AVOID Sorbitol sweetener please read

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Sugarmarie
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Date Joined Jul 2003
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   Posted 1/12/2008 9:24 AM (GMT -7)   
Many sugar-free chewing gums contain a sweetener called sorbitol. Sorbitol is a laxative which is poorly absorbed by the small intestine. An article in this week's British Medical Journal (BMJ) warns of the dangers of excess sorbitol intake.

The warning comes after doctors came across two patients who had chronic diarrhea, abdominal pain and dangerously excessive weight loss. After lengthy investigations which could not identify why the patients were losing so much weight and had chronic diarrhea and pains, a detailed analysis of eating habits put the problem down to eating too much chewing gum with sorbitol.

One of the patients, a 21-year-old woman, had been eating the equivalent of 18-20g of sorbitol each day. The average stick of gum has about 1.25g sorbitol - so, she was chewing through 15-18 sticks of gum each day. The other patient, a 46-year-old man, was chewing about 20 sticks of sorbitol-containing gum plus approximately 200g of sweets (candy) each day - his total sorbitol daily intake was about 30g, the authors wrote.

As soon as sorbitol intake was stopped, both patients started having normal bowel movements (diarrhea subsided) and normal weight gain was achieved.

The authors say consumers are generally unaware of the possible side-effects of sorbitol, even though details are included in the small print of foods containing it. When consumers have gastronomical problems they are unaware that they may be caused by the laxative effects of sorbitol.
This actually happen to my sister went to 2 GI scopes came out clear CT scan the works ended up she was chewing gum with Sorbital all day long trying to stop smoking.
sm

The authors conclude that sorbitol consumption may not only cause chronic diarrhea and functional bowel complaints, but also significant unplanned weight loss of about 20% of body weight. Any investigation of unexplained weight loss should include a detailed dietary history with regard to sorbitol-containing foods.

What is Sorbitol?

Also known as glucitol, sorbitol is a sugar alcohol. The body metabolizes it slowly. It is obtained by reduction of glucose changing the ether group to an addition hydroxyl group - hence the name sugar alcohol.

Sorbitol can be found in cough syrups, sugar free mints, chewing gum, diet foods, diet drinks and ice creams. Sorbitol occurs naturally in some stone fruits and berries from trees of the Sorbus genus.

Sorbitol provides dietary energy of 2.6 kilocalories (11 kilojoules) per gram, compared to sugar which provides about 4 kilocalories (17 kilojoules). Sorbitol retains 60% of the sweetness.

As a food additive Sorbitol has an E-number E420 and is categorized as a sweetener, emulsifier and humectant.

Sorbitol is also used as a non-stimulant laxative. It is either an oral suspension or a suppository. It draws water into the large intestine, stimulating bowel movements.
Confucius say : He who goes to bed with itchy butt wakes up with stinky finger.

Words of wisdom: Never trust a fart

:) Sugarmarie A.K.A. Poopy Pants :)


pb4
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Date Joined Feb 2004
Total Posts : 20576
   Posted 1/12/2008 11:09 AM (GMT -7)   
I'd like to just add, it's not just sorbitol alone, you have to watch for other sugar alcohols like lactitol, mannitol, maltitol and xylitol found in sugar-free candy and low-fat products including diet bars...For many, taking as little as one gram of sugar alcohol (half a stick of Extra gum) can cause diarrhea, cramps, gas and bloating according to research.

So watch for anything ending in "tol".

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


EMom
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Date Joined Aug 2007
Total Posts : 990
   Posted 1/12/2008 11:23 AM (GMT -7)   
Wow, Sugarmarie, thanks for posting that! Ironically, I had just last week had a "conversation" over on the IBS board here at HW (on behalf of my mom who has IBS) and someone there told me they react quite violently to any artificial sweetener--because, as you said, they break down as sugar alcohols. Interesting...
EMom
Mother to 15 year old boy diagnosed in June, 2007.
Currently taking Asacol, omega 3s, digestive enzymes, probiotics, iron, vit. C, calcium w/D3 and a good multivitamin.
Started The Maker's Diet in early September.


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/12/2008 12:55 PM (GMT -7)   

Great post, and some very valuable info shared. Thank you so much.

Kitt


Dixie
Regular Member


Date Joined Apr 2004
Total Posts : 407
   Posted 1/12/2008 1:03 PM (GMT -7)   
oh have I ever had some experiances with those sweetners .... oouuchh!!! now can spot em on a label faster then anything. but have not any problems with splenda!! so glad to see it come out in so many things now.
     Dixie  
 May God Bless and keep you in his care.


