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Some questions for TOTALLY stable IBS'ers
      #316867 - 10/18/07 03:09 AM
AndrewIBSC

Reged: 03/23/07
Posts: 159
Loc: PHiladelphia, PA

Hello I have not posted to this board for about three months because a lot of times I get freaked out by what seem to me to be contradictory posts that are quite different from Heather's guidelines. However, I have been following the diet religiously and have hit some speedbumps that I need help with. But please if you are not stable I would prefer you not replying. No offense but I think that if your not stable your in the same boat as me and you too are still experimenting. Also if you still have D or C but consider yourself stable or are having a good week please do not respond. In a nutshell this is for the people that are rock solid STABLE! Anyway I am having some difficulty with the following:

Eating every 2 hours...I wake up at 5 and go to sleep around 9. That's 8 meals if I do the math right. How do you plan so well?

Finding the right ratio of SF to IF. I take 15 g of SFS a day, throughout the day and sometime feel if I eat too much SF and SFS that I get backed up. I have been told by doctors that too much fiber can cause constipation. Also Heather says to NEVER eat more IF in a sitting but I feel that I am at a point where I need as much IF as I can get or I get constipated. Anyone out there actually have a ratio with more IF per meal/snack.

I hope I get some responses....I have improved on the diet but not enough for all of the planning and worrying that it requires. I am starting to believe that ignorance is bliss and before I knew all this I was sicker but happier, if that's possible. Thank you for any advice from STABLE people.

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Re: Some questions for TOTALLY stable IBS'ers new
      #316888 - 10/18/07 08:08 AM
cate3

Reged: 10/01/07
Posts: 14
Loc: Ohio

I was totally stable for about 10 years. I hit some speedbumps last year when I was laid of from my job. (Anxiety realy triggers my IBS). That's when I found Heather's website, which got me back on track. I don't know if anyone is actually rock-solid stable, but for 10 years I really didn't have to think about IBS. (though I never ate fried food and had to watch coffee and wine). I don't count grams, it takes too much thinking. The secret for me is to stay away from trigger foods and fill up on "safe" foods. I get enough IF by eating something SF right before. It does get to the point where you really don't have to think about it so much, you just know you feel better. Hope that helps.

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Re: Some questions for TOTALLY stable IBS'ers new
      #316907 - 10/18/07 10:04 AM
TATYANA

Reged: 07/22/07
Posts: 370
Loc: Washington, Seattle

In my opinion: most people that come here are desperate for help and aren't stable. But, good luck finding them!

--------------------
IBS-C since 2006. No signs of IBS now, it's been 4 yrs. Only dairy allergy now.

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Re: Some questions for TOTALLY stable IBS'ers new
      #316909 - 10/18/07 10:34 AM
Zara

Reged: 06/07/06
Posts: 883


cate3, how long did it take you to get stable? I'm far from stable now and it seems that anything can throw me off the wagon, not just trigger foods. I can't wait to feel "normal" again even if it means diet forever

--------------------
IBS-C, bloating, cramps
pregnant

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Re: Some questions for TOTALLY stable IBS'ers new
      #316920 - 10/18/07 12:09 PM
Sand

Reged: 12/13/04
Posts: 4490
Loc: West Orange, NJ (IBS-D)

I'm food stable although not anxiety stable by which I mean if I follow Heather's guidelines I never have an attack unless my anxiety cranks up. And even my anxiety attacks are pretty mild these days. So consider that a heads-up when considering my advice.

Eating every two hours. I'm a big proponent of not letting your stomach get empty but I don't think there's anything magical about every 2 hours. I'd say that if you get:
breakfast
snack
lunch
snack
dinner
snack
you're doing fine. (I also find a "pre-breakfast" of hot decaf tea and applesauce with Acacia helpful to wake up my digestive system.)

The size of the snack depends on how close together the meals on either side come and how big the previous meal was. For example, whether I have a mid-morning snack depends on how late I ate breakfast (that is, how late I got up - my schedule is totally fluid) and how big breakfast was. I always have a mid-afternoon snack because there's usually a big gap between lunch and dinner. And my post-dinner snack is usually small - a cupcake (no icing, no egg yolks) or a couple of cookies with IBS-safe tea. Sometimes I'll break the bank and have "ice cream".

