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EVERY food is causing cramps and gas
      #350110 - 09/19/09 11:27 PM
Ashleigh_87

Reged: 09/19/09
Posts: 3


Hi to everyone out there. I have had quite mild IBS symptoms for years (the occasional gassy episode after food, and constipation)but just within the past month EVERYTHING i eat, and i literally mean everything, has been causing excessive bloating, gas, and constipation, not to mention the accompanying cramps! I am very frustrated and if it were an option, id have given up on food all together weeks ago! Have any of you had this problem?? And more importantly, have you been able to over come it?? I desperately need some advice!

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Re: EVERY food is causing cramps and gas new
      #350112 - 09/20/09 05:26 AM
Todd in VT

Reged: 09/20/09
Posts: 2


Hi Ashleigh,

I sympathize with you. I've had IBS-C for about four years now, and had my gall bladder removed three years ago. Please read this, as I think I can help.

I struggled with severe constipation (living on Milk of Magnesia two or three times a week to have bowel movements). Fat has been an issue for me, especially since gall bladder removal. But my digestion kept getting worse, to the point that any meal which had a fair amount of protein would cause instant bloating, gas, and increase my constipation. This really created problems, as I am an avid cyclist, and found myself so deficient in protein that I developed chronic tendonitis. I tried everything: peppermint, licorice, stool softeners, etc., but at best, these treatments only made life a little less miserable.

Here is the recent revelation that changed my life. An astute friend of mine suggested that I might have low stomach acid (hypochlorhydria), which is much more common than people realize. His son had this problem, and began taking acid supplements which greatly improved his digestion. I decided to try it, and it instantly changed my life. My bloating is quickly disappearing, I can eat normal amounts of protein again, and my bowel habits are quickly returning to normal.

The supplement is called Betaine Hydrochloride (or HCL), which is stomach acid (hydrochloric acid) derived from beets. It's cheap, and you can get it at any vitamin/health supplement store.

To find out if you have low acid, buy a bottle of these tablets. Try taking one tablet at your next meal, and make sure you eat some protein. If you develop heartburn, then you don't have low acid, and your problem probably lies elsewhere. If you feel no discomfort, try two at the next meal, and so on, until you reach four tablets, or begin to develop heartburn. Most people's threshold is around two tablets (I take four at every meal with protein).

If you feel improvement, I would suggest including a probiotic with each meal for a while (my favorite is Digestive Advantage). This will help displace any pathogens which have set up shop in your colon and help reduce inflammation.

What few people realize is that stomach acid is the primary driver for most of the other digestive enzymes in your system. Without sufficient acid, pepsin cannot do it's job, which floods your intestines with undigested proteins (bad). Worse, without sufficient acid, pathogens get a free ride right into your colon, complete with free food, setting up perfect conditions for overgrowth of pathogens irritating to the bowel. After recently researching this issue heavily, my suspicion is that low stomach acid may be the root cause of most cases of IBS.

For more information on this issue, check out the following sites:

http://www.medical-library.net/Hypochlorhydria.html

http://www.prohealth.com/library/showarticle.cfm?libid=13388

http://www.modernherbalist.com/betaine.html

I hope this helps you as it did me.

Todd in Vermont

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Re: EVERY food is causing cramps and gas new
      #350113 - 09/20/09 05:30 AM
Syl

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

Welcome to the board

Have you been back to see a GI specialist to determine if you now have something other than IBS?

It would be helpful if you posted the meals and snacks you have eaten for the past 2-3 days.

--------------------
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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For Todd new
      #350115 - 09/20/09 07:16 AM
Gerikat

Reged: 06/21/09
Posts: 1285


Hi Todd. I have heard and read about this before. Since I am one of those people who pops a Prilosec almost daily, I have wondered about this for myself.

I guess Big Pharma wouldn't want too many to know of this, since it would cut into their big profits from the patented acid blockers/reducers they cram down our throats on a daily basis.

I found a great new naturopathic doc and I will bring this up to him next time.

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Re: EVERY food is causing cramps and gas new
      #350151 - 09/21/09 02:07 PM
Ashleigh_87

Reged: 09/19/09
Posts: 3


Hi guys! Todd, thankyou so much for your suggestion! I will go to the health store today and pick some of that up! Just posting this before i head off to work so havnt had a chance to get to those links, but i will! I am currently taking a probiotic, that was suggested to me by a pharmacist. So fingers crossed that by adding HCL ill see improvements!

In response to whether i have looked into other medical reasons for my symptoms, im going back to the doctor today to insist some blood work and an ultrasound or scan of some sort! - Just to rule out anything serious.
Does anyone else get sick of doctors saying "well it's probably IBS, just change your eating habbits and see if that helps" Argh, frustrating! I also get alot of "you're too young for it to be anything serious" (im 22) anywho... enough of my ranting on the subject of doctors!...

