Low impact diet

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relativelyquantum
Regular Member


Date Joined Sep 2007
Total Posts : 196
   Posted 6/5/2008 4:54 PM (GMT -6)   
Okay, so at my GI's office I discovered that they hired a dietician... finally!  Seems hard to find one where I am living for some reason (or at least where I was looking).  A little annoying because it cost $30/15min. and I've of course thought a lot about diet and have my views to share and wanting hear hers.  Also didn't help that she was quite attractive, which makes it even easier to talk more as my wallet gets lighter and lighter.  Haha at me.  So $90 later it was recommended that I go on a low impact diet to give my digestive tract time to recover.  This basically means I avoid fiber in all forms, pretty much and other stuff that is harder to digest.  Anyone try this?  So this means I do pretty much the opposite of what I have been doing; that is, now I will have to get enriched white flour instead of wheat, avoid fruit skins and salad and beans, etc. etc.  The last time I heard of this was when I was first diagnosed or maybe it was before they knew what it was (i.e. BRAT diet).  My mild flare is manageable, but remission is my goal.  Just wanted to see if anyone else has had success or failure with this.  I know it is a temporary thing (a month or so), but it is hard to justify it after eating fairly healthy for some time.  Just want to keep my mind open
 
Hey but otherwise I'm doing great and busy at work.  Even got a promotion a couple days ago. So I'm stoked.
Pancolitis '04
Mild flare
Taking Rowasa, Probiotics, Fish Oil, Folic Acid, Alpha Lipoic Acid, Iron


quincy
Elite Member


Date Joined May 2003
Total Posts : 30508
   Posted 6/5/2008 7:08 PM (GMT -6)   
No, not really. Does it at least include meats/proteins?

You should also consider to be on Asacol or something to help above the sigmoid inflammation.

Make sure you eat enough during and throughout the day.

What exactly are your symptoms that you need to make a drastic diet change?

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 !!!


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/5/2008 7:25 PM (GMT -6)   
Funny, my GI told me to take fibre supplements (incase I'm not getting enough via foods) daily for the rest of my life and it was the best advice I've ever gotten from a GI...not only did it bulk up my stool (sometimes the TP is clean when I wipe) but it also cut back some daily BM's and along with the bee propolis has put a stop to the mucus and false urges (I do suffer with IBS as well and fibre is suppose to aid with both IBD and IBS)...I'm just glad for all the things it's helped with.

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


BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/5/2008 7:37 PM (GMT -6)   
All I know is when I eat as little as possible--quantity--is the only time I feel decent, but I have the trifecta UC, IBS-D (yeah, fun incombination w/UC), and GERD (severe).  Food causes me soooo many problems that I seriously wish I could stop eating all together, at this point I wouldn't miss it--I think I've discovered the next big diet craze, make eating hurt and eventually you won't want to do it.  Anyway, when I was hospitalized for two weeks for a major flare the first thing my GI did was put me on no food/liqueds for over a week to give my colon time to heal (which really wasn't bad b/c I was supplemented w/IV's, don't have that benefit at home),  so it makes sense to limit food when in a flare.

relativelyquantum
Regular Member


Date Joined Sep 2007
Total Posts : 196
   Posted 6/5/2008 8:33 PM (GMT -6)   
Thanks for the thoughts everyone. I've seen benefits from fiber and considering it feeds the probiotic bugs, it makes a lot of sense to have them, particularly the soluble kind. Not exactly sure what to think of the diet and maybe it is more for a severe flare or it just plain doesn't work, but I'm curious if others have tried it. Sort of kind of made sense that fiber absorbs water and is not digested by our bodies and maybe somehow that makes our body work harder in breaking it down... but I'd like some objective facts. She did say one of her recent crohn's patients was excited because she was finally seeing formed stool.

