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IBS-C with pain and bloat
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....that fructose just doesn't bother some people.
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IBS-C with pain and bloat
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At a high enough level fructose malabsorption occurs for everyone. However, some people can tolerate 30, 40 or more grams of excess fructose while others cannot tolerate 5 excess grams. Excess fructose is not digested by the body but it is fermented in the colon by bacteria producing gases and by products. The extra sensitivity of an IBSer's colon to things such as increase pressure from gas may cause discomfort. I believe I have explained this to you a couple of times over the past few years 
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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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....people to have the same food fears that caused me to become dangerously underweight. It's horrible fearing all these foods. Pretty soon, there is nothing to eat between IBS, GF, FI....I'm really struggling with what I can and cannot eat and the unknown is really stressing me out. I cry over this stupid unknow...not only the FI but the GF too. I just don't know if I have to restrict them when I don't really feel significantly better, than I can tell, at least. 
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IBS-C with pain and bloat
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Instead of worrying get tested for gluten intolerance and fructose malabsorption. If the results are negative then you know you don't have to worry about them any more
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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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The blood work came back positive on two of the three tests. Not the test most indicitive for celiac. But 3 doctors have told me even though I tested positive, that doesn't mean I have to eat GF because "lots of people" test positive and don't have to eat GF"....but that leaves questions in my mind. Did I test positive for a reason? I agree, I don't have celiac...but I don't know, and will never be sure if I need to eat GF. I swear some of the best GI docs have told me to go ahead and eat gluten...but I'm afraid to because of my positive tests.
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IBS-C with pain and bloat
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The gold standard test for celiacs disease is a endoscopy. They take a biopsy of the small intestine and look for damaged villi. Blood work can have false positive results - an endoscopy can't. In order to have a endoscopy test for celiacs you need to be eating gluten because if you don't then you can invalidate the test.
If you are still worried about gluten then ask your GI for a endoscopy.
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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 know I've said this before, but wanted to remind you. When I had my gallbladder out my doc said I now didn't need to eat gluten free. A year before when I tested positive, my surgeon said it was because something was swollen or inflamed causing the false positive.
So, I spent a yr of my life GF and felt no better. Adding gluten back in was easy for me and it DID help.
But please keep in mind--he said if there was any inflamation you could get a false positive.
Still hang in there. It's a long and frustrating road.
(I say this as I'm home with belly cramps this morning. I got a little risky eating an entire 3 muskateers and mini cupcake yesterday. LOL what was I thinking?!)
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IBS-A
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I've had an endoscopy (pre-gf) and it came back normal.
My blood test came back positive on 3 separate occasions. 
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IBS-C with pain and bloat
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thank you, Aly, for the reminder!!!! You are very inspiring to me!
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IBS-C with pain and bloat
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