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Ah - ha! Interesting. Maybe some one will buy it.
I will respond more completely to your question shortly. Are you familiar with functional fibers such as resistant starches that act like soluble fiber? Their amounts are not reported on food labels or given in most food databases. You can read more about them here. Their consideration is key to my response
-------------------- 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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I am one of those that would never again use psyllium My doctor suggested it and I used it for several months, trying desperately to have it work. It did bulk up my IBS-D, however, the terrible gas pains were not worth it. I agree with Syl that inulin (FOS) is also very problematic. The only thing I can use is Citrucel and I only use a small amount (about half of what the dose says). Otherwise basically, try to follow Heather's diet and that helps alot.
-------------------- IBS-D. Eating gluten and dairy free.
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Quote:
Are you familiar with functional fibers such as resistant starches that act like soluble fiber?. Their consideration is key to my response
Yes, I have something about resistant starches. Here's a long, detailed article: http://onlinelibrary.wiley.com/doi/10.1111/j.1541-4337.2006.tb00076.x/pdf
One study has shown that adding resistant starches to oral rehydration solution can shorten the duration of diarrhea in children: http://www.ncbi.nlm.nih.gov/pubmed/16641573
-------------------- I don't have IBS.
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For me, a diet restricting sugar, yeast, and limiting grains helps with my symptoms. Actually, I try to limit any processed foods with additives.Whole and natural works best for me.
http://www.ncbi.nlm.nih.gov/pubmed?term=ibs-d%20very%20low%20carbohydrate%20diet
http://www.ncbi.nlm.nih.gov/pubmed/15647635
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Glad to hear a low sugar, yeast and grains diet helps. It could be the FODMAPs in the grains that maybe partly causing symptoms.
In discussion with Dr. Drossman one of the key authors of the first paper, he said he did not recommend this diet for anyone unless they are under the supervision of a doctor. The reason he gave was that the carbohydrate restriction (<20 g/day) is severe and not particularly healthy. In addition the study was done on a very small number of subjects (13).
Regarding the second study and Candida. In 1992 (see reference below) it was conclusively shown that "C. albicans is not involved in the aetiology of the irritable bowel syndrome." A follow-up letter to the editor of said "Middleton and colleagues' are to be congratulated in demonstrating that there is no conclusive link between overgrowth of intestinal Candida albicans and the symptomatology of irritable bowel syndrome (IBS). Sadly, I suspect that the popular health magazines and alternative practitioners who persuade patients that these symptoms are directly linked to the pseudoscience of 'leaky bowels' and candida toxins' are unlikely to alter their views."
Reference
Middleton, S. J., Coley, A. & Hunter, J. O. The Role of Fecal Candida-Albicans in the Pathogenesis of Food-Intolerant Irritable-Bowel-Syndrome Postgraduate Medical Journal 68, 453-454 (1992).
Shepherd, C. The Role of Candida-Albicans in the Pathogenesis of Food-Intolerant Irritable-Bowel-Syndrome. . Postgraduate Medical Journal 69, 80-80 (1993).
-------------------- 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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I have that article. It is an excellent reference.
I don't use any particular soluble fiber foods. My strategy is to eliminate as much insoluble fiber from bran and veggies/fruit skins and peels as possible. I stick with foods that have a fair amount of soluble and functional fiber. I try to make sure that foods that do contain some insoluble fiber such as white rice and flour that I offset it with roughly an equal amount of soluble and functional fiber. For example, I add glutenous rice to Basmiti rice to increase the resistant starch so that the total functional and soluble fiber is greater than insoluble fiber.
-------------------- 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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Have you experimented with cooked and cooled rice, potatoes or pasta? One type of resistant starch is formed this way.
-------------------- I don't have IBS.
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Yes - I have. Generally speaking when I make a food that contains resistant starch I cool it and then general reheat it until it is just warm to keep as much of it as possible.
-------------------- 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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what kind of fiber/supplement do you take with psyllium? i'd like to try something other than acacia..thanks...
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I cut out all wholegrains except for oatmeal and occasionally quinoa and eat veggies peeled and well cooked and only v few raw fruits occasionally, that comply with FODMAP guidelines and are not too high on the glycemic load scale either.
http://huhs.harvard.edu/assets/File/OurServices/Service_Nutrition_Fiber.pdf is something quite helpful and
I use Benefiber (from the UK, ie without inulin) to balance out IF in all those foods, usually dissolved in tap water, drink before the meal but sometimes also put into veggie soups. I try to ensure that I have around equal amount of SF and IF. I don't have D as a result. (Too much IF causes me D, with BM-frequency in excess of 3 per day on average.)
'Benefiber is a convenient, 100% soluble fibre supplement. It's made from wheat dextrin' http://www.benefiber.co.uk/facts.html
I tried psyllium beforehand too, helped me as well, gave me more solid stools but there was a lot more urgency. Moreover, I now don't take Benefiber in one go but spread it out through the day. I don't see the point of taking a SFS that has IF in it as I'd rather get all the IF from a nutritious and delicious fruit/veggie than a supplement. Most difficult part for me regarding IBS was the fact that I now have to restrict vegetable/fruit intake. I am really health conscious.
SFS in general is a godsend.
-------------------- now: stable through EFI+FODMAP dieting (no lactose/no fructose/some fructans and some polyols)
before: IBS-D(pseudo-diarrhoea), bloating, often unbearable pain esp from too much fat: Apr 2007- Dec 2010
FODMAPs: http://www.todaysdietitian.com/newarchives/072710p30.shtml
[I've tried VSL#3 -> I could tolerate v good amounts of IF (even with less SF), it worked great (but overall I find it too expensive)]
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