quincy, it is not that restrictive. soft enough chicken, eggs, fish and the like should be fine. This is something I normally eat a lot of anyhow while avoiding red meat and pork, along with bottom dwelling seafood. The only major change is not eating nuts, beans, wheat/grains, and other fiber foods. So white bread and pasta instead of whole grain and well cooked veggies and fruits without the skins (not sure about pulp). This is not meant to be permenant either. I'm back to normal weight and my bm are 4-6/dy and manageable. My desire is to get in remission and I'm just trying to figure out what will work for me. In the past I had great success with Asacol, but it really didn't seem to make a difference whether or not I took it after that (even colozal). However, I'm working on starting up Lialda again, this time 4X/dy, and the funny thing is that my GI thought the max was 2/dy, so I printed out the doseage and left it with his assistant. And I don't plan on eating less either :) I'll probably get fat from all the junky carbs, if I should go for it.
Pancolitis '04
Mild flare
Taking Rowasa, Probiotics, Fish Oil, Folic Acid, Alpha Lipoic Acid, Iron


bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 6/5/2008 10:55 PM (GMT -6)   
I keep the fiber down to a minimum...don't need any more help having a soft BM!!! LOL

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/5/2008 11:25 PM (GMT -6)   
The fibre supplements I take don't soften my stools, they firm them right up (with the exception during my mentsral cylce, anything goes then because for me it's the nature of the beast) and they're not too hard that it causes issues either so that's a plus...besides that, since taking fibre supplements I'm able to tolerate fibreous foods (yes, even popcorn) without gettting all gassy and bloated).

p/s I use olive oil and some sea-salt on my popcorn because it's healthier then butter and a ton of table salt.

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


kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 6/6/2008 8:15 AM (GMT -6)   
The diet reccommended to you is the same my Gi says to use while flaring. He explained it to me this way:

Your colon is basically and open wound. Eating the low impact diet gives it a rest because nothing is really rubbing up against it. Think about what fiber does. It bulks up your stool and rubs all along the sores in your intestines. Would you rub something over a sore on your arm? No, you try to keep is safe.

The other way he explained it was this:

Your colon when flaring is like a baby's colon. It still needs to grow a few layers to heal. So don't give it anything you wouldn't give a baby. He even recommended baby food while flaring to get needed fruits and veggies. The fruits aren't so bad but the veggies are gross.

When i follow the diet while flaring I usually do feel better, less pain and cramping.
Kelly, 30

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, no more pred after two years!!!! Off imuran as remicade is working!
Prontonix once daily for acid reflux, zofran 8mg every six hours for nausea
Remicade started 3/1/08...just had 4th infusion


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 6/6/2008 12:03 PM (GMT -6)   
This is also called a low residue diet. I have had to use it several time while flaring. Mainly you want to cut out the roughage part - like others have explained that rubs along the damages intestine and scraps it open again. Foods should be given the fork test - if they can be easily smashed (fruits and veges) or cut (meats) with a fork with little or no resistance, it's okay to eat.

I will stay on this diet until I am no longer bleeding.
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring
 
Asacol 12 per day,  Azathioprine 100mg, Aciphex, Forvia, and Pro-Bio
Last dose of pred: May 25
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 6/6/2008 12:03 PM (GMT -6)   
BTW - congrats on the promotion!!!
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring
 
Asacol 12 per day,  Azathioprine 100mg, Aciphex, Forvia, and Pro-Bio
Last dose of pred: May 25
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


relativelyquantum
Regular Member


Date Joined Sep 2007
Total Posts : 196
   Posted 6/6/2008 7:37 PM (GMT -6)   
Thanks kb and dakota. This was helpful.
It is really hard to want to go back to it when I can tolerate fiber, only I wouldn't be surprised that some of it may be a problem (due to bleeding). I would probably have to eat a lot of babyfood because of my appetite, so maybe applesauce and other things. Since this isn't completely absurd and has worked for some, I'll give it a try and hopefully it will help. Plus, I would hate to miss the obvious. I think I'll go to costco and get the EZ-mac, which was great to eat when I was in bad shape a few years ago. Cooking up some soup until it is very soft would be another option.
Pancolitis '04
Mild flare
Taking Rowasa, Probiotics, Fish Oil, Folic Acid, Alpha Lipoic Acid, Iron


bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 6/6/2008 8:54 PM (GMT -6)   
pb4 said...
The fibre supplements I take don't soften my stools, they firm them right up (with the exception during my mentsral cylce, anything goes then because for me it's the nature of the beast) and they're not too hard that it causes issues either so that's a plus...besides that, since taking fibre supplements I'm able to tolerate fibreous foods (yes, even popcorn) without gettting all gassy and bloated).

p/s I use olive oil and some sea-salt on my popcorn because it's healthier then butter and a ton of table salt.