The SF to IF ratio. I'm not sure about "Heather says to NEVER eat more IF in a sitting". I don't really remember that from what I read - although it's been a long time since I read through her books - and my own belief is that you should eat as much IF to SF as you can get away with. I'm IBS-D and even I find that the further along I get the more IF I can handle with relatively little SF to cushion it. And even I sometimes feel that if I get too much SFS I can get clogged up (especially if I'm not good about getting enough fluid). So I say if you feel you need more IF to SF, give it a try.

HTH.

--------------------
[Research tells us fourteen out of any ten individuals likes chocolate. - Sandra Boynton]

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Re: Some questions for TOTALLY stable IBS'ers new
      #316927 - 10/18/07 01:35 PM
AndrewIBSC

Reged: 03/23/07
Posts: 159
Loc: PHiladelphia, PA

Thank you so much for your thoughtful reply. Under the FAQ section Heather says "The number one rule here is: Never eat insoluble fiber alone or on an empty stomach. Always eat it with a larger quantity of soluble fiber, and you will help keep your IBS stable." So according to Heather a 1:1 ratio is not even acceptable. Am I correct. I get confused because I know these are guidelines but the word NEVER is a pretty black and white term for her to use.

Another question....if I cook down insoluble fiber does that mean it is not as effective in helping move things along? I read in her book that cooking insoluble veggies "makes there fiber content dramatically less." So is it not going to have the effect I need it to have on my system to get things moving?

One last thing....I have been eating grains for IF because they are generally easier to prepare with my workday schedule as a teacher. Below is a list of a typical day of eating. Would you please take a look at it and let me know what you think? I really would appreciate it.

SFS-3Grams
Breakfast:Oatmeal w/ 1/4 cup Blueberries and 2 tsp. ground flax
Snack: Corn Chips (About 12-15 Baked Tostidos)
SFS-3Grams
Snack2: Cheerios w/ sliced banana
SFS- 3 Grams
Lunch: Turkey sand. w/ well cooked greenbeans
SFS- 3 Grams
Snack3: Soy Yogurt w/ 1 T ground Flax
SFS- 3 Grams
Dinner: Chix Breast w/ rice and veggies


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Re: Some questions for TOTALLY stable IBS'ers new
      #316929 - 10/18/07 01:38 PM
AndrewIBSC

Reged: 03/23/07
Posts: 159
Loc: PHiladelphia, PA

That's my problem with the boards...not trying to be negative but it often seems like the blind is leading the blind! Take care, Andrew


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RE: reply to Zara new
      #316930 - 10/18/07 01:48 PM
cate3

Reged: 10/01/07
Posts: 14
Loc: Ohio

It took a year of being really careful, but as I said, there are some things I never eat(I have not had a doughnut in 20 years!), and I did have days here and there. But I did get to the point that I didn't have to think about IBS (when I was diagnosed it was called spastic colon)or what I ate all the time, and I felt pretty good. It does get manageable, so hang in there.

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Re: RE: reply to Zara new
      #316932 - 10/18/07 02:07 PM
Zara

Reged: 06/07/06
Posts: 883


Thanks Cate, that's really encouraging! There are things I wouldn't eat either but I would also be able to get stable and have little cheats (a bit of a doughnut from my husband, a few potato chips (not the baked kind, etc). I wouldn't dare eating a greasy cheeseburger or do major cheats like that. Like you said, it's nice not having to think about IBS, go through bloating, pain, C or D and just enjoy life .

--------------------
IBS-C, bloating, cramps
pregnant

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Re: Some questions for TOTALLY stable IBS'ers new
      #316937 - 10/18/07 03:05 PM
Snorkie

Reged: 02/15/05
Posts: 1999
Loc: Northern Illinois, USA

Well said, Sand!

I don't follow the IBS diet as strictly as some, but I've modified it for what works best for me. I have a pretty good handle on what is safe for me, in other words.

The main triggers I avoid are dairy and beef.

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Re: Some questions for TOTALLY stable IBS'ers new
      #317018 - 10/19/07 11:01 AM
Sand

Reged: 12/13/04
Posts: 4490
Loc: West Orange, NJ (IBS-D)

Quote:

Under the FAQ section Heather says "The number one rule here is: Never eat insoluble fiber alone or on an empty stomach. Always eat it with a larger quantity of soluble fiber, and you will help keep your IBS stable." So according to Heather a 1:1 ratio is not even acceptable. Am I correct. I get confused because I know these are guidelines but the word NEVER is a pretty black and white term for her to use.
Huh. Look at that. To tell you the truth I had completely forgotten this line. I guess it's been too long since *I* read the FAQs.