Thanks so much for the info! I'll definately keep you posted on the results

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heartburn and IBS new
      #350152 - 09/21/09 02:28 PM
frygurl

Reged: 08/18/09
Posts: 332


I see so many posters with IBS symptoms and heartburn. What is it with western medical doctors who say those two are not in any way related? It seems like they know less about our bodies than we do, even though they are supposed experts.

I am just starting to see a naturopathic doctor as well. She did her full exam last week. We spent 2 hours just talking about all of my health concerns. It was a huge relief just to be heard. I look forward to hearing her treatment plan at our appointment this week. I love how she took so much time getting to know me, and is going to look over all of my previous blood tests, my medical history and symptoms, and will spend time working up a treatment plan. This, is as opposed to spending 15 minutes with me, then telling me to take this medicine or that, as all other doctors have done in the past. She's also going to work with the EFI diet. She says she doesn't want to change things that are working for me. Awesome!

I just hope she can help heal this heartburn/reflux. It sucks!!

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Re: heartburn and IBS new
      #350153 - 09/21/09 02:51 PM
Gerikat

Reged: 06/21/09
Posts: 1285


Yes Frygurl, I think it's all interconnected.

Insurance companies dictate a doc's time with a patient (it's all about profit, ya know),so hence my decision for a naturopathic doc. I really like her. And you are right, it is great to be heard instead of being dictated to. All most of us want, is just to be heard.

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Re: For Todd new
      #350182 - 09/22/09 09:29 AM
Todd in VT

Reged: 09/20/09
Posts: 2


Hi Gerikat,

I forgot to mention in my first post that it seems that low stomach acid can produce the same symptoms as too much acid (i.e. heartburn, GERD, etc.). As a result, many doctors react to what they perceive as an obvious case of "too much acid," and prescribe antacid based medications. I also wonder about a possible connection between low stomach acid and Osteoporosis, since the body is incapable of absorbing calcium when acid levels are too low.

Regarding "Big Pharma," I agree that there's not much profit potential marketing stomach acid supplements which only cost around $10 a month. But I wouldn't be too critical of doctors on this issue. My physician is also a friend of mine, and a really good guy. When he diagnosed me with IBS about three years ago, his primary advice was to use occasional doses of laxatives as needed, and he shrugged his shoulders and told me "we really don't know what causes it." I think that's probably true for most physicians, and in fact, is why I'm scheduled to see him later today to share with him my recent discoveries.

Good luck with your naturopath.

Todd



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Re: For Todd new
      #350185 - 09/22/09 10:51 AM
Gerikat

Reged: 06/21/09
Posts: 1285


Yes, you are right. I am very tough on doctors. I guess it stems from my very bad experiences. I don't have a problem with a doc saying, "I don't know", as a matter of fact, I respect that. I get upset when some docs I have seen won't 'hear me', but dictate and poo-poo any ideas I have. You should be able to work in partnership with your doc, and that is the kind of relationship I prefer. I have even had a doctor tell me Heather's diet was ridiculous, to eat more fiber, and I just got up and walked out of the office. I don't owe that doctor a darn thing. They don't have a clue. So, I guess as with anything in life, there are good docs and bad docs, ya know.

Yes, I have also read about the osteoporosis connection and acid blockers/reducers. It does make sense to me, if too little stomach acid were to be your problem.

I will surely have it checked out. You take care, and stay well.

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Re: For Todd new
      #350198 - 09/22/09 02:29 PM
linisue54

Reged: 08/30/08
Posts: 84


Hi Todd, I tried your lastest discovery with the betaine and I also tested myself with baking soda and Im low acid. I was wondering what your doctor has to say about it cuz Im reluctant to take anything without knowing its safe. It did work but Im wondering if I would have to take it for the rest of my life. Good Luck at the docs.

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Re: For Todd new
      #350273 - 09/25/09 11:26 AM
shelgirl

Reged: 09/22/09
Posts: 205
Loc: Wisconsin

How do you test yourself with baking soda?

--------------------
IBS-D. Eating gluten and dairy free.

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Re: have u been tested for celiac? new
      #350278 - 09/25/09 12:08 PM
jenny833

Reged: 11/05/05
Posts: 273


that could be the underlying problem- thats what happened to me before i was diagnosed

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Re: For Todd new
      #350322 - 09/26/09 06:22 AM
linisue54

Reged: 08/30/08
Posts: 84


I found it somewhere online where you add 1/4 t to an 8oz glass of water and drink it first thing in the morning. If you belch within 2-3 minutes you have sufficient acid in your stomach. If it takes you 5 minutes to belch then you have low acid. It took me 12 minutes to belch so who knows!!!!!!

