Most of us put up with the occasional stomachache. We blame it on what we ate, wait it out, and move on. And most of the time, that’s exactly the right call.
But sometimes your digestive system is trying to tell you something important.
Knowing the difference between “this will pass” and “this deserves a closer look” can matter a great deal for your long-term health. Here’s a guide to three of the most common digestive complaints — and the signs that mean it’s time to call your provider.
Bloating: When it’s more than just a big meal
Feeling full and puffy after eating is something nearly everyone experiences. Occasional bloating after a meal heavy on beans, cruciferous vegetables, carbonated drinks, or dairy is common and usually nothing to worry about.
Bloating becomes a concern when it keeps coming back — especially when it doesn’t seem connected to what you’re eating, or when it shows up alongside other symptoms like pain, nausea, or changes in your bowel habits.
Conditions that can cause persistent bloating include irritable bowel syndrome (IBS), small intestinal bacterial overgrowth (SIBO), and celiac disease. Less commonly, it can point to ovarian issues in women or a bowel obstruction.
When to call your provider:
- Frequent or severe bloating, or bloating that is not tied to specific foods
- Unintentional weight loss paired with bloating
- Blood in your stool alongside digestive symptoms
Heartburn: Not just a nuisance
That burning sensation in your chest or throat after a heavy meal? Very common. Occasional heartburn after pizza or spicy food is usually harmless.
Frequent heartburn is a different story.
When acid reflux happens twice a week or more, it may be a sign of gastroesophageal reflux disease — GERD. Over time, untreated GERD can irritate the lining of the esophagus and lead to a condition called Barrett’s esophagus, which carries a small but real risk of esophageal cancer. The good news is that there are very effective treatments, and catching it early makes a difference.

Symptoms that go beyond typical heartburn:
- Difficulty or pain when swallowing
- Feeling like food is stuck in your chest or throat
- Persistent nausea or vomiting
- Unexplained weight loss
- Heartburn that doesn’t respond to over-the-counter antacids
Bowel changes: What’s normal, and what’s not
Here’s the thing about bowel habits: they vary a lot from person to person. For some people, three times a day is normal. For others, three times a week. What matters most is what’s typical for you — and whether that’s changed.
A shift that lasts more than a few weeks without a clear explanation — a new medication, a dietary change, a recent illness — is worth discussing with your provider.
And rectal bleeding should always be evaluated, even if it seems minor. While the most common causes are benign, like hemorrhoids or a small fissure, rectal bleeding is also an early warning sign of colorectal cancer — one of the most common and most preventable cancers in the U.S. Because of this, routine colonoscopies are recommended for adults starting at age 45, or earlier if you have a family history.
“Colon cancer is the leading cause of malignancy between age of 21 and 45. Colonoscopies save lives.”
Albert Youn, MD
Colorectal Surgeon, Welia Health
Bowel changes that deserve attention:
- Diarrhea or constipation lasting more than a few weeks
- Blood in the stool or on toilet paper
- Narrow, pencil-thin stools that persist over time
- A feeling that your bowel never fully empties
- Abdominal cramping that accompanies changes in your habits
- Unexplained fatigue paired with digestive symptoms
The bigger picture of gut health
Your digestive system doesn’t work in isolation. The gut microbiome plays a meaningful role in immune function, mood, sleep, and overall well-being. Persistent digestive symptoms aren’t just uncomfortable — they can be a window into what’s happening across your whole body.
Check out our previous post, Gut Health: Why it matters!
Don’t brush off symptoms that keep coming back
If you’ve been dealing with persistent bloating, frequent heartburn, or a change in bowel habits, your Welia Health Family Medicine provider is a great first call to make. They can help evaluate your symptoms, order any needed tests, and refer you to a Welia Health specialist if appropriate.
Welia Health Surgical Services include colorectal health and endoscopy for patients who need a closer look.
Contact Welia Health today to make an appointment. Call 320.679.1313 or log in to MyChart to schedule online.
Additional Resources
- American Gastroenterological Association: What is GERD? (Video)
- American Cancer Society: Colorectal Cancer Screening Guidelines
- National Institute of Diabetes and Digestive and Kidney Diseases: Your Digestive System & How it Works