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Oh wow, are you ever heading in the right direction. I read one of Sarno's books about healing back pain and it helped tremendously. Once you get in to see the dietician and also progess to alternative approaches to heal yourself, well you can't do much better than that.
Good luck! I think I am going to read that book, since I read his first one and found it to be helpful. You know there is a local sportscaster who had chronic back pain and had tried everything. He started to experience the pain after the birth of his son. He picked up Sarno's book on back pain and is well today. I just happened to catch his story one night on the local news. I had already read the book, so I knew where he was coming from.
Let us know how it goes for you.
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Thanks for the link. I have to check that book out.
Another one I highly recommend is called "Full Catastrophe Living" by Jon Kabat Zinn. He's an MD who runs mind-body clinics for patients with chronic illness. The book really changed my perspective on mental and physical wellness.
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Frygirl
#351195 - 10/26/09 08:29 AM
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Gerikat
Reged: 06/21/09
Posts: 1285
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I have that one too, Frygirl. Love his writing and I work with his meditation practices.
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I've read J.K.Z. too. Pretty practical and helpful. Though frankly, and this may be pride I suppose, I'm sad that I'm put into the same position of the truly hard luck cases he cites in his examples.
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PMartin
#351227 - 10/27/09 08:13 AM
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Gerikat
Reged: 06/21/09
Posts: 1285
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I got the book from my library, and so far I am liking what I am reading. This doc is so darn intelligent! (and I don't say that about many) 
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I really got a chuckle out of this post! This is good, given a good chuckle can release bodily tension and stress.
The truth is... We can get stuck in "analysis paralysis", stress out about it all, and then end up with nothing but yet another MAJOR flare-up.
I find that if I learn the nutritional basics, stay as relaxed as I can from day to day, and stop focusing on controlling IBS exclusively, I actually can eat a lot of things in moderation while diversifying and rotating what I eat from day to day.
Somes WE are oour own life's biggest triggers without even realizing it! Perfectionism is not a good thing.
Take care.  
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Senior female, IBS-D, presently stable thanks to Heather & Staff
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I wouldn't worry so much about the IF in those things. Brown rice is fine for many and with a little SF side it can be tolerated way better than wheat or even oats! Rice milk may be made from brown rice but IMO it is just the sugar out of the rice that is in rice milk- no IF. (yes I think rice milk is sugar water because brown rice syrup is a natural sweetener used in organic foods). I drink rice milk mostly.
Almond milk has a little higher fat content but close to soy milk IIRC. It can be safe for most.
Syl would have to tell you more about the fiber facts of oats. As far as I have heard they are half and half. I always put acacia in oatmeal anyway and that makes it more tolerable. That gives me my morning acacia dose.
IF tolerance level is a personal thing. Many with C can handle more than those with D. I am tolerant of quite a bit but if I go overboard and maybe wait too long after SF and eat IF I get D from it. People with C may just get cramps and pain from too much, but everyone's tolerance is different. It seems to me at this time that fat intolerance is more uniform than IF intolerance for those who have posted here.
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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!
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Its important also that the "act of eating" can be a trigger and not the food. Doesn't mean foods and diet aren't important they are important, but
"Dr. Drossman: Shawn - eating causes stretching of the stomach when the stomach strecthes it releases hormones or peptides that stimulate the lower bowel. Because people with IBS overrespond to stimuli (like peptide release) you get an exaggerated motility response and pain, so smaller meals reduce this"
Have you ever heard of the gastro colonic reflex?
It is altered in IBS, so just the act of eating can bring on symptoms in 15 minutes. This is not from a specific food in general, but like I said the act of eating.
In the middle of this page are two graphs of a normal person sigmoid colon 15 minutes after they eat and an IBSers sigmoid colon. You will see the IBSers is off the chart.
http://www.webpotential.com/falcon/uploadpic/
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"Postprandial abdominal discomfort may be attributed to an exaggerated gastro-colonic reflex (the colonic contractile response to a meal), the presence of colonic high amplitude-propagated contractions, increased intestinal sensitivity (visceral hyperalgesia), or a combination of these. Fat ingestion may exaggerate hypersensitivity."
http://www.merck.com/mmpe/sec02/ch021666/ch021666a.html
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Basically what this means is the act of eating itself can cause a problem. The stomach sends a signal to the large intestines food is on the way and the lower intestines can overreact, casuing d. Part of this reaction, a big part actually is the amount of calories in the meal and fat. Fat is a big trigger to the reflex.
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This is one reason why a lot of IBS sufferers sometimes think that a particular food is the culprit to symptoms when it may or may not be.
"gastrocolic reflex
This is the reflex system that tells the colon to empty when food hits the stomach, or even in anticipation of a meal. This is why baby poops every time he nurses. It is also why kids with constipation complain of their belly aches right around mealtime. "
"Medical Dictionary
Definition: increase of muscle movement in the gastrointestinal tract when food enters an empty stomach; may cause the urge to have a bowel movement right after eating. "
In IBS this reflex is exaggerated.