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Re: For Todd new
      #350323 - 09/26/09 07:21 AM
Syl

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

Unfortunately it is not a particularly effective method for determining if you have excess stomach acid. Hypochlorhydria can be difficult to diagnose. Ask your health practitioner for a Heidelberg test if you think you might have hypochlorhydria.

--------------------
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: For Todd new
      #350325 - 09/26/09 08:21 AM
frygurl

Reged: 08/18/09
Posts: 332


And what if you can't belch at all? I've never been able to burp, not even with carbonated beverages.

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Re: EVERY food is causing cramps and gas new
      #350892 - 10/18/09 04:08 AM
Catgirl

Reged: 01/10/09
Posts: 44
Loc: Canada

Hey Ashleigh

I just wanted to let you know I have the same problem. My symtoms started off mild and now my symtoms are extreme. The gas and constipation are constant and I'm in so much pain. I'm lucky if I have two bowel movements a month. The gas that I have hardly ever comes out so I have constant fullness and cramping. I can barely sleep it's so bad. I haven't found anything that works but if I ever do I'll let you know since I having been trying one thing after another.

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Increasingly Frustrated!!! new
      #350894 - 10/18/09 09:05 AM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

Syl, how did you find out about your fructose malabsorption?

Here I go again...this is just another example of how many different things there are out there to consider. The more I try to figure things out the more confused I get. I follow the (Heather's)IBS diet and take the supplements but it makes very little difference and I'm always reading or hearing about new things that make me question everything I'm doing. Things like...
...even though you do not have celiac, and white bread is suggested as a stabilizer, you could still have an allergy to wheat or gluten (in which case you should avoid it)?
...soy is bad for you, especially men, and could be a trigger?
...tea (even though it's herbal and soothing peppermint) can be a stimulant/trigger?

This leaves me wondering if I even have IBS due to food intolerances or is it a digestive/enzyme issue. I don't have reactions to any supposed trigger foods, just multiple and urgent BM's every morning. I mentioned in a previous post that I wonder if getting a food allergy test would just give me an answer or maybe hypnotherapy but they both cost money. And then I see a thread about digestive enzymes and even though I've already talked to my GI about Habba Syndrome and gallbladder function and tried Questran (unsuccessfully) I wonder if I should be taking some?

There has to be an answer.


--------------------
IBS-D. Or so a doctor says.

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Re: EVERY food is causing cramps and gas new
      #350895 - 10/18/09 09:46 AM
Windchimes

Reged: 09/05/09
Posts: 581
Loc: Northern California

Thank you, Todd for posting this information. I am new to this site, though have had IBS-D haunting me since the mid-1990's. Every day has presented a new challenge and there didn't seem to be any answers found in what I ate, what I avoided, or whether I ate anything at all!

I do think there is merit in what you write here, along with what was written in the links you provided. It's certainly worth a try!

Some days I have felt desperate for answers and exhausted from running to the bathroom. Colon cleanses were certainly not the answer, and in fact they seemingly made matters worse.

--------------------
Senior female, IBS-D, presently stable thanks to Heather & Staff

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Re: Increasingly Frustrated!!! new
      #350900 - 10/18/09 10:29 AM
Syl

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

I found out about fructose malabsorption by reading the IBS research literature. In consultation with a GP I tried an elimination diet and found that I had problems with the sugars fructose, lactose and sorbitol. There is a breath test but unfortunately the fructose test does not tell you how much excess fructose (i.e more fructose than glucose) you can tolerate. The test is done using a 30 gram load of fructose. So while you may test positive at that load the test doesn't tell you if you can handle 1, 5, 10, etc excess grams of fructose. You still have to experiment to figure it out. A recent study shows that about 45-55% of IBSers have problems with fructose.

Fructose malabsorption can also include problems with wheat which contain fructans. Fructans are long chains of fructose molecules that are indigestible in the stomach or small intestine. However, they are easily fermentable by bacteria in the colon. Generally speaking wheat doesn't have to be eliminate from the diet but its consumption reduced.

Fructose, fructan, sorbitol, lactose, etc are known as short-chained carbohydrates. Collectively they are called FODMAPs (Fermentable Oligo-, Di- and Mono-saccharides And Polyols). Beside the article linked to in my signature there is a good article on FODMAPS in Malabsorption of Fructose and Other Short-chain Carbohydrates

Soy is a problem for a lot of IBSers and normal people too. It can produce cramping and gas. I cannot eat it even in small quantities which annoys me because I love soy sauce on rice. Some people find they can eat soy if they take Beano.

