Gut Check: 7 Signs Your Microbiome Is Out of Whack

A nurse’s guide to the microscopic chaos in your gut—and how to fix it

Let’s start with the truth: your gut isn’t just a glorified food tube—it’s home to trillions of tiny organisms that basically run your health show. We’re talking bacteria, yeasts, and other microscopic freeloaders who can either be helpful roommates or the kind who never do their dishes and steal your toilet paper.

I’ve seen what happens when your gut microbiome gets out of balance—and it’s not pretty. Think skin flare-ups, brain fog, bloating that makes you look 6 months pregnant (without the baby), and a mood that changes faster than a toddler denied snacks.

So if you’re feeling “off” and can’t quite put your finger on why, it might be time for a gut check—literally.


🦠 Wait, What’s the Microbiome Again?

Your gut microbiome is the collection of bacteria, fungi, and other microorganisms living in your digestive tract. These little guys help with:

  • Digesting your food
  • Producing vitamins
  • Regulating your immune system
  • Keeping your skin clear
  • Balancing your mood
    (Yes—your gut and brain text each other daily. It’s a thing.)

When your microbiome is happy, you’re glowing, going, and thriving. When it’s out of whack… chaos ensues.


🚨 7 Signs Your Microbiome Might Be Throwing a Fit

1. You’re Bloated After Everything. Even Water.

Bloating is like your gut’s way of passive-aggressively saying, “Help me!” If you’re suddenly puffing up after basic meals, it could mean your gut bacteria are having a turf war—or you’re not digesting carbs and fibers well.

2. Bathroom Habits Are… Unpredictable

Pooping like a champ one day, and nothing the next? Or maybe you’re riding the diarrhea express with no end in sight? A healthy gut = regular, comfortable BMs. If your output looks like it belongs on the Bristol Stool Chart’s warning end (types 1 or 7), something’s up.

💩 Nurse tip: The “gold standard” poop is a smooth, sausage-shaped log that doesn’t require a toilet paper workout.

3. You’re Breaking Out, and It’s Not Hormones

Adult acne? Eczema? Rosacea that’s suddenly raging? Skin issues can be a red flag for internal inflammation—and your gut is often ground zero. The gut-skin connection is real, and I’ve seen wound healing slow way down when gut health isn’t addressed.

4. You’re Tired, But Can’t Sleep

Exhausted but wide awake at 3 a.m.? Your gut bacteria help regulate your sleep-wake cycle and produce neurotransmitters like serotonin. If you’re sleep-deprived, cranky, and reaching for your fifth coffee by 10 a.m., it might be your microbiome crying for help.

5. Your Mood Is All Over the Place

Ever felt hangry? Now imagine your gut’s been inflamed for weeks—cue anxiety, irritability, or even depression. There’s a reason they call the gut the “second brain.” (And no, it’s not because it overthinks everything too.)

6. Sugar Cravings Are Running the Show

Bad bacteria love sugar. If you’re constantly craving sweets or carbs, those little gut gremlins may be hijacking your taste buds to feed their own survival. I promise—your microbiome is sneakier than a toddler with a Sharpie.

7. You’ve Been on Antibiotics (and Never Rebalanced)

Antibiotics save lives—but they also wipe out the good guys in your gut. If you’ve been on antibiotics recently (or frequently over the years), and never followed up with probiotics or gut-healing foods, your internal ecosystem might be missing some key players.


🛠️ So… What Can You Do About It?

Glad you asked! You can absolutely get your microbiome back on track. Here’s what I recommend, nurse-approved and 100% real-world doable:

✅ Eat More Plants (Fiber Is Food for Your Good Bacteria)

Aim for 20–30 different plant foods a week. Yes, variety matters more than just “eating healthy.”

✅ Add Fermented Foods

Think yogurt, kefir, kimchi, sauerkraut, miso. These natural probiotics help reintroduce good bugs.

✅ Drink More Water

Hydration helps everything move—including the good bugs.

✅ Move Your Body

Even light exercise helps support digestion and microbiome diversity.

✅ Manage Stress

Easier said than done, I know. But meditation, breathwork, or even walking outside can keep cortisol from turning your gut into a warzone.

✅ Avoid Artificial Sweeteners

Some (like sucralose) can disrupt your gut bacteria and lead to bloating and glucose issues.


💬 Final Thought: Your Gut Is Talking. Are You Listening?

You don’t need a PhD in microbiology to spot when your gut is out of balance. You just need to pay attention to the signals: poop changes, skin flare-ups, cravings, mood swings, and bloating that makes you rethink your outfit.