I still stand by my original statement: if you think you need more IF try going up. You'll always need an SF cushion but as my gut calmed down I definitely found I could swing more IF to SF. (Which I guess makes me just someone else who's confusing you since I seem to be disagreeing somewhat with Heather. Sorry about that.)


Another question....if I cook down insoluble fiber does that mean it is not as effective in helping move things along? I read in her book that cooking insoluble veggies "makes there fiber content dramatically less." So is it not going to have the effect I need it to have on my system to get things moving?
The quote I found is:

For fruits, vegetables, and legumes in general, peeling, chopping, cooking, and pureeing them will significantly minimize the impact of their insoluble fiber.

Here's how I understand this. If you remove peels and/or seeds from IF foods you actually reduce the amount of IF they contain - just as you would if you simply cut away half the piece of food. If you chop, cook, and/or puree them, don't change the amount of IF but you do make it easier for your digestive system to handle. So, no, chopping, cooking, and pureeing IF foods will NOT make them less effective.

(The next few paragraphs are a cross between pontificating and musing. Feel free to skip them.)

Here's how I look at it - please don't quote me to anyone who has a science degree. Let's express the amount of energy required to digest food as GI-ergs: foods that are difficult to digest (what we call IF) require our digestive systems to come up with more GI-ergs than foods that are easy to digest (what we call SF). In people with normally functioning digestive systems, this is no problem. If it takes, say, 5 GI-ergs to digest a piece of bread, the normal digestive system produces 5 GI-ergs; if it takes 25 GI-ergs to digest a tomato, the normal digestive system just cranks itself up and produces 25 GI-ergs.

For IBSers, though, the system doesn't work so well. Our digestive tracts do fine when asked to produce 5 GI-ergs or maybe even 10 or 15. Ask them to produce 25 GI-ergs, though, and they go berserk. It's like our digestive systems can't stop at 25 and instead rocket up to 35 or 40 or 50. The result is either a crippling cramp or uncontrollable shakes - sort of like what happens if you try to hold a weight that's much too heavy for you. So what does all this means?

First, it means that if you can introduce SF first you can get your digestive system cranked up to, say, 10 GI-ergs. Then when you introduce IF which requires 25 GI-ergs, your digestive tract only has to muscle up another 15 GI-ergs - it's already producing 10. It's more likely to be able to go from 10 to 25 without going haywire than it is to be able to go from 0 to 25 without going haywire.

Second - and finally circling back around to the whole peel/chop/cook thing - if you can alter food so that it requires less energy to digest, your digestive tract doesn't have to come up with so many GI-ergs and is less likely to go berserk. So you peel and seed the IF food to remove the really tough IF - the kind that would require your poor digestive tract to come up with, say, 30 GI-ergs. Then you chop, cook, and/or puree the rest to give your digestive system a head start on digesting the food. Chopping, cooking, and pureeing simply mimic what your digestive system would have to do to the food anyhow. Eat a quartered raw tomato and your digestive tract has to work really, really hard to get it digested - maybe 25 GI-ergs. Remove the peel and seeds, cook the flesh, and turn it into tomato puree and it's practically already digested. All the IF from the flesh is still there but it now requires much, much less work to digest - maybe 15 GI-ergs. Presto! You've greatly reduced the danger of your digestive system going haywire when confronted with tomato.


One last thing....I have been eating grains for IF because they are generally easier to prepare with my workday schedule as a teacher. Below is a list of a typical day of eating. Would you please take a look at it and let me know what you think? I really would appreciate it.
SFS-3Grams
Breakfast:Oatmeal w/ 1/4 cup Blueberries and 2 tsp. ground flax
Snack: Corn Chips (About 12-15 Baked Tostidos)
SFS-3Grams
Snack2: Cheerios w/ sliced banana
SFS- 3 Grams
Lunch: Turkey sand. w/ well cooked greenbeans
SFS- 3 Grams
Snack3: Soy Yogurt w/ 1 T ground Flax
SFS- 3 Grams
Dinner: Chix Breast w/ rice and veggies
This is difficult for me because I don't know a darn thing about flax - I assume it's some kind of IF but beyond that I'm clueless about it. Other than that, this looks like a nice well-rounded menu.

If you're looking for more IF, though, the first place I'd start is with those Baked Tostitos. I know they're made from corn but cornmeal (like oatmeal and brown rice) is one of those half SF/half IF things so if you're looking for more IF I'd try replacing them with something like an apple. If you want to be cautious, start with 1/4 of a peeled apple and gradually work up to a whole peeled apple. Then start leaving the peel on 1/4 of the apple and gradually work your way up to a whole apple with peel. Eat just a couple of pretzels first to make sure there's a little pure SF to get things started.

