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In this Issue...
Food & Recipes
Rx News & Research
Ask Heather
About Us
Eating for
IBS
Eating for IBS is the
life changing cookbook for good digestive health. Discover the delicious
diet
that controls IBS!
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the IBS newsletter!
First Year: IBS
First Year: IBS is an essential guide that covers the
core issues of
symptom prevention on a daily basis!
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diet?
Come ask them on the IBS Message Board!
Start or join a local IBS Support Group!
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Did you miss the latest
IBS newsletter and Chicken Pot Pie recipe?
Past issues
are posted here!
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March 13, 2003 |
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Buttermilk Pancakes
4 Servings
Sift then whisk into large bowl:
1 Cup minus 1 T all-purpose flour
1 t granulated sugar
1/4 t salt
3/4 t baking powder
1/2 t baking soda
Whisk in medium bowl till foamy:
2 egg whites
In small bowl combine:
1 C plain soy (or rice) milk
1 T vinegar
1 T canola oil
Stir soy mixture till slightly thickened. Whisk into egg whites. Whisk wet ingredients into dry just until blended (small lumps
will
remain). Don't overblend or your pancakes won't be fluffy!
Heat a large nonstick skillet over medium heat, and spray lightly with cooking oil. Drop or pour spoonfuls of batter
onto skillet. Cook until bubbles appear on surface and just begin to burst. Flip pancakes and cook until golden brown
on other side. Serve with maple syrup or powdered sugar.
For more recipes,
click
here for the IBS Recipe Board!
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This week ~ Children and IBS
Hello to everyone -
Here's a recipe by special request - traditional Buttermilk Pancakes!
These are a weekend breakfast
favorite for children and parents alike. Old-fashioned pancakes are a tasty family treat, but they're usually
made with lots of milk, egg yolks, and butter, which isn't very digestion-friendly. Our new-fashioned recipe is every
bit as delicious, but replaces the trigger foods with ease.
I've kept the tang and fluffy texture that buttermilk lends by using
clabbered soy milk instead - this is a super easy step that blends a little vinegar with plain soy (or rice) milk to
slightly sour it. Whole eggs are replaced with extra egg whites, and just a little heart-healthy canola oil replaces the
butter. A soluble fiber foundation, the key to digestive stability, is provided
by the all-purpose flour.
So, the next time you're craving homemade pancakes on a rainy Sunday morning, here's the perfect recipe. These flapjacks
are just as delicious, light and tender as ever, but are now much more healthy! For an extra splurge, top with a generous drizzle
of real maple syrup. Now, if only my local diner made pancakes this way...
Happy Cooking,
Heather Van Vorous
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Vegetarian Diet With Soy and Soluble Fiber Lowers Cholesterol
A vegetarian diet emphasizing soy and soluble fiber can lower cholesterol
by a surprising one-third, according to a recent Canadian study. Ordinarily,
people do well to lower their cholesterol by just ten percent by changing their diet,
so doctors often have to prescribe powerful statin drugs to get their
cholesterol down far enough. This diet appears to do just as well as the statin drugs,
much to the surprise of the study directors.
Click here for more
information...
Alterations of Brain Activity in a Case of
Severe IBS
The association of psychosocial disturbances with more severe irritable bowel
syndrome is well recognized. However, there is no evidence as to how these
associations might be mediated. In this case report, an association
was found between the severity of a patient's clinical symptoms and psychosocial state,
with activation of the cingulate cortex. It was also found that clinical and
psychosocial improvement was associated with reduced cingulate activation.
Click here for more
information...