Becoming undone
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Date Joined Jul 2007
Total Posts : 927
   Posted 1/12/2008 10:13 PM (GMT -7)   
I had problems with sucralose. I had experiences much like the study mentioned in the above post. Anyone else have problems with sucralose or sorbital?

Momikins
Regular Member


Date Joined Oct 2007
Total Posts : 77
   Posted 1/12/2008 11:55 PM (GMT -7)   
Wow! Thanks for the info. Are the artificial sweetners in diet pop bad as well? I'm wondering if it is the caffeine or the artificial sweetner that is making it so I can't have the pop I love so much. If it is just the sweetner I'll switch back to regular soda and just count calories. I miss the little boost the caffeine gave me in the afternoon.

sukay
Veteran Member


Date Joined Feb 2003
Total Posts : 1432
   Posted 1/13/2008 12:00 AM (GMT -7)   
Very interesting. Thanks to everyone for sharing.
~sukay~
Diagnosed Bipolar - August 2004
     Crohns disease - 1995 
Arthritis & Fibromyalgia 


teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 1/13/2008 2:44 AM (GMT -7)   
Hi diet sodas are bad as well. I have stopped drinking soda's all together. And I also don't chew gum.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital
in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.
 My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
My Internest doctor has me on Lisnopril-HTCZ and Folic Acid. Diagnosed
with Osteoarthritis July 2007
 


FitzyK23
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Date Joined May 2005
Total Posts : 4219
   Posted 1/13/2008 10:45 AM (GMT -7)   
I hear Stevia is a lot safer as a substitute sugar.
26 Year old married female.  Diagnosed w/ CD 3 years ago, IBS for over 10 years before that, which was probably the CD.  Currently on Pentasa 4 pills/4x day, hysociamine prn, nexium, and ortho evra.  Good times!!!
 
 


CrazyHarry
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Date Joined Mar 2006
Total Posts : 1034
   Posted 1/13/2008 11:09 AM (GMT -7)   
all the artificial sweeteners are bad. very bad. aspartame is gnarly and has a very onerous past on its way to FDA approval that would make you fuming mad. saccharine, sucralose, alitame, neotame, splenda, acesulfame-k, methanol, cyclamate, should also be avoided. most, if not all, have been linked to cancer and other stuff. seriously. these are found in a lot of health foods (esp bar foods) to make them low carb and sugar free. they are also prevalent in diet soda's. i am not doing a scare tactic here. do the research for yourself and then make up your mind if you'll still eat food with this stuff in it.

do an experiment - go off soda, both diet and regular, and cut out all foods with these artificial sweeteners (you'll have to scrutinize labels) for like a month and see what happens. i bet you'll be pleasantly surprised.

i highly suggest you read the book "sweet deception" by dr. joseph mercola.
Crazy Harry

---------------------------------------------
Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/13/2008 12:45 PM (GMT -7)   
I use stevia when needed, I don't even use it very often, but it's a great substitute!!

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Jen77
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Date Joined Mar 2006
Total Posts : 2691
   Posted 1/13/2008 3:31 PM (GMT -7)   
That's interesting! I don't chew gum thankfully since it bothers my jaw. But I do drink diet soda, and it doesn't bother me at all. I think like everything else certain things will effect everyone differently. Of course I know soda in general isn't the best thing for you, but personally I'm not willing to give up everything in life! :)
~Jennifer
 
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/13/2008 3:48 PM (GMT -7)   
You're right about the soda in general not being the best because the carbonation dose a number on the bones especially for IBDers who are already at a higher risk than the general public with osteo and such.

I find that people who are bad enough off are willing to give up whatever their crutches are that are making them worse off...that is once they realize that certain things are making them worse off...I know for me it was difficult giving up sugar and junk foods but man was it worth it for a multitude of reasons not just CD wise.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Jen77
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Date Joined Mar 2006
Total Posts : 2691
   Posted 1/13/2008 9:51 PM (GMT -7)   
I've done the elimination diets, soda just isn't on that list of things that make me worse. Salads, or any kind of lettuce, on the other hand will make me very sick. Used to love salads. Just one of the many things I've had to give up over the years. But I'm also a lot better for it, I've haven't been nearly as sick this year as I was last year while eating salads.

So I agree that people will give things up when they find it makes them more ill. But just because someone continues to have a Diet Coke once in a while doesn't mean they aren't bad off enough, or just don't realize it's making them sick. Crohn's disease is different for everyone, and what makes one person ill is fine for another. IMO moderation is key with junk food and things like soda (as long as they don't cause problems with their Crohn's). Crohn's takes enough quality of life without having to give up everything you enjoy, especially if you tolerate it okay. But it's good that you find your diet worth it. I'm quite happy with mine as well.
~Jennifer
 
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/13/2008 10:12 PM (GMT -7)   
That's good jen...be sure to keep up on those bone density tests.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 1/13/2008 11:10 PM (GMT -7)   
Thanks, not really worried about that though! I'm more worried about what some of the Crohn's treatment side effects will do to me then my occasional diet soda! :)


~Jennifer
 
Diagnosed with mild Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Asacol and Questran.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/14/2008 8:51 AM (GMT -7)   
Well I hear ya on that one jen...I just hope there is no one out there taking their pred with soda LOL!

