The Turd Nerds

Why does chronic diarrhea continue even when testing is normal?
In this episode, we walk through a case of microscopic colitis and how to approach persistent gut symptoms that don’t respond to standard treatment. We break down what microscopic colitis is, why it’s often missed on routine colonoscopy, and how it can present as long-standing, non-bloody diarrhea.
We also explore how medications like PPIs, NSAIDs, and SSRIs may contribute, and how overlapping factors like dysbiosis, inflammation, and even constipation can complicate the clinical picture.In this episode, we discuss:- Chronic diarrhea and when to look beyond IBS- What microscopic colitis is and how it’s diagnosed- Why colonoscopies can miss key findings- The role of medications in gut inflammation- Treatment approaches, including budesonide, bismuth, and bile acid binders- Functional medicine perspectives on persistent gut symptomsMusic provided by Blue Dot.👋 Connect with the Turds!Rebecca Sand ND, LAc, MSOM⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Ilana Gurevich ND, FABNG, LAc, MSOM⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠Ami Kapadia, MD, ABFM, ABIHM⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

In this episode, we revisit bloating through a Chinese medicine lens with Ellen Goldsmith, focusing on digestion as a process of movement, not just intake.

We explore how patterns like stagnation, dysregulation, and impaired “downward flow” contribute to symptoms like distension, brain fog, and discomfort. The conversation highlights common contributors such as stress, irregular eating, cold foods, and dietary excesses.
We also discuss practical strategies like meal timing, warming foods, and simple dietary adjustments to support more efficient digestion.
It’s a systems-based approach to understanding why bloating happens and how to address it in a more individualized way.

Music provided by Blue Dot.

👋 Connect with the Ellen Goldsmith
⁠https://pearlnaturalhealth.com/⁠
⁠Nutritional Healing with Chinese Medicine by Ellen Goldsmith⁠

👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Ilana Gurevich ND, FABNG, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠⁠
Ami Kapadia, MD, ABFM, ABIHM
⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

In this episode, we’re joined by Chinese dietetics expert Ellen Goldsmith to explore how traditional food systems approach digestion, health, and prevention. We discuss the framework of the five flavors, seasonal eating, and how these principles influence digestive function, satiety, and overall physiology. The conversation also highlights how modern dietary patterns can disrupt these regulatory signals, leading to persistent symptoms and cravings. Rather than focusing on restriction, this approach emphasizes restoring balance through everyday food choices. It’s a practical, systems-based perspective on how to think about food as part of long-term digestive health.

Music provided by Blue Dot.

👋 Connect with the Ellen Goldsmith
https://pearlnaturalhealth.com/
Nutritional Healing with Chinese Medicine by Ellen Goldsmith

👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
Ilana Gurevich ND, FABNG, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠
Ami Kapadia, MD, ABFM, ABIHM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

In this conversation, the Turd Nerds are joined by Dr. Mark Davis and the hosts discuss the significance of fiber and prebiotics in gut health, emphasizing personalized approaches to treatment. They explore the challenges of microbiome testing, the management of conditions like C. diff and chronic candida, and the role of prebiotics in treating constipation. The discussion also touches on SIBO testing and treatment perspectives, highlighting the evolving landscape of gut health and the importance of individualized care.

Music provided by Blue Dot.

👋 Connect with the Dr. Mark Davis
⁠https://www.foundational-medicine.com/⁠
⁠https://www.probioticinfusions.com/about⁠

👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
Ilana Gurevich ND, FABNG, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠⁠
Ami Kapadia, MD, ABFM, ABIHM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠

In this episode of The Turd Nerds, the Turds are joined by Dr. Mark Davis, ND and we take a deep dive into the strange but powerful world of fecal microbiota transplantation (FMT)—what happens when you transplant an entire microbial ecosystem into the human gut and why it can be so effective for certain diseases. We explore why FMT is nearly curative for C. difficile, how dosing and delivery affect outcomes in ulcerative colitis and Crohn’s disease, and share striking clinical stories of severe inflammatory bowel disease improving after repeated treatments.

Music provided by Blue Dot.
👋 Connect with the Dr. Mark Davis
https://www.foundational-medicine.com/
https://www.probioticinfusions.com/about

👋 Connect with the Turds!
Rebecca Sand ND, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drrebeccasand.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@drrebeccasand⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
Ilana Gurevich ND, FABNG, LAc, MSOM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.openwellnesspdx.com⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@openwellness_pdx⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠
⁠⁠⁠⁠@ilana.gurevich⁠⁠⁠⁠
Ami Kapadia, MD, ABFM, ABIHM
⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.amikapadia.com/⁠⁠⁠⁠⁠⁠⁠