Beyond that, you can consider adding some more veggies to your lunch. If you are able to heat stuff up, consider some vegetable soup - or eat it room temp if you don't mind that. You can also bump up the fiber in your cereal snack (again, whole oats - half SF/half IF) by sneaking a little whole wheat cereal (like GrapeNuts or shredded wheat) into your Cheerios. (Start very small - it's taken me 2 years to be able to tolerate any GrapeNuts at all.) Or throw in just a few nuts - chopped or ground to make them easier to handle.





Well, gee, this got awfully long. I hope some of it is helpful.

--------------------
[Research tells us fourteen out of any ten individuals likes chocolate. - Sandra Boynton]

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Fiber, digestibility and transit time new
      #317065 - 10/20/07 05:46 AM
Syl

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

By definition dietary fiber (IF and SF) consists of nondigestible carbohydrates and lignin that are intrinsic and intact in plants. No amount of grinding or chopping will change the digestibility of these fibers. Also, while cooking may change the amount of dietary fiber is does not change its digestibility.

Since both types of fiber are nondigestible your body does not expend energy breaking them down into to molecules that can be transported from the GI tract into the blood stream. Both types of fiber require about the same amount of energy to move them along the GI tract.

Generally speaking SF can slow gastric emptying and the transit time from the stomach to the colon. It does this by increasing the viscosity of the stomach chime. IF increases transit time. It does this by absorbing water causing it to swell and exert pressure on the intestinal wall. Theoretically, you can use the ratio of SF to IF to change the rate of gastric emptying and transit time from slower to faster.




--------------------
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: Some questions for TOTALLY stable IBS'ers new
      #317067 - 10/20/07 06:09 AM
AndrewIBSC

Reged: 03/23/07
Posts: 159
Loc: PHiladelphia, PA

Sandra, I've got to be honest...you should write a book. You are very clear and your information seems more understandable to me. Two last question.....what are the 50/50 items? Are they brown rice, quinoa, corn meal, and oats. Am I right or are there any others. And If I eat these with IF should I still be taking a SFS supplement before I eat them. Thank you and I really do appreciate your time. I think as gratitude to this diet other stable people should continue to post to the board and help those of us who still don't quite have it down. Take care, Andrew

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Re: Some questions for TOTALLY stable IBS'ers new
      #317078 - 10/20/07 08:39 AM
Mhillqt

Reged: 10/06/07
Posts: 174


SYL...that made a lot of sense......so, IF absorbs water, expands and then causes pressure on intestinal lining which causes evacuation....so for those of us that are constipated(sounds like Andrew is, etc), wouldnt it make sense to increase IF OR do you then run the risk of too much and causing EXPLOSIVE DIARHEA?

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Re: Some questions for TOTALLY stable IBS'ers new
      #317081 - 10/20/07 11:01 AM
Syl

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

I believe a good approach is to slowly increase your IF:SF ratio until you find more relief from C or until other IBS symptoms are exacerbated.

Heather says in this newsletter:

For general good health, and for healthy bowel function overall, insoluble fiber foods need to be eaten as generously and as frequently as possible.

However, she also says:

For constipation from IBS, however, insoluble fiber can trigger violent GI spasms that are very painful. Additionally, these spasms can actually seize up the colon muscles in a type of "charley horse", which results in slower (or no) bowel motility and worsens constipation.

Like most IBS problems it is matter of finding your individual tolerance


--------------------
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: Fiber, digestibility and transit time new
      #317089 - 10/20/07 02:07 PM
JodieKG

Reged: 06/14/07
Posts: 111


Quote:

By definition dietary fiber (IF and SF) consists of nondigestible carbohydrates and lignin that are intrinsic and intact in plants. No amount of grinding or chopping will change the digestibility of these fibers. Also, while cooking may change the amount of dietary fiber is does not change its digestibility.




So... the chopping, pureeing, blending etc. of vegetables and legumes and so forth actually makes no difference to whether they are easier to digest for us? And raw is just as digestible as cooked? - if it reduces the amount of fibre, is that SF or IF or both in equal ratios??

If that's the case, maybe it IS all in my head; maybe when something looks pre-digested I fell more relaxed about swallowing it. Hm. This GI tract really is just a piece of machinery isn't it.

