Special feature Living with ibs Inner A my, 30, has suffered with IBS for about 10 years. At present it is under control – she recently completed a thorough elimination diet and now knows which trigger foods to avoid. Initially, if she had even a tiny bit of any of her trigger foods, or if her stress levels got too high, she’d have an IBS attack. Working with the four Rs principle (see below), Amy has removed her food issues through an elimination diet, and used apple cider vinegar and other IBS support supplements to assist in replacing digestive acids and enzymes, reinoculating her system and repairing digestive function. Amy has also been able to reintroduce small amounts of trigger foods into her diet without causing any ill effects. health Irritable bowel syndrome is fast becoming the disease du jour with more of us dealing with digestive problems than ever before. As the pressure of our busy lives takes its toll, how can we fix this distressing health issue? What is IBD? Inflammatory bowel disease (IBD) is broken down to Crohn’s disease and ulcerative colitis. Crohn’s disease involves inflammation of the bowel wall and can be found in any part of the digestive tract; ulcerative colitis is confined only to the large bowel. Symptoms of IBD can include abdominal pain, constipation, diarrhoea (can be with blood or mucous), weight loss and malnutrition. Like IBS, the causes of IBD are unknown but the immune system and gastrointestinal infections are currently being researched as possible causes. Additionally, stress is believed to be another contributing factor. >> Jill Kratsis, naturopath What is a stomach ulcer? E xperts at Canberra Hospital currently estimate that approximately one in five Australians will experience irritable bowel syndrome (IBS) at some stage. This demonstrates that the prevalence of digestive complaints is becoming far too common. Natural therapies can help to decode the symptoms and assist in providing relief for all types of digestive troubles, from irritable bowel syndrome to Crohn’s disease, and everything in between. A stomach ulcer is a break in the lining of the stomach, or just out of the stomach in the duodenum. In many cases, the cause is related to a bacterial infection called Helicobacter pylori (found in the mucous layer of the stomach) or can be caused by taking particular medications. Stress may also be a contributing factor. Symptoms of a stomach ulcer can include nausea, indigestion, abdominal pain just below the rib cage, vomiting, loss of appetite and also iron deficiency if the ulcer is bleeding. What is IBS? 20 Autumn 2009 Some good advice illustration: Jacki Sosenko More women than men seem to suffer from IBS, which is believed to be associated with people who have sensitive digestive systems, or those whose digestive system is easily upset. The symptoms can include abdominal pain and cramping, mucous in bowel motions, alternating constipation and diarrhoea, and abdominal bloating. At present, the cause of IBS is unknown but there are several trigger factors including food intolerances, stress, poor diet, some medications and persistent or recurrent gastrointestinal infections. If you are suffering from digestive issues, a naturopath can help you to determine the cause or trigger factors. They can help you find ways to protect, strengthen and tone the entire digestive system, and ease the symptoms as well as addressing any food intolerances or infections you may be suffering from. Improving stress management is also extremely important. There are many lifestyle changes we can all make to improve digestive function. Simply how we eat can have a massive impact on our overall digestive health. There are many lifestyle changes we can all make to improve digestive function. Simply how we eat can have a massive impact on our overall digestive health Here are some helpful tips: > Don’t drink with meals as this dilutes acids and enzymes needed to break food down. Drink 20 minutes before or after eating > Relax and sit down while you are eating so your body can concentrate on the task at hand > Don’t rush meals, and chew your food properly; the more you can break it down in your mouth, the easier it is for acids and enzymes to do their job > Don’t lie down too quickly after eating; gravity plays a huge role in moving food down into the intestines > Settle your stomach with herbal carminatives such as chamomile, peppermint and ginger tea or tablets The four Rs T he four Rs can be useful in addressing digestive complaints: > REMOVE as many triggers as possible to determine the cause. One way to do this is with an elimination diet, which involves removing all potential food intolerances such as dairy, wheat, sugar etc, then reintroducing them one at a time to see if symptoms return or get worse > REPLACE digestive acids and enzymes to assist the digestive system to function at its best. A great way of doing this is with apple cider vinegar, which helps get the gastric juices working. Dilute a teaspoon of apple cider vinegar in water. If vinegar is not tolerated due to any ulcers, or you don’t like the flavour, there are many herbs and nutrients such as essential enzymes that can also help with this > REINOCULATE with probiotics such as acidophilus and bifida bacteria. These probiotics, together with the digestive organs, acids and enzymes, ensure that food is properly broken down and eliminated. The presence of probiotics is vital and easily disrupted by some medications and stress > REPAIR the digestive system function. The lining of the intestinal walls must be repaired if there is damage. Again, there are many herbs and nutrients that can help to strengthen and tone the digestive lining. Supplements such as slippery elm powder can put a bandaid-like coating on the intestinal wall to give it a break and time to heal. Glutamine is also particularly good at repairing damage to the intestinal wall n Autumn 2009 21
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