Molly Graff
January 5, 2026

How to Actually Treat an Unhappy Gut: Pharmacists Guide

Learn how to treat an unhappy gut with practical steps that actually work — from diet and lifestyle changes to knowing when to seek help.
Coda Vector

Gut health is everywhere right now. From social media posts promising instant balance to supplements that claim to fix everything from energy levels to mood, it can be hard to know what is genuinely helpful and what is simply clever marketing. As pharmacists, we see the questions behind the trends every day. People want to feel better, but they also want advice they can trust.

At Coda Pharmacy, we believe gut health matters, but not in the oversimplified way it is often presented online. The digestive system is complex, personal and closely linked to overall health. There is no single powder, cleanse or viral tip that works for everyone. Some approaches are supported by solid evidence, others are harmless but unnecessary, and a few can do more harm than good.

This guide is about cutting through the noise. We will look at some of the most common gut health trends, explain what the science actually says, and share practical advice you can use with confidence. No hype, no quick fixes, just clear guidance from a pharmacist’s perspective on what really works and what is worth leaving on the shelf.

Why gut health matters:

Gut health matters because the digestive system does far more than break down food. It plays a central role in how the body absorbs nutrients, defends against illness, and even how we feel day to day.

Inside the gut lives a complex community of bacteria and other microorganisms known as the gut microbiome. These microbes help digest certain foods, produce vitamins such as vitamin K and some B vitamins, and support the immune system. In fact, a large proportion of the immune system is closely linked to the gut, which is why ongoing digestive issues can sometimes go hand in hand with frequent infections or inflammation.

The gut is also connected to the brain through what is often called the gut brain axis. This two way communication means changes in gut health can influence mood, stress levels and mental wellbeing, while stress and poor sleep can in turn affect digestion. Many people notice this link when anxiety triggers stomach symptoms or when ongoing gut issues leave them feeling low or fatigued.

Symptoms of an unhappy gut:

  • Bloating, excessive wind or a feeling of fullness, especially after eating
  • Abdominal discomfort, cramping or irregular stomach pain
  • Changes in bowel habits such as constipation, diarrhoea or alternating between the two
  • Heartburn, reflux or ongoing indigestion
  • Food sensitivities or feeling unwell after eating certain foods
  • Fatigue or low energy that does not improve with rest
  • Skin issues such as acne, eczema or unexplained rashes
  • Frequent colds or infections which may reflect immune system strain
  • Brain fog, difficulty concentrating or low mood
  • Nausea or a loss of appetite

Here are three of the most talked about gut health trends right now and whether they actually help:

Probiotics for everyone
Probiotics are often marketed as a must have for good gut health. Some specific strains can be helpful for certain conditions like antibiotic associated diarrhoea or IBS, but they are not universally beneficial. For many people, they make little difference and for some they can worsen bloating. They work best when used for a clear reason rather than as a daily cure all.

Gut cleanses and detoxes
Cleanses promise to reset the gut quickly, usually through restrictive diets, juices or supplements. There is no good evidence that these improve gut health. The gut already has effective ways to look after itself, and extreme approaches can actually disrupt digestion, worsen symptoms and lead to nutrient deficiencies.

Focusing on fibre and plant diversity
This is one trend that is genuinely supported by evidence. Eating a wide range of fibre rich plant foods helps feed beneficial gut bacteria and supports regular digestion. The key is increasing fibre gradually and tailoring it to individual tolerance rather than forcing large amounts all at once.

What to actually do:

If someone is experiencing gut problems, the most important step is to slow down and take a practical, evidence based approach rather than chasing quick fixes. Ongoing digestive symptoms are common, but they should not be ignored or self treated indefinitely.

Start by paying attention to patterns. Noticing when symptoms occur, what foods trigger them, and whether stress, sleep or medications play a role can be very helpful. Simple changes such as eating regular meals, chewing food properly, staying hydrated and reducing excess caffeine or alcohol can make a noticeable difference.

Focus on a balanced diet rather than restriction. Including a variety of whole foods, especially fibre rich plants, supports gut health, but increases should be gradual to avoid worsening bloating or discomfort. Highly restrictive diets and sudden eliminations often do more harm than good unless guided by a professional.

Be cautious with supplements and online advice. Not all gut health products are necessary or appropriate, and some can aggravate symptoms. A pharmacist can help review current medicines and supplements, check for side effects, and advise on options that are evidence based and suitable for the individual.

Support does not have to be complicated or hard to access. At Coda Pharmacy, our pharmacists are available to talk through gut health concerns, review medications, and offer clear, practical advice you can trust. We also provide free delivery of NHS prescriptions, making it easier to stay on track with treatment without added stress. If symptoms are persistent, severe or affecting quality of life, we can help guide you on when to seek further medical advice and support you along the way.

Frequently Asked Questions:

How long does it take to improve gut health
Gut health does not change overnight. Small, consistent changes to diet, lifestyle and medication use usually take several weeks to make a noticeable difference. Be wary of products or plans that promise rapid results.

When should I see a healthcare professional about gut symptoms
You should seek professional advice if symptoms are ongoing, getting worse or affecting daily life. Red flags such as unexplained weight loss, blood in stools, persistent pain or symptoms that wake you at night should always be checked by a GP. A pharmacist can also be a good first point of contact for guidance and support.

Further links and advice:

NHS Digestive Health Advice

IBS Diagnosis 

Guts UK Charity 

Coda Pharmacy is here to support you every step of the way. From offering expert advice to delivering your NHS prescriptions free of charge. If you have any questions about what you have read in this article or any of the services that Coda Pharmacy can provide you with, please do not hesitate to reach out and contact us here.

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