Intimacy, Pelvic Floor, and IBS with Dr. Janelle Howell
The Gut Show
If you’ve ever wondered how pelvic floor therapy fits into gut health, this episode of The Gut Show is for you! Dr. Janelle shares what vaginismus is, how this relates to IBS, how pelvic floor PT can help, and where to start if this is something you’re struggling with. You are not the only one dealing with this. Mentioned in this episode: About our guest: Dr. Janelle Frederick (formerly Dr. Janelle Howell), DPT, WCS The Vagina Rehab Doctor | Award-Winning Pelvic Floor Specialist Dr. Janelle Frederick, known as the Vagina Rehab Doctor, is a...
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Wait, that triggers IBS?
The Gut Show
Some triggers don’t get talked about enough. We focus a lot on food and lifestyle habits, but there are other pieces that often get overlooked. They might not come up at your doctor’s office, but they can still fill your trigger bucket… and eventually make it overflow. Thank you to our partners: This episode is made possible with support from Ardelyx. FODZYME is the world’s first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME’s novel patent-pending enzyme blend breaks down fructan, GOS and...
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Understanding MCAS with Dr. Zachary Spiritos
The Gut Show
“When was the last time you felt normal?” For many living with mysterious, fluctuating symptoms...that question feels all too familiar. I’m chatting with Dr. Zachary Spiritos about Mast Cell Activation Syndrome (MCAS) - what it is, what his classic patient looks like, and what to do if you suspect it’s behind your symptoms. If you’ve been told everything looks fine but you still don’t feel right, this episode of The Gut Show is for you! Covered in this episode: Introducing Dr. Zachary Spiritos [3:10] What are mast cells [8:41] His classic patient...
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Navigating Dietary Restrictions & Food Fear with IBS
The Gut Show
Food doesn’t cause IBS. But the fear around food? That’s real. In this episode of The Gut Show, I’m talking about when restrictions help, when they don’t, and what else could be driving your symptoms. Thank you to our partners: offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can...
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Malabsorption masked as and overlapping with IBS
The Gut Show
If you're doing “all the right things” for IBS but still struggling, it might be time to look beyond IBS itself. In this episode of The Gut Show, I talk with Dr Lee and Dr Singh about other conditions that can mimic or worsen IBS symptoms, such as food intolerances, malabsorption, SID and bile acid diarrhea. Covered in this episode: Introducing our guests [3:29] Food intolerance vs food allergy [5:05] Food intolerance in IBS [8:23] Malabsorption [8:38] SID [10:31] Lactose intolerance [14:23] Bile acid diarrhea/malabsorption [16:04] Exocrine Pancreatic insufficiency...
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Does foodborne illness cause chronic IBS?
The Gut Show
Could a past food poisoning incident be the reason your gut hasn’t felt right since? In this episode of The Gut Show, we’re diving into how foodborne illness connects to IBS—and what you can do to protect yourself. Have you ever traced your IBS back to a foodborne illness? In this episode, we cover: My goal with this episode [3:10] The most known cause of IBS [3:34] How do you get foodborne illness? [7:33] Signs of foodborne illness [12:53] When will symptoms pass? [15:20] Can repeat infections make things worse? [19:29] Preventing foodborne illness [24:49] What if you're not the...
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Gut, Brain, Bedtime: How sleep impacts IBS and what you can do about it
The Gut Show
Struggling with sleep and IBS? You're not alone and there's a deeper connection than you think. Tune in to the latest episode of The Gut Show to learn from @pacificintegrativepsych to learn more! From melatonin to mindset, we’ve got integrative tools you can actually use tonight! Mentioned in this episode: Thank you to our partners: Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS. Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen...
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Untangling SIBO, IMO, and ISO: IBS Insights with Dr. Pimentel
The Gut Show
Still struggling with IBS symptoms, even after trying everything? It might not be “just IBS.” In the first episode of The Gut Show, Season 8, Dr. Mark Pimentel breaks down the connection between SIBO, IMO, ISO, and IBS, and what patients need to know about testing, treatment, and what’s actually causing your symptoms. We talked about breath tests, stool tests, probiotics, antibiotics (like Rifaximin + Neomycin), the meds that cause SIBO, and more. Covered in this episode: Introducing Dr. Pimentel, MD [2:18] What is SIBO, ISO and IMO? [3:18] Should everyone...
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Do you have to choose between eating healthy and keeping IBS symptoms down?
