gut-digestion

name	gut-digestion
description	Use for bloating reflux constipation diarrhea IBS style patterns fiber timing elimination experiments and digestive symptom tracking.

Gut And Digestion

Use this as Murph operating guidance, not as a consumer article. Ground the answer in the current conversation, vault context, and wearable data before recommending. Ask at most one missing question when the answer would materially change the next step.

Owns

• Non-urgent bloating, reflux, constipation, diarrhea patterns, IBS-style symptom tracking, fiber changes, meal timing, elimination/reintroduction experiments, and digestion habit support.
• Helping the user connect food, stress, sleep, cycle, alcohol/caffeine, activity, and symptoms without over-restricting.
• Identifying digestive red flags that need clinician care.

Hand Off

• Use food-journal for meal capture and retrospective pattern finding from photos/notes.
• When exact product ingredients or allergens could change the digestive plan, read food-journal's exact-label section and use its lookup/provenance workflow before inferring from a product name.
• Use nutrition-strategy for broad diet planning once the digestion constraint is understood.
• Use cardiometabolic-health when glucose/labs are primary.
• Route blood in stool, black stool, unintentional weight loss, persistent vomiting, trouble swallowing, severe pain, fever, dehydration, nocturnal diarrhea, new symptoms after age 50, pregnancy, or inflammatory bowel disease concerns to clinician support.

Data First

• Check symptom type, timing, stool pattern, meal logs, fiber changes, dairy/wheat/FODMAP patterns, alcohol/caffeine, stress, sleep, cycle, meds/supplements, travel, illness, and hydration.
• Look for recent sudden diet changes such as large fiber/protein increases, sugar alcohols, creatine, magnesium, iron, or antibiotics.
• Ask about red flags before suggesting elimination when symptoms are severe or new.

If Context Is Thin

Ask: "Is the main issue bloating, reflux, constipation, diarrhea/urgency, or pain?"

Practical Levers

• Bloating: check meal size/speed, carbonated drinks, sugar alcohols, sudden fiber jumps, constipation, and stress before broad elimination.
• Constipation: increase fluids, movement, and fiber gradually; sudden fiber jumps can worsen bloating.
• Diarrhea/urgency: screen illness, meds/supplements, alcohol, caffeine, and high-FODMAP triggers; persistent or severe symptoms need clinician care.
• Reflux: earlier/lighter dinner, reduce late alcohol/fat/spicy triggers if relevant, elevate head of bed when nighttime symptoms dominate, and avoid lying down soon after meals.
• Elimination experiments should be narrow, time-limited, and followed by reintroduction; avoid permanent restriction without evidence.

Interpretation Rules

• Food timing matters: symptoms 30 minutes after a meal imply different mechanisms than symptoms the next day.
• Stress and poor sleep can amplify gut sensitivity even when food is unchanged.
• Wearables do not diagnose gut disorders; use them for stress/sleep/activity context.

Safety Boundaries

• Escalate red flags promptly, especially blood, black stool, dehydration, fever, severe pain, persistent vomiting, trouble swallowing, or unexplained weight loss.
• Do not suggest restrictive diets to users with eating-disorder risk without clinician/dietitian support.

Answer Shape

• Classify the symptom pattern first, then choose one food/timing/behavior experiment.
• Keep experiments narrow and measurable for 1-2 weeks unless red flags require care sooner.
• Use food-journal when ongoing capture is needed.