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Treating a Severe Flare up with Diet

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Ulcerative Colitis
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JBryce
New Member
Joined : Sep 2014
Posts : 1
Posted 9/12/2014 4:47 PM (GMT -7)
My daughter has been diagnosed with ulcerates colitis and is in the middle of a horrible flare up. But one symptom she has that I don't see mentioned in anyone's post is nausea/vomiting. She will wake up at night to vomit and/or diarrhea with blood and mucus. She was diagnosed a year ago but is just now really experiencing bad episodes. Any suggestions to help would be greatly appreciated! I just want her to go back to being a healthy 20 year old young lady. Thank you!
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imagardener2
Veteran Member
Joined : Jan 2010
Posts : 5896
Posted 9/12/2014 4:53 PM (GMT -7)
Has she had an endoscopy to see if she has inflammation in the upper area?
Her symptoms tell you she needs better treatment than she is getting, it's not normal to wake up and vomit and if she is having blood in BM's she should be using rectal enemas and if her GI says otherwise then get a better GI.

Use the "Profile" button to write what meds she is on, etc. It helps people make suggestions.
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garylouisville
Veteran Member
Joined : Aug 2012
Posts : 9088
Posted 9/12/2014 7:08 PM (GMT -7)
Some of the meds we take can do that to you. What meds is she on?
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kiptyn
Veteran Member
Joined : Jul 2013
Posts : 608
Posted 9/13/2014 7:16 PM (GMT -7)
Vomiting is the sign that tells me it's time to page the doctor and/or go to the ER.

My worst flare was my own fault because I didn't see a doctor about it until I was throwing up several times a day. Even after seven days in the hospital with IV Pred., it still took three months before I didn't vomit at least once a day. I was on Pred for seven months. Total hell.

Now I measure my status, while flaring, by nausea, retching, and throwing up. The first sign of nausea tells me to step up my treatment and not to wait. Fortunately, I haven't had a flare get out of control since.

Your daughter needs strong treatment immediately and she may need to go to the ER for rehydration.
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Cy
New Member
Joined : Jun 2015
Posts : 1
Posted 6/11/2015 10:39 PM (GMT -7)
I am 52 and was diagnosed with ulcerative colitis 7 weeks ago after spending a week in hospital with severe bowel pain, diarrhoea, blood etc. After a few weeks of remission, it's flared up again, but thankfully only mildly with constant stomach ache, black diarrhoea with blood. This came after eating out, not particularly heavily but clearly it's hit me again.

This site is fantastic, I'm going to try some of the some of the dietary ideas. One thing that has helped me is drinking kefir fermented milk but I have to experiment more to pin down what I can and can't eat. I'll keep you posted when/if I find anything conclusive that helps me which might be of help to other.
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Jonny_Murray
Regular Member
Joined : May 2013
Posts : 271
Posted 6/12/2015 4:33 AM (GMT -7)
For me diet can definitely make a difference - no doubt about it. But I would stress, diet is about staying in remission, not treating a flair, especially a severe flair.

As we all know the most important thing with a flair is to stop the bleeding as soon as possible so when I have found myself in that situation, clearly medication is the way to go. However once things are under control then I do think diet can be very important in keeping you in remission.

Obviously diet and IBD is a contriversial subject and is very much a individual things as specific foods can effect people in different ways. I try to concentrate on getting high quality nutrition so I drink a green smoothie every day and I take bee pollen.

I also avoid foods that are very high in fat, processed sugars and junk food as well as soft drinks. Obviously I have a chronic illness so eating as healthy a diet as possible and taking exercise is very important in general way too.
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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 877
Posted 6/7/2020 12:37 PM (GMT -7)
Diet works for some people. Not everyone.

I don't know the US system well, but in Europe the doctors are NOT funded by "big pharma" and it's not in their interests to put you on expensive drugs.

The main reason they don't promote diet more is because there isn't sufficient scientific evidence that it helps.
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Oligodar
Regular Member
Joined : Jul 2017
Posts : 239
Posted 6/8/2020 2:15 AM (GMT -7)
I still believe that diet solves only food intolerance part of equation. Inflammation part stays unresolved.

People report success with totally opposite approaches:

- low carb (SCD) vs high carb
- vegan vs carnivore
- low residual vs high fiber

There is also big space for Placebo effect. Especially when people do their own research on the Internet. They usually come to a believe that some approach must work. Internet is full of misleading information. The same is true for many books.

