Category Archive IBS

What to Eat if You Get Constipated

Constipation is the opposite of diarrhoea – it’s when your stool tends to stick around longer than necessary. Often it’s drier, lumpier, and harder than normal, and may be difficult to pass.

Constipation often comes along with abdominal pain and bloating. And can be common in people with certain gut issues, like irritable bowel syndrome (IBS). It’s also very common in people with Chronic Fatigue Syndrome (CFS/ME).

About 14-24% of adults experience constipation. Constipation becomes chronic when it happens at least three times per week for three months.

If you have chronic constipation it can cause fatigue and inflammation in the body as toxins recirculate.

Constipation can be caused by diet or stress, and even changes to our daily routine. Sometimes the culprit is a medical condition or medications. And sometimes there can be a structural problem with the gut. Many times the cause is unknown.

Whether you know why or not, there are some things you can do if you get constipated.

So what to eat if you get constipated?

1 – Eat more fibre

You’ve probably heard to eat more prunes (and figs and dates) if you get constipated.

Why is that?

It comes down to fibre.

Dietary fibre is a type of plant-based carbohydrate that we can’t digest and absorb. Unlike cows, humans don’t have the digestive enzymes to break it down. And that’s a good thing!

Even though we can’t digest it ourselves, fibre is very important for our gut health for two reasons.

First, fibre helps to push things through our system (and out the other end).

Second, fibre is an important food for feeding the friendly microbes in our gut.

There are two kinds of fibre: soluble and insoluble

Soluble fibre dissolves in water to make a gel-like consistency. It can soften and bulk up the stool; this is the kind of fibre that you want to focus on for helping with constipation. Soluble fibre is found in legumes (beans, peas, lentils), fruit (apples, bananas, berries, citrus, pears, etc.), vegetables (broccoli, carrots, spinach, etc.), and grains like oats.

Psyllium is a soluble non-fermenting fibre from corn husks. It’s been shown to help soften stools and produce a laxative effect.

Insoluble fibre, on the other hand, holds onto water and can help to push things through the gut and get things moving. It’s the kind found in the skins and seeds of fruits and vegetables like asparagus, broccoli, celery, zucchini, as well as the skins of apples, pears, and potatoes.

It’s recommended that adults consume between 20-35 grams of fibre per day.

If you are going to increase your fibre intake, make sure to do it gradually. Radically changing your diet can make things worse!

And, it’s also very important to combine increased fibre intake with my next point to drink more fluids.

NOTE: There is conflicting evidence on how fibre affects constipation. In some cases, less insoluble fibre may be better, especially if you have certain digestive issues. So, make sure you’re monitoring how your diet affects your gut health and act accordingly. And don’t be afraid to see your healthcare provider when necessary.

2 – Drink more fluids

Since your stools are hard and dry when you’re constipated, drinking more fluids can help keep everything hydrated and moist. This is especially true when trying to maintain a healthy gut every day, rather than when trying to deal with the problem of constipation after it has started.

And it doesn’t only have to be water – watery foods like soups, and some fruits and vegetables can also contribute to your fluid intake.

Always ensure you’re well hydrated, and drinking according to thirst; this is recommended for gut health as well as overall health.

3 – Probiotics

Probiotics are beneficial microbes that come in fermented foods and supplements. They have a number of effects on gut health and constipation. They affect gut transit time (how fast food goes through us), increase the number of bowel movements per week, and help to soften stools to make them easier to pass.

Probiotic foods (and drinks) include fermented vegetables (like sauerkraut and kimchi), miso, kefir, and kombucha.

More research is needed when it comes to recommending a specific probiotic supplement or strain. If you’re going to take supplements, make sure to read the label to ensure that it’s safe for you. And take it as directed.

If you would like to learn more about how to improve your bowel movements and general digestive health, contact Kate on 07562 868342 for a free 15 minute discovery call.

4 – Lifestyle

Some studies show that the gut benefits from regular exercise.

Ideally, aim to exercise for at least 30 minutes most days.

In terms of stress, when we’re stressed, it often affects our digestive system. The connection between our gut and our brain is so strong, researchers have coined the term “gut-brain axis.”

By better managing stress, we can help to reduce emotional and physical issues (like gut issues) that may result from stress. Try things like meditation, deep breathing, and exercise.

And last but not least – make sure to go when you need to go! Don’t hold it in because that can make things worse.

Conclusion

Optimal digestion is so important for overall health. Constipation is a common problem.

Increasing our fibre and water intake and boosting our friendly gut microbes are key things we can do to help things move along.

And don’t forget how lifestyle habits can affect our physical health! Exercise, stress management, and going to the bathroom regularly can also help us maintain great gut health.

