Hidden Causes of Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) is a problem I see so often in clinic and it is problematic on many different levels. If you have been diagnosed with this condition, you may well have been suffering with it for years. While a diagnosis can – at first– offer comfort in finally having a recognised problem, the satisfaction is frequently short-lived because often that’s where all support ends, and you’re left no further forward in actually getting to the root causes and resolving the symptoms.

The difficulty begins because IBS is a catch-all term used to encompass a huge variety of digestive issues, including stomach cramps, bloating, diarrhoea, constipation, easily feeling full, nausea and heartburn. There are also non-digestive symptoms which often accompany IBS such as anxiety, fatigue, headaches, muscle aches, an unpleasant taste in the mouth and a frequent need to urinate. Each person’s experience with IBS is a bit different, and certain symptoms often seem to be stronger or more frequent than others.

In my experience, some of the underlying causes of IBS symptoms are likely to include one or more of the following five conditions.

1. SIBO (Small Intestine Bacterial Overgrowth)

Around 60% of people with IBS will have SIBO. Though you might have heard about good (and bad) bacteria in the gut, really what experts are talking about is the balance of bacteria. While bacteria naturally occur throughout the digestive tract, in a healthy system, the small intestine has relatively low levels of bacteria, whereas the highest concentration should be in the colon in the large intestine.

Bacteria are moved down into the large intestine during fasting at night and between meals, clearing them from the small intestine (SI) on a daily basis. This flush is called the ‘migrating motor complex’. For a huge variety of reasons (historic food poisoning being the most common, but also low levels of stomach acid or adhesions play a role, among others) the bacteria are not swept away. The trouble is that with SIBO, as food passes through the small intestine, the bacterial overgrowth actually consumes some of the foods and nutrients, leading to unpleasant symptoms, including gas, bloating and pain.

A breath test can establish which gases are present, and we can devise an action plan based on your results.

2. Lactose intolerance

This is when your body is not able to tolerate lactose, a type of sugar found naturally in milk and other dairy products. Essentially, bacteria in your intestine feed on these milk sugars, leading to a host of IBS symptoms, like bloating and gas, nausea, constipation or diarrhoea.

It can go hand in hand with other digestive complaints, such as coeliac disease or increased intestinal permeability (‘leaky gut’). Lactose intolerance can be diagnosed via a simple at-home breath test.

3. Fructose malabsorption

The symptoms are very similar to lactose intolerance. Fructose (which is found in fruit, honey and many processed foods) is a sugar, which, like lactose, is digested in the small intestine. Some people cannot absorb fructose, and what is not absorbed is fermented by intestinal bacteria, causing bloating, cramping, gas and distension of the stomach. You might also experience brain fog and headaches. A breath test will diagnose the condition.

4. Dysbiosis

This is an imbalance in the levels of beneficial (good) and pathogenic (bad) bacteria in the large intestine or colon. This is now common due to overuse of antibiotics and alcohol, an increase in high sugar diets and stress.

Symptoms can vary from a sluggish bowel or diarrhoea, pain, bloating and flatulence, to chronic bad breath, joint pain, fatigue and food sensitivities. Dysbiosis is also implicated in a variety of health conditions like diabetes, heart disease and obesity. A stool test can help establish whether your gut bacteria are out of balance, along with a host of other markers that are very useful in getting to the root of your digestive problems.

5. Yeast overgrowth

When it’s at proper levels in the body, candida is a fungus that aids with nutrient absorption and digestion. But when candida overproduces it becomes a fungal infection that can affect men and women of all ages in various parts of the body. Symptoms include thrush, gas or bloating, fatigue, bad breath, white coating on tongue, cravings for sweet foods, UTIs, weak immune systems, joint pain and brain fog.

Antibiotics, Birth Control Pills, a weakened immune system and diets high in sugar feed the yeast. A stool test can establish the presence of candida or other yeast overgrowth.

PS: Some people struggle with digestive problems for years. If you are ready to take the first step in getting to the bottom of your digestive problems, I invite you to book to book your FREE 30- min IBS Empowered to Thrive Call now by clicking HERE.