Over the years I have learned that dietary supplement and some digestive enzymes can cause problems. Some of them contain ground up plant material containing the active ingredient. Unfortunately, they also contain a high amount of insoluble fiber which can cause problems. Also, most digestive enzymes which are composed or proteins are broken down in the stomach acid providing little benefit. However, the enzyme in Beano and lactase are two digestive enzymes that do work well.

I find many herbal teas are problematic. Not sure why.

Generally speaking food allergy tests will not enlighten you much. From the IBS research I have read an food elimination approach is more effective that an allergy test.

While eliminating a variety of foods from your diet may help manage IBS symptoms it is definitely not the definitive answer. Dietary management helps me keep my IBS enough under control that I can 'almost' live an ordinary life but I still have bloating and pain daily --- it is just not as intense

I completely understand your frustration. I am sure most people with IBS ask themselves the same questions you do daily. You would figure the medical profession would have figured out how to manage or cure IBS by now. However, the GI systems is one of the most complicated organs in the body. It is an interface between the outside world and our internal workings. Surprisingly we still know relatively little about how it functions

Have you tried to figure out a base diet - that is a simple diet to which can fall back on when you get an IBS flare-up?

--------------------
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: Increasingly Frustrated!!! new
      #350902 - 10/18/09 10:47 AM
Windchimes

Reged: 09/05/09
Posts: 581
Loc: Northern California

I have been doing some extensive reading here and elsewhere about IBS these past few weeks. I've suffered with IBS-D for more than a decade following an extremely stressful (trigger) time in my life. When the stress level went down, the IBS-D remained, naturally!

I'm finding Healther's products and suggestions to be extremely helpful. At the same time, I am coming to the conclusion that causes and treatment are DEFINITELY a very individual thing, and vary from person to person. The end result of the condition (IBS-C, -D, -A) may be the same, though the causes aren't necessarily found in the same places of the GI tract. Even so, Heather's products are the perfect place to start and go from there to personalize your own program of success. These products are a perfect foundation, non-irritating, and soothing.

In building your own program, you may find that what helps one person may not help another whose problem rests in a different area of the GI tract. Seemingly, we have to 'fine-tune' our own program of success. I also have the thought that once we get our gut awakened to working properly, our symptoms might well be less when indulging in some foods in moderation that we are presently avoiding during this personal process.

I would guess that the timeframe also varies from person to person as to how long it takes to get symptoms under digestive control and become less symptomatic. This no doubt is linked to how dysfunctional a specific organ has become, and the duration of time it has functioned like that.

I suggest that you keep experimenting, absent introducing too many good ideas into your gut all at once. I personally have found this all to be a trial and error path to personal adjustments and recovery. If we try introducing too many things at one time, we never will know what helps and what is aggravating our own GI tract.

Also, never rule out that some 'people' can be stressors in your life and need to be weeded out. Such can be a matter of your personal survival and enjoying life far more. Some people can be stressors in life, while others are wonderful stress relievers (support systems). Such choices are entirely our own!

--------------------
Senior female, IBS-D, presently stable thanks to Heather & Staff

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Re: Increasingly Frustrated!!! new
      #350918 - 10/18/09 09:30 PM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

WOW - what an enlightening and thought provoking article. Thank-you for providing it and such a a detailed reply.

Quote:

Have you tried to figure out a base diet - that is a simple diet to which can fall back on when you get an IBS flare-up?



This is part of my frustration. I don't get flare-ups or have reactions to supposed triggers...just the same routine every morning of urgent, loose and multiple BM's. This is despite following the (Heather's) IBS diet. As there is still something I'm eating/drinking that is a trigger, I am working on a self imposed elimination diet focusing on wheat and I want to see if there's any difference by not having tea and avoiding soy (all foods that are supposed to be safe). Basically, I'm just trying to think of and detect if there's been something constant that I've eaten despite a wide variety in my diet over the years that could be the culprit. AND LOW AND BEHOLD you drop this little package of information. While I don't eat a lot of processed or packaged foods, I know fructose is in a lot of foods, probably more than I realize or have seen.

Looking at the FODMAP checklist from article you linked, I see a lot of the same foods we are told to avoid or limit as they are an insoluble fiber; anything to do with fruits, vegetables and legumes, dairy and alcohol BUT THEN THERE'S THAT TOUGH ONE - WHEAT, including bread and pasta which are deemed O.K. by Eating for IBS.

Something else in the article that got my attention was TABLE 4, Lactose Content of Common Dairy Products. It lists Acidophilus milk. I don't drink cow's milk (as recommended) but I do take Acidophilus supplements (as recommended) could this be counter productive? And then the non-medicinal ingredients include fructose molecules.