Have you found that fibre, water, or probiotics affect your gut health? What about exercise, stress, and regular bathroom trips? I’d love to know in the comments below!

Recipe (high soluble fibre): Toasted Oats with Pears

Serves 4

Ingredients

150g oats, gluten-free

Pinch sea salt

300ml water

300ml almond milk, unsweetened

2 medium pears, sliced

4 tsp maple syrup

1 tsp cinnamon

1/2 cup walnuts, chopped

Instructions

Toast oats by placing them in a large saucepan over medium-high heat for 2-4 minutes. Make sure to stir them frequently to prevent burning. Add salt, water, and almond milk to the saucepan of toasted oats. Bring to a boil and reduce heat to medium. Cook, stirring occasionally, for about 20-30 minutes, or until desired tenderness is reached. Divide into four bowls and top with pears, walnuts, maple syrup, and cinnamon.

Serve & enjoy!

Tip: If you want to roast your pears first, place them in a baking dish at 200C for about 10 minutes while you’re cooking the oats.

References:

https://www.dietvsdisease.org/best-laxatives-constipation/

https://www.dietvsdisease.org/chronic-constipation-remedies-for-relief/

https://www.precisionnutrition.com/research-constipation-fiber

https://medlineplus.gov/ency/article/002136.htm

https://www.health.harvard.edu/blog/probiotics-may-ease-constipation-201408217377

https://www.health.harvard.edu/newsletter_article/6-ways-to-enjoy-fiber-in-your-diet

5 Natural Tips to Beat Bloating

Do you ever feel a bit “overextended” in the belly after a meal? Perhaps “gassy?” Have you ever carried a “food baby?”

Well, bloating is common. Up to 25-30% of people experience it regularly. It happens when you have trouble digesting. The symptoms come from excess gas, reactions to foods, or food not moving through you as well as it could.

There are many reasons you might experience these symptoms. Maybe because of a serious condition (disease), or a food allergy or intolerance (what you eat). It can also result from how you eat.

If you have a serious digestive issue like IBS (Irritable Bowel Syndrome), then make sure you eat accordingly. Same goes if you know certain foods give you gas. Simply avoid them.

If you’re already doing those things, and still experience bloating, here are 5 natural tips to beat bloating.

1 – Don’t overeat

If you overeat at a meal, then you’ll feel bigger around the mid-section. You’ll feel more pressure in your abdomen. Plus, you’re giving your digestive system a hard time. Consider that your stomach is really only the size of your fist. Compare that with how much you put on your plate. It’s better to eat until you feel almost full and not overindulge. Grab an extra snack or small meal throughout the day if you have to. Just don’t over-stuff yourself in one sitting.

The order in which your foods are eaten can also affect your digestion. Place foods with the highest protein content (animal products) at the beginning of the meal as they require the most stomach acid compared to starches and other foods.

2 – Avoid sugar alcohols

Sugar alcohols are low-calorie sweeteners made from sugars. In an ingredients list, they end in “-ol,” and include things like sorbitol, xylitol, and erythritol. They’re found in some chewing gums and sugar-free foods. Some people experience bloating after eating foods with these. So, try avoiding them and see if that helps you.

3 – Avoid swallowing air

Sometimes the gas that causes pressure in your digestive system is from swallowing air. Things like carbonated drinks are the biggest culprit here. You can also swallow air when you chew gum or drink through a straw, so try ditching these.

You can also swallow air when eating too quickly or while talking. Which leads me to…

4 – Eat slower, more mindfully, and less stressed

Eating too fast isn’t doing your digestive system any favours. You can help the food move along by chewing it thoroughly and slowing down your eating habits. Be mindful and enjoy the time you are spending eating your meals. Savour them.

The feeling of stress can also cause increased bloating. Stress-reducing techniques can help improve your digestion. Try meditating or deep breathing (but not while you’re eating). 🙂

5 – Try peppermint

Peppermint oil has been shown to improve bloating. It’s thought to increase transit time by relaxing the stomach muscles and increasing the flow of bile. Try steeping fresh peppermint leaves, or a peppermint tea bag, and drinking it slowly. See if that helps reduce your symptoms.

Ginger works much like peppermint, it stimulates the production of stomach acid and bile and helps to reduce gas and nausea. Try it in tea form or simply steep sliced fresh ginger.

Conclusion

There are a bunch of natural ways to deal with bloating.

First, avoid it by not eating things that give you gas or aggravate a digestive issue. Try not to overeat, consume sugar alcohols, or swallow air. Also, eating more mindfully and reducing stress can help too. Finally, if you are experiencing bloating, enjoy a cup of peppermint tea.

