Holistic Rheumatologist:
Gut Health and Autoimmune Care
If you’re living with joint pain, fatigue, swelling, or autoimmune flares and you also deal with bloating, constipation, diarrhea, or food sensitivities, you’re not alone. Many people notice their autoimmune symptoms feel worse when their gut feels “off.”
At Brickell Rheumatology Wellness Center, we take a whole-person approach—so we’re not only looking at labs and diagnoses, but also how digestion, nutrition, stress, sleep, and inflammation may be affecting how you feel day-to-day.
Root-cause focused rheumatology support (not just symptom management)
Personalized nutrition + lifestyle guidance alongside medical care
Helpful for rheumatoid arthritis, lupus, gout, osteoarthritis, and other autoimmune concerns
Convenient care in Miami
Why Gut Health Matters in Autoimmune Conditions
Autoimmune conditions happen when the immune system mistakenly attacks healthy tissue. This can affect joints, skin, organs, energy levels, and more—and symptoms often come and go in “flares.”
Because so much immune activity is connected to the digestive system, gut health is often part of the bigger inflammation picture. That doesn’t mean gut health is the only factor—but it can be an important one to evaluate when symptoms are persistent or unpredictable.
What “Gut Health” Really Means
Gut health refers to how well your digestive system is functioning—your stomach, intestines, and the community of microbes in your gut (often called the gut microbiome).
When your gut is in good shape, it supports:
healthy digestion and nutrient absorption
immune system balance
inflammation regulation
a stronger barrier between the gut and the bloodstream
When it’s not, people may notice more sensitivities, inflammation, and overall “not feeling right.”
The Link Between Gut Health and Autoimmune Symptoms
Your gut helps “train” and regulate your immune system. If the gut lining is irritated, if the microbiome is out of balance, or if inflammation is ongoing, the immune system may become more reactive.
That increased reactivity can show up as:
more frequent flares
more fatigue and brain fog
more joint stiffness or swelling
skin changes or heightened sensitivities
Important note: Improving gut health doesn’t replace necessary medical treatment—but it may support better stability and overall wellness when used as part of a comprehensive plan.
Signs Your Gut May Need Support
Some common signs of poor gut health include:
Bloating or excessive gas after meals
Constipation, diarrhea, or alternating stool patterns
Frequent heartburn or indigestion
Food sensitivities that seem to be increasing
Fatigue that doesn’t improve with rest
Brain fog or trouble focusing
Skin issues (like rashes) that come and go
Frequent infections or slow recovery
Steps to Improve Gut Health (That Also Support Inflammation)
Below are practical steps many patients can start with. The goal isn’t perfection—it’s consistency and personalization.
1) Focus On An Anti-Inflammatory, Whole-Food Diet
A balanced diet with whole foods (vegetables, fruits, lean protein, healthy fats, fiber) supports the gut microbiome and helps reduce inflammatory triggers for many people. Start by reducing ultra-processed foods and added sugars, then build meals around simple whole-food staples.
2) Add More Fiber—Slowly
Fiber feeds beneficial gut bacteria, but increasing too quickly can cause bloating. Add fiber gradually (berries, chia, flax, lentils, beans, oats, leafy greens) and increase water intake along the way.
3) Consider Probiotics And Fermented Foods
Some people benefit from fermented foods (yogurt, kefir, sauerkraut, kimchi) or a probiotic—especially after antibiotics or long-term gut symptoms. The “best” option depends on your symptoms and history, so it’s smart to personalize rather than guess.
4) Identify Food Triggers (Without Extreme Restriction)
Food sensitivities can contribute to inflammation, but cutting everything out can backfire and make eating stressful. A guided approach (food journal, structured elimination trial, professional support) helps you find patterns without unnecessary restriction.
5) Manage Stress To Calm The Gut–Immune Loop
Stress doesn’t cause autoimmune disease, but it can amplify symptoms, digestion issues, and sleep disruption. Simple daily practices (walks, breathing, short strength routines, therapy, mindfulness) can help lower the overall “inflammation load.” Sleep and recover matter too.
6) Prioritize Sleep
Poor sleep is strongly associated with worse pain sensitivity, worse energy, and more inflammation. Aim for consistent sleep/wake times, reduce late caffeine, and keep evenings calmer and screen-light when possible.
