Re: gall bladder diet

[Guest guest]

I just had a thought and now have some questions. I've suffered from IBS-D for 20 years. Had my gall bladder removed a little over a year ago and have bad D since. I began SCD 11/09 and started Questran 1/10 (medicine that is often used to bind the bile after gall bladder surgery). The questran stopped the 20 x a day D but I still often have loose bowels and my stomach just feels uneasy - like I don't trust it! I have had some trophies while on questran - but not often.

I was just doing a little web searching today about gall bladder removal and, while this drug is highly recommended, so is a low fat diet. I started thinking about all the "high" fat stuff I eat on SCD - like cheese and 1/2 and 1/2 yogurt, lots of hamburgers and started wondering if I'm doing myself harm?? It's my understanding that the more fat you eat the more bile it produces and then that irritates the lining of your stomach to produce D. Wondering if I should be doing SCD low-fat? Problem is, I lost a lot of weight and still need to put on about 8 lbs!

Does anyone have a similar situation as mine??

Marla

IBS-D 20 yrs

SCD 11/09

Questran

[Guest guest]

Marla

I have to deal with a dysfunctional biliary tree (common bile duct, gallbladder,

liver) now that I have Sphincter of Oddi dysfunction, and also no gallbladder.

I eat low-fat SCD plus low-fiber and bland and low-carb. I have to in order to

keep my chronic after-meal symptoms minimal so I can function in the world.

You probably should cut back on the high-fat items. At least as a first step.

Also watch the fiber. Now that you don't have a gallbladder your digestion is

going to have more problems dealing with fiber as well as fat. Seasonings might

or might not also impact your biliary tree.

You might find that you also need to adjust the dosage of Questran at some

point. Or other supplements. You might find a digestive enzyme will help as

well. I've found that my upper GI reacts to supplements and medications just as

often as my immune system and nervous system.

Are you eating small meals more frequently throughout the day? That can help to

put on weight. I have to watch my calorie level these days; even eating

low-fat, low-fiber, low-carb and bland, my digestion has improved over the past

six years so that now I can gain weight easily. Of course my metabolism is very

sluggish, and I can't exercise as strenuously as before.

Not to worry you or anything, but some of us have bodies that never adapt to the

loss of the gallbladder. There is a small percentage of people who go on to

develop other digestive disorders. This isn't a doom sentence -- just means some

of us have to test and experiment a bit more than others on SCD to figure out

what works best for our own bodies.

Being on SCD is a huge help, of course. But it means you'll have to do some

experimenting to find those foods that cause your upper GI the least amount of

problems. Sometimes it takes a while to figure things out.

Kim M.

SCD 6 years

Sphincter of Oddi dysfunction 6+ years

neurological and spinal deterioration 3+ years

>

> I just had a thought and now have some questions. I've suffered from IBS-D

for 20 years. Had my gall bladder removed a little over a year ago and have bad

D since. I began SCD 11/09 and started Questran 1/10 (medicine that is often

used to bind the bile after gall bladder surgery). The questran stopped the 20

x a day D but I still often have loose bowels and my stomach just feels uneasy -

like I don't trust it! I have had some trophies while on questran - but not

often.

>

> I was just doing a little web searching today about gall bladder removal and,

while this drug is highly recommended, so is a low fat diet. I started thinking

about all the " high " fat stuff I eat on SCD - like cheese and 1/2 and 1/2

yogurt, lots of hamburgers and started wondering if I'm doing myself harm??

It's my understanding that the more fat you eat the more bile it produces and

then that irritates the lining of your stomach to produce D. Wondering if I

should be doing SCD low-fat? Problem is, I lost a lot of weight and still need

to put on about 8 lbs!

>

> Does anyone have a similar situation as mine??

>

> Marla

> IBS-D 20 yrs

> SCD 11/09

> Questran

>

[Guest guest]

Thanks for the reply. The fiber part confuses me a little in that usually high fiber helps bind up the bile (high fiber not coming from raw vegies per say but perhaps in powder for - SCD illegal, I know). Of the non-SCD folks I talk w/who have had gall bladder D problems they've pulled themselves out w/fiber supplements. But you are saying low fiber helped you...so that's a different take on it. Of course, I know there is soluable and insoluable fiber as well. I also know people who have gotten over D by not eating meat. I know everyone is different and I need to figure myself out. But, eating the same foods that I eat I have a few days in a row where I'm really good, then I always go a little down hill again - even though there hasn't been any change to my eating patterns.

You asked about small meals - I graze all day. I'm ALWAYS hungry! I do eat big meals at meal time, but I am always hunger in between. I can eat 2 eggs and sausage for breakfast then 30 min. later I have to eat something else!

I guess I'll try reducing some of the cheese I eat...then maybe try reducing red meat consumption. Other than the yogurt made with 1/2 and 1/2, what else on SCD is really high in fat? Are nut products??

Thanks!