If you do all of these, and still experience bloating, then you may have a food intolerance; this could be from an allergy or intolerance. If you have a major concern, then please see your doctor. Your doctor can help to rule out a serious and/or chronic condition.

If you suffer with bloating and want to learn more than my 5 natural tips to beat bloating, contact me for a free 15 minute discovery call.

Recipe: Peppermint Mocha Creamer

Ingredients

1 can coconut milk
½ cup almond milk, unsweetened
2 tbsp cacao powder, unsweetened
½ tsp peppermint extract or essential oil (food-grade and safe for internal use)
3 tbsp honey or maple syrup (optional)

Instructions

Place all ingredients in a blender and blend until well combined.

Store in a sealed container in your fridge.

Serve & enjoy!

Tip: While the non-peppermint ingredients in this creamer may or may not be “de-bloating” for you, try these ideas too:

  • Grow peppermint yourself;
  • Chew on the fresh leaves; and/or
  • Steep them for tea.

References:

https://authoritynutrition.com/11-proven-ways-to-reduce-bloating/

https://www.dietvsdisease.org/how-to-get-rid-of-bloating/

http://www.precisionnutrition.com/fix-gut-fix-health

Diet for IBS

If you are suffering from irritable bowel syndrome (IBS), you may be thinking “what can I eat for IBS?”Below I describe the best diet for IBS.

IBS is an umbrella term used to describe a set of symptoms. There are 2 types of IBS:

  • Spastic colon-type IBS – where gripping pain is common and alternating constipation and diarrhoea.
  • Painless diarrhoea-type IBS – there is urgent diarrhoea usually upon rising and often after a meal.

Common Symptoms

  • Abdominal pain
  • Constipation
  • Diarrhoea
  • Bloating
  • Flatulence
  • Headaches
  • Cramps
  • Nausea
  • Anxiety
  • Depression

Causes

  • Food intolerances – most commonly to wheat, dairy, coffee, tea and citrus fruits. Although an intolerance can be present to any unsuspecting food.
  • Stress – your digestion shuts down during periods of stress leading to a lack of digestive enzymes and stomach acid. This can lead to incompletely digested food irritating the gut.
  • Parasites – 49% of people with IBS are known to have the parasite Blastocystis hominis. And 20% of people with IBS have the parasite Dientamoeba fragilis.
  • Gut dysbiosis – an imbalance of the good and bad bacteria present in your gut and/or overgrowth of Candida.. This can be triggered by a poor diet that has insufficient fibre, and is high in alcohol, fatty fats and sugar. Also taking antibiotics will upset this balance.
  • Other diseases – occasionally the symptoms of IBS can be mistaken for a more serious underlying condition such as Crohn’s disease, ulcerative colitis or diverticulitis. So it is very important to go and see your doctor.

Diet for IBS

Foods to Avoid for IBS

  • Refined wheat – is high in gluten, which can be irritating to the gut and is usually the biggest factor in IBS.
  • Cow’s milk – comes next.
  • Flour – from any sources gunks up the bowel in sensitive individuals.
  • Eggs,
  • Citrus fruits – especially oranges
  • High tyramine foods – such as cheese, port, red wine, sherry, beef, liver, herring, sauerkraut and yeast extracts.
  • Melted cheese – is very hard for the body to digest. Avoid at all costs.
  • Refined foods – such as white rice, pasta, cakes, pastries, alcohol, fried fodds, high-sugar foods and those foods high in saturated animal fat found in meat and dairy all deplete good bacteria in the gut and help feed the bad guys.

Foods to Eat for IBS

  • There are plenty of alternatives to wheat e.g. wheat-free bread, amaranth, spelt, millet, buckwheat, quinoa, oat and rye crisp breads, and rice and corn cakes, which are delicious.
  • You can now buy lentil-, corn-, rice- and potato-based pastas.
  • Try organic rice,almond or oat milk , or try goat’s or sheep’s milk instead of cow’s milk.
  • Eat more brown rice which is cleansing and healing to the digestive tract. As well as potatoes, fish, lean poultry, fruits and vegetables.
  • Peppermint, fennel, chamomile and rosemary teas can enhance digestion and ease discomfort.
  • Instead of orange juice, try low-sugar diluted apple, pear or pineapple juice.

Also the FODMAP diet can help with IBS.

References:

  • Courteney, H. (2008). 500 of the Most Important Health Tips You’ll Ever Need. 3rd edn. London: CICO Books. pp. 212-214

 

For more information on diet for IBS, contact Kate to book a consultation today.