Want a plan tailored to your symptoms, labs, and lifestyle? Book a consultation so we can create a personalized roadmap.
How a Holistic Rheumatologist Approaches Gut + Autoimmune Care
A holistic/functional approach doesn’t ignore traditional rheumatology care—it expands it.
At Brickell Rheumatology Wellness Center, a comprehensive visit may include:
reviewing your symptom timeline and flare patterns
discussing nutrition, stress, sleep, and daily habits
evaluating potential gut-related contributors (based on your history)
creating a personalized plan that supports inflammation reduction and long-term stability
Potential Long-Term Benefits of Supporting Gut Health
While results vary by person, improving gut health may support:
Improved digestion and fewer GI flare-ups
Better nutrient absorption
More stable energy levels
Better immune regulation support
Reduced inflammation over time
Improved overall wellness and quality of life
If you’re tired of guessing what’s triggering your symptoms, we can help you build a clearer plan.
People Also Ask
Is There Such a Thing as a Holistic Rheumatologist?
While “holistic rheumatologist” is not a separate medical specialty, some board-certified rheumatologists use an integrative, whole-person approach that considers gut health, nutrition, stress, sleep, and lifestyle alongside standard treatments. This type of care focuses on supporting people with autoimmune and inflammatory conditions by exploring potential underlying contributors—such as gut health, stress, sleep, and lifestyle—while also addressing symptoms and following appropriate medical treatment. A holistic rheumatologist looks at the whole body, including gut health, nutrition, lifestyle factors, and stress management. This comprehensive approach aims to reduce flare-ups, improve immune function, and support long-term wellness.
What Autoimmune Disease Do You See a Rheumatologist For?
You may see a rheumatologist for autoimmune diseases that affect the joints, muscles, connective tissues, or certain organs. Common conditions include rheumatoid arthritis, lupus, psoriatic arthritis, ankylosing spondylitis, Sjögren’s syndrome, and scleroderma. Depending on the diagnosis—such as Hashimoto’s thyroiditis—your care may also involve other specialists, like an endocrinologist. Rheumatologists help diagnose these conditions, manage inflammation, and create personalized treatment plans. Consulting a holistic rheumatologist can also include dietary guidance and lifestyle changes to support immune system balance and reduce flare-ups.
What Is the Most Common Rheumatologic Disease?
Osteoarthritis is the most common rheumatic disease overall, while rheumatoid arthritis is one of the most common autoimmune rheumatic diseases seen by rheumatologists. The immune system attacks the joints in this autoimmune disease, causing stiffness, discomfort, and swelling. Symptoms often occur in cycles, with periods of flare-ups followed by periods of relative relief. For individuals affected, early diagnosis and appropriate medical treatment—potentially complemented by dietary modifications and gut-focused supportive care from a holistic rheumatologist—may help lessen symptoms, support joint function, and improve overall quality of life.
Holistic Rheumatologist in Miami, FL
When it comes to managing autoimmune diseases, gut health can play an important supportive role alongside standard medical treatments. Our holistic rheumatology approach at Brickell Rheumatology Wellness Center focuses on diet, lifestyle, and gut balance to address factors that may contribute to autoimmune flare-ups, alongside appropriate medical care. Patients who work with our care team may experience improved energy, better symptom control, and a greater sense of overall well-being. Our goal is to help you live a more comfortable, balanced life with autoimmune conditions.
Brickell Rheumatology Wellness Center
40 SW 13th St Ste #402, Miami, FL 33130, United States
(305) 928-6001
Medical Disclaimer: The information provided in this content is intended solely for general informational and educational purposes. It does not constitute medical advice, diagnosis, or treatment recommendations. Do not act upon or rely on any information contained herein without first consulting a licensed healthcare professional regarding your specific medical condition or concerns.
Health conditions and treatment needs vary from person to person. What is appropriate for one individual may not be suitable for another. Always seek guidance from your physician or another qualified healthcare provider before making decisions about your health, starting or stopping any treatment, or changing medications. Never disregard professional medical advice or delay seeking care because of something you have read in this content. In the event of a medical emergency, contact your physician, call 911, or visit the nearest emergency facility immediately.
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- 40 SW 13th St Ste #402, Miami, FL 33130, United States
- (305) 928-6001
- info@brickellrheumatology.com
- Mon - Fri: 9:00am - 3:00pm
- Sat - Sun: Closed