 

 

How To Enjoy Easter Without Bingeing Or Deprivation

Easter is going to turn up, whether you like it or not. Moreish chocolatey treats, hot cross buns lathered in butter, will be all around us, and in every shop and TV commercial. It’s enough to melt away your good intentions, and with this much pressure, bingeing feels almost inevitable.

Of course, chocolate is available all year round. The trouble seems to come when there’s too much chocolate around, as during this time of year. In no time it leads to too much temptation, eating too much in one go, then feeling miserable because you over indulged. The worst parts of a binge are the feelings of guilt and failure that you feel afterwards.

So let’s sort that and figure out how we can enjoy our treats at this time of year, without bingeing but also without depriving ourselves.  And let’s start by accepting that Easter will mean chocolate indulgence on one level or another and then move on!

Top Tips to Avoid Over-Eating

  1. Try to discourage family and friends from buying chocolate for you, or failing that, let them know what and how much you’d like. This helps put you back in control.
  2. Ideally choose the darker chocolate eggs or chocolate selection. The higher the percentage of cocoa, the less room there is for sugar. Aim for over 70% which doesn’t raise blood sugar and insulin levels as much as milk chocolate. If that’s too dark for you, around 60% is a good compromise for those who prefer milk chocolate. Plus, from clinical experience, dark chocolate seems to dampen cravings, particularly chocolate that is above 70% cacao content.
  3. Don’t to eat too much in one go with the intention of getting ‘rid’ of the chocolate sooner. Eating a whole large egg will lead to an energy crash later on, not to mention, for many, feelings of disappointment in yourself that you ’gave in’ or ‘failed’ with your diet.
  4. Don’t eat chocolate on an empty stomach. Firstly, it will give you a blood sugar crash. Secondly, it will encourage you to overeat due to hunger. It’s healthier all round, both for your body and mindset, to have a smaller amount of chocolate as treats after meals containing protein (protein slows the speed at which sugar enters the bloodstream) and/or to reduce the blood sugar roller coaster by eating a few nuts at the same time if you’re not having it after a protein meal.
  5. Plan your meals ahead of time so you can make the right choices. Don’t give yourself the excuse that there was nothing else to eat. Ensure you have plenty of your usual healthy foods to hand.
  6. Get a good night’s sleep– yes, really, if you want to keep your appetite in check, getting good quality sleep is essential! Our hunger hormone leptin increases when we become fatigued. That means a spike in our appetite, which inevitably leads to snacking.
  7. Eat mindfully– make sure you savour each mouthful of chocolate, don’t wolf it all down in one big mouthful! This will help you to eat less, as you will feel that you have truly been able to indulge. Savour it slowly, enjoying how it melts on your tongue, how the flavour floods your mouth. Swallow when you’re ready. When it starts not to taste as good and/or your enjoyment starts to fade, decide whether you have had enough. If not, continue eating. If so, then stop. Know that if you want more later, you can have it.
  8. Eat consciously. Make sure your decision to eat chocolate is a conscious one. “Some chocolate would be nice, but I choose not to have one right now”. Whether it’s donating an unopened box to a local food charity, or dividing it up among friends, and/or saving it for later, you can make the decision that you don’t want it. Choosing, and therefore consciously taking responsibility, puts you back in control.
  9. Remove guilt– we can feel deprived even as we eat (and overeat) something if we don’t really let ourselves have it without guilt. Feeling deprived will just lead to overeating so let go of the guilt and enjoy while you eat your treat mindfully.

Alternatives To The Traditional Easter Egg Hunt

If the Easter egg (and everything that goes with it) plays a big part in your family’s tradition, consider doing something a bit different this year.  Here are some great alternatives to the traditional Easter egg hunt https://www.parenthub.com.au/education/easter-egg-hunt-alternatives/.

 Chocolate Binge Rescue Remedy

Consider that even the healthiest people over indulge – but they don’t beat themselves up about it. They just go back to eating normally.

