Food Gone Wild

WARNING:  This is an IBS-specific post, and may contain TMI - Too Much Information.

We have all been lead to assume that fruits, vegetables, lentils and whole grains are healthy and should represent a large portion of our diet.  I would also like to believe this is true, but, unfortunately, for some of us, this can run horribly awry in practice.

For the last few months I have had the sneaking suspicion that I have been heading toward a full-blown IBS episode. Firstly, as my episodes are normally about every two years or so, I am clearly due.  What tipped me off though were the minimum of seven to eight visits to the ladies room each day (double what I think of as normal) for the past eight weeks. I have had gas so badly that I have been unable to sit up straight at work and have been forced to drop everything, call a cab and head home to my magic bag on more than one occasion.  It has begun to affect my routines, my corn starch usage has gone through the roof and I cannot decide whether sitting or standing is preferable.

In an attempt to combat this I have tried a few things.  I had my first abdominal massage, I am now seeing a naturopath (the third in my lifetime).  I find myself agreeing to consume tinctures and Chinese herbs with names like bu zhong yi qi tang.  I have yet to try a rice water remedy that is supposed to help regulate me.

The likely question here is - is it something I'm eating?  I tried that experiment - I did the clean eating thing - I peeled and steamed my veg and fruit.  I ate lots of sugar-free applesauce and fruit cocktail (fresh fruit can be tricky for IBSers to digest).  I ate more fibre, I drank more water (more than my 3+ litres a day), I drank digestive teas, I did the digestive-friendly yoga poses and lots of yoga breathing.  The results?  It gave me the shits, like, have-the-flu kind of shits.

Upon realizing that this was not going according to plan I bought a lot of Boost and Gatorade (to help replace electrolytes).  On particularly high-pain days I have been drinking 1-3 Boost.  Some days I have a completely liquid day so it does not hurt quite so much by the time I hit number 8. On better days I have 1-2 Boost, applesauce, white bread with peanut butter and either more white bread, applesauce and an egg or grilled chicken with steamed broccoli.

However, a funny thing happened.  I went on vacation.  In the land of Olive Garden salad and bread sticks, pizza, fried food, dessert and alcohol.

Amazing milkshake at Duckfat in Portland, Maine

Aside from a little gas, I was at 1-2 washroom trips a day - without the big D and minimal amounts of pain!  I even hiked up several mountains at Acadia National Park without crapping my pants or popping a squat!  The only real side effects are my clogged arteries and the extra padding around my tush.

View from Acadia Mountain

Another beautiful view 

What does this mean?  It certainly goes to show that stress is the leading factor contributing to this IBS episode.  It also shows that when in an episode food can have little bearing on your symptoms.  So does this mean I plan to continue along this road to chunky town?  Definitely not.  Come hell or high water I am putting my fat pants away.  But, it does mean that as I go back on "real" food, life will be pretty awful, for quite awhile as my body gets used to trying to process fruits and vegetables.

As an IBS sufferer it is often difficult to choose the right foods because my reaction to the good food goes against everything I have been taught - from the food guide to my specialist, to all the health, fitness and wellness bloggers out there.  The healthy choice certainly feels pretty unhealthy to me as I have to go every hour, on the hour from the time I wake up.  It certainly feels unhealthy canceling appointments and making up excuses as to why I have to miss that meeting or have my colleagues believe that I really cannot shake that flu.  It is also really awkward dealing with the corn starch in a public restroom - all signs point to addiction.

So today, my first full day back from vacation I started off with my morning shake (Shakeology, cocoa powder, cinnamon, skim milk, peanut butter and banana baby food) and stuck to real food aside from my one ultra dark chocolate truffle and some butter on my white bread.  My body certainly cannot take whole wheat bread and vegetables all at once - one step at a time.  As I slowly, but surely trade in my fat pants for my skinny jeans, think of me, perpetually on the throne, in a cloud of corn starch.  Think of this as installment one in Food Gone Wild - an IBSer's tale of strange food choices, all in the name of the colon!

For those of you with digestive issues, I would love to hear if you have any recommendations!

Green Monster Madness

This week I began my first foray into uncharted territory – green smoothies.  Angela, of the blog  Oh She Glows, first started the “green monster movement” and it has caught on so much that she had to create a separate site to keep up with readers’ recipe submissions.  What is a green smoothie?  It is a smoothie that has something green in it, most often spinach or kale.   Why go green?  It is a fabulous way to add extra fruits and veggies into your day. 

I am a fruit lover.  I am not a vegetable hater, but I naturally reach for fruit before the veggies.  I am not what you would call adventurous in the food department; between the IBS, GERD and my natural inclination to be extremely picky and overly imaginative often prevent me from eating certain things or from trying new ones.  For example, I can often be heard saying things like I don’t eat bananas because they make my ears itch, or, you may find me in the produce aisle listening to an apple to determine if it is worthy.  I am not a fan of public kitchens, most especially microwaves, or potlucks.  That communal stuff really freaks me out.  I am a huge believer in food segregation, in other words, no food group shall touch another food group while on my plate.  What is my point?  The idea of putting something green in my smoothie really throws me for a loop and feels inherently wrong. 

