Where to turn? Gastritis, Pancreatitis, IBS-C, diverticulitis, c-diff
I have been seeing the same gastroenterologist for 10 years. I have been diagnosed with Gastritis, Pancreatitis, IBS-c, I have had numerous other problems throughout the years, esophagus, diverticulitis, c-diff. I have been on every medication for Acid reflux pills, Linzess, Dicyclomine, Carofate, etc. All the diets, I'm no stranger to the lifestyle of digestive management. That being said, this year has been one of the worst I have ever been through. With Covid, everything was pushed back, and it was video visits. I had 2 edg's and colonoscopies since June. I was continuing to get worse and worse. Extreme nausea, vomiting, bloating, just very sick all the time. I still am. It's actually a lot worse.
So, my GI sends me to the surgeon. He orders tests. My esophagus tests were fine. But my gastric emptying test showed delay. They only told me that they would wait until all the tests were done. I got a message today that I have to deal with GI. No one called or explained that I now have Gastroparesis. I have been very upset with them because none of my medications I have been on for years are working for anything at all. I am dealing with all my other symptoms from all of my other conditions now too. My entire system is continuously acting up. I haven't been able to eat now at all until I absolutely have to. Even drinking water makes me sick. No one is contacting me about how to treat this. I haven't gotten any details about the results of the gastric emptying test from the 11th of December. I weighed 150.lbs on November 24th when I was in emergency and my scale reads 130 lbs. now. I'm being treated like a problem patient because I want answers and help. I don't live a life anymore. I am so sick all the time and I have no clue where to turn to. Can anyone give me some advice?
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Hi, RR-- I was wondering how long you've been taking the probiotic and whether you notice any difference so far?
This is very much third-hand information, but a neighbor's friend had some good results by researching and taking some probiotics after a cdiff diagnosis. I don't know exactly what she used or on what kind of schedule but I got the impression that she switched around between different formulas/brands. I think it took quite a while, too.
If you are hoping that cutting back on gluten could be helpful, have you ever looked into other grains such as millet, teff, amaranth grain, quinoa, and kasha/buckwheat? I have used each of these in different ways, including cooking together with oatmeal.
Did you say beans/lentils have been causing you problems lately? How do you do with green vegetables, starchy vegetables, and with fruit?
Another second-hand tip is that supplementing with small amounts of psyllium may sometimes be helpful for ibs-d.
Also here is a thread about pvcs
whttps://connect.mayoclinic.org/discussion/which-form-of-magnesium-for-pvcs-taurate-glycinate/
This is a link to a small study that found that sauerkraut was helpful for some ibs patients, whether it was pasteurized or not. One possible explanation is that even after the probiotic bacteria are reduced or eliminated by pasteurization, there remains in the 'kraut the metabolites that those bacteria made during fermentation--- and that the metabolites (substances made by the bacteria as they grow) play a role in combating other, bad bacteria and the toxic metabolites those bad bacteria make.
https://pubs.rsc.org/en/content/articlelanding/2018/fo/c8fo00968f/unauth
Lacto-fermented sauerkraut improves symptoms in IBS patients independent of product pasteurisation – a pilot study - Food & Function (RSC Publishing)
This is a little post touting sauerkraut for gut health, but cautioning to keep the portions small (one spoonful) to avoid laxative effects from larger servings:
https://www.mcgill.ca/oss/article/health-and-nutrition/think-twice-about-opting-out-sauerkraut
Think Twice About Opting Out of Sauerkraut - McGill University
I have oatmeal and a serving of yogurt every morning. Start my day off with these two along with a probiotic capsule. I also cut way back on my coffee consumption several years ago and now only have a cup occasionally. Feel so much better with these changes in my diet.
Hi Scolio
Thank you for the message and the information.
I have been taking probiotics for years, but then I switched to the Florastor probiotic last summer once I received my Cdiff diagnosis, based on the recommendation by my gastro doc. It does have clinical proven research. I have tried different grains and I have no problem with them. It is only tapioca that causes me issues. I eat a lot of spinach, kale, bananas, and strawberries. I did take psyllium husk for years and then my GI recommended that I try Citrucell fiber instead...I guess it works better in your system.
I now know that I cannot do decaf coffee anymore...the bowels movements are significantly more in a very short time. I made the mistake of having a decaff, dairy free latte on Saturday morning and I have 4 bowel movements in the first three hours. I then had to take a medication called Hycosiamine to stop the movements and I was fine all day yesterday. Even a couple of pieces of chocolate will set off my IBS.