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"Why Symptoms Occur During normal digestion, foods are broken down in the stomach and small intestine so that their nutrients can be absorbed into the body. Undigested or partially digested portions -- mostly in liquid form -- then enter the large intestine colon where most of the water is reabsorbed. Movement through the intestines results from peristalsis, a wavelike contraction of muscles in the intestinal walls that propel their contents forward. When all is well, the end result is stool that is solid but soft enough to be excreted easily.
Diet, eating habits, stress, and various environmental factors can disrupt the normal function of the intestines. If the intestines squeeze too hard or not enough, the partially digested food can travel too rapidly or too slowly through the digestive system. Movement that is too fast will result in diarrhea, because not enough water is reabsorbed. Movement that is too slow can result in constipation, because too much water is absorbed. Overly hard squeezing (spasm) can result in cramps. However, the diarrhea of IBS can also occur without pain.
IBS symptoms occur after eating because of the gastrocolic reflex -- increased movement of the intestinal contents in response to food entering the stomach. The strength of this reflex can be influenced by the volume and temperature of the food and the number of calories. Large meals particularly high-fat meals and large amounts of cold beverages can trigger IBS attacks."
This is in Heathers book, under altered gastro-colonic responce and is well known in IBSers.
I personally think its important not to chase down every food molecule that could be a trigger. As well as possible ignore othertriggers like stress, emotions, fear, anxiety antispatory anxiety as they can be very important as well. Some of these emotions trigger the same cells in the gut the foods trigger.
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My website on IBS is www.ibshealth.com
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For as long as I can remember, I have not been able to eat anything solid when I feel stressed or upset about something until the situation has passed. The very LAST thing I want is food under such circumstances. If I force myself to eat under such circumstances, I feel sick (not necessarily trips to the bathroom, but bloated and nauseous).
Most people I know (non-IBSers) run right to the frig or pantry when they are feeling stressed or upset. Not me! Even the thought or smell of food makes me feel like I want to throw up.
Thanks for the helpful info here. I think I just made some progress in understanding some things about myself, and I can now give myself permission not to eat when my body is not cooperating, even if others insist that I MUST eat something. I'll stick with tea and broth during those times, and be the one to decide when I can resume eating solid food meals again.
I will also say that it is so very important (at least to me) to set boundaries with the people and situations that are known stressors in life. We all have stress at times, yet we need not invite more!
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Senior female, IBS-D, presently stable thanks to Heather & Staff
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Windchime, stress/anxiety which are differnt things,in IBS or in general is not what a lot of people actually understand or know or think about when it comes to how it actually works. Also it is both physical and mental stress.
There circuits hard wired to the brain that influence the digestive system.
The Central nervous system is connected to the peripheral nervous system and then very importantly the The Autonomic Nervous System, that runs many of the bodies functions, importantly Digestion.
The ANS is most important in two situations:
In emergencies that cause stress and require us to
"fight" or take "flight" (run away)
and
In nonemergencies that allow us to "rest" and "digest."
http://faculty.washington.edu/chudler/auto.html
The fight or flight effects digestions and can through emotions,such as fear, antisapatory anxiety, anxiety and others.
Have you ever heard of people getting the S**t scared out of them?
http://www.thebodysoulconnection.com/EducationCenter/fight.html
The fight or flight can make you go and sometimes make you vomit even or cause nausea. This is connected to IBS in many ways. Importantly through whats called the HPA axis or The hypothalamic-pituitary-adrenal axis.
Have you ever heard the term homeostasis?
"Comment from Emeran A. Mayer, M.D. -- In contrast to the common interpretation of the term "stress" as a psychological phenomenon, it should be understood as any real or perceived perturbation of an organism's homeostasis, or state of harmony or balance. For example, in this viewpoint a severe hemorrhage, starvation, extreme temperature, or worry about the unpredictable onset of abdominal pain all qualify as stressors -- some as "physical" stressors, others as "psychological" stressors. The fear to leave the house in the morning without knowing if one can make it to work without having to stop on the freeway because of an uncontrollable bowel movement, or the fear of experiencing uncontrollable abdominal discomfort during an important business meeting are sufficient stressors to activate the central stress system.
The central stress system involves the release of chemical stress mediators in the brain (such as corticotropin releasing factor), which in turn orchestrate an integrated autonomic, behavioral, neuroendocrine, and pain modulatory response. This biological response in turn will alter the way the brain and the viscera interact, and this altered brain-gut interaction can result in worsening of IBS symptoms. Thus, pain and discomfort, fear of these symptoms, activation of the stress response, and modulation of the brain-gut interactions by stress mediators are part of a vicious cycle which need to be interrupted to produce symptom relief."
Careful about not eating somewhat, some IBSers don't eat for long periods of time, then eat and that can physically stress the gut and cause problems, which is one reason why small meals are important.
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My website on IBS is www.ibshealth.com
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