In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.”
Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was.
If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup.
Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food.
Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then.
If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too.
There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself:
• Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything.
• In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs.
• Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled.
• Has anybody in your family a bowel disease? You might have the same.
• Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears,
• Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting.
• Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it.
• If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies.
• Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want!
• Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run.
• Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand.
• Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies.
• Chew well.
• Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies.
• Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them.
• Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us.
• And most importantly: Don’t eat it if it hurts you!
Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems. Read More
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Soaking and Sprouting
August 2, 2010
“Give us our daily bread” is a prayer. If somebody is out there to listen to this prayer, He seems to prefer to listen to First-World supplicants; the Third World does not need to apply, apparently.
World hunger is appalling, but perhaps it is beneficial that not all people get to have their daily bread. Because our staple bread, surprisingly, contains ingredients that might hurt you.
All seeds – including grains, legumes and nuts – contain indigestible parts. It is a survival strategy for seeds: They don’t want to be eaten, they want to germinate and build new life.
About five to ten thousand (depending on where people lived) years ago, the agricultural revolution happened. Suddenly we were eating grains (the other part of the agricultural revolution was coaxing cows into give up their milk for human consumption). When people still were hunters and gatherers, grains barely ever showed up in their meals – grains then were trifling kernels, not worth the effort. Cavemen ate greens, roots, nuts, small fruit (big fruit are the result of modern hybridization), game, fowl and grubs – whatever was available. Not much was available, so famines and starvation were frequent – especially after mankind had successfully hunted to extinction the huge animals that populated the world in prehistoric times: huge deer, woolly mammoths, giants pigs, and so on.
Agriculture was a step forward. It provided more calories, and reliably so. More children could survive; populations slowly increased.
But grains come with a price: They contain antinutrients (such as lectins, phytates, protease inhibitors) that have negative health consequences. These ingredients interfere with the successful uptake of important molecules – mostly minerals, like calcium – and they are harsh on the gastro-intestinal tract. As they are indigestible, eating them can lead to upset stomach, bloating, diarrhea, even colitis.
But things are never easy: Polyphenols and flavonoids are also antinutrients, and we surely want those in our daily fare (though not in overdose).
Antinutrients can be destroyed or at least reduced by cooking, sprouting and fermentation. About fermentation and its benefits we have already talked. We also discussed raw foods-only diets, and that cooking makes more nutritional components available.
Soaking and sprouting is a method still not used widely enough. I can't marvel enough that the simple fact of adding water to a seed will make it easier to digest (be aware that for some people it is not enough to eliminate the digestive problems). Store-bought sprouts in the past have occasional had problems with germs, alfalfa and soy bean sprouts, for instance - a good reason to do it at home. Just keep your (simple) equipment clean. There are a few tricks for different sprouts from amaranth to Brazil nuts, from mung beans to lentils which I don’t want to discuss here – information is easily found on the Internet.
This is my stress-free methods: Soak in clean water overnight. There are plastic jars available at health food stores with sieves of different sized hole, for small and bigger seeds. One can also just (and perhaps healthier without plastics leaching out) use glass jars and paper towels and/or cheese cloth for straining.
Pour off the water next morning, rinse in clean water (repeatedly, if the water is cloudy) and let stand for sprouting (or beginning to sprout). Eat your sprouts during this day. For me it works – without being too meticulous about it. I like sunflower, flax, sesame, almonds. Make sure you start with seeds that have not been irradiated, roasted, salted or processed in any way; organic is preferable. Make sure you don’t let them sprout for too long, they might get bitter. Experiment with different soaking/sprouting times. Anything longer than two, utmost three days can lead to mold – discard it. Always clean jars and sieves thoroughly.
Add sprouted seeds and nuts to bean dishes, leftovers and as snacks.
If you seem to have “allergies” to every single nut or seed there is, try removing antinutrients by soaking and sprouting. After all, yours might not be a real allergy, you might just not be able to digest certain indigestible food ingredients. Which is determined by genetics. Read More
Sweating It
July 31, 2010
Awful, this summer heat, isn’t it? One sits, barely wants to move, and sweat runs out of every pore.
Actually, no! Sweating takes out toxins from our bodies; the skin is one of four elimination organs (the other three are kidneys, bowels, lungs). Sweating is beneficial. Enjoy your wet armpits – without them, you would age faster and might get cancer earlier. Sorry that I am so graphic. But the advantages of sweating are widely underrated.
People sit in air-conditioned houses, and at the same time they are shelling out big dollars for “colon cleansing.” Colon cleansing is a health scam. Eating better and drinking water or herbal teas will do the trick; colon cleansing will not make you purer - just poorer.
In the winter, a sauna does the trick. Not by accident was sauna in vented in Finland and Russia - cold, northern states that do not allow for sweat naturally. - Exercise can make you sweat. But don’t try too hard: Individual people start sweating at different points, and one should not exercise for the sake of sweating. Move for fun and purpose!
In the summer, let nature work for you: Sweat it out!
Heavy metals like nickel, copper, zinc, lead have been found in sweat in higher numbers than in the blood – but I wish, we had better studies available! For instance, I am only aware of a single study that saw mercury levels falling during a sauna protocol. Most medical studies are funded by pharmaceutical firms (and I don’t see any wrong in there, as long as they adhere to scientific ethics). But this situation leaves out studies on water, sauna, yoga, healthy food, to name a few – because not much money can be made of them. The only way to improve the situation is to demand such studies.
Medications may be released into the sweat, notably anti-epileptic drugs, amphetamines, methadone (but don’t get your hopes too high that sauna will get you through a drug test easily - it won’t!).
Sauna also prevents frequent colds and promotes better sleep. In Europe, people use saunas widely. Mostly, of course, for relaxation and fun.
Except for the very elderly and frail who are in danger of severe dehydration in the summer, an air conditioner is unnecessary. In our house, we have a built-in central air-conditioning system. We never – never! – use it (but we also live in Boston, not in the Deep South - perhaps I would feel different in New Orleans...). If it gets really sweltering at night, we run a simple fan in the bedroom. Summer is for sweating – and winter is for cold exposure; both have their health merits.
If you sweat, you lose salt and water. So drink enough! And put a pinch more salt than usually in your food to replenish – unless you tend to high blood pressure. - And before I forget it: Warm drinks are healthy; cold drinks - especially ice-cold - hurt you.
Instead of suffering through the summer months, take them as what they are: A free-for-all detox program – every year! Eat fruit and salads and enjoy the heat with a peppermint tea ... lukewarm. In the shade. Read More