If you do happen to sugar binge this Easter, rule #1 is: don’t panic! Negative self talk and freaking out about weight gain will only exacerbate the situation – not fix it. Neither will throwing in the towel and continuing to binge OR going in the opposite direction and starting a fad diet.

Instead, you can still rescue the situation and stop it turning into a binge, sabotaging all your good work. Say: “It’s done, it’s in the past and I choose to move on”.  Easter is ONE DAY, that’s all. There is no need to be on the rollercoaster for the rest of the month.

Remember that small amounts of the best quality, dark chocolate has the following benefits: anti-ageing, reduces the risk of heart disease and stroke, is packed with antioxidants and important minerals like iron, potassium, zinc and selenium. Chocolate also contains phenylethylamine; the same chemical your brain creates when you’re falling in love …

PS If you are the kind of person who KNOWS you will have a problem with the Easter binge because this kind of bingeing and self sabotage is what you do, or you need some help to get healthy, click here to book in a FREE 30- minute Empowered to Thrive Call HERE

 

Delicious and Nutritious Kale Chips

If you’ve seen kale chips in the shops and want to try your own, this recipe is for you!

 

INGREDIENTS

75g cashew nuts (ideally soaked for 2 hours)
1 shallot, chopped
2tbsp nutritional yeast flakes
½ tsp garlic salt
4 soft large dates, chopped
2tbsp lemon juice
2tbsp water
2tbsp apple cider vinegar
250g bag of chopped kale

METHOD

  1. Preheat the oven to 150C.
  2. Blend all the ingredients, except the kale, until thick.
  3. Add a little more water if needed.
  4. Place the kale in a bowl and pour over the sauce. Massage thoroughly with your hands.
  5. Place the kale on a lined baking tray and bake for 15-20 minutes.
  6. Carefully turn them over and cook for a further 5 minutes.

 

 

The Ultimate Cold & Flu Survival Guide

We are all familiar with the fact that when the temperature drops, the chance of us coming down with a cold or the flu increases significantly. That’s because we’re likely to be inside and studies have shown that the flu survives and spreads better when the air is dry than when it is more humid. And, when you spend more time indoors, you’re exposed to more germs.

The flu virus is also transmitted much faster when it’s cold because the fatty coating of the virus that hardens and protects it becomes more resilient the colder it gets. In warmer temperatures this protective coating melts, and unless it is inside a living person or animal, the virus perishes.

Did you know: when your core internal temperature falls after exposure to cold, the immune system’s ability to battle the rhinovirus (the virus that causes it) is also reduced. The immune system literally slows down.

Interestingly, cold feet may also play a part. In a recent study, researchers made students sit with their feet in cold water for 20 minutes. These students were found to be statistically much more likely to catch a cold in the next five days than the control group (those who didn’t have to sit with their feet in cold water).

TOP 7 WAYS TO BEAT THE FLU

Fewer colds and sick days this winter would be good, right? Here are my top seven tips to keep you fighting fit this month – and beyond. I print out this list and stick it on the fridge as a reminder to me (and my family) that prevention is better than cure

1. WATCH YOUR SUGAR INTAKE

Why? Recent studies suggest that the immune system stays depressed for hours after consuming sugar. That’s because sugar fans the flames of inflammation and affects the ability of white blood cells to fend off viruses and bacteria.

Enjoy raw cocoa, Sweet Freedom Choc Shots or cacao hot chocolate on chilly days, adding your favourite milk or milk substitutes (with a little xylitol or stevia to sweeten, if you like). A few squares of pure, dark chocolate will also satisfy – Green & Blacks, or any good chocolate with a higher cocoa content (at least 75%), is ideal.

2. SUPPORT YOUR TUMMY

Did you know that up to 80% of our immunity to germs and disease is in the gut? The mucosa-associated lymphoid tissue (MALT) in the gut is part of the first line of immune defence, so getting the right balance between beneficial, or ‘good’ gut bacteria, and the ‘bad’, or potentially unfriendly bacteria, is key.

