Re: ibs treatment

February 16, 2006

Will definitely talk to the doc about Bentyl after scope etc.

Finding the trigger foods is next big thing to do (have to say

sometimes you get fed up of the energy that goes into all these

things don't you?) but not right now as everything is aggravating it.

Definitely agree that there is a link between PA in lower spine and

the IBS.

Thanks for the advice Sib

Kate

>

> Kate, I'm taking Bentyl for colon spasms now. It seems to help.

The

> pain was so severe that I was afraid I was going to need surgery,

> which my GI & Rheumy both are against. I'm not a good candidate

for

> any surgery right now, unless it's life or death. Have the scope

and

> the biopsies done and then ask your doc about Bentyl. Also, watch

> your diet very carefully. See if you can find any triggers.

> Sometimes stress brings mine on, sometimes I just give in to food

I

> know better than to try to eat. Also, my pa is worse in my lower

> spine area and that makes me wonder if the two are connected. Of

> course I can't get either doc to agree with me.

>

> Good luck.

>

> Sib

>

October 21, 2008

Neil, A significant change in diet is what she needs, not drugs. Take her off all gluten. I give patients a sheet that has all foods with gluten in them. I counsel them that they need to stay away from those foods (including the hidden sources in processed foods) for one month. It is amazing what happens. There may be other food intolerances, but that is the main one I find. Ann Goldeen

IBS treatment

Greetings Everyone:I have a patient with IBS (Crohn's, Celiac, Sprue, etc) that would like to try a different approach to treatment. Presently she is on Methadone.Any ideas out there?Neil R. Cohen, D.C.

October 21, 2008

Here's Dr. Dicken Weatherby's list of gluten foods. This list is part of the Foundational Medicine course I'm taking. These suggestions help in IBS. Take the person off all wheat, all dairy for 30 days and monitor progress. See other gluten foods in "Special Considerations" below. If they don't have a low thyroid, use millet as the primary grain, otherwise brown rice is the way to go.

Christian Mathisen, DC

3654 S Pacific Hwy

Medford, OR 97501

cmathdc@...

Treatment Options for Celiac Disease/Gluten Sensitivity

People suffering from celiac disease or gluten sensitivity need to be on a permanent gluten free diet to help the small bowel mucosa heal and to decrease other problems associated with these conditions. The good news is that these conditions are 100% curable if you can 100% avoid gluten in your diet. This handout was created to make this process easier for you.

Gluten Foods to Avoid

Gluten compounds are found in the following foods and any food prepared with them.

q Wheat, White Flour

q Spelt

q Kamut

q Durum

q Rye

q Barley

q Triticale (rye/wheat cross)

q Oats (unless “gluten-free”)

Unfortunately there are many hidden sources of gluten in processed foods and it is often unlabelled. You will have to become a good reader of food lablels to avoind gluten 100% of the time. I have included some resources for you at the end of this handout.

How soon will I see results?

Sometimes it takes as little as two months on a diet 100% free of gluten to start to see positive changes in your digestive system and other symptoms. The list below indicates some of the foods to be avoided on a wheat/gluten-free diet. These are foods that may contain wheat, and should be avoided on a wheat/gluten-free diet:

Beverages: Flours:

Beer Buckwheat flour*

Cocomalt Corn flour*

Gin (any drink containing grain Gluten flour

neutral spirits) Graham flour

Malted milk Flour

Ovaltine Lima bean flour*

Postum Paten flour

Whiskeys Rice flour*

Rye flour/White flour

Breads: Whole-wheat flour

Biscuits One should not overlook mixtures

Cornbread with flour in them

Crackers

Gluten bread Miscellaneous:

Graham bread Bologna

Muffins Bouillon cubes

Popovers Chocolate candy

Pretzels Chocolate, except bitter chocolate Pumpernickel bread

and bitter cocoa

Rolls Cooked mixed meat dishes

Rye bread Fats used for frying foods rolled in flour

Soy bread Wieners

Triscuits Fish rolled in flour

White bread Fowl rolled in flour

Gravies and sauces

Cereals: Griddle cakes

Bran flakes Hamburger, etc.

Cornflakes Hotcakes

Crackels Ice cream cones

Cream of wheat Liverwurst

Farina Lunch ham

Grapenuts Malt products or foods containing malt

Krumbles Matzos

Muffets Mayonnaise*

Pettijohn's Meat rolled in flour (do not

Puffed wheat overlook meat fried in frying fats,

Ralston's wheat cereal which has been used to fry meats

Pep rolled in flour, particularly in restaurants)

Rice Krispies Pancake mixtures

Shredded wheat Some yeasts

Wheatena and many other malted Synthetic pepper

cereals Thickening in ice creams

Pastries and Desserts:

Cakes

Candy bars

Chocolate candy

Frozen pies

Cookies*

Waffles

Doughnuts

Wheat cakes

Wheat Products:

Bread and cracker crumbs Wheat germ

Dumplings Wheat starch

Hamburger mix Durum

Macaroni Farina

Noodles Semolina

Rusk Wheat bran

Spaghetti Modified food starch

Vermicelli Couscous

Zweiback

*Can be homemade without wheat

Special Considerations

Please make sure that the person who prepares food I your house fully understands the importance of the gluten-free diet. They and you must read food labels carefully.

q Do not eat anything that contains the following grains: wheat, spelt, kamut, triticale, rye, barley and oats.

q The following can be eaten in any amount if you do not have an allergy: corn, potato, rice, soybeans, tapioca, arrowroot, carob, buckwheat, millet, amaranth and quinoa.

q Distilled white vinegar does not contain gluten.

q Malt vinegar does contain gluten.