Anyway I'm going to be looking into this as soon as tomorrow. Who did you first approach? I'm fed up with my GP and noticed that the article mentions going to a dietitian. Also, can I ask what your diet consists of on any given day?

--------------------
IBS-D. Or so a doctor says.

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Re: Increasingly Frustrated!!! new
      #350972 - 10/20/09 09:16 AM
MominMaine

Reged: 02/20/07
Posts: 19


Patsy Catsos, a dietician in Maine, wrote a book this year, entitled "IBS - Free at Last". She writes about the FODMAPs and how to conduct an elimination diet to determine if these are triggers for you. I followed it and found out that fructose and fructans, including wheat, are a trigger in large doses. However, lactose-free dairy doesn't seem to bother me.

When I faithfully followed the Eating for IBS diet several years ago, it took me awhile to determine that I could not handle oats or soy. Now I realize that apples in my daily morning of soy oatmeal was yet another trigger. I still haven't mastered it all - stress and fatigue play such critical roles, too. I am forever searching for balance. Good luck to you!

IBS-C

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FODMAP - IBS Revolution new
      #350983 - 10/20/09 01:39 PM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

I don't know if I've just missed it and it's an approach/school of thought that's been out there for some time already but I'm just finding out about it and this FODMAD diet seems to be the "missing link" to so many people's IBS and inability to rectify it.
I've always questioned wheat but still ate it as it had been claimed to be a stabilizer (in specific forms). With an explanation of what in it and why it's bad for you (fructose) it all starts to make sense.
I've started an elimination diet (starting with wheat/fructose) and made an appointment to see a registered dietitian as soon as possible.

--------------------
IBS-D. Or so a doctor says.

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Re: Increasingly Frustrated!!! new
      #350985 - 10/20/09 02:33 PM
Syl

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

The variety in my diet is rather meager.

Breakfast - regular oatmeal made with 2 tbsp pure berry juice in the cooking water, 1/2 banana and a sprinkle of brown sugar

Lunch - 1/4 chicken breast, 6 shrimp, boiled carrots and peeled zucchini stir fried in olive oil and sprinkled lightly with curry. It is covered in a sauce made from tomato paste, corn sugar and a couple tbsp light coconut milk and served on a bed of rewarmed Basmatti rice.

Supper - chicken, turkey, fish or seafood with boiled carrots and white rice, potatoes, pasta or couscous

My snacks are based on homemade sourdough bread, matzo, peanut butter, jam, Kettle light potato chips, homemade chocolate sauce and peppermints with no artificial flavors.

Fructose molecules are only a problem when unaccompanied by an equal number of glucose molecules. The body handles a molecule of fructose differently when it is accompanied by a molecule of glucose than when it occurs alone. For example each molecule of white and brown sugar is composed of a molecule of glucose and a molecule of fructose joined together. As you have probably noticed table sugar is not an IBS trigger. On the the other hand foods like honey, apples, pears, melons, high fructose corn syrup contain more fructose than glucose. The body handles free fructose in a different way. Frequently, the excess fructose finds its way to the bowel where is it acts like fast food that is rapidly fermented by colonic bacteria producing gases and by-products that can be IBS triggers.

When you go to the dietitian it might be worth while taking copies of the two papers. Something else you might direct the dietitian to another paper published by the Australian group who published the other papers. They found there was little reliable information on the amount of free fructose and fructans in various foods for the dietitian to provide guidelines for IBS patients. They did a study of a large number of common fruits and veggies in the Australian diet and recently published it (reference below). Unfortunately, it isn't publicly available and you have to get from a library. I refer to it from time to time. It is quite helpful.

Reference
Muir, J. G., Shepherd, S. J., Rosella, O., Rose, R., Barrett, J. S., & Gibson, P. R. (2007). Fructan and Free Fructose Content of Common Australian Vegetables and Fruit. J. Agric. Food Chem., 55(16), 6619-6627

--------------------
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: FODMAP - IBS Revolution/The book IBS Free at Last new
      #350986 - 10/20/09 03:10 PM
mrae

Reged: 02/05/09
Posts: 481
Loc: California

Now do we have to order this type of book to know how to do the elimination diet or is there a website to get all the info on? The book is only 14.95 I see.

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Re: Quick fix for heartburn new
      #351002 - 10/21/09 06:17 AM
dragonfly

Reged: 05/12/08
Posts: 1088
Loc: canada

When having heartburn I feel like my an elephant is sitting on my chest.I mostly get it at night around 5 am while sleeping.
Getting up and burping a bit helps but I also tried eating a slice of apple.Peeled.
IT WORKED!

