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Hi Syl,
Do you have any opinions or heard feedback about Protease, or Amylase enzymes?
I picked up a bottle with multiple enzymes and will give it a shot for a month.
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Amylase is found in salvia and it breaks down starches. The body make many different kinds of proteases which help in the break down of proteins. It is quite unlikely that your body is not producing enough of these digestive enzymes.
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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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Syl, I really appreciate the advice. My main symptom is gas, but it keeps me up every night with some pain and cramping from the pressure. It isn't too bad during the day though. I don't understand why I feel ok during the day and gassy all night. I've had a colon exam, tests for giardia, celiac, and H Pylori which were negative hence thinking food intolerance now.
Do you think a thorough food elimination diet is my best bet? Sometimes I just need a plan or I'll try too many things at once like these supplements, probiotics, etc.
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Have you been tested for lactose intolerance and fructose malabsorption? They are breath tests.
Can you give us a list of the foods and snacks you have eaten in the past 2-3 days? It may give us some clues.
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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 asked my doctors about those tests. My doctor told me that the lactose test will not be accurate and to just avoid dairy... My GI doctor referred me to an allergy specialist instead of giving me an order for the fructose test. It'll be really expensive for me to see an allergy doctor because I don't have insurance. I'm trying elimination dieting for a few months instead. I just started by eliminating eggs and coffee for two weeks. I'm starting a wheat free diet now.
The other day I ate: toast w/butter, a cup of plain yogurt, turkey bacon, an orange, a turkey sandwich on oatmeal/wheat bread, reduced fat potato chips, an apple, tea, almond milk, a bowl of organic corn flakes, grilled chicken, baked potatoes (w ketchup), salad.
I understand IBS diet and what you've mentioned about fiber, and the trigger foods. However, I'm searching for a particular food or foods for intolerance. I would like to test for fructose malabsorption because that would be a difficult diet to do on my own.
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You can actually use dietary measures to determine if fructose malabsorption is a problem. Have a look at the information in the first two links in my signature. In particular, have a look at the table at the end of the first reference which list foods that are high in excess fructose. By excess fructose I mean foods that contain more fructose than glucose such as apples, pears, honey, high-fructose corn syrup, etc not thing such as sucrose which contains equal amounts of fructose and glucose. Try removing these foods from your diet for 10-14 days and see if you notice an improvement.
Fructose malabsorption falls into a broader class of problematic foods called FODMAPs. You might find a reduction or elimination of some other foods containing these ingredients useful for managing IBS symptoms too.
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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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In certain eliminating diets you may need only few days (in general less than a week) to see results.
If you have a lactose intolerance, lactose-free diet should result in an obvious symptom relief in 2-4 days. You need to remove not only all dairy products, but also all commercial foods containing lactose as an additive. This may be a long list and not all lactose-containing products list lactose as an ingredient, so a safe way to test would be avoiding commercial foods as much as possible.
If you have a fructose malabsorption (as an only disorder), a low-fructose (- some other nutrients) diet should give obvious results in 2-4 days. For the diet trial you need to exclude (roughly) fruits and fruit products, honey, wheat products, onions, artichokes, asparagus, sweet foods in general and any commercial food containing fructose, HFCS, sucrose, polyols or sugar alcohols (sorbitol, xylitol, maltitol, mannitol...), and to be sure, any sweetener, fructooligosaccharides (FOS) and inulin.
If you have a celiac disease, avoiding gluten may (not always) result in symptoms relief in 1-2 weeks. Gluten is in wheat, rye, barley and sometimes in oats (contamination during production process). Gluten is in many commercial foods and usually listed as an ingredient.
If you have a food allergy, elimination of suspected foods for few days should result in an obvious symptoms relief.
I want to say, you might need only few days (not months) for every diet trial, so they should not be so hard, especially not trials for lactose intolerance and fructose malabsorption.
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I don't have IBS.
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Celiacs
#364986 - 06/03/11 07:43 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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If one suspects celiac disease it might not be wise to remove gluten from one's diet until one has a positive confirmation from a doctor. As you likely know removing gluten before the test (blood or endoscopy) can distort or falsify the results.
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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'll give it a shot. I'm also going to see a different doctor next week. I have a history with him so maybe he'll be more open to give me the breath tests. Thanks for the FODMAP info.
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Yes, some weeks/few months before testing for celiac you should not exclude gluten. If someone experiences symptoms relief after a particular diet trial, he/she can get a good idea which official tests to have first, and, if positive, spare some money for other, often expensive, tests.
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I don't have IBS.
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