food intolerances

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damo123
Veteran Member


Date Joined Jul 2007
Total Posts : 714
   Posted 5/3/2008 8:05 AM (GMT -7)   
I had a thought!.
 
I presume food intolerances arent the direct cause of UC if the gene thery is right. But can UC cause food intolerances. It seems lots of UCers have issues with dairy, wheat, etc. And if UC does casue food intolerances then how is this so? Surely if the small intestine isnt affected by inflammation most of the digestion should be ok.
 
I'm differentiating here between food intolerances in remission and being unable to tolerate certain foods in a flare. Surely 2 separate issues.
 
Any thoughts?


Asacol and Iron as Needed. <I've fallen back into unhealthy ways and really enjoying it, burb!>
 
"Whatever you do in life don't berate yourself too much nor contragulate yourself too much. Your choices are half chance. So are everybody elses'"
 
 
 
 
 
 
 

Post Edited (damo123) : 5/3/2008 9:20:59 AM (GMT-6)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/3/2008 10:09 AM (GMT -7)   
Hard to say, it's like asking what came first, the chicken or the egg...our systems are so complex...personally I think it can happen either way...afterall, it's not that uncommon for those to eat foods while in remission that they normally don't eat while flaring, to end up bringing them back out of remission because they are eating them again when in remission.

Lactose for example can be an intolerance issue, thing is many just assume it's only in dairy, it happens to also be in many things like ichiban soup and even some potatoe type chips, doritos and such...it might be only small amounts compared to what you're exposed to from eating dairy but for many even a trace amount can bring on the D, gas and bloating and people often assume it's their IBD acting up from that particular food, when really it could very well be the trace amount of lactose found in something no one would expect it to be in.

Also, even without having IBD people can become intolerant to foods at some point in their lives even when it's never been an issue for them before...complex system for sure.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30103
   Posted 5/3/2008 11:49 AM (GMT -7)   
Look up leaky gut syndrome....maybe that's an issue?

Intolerances and normal food action on the digestive tract are two separate issues methinks. If one has inflammation or irritation, some foods will be pushed through a bit quicker or not tolerated well...two issues, but working at the same time.

Digestive enzymes can encourage foods to be pushed through the body quicker...works better for some...depends on what foods are the issue.

If one has low-rectal inflammation, one can have stomach issues...seems constipation and slower stomach digestion might go together..based on trigger/information exchange?

What exactly are your food intolerance symptoms at this time Damo?

I can relate bigtime regarding certain foods during a flare and when not. Foods such as fruit and veggies/salads definitely bother me during a flare and I cut back on coffee because of increased peristalsis. Of course, I take Bentylol (dicyclomine) which seems to slow the spasming...maybe that's a part of why I've never seen food as an issue?

I hope you're able to figure it out...have you done timing regarding symptoms and intake of food? You can pinpoint the culprits better I would think.

Keep us posted.
quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


damo123
Veteran Member


Date Joined Jul 2007
Total Posts : 714
   Posted 5/3/2008 1:00 PM (GMT -7)   
Thanks for that everyone. No real food intolerance issues for me I don't think, i was tossing ideas. Though I'm now convinced that I have problems with aspirin based drugs. My reflux on Asacol is now something terrible. When I'm off it I'm eating 4 meals a day!! My stomach cannot tolerate something in that med.
Asacol and Iron as Needed. <I've fallen back into unhealthy ways and really enjoying it, burb!>
 
"Whatever you do in life don't berate yourself too much nor contragulate yourself too much. Your choices are half chance. So are everybody elses'"
 
 
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30103
   Posted 5/3/2008 2:02 PM (GMT -7)   
Then it's best to discontinue it. Interesting since it's dissolved in the ileum, but some of it's definitely absorbed into the body via the colon and would make a pass through the liver at least.

Are you on any PPI meds such as zantac?

Reflux is a "mechanical" dysfunction...so not related to the acdity, etc...the goal is to have the stomach acid that does exit the upper portion of the stomach into the esophagus to not do damage....

Have you trued Bromalain? When I used it, it seemed to help the reflux..

Just throwing out suggestions.

q
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


damo123
Veteran Member


Date Joined Jul 2007
Total Posts : 714
   Posted 5/3/2008 2:10 PM (GMT -7)   
I believe theres other issues going on inside me. My colon is for the most part well behaved and my inflammation markers are fine. But my stomach isnt as strong as it once was. I'm just unsure whats causing these other issues. I found it strange how I can have six perfect days and then on the 7th day I turn into a burbing, slurping, refluxing monster
Asacol and Iron as Needed. <I've fallen back into unhealthy ways and really enjoying it, burb!>
 
"Whatever you do in life don't berate yourself too much nor contragulate yourself too much. Your choices are half chance. So are everybody elses'"
 
 
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30103
   Posted 5/3/2008 2:13 PM (GMT -7)   
You know...it could just be spasming stomach issues....consider to try dicyclomine..it really helps me...I think I'm going to buy the company..lol!!

Maybe it's not acid but spasming...preventing it to work properly.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


barnsbury
Regular Member


Date Joined Jan 2006
Total Posts : 467
   Posted 5/5/2008 9:07 AM (GMT -7)   

Certain foods bother me whether I am flaring or not. But, If I am in a flare then the food in question would REALLY hurt me.