Guidelines on Osteoporosis in Gastrointestinal Diseases
The American
Gastroenterological Association has issued a medical position statement with
the official recommendations of the (AGA)
Committee on Osteoporosis in Gastrointestinal Disease. The guidelines note that disorders
of the gastrointestinal (GI) tract may be associated with
osteoporosis. Pathophysiologic factors specific to GI diseases include the
frequent onset of IBD and celiac disease in childhood or young adulthood;
impaired absorption of nutrients vital to bone health, such as calcium and
vitamin D; the use of glucocorticoids in the treatment of IBD; and the chronic
inflammatory state of IBD and untreated celiac disease. Guideline sections include
a summary of bone disease in
inflammatory bowel disease, a summary of bone disease in
celiac disease, and approaches to managing osteoporosis in GI disease.
Click here for more information...
Lotronex for IBS: a Meta-Analysis of Randomized Controlled Trials
The present analysis shows that alosetron (brand name Lotronex) positively impacts global
symptoms, and pain and discomfort in non-constipated IBS female patients. One in
four patients treated with alosetron may develop constipation.
Click here for more
information...
Can children be diagnosed with IBS?
"My 10 year old grandson has been complaining about a lot of gas and diarrhea over the past year.
Should he be taken to his doctor for this? Or should I try him on the IBS diet, which I follow, and see if that helps?"
It is absolutely possible for a child to develop IBS. I personally had my first attack at age 9, though I went
undiagnosed until age 16. The most common age at diagnosis is late teens to early twenties,
but children as young as 4 have been formally diagnosed. IBS does seem to run in families, so I would be particularly
suspicious when there are close relatives who have the disorder, even though researchers have not yet found a solid
genetic link.
It's crucial that other digestive problems be ruled out
before you assume a child has IBS - at a minimum, your grandson needs to see a doctor to have the
blood work done to screen him for celiac and inflammatory bowel
diseases. If those turn up negative, the doctor may not want to run more invasive
tests. However, that basic blood work is essential, so I would insist on it. The doctor should also
make sure that your grandson's symptoms clearly fall within the diagnostic guidelines for IBS (which are formally
known as the Rome II criteria). The main criteria are:
At least 12 weeks
(which need
not be consecutive) in the preceding 12 months, of abdominal discomfort / pain
that has two out of three of these features:
1. Relieved with defecation;
and/or
2. Onset associated with a change in frequency of stool; and/or
3.
Onset associated with a change in appearance of stool.
There are additional supporting symptoms of IBS under
the Rome II criteria as well. If your grandson's doctor is not familiar with these diagnostic guidelines, I'd suggest
seeking a second opinion from a different doctor, preferably a
gastroenterologist.
While you're waiting for a firm diagnosis, your grandson can certainly eat
according to the IBS guidelines. This won't hurt him if he doesn't have IBS
(though the test for celiac will tell you if he needs to avoid gluten -
a very different consideration than that of the IBS diet). He can also take a soluble fiber
supplement every day, as there are no health risks or side effects to that, though I would check with
his doctor for the appropriate dosage for a 10 year old. If he is diagnosed with IBS,
a prescription anti-spasmodic may be prescribed, with the specific drug and dosage taking his age into account.
There is at least one anti-spasmodic (Pro-Banthine) that is considered a children's drug.
There are actually special sections just for children with
IBS in the First Year IBS book, as their concerns and issues can differ quite a bit from those of
adults, and this is a topic quite close to my heart so I addressed it in detail.
There is also a wonderful gut-specific hypnotherapy program just for children with IBS, and a special IBS Child's Kit that includes both the First Year IBS book, the children's hypnosis program, and clinically proven peppermint oil capsules.
Heather & Company is dedicated to serving people with
IBS. Our mission is to offer education, services, and products
that
allow people with IBS to successfully manage their symptoms
through lifestyle modifications. We currently offer the books
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LEGAL DISCLAIMER - This email is not intended to replace the services of a physician,
nor does it constitute a doctor-patient relationship. Any application of the recommendations in
this email is at the reader's discretion. Heather Van Vorous and Heather & Company are not liable for any direct or indirect
claim, loss or damage resulting from use of this email and/or any web site(s) linked to/from it.
Readers should consult their own physicians concerning the recommendations in this email.
© 2003
Heather and Company. All rights reserved.
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