Red delicious is th ebest to help but any apple will help.Peel it though.
Try it next time.I can tell ya i will never go with out an apple in the house again!

--------------------
IBS-D since 1999...mostly stable..i do cheat too.Bad me.


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Dragonfly new
      #351003 - 10/21/09 08:03 AM
Gerikat

Reged: 06/21/09
Posts: 1285


I have heard that apple helps heartburn, but I have never tried it. I am going to try this to avoid antacids.

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Gerikat the persimons..? new
      #351004 - 10/21/09 08:24 AM

Unregistered




Gerikat did you try the dried persimons you said you were going to after you had read my post..

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Another fix for heartburn new
      #351005 - 10/21/09 08:49 AM
frygurl

Reged: 08/18/09
Posts: 332


I've suffered from miserable heartburn for about 3 years. I took over the counter antacids and prescription acid blockers. All of them made my heartburn worse. My ND put me on a supplement called DGL Plus which contains Licorce Root, marshmallow root, slippery elm, and aloe vera. I take it twice a day 20 minutes before eating a meal. It didn't give me overnight relief, but after being on the supplement about 3-4 weeks, my heartburn symptoms are feeling tremendously better. My ND also suspects I have low stomach acid rather than too much (which explains why the acid blockers make me feel worse), so she's having me supplement my diet with a teaspoon of lemon juice mixed in warm water 15-30 minutes before every meal. This is actually a good test for anyone with heartburn to find out if you have too much or too little stomach acid. If lemon juice makes you feel worse, you have too much stomach acid, so you shouldn't take lemon juice. If you feel better, you have too little stomach acid.

I hope this helps people with persistent heartburn. I've had it really bad for a long time and I can't tell you how relieving it is not to have it 24/7.

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Re: FODMAP - IBS Revolution/The book IBS Free at Last new
      #351007 - 10/21/09 09:06 AM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

I've already ordered the book from Amazon (even though I might still check at a book store) but I've also made an appointment to see a dietitian. In the meantime, I've started a self-imposed elimination diet focusing on fructose or fructans and wheat (which is a fructan and has fructose - the more you read it can get a little confusing).

--------------------
IBS-D. Or so a doctor says.

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Re: Gerikat the persimons..? new
      #351008 - 10/21/09 09:27 AM
Gerikat

Reged: 06/21/09
Posts: 1285


No, not yet, but when I do I will let you know.

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Re: FODMAP - IBS Revolution/The book IBS Free at Last new
      #351016 - 10/21/09 10:23 AM
Syl

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

Here is a link to a fairly good description of the FODMAP diet. Here is an detailed article written by the Australian doctor who did the original research. It was written to inform GP and GI docs about the FODMAP diet so they could inform their patients. It is quite technical but you may find the check list in Table 1 and some of the other tables of interest.

Good luck

--------------------
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: Increasingly Frustrated!!! new
      #351021 - 10/21/09 01:01 PM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

I empathize with you and your diet as prior to becoming aware of FODMAP's, I was essentially following the IBS diet eating more or less everything you've mentioned. Unfortunately though if it turns out that if I have issues with fructose, I was eating some major culprits like wheat and honey. I did catch the part in the article you linked about the relationship between fructose and glucose so I'll also avoid fructose rich fruit like apples of which I was eating in sauce form and stick to bananas and oranges.
I'm a little confused still about when it comes to vegetables though. Should their fructose level and whether or not they are a soluble or insoluble fiber be cross referenced. For example, a baked potato which is deemed O.K by Eating for IBS has a fructose level around 700 http://www.nutritiondata.com/foods-011011000000000000000-3.html?
Is that high...too high?
Also, unfortunately whether it's in the name of soluble or insoluble fiber as with the eating for IBS approach and galactons, most vegetables and legumes are out of the question. Like you, I go with rice and potatoes. When you say you eat pasta can I assume you mean rice pasta?

Anyway I could go on but it's just more of the same stuff and until I see a dietitian I won't really know anyway. Thanks for the links as they are an invaluable source of information.

--------------------
IBS-D. Or so a doctor says.

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Re: Increasingly Frustrated!!! new
      #351024 - 10/21/09 01:49 PM
Syl

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

I eat small amounts of wheat pasta. I don't eat it often. While I am sensitive to small amounts of excess fructose I can tolerate some fructans. This is not unusual for people with fructose malabsorption. As I recall the general recommendation is to keep fructan intake to less than 0.5 grams/serving which is about the amount in a thin slice of bread or small serving of pasta.

Yep - beans are out of the question for me too -- with or without Beano .

