Flare up
#371043 - 04/01/14 11:59 PM
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I've recently experienced a flare up in my IBS symptoms (stomach pain/cramps, bloating, distention, gas and altered bowel movements) and I'm not 100% sure why this might be.
I understand that stress can exacerbate symptoms as can changes in medication/supplements but none of these seem to apply.
My doctor, having looked at my diet, has advised me to remove some potential triggers/intolerances that include the following:
banana (high fibre)
oats (high fibre)
Tofu (soy product)
peanut butter (high fat/fibre, legume)
yeast
citrus fruits
I'm keen to hear peoples thoughts on removing any/all of the above foods.
Many thanks
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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While I know some on this board eat oats and soy, I have never been able to tolerate either one. I always end up with terrible flareups. Peanut butter is high fat, so very small amounts work for me, but only when I am doing really well...if my stomach is at all 'tentative' I avoid! Take good care...my doctor always told me to avoid stress:) Great advice but, difficult to do!
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IBS-D. Eating gluten and dairy free.
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Re: Flare up
#371045 - 04/02/14 10:35 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Yeast in foods such as bread are killed in the cooking process. It is not a trigger. It just adds a tiny amount of protein to a meal 
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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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Thanks for your thoughts. I'm going to remove soy and peanut butter until I'm stable and then perhaps reintroduce them one at a time.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Thanks Syl. I'm beginning to wonder if I have SIBO instead/in conjunction with IBS.
My problem is that the recommended advice for treating SIBO (following antibiotics and probiotics) is to follow a low carb and starch diet.
This diet is diametrically apposed to the tenants of the EFI diet. I'm not sure if it's worth removing high carb and starch foods for a trial period or sticking with the EFI/FODMAP approach.
Any thoughts?
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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What is SIBO?
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Originally diagnosed with IBS-C in Spring, 2008. During spring to fall of 2008, had at least 10 acupuncture treatments and Chinese herbs. IBS went into remission. IBS returned in late July 2013 after taking 2 oral contrasts for a CT scan for cancer follow up. Had more acupuncture with different practitioner in summer 2014, but received little benefit.
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Re: Flare up
#371053 - 04/03/14 11:21 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Kate Scarlata - a registered diet with IBS/SIBO - who write and consults on the FODMAP approach uses the FODMAP approach to manage her IBS/SIBO.
"Personally, I find a low FODMAP diet keeps my SIBO at bay with meal spacing a key component! I have worked with some clients that have needed a bit more of a strict diet including removal of some grains and leanings toward the SCD diet but I have found that has been more of an exception than a rule"
http://blog.katescarlata.com/2014/01/22/small-intestinal-bacterial-overgrowth/
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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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Yes, it was that post and this article that made me consider changing my diet for a period. The EFI/FODMAP diet doesn't seem to be helping my symptoms as effectively as it once did.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Flare up
#371059 - 04/04/14 04:21 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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I was listening to a physician and RD on the radio this morning talking about how misguided the Paleo diet is. The authors of this diet don't really understand how our ancestors live. And the the NHS and many other knowledgeable people consider the Paloe diet to be a FAD with no medical merit 
An article in Science Based Medicine summarizes it this way
"CAM and the Paleo diet share this fear of modernity as an underlying assumption even as their advocates use and misuse evolution to "prove" their worth. This is nothing new, and the rationale behind the Paleo diet is nothing more than, as Zuk has put it, the evolutionary search for our perfect past. Unfortunately, fantasy is not reality, and we humans have long been known to abuse and despoil our environment, even back in those "paleo" days. Indeed, when I took a prehistoric archeology course, which was largely dedicated to the period of time of the hunter-gatherers, one thing I remember my professor pointing out, and that was that what he did was largely the study of prehistoric garbage and that humans have always produced a lot of it."
It's a part of my paleo fantasy, it's a part of my paleo dream
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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 agree. The paleo diet is nonsense. There are however some similarities between the paleo and SCD. And there is evidence to suggest that people with IBD benefit from following the SCD, and as you've pointed out, a combined FODMAP/SCD diet can help people with SIBO.
On a related note, do you know if a high protein (turkey, fish & seafood) diet is likely to cause bloating and gas?
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Flare up
#371061 - 04/04/14 06:55 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Lean protein should not be a problem. It has no residue to ferment in the colon.
I suggest SCD/FODMAP to those thinking of trying SCD because I know FODMAP is clinically proven even though there is really is little if any evidence to support the SCD diet. Even Dr. Weil says in his write-up on SIBO "The SCD diet eliminates all grains, dairy products, processed sugars and canned vegetables. I've seen no studies indicating it to be effective for any of the disorders for which it is recommended." As an alternative medicine practitioner I would have expected him to be more positive
Diet to cure SIBO?
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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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Yes, the evidence, at this stage, seems mostly anecdotal. Besides, the SCD/GAPS diet is likely to be higher in fat and IF than most people with IBS can tolerate. I'm conflicted. I think I'll persevere with the EFI/FODMAP diet for the time being. Perhaps I'll go back to the 'break the cycle' diet while I wait testing for SIBO.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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I was interested in this post as I have not felt better since I gave up wheat(gluten), yeast, and processed (HFCS)/artificial sugars. In particular, yeast, most dairy, and wheat, once safe foods for me, now give me grief. I don't pretend to know all the ins and outs of the paleo diet, but I thought this was interesting. I have read many personal stories where those who have tried the Paleo have felt much better. I would be willing to try something new/different (that's what I actually ended up doing) , if the "safe" foods I were eating still were not giving me the relief I was looking for. Everyone is different. Not one size fits all.
https://s3.amazonaws.com/paleodietevo2/research/Biological+and+Clinical+Potential+of+a+Palaeolithic+Diet+The+Paleo+Diet.pdf
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Re: Flare up
#371109 - 04/14/14 04:21 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Very strange paper. It is titled "Biological and Clinical Potential of a Palaeolithic Diet" and draws this conclusion
Conclusions: Lean meat, fish, vegetables and fruit may be optimal, rather than a strictly vegetarian diet, in the prevention of cardiovascular disease, diabetes and insulin resistance.
Which is a conclusion that can be drawn without the paleo diet -- truly bizzare AND it makes no conclusions about the usefulness of the diet for managing functional bowel disorders like IBS. And the study wasn't conclusive enough to make a statement any stronger than it maybe .... not is better than a vegetarian diet. And no comparison was made to a normal non-vegetarian diet.
The safest version of the paleo diet is the FODMAP version. Here is an example
Fructose malabsorption, FODMAPs and the Paleo diet
The National Health Service (NHS) in the UK calls it the
Cavemane Fad Diet
By the way - yeast is not a known IBS trigger. It is a notion fabricated by alternative medicine practitioners. It is dead when cooked and simply adds a tiny amount of protein. And the fructans - a high FODMAP ingredient - is a clinically proven IBS trigger for some people
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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 wish someone could explain it. When I eat anything with yeast, it affects me. Whether it is, or is not creating true IBS, or just "symptoms" of IBS (gassy pain in my belly, loose bowels), that's how I feel after I eat yeast. Could be in soup, snacks, etc. No matter. I also work with a woman who has the same after-effects of eating yeast, and some of my family members gets those gassy feelings after eating bread. For me, I know to stay away from it...scientific research, or not. I wish it wasn't that way for me.
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Re: Flare up
#371113 - 04/17/14 07:33 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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It is mostly something that the yeast is in like wheat. Wheat is a known IBS trigger food for some people as it contains fructans - a high FODMAP ingredient.
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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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