Occassional is not too bad but I know there are some die-hard soda drinkers out there and I cringe thinking about what it's doing to them, but I guess it's up to each person to come to their own realizations.

Be well :)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


CrazyHarry
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Date Joined Mar 2006
Total Posts : 1034
   Posted 1/14/2008 7:27 PM (GMT -7)   
jen - i couldnt handle salads either for years. i think i went like over a decade without eating salads. but from doing the maker's diet, i can now tolerate them fine. my danger foods and my comfort foods have switched. it is crazy! i can tolerate vegetables no problem and grain based carbs and sugars make me sick. but i feel so much better it is worth it. and i know it is healthier too. you may want to give it a try....
Crazy Harry

---------------------------------------------
Crohn's since 1993 (17 yrs old then)
surgery in July '05 - removal of 2 inches at ileum and 8 inches of sigmoid colon (had fistula into bladder)
Nov '05 developed colonic inertia; July '06 told i needed ostomy surgery
began maker's diet in August '06 - now feeling the best ever with no symptoms of colonic inertia and i kept my colon
med free as of 10/31/07


sjkly
Veteran Member


Date Joined Dec 2007
Total Posts : 2113
   Posted 1/14/2008 7:36 PM (GMT -7)   
hmmm....Pred with soda-guilty.
I won't make the mistake of plaquenil with diet soda again though.
I guess I just need to keep eating the kids calcium gummy bears (I can't tolerate adult sized calcium pills)

karendee
Veteran Member


Date Joined Mar 2007
Total Posts : 1642
   Posted 1/15/2008 8:17 AM (GMT -7)   

thanks for the post. I also found that anything with artificial sweeteners causes me problems. I avoid them as much as possible. When one sneaks in and I don't realize I ate it I feel awful afterwards and I can tell it must have been the fake sugar (I call it fake sugar :)

 

Karen


 ...

Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On 150mg Azathioprine (generic Imuran), Pentasa, & Entocort (take zofran for nausea now)

Diagnosed w/  Fibromyalgia May 2007 also on Soma

Also have Arthritis, and feel like I am falling apart sometimes...


Mormor Vicky
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Date Joined Mar 2007
Total Posts : 684
   Posted 1/15/2008 8:52 AM (GMT -7)   
Sugar-free chocolate made me sicker then anything I have eaten so far. Salads are bad for me and also walnuts. But those chocolates almost killed me.
Vicky / 48 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (27) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


soccergirl
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Date Joined Mar 2003
Total Posts : 607
   Posted 1/15/2008 3:32 PM (GMT -7)   
Ok, this makes sense. When I chew gum it makes me feel all bloated and crampy and I always chew sugar free gum. This doesn't happen all the time, but often enough to make me think twice before I grab a piece.
Twenty pieces of gum seems like an awful lot to be chewing in one day. Is it just me thinking this or does anyone else agree?
Hugs,
Clara
 
Dx in 1984 with Crohn's Disease.  In 1988 my terminal Ileum was removed due to inflamation that caused it to rupture.  I had surgery in February 2007 to remove more of my intestines due to scar tissue.  I then developed a very bad abdominal infection and was on IV antibiotics until June 2007.  I now have chronic pain which may or may not go away. 


bmike
Regular Member


Date Joined Aug 2004
Total Posts : 63
   Posted 1/15/2008 4:53 PM (GMT -7)   
Does anyone know if there is any non-sugarfree gum out there anymore?

Its astounding, time is fleeting.


Sugarmarie
Veteran Member


Date Joined Jul 2003
Total Posts : 1205
   Posted 1/15/2008 5:36 PM (GMT -7)   
soccergirl said...
Ok, this makes sense. When I chew gum it makes me feel all bloated and crampy and I always chew sugar free gum. This doesn't happen all the time, but often enough to make me think twice before I grab a piece.
Twenty pieces of gum seems like an awful lot to be chewing in one day. Is it just me thinking this or does anyone else agree?


its not uncommon for people trying to quit smoking or dieting or just plain nervous nelly's.
Confucius say : He who goes to bed with itchy butt wakes up with stinky finger.

Words of wisdom: Never trust a fart

:) Sugarmarie A.K.A. Poopy Pants :)

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