Do not bet farm on diet only. Have a backup plan.

https://academic.oup.com/ecco-jcc/article/10/11/1351/2480009
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UCinGV
Regular Member
Joined : Mar 2007
Posts : 499
Posted 6/8/2020 6:02 AM (GMT -7)
I have personally tried every single dietary and suggested supplement to treat my flares and none of them had any noticeable effect compared to real, drugstore-issued medicine.
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TroubledTurds
Veteran Member
Joined : Jan 2004
Posts : 8585
Posted 6/8/2020 7:09 AM (GMT -7)
" The same is true for many books."

i have tried them also - unfortunately, they tend to bind me up -

;-)

TT
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Oligodar
Regular Member
Joined : Jul 2017
Posts : 239
Posted 6/8/2020 11:54 AM (GMT -7)
me too smile
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HealingSarah123
Regular Member
Joined : Feb 2020
Posts : 54
Posted 6/13/2020 5:58 AM (GMT -7)
Hey guys so I’m going to try the diet since it works for so many people- I’m taking lialda and imuran but I’m trying to taper off of steroids and every time I do I flare back so I’m going to give the diet a serious shot so they don’t increase my medication
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TroubledTurds
Veteran Member
Joined : Jan 2004
Posts : 8585
Posted 6/14/2020 7:08 AM (GMT -7)

Oligodar said...
I still believe that diet solves only food intolerance part of equation. Inflammation part stays unresolved.

but doesn't food intolerance cause inflammation ?

TT
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TroubledTurds
Veteran Member
Joined : Jan 2004
Posts : 8585
Posted 6/14/2020 7:22 AM (GMT -7)

HealingSarah123 said...
Hey guys so I’m going to try the diet since it works for so many people- I’m taking lialda and imuran but I’m trying to taper off of steroids and every time I do I flare back so I’m going to give the diet a serious shot so they don’t increase my medication


just curious there Sarah 123 > which diet are you going to try ? SCD ?


TT
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David1991
Regular Member
Joined : Apr 2012
Posts : 251
Posted 6/15/2020 12:51 PM (GMT -7)

imagardener2 said...

Even this week I have seen improvement, this time due to stopping 2 supplements: Vitamin D 5000 and Turmeric. Although I've been taking both for some time I could tell something wasn't right so I stopped first one then the other. Yep, better BM's than before. My PCP told me that VitD can cause loose stools and that is true. I will get out more in the sun instead to get my D.

I would suggest starting with the Specific Carbohydrate Diet as I did but pay attention to your gut. It never hurts to remove more types of food from your diet than SCD allows. I have been back and forth with the SCD yogurt but do better without it. My sig. explains what I eat and I am pretty hard-a** about it most days. But being human I allow some cheating with not much payback now that I have healed.

Lately I've paid attention to sulfites (eliminating them) and that is a good idea for my gut. No wine, for example. On SCD they allow hard liquor but I can't figure out what to mix vodka with cause I can't drink juice or soda and can't deal with "straight" (yuk). Vodka and carrot juice? :-(

I really feel in control of my life and my bodily functions unlike the first 10 years of UC. My GI doc doesn't even hassle me about getting a c-scope anymore because I am doing so well. I think she keeps waiting for me to regress and is surprised that I haven't (I'm guessing most UC patients are on a spiral of ever stronger drugs).

Princesa has good ideas about diet as does Babe in the Woods.

This is the first time I've ever heard of someone benefiting from stopping turmeric/curcumin. One time I tried stopping all supplements for a month (curcumin, vitamin D, fish oil, ashwaganda, boswelia) and got noticeably worse almost right away. Inflammatory markers went up as well.

I too did not feel SCD yogurt ever seemed to help me unfortunately and if anything resulted in looser BMs.
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David1991
Regular Member
Joined : Apr 2012
Posts : 251
Posted 6/15/2020 3:19 PM (GMT -7)

poopydoop said...
Diet works for some people. Not everyone.

I don't know the US system well, but in Europe the doctors are NOT funded by "big pharma" and it's not in their interests to put you on expensive drugs.

The main reason they don't promote diet more is because there isn't sufficient scientific evidence that it helps.

This is true, but part of that lack of evidence is because there is no funding for large dietary studies. Look at the studies for pharmacological interventions, most of the results suck (e.g. 30% went into remission vs 10% for placebo).

I'm not anti-drug at all. I think they're essential for many, but it's a shame we don't have larger studies on things like SCD.

Oligodar said...
I still believe that diet solves only food intolerance part of equation. Inflammation part stays unresolved.

People report success with totally opposite approaches:

- low carb (SCD) vs high carb
- vegan vs carnivore
- low residual vs high fiber

There is also big space for Placebo effect. Especially when people do their own research on the Internet. They usually come to a believe that some approach must work. Internet is full of misleading information. The same is true for many books.

Do not bet farm on diet only. Have a backup plan.

https://academic.oup.com/ecco-jcc/article/10/11/1351/2480009

I wouldn't say SCD is inherently low carb, but in general I don't hear a lot of people say higher carb helped them.

