Heather's IBS Newsletter for Irritable Bowel Syndrome ~ September 9, 2009

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Acacia Senegal
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Deadly Doctor Sins Part 1

2 Weeks to Get Symptoms in Hand!


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In This Issue   (Scroll down for full newsletter or follow the links):

Ask Heather » Wrapping Up the Seven Deadly Doctor IBS Sins (one can kill you!)

IBS Recipe » Rosemary Lemonade Pound Cake

Research & Press » IBS Patients Would Give Years Off Their Lives for a Cure

Special Letter » How and What to Cook for IBS?

Enjoy this week's newsletter!

Best Wishes,
Heather Van Vorous

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~ Heather's Tummy Tamers Peppermint Oil Capsules ~
IBS Peppermint Caps
Peppermint Oil Caps Called "Drug of Choice for IBS"

Our Peppermint Oil Caps have the added benefits of fennel and ginger oils, and they help prevent abdominal pain, gas, and bloating!


Rosemary Lemonade Pound Cake

This bread is tart, sweet, and sticky-delicious. It is intensely lemony and the Tummy Fiber gives it a rich, dense, creamy texture that is just like a traditional pound cake - without all the fat and dairy. Don't forget the glaze - the bread just isn't the same without it.

Makes one 9 x 5 inch loaf or 10 inch bundt cake, 16 slices total

3/4 cup soy/rice milk
2 teaspoons apple cider vinegar
2 cups all-purpose unbleached white flour
2 tablespoons Acacia Senegal Tummy Fiber
1 1/2 teaspoons baking powder
1/2 teaspoon salt
1 1/2 cups granulated sugar
1/4 cup plus 2 tablespoons canola oil
4 organic egg whites
zest from 2 lemons (use a cheese grater to remove just the yellow skin, not the white pith)

Rosemary Glaze:
3 tablespoons finely chopped fresh rosemary (or 3 tablespoons Fennel Tummy Tea) strained juice from 2 lemons
3 tablespoons granulated sugar

Preheat oven to 350 F. In a medium bowl add vinegar to soy milk and stir well; set aside. Sift dry ingredients into large bowl. Whisk well to combine. Add to soured soy milk the oil, egg whites, and zest. Whisk well until thoroughly combined. Add wet ingredients to dry with a few swift strokes by hand just until blended. Pour batter into a non-stick loaf or bundt cake pan sprayed with cooking oil. Bake for about 1 hour, or until a toothpick or cake tester inserted into the center of the loaf comes out clean.

While bread is baking, stir glaze ingredients together in a small saucepan and bring just barely to a boil, stirring. Immediately remove from heat. When bread is done, and while it is still hot from the oven, run a knife around the edges of the pan to loosen the loaf, and prick bread carefully all over with a thin wooden or metal skewer. Pour rosemary glaze over bread, and cool in pan on rack.

For a delicious snack or dessert, serve the cake with a soothing cup of Fennel Tummy Tea!

Are you just learning how to eat for IBS? A little intimidated at the thought of special IBS recipes? Not quite sure just what makes these recipes special in the first place? Don't worry! Get Eating for IBS, and find the answers to all your questions.

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divider How and What to Cook for IBS

I had to write a quick email to say THANK YOU for your wonderful recipes! I love them and my family loves them!!

We especially love the veggie nachos, and I never thought I'd ever get my 10 year old daughter to eat avocados, but with your help, we all love that recipe!! We also are enjoying the breakfast recipes!

I am feeling so much better now that I know "how and what" to cook safely for my IBS! We love trying the new recipes too! Thanks,

Wendy Doyle
Bowling Green, KY

Thank you so much, Wendy! (I love the veggie nachos too!) ~ Heather

Did you miss the recent letter from Bill, who got his symptoms in hand in just two weeks?

~ Heather's IBS Kitchen Kit ~ 20% Off!

For the Dietary Management of Abdominal Pain, Diarrhea, &, Constipation

IBS Kitchen Kit

* Organic Tummy Fiber for IBS
* Eating for IBS - the Groundbreaking Dietary Book for IBS
* Heather Cooks! The Delicious IBS Cooking Show

divider IBS - Would You Give Up Years of Your Life for a Cure?

Dr. Douglas Drossman, one of the leading IBS researchers in the US (at the UNC Center for Functional GI and Motility Disorders) recently published two studies on how patients characterize their IBS.

Drossman notes that there is a growing need to understand from the patient's perspective the experience of irritable bowel syndrome (IBS) and the factors contributing to its severity; this has been endorsed by the Food and Drug Administration (FDA).