Sorry Andrew - I'm not stable but busting in on your post anyway

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Re: Some questions for TOTALLY stable IBS'ers new
      #317090 - 10/20/07 02:42 PM
Sand

Reged: 12/13/04
Posts: 4490
Loc: West Orange, NJ (IBS-D)

You're very kind, Andrew, but Heather has already written the book. Books, really. If I have a role in communicating her ideas, I think it's in my ability to indulge in, shall we say, flights of fancy like GI-ergs to try to explain by example while Heather has to stick more closely to reputable thinking. Reality can be so terribly limiting, don't you think?

Quote:

Two last question.....what are the 50/50 items? Are they brown rice, quinoa, corn meal, and oats. Am I right or are there any others.
I'm honestly not sure about quinoa - my impression is that it's high SF and high protein (and high fat for a grain but not in an absolute sense) but I truly don't know about it's IF content. My understanding is that brown rice, corn meal, and oatmeal are about 50/50 SF/IF *and* the IF in them is a form that IBSers seem to find relatively easy to handle.

And If I eat these with IF should I still be taking a SFS supplement before I eat them.
Brown rice, corn meal, and oatmeal all show up on Heather's SF list so I consider them all to be SF foods that can serve as a cushion for IF and don't require you to consume additional SF.

One final note about these three foods: Tolerance for them is somewhat variable. I don't tolerate oatmeal well but do great with corn meal and have since the day I started the Diet. (I hate brown rice so I've never tried it.) It's not so much that oatmeal triggers an attack as it is that my digestive tract simply feels unsettled when I eat it.


Thank you and I really do appreciate your time. I think as gratitude to this diet other stable people should continue to post to the board and help those of us who still don't quite have it down.
You're quite welcome.

I'm not quite sure what to say about people who become stable sticking around to help. I think a fair number of us do so but it is natural as IBS becomes less of an issue to move on to other aspects of your life and simply spend less time on the Boards. After all, isn't that what you would dearly love to be able to do at some point?

One thing I found very helpful - in a mildly obsessive-compulsive way - when I first started the Diet and found the Boards was to go back and read old posts. I set up my profile so that posts would display from oldest to newest which meant the oldest posts ended up at the top and I just started reading. It may be my imagination but it seems to me that when the Boards first started up the people on them were more focused on following Heather's guidelines and on helping other people on the Boards understand and follow them, too. You might give it a try and see what you think.





HTH. Take care.

--------------------
[Research tells us fourteen out of any ten individuals likes chocolate. - Sandra Boynton]

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Re: Fiber, digestibility and transit time new
      #317091 - 10/20/07 03:02 PM
Syl

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

Chopping, pureeing, blending etc will definitely make the pieces of fiber in food much smaller. This does not change the fact that humans do not digested fiber in their stomachs or small intestines. The smaller pieces of fiber will still pass through to the colon just like the large pieces where they will be fermented by the colonic bacteria. And generally speaking the amount of 'digestive energy' you body needs to move IF and SF to the colon will likely be similar.

However, it is possible that when IF is in finer state it mixes more evenly in the stomach juices and it may be more evenly distributed in the SF gel in the stomach and intestine. This could be an advantage to an IBSer. For example, instead of feeding the colonic bacteria a 'big chunck' fiber to ferment which might produce a lot of gas quickly, the fine IF embedded in the SF gel might slowly feed the bacteria resulting in less gas. Or the SF might buffer the stimulus effect of IF on the GI tract. It is a complicated area of investigation for which I have not seen much information.

Oh gosh - I don't think raw food is as digestible as cooked food. Food is composed of many more things than IF and SF. Fiber only accounts for a small percentage of the weight. And of course there is some degradation of fiber in the cooking process.

It is hard to say what cooking actually does to fiber. Foods are composed of many different types of fiber. The salts, acids (lemon, vinegar, etc), minerals in which the food is cooked; the length of time cooked, etc will determine how each type of fiber is affected.

The GI tract is the largest and one of the most poorly understood organs in the body. I find it to be a fascinating complex biomolecular wonder rather than a piece of machinery .


--------------------
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: Fiber, digestibility and transit time new
      #317096 - 10/20/07 03:48 PM
JodieKG

Reged: 06/14/07
Posts: 111


Ah, that makes sense: the finer IF mixing more evenly in the happy SF; I like it when you break it down for me Syl! Images make it easier to kind of grasp what I'm trying to do.

Also, a great reminder that food isn't just IF or SF - seriously, I often forget this!

A "complex biomolecular wonder"... yes, you're right; perhaps I should be admiring rather than cursing its complexity!

Cheers
Jodie

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