Dr Nilarat Narula of Rakxa Wellness and Medical Retreat’s explains how its gut health program works towards a healthy mind, body and soul

“Now, good digestion wait on appetite, and health on both!” runs a line in one of William Shakespeare’s most famous moralistic tragedies, Macbeth.

This quote is way back from the early 17th century, but until today gut health and the spiralling effect it can have on overall health is still something that is being explored.

While modern lifestyles have only in the past decade or more endorsed the connection between well-managed stress levels and a healthy digestive system, it has been the core philosophy of traditional medicine in Asia and around the world. And in recent years, wellness resorts have harnessed their benefits and merged it with their offerings.

Rakxa Wellness and Medical Retreat in Bangkok, Thailand, is one such that honours two popular traditional medicine philosophies, Ayurveda and Traditional Chinese Medicine (TCM), does an ode to one of its own, Traditional Thai Medicine (TTM), and adds in the latest in medical science and technology into the mix.

Dr Nilarat Narula, Rakxa’s anti-ageing physician at the VitalLife Scientific Wellness Center speaks with Tatler about the importance of gut health and the wellness retreat’s holistic approach to it.

Read more: Bangkok’s Newest Wellness Retreat Is What You Need For a Luxurious Recharge

Tatler Asia
Above Dr Nilarat Narula

Why is gut health important? What is your opinion about awareness of gut health in Asia and among Asians?   

Nilarat Narula (NN): Our gut system plays a big role in our immune health and mental wellbeing. You will be surprised to know that 95 per cent of serotonin hormone (also known as happy hormone) is being produced in our gut and hence the term “second brain” was coined to refer to it and address its importance. The gut is also responsible for 70 per cent of our immune health. It is imperative to mention that these are contributed by the healthy microbiome in the gut.

I am noticing increasing awareness amongst my patients from the Asian countries regarding the importance of taking probiotics as a supplement. However, I also notice that the awareness with regards to the role of healthy lifestyle, such as eating high fibre diet, avoiding excessive alcohol consumption, regular exercise, managing stress, and cutting down processed food and sugar, and its importance are still lacking.

Read more: Can You Tell When Your Mind And Body Aren’t Doing Well?

Tatler Asia

How does Rakxa strive to change that?

NN: The complexity of the microbiome balance and our gut function is becoming a new approach to address health and diseases. And of course, we do address this in our gut health program at Rakxa as well. We provide awareness during our consultations and health talks and reinforce it with our structured and customised gut health program and meal plans addressing the issue and managing them.

Our chef is very well versed with the importance of food as medicine and we have a tailor-made dietary plan for our guests. Our dietary program is customised to suit individual gut health status—food intolerances and allergies included—and at the same time, it helps to restore the balance of your microbiomes. We gently remind all our guests with the famous saying: “You are what you eat.” I personally add on my own motto: “What you eat determines how you feel.”

In case you missed it: Re:Qi Retreat: How This Wellness Retreat in Singapore Can Help You Achieve Mindfulness

Tatler Asia

How much does our diet influence gut health? Are Asians more prone to gut health issues than others?

NN: I don’t really agree with that. It depends on what you eat on a regular basis. Asian food can be very beneficial for the good microbiome balance with the variety of fruits and vegetables available as well as the herbs used in the cuisine, especially in Thai cuisine.

Of course, each country has its own unique dietary lifestyle, including food that have been consumed for generations—and furthermore in relation to their geographical and cultural and belief system. The microbiomes have also been found to be different in people from different countries in the world and they serve the purpose. The dietary habits that have been passed on from generations plays a big role in gut health. Therefore, with modernisation and introduction of cross-cultural dietary habits, we have been consuming food that our body does not have the capacity to digest such as lactose from dairy products or gluten. Repeated consumption of food that your body is not able to digest can lead to inflammation of the gut lining and ultimately an immune reaction which can trigger many diseases.

As your first step in achieving good gut health, practise eating variety in your diet and avoid processed foods and sugar, as well as food that causes discomfort.

Tatler Asia

In Rakxa you take an integrative approach to health and wellness. Please tell us how each of them helps in maintaining overall gut health and alleviating symptoms.

NN: Our integrative approach puts a lot of focus on stress management. This is addressed by including yoga, tai-chi, pranayama and energy healing such as reiki, chakra balancing using crystals and singing bowls by our well-trained practitioner. We combine multiple approaches that highlight traditional treatments, including Chi Nei Tsang and Thai Ya-Pao, to improve gut health.

Yoga in particular is an excellent place to start this journey since it may restore our microbiome by reducing stress, improving gastrointestinal motility, and aiding digestion. In addition, some yoga poses can aid digestion while also cleansing and detoxifying toxins from the body. They can also serve as a massage for the internal organs, enhancing lymphatic detox and increasing oxygenated blood flow to a variety of organs, particularly the gut.

Tatler Asia

Acupuncture and moxibustion as a Chinese medical approach help strengthen the blood and encourage the flow of Qi, which can help to reduce stress and improve stomach motility. Tuina massage, a Chinese treatment, treats chronic pain, reduces tension in muscles, improves circulation and promotes deep states of relaxation. By gently applying pressure with the hands, elbows, and arms on specific points along the body, this massage therapy includes alleviation of the stress and other digestive-related disorders.

We also provide alternative Thai Traditional Salt Pot Massage ritual that combines Thai massage techniques with a hot salt pot compress containing a blend of coarse salt and medicinal Thai herbs. When applied to energy points and areas of concern on the body, it can help to relieve symptoms of tightness, pressure, bloating in the stomach, and also tension in the shoulders and lower back.

 

Tatler Asia

Lastly, Abhyanga is highly recommended in Ayurveda, a traditional Indian massage practice. The massaging with warm medicated oil in specific directions helps loosen toxins from the body's soft tissues, allowing them to be removed by the body's waste elimination process, which in turn supports our immunity and the active communication between skin, environmental and gut microbes, and the entire body.

Topics