RR
That's interesting about the coffee (even decaf) and the chocolate. Those are two things that I avoid myself, not because of digestion (I haven't used them often enough to notice if they affect me that way or not), but because they can increase my anxiety/restlessness and because I get very worried about becoming functionally dependent on any one thing. Plus, I'd rather spend my food dollars on other things.
Greetings, rr1967:
The FODMAP protocol is NOT meant to be long term. You exercise diligence by avoiding FODMAP foods, wait about 2-ish weeks after achieving anti-FODMAP-ism, then begin adding foods back family by family. If a food type proves to be problematic, then that is what you no longer eat. You may find that no food causes you problems.
The Registered Dietician with certification and/or experience with the diet is your friend and will guide you through the process.
I didn't read this whole article, but it mentions docosahexaenoic acid (dha) for inflammation. I have found that trying to increase my omega-3 has been helpful for me.
https://www.nature.com/articles/s41598-017-10382-2#:~:text=Supplementation%20with%20DHA%20has%20been%20shown%20to%20help,endotoxins%2C%20particularly%20lipopolysaccharides%20%28LPS%29%20derived%20from%20gut%20dysbiosis
As a vegetarian, you probably don't want to take fish oil or eat sardines, but there are vegetarian DHA supplements available made from a farmed species of algae that is grown in steel tanks just for that purpose. One that I've seen is available as an oil in a 250ml bottle, with both a rosemary flavor and a lemon flavor, to mask the fish-like flavor of the plain oil-- I guess what we think of as the taste of fish comes partly from the algae at the bottom of their food chain.
Taking steps to lower the inflammation in your body certainly won't cure the IBS, but it's not too likely to do a lot of harm, either, and who knows-- it may have some beneficial 'side effects'.
Hello, I hope you are finding some helpful information. I thought of one more thing, which you may already be doing. Years ago I read (ok, maybe skimmed) this book by Glen Merzer, aka 'the mad cowboy', and he included a recipe for a cheese 'replacement', which was mostly just nutritional yeast or brewer's yeast, which can have a cheesy sort of 'umami-type' flavor.
https://www.thriftbooks.com/w/no-more-bull-the-mad-cowboy-targets-americas-worst-enemy-our-diet_glen-merzer_howard-f-lyman/349559/item/1965469/?mkwid=%7cdc&pcrid=77447028765158&pkw=&pmt=be&slid=&product=1965469&plc=&pgrid=1239149900899965&ptaid=pla-4581046492312228&utm_source=bing&utm_medium=cpc&utm_campaign=Shopping+-+High+Vol+Backlist+-+Under+%2410&utm_term=&utm_content=%7cdc%7cpcrid%7c77447028765158%7cpkw%7c%7cpmt%7cbe%7cproduct%7c1965469%7cslid%7c%7cpgrid%7c1239149900899965%7cptaid%7cpla-4581046492312228%7c&msclkid=f63b538b75f71d757fc5373954e4119f#idiq=1965469&edition=3394528
No More Bull!: The Mad Cowboy Targets... book by Glen Merzer (thriftbooks.com)
If you are trying to move toward using less of the hard cheeses, this could be one tool to help you do that. As a benefit, the brewer's yeast also has some b vitamins and protein in it. I've seen suggestions to sprinkle it on top of popcorn, which may not be an option for you given your battles with diverticulitis, but I also enjoy it over polenta, or just about any other savory food for that matter.
Since it is very popular with vegetarians and other health-conscious people, I would guess that it is already in your kitchen, but I thought it may not hurt to mention it anyway.
Here is a similar discussion
https://connect.mayoclinic.org/discussion/ibs-and-vegetarian-diet/
Also a smoothie recipe that includes some carob.
https://thedesignfiles.net/2015/12/carob-halva-heaven-smoothie-2
The notion that carob may ease or prevent diarrhea seems to date back to the observations of a doctor in Spain half a century ago:
https://www.sciencedirect.com/sdfe/pdf/download/eid/1-s2.0-S0022347649800539/first-page-pdf
"During the Spanish Civil War and at the beginning of the World War II, Ramos of Barcelona, Spain, faced with the increasing difficulty of procuring such dietetic products, sought other material for therapeutic use. He had noticed that during the war in Spain, the children of the poorer classes in Barcelona who ate the fruit of the carob tree had fewer diarrheal disturbances than did those of the wealthier classes. Based on this observation, he employed the dried pulp of the roasted carob mixed with starch for the treatment of diarrhea."
I started taking more fiber for IBS. Chia seeds and flax grain on a daily basis in a smoothie with one banana, almond milk, plain yogurt, mango pieces and blueberries. Have not had an IBS bout in a long time. Also take a probiotic everyday. Good luck!