Last Updated: April 2026 · By Dr. Boris Nektalov, DC — Chiropractor & Enzyme Nutrition Specialist, Forest Hills, Queens NY

What causes digestive issues that won't go away? Chronic digestive symptoms often persist because they are driven by nervous system dysfunction and enzyme insufficiency — not diet alone. Spinal misalignment can alter gut signaling, while poor enzyme activity can leave food incompletely digested and inflammatory.

Why Chronic Digestive Issues Keep Coming Back

Many conventional plans focus on temporary symptom control. That can help in the short term, but it often misses why symptoms recur. At Nektalov Chiropractic & Wellness, care focuses on two common root causes: spinal nerve interference and digestive enzyme deficiency.

According to the American Gastroenterological Association, digestive diseases affect tens of millions of Americans. Persistent symptoms are common, especially when underlying function is not corrected.

The Spine-Gut Connection

The vagus nerve and related spinal pathways regulate stomach acid signaling, bowel motility, and digestive enzyme release. When thoracic and lumbar segments are irritated, communication between brain and gut can become less efficient.

This is why some patients notice digestive improvements while receiving care for neck or back pain. The spine and digestive organs share neural pathways.

The Role of Digestive Enzyme Deficiency

Enzymes like amylase, protease, and lipase break down carbohydrates, proteins, and fats. If production is low, food may ferment or sit too long, causing bloating, gas, and poor nutrient uptake. In those cases, targeted enzyme support can reduce digestive load.

What to Expect at First Visit

Initial care includes symptom history, spinal evaluation, and digestive pattern review. When appropriate, a personalized plan combines chiropractic adjustments, enzyme nutrition, and practical food/lifestyle guidance.

Lifestyle Factors That Support Healing

  • Hydration: adequate daily fluid intake supports motility and enzyme activity.
  • Reduce refined sugar and ultra-processed foods that increase gut inflammation.
  • Eat slowly and chew thoroughly to reduce digestive workload.
  • Limit irritants when needed (high caffeine/alcohol excess).
  • Address stress to restore better "rest and digest" function.

Contact Nektalov Chiropractic & Wellness in Forest Hills, Queens: (718) 275-9000.