Hidden Gluten

Grains are used in the processing of many ingredients, so it will be necessary to seek out hidden gluten. The following terms found in food labels may mean that there is gluten in the product.

q Hydrolyzed Vegetable Protein (HVP), unless made from soy or corn

q Flour or Cereal products, unless made with pure rice flour, corn flour, potato flour, or soy flour

q Vegetable Protein unless made from soy or corn

q Malt or Malt Flavoring unless derived from corn

q Modified Starch or Modified Food Starch unless arrowroot, corn, potato, tapioca, waxy maize, or maize is used

q Vegetable Gum unless vegetable gums are carob bean gum, locust bean gum, cellulose gum, guar gum, gum arabic, gum aracia, gum tragacanth, xanthan gum, or vegetable starch

q Soy Sauce or Soy Sauce Solids unless you know they do not contain wheat

q Any of the following words on food labels usually means that a grain containing gluten has been used: stabilizer starch flavoring emulsifier hydrolyzed plant protein

Some Additional Resources

The following are some useful resources for you. Please check these out.

Finding Gluten-Free Foods

For a list of gluten-free ingredients, look at "The Essential Gluten-Free Grocery Guide" on the website Triumph Dining (www.triumphdining.com).

Some useful companies:

q Gluten-Free Pantry (www.glutenfreepantry.com) (1-800-291-8386) is a company that has a number of gluten free products: French bread and pizza mix, Beth's gluten-free all-purpose flour, etc. Some favorites include a decadent chocolate cake mix and the spice cake and gingerbread mix.

q Allergy Free Foods Company (www.allergyfreefoods.com)

Gluten-Free Ingredients

The following items are generally considered to be safe, but companies can and do change ingredients. Gluten can be hidden in caramel coloring, modified food starch, and "flavor enhancers." Check labels before you buy.

Bread

Valpiform breads (icaneatit.com); Ener-G Foods (ener-g.com); Gluteno (glutino.com); Food for Life brown-rice or almond-and-rice bread (foodforlife.com), available in the organic freezer section at most Shaw's. Hamburger Buns (www.kinnikinick.com) 1-877-503-4466.

Bread mixes

Bob's Red Mill (bobsredmill.com); mixes (glutenevolution.com).

Cake

Gluten-Free Pantry Chocolate Truffle Brownie Mix (amazon.com); Cause You're Special Moist Lemon Cake Mix (glutenfreegourmet.com) and confections from Babycakes NYC (babycakesnyc.com); Authentic Food's Gluten-Free Chocolate Cake Mix (authenticfoods.com).

Cereal

Bakery on Main gluten-free granola (bakeryonmain.com); some Envirokids cereals (envirokidz.com); steel-cut Irish oats.

Chips and snacks

Kettle chips (kettlefoods.com); Glutino pretzels (glutino.com); Ener-G pretzels (ener-g.com); Popcorn Indiana flavored popcorn and kettle corn (popcornindiana.com); 's American Gourmet Veggie Bootie and cheddar-cheese Pirate's Booty (robscape.com); Lundberg rice chips (lundberg.elsstore.com).

Condiments

Premier Japan Hoisin Sauce, Teriyaki, and Ginger Tamari (allergygrocer.com); Hellman's mayonnaise; many of Annie's brand salad dressings (consorzio.com).

Cookies

Mi-Del (midelcookies.com); Pamela's Products cookies (pamelasproducts.com).

Crackers

's Gone Crackers (marysgonecrackers.com); & Sons (edwardandsons.com); rice crackers.

Ice cream

Coldstone Creamery; Ben & Jerry's; some Baskin Robbins flavors.

Meats and cold cuts

Dairy Farm frozen sausage (jonesdairyfarm.com), Applegate Farms cold cuts and hot dogs (applegatefarms.com), Hormel "Natural Choice" cold cuts (hormelfoods.com), most Boar's Head cold cuts (boarshead.com).

Pasta

Tinkyada Brown Rice Pasta (tinkyada.com); Road's End Organic GF Mac & Chreese (chreese.com).

Soups

Emeril's All Natural stocks (emerilstore.com).

Sorbet

Gaga's SherBetter (gogagas.com); Haagen Daaz; Edy's Grand.

Waffles and pancake mix

Van's All Natural (vansintl.com); Pamela's Products (pamelasproducts.com).

Resources

Celiac and gluten intolerance support organizations

Celiac Sprue Association (CSA) (www.csaceliacs.org)

Gluten Intolerance Group (GIG) (www.gluten.net)

Celiac Disease & Kids by Danna Korn (www.celiackids.com)

Celiac Disease Foundation (www.celiac.org)

Online patient forums

Celiac/Coeliac Wheat/Gluten-Free List (formerly the St. 's listserv). celiac@...

Visit the ICORS (formerly St. s) Celiac Web Page at http://www.enabling.org/ia/celiac/index.html

Archives are here: http://Listserv.icors.org/SCRIPTS/WA-ICORS.EXE?LIST= (input "celiac" in search field)

The Delphi Forums online celiac support group

http://forums.delphiforums.com/celiac/start

Brain Talk – forum for neurological gluten intolerance symptoms

http://brain.hastypastry.net/forums/forumdisplay.php?f=141

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