompany the nutritional intervention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The role of nutrition is to adapt the diet to the individual situation, seeking to improve digestive tolerance while simultaneously ensuring an adequate nutritional intake.<\/span><\/p>\n<h4>Reflux and gastritis: the diet must also be personalised<\/h4>\n<p><span style=\"font-weight: 400;\">In gastro-oesophageal reflux and gastritis, it is common to find long lists of foods considered \u201cforbidden\u201d. In practice, not everyone reacts to the same foods in the same way.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beyond food choices, factors such as meal sizes, timing, consuming certain foods together, and habits related to meals can influence symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Once again, the strategy must start from individual experience and symptomatology rather than imposing generalised restrictions.<\/span><\/p>\n<h4>Specialist digestive health care at Integrativa<\/h4>\n<p><span style=\"font-weight: 400;\">At Integrativa, consultations <a href=\"https:\/\/integrativa.pt\/en\/specialities\/clinical-and-functional-nutrition\/\">Nutrition<\/a> are carried out by <\/span><a href=\"https:\/\/integrativa.pt\/en\/nutritionist-joana-andre\/\">Nutritionist Joana Andr\u00e9<\/a><span style=\"font-weight: 400;\">, whose training includes <\/span>MSc in Nutrition and Digestive Diseases<span style=\"font-weight: 400;\">, by the ICNS \u2013 Institute of Nutrition and Health Science.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The monitoring is based on an individualised approach to nutrition, seeking to understand not only the symptoms, but also the person, their habits and their reality.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The goal is to build balanced and sustainable dietary strategies, suited to the clinical condition and nutritional needs of each person.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When there is a diagnosed gastrointestinal disease or symptoms that require investigation, nutritional support must complement rather than replace medical evaluation and guidance.<\/span><\/p>\n<h4>A diet appropriate for your condition<\/h4>\n<p><span style=\"font-weight: 400;\">Living with digestive symptoms doesn't necessarily mean living on a diet full of restrictions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A careful nutritional assessment can help to understand which changes really make sense and to build a more comfortable, balanced diet suited to each person's needs.<\/span><\/p>\n<p>At Integrativa, you can book an in-person or online Nutrition consultation and undergo an individualised assessment of your digestive health.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1776770124191\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"wpb_column vc_column_container vc_col-sm-12\">\n<div class=\"vc_column-inner\">\n<div class=\"wpb_wrapper\">\n<div class=\"wpb_text_column wpb_content_element vc_custom_1775895587227\">\n<div class=\"wpb_wrapper\">\n<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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.blog-carousel-shortcode.blog-carousel-shortcode-id-1c9a0e6e4ca34a57ebea7076a54ba151.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-1c9a0e6e4ca34a57ebea7076a54ba151 classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-7011 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aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post no-img post-3764 type-post status-publish format-standard hentry category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-18 description-off\" data-name=\"A Psiquiatria de m\u00e3os dadas com a Psicologia\" data-date=\"2025-03-14T12:50:34+00:00\">\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/a-psiquiatria-de-maos-dadas-com-a-psicologia\/\" title=\"Psychiatry hand in hand with Psychology\" rel=\"bookmark\">Psychiatry hand in hand with Psychology<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/a-psiquiatria-de-maos-dadas-com-a-psicologia\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Psychiatry hand-in-hand with Psychology\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-7504 type-post 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aria-label=\"Read more about Post-holiday syndrome: anxiety upon returning to work\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-7397 type-post status-publish format-standard has-post-thumbnail hentry category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-18 description-off\" data-name=\"Quando o cansa\u00e7o j\u00e1 n\u00e3o passa: compreender o burnout para al\u00e9m da exaust\u00e3o\" data-date=\"2026-07-03T12:44:37+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/quando-o-cansaco-ja-nao-passa-compreender-o-burnout-para-alem-da-exaustao\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" 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class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/9-passos-para-uma-vida-mais-saudavel\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Integrativa-Lisboa-Psiconeuroimunologia-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Integrativa-Lisboa-Psiconeuroimunologia-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2023\/09\/Integrativa-Lisboa-Psiconeuroimunologia-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Lisbon Psychoneuroimmunology\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 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class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Orientacao-vocacional-e-profissional-Lisboa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Orientacao-vocacional-e-profissional-Lisboa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Orientacao-vocacional-e-profissional-Lisboa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Vocational and professional counselling Lisbon\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/comecar-psicoterapia-o-que-pode-mudar-na-sua-vida\/\" title=\"Starting Psychotherapy: what can change in your life?\" rel=\"bookmark\">Starting Psychotherapy: what can change in your life?<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/comecar-psicoterapia-o-que-pode-mudar-na-sua-vida\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Starting Psychotherapy: What Can Change in Your Life?\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Digestive health has a significant impact on well-being and quality of life. Symptoms such as abdominal bloating, reflux, constipation, diarrhoea or discomfort after meals can interfere with the daily routine and, in some cases, be associated with specific conditions of the digestive system. Diet can play an important role in managing these symptoms.\u2026<\/p>","protected":false},"author":1,"featured_media":4847,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[14],"tags":[4,27,8],"class_list":["post-7485","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nutricao","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-14","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7485","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=7485"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7485\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4847"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=7485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=7485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=7485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}