“The Girl Who Held It In: Understanding Functional Constipation in Children”
Release Date: 07/08/2025
EP07: Why Your Teen Bloats After Every Meal — 3 Real Causes and When to Worry
Gut Whisperers Podcast
A teenager who feels bloated after every meal is not complaining about food. Most of the time, they are describing a treatable disorder of gut-brain interaction that has a name, a Rome IV diagnosis, and a specific evidence-based path. In this episode of Gut Whisperers, Dr. Spinetti walks through the three real causes of post-meal bloating in teens, the red flags that should not be ignored, and why the strongest-evidence treatment is almost never a restrictive diet. In this episode: Why post-meal bloating gets dismissed — and what that costs teenagers Rome IV Postprandial Distress Syndrome,...
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EP06: The Antibiotic Prescription That Costs Your Kid More Than You Think
Gut Whisperers Podcast
A kid's ear infection. A cough that won't quit. The pediatrician reaches for the prescription pad. Amoxicillin, ten days, finish the bottle. Here's what nobody mentions at the pharmacy: a single course of broad-spectrum antibiotics can measurably reduce Bifidobacterium in your child's gut for weeks. In infants, it can shift the entire trajectory of microbiome development — with downstream links to asthma, eczema, food allergies, and early-onset obesity. This isn't an anti-antibiotic episode. Antibiotics save lives when they're needed. The issue is over-prescription: the CDC...
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EP05: The Ultra-Processed Food Study Every Parent Should Read
Gut Whisperers Podcast
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They Said It Was Just Reflux — How One Family's 3-Year Journey Led to the Diagnosis That Changed Everything | Gut Whisperers Podcast | Dr. Nelson Spinetti
Gut Whisperers Podcast
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When Vomiting Won’t Stop: Understanding Cyclic Vomiting Syndrome in Children
Gut Whisperers Podcast
Description In this episode, Dr. Nelson Spinetti, pediatric gastroenterologist, explains what Cyclic Vomiting Syndrome (CVS) is and why it is often confused with “stomach flu,” reflux, or anxiety. We walk through the typical pattern of CVS episodes, what happens between attacks, common triggers, and the impact on school, sleep, and family life. I also review how we approach diagnosis, which tests are usually needed (and which are not), and the main pillars of treatment: avoiding triggers, medications to stop or shorten episodes, and long-term strategies to protect nutrition and...
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“When Headaches Hit the Belly: Childhood Migraine and Abdominal Migraine Explained”
Gut Whisperers Podcast
Childhood migraine doesn’t always start with head pain. In many kids, it begins in the belly. The content of this podcast is for educational purposes only and is not intended to provide, replace, or substitute for personal medical advice, diagnosis, or treatment. Listening to this episode does not create a doctor–patient relationship with Dr. Nelson Spinetti or the Pediatric Gastroenterology Clinic of South Texas. Do not ignore or delay seeking professional medical advice because of something you heard on this podcast. Always speak with your child’s pediatrician, pediatric...
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The Allergy-Probiotic Connection: Healing from the Inside Out
Gut Whisperers Podcast
Can probiotics really help manage food allergies? In this episode of The Gut Whisperers Podcast, Dr. Nelson Spinetti explores how probiotics influence the gut-immune connection and why certain strains — like Lactobacillus rhamnosus GG and Bifidobacterium lactis — may reduce allergic inflammation and promote tolerance. Through science, clinical insight, and real-life stories like Sofia’s, you’ll discover how balancing the gut microbiome can support immune health, calm allergic responses, and bring hope to families navigating food allergies. Whether you’re a parent, provider, or simply...
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FPIES: The Overlooked Food Allergy That Starts in the Gut
Gut Whisperers Podcast
In this episode of The Gut Whisperers Podcast, Dr. Nelson Spinetti explores Food Protein-Induced Enterocolitis Syndrome (FPIES) — a rare but serious food allergy that affects the gut rather than the skin or airways. Unlike typical allergies, FPIES reactions appear hours after eating, often leading to intense vomiting and dehydration that can be mistaken for infection. Join Dr. Spinetti as he explains how to recognize FPIES, the science behind its immune response, and the latest strategies for diagnosis and management. You’ll also hear Lucas’s story, a real-world case that brings this...
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When Milk Hurts: Understanding Infant Cow’s Milk Protein Allergy
Gut Whisperers Podcast
In this episode of The Gut Whisperers Podcast, Dr. Nelson Spinetti, pediatric gastroenterologist, unpacks one of the most common yet often misunderstood infant conditions — cow’s milk protein allergy (CMPA). From the first signs of fussiness or eczema to confirmed diagnosis and safe management, this conversation will help parents, pediatricians, and caregivers recognize what’s happening beneath the surface. You’ll learn: • The difference between IgE and non-IgE–mediated reactions and why timing matters. • How elimination diets and allergy testing can confirm CMPA safely. •...
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ADHD and Caffeine: Friend or Foe? The Science Behind Focus, Energy, and Jitters
Gut Whisperers Podcast
Welcome back to The Gut Whisperers Podcast! Today we’re diving into our monthly ADHD Nutrition Spotlight, where we explore how food, lifestyle, and daily choices shape focus, energy, and well-being in ADHD. In this episode, we tackle a question many families ask: Does caffeine really help with ADHD focus—or does it make things worse? ☕ We’ll break down how caffeine interacts with dopamine and adenosine, why it sharpens concentration for some but triggers jitters, anxiety, or restless nights for others. 🏃♂️ We’ll also explore powerful alternatives like exercise—with...
info_outlineEpisode Description:
In this episode of The Gut Whisperer Podcast, Dr. Nelson Spinetti explores one of the most common — and most overlooked — pediatric conditions: functional constipation.
Through the story of Camila, a 6-year-old girl whose fear of painful bowel movements spiraled into years of chronic constipation and social withdrawal, we unpack the emotional and physical toll this condition can take.
You’ll learn:
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How to recognize the early behavioral signs of stool withholding
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Key risk factors, from diet to toilet training stress
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What distinguishes functional constipation from organic causes
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When to refer, how to treat, and how to prevent long-term complications
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A step-by-step approach to medical and lifestyle interventions that work
Whether you’re a provider, a parent, or part of a child’s support team, this episode gives you practical tools to break the cycle of chronic constipation — and help kids like Camila reclaim their confidence and health.