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Well... I think that's highly individual. I don't get those kinds of reactions to yoghurt (not that I like Dannon activia yoghurt, don't get me wrong) and to dairy in general.
There seems to be something in some milk products that bothers me (e.g. in processed cheeses), but I do great with dairy in general (as long as it's fat free... maybe that's the problem with cheese, I don't know).
I don't think you can claim that it WILL give you gas, though. It MAY do so... it's safer to avoid dairy when you don't know how you would react to it (and that's what I did when I first started EFI), but if you're stable and don't react to dairy, I don't see why the probiotic in activia won't be good for you. Maybe I should try it and report how I do... the only thing is it's way too sweet and tastes like plastic, LOL. I have to mix it in *real* yoghurt.
Just so you know, I am back to stable and back to eating lots of real yoghurt (not plastic style like stonifield farm and dannon, LOL)... it still does nothing to me in terms of gas/bloating, and it gives me lots of protein...
Some people react to dairy that is true. Some do not, however. It's individual. And it's better to play safe initially, when you don't know what you will react to. Heather put it very well -- start on the Break the cycle diet and add things one by one so you will know for sure what bothers you and what doesn't. Dairy is last on the list for things to add (at least it was for me) since you don't NEED it as much as you need vegies and other things.
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I still maintain my position that dairy yogurt has nasty effects on IBS. Milk proteins and lactose cause problems in IBS'ers. I do not recommend using yogurt from an animal for it's probiotic claims. Bottled probiotics are much more effective and less problematic. I doubt that Heather would advise ingesting Activa yogurt. Yogurt may not give you gas, but it could interfere with your stability, i.e. causing cramps, D or C attacks, or bloating.
If you're craving yogurt, try a soy-based variety.
Kate, IBS-D.
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Reference
#299416 - 02/09/07 11:12 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Can you provide some research evidence to support your position regarding yogurt and other milk products?
Quote:
I do not recommend using yogurt from an animal for it's probiotic claims
I believe that only the milk in the yogurt comes from an animal but not the probiotic.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
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yogurt is still dairy. Most dairy is high fat, and even skim dairy has casein and whey. There are studies in the research library board showing dairy is one of the most troublesome foods for many with IBS. And the anecdotal evidence from IBS folks who know from first-hand experience that dairy bothers them is even greater.
You can get soy yogurt with live cultures, or just take a probiotic. Why chance the dairy? To me it's not worth the risk.
- H
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Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!
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Yes - I can see how the high fat content and lactose can be problematic for IBSers. I have yet to find anything in the research literature that shows that whey and casein are a problem for IBS. Can you point me to some research literature or the library that shows otherwise? Thanks
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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it just shows dairy, as a whole, is problematic.
- H
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Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!
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There is indeed support for the idea that milk can be very problematic for IBSers. I don't think whey and casein have yet been pin-pointed as triggers.
There is a nicely written paper in the January 2007 issue of Inflammatory Bowel Diseases (reference and abstract below) that outlines a food and beverage avoidance diet that is similar to your EFI. It was designed for use with outpatients at the Inflammatory Bowel Diseases Center in the Albany Medical College
About diary the author says
Quote:
Milk products including milk, ice cream, chocolate, cheese, yogurt, salad dressings, and mayonnaise are well known to cause diarrhea and abdominal cramping (Table 1). The effects of milk products are often felt to be caused by lactase deficiency. Indeed, some patients are truly lactose deficient. However, when tested, many of our IBD patients who have intolerances to milk products are not lactase deficient. Milk contains many other substances in addition to lactose, including fats, proteins, sugars, and Igs, which may stimulate the GI tract. Patients often fail to recognize that cheese, chocolate, and ice cream are concentrated forms of milk. Although skim milk and lactose free products will help some patients tolerate milk, for many patients, switching to soy milk and soy products or rice milk and rice products provides the only complete relief. Another problem for patients is that milk products are used as additives in many different snacks and foods.
Reference
MacDermott, R. P., 2007: Treatment of irritable bowel syndrome in outpatients with inflammatory bowel disease using a food and beverage intolerance, food and beverage avoidance diet. Inflammatory Bowel Diseases, 13, 91-96.
Abstract
Irritable bowel syndrome (IBS) in the outpatient with chronic inflammatory bowel disease (IBD) is a difficult but important challenge to recognize and treat. It is very helpful to have effective treatment approaches for IBS that are practical and use minimal medications. Because of the underlying chronic inflammation in IBD, IBS symptoms occur with increased frequency and severity, secondary to increased hypersensitivity to foods and beverages that stimulate the gastrointestinal tract. This paper discusses how to treat IBS in the IBD outpatient, with emphasis on using a food and beverage intolerance, avoidance diet. The adverse effects of many foods and beverages are amount dependent and can be delayed, additive, and cumulative. The specific types of foods and beverages that can induce IBS symptoms include milk and milk containing products; caffeine containing products; alcoholic beverages; fruits; fruit juices; spices; seasonings; diet beverages; diet foods; diet candies; diet gum; fast foods; condiments; fried foods; fatty foods; multigrain breads; sourdough breads; bagels; salads; salad dressings; vegetables; beans; red meats; gravies; spaghetti sauce; stews; nuts; popcorn; high fiber; and cookies, crackers, pretzels, cakes, and pies. The types of foods and beverages that are better tolerated include water; rice; plain pasta or noodles; baked or broiled potatoes; white breads; plain fish, chicken, turkey, or ham; eggs; dry cereals; soy or rice based products; peas; applesauce; cantaloupe; watermelon; fruit cocktail; margarine; jams; jellies; and peanut butter. Handouts that were developed based upon what worsens or helps IBS symptoms in patients are included to help patients learn which foods and beverages to avoid and which are better tolerated.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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The Role of Food & Dietary Intervention in IBS
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Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook!
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Heather, I agree that not fat free (what a phrase, LOL) dairy is a problem. There seems to be something in the milk fat that is expecially problematic... to me at least. Smaller amounts of butter (dairy butter) cause more problems to me than larger amounts of oil or almond butter (measuring by fat content, of course).
I suspect that is the reason I have trouble with dairy processed cheeses like american, mozzarella, chedar, monterey jack, not to mention cream cheese, but it is hard to confirm given that even if those have ff versions, they taste terrible. Maybe that is part of the reason lots of other folks have trouble with dairy products (folks who are not lactose intolerant). It is difficult to avoid milk fat and not avoid dairy, because very little dairy products contain little milk fat.
Of course, my evidence is in no way statistically signifficant. My GI doctor, however, who I asked about dairy, said FF dairy should be OK (I told her what I usually eat and I didn't eat processed cheeses even before I got IBS) in the form of FF milk and FF yoghurt (things I eat all the time). My GI doctor also has IBS and she had no problem with FF dairy.
That being said, I agree one should start of by avoiding dairy, and treating it like all other potential triggers and IF. Once one stabilizes, though, I don't see why you should not try FF dairy. It's healthy, it gives you lots of protein and it tastes good. Why not treat it like IF -- try and if not a problem, enjoy?
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The problem with IBS is that since it is very individualized, some people are extremely sensitive and others may notbe. To advocate having milk products goes against the principals of the diet, and can cause those who are very sensitive a lot of pain, and to destablize very quickly.
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