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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Always Eating Time
June 25, 2010
Good chance that I bore you to tears - but: There is an obesity epidemic. Already little children are overweight; many young people are rejected by the military because they are not passing muster. Our future lies in the hands of these children who go into life already burdened with extra weight.
School lunches are atrocious: pizza, spaghetti with meatballs, subs, hamburger, sandwich, lasagna – the usual menu.
Did you notice that these are not really different foods? They are the same foods disguised: always wheat, cheese, tomato, beef. None of the four items is especially healthful (yes – I know, tomatoes contain decent lycopene. But to eat tomatoes as the only vegetable, is not good. To eat them daily, is asking arthritis in your body. Tomato belongs (with potato, eggplant, bell and hot peppers) in the nightshade family, and should be eaten sparingly.
So, children eating wrong foods. But a bigger problem is that food is constantly offered (and bought). We as a culture teach the children that one needs always to eat. Times away from the table seem to ask for a snack, and times at the table are accompanied by TV. It seems there is a constant need to be fed, to be entertained, to be rewarded, to be cajoled, to be kept quiet – always with food.
The message is: It is always eating time.
If one eats constantly, the body is always busy with digesting, and has not time for repair and rebuilding – that is especially true at night. We call our first meal breakfast, don’t we? Meaning: You break the nightly fast. If one raided the fridge in the wee hours, one never fasts.
Nature has laws. One is about ebb and flow. Constant eating is like always having high tide. One might think that moderation is an unfashionable idea, outdated since long. But our bodies are old – ancient even. They live and function by the old laws of Nature.
If the body all the time is busy with digestion, it cannot run well, sleep well, think well … live well. Read More
1 Comments
One-Day Fast
April 26, 2010
No, it’s not what you think - one-day fast is not for losing weight. It is for cleansing and giving your gastro-intestinal tract a day of vacation. Spring cleaning for your body, so to speak. One day - and you will feel terrific about yourself as you feel the lightness in your body.
A one-day fast is best done on a weekend. You prepare for the fast on Friday evening, fast all Saturday, and slowly resume (healthier) eating on Sunday. Team up with a friend because if you share your experience, you are more likely to stick with it.
For Friday dinner, you keep it light: no meat or fish, nothing fried, no dairy. Prepare a big pot of vegetable broth: Anything vegetal can go into it, except for plants from the nightshade family (tomato, potato, eggplant, bell and hot peppers) or starchy ones (grains, legumes, sweet potato, etc.). Onions, garlic and cabbages are the back bone of this broth. I put in handfuls of herbs from my herb garden, and right now I definitely would splurge on stinging nettle and dandelions. Use rests of lettuce and whatever vegetables are wilting in your fridge. Mushrooms are perfect.
You boil the vegetables with plenty of water. No salt or pepper, though.
Next day, you are only allowed the broth (don’t actually eat the vegetables!) whenever you feel hungry. Vegetable-broth fasting is much better tolerated than fruit juice fasting because the broth is alkaline, not acidic – much gentler on your stomach and your whole system. For years I was the laughing stock of my family because I once had tried a juice fast – and lasted all of three hours before I caved in to my overwhelming hunger! This never happens on the vegetable broth fast.
If you want, you can drink water and/or herbal teas. Nothing else is allowed - not even chewing gum! - Whenever the fluid level in the pot gets low, just pour more water in. The strength of vegetables is good enough for several “steepings.”
Take your Saturday easy: Go twice a day for a walk, rest a lot. Experienced fasters can work during this kind of gentle fast. But for your first time, concentrate on how you feel. Write a diary, listen to music, meet friends.
On Sunday morning you restart eating with a light breakfast: Again no meats or fish - stay vegetarian all Sunday. On Monday you resume normal eating – hopefully a bit more mindful.
Besides restocking you with valuable phyto-nutrients, the main effect of the one-day fast is a thorough cleansing and detoxifying – without harsh herbs or laxatives. Once you feel the new lightness in your body, you might want to repeat the experience. A healthy person should do this probably once a month. A sick or overweight person once a week. No, you don’t lose weight from the fast – but you might lose weight from re-setting your hunger stat: After the fast, you get more appreciative of food, you chew longer, you eat slower and less, and you go for the healthier choice. Read More