I have no idea what pushed me over the edge, but I am currently spiralling down into the world of green monsters.  My green of choice was spinach.  Not fresh spinach, and as far as I can tell non-organic spinach.  Most people would buy fresh spinach, not yours truly; I have a current fixation with spinach.  I like things to be perfectly ripe; otherwise, if I find a flaw, I will have to abstain for months until the infraction is forgotten.  The way around this is frozen spinach.  I bought a block of chopped, frozen spinach for $1.79.  I thawed it out and put that puppy in the food processor, and then portioned it out into three containers for future use.   

The verdict?  Not too bad!  I could not taste the spinach (I think it was about 1/3 to 1/2 cup puréed).  My one warning – carry a compact and floss around when you drink this.  It should not be your beverage of choice for a perfectly white smile. 

What about the IBS spin on this one?  It has made me into a raging hot air balloon and has made me frequent the restroom – frequent being the key word here.  In the past, my nutritionist and I have not agreed on smoothies.  She recommended that I drink a smoothie measuring one cup or smaller, and she also recommended that I consume my smoothie later in the day.  My flare-up time always lasts until about 13h00, so, if I consume it in the afternoon I will be less likely to go to the loo.  Given my fear of using public kitchen facilities, I like to drink my smoothie in the morning so it is still somewhat cold when I drink it.  Will I continue on with the green monster movement?  I will definitely continue to play with the smoothie recipes and will try it for at least the next few weeks.  I would like to give my body time to acclimatize to the smoothies.  It is a large intake of fibre all at once for someone who suffers from IBS-D, however, if I can trick my body into cooperating it will be worthwhile.  

Please share your green monster recipes/experiences.  I would love to know how others are approaching this! 

Tuesday’s Recipe

• Fresh strawberries
• Watermelon
• Cantaloupe
• Yogurt
• Teaspoon of honey
• Container of spinach
• Splash of apple juice

Wednesday’s Recipe

• Fresh strawberries
• Container of spinach
• Frozen blueberries
• Frozen cherries
• Yogurt
• 1.5 teaspoons of chia

The F word...

If you have been diagnosed with IBS you have likely talked a lot about the “F” word – F.I.B.R.E.  I feel confident enough to say that you were likely told to increase your fibre consumption, no matter the type of IBS you happen to have.  Fibre appears to be the centre of the IBS universe and at the forefront of the minds of our medical professionals.  It is often touted as the cure-all for IBS.  I am about to tell you how fibre is quite literally a pain in my ass; it is both friend and foe.  Fibre is like that person that you walk on eggshells around, too much one way or the other and this fickle friend will make your life miserable. 

It took me a long time to figure out fibre and it required a lot of help along the way.  It took specialists, a surgeon and one amazing dietitian to help me understand how fibre affects my body.  This journey also included extensive food journaling, diligence and patience to gain the understanding I now have today.  

How much fibre do I eat in one day?  Fifteen to nineteen grams (15-19g), however, I prefer to hover in around 15g.  How much should you be consuming?  According to the Dietitians of Canada, adult men should consume 38g per day and women are recommended 25g.  For those of you without IBS, you will likely be shocked at my daily intake, and some of you will likely deem it to be unhealthy…  this would not be the first time that I have heard this, and it will certainly not be the last. 

A low intake of fibre allows me to manage my symptoms and maintain a routine of three to four “movements” daily.  However, this does not mean that I do not have flare-ups at this level.  I think I hit six, seven and eight washroom trips on three consecutive days last week at my normal intake level.  So, what I am telling you is, often, IBS is kind of like gambling.  Sometimes you are cautious and win big, sometimes you throw caution to the wind and you win big, and sometimes, no matter what you do, shit happens.  What I do know for sure is that if I go above this threshold I might as well pitch a tent right beside the toilet.  

One extremely important fact to keep in mind is that everybody is different.  My fibre RDI may be the same, lower, or higher than yours, and that is okay.  Everyone reacts differently to different foods and that also applies to those who do not have IBS.  So, when it appears as though someone is judging you for eating things like gasp – white bread – keep in mind that, if it is easier for you to digest than whole wheat bread, then eat the white bread.  Eating things like whole grains can be just as unhealthy for someone with IBS as for someone else who shuns white bread.  If it makes you use the washroom all the time, forces you to take medication and/or causes weight loss and additional stress, then, this choice is unhealthy for you.   

• Never be ashamed of the choices you have to make in order to lead a healthy life. 

• Never forget that healthy is not a static definition; it is just as unique as you are.   

Be sure to talk these things over with your doctor, or, get referred to a dietitian.  If you do not gel with your dietitian, ask to be referred to a different one.  That is what I did, and we ended up meshing really well and I was able to learn a lot from her. 

Fibre is a beast of its own and a bit cumbersome to tackle in one post, so, I will begin a series of posts relating to fibre so that we can work through this issue together.  If you have specific questions relating to the f word, contact me and I will ensure I cover it at some point throughout the series.  In addition, feel free to share your experiences about keeping it regular!