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Need assistance
      #361993 - 11/10/10 01:12 PM
di8286

Reged: 05/27/10
Posts: 46


I previously contacted you with questions on IBS. I have drastically changed my diet. I have been off of dairy products for approximately one year now; went off of red meat, eggs, and caffeine about 2 months ago. I have been using your peppermint oil capsules, peppermint teas, etc., Acacia and was feeling somewhat better. However, recently the stomach aches, diarrhea, constipation, etc. began again. I have had to see my doctor and then was sent to a gasterontologist. I had an upper endoscopy with tissue biopsies to rule out celiac disease and H Pylori, etc. They found a small hialta hernia where my stomach is pushing into the esophagus. The biopsies revealed no celiac and no H Pylori. However, they did reveal that I have gastritis (inflammation of the stomach lining) and mild/chronic esophagitis (inflammation that damages tissues of esophagus). So the doctor now has me on Dexilant for reflux to take care of the gastritis and the esophagitis and reflux diet. If the medicine doesn't work, I will have to have surgery regarding the hernia. I really don't want to have that surgery as I did some reading up on it and it is not always successful. In addition, I was diagnosed with diverticulosis back in 2002 and pretty much control that by diet (avoiding seeds, nuts, corn, popcorn, etc.).

Doctor definitely stated that I have IBS. So, I have to be on a diverticulosis, IBS and GERD diet. I am sensitive to psyllum (cramps me over). Just began taking Benefiber and still doing the Acacia from you.

Today the doctor sent me to have a CT Scan w contrast to check the diverticulosis as I have been experiencing abdominal pain since last Saturday. The results should be in this afternoon.

I am also sensitive to soy. So, basically, I don't know what to eat anymore. I do have your cookbook and the IBS 1st year book and have read them. When I'm in the store, I have to constantly read labels. There are so many things I can't eat because they either have dairy in them or something I can't have.

I want to begin exercising as I know it will help. However, I injured my right knee at work back in March and now limited. As soon as I feel better, I'm going to try swimming.

If I have not tested positive for celiac through the tissue biopsy and I also had a previous blood test, could I still be having a problem with wheat/gluten? I pretty much cook everything from scratch (my own bread, pizza using almond or rice cheese, etc.).

I just read your wheat newsletter Part 1 and Part 3. Can't locate Part 2. They were excellent. So, can IBS sufferers have wheat flour? Or is it just whole wheat they can't have? I also just found and printed out your IBS-Safe Foods list which should be really helpful when grocery shopping.

Any suggestions for what I just shared would be greatly appreciated. I am just tired of the pain, and stomach aches. Thank you.

Diane Paravisini

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Re: Need assistance new
      #362071 - 11/16/10 01:57 PM
di8286

Reged: 05/27/10
Posts: 46


I see that over 50 people viewed my post of 11/10/10, but no one responded to it. I really could use some assistance. Thank you.

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Re: Need assistance new
      #362072 - 11/16/10 02:57 PM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

You can have problems with wheat unrelated to gluten. Wheat contains a constituent called fructans that can be problematics for individuals with functional GI disorders including IBS. Fructans are one of five short chained carbohydrates (FODMAPs) known to exacerbate IBS. Check the first link in my signature for a brief description and the second link for a detailed description.

Not everyone has problems with fructans and sometimes it isn't necessary to remove them but to restrict them in your diet . If fructans are not a problem for you then wheat flour is fine. However, whole wheat which contains the bran is best avoided as cereal brans are known to be a problem.

--------------------
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
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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Re: FODMAPs new
      #362133 - 11/20/10 10:48 PM
di8286

Reged: 05/27/10
Posts: 46


I recently have been hearing about the FODMAP elimnination diet for IBS. Does one have to do this with a dietician/doctor? Is this safe? If so, can you direct me to a reputable source/books, etc.? Is this different than a gluten free diet?

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Re: FODMAPs new
      #362134 - 11/21/10 02:57 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

FODMAP are a class of short chained carbohydrates know to be problematic for individuals with functional GI disorders like IBS. You can find two links to reputable information in my signature. The first one is a brief introduction by a dietitian. The second one is a detailed description primarily for health professionals. The diet has been extensively clinically tested. This diet focuses on FODMAPs but it does not discuss other known triggers that the EFI diet does such as caffeine, alcohol, insoluble fiber, etc that are known GI stimulants. These other triggers are left for the attending dietitian or physician to discuss with the patient.

The FODMAP diet is much different than a gluten free diet. If you have any questions please ask.

--------------------
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
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS

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Re: FODMAPs new
      #362140 - 11/21/10 03:35 PM
di8286

Reged: 05/27/10
Posts: 46


I'm already doing Heather's IBS diet, have her books, etc., was recently tested for celiac and it was negative, have alot of sensititivies; can't handle psyllum and soy can be bothersome. I've been making my own bread out of white unbleached flour and staying away from the whole wheat. I am now off of all dairy, eggs, red meat and caffeine. Still getting sick. Just wondering now about this FODMAP thing. Do I need to contact a dietician to do this? I have an HMO insurance and don't know if my insurance will even cover a dietician. Can I do this on my own combined with Heather's diet? I just want relief. I'm so tired of the pain, the bloating, the going back and forth between the constipation and diarrhea. Like I stated earlier, I have diverticulosis, reflux, gastritis, esophagitis as well as the IBS. I love to bake and don't mind cooking things from scratch.

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Re: FODMAPs new
      #362146 - 11/21/10 06:04 PM
buttons07

Reged: 11/11/10
Posts: 18


I would recommend seeing a dietician as a lot of the information available online is either out of date or not 100% correct.

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Re: FODMAPs new
      #362150 - 11/22/10 05:51 AM
di8286

Reged: 05/27/10
Posts: 46


Thanks, I'm going to see if my insurance covers seeing a dietician. I'm seeing my doctor tomorrow anyways.

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