These include spicy foods, mayonnaise, vinegar, fried foods, ice cream, veggies, breadcrumbed food.

 
Abatacept Trial since Feb 2008 (Induction Period)
Back on Pred - 3mg - Steroid Dependent :-(
Azathioprine 175mg
Colazide x3
Actonel 35mg, EPA Fish Oils
Predfoam Enema - Had to stop as not allowed during trial
Asacol x 9, Lialda (Mezavant)
Remicade every 8 weeks  (Stopped working)
Aloe Vera Lily of the Desert Juice  Gave me the worst D !
Primadophilus Reuteri Probiotic
 


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2201
   Posted 5/5/2008 12:09 PM (GMT -7)   
Define what you mean by "intolerance," because it could have a broad range of meanings. If you've ever read Breaking the Vicious Cycle, you'll see an interesting discussion about how the villi are blunted and ability to digest and absorb certain foods properly is greatly decreased. Wheat and dairy are often the first things to cause problems. But I wouldn't call this an "intolerance."

I think of intolerance more as delayed food allergies. As Q mentions, with IBD comes leaky gut issues which would explain developing allergies you haven't had in the past. Sometimes there's a threshold, too. A little of something may not bother you, but a large serving causes symptoms. Symptoms for me include itchy, red and runny eyes, runny nose, rash around the eyes, bloated belly and generally feeling blah and wanting to sleep.
Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal.
 
 


barnsbury
Regular Member


Date Joined Jan 2006
Total Posts : 467
   Posted 5/5/2008 12:36 PM (GMT -7)   
PRINCESA you raise an interesting question.  Actually, I have never thought of food intolerance in the way you describe.  I never get any of those things you mention. I get cramps, D, wind and bloating. 
 
When I think of someone who has a food "allergy" I tend to imagine them needing to carry an emergency injection around with them incase their throat swells up or something and they run the risk of death...
Abatacept Trial since Feb 2008 (Induction Period)
Back on Pred - 3mg - Steroid Dependent :-(
Azathioprine 175mg
Colazide x3
Actonel 35mg, EPA Fish Oils
Predfoam Enema - Had to stop as not allowed during trial
Asacol x 9, Lialda (Mezavant)
Remicade every 8 weeks  (Stopped working)
Aloe Vera Lily of the Desert Juice  Gave me the worst D !
Primadophilus Reuteri Probiotic
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/5/2008 2:02 PM (GMT -7)   
Wheat and dairy are often the first things to cause problems. But I wouldn't call this an "intolerance."

I think of intolerance more as delayed food allergies.

Actually princesa, there's quite a difference between food allergies and food intolerances, some food intolerances can be reversed, like lactose intolerance...food allergies cannot.

For example, those who have issues with dairy most commonly suspect they have lactose intolerance (which can be reversed or aided with probiotics or lactaid pills) but infact they may have an allergy to dairy (which would be from the casein found in dairy), completely different from lactose intolerance even though it may cause similar side effects, being gas, bloating, D.

:)

KSU, often with food allergies one does have to get a shot because the reaction goes further than bloating, D, gas compared to having an intolerance.

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


princesa
Veteran Member


Date Joined Aug 2007
Total Posts : 2201
   Posted 5/5/2008 3:29 PM (GMT -7)   
There's a wide range of allergies/intolerances and the terms aren't always clear. You're right, I shouldn't use "intolerances" when I mean "delayed food allergy." I disagree that food allergies cannot be reversed. It's my understanding that the immediate and sometimes life-threatening ones can't; the milder, delayed reactions can as the gut is healed.

Here's an article that might be helpful...

http://www.webmd.com/allergies/food-allergy-intolerances
 
 


Diagnosed with ulcerative colitis spring 1999.
 
Maintenance dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice. Oregano oil antibiotic, antiviral, antifungal.
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 5/5/2008 5:02 PM (GMT -7)   
Well ya, it's the life-threatening ones that I'm referring too, peanuts, shellfish, those cannot be reversed to date though I'm sure researchers are working on that besides, those are allergies not intolerances...there's a huge difference between the 2.
 
Not to mention those who have wheat/glueten allergies...often because of celiacs, and that can be life threatening as well.

:)


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

Post Edited (pb4) : 5/5/2008 6:10:18 PM (GMT-6)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30103
   Posted 5/5/2008 9:26 PM (GMT -7)   
but celiac isn't an allergy and isn't life-threatening unto itself, except possibly malnutrition from not being able to absorb nutrients.

Lactose intolerance isn't an allergy...it's the inability to digest lactose.

Wording can be a PITA.

Life threatening allergies are in the anaphylaxis category...where there is absolutely NO tolerance of any offenders. Some have even said that a picture of an offender have sent some into reaction. Shows how fast the body can react even by the mere thought of it.

Then there are the idiopathic anaphylaxis patients where they have NO idea why they have the reactions...I know someone with it and it's so scary to hear how it's affected her life.

Hard to pin down sometimes....but with inflammation in the gut, that's a huge factor in symptoms.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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