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IBS-C folks, I am confused and in need of advice please
      #300325 - 02/20/07 04:27 PM
christie71

Reged: 01/20/07
Posts: 9


I was hoping those on these boards who seem to have figured out what helps in managing severe IBS-C might be able to help me try to figure this out.

I have recently been seeing a GI for lifelong IBS-C that had become unmanageable. After colonoscopy etc., she determined it was IBS-C and "lazy colon", and has had me taking ridiculous amounts of Citrucel, I am now up to 8+ scoops a day and it is barely working. The Citrucel is costing a fortune, making me feel bloated, causing me to gain weight (200-300cals a day)and freaking me out because of all the chemicals. I also am trying to get pregnant which adds to my concerns.
I read Heather's book, and got the impression it was really for IBS-D. I am trying to follow her program and try out some of the things I have read here, but without any real success. Though I believe in her approach and am hoping to see improvements.

My specific questions are:
1) I thought the program tells you not to eat IF, but saw that many are eating IF...
2)I would add magnesium citrate but saw that it is a laxative and thought you are supposed to stay away from laxatives which adds to the problem?
3) I am taking 4T of Heather's Acacia in addition to the 8 scoops of Citrucel and I almost feel it had made me more constipated, otherwise I don't see any difference and it has been over a month. I drink about a gallon of water a day

If anyone could share their thoughts on the above or even share the "program/regimine" that has worked for them, I would greatly appreciate it.

Sorry for the lengthy post
Thanks,
Christie

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Re: IBS-C folks, I am confused and in need of advice please new
      #300345 - 02/20/07 07:00 PM
Jeio

Reged: 09/28/06
Posts: 482


1) YOu should eat IF only with caution. When you get more stable you will be able to eat more IF than when you're totally flared up. IF is what makes you go so it's essential for us C-ers.
2) Mag Citrate is a gentle laxative. I use it and LOVE it. Can't say enough how much good it did to me. I only use it when I am unstable now, I was able to add enough IF to my diet to be able to go regularly without the use of it, but when I destabilize (say eat the wrong thing), I take it for the next couple of days while eating lower on the IF.
3) You are taking a lot of SF. Do you eat IF with it?

If I were you, I'd cut back on the SFS supplements (because too much fiber could cause bloating) and start the EFI diet. I'd also get Mag Citrate, so you'd have a way to go being on EFI initially.

Heather's diet works for C too, just we need to add much more IF than D-ers. It worked for me at least. I started the BTC diet, then slowly added IF. In the meantime I was taking Mag Citrate (because otherwise I woudn't go) until I was able to wean myself off it.

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Re: IBS-C folks, I am confused and in need of advice please new
      #300351 - 02/20/07 07:14 PM
christie71

Reged: 01/20/07
Posts: 9


Thanks Jeio, I was hoping you would respond
My instinct too was that I wasn't eating much IF (partially because I got the idea from the book that all IF is bad, maybe I need to go re-read it, I started to worry that if I followed what works for "D", I would get more constipated). I am wondering about the caution about eating IF,is that for gas/cramping problems? I feel like my system is so overloaded with fiber now that it could process anything. I guess I will add back the bran etc., I had reduced in favor of stuff like oatmeal...Are there any particular good sources of IF you can recommend?
I think I also need to re-read the book because I don't know what "BTC" refers to.

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Re: IBS-C folks, I am confused and in need of advice please new
      #300355 - 02/20/07 07:23 PM
Gracie

Reged: 11/25/05
Posts: 1967


BTC means Break The Cycle diet.

Here's Heather's IBS Cheat Sheet to help you out until you read more information.

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Re: IBS-C folks, I am confused and in need of advice please new
      #300377 - 02/21/07 05:53 AM
Jeio

Reged: 09/28/06
Posts: 482


Sorry about the lingo, this board uses some abbreviations and they are all in a sticky post on the first page of the board. Here's the link http://www.helpforibs.com/messageboards/ubbthreads/showflat.php?Cat=&Board=diet&Number=105441&page=0&view=collapsed&sb=5&o=&fpart=1

The idea behind the diet for C is that you need IF to make you have a Bowel Movement (BM). However, IF causes pain, thus you need SF to buffer it. For example, if you only eat SF, you will most probably be slightly less C than without SF. If you eat SF and IF though, up to a certain amount of IF, you will be able to go and you will not be in pain. If you increase the IF beyond what the SF buffers, you will be able to go, but you will be in pain.

So what's the quantity of IF that a given quantity of SF will allow your body to process without pain? Unfortunately that's a personal thing. You find out what that quantity is by trial and error.

For example, I can eat as much IF as SF (by weight, as much grams IF as SF). Thus, I try to eat as much IF as SF and I am pain free and C-free. D-ers are so sensitive to IF that they can hardly eat any IF without lots of lots of SF. For them the ratio would look different than for C-ers.

I have a Math degree so I might not be explaining very well that whole ratio thing. Please let me know if I'm unclear.

Here's some advice about IF sources.
1)What to avoid:
- wheat bran. A lot of people complain it's harsher than other kinds of bran. Avoid it at first. It also causes a lot of gas even for not-gassy people such as myself (I hardly ever have gas, thank God, but when I eat whole wheat, I am another person)
- salads made with raw veggies of all kinds, so no lettuce, cabbage, spinach, etc, when they're raw. They are truly pure IF.


2) Good sources of IF:
- oatmeal is a good source of IF, because the SF:IF is in a 1:1 ratio.
- oat bran (in moderation) is one of the gentlest kinds of bran
- rice bran (in moderation) is another gentle kind of bran. What I did is instead of eating white rice, I ate brown rice all the time. I had no problem. I soaked it in cold water for 30 minute before cooking and it was great!
- apples with peel (granny smith/tart apples/ might constipate you... my mother's friend told me that, I haven't confirmed it, though, no time)
- baby food - look for the prunes kind, it's great for C
- cooked veggies (for example in stir "fry"s with rice), such as peas, corn, onions, carrots, mushrooms (OK, it's not a veggie), celery, etc.

You will need to do some trial and error to see what bothers you more and what less. For example, I can't tollerate corn bran. I don't know why. I seem to be an exception, though.

As I said, cut back on that SFS. And add the IF slowly, because your body needs to adjust to the new diet. Initially they might cause gas, but your body will adjust and that will go away, don't worry.

Yes, I'd think you need to reread the book. I think it's great! Btw, you'll find that SFS does not actually carry any calories,but they have to list it as a caloric food, because of some FDA problem. Something else is probably making you gain weight.

IBS also calls for considerably reducing your portion sizes. You need to eat small amounts often. I do 5 1/2 meals a day, so 2 breakfasts, 2 lunches and a dinner... and then I wake up at night and have a 6th meal, LOL. I don't eat more than two cups of food at one sitting because it bothers me. That limit is personal too, but when you start the diet, you start conservative, you assume everything bothers you and elliminate things one by one when you become stable.

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