Your microbiome wants you to feel good, glow brighter, and poop like a pro. Show it some love, and it’ll love you back—from your brain to your skin and everything in between.


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Constipation Crisis: Why Nurses Don’t Poop Like They Used To 💩🚽

A gut-check from a wound & ostomy nurse who knows the struggle is real (and real slow)

Let’s talk about something near, dear, and backed up—our bowels.
If you’re a nurse (or anyone in healthcare), you already know: Nurses don’t poop like they used to. Somewhere between the 12-hour shifts, too much caffeine, too little hydration, and holding our bladder until it feels like a personal achievement… our guts have thrown in the towel.

As a nurse, (most of them spent talking about poop more than most people talk about the weather), I’ve seen it all. From chronic constipation to stress diarrhea, to the poor soul who swore she hadn’t pooped since the last full moon—gut health is no joke. And it’s way more connected to our skin, mood, energy, and wound healing than most people realize.

So today, I’m diving deep into the constipation crisis, nurse edition.


🚫 Why Nurses Are the Constipation Poster Children

Let’s break it down, shall we?

1. We Never Sit Still (Except on the Toilet, Praying for a Movement)

On our feet all day, running from room to room, charting while standing… we burn calories but somehow forget to drink water or even breathe properly. Hydration? Fiber? Regular meals? LOL.

2. Caffeine Is Our Blood Type

Coffee to wake up. More coffee to stay awake. Maybe an energy drink for the night shift. That much caffeine can dehydrate you AND slow digestion, even though it’s technically a stimulant. Betrayal.

3. We Ignore Our Bodies

Feel the urge to poop at 9 a.m.? Sorry, you’re in wound care rounds until noon. By the time you’re free, your colon has emotionally shut down and decided to store that stool indefinitely.

4. Shift Work & Stress = Gut Confusion

Your body loves a rhythm. Your schedule? Absolute chaos. Add stress, skipped meals, no sleep, and your microbiome starts googling “How to apply for early retirement.”


💩 Constipation Isn’t Just Inconvenient—It’s a Skin + Gut Issue

This is where my love of gut health and skin care nerdiness collide. Constipation isn’t just a plumbing problem—it impacts:

  • Detoxification: If you’re not pooping, you’re reabsorbing toxins meant to exit. That can show up as acne, dull skin, breakouts, and more.
  • Inflammation: Sluggish bowels can increase systemic inflammation, which slows down wound healing and messes with your skin barrier.
  • Hormone Balance: Estrogen is excreted via the gut. If you’re not going, hormones recirculate. Hello, mood swings and breakouts.
  • Mood + Energy: Your gut helps make neurotransmitters. A backed-up colon can lead to foggy thinking, fatigue, and straight-up irritability.

👩‍⚕️ Nurse Truth: If you’re constipated and cranky, it’s probably connected.


🚽 What Can You Actually Do (That Doesn’t Involve Quitting Your Job)?

Yes, we’re busy. But your gut deserves more than a once-a-week courtesy flush. Here’s what I suggest:

Hydrate Like It’s Your Side Hustle

Keep a giant water bottle at your station. Chug during charting. Add electrolytes if plain water bores you.

Fiber Up—But Gently

Start with chia seeds, flaxseed, oats, or berries. Don’t go from 5g to 30g in one day, unless you enjoy bloating and regret.

Magnesium Is Magic

Magnesium citrate or glycinate helps move things along and eases muscle tension (which we ALL need). Just start low and go slow.

Move It, Even Just a Bit

Desk job? Stretch. Walk the hallway. Do squats in the breakroom (bonus: coworkers think you’re fitness goals).

Poop Routine = Gut Gold

Try to poop at the same time each day. Sit. Breathe. Do not scroll. Your colon deserves your full attention.

Probiotics + Prebiotics

Balance your gut flora with fermented foods (yogurt, kimchi, kefir) and prebiotic-rich foods (onions, garlic, bananas).


🧻 Final Flush: Nurses Deserve Smooth Moves, Too

Let’s not normalize constipation. Let’s normalize talking about it—and doing something about it. Because regular poops aren’t just about comfort. They’re about whole-body health—from your skin to your stress level to how well that surgical site heals.

So here’s to fiber, hydration, and pooping like a nurse who finally remembered she has a digestive system.


Need help getting your gut back on track?
Stick around. I share real talk, skin tips, gut-loving recipes, and more—straight from a nurse who’s seen the (bowel) light.

💩 Because constipation may be common, but that doesn’t mean it’s normal.