--------------------
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: Increasingly Frustrated!!! new
      #351025 - 10/21/09 02:15 PM
PMartin

Reged: 08/05/08
Posts: 140
Loc: Niagara Region

You were quick with that response, beating me to editing my last one and you even answered the question I was going to ask. I was going to add and ask what are acceptable or recommended levels of fructan intake?

On a complete side note, I can't figure out the stupid Graemlins. I was trying to put it in my text, not in the subject line. Where am I going wrong?

--------------------
IBS-D. Or so a doctor says.

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Re: Dragonfly new
      #351048 - 10/22/09 05:34 AM
dragonfly

Reged: 05/12/08
Posts: 1088
Loc: canada

A teaspoon of apple cider vinegar works too...its just harder to get down. ugh!

--------------------
IBS-D since 1999...mostly stable..i do cheat too.Bad me.


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Re: Dragonfly new
      #351051 - 10/22/09 07:08 AM
Gerikat

Reged: 06/21/09
Posts: 1285


That sounds pretty yucky, so I will try the red delicious.

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Re: Dragonfly new
      #351059 - 10/22/09 09:00 AM
frygurl

Reged: 08/18/09
Posts: 332


Agreed about the vinegar - that's why the lemon juice is a better choice.

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About fresh lemon juice... Syl? new
      #353524 - 12/28/09 10:47 AM
Windchimes

Reged: 09/05/09
Posts: 581
Loc: Northern California

Jennifer,

I am a bit confused about what you state here. While fresh lemon seems sour and acidic in the mouth, it actually turns the opposite when it hits the stomach acid from what I've always been told. Therefore, lemon juice should actually help neutralize excess stomach acid rather than increase it. Hmmmm...

Perhaps Syl can give us more info about this. How 'bout it Syl?

--------------------
Senior female, IBS-D, presently stable thanks to Heather & Staff

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Re: About fresh lemon juice... Syl? new
      #353526 - 12/28/09 11:21 AM
Syl

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

Lemon juice is acidic. It contains citric acid which a weak organic acid (pH = 2.3). When it hits the stomach which contains hydrochloric acid (pH ~ 1) it will have little effect on the acidity of the stomach unless the pH of the stomach acid is greater than 2.3 then it will decrease the stomach acid pH.

GERD stems from acid rising to the throat, unusually low stomach-acid levels (i.e too high a pH) may worsen the condition as the undigested food sits in the stomach. The citric acid in lemon juices seems to provide relief in such cases.

--------------------
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: EVERY food is causing cramps and gas new
      #353536 - 12/28/09 03:06 PM
Katie6568

Reged: 05/22/09
Posts: 5


Hi Ashleigh,

I would request a small bowel biopsy to rule out Celiac disease - as I've mentioned in one of my posts I tested negative for Celiac through blood tests several times but the small bowel biopsy turned out positive.

I too became intolerant to many foods and this was because my small intestine was becoming damaged. I couldn't tolerate milk, then eggs, then soy, then peanuts! I was getting so frustrated. Now I can tolerate some milk products (depending on amount of lactose) and am looking forward to adding back in the other foods once my intestines heal.


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Re: About fresh lemon juice... Syl? new
      #353558 - 12/29/09 08:32 AM
vettech

Reged: 06/08/08
Posts: 328
Loc: ME

That makes sense, since lemon juice (albeit diluted) seems to make me feel better.

--------------------
IBS-A and GERD since 1983
Low FODMAP since 2012

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Re: FODMAP - IBS Revolution/The book IBS Free at Last new
      #357602 - 04/08/10 06:02 PM
Rosmerta

Reged: 04/08/10
Posts: 1


I tried this, and it did not work for me at all. It was a tough diet to stick to, as everything you buy has SOMETHING you aren't allowed to eat. But I had to cut out so many of my fiber sources, i.e. lentils, dried fruits, whole wheat, that it messed up my elimination big time, and I had the worst IBS symptoms ever! I think this diet is geared for people with IBS-D. And of course it reduces gas, as you have to cut out every possible gas producing food. Duh.

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Re: About fresh lemon juice... Syl? new
      #357609 - 04/09/10 04:10 AM
Allisonmary

Reged: 01/03/04
Posts: 533


Do you know what the desired ph of the stomach? How would you do drinking fresh lemonade?

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Re: About fresh lemon juice... Syl? new
      #357615 - 04/09/10 06:29 AM
Syl

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

The pH of stomach chime is very acidic and it is held quite constant at a value of about 2.0. The pH of lemon juice is about the same. It won't change the pH of the stomach chime. I haven't drunk lemonade in years because I find it too bitter so I cannot answer your question

--------------------
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: Increasingly Frustrated!!! new
      #357622 - 04/09/10 10:48 AM
Allisonmary

Reged: 01/03/04
Posts: 533


IN Chinese medicine, early morning diarrhea is called cocks crow diarrhea and it said to be from KD yang def. Just curious to see if you have any of these other symptoms....