Marla

From: kkmumbower

Sent: Monday, May 17, 2010 3:10 PM

To: BTVC-SCD

Subject: Re: gall bladder diet

MarlaI have to deal with a dysfunctional biliary tree (common bile duct, gallbladder, liver) now that I have Sphincter of Oddi dysfunction, and also no gallbladder. I eat low-fat SCD plus low-fiber and bland and low-carb. I have to in order to keep my chronic after-meal symptoms minimal so I can function in the world.You probably should cut back on the high-fat items. At least as a first step. Also watch the fiber. Now that you don't have a gallbladder your digestion is going to have more problems dealing with fiber as well as fat. Seasonings might or might not also impact your biliary tree. You might find that you also need to adjust the dosage of Questran at some point. Or other supplements. You might find a digestive enzyme will help as well. I've found that my upper GI reacts to supplements and medications just as often as my immune system and nervous system. Are you eating small meals more frequently throughout the day? That can help to put on weight. I have to watch my calorie level these days; even eating low-fat, low-fiber, low-carb and bland, my digestion has improved over the past six years so that now I can gain weight easily. Of course my metabolism is very sluggish, and I can't exercise as strenuously as before. Not to worry you or anything, but some of us have bodies that never adapt to the loss of the gallbladder. There is a small percentage of people who go on to develop other digestive disorders. This isn't a doom sentence -- just means some of us have to test and experiment a bit more than others on SCD to figure out what works best for our own bodies.Being on SCD is a huge help, of course. But it means you'll have to do some experimenting to find those foods that cause your upper GI the least amount of problems. Sometimes it takes a while to figure things out.Kim M.SCD 6 yearsSphincter of Oddi dysfunction 6+ yearsneurological and spinal deterioration 3+ years>> I just had a thought and now have some questions. I've suffered from IBS-D for 20 years. Had my gall bladder removed a little over a year ago and have bad D since. I began SCD 11/09 and started Questran 1/10 (medicine that is often used to bind the bile after gall bladder surgery). The questran stopped the 20 x a day D but I still often have loose bowels and my stomach just feels uneasy - like I don't trust it! I have had some trophies while on questran - but not often. > > I was just doing a little web searching today about gall bladder removal and, while this drug is highly recommended, so is a low fat diet. I started thinking about all the "high" fat stuff I eat on SCD - like cheese and 1/2 and 1/2 yogurt, lots of hamburgers and started wondering if I'm doing myself harm?? It's my understanding that the more fat you eat the more bile it produces and then that irritates the lining of your stomach to produce D. Wondering if I should be doing SCD low-fat? Problem is, I lost a lot of weight and still need to put on about 8 lbs!> > Does anyone have a similar situation as mine??> > Marla> IBS-D 20 yrs> SCD 11/09> Questran>

[Guest guest]

Normally

our digestions call on the gallbladder to release bile when dealing with foods

high in fat and/or high in fiber. If there isn’t a gallbladder

there may not be enough bile available to adequately tackle the fiber, so it

ends up being a problem further along the GI tract. And some people’s

bodies just can’t adapt to the constant flow of bile from the liver down

into the GI tract. I know that Questran works by binding bile in the GI tract

to prevent reabsorption within the ileum and form a resin matrix which lessens

the amount of osmotic activity which in turn lessens D. You are aware of

the issues with fat-soluble vitamin (A, D, E, K) absorption when using

Questran? And the other side-effects?

Everything

is individual, of course. You will need to do some experimenting to see what

foods work better for you. Your digestion may work better with less fat but

plenty of soluble fiber and less insoluble fiber. Or some variation on

this mix. I also suggest you keep the possibility that medications

or supplements may also cause some issues in the back of your mind so that if

you can’t seem to get a handle on any food triggers for more severe

reactions, then you can eventually test medications or supplements. My

upper GI (and immune system) can react very quickly to things that are supposed

to help, and sometimes I can’t tell until I stop the medication or

supplement for a while.

I’ve

found that having a digestive dysfunction means there is a regular cycle to the

ups and downs. I can eat the same foods and have minimal symptoms, but

other days I can have major symptoms. I get upper GI symptoms after every meal,

but thanks to SCD I have learned to keep them minimal – most days.

I’ve heard this from many other people with a functional digestive disorder.

It is just the way things work, there is a regular cycle. I think you can

consider your body to be dealing with a dysfunction given that you no longer

have a gallbladder, and just might be someone whose body can’t adapt easily

to the loss.

Having

Sphincter of Oddi dysfunction means my upper GI is especially sensitive to fat,

fiber, carbohydrates and spices. It took me months when I first started

SCD to figure out what foods worked best for me, and how to prepare them.

That is the nice thing about SCD. I find permitted foods that work well

for me, but so can others who need more fat or need more fiber or need the

high-carb veggies and legumes.

I

spend time looking at nutritional information for foods, gauging the content of

foods before I try them. I try to limit the severity of symptoms [grin].

Kim M.

SCD 6 years

Sphincter of Oddi dysfunction 6+ years

neurological & spinal deterioration 3+ years

>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Thanks

for the reply. The fiber part confuses me a little in that usually high fiber

helps bind up the bile (high fiber not coming from raw vegies per say but

perhaps in powder for - SCD illegal, I know). Of the non-SCD folks I talk w/who

have had gall bladder D problems they've pulled themselves out w/fiber supplements.

But you are saying low fiber helped you...so that's a different take on it. Of

course, I know there is soluable and insoluable fiber as well. I also know

people who have gotten over D by not eating meat. I know everyone is different

and I need to figure myself out. But, eating the same foods that I eat I have a

few days in a row where I'm really good, then I always go a little down hill

again - even though there hasn't been any change to my eating patterns.