So what would you say to all of the people with decreased inflammatory markers and decreased clinical inflammation who are on SCD?
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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 877
Posted 6/15/2020 3:50 PM (GMT -7)
There are dietary studies but they are often inconclusive because it's so complicated (everyone eats different things...everyone has a unique gut flora). There is funding at university level. Obviously not from drug companies.
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FlowersGal
Veteran Member
Joined : Feb 2017
Posts : 891
Posted 6/15/2020 5:22 PM (GMT -7)

David1991 said...
So what would you say to all of the people with decreased inflammatory markers and decreased clinical inflammation who are on SCD?

I’d say more power to them!!! And I wish to heck it would have worked for me! I’ll be glad when more research is done that gives us all a better clue how to treat this stupid disease!
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VanJordan
Regular Member
Joined : Dec 2019
Posts : 95
Posted 6/16/2020 7:17 AM (GMT -7)
My UC is severe and refractory. Failed all meds. Only prednisone makes a dent in it.

I've had success downgrading my condition by working with a really awesome naturopath in Australia over Skype. Unlike other natural health practitioners I've worked with, this one knows what he's talking about and has IBD himself. By analyzing my gut flora, he figured out which foods I should avoid in order to stop feeding hydrogen sulphide producing bacteria (like the proteobacterium e. coli), and which foods I should eat to increase butyric acid producing bacteria. The sulphur producers weaken the gut barrier, and then once you start bleeding they feed on the blood, and the problem becomes a vicious cycle. The colon is supposed to be an acidic environment but in UC patients it becomes too alkaline. You can't fix this just by eating acidic foods. You have to eat the foods that the acidifying bacteria eat. Then they produce the short chain fatty acids that keep the colon acidic.

I went from refractory pancolitis, 60lbs underweight, severely anemic, and on 40mg of prednisone to now I am down to 2.5mg and tapering, body weight 5lbs under and getting my life back, all within a few months. I think the future of treating UC will be related to each person's unique gut biome, which is why modern medicine is failing. They don't do custom tailored treatments, they do one size fits all and if it doesn't fit you, then, well, it's surgery or bust.

The gut biome is key to the whole thing.

Post Edited (VanJordan) : 6/16/2020 8:20:36 AM (GMT-6)

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IamCurious
Veteran Member
Joined : Jan 2010
Posts : 3545
Posted 6/16/2020 7:55 AM (GMT -7)

VanJordan said...
By analyzing my gut flora, he figured out which foods I should avoid in order to stop feeding hydrogen sulphide producing bacteria... and which foods I should eat to increase butyric acid producing bacteria.


I am pretty sure that the reason powdered psyllium seed helps me and others is that it feeds and nourishes the gut bacteria that produce butyric acid. Did he mention other foods that increase butyric acid producing bacteria? I try to eat oats and oat bran for breakfast at least 5 days a week.

What foods feed hydrogen sulfide producing bacteria? It wouldn't surprise me if that is the reason why I have trouble with cruciferous vegetables like kale and broccoli.
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TroubledTurds
Veteran Member
Joined : Jan 2004
Posts : 8585
Posted 6/16/2020 7:58 AM (GMT -7)
i don't think modern medicine is failing - it is just one method of treatment, that in many cases, is relatively effective -

the reality is that some folks don't wanna mess around - they just want a pill that's gets them back to living life -

it's nice that we have options to deal with this sh!tty disease -
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David1991
Regular Member
Joined : Apr 2012
Posts : 251
Posted 6/17/2020 9:57 AM (GMT -7)

FlowersGal said...

David1991 said...
So what would you say to all of the people with decreased inflammatory markers and decreased clinical inflammation who are on SCD?

I’d say more power to them!!! And I wish to heck it would have worked for me! I’ll be glad when more research is done that gives us all a better clue how to treat this stupid disease!

Did you notice no benefit from it? Did you do the intro?
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VanJordan
Regular Member
Joined : Dec 2019
Posts : 95
Posted 6/17/2020 3:14 PM (GMT -7)
I agree modern medicine has its uses. You need to suppress the inflammation while you figure out the underlying imbalance. Modern medicine is good at that.

But then once they give you biologics and immune suppression, they don't tell you to do anything else. They don't tell you that you can't just eat whatever you want anymore and expect your bowel to heal. They don't collaborate with the natural health world.

So if you fail all the western meds like I have, you have to look at other means to solve root causes.

I think suppression is an important part of recovery. It's hard to look at root causes when you're having 23 BMs a day and losing weight like crazy. Once the inflammation isn't killing you (and modern medicine is OK at getting most people to that point), you need to consider other things.
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delta30
Regular Member
Joined : Jul 2013
Posts : 230
Posted 6/17/2020 8:06 PM (GMT -7)
Hi VanJordan can you please share the contact details of that naturopath you were talking about?
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Oligodar
Regular Member
Joined : Jul 2017
Posts : 239
Posted 6/18/2020 3:04 AM (GMT -7)

Somebody said...
but doesn't food intolerance cause inflammation ?

TT

I believe that a food intolerance does not involve immune system reaction.

https://www.nhs.uk/conditions/food-intolerance/
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