The Low FODMAP Diet

The low FODMAP diet is a 7 to 10 day treatment that is often effective for:

  • IBS
  • SIBO
  • Certain auto-immune conditions/diseases like (potentially) rheumatoid arthritis, multiple sclerosis or eczema
  • Fibromyalgia or other health issues that are triggered by certain foods
  • Frequent migraines that appear to be triggered after certain meals

The low-FODMAP diet is thought to work by reducing fermentation in the gut. Fermentation happens when naturally-occurring gut bacteria break down certain foods, and produce gases such as carbon dioxide, hydrogen and methane as by-products. In people who are susceptible, this fermentation process can trigger uncomfortable gut symptoms such as bloating, abdominal pain, diarrhoea and constipation.

It is less restrictive than the Specific Carbohydrate Diet (SCD).

FODMAP is an acronym for:

  • Fermentable – fermentable foods (e.g., prebiotics)
  • Oligosaccharides – Beans and various vegetables.
  • Disaccharides – e.g., sucrose, lactose, etc.
  • Monosaccharides – primarily fructose
  • And
  • Polyols – these are sugar alcohols often used as sweeteners. Some examples are xylitol, maltitol, and erythritol

 

Foods to Eat on The Low FODMAP Diet

  • Meats, Poultry, Eggs, Fish: Chicken, fish, eggs, pork, shellfish, turkey, beef, lamb, all other meats
  • Vegetables: Cucumbers, carrots, celery, eggplant, lettuce, leafy greens, pumpkin, potatoes, squash, yams, tomatoes, zucchini, bamboo shoots, bell peppers, bok choy, bean sprouts, collards, spaghetti squash, olives, green beans, rutabaga, spinach, ginger root, radish, turnips, corn, mushrooms
  • Fruit (limit to one serving daily): Bananas, berries, cantaloupe, grapes, honeydew, grapefruit, kiwi, lemon, lime, orange, pineapple, rhubarb, passion fruit, kiwifruit, dragon fruit, papaya
  • Dairy products (low lactose): Lactose free dairy, half and half, lactose free cream cheese, lactose free cottage, cheddar, parmesan, fermented yoghurt, dark chocolate
  • Non-dairy alternatives: Almond milk, rice milk, nuts, nut butters, seeds, hemp milk
  • Grains (wheat free): Wheat free grains and flours without a ton of fibre: breads, noodles, pasta, waffles, tortillas, pancakes, quinoa, rice, cream of rice, oats, sourdough bread, soba noodles
  • Beverages: Coffee, tea, gin, vodka, wine, whiskey
  • Seasonings/Condiments: Basil, cilantro, coriander, lemongrass, parsley, mint, sage, thyme, homemade bone broth, chives, flaxseed, margarine, mayonnaise, olive oil, pepper, salt, sugar, mustard, vinegar, balsamic vinegar, pure maple syrup, vanilla

The Low FODMAP Diet Excludes the following foods:

  • Vegetables: Artichokes, asparagus, broccoli, beetroot, Brussels sprouts, cabbage, cauliflower, garlic, fennel, leaks, mushrooms, okra, onions, peas, shallots.
  • Fruit: Apples, applesauce, apricots, blackberries, boysenberries, cherries, canned fruit, dates, dried fruits, figs, guava, mango, nectarines, pears, peaches, plums, prunes, watermelon.
  • Dairy products: Milk (from cows, goats and sheep), ice cream, most yogurts, sour cream, whipped cream, custard, soft and fresh cheeses (cottage, ricotta, etc).
  • Non-dairy alternatives: Coconut cream, beans, hummus, pistachios, soy products, coconut milk, black eyed peas, fava beans, kidney beans
  • Legumes: Beans, chickpeas, lentils, red kidney beans, baked beans, soybeans.
  • Grains: wheat, barley, rye, bread, pasta, most breakfast cereals, tortillas, waffles, pancakes, crackers, biscuits.
  • Beverages: Beer, rum, fortified wines, soft drinks with high fructose corn syrup, milk, soy milk, fruit juices.
  • Sweeteners: Fructose, honey, high fructose corn syrup, xylitol, mannitol, maltitol, sorbitol.

Following the low FODMAP diet is a short-term treatment to reduce symptoms of IBS and SIBO. A lot of the excluded foods are very beneficial for feeding the good bacteria in your gut such as the vegetables, fruits and legumes. Also dairy products can boost levels of the good bacteria lactobacillus in the gut. Therefore I would not recommend continuing the diet in the long-term.

 

 

For more information on the low FODMAP diet, contact Kate for a free 15 minute discovery call.

 

References: 

https://www.ihcanconferences.co.uk/digestive-enzymes-clinical-considerations-in-ibs-sibo-dysbiosis-and-the-leaky-gu

https://www.bupa.co.uk/newsroom/ourviews/fodmap-diet-for-ibs

https://sibosurvivor.com/sibo-die