:)
 

Wow you can eat popcorn!?!

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/6/2008 9:15 PM (GMT -6)   
Yes, no issues with popcorn or any other roughage, keep in mind, I've never had stomach pain, only lower back issues and eating popcorn and other forms of fibre has never caused me to have D, bleeding or any other issues any more than eating anything eles when I was severely flaring.

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


quincy
Elite Member


Date Joined May 2003
Total Posts : 30508
   Posted 6/6/2008 9:31 PM (GMT -6)   
Popcorn is something that I've always been able to eat as well. But, I never consume microwave popcorn...only air-popped or theatre popcorn (yummm). Even when I was flaring, I ate it.

One thing....if you are able to slow the bms through proper fibres such as a bulking supplement, it might be easier on the colon than fibres that will help quicken peristalsis or loosen the stool or cause a lot of discomfort.

The proposed diet doesn't sound too much off what I would eat actually...I do eat rye that I slice myself....but you can find rice bread that's pretty good. Some can have maybe a low mixture of mixed grain flour rather than whole grains. Try what you can tolerate. maybe you were eating a tad too much??

We all need fibre, and not all agree with everyone...but finding the balance that can change stool consistency for the better according to your needs AND encourage proper colon "exercise" will help overall.

Not eating or having only liquids or eating only "nothing" foods may give the impression of helping the colon.....but it will also encourage a lazy colon.

RQ....The good part about your diet is that you'll be consuming protein....

Please consider the asacol or ilk.

ps....beef has lots of plusses to it. I can understand not bottom dwelling seafood (altough I had shrimp and ribs the other night and enjoyed them immensely).

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 !!!


Crohny93
Regular Member


Date Joined Mar 2008
Total Posts : 118
   Posted 6/6/2008 10:02 PM (GMT -6)   
Hey PB4 :)
 
What brand/kind of fiber supplement do you use and how much of it? It doesn't give you gas or D ?  (...............and you can eat popcorn. I'm so jealous:) 

relativelyquantum
Regular Member


Date Joined Sep 2007
Total Posts : 196
   Posted 6/7/2008 1:10 AM (GMT -6)   
psyllium seemed to work okay for me. Sometimes I fear that too often these diets are overgeneralizations and they don't really think it through. I wish I knew. Quincy, I've thought about bringing red meat back in my diet, but we'll see. One step at a time.
Pancolitis '04
Mild flare
Taking Rowasa, Probiotics, Fish Oil, Folic Acid, Alpha Lipoic Acid, Iron


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/7/2008 12:33 PM (GMT -6)   
Angievirsep93 said...
Hey PB4 :)
 
What brand/kind of fiber supplement do you use and how much of it? It doesn't give you gas or D ?  (...............and you can eat popcorn. I'm so jealous:) 
I'm in Canada and use one that's widely available here called Prodiem stool bulker with a mild laxative...not to be confused with the Prodiem laxative as they manufacture that as well...
 
In the beginning of taking it, it caused extra gas and bloating, this is normal and even happens to healthy people, it lasted 3 months but was well worth it because after that all my bloating was gone (including the gas and bloating I had before I even started taking it) and my gas has been cut down to a very minimal (hardly noticable amount), which is great because that's what eating fibreous foods can do and since taking it daily my system is well adjusted to the fibre I eat as well....it's been 5 yrs now and like my GI told me to, I plan on taking it daily for the rest of my life.
 
I've always been able to eat popcorn and other fibreous foods, I wouldn't get D or stomach cramps, just gassy and bloated...but that seemed to happen with pretty much anything I ate anyways, that's how I know it wasn't particular foods necessarily causing me issues, it was anything I ate, but not anymore.
 
:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/7/2008 12:35 PM (GMT -6)   
Fibre also helps sweep the colon of bacteria another reason why it's important everyday in our diet/regiments.

Drinking plenty of water daily is a must too!

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

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