The Gut Show
If you have IBS or a digestive disorder, managing symptoms might require avoiding certain foods, but... It’s important to focus on what you’re adding to your diet, not just what you’re taking away. Eliminating foods may provide short-term relief, but relying on this approach can sometimes cause more symptoms in the long run. Listen to today’s episode of The Gut Show to discover how to manage symptoms while supporting your nutrition! Instagram: or TikTok: The Facebook group for those with IBS and digestive health conditions to connect,...
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Gut health for a stronger immune system
The Gut Show
Trying to stay healthy this holiday season? 🎄 Did you know your gut health plays a role in supporting your immune system? 🦠 While there’s no way to completely avoid getting sick, the latest episode of The Gut Show explores simple steps you can take to strengthen your immune system and feel your best. It's cold season! [1:16] What is your immune system? [2:30] Major components of the immune system [4:21] What pieces of the immune system are found in the GI tract? [8:31] Leaky gut [10:13] Mast cells [12:21] Do people with IBS have more Mast cells? [14:31] MCAS [15:25] What...
info_outlineStill struggling with IBS symptoms, even after trying everything?
It might not be “just IBS.”
In the first episode of The Gut Show, Season 8, Dr. Mark Pimentel breaks down the connection between SIBO, IMO, ISO, and IBS, and what patients need to know about testing, treatment, and what’s actually causing your symptoms.
We talked about breath tests, stool tests, probiotics, antibiotics (like Rifaximin + Neomycin), the meds that cause SIBO, and more.
Covered in this episode:
Introducing Dr. Pimentel, MD [2:18]
What is SIBO, ISO and IMO? [3:18]
Should everyone with IBS do breath testing? [7:14]
New guidelines that have come out [9:50]
How should a patient navigate testing? [11:11]
What about stool testing? [13:16]
Negative test + symptoms or positive test without symptoms [16:50]
What does normal mean? [18:44]
Who does all 3 [20:39]
Glucose vs Lactulose for the test [21:05]
What causes these overgrowths? [21:52]
The medication that WILL make you have SIBO [23:53]
MAST cells, IBD, endometriosis [24:34]
Treatment [32:07]
Rifaximin [34:19]
Any Statin or seaweed based treatment updates? [37:51]
Neomycin [39:25]
Elemental diet [41:23]
What Dr. Pimentel wants for his patients [45:17]
Probiotics [46:40]
The role of metabolic disorders [48:22]
Rapid fire questions [50:59]
Mentioned in this episode:
Take the quiz: What's your poop personality?
Sponsors of The Gut Show:
FODZYME is the world’s first enzyme supplement specialized to target FODMAPs.
When sprinkled on or mixed with high-FODMAP meals, FODZYME’s novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues.
With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME’s digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.
Gemelli Biotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.
Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy.
You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!
Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $25 on your order!
About our speaker:
Mark Pimentel, MD, FRCP(C), is a Professor of Medicine at Cedars-Sinai and Professor of Medicine and of Gastroenterology through Geffen School of Medicine. Dr. Pimentel is also the Executive Director of the Medically Associated Science and Technology (MAST) program at Cedars-Sinai, an enterprise of physicians and researchers dedicated to the study of the gut microbiome in order to develop effective diagnostic tools and therapies to improve patient care.
As a physician and researcher, Dr. Pimentel has served as a principal investigator or co-investigator for numerous basic science, translational and clinical investigations of irritable bowel syndrome (IBS) and the relationship between gut flora composition and human disease. This research led to the first ever blood tests for IBS, ibs-smart™, the only licensed and patented serologic diagnostic for irritable bowel syndrome.
The test measures the levels of two validated IBS biomarkers, anti-CdtB and anti-vinculin. A pioneering expert in IBS, Dr. Pimentel’s work has been published in the New England Journal of Medicine, Annals of Internal Medicine, American Journal of Physiology, American Journal of Medicine, American Journal of Gastroenterology and Digestive Diseases and Sciences, among others. Dr. Pimentel has presented at national and international medical conferences and advisory boards.
He is a diplomate of the American Board of Internal Medicine (Gastroenterology,) a fellow of the Royal College of Physicians and Surgeons of Canada and a member of the American Gastroenterological Association, the American College of Gastroenterology, and the American Neurogastroenterology and Motility Society.
Dr. Pimentel completed 3 years of an undergraduate degree in honors microbiology and biochemistry at the University of Manitoba, Canada. This was followed by his medical degree, and his BSc (Med) from the University of Manitoba Health Sciences Center in Winnipeg, Manitoba, Canada, where he also completed a residency in internal medicine. His medical training includes a fellowship in gastroenterology at the UCLA Affiliated Training Program.
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