Flair up Diet?

Discussions on the details of treatment programs using either diet, medications, or a combination of the two, can take place here.

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lsl
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Flair up Diet?

Post by lsl »

Hi.

I joined this group about 8 years ago and once I found out that it was the Prevacid that caused it, I started taking Citrucel and have had it well under control since, with only minor occasional annoyances. However, I have just experienced my first big flair up in 8 years.

A few days after Christmas I got the flu from my husband. It was probably the stomach flu, but I took anti nausea meds and avoided any vomiting. I was, however, nauseous and made the terrible mistake of going a few days without my Citrucel because I was afraid it was going to make me sick to my stomach. Instead, I am in a really bad flair up.

So far, I've gone back on my Citrucel 2x/day, which has bulked things up. I can have french bread, bananas and rice. I have some canned pears and peaches, some applesauce and greek yogurt, but I'm not sure what I can eat. I'm to the point where I'm not running to the bathroom with "D", but this morning was really crampy, like I felt like I was going to.

Can anyone give me some advice on some 'safe' foods to try? I'm a vegetarian, so I don't eat chicken. But, man, I really feel like I need some protein. Avacados maybe?

And, how long should I expect it to be before I can start being able to eat again?

Any diet advice would be greatly appreciated.

Thanks,
L.
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tex
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Post by tex »

Hi L,

Well, if you don't normally react to those foods, they should be OK to eat. Unfortunately, viruses can trigger genes in some situations, so let's hope that the virus didn't trigger any genes connected with food sensitivities. If that happened, the bread and yogurt would probably need to go, because gluten is the most common food sensitivity, and dairy is right behind it.

I'm not sure how low the lactose content of Greek yogurt is, but if it happens to contain a significant amount, please bear in mind that any time anyone has intestinal inflammation (enteritis), they temporarily lose their ability to produce normal amounts of lactase enzyme, which makes them unable to properly digest lactose. The symptoms are gas, bloating, diarrhea, and/or cramps.

Usually, within a couple of weeks after the enteritis ends, lactase enzyme production will resume and slowly return to normal levels.

If you just can't do without the yogurt, try adding a teaspoon or two of cocoa when you eat it. Cocoa can make the small amount of lactase that you are still producing approximately 6 times more effective. It's effective enough that it allows most people who are lactose intolerant to continue to eat small to moderate amounts of lactose without any problems.

Protein is definitely beneficial for helping to heal the intestinal damage caused by inflammation. I'm not familiar enough with vegan diets to feel comfortable making any recommendations, though. Hopefully someone else who knows more about it will be able to offer some suggestions.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Gloria
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Post by Gloria »

Tex wrote:Cocoa can make the small amount of lactase that you are still producing approximately 6 times more effective. It's effective enough that it allows most people who are lactose intolerant to continue to eat small to moderate amounts of lactose without any problems.
Interesting...that's something I haven't heard before.

Gloria
You never know what you can do until you have to do it.
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tex
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Post by tex »

Gloria,

I originally discovered that connection 8 or 9 years ago, when I was recovering. Unfortunately, it doesn't help with casein intolerance. Here's a research article about it.

http://ajcn.nutrition.org/content/49/5/840.long

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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lsl
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Post by lsl »

Thank you all for your input. I'm feeling much better. It wasn't the gluten, bread was fine for me. It was just time, really. I started taking my vitamin D again, based on another thread here, and have been taking my citrucel 2x/day, which I think helped tremendously. I'm pretty close to being back to eating my normal diet.

Thanks so much. It's good do know you guys are here for support.

Warmly,
LSL
ant
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Post by ant »

Tex wrote:
Cocoa can make the small amount of lactase that you are still producing approximately 6 times more effective. It's effective enough that it allows most people who are lactose intolerant to continue to eat small to moderate amounts of lactose without any problems.


Interesting...that's something I haven't heard before.

Gloria
Ditto. Learn something new every day here. I am finding more and more dark chocolate that uses cocoa butter rather then soy lecithin as an emulsifier. Which I think is good news.

Best wishes, ant
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tlras
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Post by tlras »

Glad you are feeling better! I'm awfully surprised that Citrucel works to bulk things up to prevent D with MC. Isn't that a big time fiber supplement? I'm confused as I thought fiber was not our friend. At the beginning I had thought about using a bulking agent but was too scared to try it as I had heard bad things about fiber from this group. But glad it seems to be working so well for you. I'm just shocked is all.

Tex....are there many people on this forum who benefit from such a fiber supplement when we are having a flare with D?!

Terri
Diagnosed with Lymphocytic Colitis in July, 2012 then with Celiac in November, 2012.
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tex
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Post by tex »

Terri wrote:Tex....are there many people on this forum who benefit from such a fiber supplement when we are having a flare with D?!


No. The difference is, her MC was drug-induced, and she apparently has no food sensitivities. That effectively gives her a free pass on the fiber and any other food ingredients. All she has to do is avoid PPIs, and she should be home free. Aside from that, there are a few members who have C-predominant MC, who regulate their BMs by the amount of fiber in their diet. For those of us who have D-predominant MC however, as you mentioned, fiber is not our friend.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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