Las enfermedades digestivas afectan al 40 % de la población mundial y pueden deteriorar gravemente la calidad de vida. En el Día Mundial de la Salud Digestiva, la Dra. Juliana Suárez, gastroenteróloga, comparte un análisis profundo sobre factores que impactan la salud digestiva y recomendaciones para su cuidado integral.
Salud digestiva: un desafío global con impacto local
Las enfermedades digestivas representan un reto de salud pública a nivel mundial, afectando aproximadamente al 40 % de la población. Condiciones como la acidez estomacal, el estreñimiento, la diarrea y el Síndrome de Intestino Irritable (SII) pueden afectar la productividad y el bienestar de millones. La Organización Mundial de Gastroenterología (WGO) promueve la detección temprana, la atención preventiva y el desarrollo de soluciones innovadoras como ejes para mejorar la salud digestiva en el Día Mundial de la Salud Digestiva, celebrado cada 29 de mayo.
Factores que deterioran la salud digestiva: el análisis de la Dra. Juliana Suárez
La Dra. Juliana Suárez, reconocida gastroenteróloga, señala que la salud digestiva se ve afectada por la industrialización alimentaria que ha desplazado las dietas ricas en fibra, base fundamental para un microbiota intestinal saludable. “El consumo excesivo de alimentos ultraprocesados reduce la ingesta de frutas, verduras, semillas y leguminosas, que son esenciales para nutrir los microorganismos beneficiosos que viven en nuestro intestino”, explica.
Además, el estrés juega un papel crucial al afectar el eje cerebro-intestino, modulando el funcionamiento digestivo y aumentando la incidencia de trastornos funcionales. La Dra. Suárez destaca que el sedentarismo contribuye a problemas como el estreñimiento, pues el sistema digestivo es un sistema de movimiento que se ve alterado por las largas jornadas sentadas.
Síntomas comunes y señales de alerta
El dolor abdominal, los gases, cambios en la frecuencia y consistencia de las evacuaciones, acidez, y sangrado al evacuar son señales que deben ser vigiladas y atendidas oportunamente. “Es fundamental que las personas presten atención a estas manifestaciones y acudan al médico para un diagnóstico preciso”, aconseja la especialista.
El Síndrome de Intestino Irritable (SII), por ejemplo, afecta entre el 10 % y el 20 % de la población colombiana, con mayor prevalencia en mujeres, quienes presentan una relación de incidencia entre 3 a 1 y 4 a 1 en comparación con los hombres, influenciada por factores hormonales y sociales, como el “estreñimiento social”, la vergüenza o miedo a manifestar síntomas en espacios públicos.
Estrategias preventivas para mejorar la salud digestiva
Según la Dra. Suárez, hábitos como iniciar el día con una evacuación saludable, tomar suficiente agua, consumir una dieta variada rica en fibra, y practicar ejercicio regularmente son pilares fundamentales para mantener un sistema digestivo funcional.
Explica que la posición al evacuar es clave para facilitar la defecación, recomendando el uso de un banquito para elevar los pies y relajar el músculo puborrectal. Además, recomienda la hidratación de 2 a 2.5 litros diarios, adaptada a condiciones individuales.
La alimentación debe incluir granos enteros, tubérculos, frutas, verduras, semillas y leguminosas, con variedad de colores para asegurar un aporte amplio de nutrientes, sin eliminar lácteos, que aportan probióticos beneficiosos para la microbiota intestinal.
La microbiota intestinal: centro de la salud integral
El intestino alberga cerca de 39 trillones de microorganismos que regulan no solo la digestión, sino también la producción de neurotransmisores, la respuesta inmune y el equilibrio metabólico. “El 90 % de la serotonina, clave en la regulación del ánimo, se produce en el intestino. Por ello, un desequilibrio en la microbiota puede generar trastornos tanto digestivos como mentales”, señala la gastroenteróloga.
Este entendimiento ha abierto nuevas vías para terapias innovadoras, como el trasplante de microbiota fecal, y subraya la necesidad de un enfoque multidisciplinario para abordar la salud digestiva.
El síndrome de intestino irritable: un caso paradigmático
El SII es una condición compleja y multifactorial. La Dra. Suárez destaca que el estrés, las alteraciones en la microbiota, la motilidad intestinal y la sensibilidad aumentada contribuyen a su manifestación. “El manejo del SII debe ser integral, incluyendo cambios en el estilo de vida, intervenciones dietéticas y, cuando es necesario, tratamiento farmacológico personalizado”, explica.
Innovaciones y futuro en la atención digestiva
La medicina digestiva ha avanzado en el desarrollo de terapias más eficaces para controlar la acidez, erradicar Helicobacter pylori y prevenir el cáncer gástrico. Nuevos medicamentos con mecanismos de acción innovadores están mejorando la calidad de vida de los pacientes y optimizando el manejo clínico.
El Día Mundial de la Salud Digestiva es un llamado a la conciencia sobre la importancia de un sistema digestivo saludable para el bienestar integral. La Dra. Juliana Suárez enfatiza que la prevención, detección temprana y un enfoque integral son esenciales para enfrentar la alta prevalencia de trastornos digestivos.
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