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 Post subject: diet advice ibs
PostPosted: Wed Sep 26, 2012 4:26 am 
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Tofu Pup

Joined: Wed Sep 26, 2012 4:21 am
Posts: 1
Hi I am seeing a dietician in the UK for suspected ibs. I have been vegan for over 25 years and cannot remember how long I've had ibs like symptoms.
I've been advised to follow current NHS guidelines which seems to say to cut out or reduce most vegan foodstuffs, ie resistant starches, beans pulses, grains etc.
My symptoms are not severe but it often gets me up in the middle of the night which isn't great.
Any ideas?
Cheers for looking
Neil


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 Post subject: Re: diet advice ibs
PostPosted: Wed Sep 26, 2012 5:32 am 
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The Real Hamburger Helper
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Location: Wet and Windy Wiltshire
I have IBS and I recommend you keep a food diary for a couple of weeks. It doesn't need to be detailed, just note down "pasta", "beans" etc. If you see a pattern occurring, that might be your "trigger" for IBS.

IBS is a name applied for a broad group of non-specific bowel complaints and different people react differently to different foods. Mine is high-fibre things, and my guts work better when I do the opposite of what the doctor said to do (lots of bran and fibre).

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 Post subject: Re: diet advice ibs
PostPosted: Wed Sep 26, 2012 7:00 am 
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Vegan Since Before There Were Vegetables
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Joined: Sun Sep 05, 2010 8:43 pm
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Location: Astoria, NY by way of San Diego, CA
Yes, I agree. Keeping a food diary is a good idea. It took me a long time to figure out that onions are one of my main problem foods, but once I did, it helped a lot. Try the advice you were given and also keep a food diary and also note your IBS symptoms for the day. After a few weeks you can look back and see what you think your problem foods might have been.
I also wouldn't recommend giving up a lot of foods at once because if that does solve the problem it will be really hard to tell what foods it was, so don't give up beans and whole grains all at once. Try just one thing at a time.

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 Post subject: Re: diet advice ibs
PostPosted: Wed Sep 26, 2012 10:10 am 
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Dead by dawn
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Location: Seattle
Just out of curiosity, ijdi, does onion powder affect you like eating onions does? Biker boy says he's "allergic" to onions, but I think he's got a little ibs going on and that onions trigger it (he gets the same symptoms from black beans and says he's "allergic" to those, too.) I've figured out that just leaving the onions out of most recipes isn't a problem, but if I can slip a little flavor in there without bothering his gut, that would just be bonus (obviously I'd ask him if he's game before I tried it!)

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 Post subject: Re: diet advice ibs
PostPosted: Wed Sep 26, 2012 10:36 am 
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Vegan Since Before There Were Vegetables
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Location: Astoria, NY by way of San Diego, CA
I'm pretty sure onion powder is ok, because I kept using it when I first realized onions were the main culprit, but I haven't used it at all in a while because I'm used to the taste of things without onion now and because when I do eat onions, it's really bad, so I just try to avoid them in all forms now just to be safe.

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 Post subject: Re: diet advice ibs
PostPosted: Thu Nov 15, 2012 11:28 pm 
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Tofu Pup

Joined: Thu Nov 15, 2012 9:58 pm
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Location: Brisbane, Australia
Hey everyone,

I'm a complete newbie to this forum (and only a three month old vegan!) but I thought I'd bump this topic. I saw that FODMAPs were mentioned a couple of times over on the IBS thread but, after my own experience, they may be worth looking into if your dietitian hasn't recommended an elimination diet already (although eliminating legumes isn't really an option as a vegan, unfortunately).

I saw a gastroenterologist a couple of years back when I started becoming vegetarian and my IBS flared up so bad I could barely eat. After an endoscopy and various tests I was diagnosed with IBS and NERD (Non Evident Reflux Disorder), prescribed with Pariet (Rabeprazole sodium) and sent off to the hospital dietitian. She put me onto a total FODMAP elimination diet for 10 weeks - she told me it can take that long for some of the fermenting agents to finally clear the gut - and then I slowly reintroduced individual food groups (ie. fructans, polyols) whilst keeping a food diary to see which ones were the culprits. At the time I was so desperate to sort it out that I just went back to being an omni so I could cut out all triggers ... everyone's different but by doing the elimination/reintroduction thing I found that my main triggers are:

- onions, leeks, shallots, garlic, snow peas, beetroot, some of the fancy lettuces, brussel sprouts and cabbage
- apples, pears, pawpaw and rockmelon
- consistent intake of gluten and mushrooms (a few servings a week is cool)
- artificial sweeteners
- physsilium husks and other fibre boosters
- palm oil. Not on the FODMAP list but this stuff makes me nauseous

I was lucky and those diet changes practically cleared up my problems - it's only since I've reintroduced legumes (even with the long soak with apple cider vinegar and cook with cumin seeds method) into my diet and gone vegan that I've started to have some problems again. On iffy days I've found it helpful to limit my vegetables to only a couple of safe varieties in each meal to make it easier on my gut, and supplementing with glutamine twice a day seems to help too. Bad attacks I can usually control/manage by reaching for the DeGas, Buscopan and peppermint oil pills and by drinking green tea with fresh ginger. The dietitian also told me not to drink with my meals (forget the reason) but that does sometimes help too.

A note on onions.. I've found I can cook with onions for the flavour boost, so long as I fish them out before they start to break down and become incorporated. Onion powder is just as bad for me as actual onions and I have to be careful to scrutanise food labels as stinking onion powder seems to be everywhere.

Not sure how helpful any of that will be but good luck in your quest to manage your IBS :) If you're interested at all, a full list of FODMAP foods can be found here.


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