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Re: Brand New To This: Severity Question new
      #343918 - 04/01/09 09:54 AM

Unregistered




wow kappy you sound so smart. Hey I was wondering if you workout or think you need to lose weight. I know some people on this site talk about being underweight..but I need to get in shape and lose 20-30lbs to get to where I want to be,flat stomach and toned good. really want to get into home fitness.Have u read my post on the fitness and lifestyle board? anyway,do u have myspace?

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Re: Brand New To This: Severity Question new
      #343923 - 04/01/09 12:10 PM
Kappy

Reged: 10/09/08
Posts: 852
Loc: Mississippi

I'm sorry, I don't have Myspace. I used to, but I can't get on there at work (they blocked it) and I don't have the time after work!!

Thank you for the "smart" comment, I don't get that one too often!

I love to work out, i actually would like to lose about 10 more pounds, but I'm on a fairly new-to-me medicine, and it makes it really hard to get up in the mornings like I used to do. I used to get up at 4:30 or 5 and exercise for an hour before getting ready for work. Now, it's so hard to get up, I barely have time to get dressed. After work, I'm so exhausted it's hard to find time, but I know I have to start back exercising soon, especially with the wedding in 6 weeks! I enjoy the home exercising, too. I have a bunch of DVD's that I love to dance and workout too. I will check out your post on the fitness board.

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IBS-C, Gas, Bloating, HURTING!


I'm married and it's so wonderful!

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Re: Brand New To This: Severity Question new
      #343935 - 04/01/09 04:37 PM
Little Minnie

Reged: 04/16/04
Posts: 4987
Loc: Minnesota

Let me get this straight: you never had digestive issues more than once a year or so at all, until a few weeks ago and now you possibly have IBS? I am not used to the idea of IBS coming on suddenly and really being IBS and not something else. I have had it pretty much my whole life. Anyway you have had it just a few weeks and wonder how you used to eat foods that are triggers without having symptoms then, is that right?
First you, and many others, don't have a clear idea of how IBS and the IBS diet work. The triggers are foods that most likely, odds are good, chances are, will cause digestive problems. They are known to cause gut reactions and for various reasons can trigger the gut to behave badly. Therefore, the best chance an IBS sufferer has is in treating the irritable gut with kid gloves and giving it as little reason as possible to react. That is why the triggers are to be avoided. People always talk about being able to eat this one or that one, but what that does is set the gut up for irritability and our only chance, being IBS is incurable, is to prevent attacks/symptoms as best we can.
There are definitely levels of severity. If stress or some other condition brought on IBS for you, your digestive life is now changed and what you could eat in the past is possibly not tolerable anymore. When you really get going on the IBS diet you find it isn't as restrictive as you or many people think. Your IBS is so new that you cannot be sure how touchy your gut will be and so your best chance for health is to get into it and follow the diet without pessimism and complaining. If you stabilize you can then add back foods that you may be ok with. Don't start with a bad attitude because it makes it way harder on you. Instead think about how you could lick it quickly and be normal again (unlike us chronic suffers).
Example:
My boss's husband was diagnosed with type 2 diabetes last year. He now is watching his diet to stay healthy as you would expect. He has to avoid the foods that probably 2 years ago were fine for him. They didn't cause a diabetic attack back then but now they would. See what I mean?

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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!

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Re: Brand New To This: Severity Question new
      #343946 - 04/01/09 09:19 PM
MikeCA1870

Reged: 03/30/09
Posts: 110


Thanks to everyone for all your help. I just went to the store and bought a lot of starches. I kind of chuckle at the irony of being forced to eat foods I felt forced NOT to eat before because of the stigma attached to high glycemic carbs. Although, when I note both of my parents are diabetics, well, it's not that funny, but rather scary.

I'm a bit bummed to hear that people who have been dealing with this for awhile and are following the diet correctly are still having symptoms.

I likely have anxiety, but related to this condition, not an external factor. I got really stressed at work the week this started and now knowing what I know (that I caused this condition by my stress) I wish I had just taken the dang week off.

I have some more questions though, if that is ok: One of the symptoms I did not have in the beginning (the three weeks that started with D and where I was eating whatever) was gas and bloating, and now I have that. I have changed a few things though. I use Align (today was day 8), I take a teaspoon of berry blast metamucil every afternoon with about 12 oz of water (same time as the Align) and of course I have begun to eat more in line with this diet. I'm wondering if the gas and bloating isn't being caused by my condition, but by one of the "solutions."

Also, I know chocolate is out, but what about gummi candies? How about goldfish crackers? They supposedly have cheese, but if you look at the nutrition panel they seem not so fatty and with no insoluble fiber. I also got an "extra fiber" oatmeal today that was a trade off. Regular oatmeal has 3g fiber 2 insol 1 sol. This has 10, with 8 being sol, so it seems perfect, buy they didn't have plain, so I got cinnamon swirl, which has more sugar, and some sucralose (splenda, I think), but it's way down the ingredient list and plain natural sugar is much higher. Was that a good choice or a bad one?