His research found that patients described IBS not only as symptoms (predominantly abdominal pain) but mainly as it affects daily function, thoughts, feelings and behaviors. Common responses included uncertainty and unpredictability with loss of freedom, spontaneity and social contacts, as well as feelings of fearfulness, shame, and embarrassment.

A predominant theme was a sense of stigma experienced because of a lack of understanding by family, friends and physicians of the effects of IBS on the individual, or the legitimacy of the individual's emotions and adaptation behaviors experienced. This was a barrier to normal functioning that could be ameliorated through identifying with others who could understand this situation.

Drossman noted that although clinicians generally make treatment decisions in irritable bowel syndrome (IBS) related to the type of symptoms, other factors such as the perceived severity and the risks patients are willing to tolerate for effective treatment are also important to consider. These factors are not fully understood.

In one of his studies, respondents reported restricting, on average, 73 days of activity in a year, having poor health-related quality of life particularly with dietary restrictions, mood disturbance, and interference with daily activity. To receive a treatment that would make them symptom free, patients would give up 25% of their remaining life.

Drossman concluded that there is an unmet need to find effective treatments for patients with IBS and regulatory agencies might consider raising risk-benefit ratios when approving new medications for IBS. Go here for full info about IBS and all the ways to manage it.

Go here and here for full articles.

Researchers call gut-directed hypnotherapy a "cure" for IBS!

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divider Seven Deadly Doctor Sins of IBS - Part 2

We're wrapping up our special series on IBS Basics this week. Last time around, we addressed the first four deadly doctor IBS sins.

This time, we'll tackle the remaining common (and significant) areas where IBS patients need help from their doctors, but don't get it.

Please remember that it's up to you to work with your doctor in the following areas, but if that's just not possible the best solution I know is to persist in finding a new (informed, empathetic, and helpful) doctor.

5. Herbal medicine. More than half of all IBS patients try herbal medicines such as enteric coated peppermint oil capsules for pain and spasms, probiotic supplements for bowel irregularities, or fennel for gas and bloating - all of which have clinical studies demonstrating their effectiveness for IBS symptoms.

Peppermint oil caps have actually been called the "drug of first choice" for IBS patients with constipation or diarrhea, to alleviate general symptoms, and to improve quality of life.

People would like their doctors to inform them of the best ways to use herbal medicines and if there are any safety concerns, but most say that their doctors simply don't know anything about this subject.

6. Understanding their diagnosis. IBS patients see an average of three physicians over three years before receiving a diagnosis, but they are rarely given a clear explanation of what, exactly, IBS is. Patients frequently report uncertainty about the test results (or lack thereof) used to obtain their diagnosis, and they are looking for assurance that their diagnosis is accurate. They want to understand exactly what causes their symptoms, and they need to hear that IBS will not lead to other illnesses such as colon cancer.

Many patients express frustration with the lack of basic IBS anatomical information provided by their physicians, including the frequent omission of any discussion of the brain-gut disorder that underlies IBS symptoms. Patients feel at a loss to treat their IBS when they're not even told what IBS is.

7. IBS is not taken seriously. IBS patients repeatedly report having their complaints diminished or outright dismissed by their own physicians. The most common refrain they hear is that IBS is "all in their heads", IBS is "not a serious problem", and that there is nothing that can be done for IBS so they should just "learn to live with it." Every one of these statements is false, and this type of denigration has catastrophic results.

The severity of IBS can be measured by its direct costs (use of healthcare-related services such as physician visits and diagnostic tests), which have been estimated to range from $1.5 to $10 billion annually in America. The indirect costs of IBS (loss of hourly wages resulting from missed work or diminished work productivity resulting from absences for physician visits or incapacitating symptoms) are estimated to be much greater - approaching $20 billion annually.

The costs of IBS can be measured not just in currency but in lives. In 2004 the American Gastroenterological Association reported that 38% of IBS patients in one study had contemplated suicide because of their symptoms. Hopelessness due to symptom severity, interference with life, and inadequacy of treatment were highlighted as crucial issues for all IBS patients. It's tragically clear that a significant number of IBS patients cannot "just live with it."

In summary, while there is an obvious need for effective IBS patient educational programs, much of the feedback I receive from people (and the brand new research studies above) indicate that physician education clearly needs to come first.

Doctors now have more scientific knowledge and an improved range of treatment options that can provide relief for IBS sufferers. Unfortunately, too many physicians seem to be completely unaware of this fact, and it's their IBS patients who pay the price. Please don't be one of them.

~ Heather

Did you miss our recent "Ask Heather" and part one of the Seven Deadly Doctor IBS Sins?

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