IBS due to Kidney Yang Deficiency
There are quite a few symptoms associated with a deficiency of Yang in the body. Basically, Yang (rhymes with "song") is all of the warming activities in your body. It is metabolic heat, it is the sympathetic nervous system that gets everything up and running, it is adrenaline, thyroxin, serum glucose.


The Yang deficiency tongue is likely going to be big, flabby, wet, and pale. People with Yang deficiency can also get to looking big, flabby, wet and pale. This is supposed to be funny, but it is true also.

If you're deficient in Yang you're going to be cold all the time. Now mostly, when we think about a typical Yang deficiency, we think in terms of the functions of the Kidneys since they are said to be the source of Yang in the body according to Chinese medicine. This is interesting since the adrenal glands, the source of the adrenaline necessary for the fight or flight instincts, both very Yang qualities, are found sitting right on top of the Kidneys. That isn't a rationalization of the fact that Yang comes from the Kidneys, but if that helps you understand, I'm glad.

Anyway, there are a few organs that rely on the Yang that comes floating up from the Kidneys. One is called the Spleen in Chinese medicine. That may be better translated to pancreas, but its too late for that now, we're all calling it the Spleen. Anyway. Should the Spleen not be getting enough warmth from the Kidneys we can find a Spleen that just isn't warm enough to do its job and that leads us to the Irritable Bowel Syndrome that you may have.

Specifically there is one symptom in particular that is often indicative of a Kidney and Spleen Yang deficiency. We call it "Cock's Crow Diarrhea." No, it isn't a bowel movement that sounds like a cock's crow, but rather it is early morning diarrhea. The name comes from the fact that cocks crow in the early morning. Not something you'd know off hand, unless you lived in a place where there was a cock near your bathroom window, I guess.

Besides the early morning diarrhea, you'll find other symptoms of coldness in the body such as cold hands and feet, chronic low back pain, frequent urination and low libido or impotence. And you thought the diarrhea was a curse.

So what should you do if you've got the dreaded Kidney and Spleen Yang deficiency? Well, informed TCM doctors everywhere reach for Li Zhong Wan (Regulate the Middle Pills). The name implies that this formula is used to make the organs in the middle of the body work better. These are the digestive organs that sit in the center of everything.

I've mentioned the formula "Li Zhong Wan" as an example only. There are many formulas, many herbs that can be chosen in the treatment of your IBS that is due to a deficiency of Kidney Yang. For instance in the case of diarrhea due to Kidney Yang deficiency, you might want to think about Si Shen Wan. But in the end its going to require much more questioning and factoring in of other data to determine for sure if your condition truly is a deficiency of Kidney Yang. An herbalist trained in traditional Chinese medicine can easily make that determination. I encourage you to locate one in your area if you 'd like to pursue herbal medicines in the treatment of your IBS.

Acupuncture for Kidney Yang deficiency is especially effective and just plain feels good. One tool that we often use to warm the Kidneys and Spleen is called "Moxibustion." We often simply refer to it as "Moxa" since that's about 50% less syllables and we like to be efficient. Anyway, moxa is a Chinese herb called Ai Ye rolled up into a cigar, or other shape. Ai Ye is Mugwort, incidentally. We light it like incense and then hold it close to specific acupoints on the body that are said to communicate with the Kidneys or Spleen. We sometimes burn this herb on top of a slice of raw ginger atop the belly button too, to warm up the Spleen and the digestion.

Kids, don't try this at home. It hurts when you mess up. Licensed practitioners of Chinese medicine can make mistakes too, but we're trained how to do this safely, for what its worth.

So, we have acupuncture with moxabustion to fix this problem from the outside in and herbal medicines to work from the inside out. Its a good thing. It may not be an overnight success since any deficiency syndrome is said to take longer to fix than those problems that are excess in nature, meaning too much of something. This is a problem of not enough Yang in the body. Give it some time, hang in there, get treatments, take your medicine. You'll feel better.

All of the formulas mentioned in this article are widely available at Chinese medicine pharmacies, though the so-called patent medicines that you'll find there aren't always as strong as they could be. These formulas come in a variety of different forms and strengths and your friendly neighborhood herbalist can assist you in obtaining them as is appropriate.

You can purchase any of the formulas mentioned in this article by simply clicking on their names. Another option is to obtain this formula modified for your unique situation from Beyond Well Being.





Edited by Allisonmary (04/09/10 10:49 AM)

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