I'm thinking of buying the Acacia and the peppermint caps (since peppermint tea seems to hurt more than help me) to support this site and community. The peppermint caps say they have fennel in them, too. Does that mean I don't need the fennel tea? Heck, even the hypnosis tapes sound awesome, but I'm going to save that for later down the line if nothing else works.

Also, a coworker told me today (male, late 30's) that he was diagnosed with digestive symptoms indicative of IBS (his physician told him there was no technical IBS, but a whole bunch of similar digestive problems where the brain failed to communicate correctly with the gut that fit under the umbrella of the term IBS) and his physician prescribed a low dose (75mg) of an anti-depressant called Nortriptyline. He claimed it was non addictive and virtually side-effect free, and was intended for sufferers of severe depression but had an off label use in a number of cases, one being IBS. Anyway. this co-worker, after three months of abdominal pain and discomfort, began taking it and said he was symptom free in a month, and though he has a very strict diet these days, it's not as strict as the IBS diet (he's vegetarian, but he does consume dairy and he drinks a cup of coffee in the morning and black/green tea in the afternoon). He has been cool for two years now, and is requesting to lower his dosage from 75-50mg. Has anyone here tried this and had success/no success with it? I'm a bit nervous to take a drug intended for severe depression when I don't even have minor depression, but he didn't either and it worked like a miracle for him. I'm going to ask my GI specialist, but figured you all are battle scarred veterans and have likely tried everything.

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Re: Brand New To This: Severity Question new
      #343951 - 04/02/09 05:53 AM
osbo54

Reged: 09/04/08
Posts: 497


I will answer one of your questions. Align may possibly be the culprit with your gas and bloating. It states on the box that you may experience changes in bowel habits for a couple of weeks. I am also on Align, and after I got through the first week, the bloating subsided. It does work well for me.

Don't put more stress on yourself by blaming yourself for causing your condition. It may have happened even without the stress. Just know, that for some people, as myself, stress is a very big trigger.

I will leave the diet part to the others on this board.

Be well,
Lynn

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Re: Brand New To This: Severity Question new
      #343952 - 04/02/09 06:39 AM
Syl

Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA

Bloating and gas are a common IBS symptom. An temporary increase can occur from the Align or even from an increase fiber intake. The berry burst metamucil has artificial sweetener and food coloring which for some can be a problem. It took me a long time to figure out that some artificial coloring and flavors where causing me problems. It is best to stick with supplements and foods that don't contain unnecessary added ingredients.

Presumably you bought the Quaker oats cinnamon swirl instant oat meal which has sucralose and guar gum to increase the soluble fiber. It might be best to stick with the plain oatmeal that has no added ingredients, however, it does take 15-20 minutes to cook. I have it every morning for breakfast.

Regarding candies you may want to makes sure the candies you buy don't contain artificial food coloring or sweeteners. Also, make sure they don't contain high fructose corn syrup or added fructose which can cause increase bloating, gas and D.

Low doses of antidepressant particularly tricyclic antidepressants such as nortriptyline have been used for some time to control IBS pain. The reference below has a good section (2.15) on the use of antidepressant use for IBS. It says "Tricyclic antidepressants (TCAs)and selective serotonin reuptake inhibitors (SSRIs) are more effective than placebo at relieving global IBS symptoms, and appear to reduce abdominal pain. There are limited data on the safety and tolerability of these agents in patients with IBS (Grade 1B)." The Grade 1B indicates that a strong recommendation (1) for their use with moderate (B) amount of research evidence to support the recommendation. I believe generally speaking these drugs only help with pain and not other IBS symptoms.

Reference
Brandt, L. J., W. D. Chey, et.al, 2009: An Evidence-Based Systematic Review on the Management of Irritable Bowel Syndrome - American College of Gastroenterology Task Force on IBS. The American Journal of Gastroenterology, 104.

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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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Re: Brand New To This: Severity Question new
      #343953 - 04/02/09 07:31 AM
osbo54

Reged: 09/04/08
Posts: 497


I forgot to mention in my last post. Stick with the Align and give it a fair trial before stopping. I almost stopped it because of the gas/bloating, but after the 1st week it got much better. So give it some time, and then evaluate if you need to continue it. For me, it has actually stopped the gas and bloating.

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Re: Brand New To This: Severity Question new
      #343962 - 04/02/09 10:03 AM
Kappy

Reged: 10/09/08
Posts: 852
Loc: Mississippi

I take Elavil a low dose antidepressant. I started in February and it's been almost two months, and (knock on wood) I haven't had a flare up in over a week now. I probably shouldn't have said that now, but hopefully, I have found my saving grace. I don't mind taking drugs if it will help me.

Anyway, I used to eat the extra fiber oatmeal, it was a bad decision for me. Regular Quaker oatmeal old-fashioned is the only one I can tolerate. And it actually has 4 grams of fiber 2IF 2SF and I add the Acacia fiber to it. I suggest cutting out ALL artificial colors, sweeteners and flavors. After doing that, I saw a big improvement.

--------------------
IBS-C, Gas, Bloating, HURTING!


I'm married and it's so wonderful!

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