How to do this:

The gut environment takes a beating year after year, owing to poor diets, too much sugar, stress, antibiotics and other factors. Even if you have no obvious tummy troubles, digestive health is vital, so it’s worth the extra effort to take care of it.

Add probiotic and prebiotic foods to your diet, as these re-populate the gut with good bacteria and feed them well enough to crowd out bad bacteria.

Here are some gut-friendly choices to get you started:

  • Organic, probiotic, natural yoghurt (such as Yeo Valley or Rachel’s)
  • Choose full-fat, as the 0% or no-fat options have increased levels of milk sugars – and fat isn’t the enemy, either in life or in weight loss
  • Miso soup or miso bouillon paste (add these to soups and stews)
  • Oats (soak first, as you would to make overnight oats, in order to release the goodness)
  • Onions, garlic and Jerusalem artichokes
  • Bananas
  • Beans

3. SERVE CHICKEN SOUP

Did you hear that chicken soup is great when you’re unwell? If you thought it was just an old wives’ tale, you’d be wrong. Research suggests that a bowl of chicken and vegetable soup can slow the speed at which neutrophils move around your body. Neutrophils are a type of white blood cell and part of the immune system, protecting your body from infection. When the neutrophils move slowly, there’s a greater chance of them becoming more concentrated in the areas of your body that need the most healing. Studies have shown chicken soup to be particularly helpful in reducing symptoms in upper respiratory system infections like the common cold.

4. DRINK MORE WATER AND IMMUNE-BOOSTING TEAS

Water is a miracle worker. It flushes germs from your system, helps your blood to carry plenty of oxygen to your body’s cells and allows those cells to absorb important nutrients.

Invest in a filter jug or bottle to avoid quaffing high levels of chlorine and fluorine along with your tap water.

Green tea and chamomile tea are also immune system strengtheners. Chamomile promotes the production of white blood cells (macrophages and B-lymphocytes) which are the biggest infection-fighters of your immune system. Green tea, and Japanese macha in particular, is rich in polyphenols, specifically a group of natural chemicals called catechins. The catechins in green tea (the most powerful of which is epigallocatechin, or EGCG for short) have been found to be at least 25 times more potent than vitamins C and E.

5. TAKE TARGETED SUPPLEMENTS

Top of the list for immunity are a good probiotic, a multivitamin and extra vitamin C and zinc.

For most people, a daily probiotic will help maintain the right balance of bacteria in the gut. If you have ongoing tummy troubles like IBS or constipation, we should talk – you will need something for your specific symptoms.

A multivitamin bridges the gap between what you are eating and what you should be eating, and takes care of any major deficiencies.

Go large when it comes to vitamin C, both in food and supplement form. Broccoli and red peppers contain more C than oranges (contrary to popular belief) and there are loads of other foodie options, too: kale, cauliflower, parsley, spinach, strawberries, Brussels sprouts, blackcurrants, kiwi fruit, pineapple, mango, papaya and citrus fruits.

Top up zinc levels by eating more palm-sized pieces of lean meat (especially lamb, beef, venison and turkey), pumpkin seeds, ginger root, green veggies, oats, nuts, sesame seeds, yoghurt and scallops.

6. COOK WITH IMMUNE-BOOSTING INGREDIENTS

Adding flavour to food is a smart way to include delicious immune boosters on your plate.

Garlic is a potent superfood. It is antimicrobial, thanks to the active ingredient allicin, which helps fight viruses, and has been used for thousands of years to boost the immune system and prevent sickness.

Most culinary herbs contain anti-inflammatory properties due to their phytonutrients, but oregano and thyme are particularly rich. Spice up your cooking with turmeric and ginger, too, as these are well-documented immune boosters.

7. SOOTHE SORE THROATS

There are a variety of different natural ingredients that are backed by research pointing to their usefulness.

Fresh ginger added to boiling water may help sooth a sore throat or cough. Honey (look for raw honey or Manuka rather than the common-or-garden variety) is often teamed with lemon for a soothing drink for sore throats and may also act as cough suppressant. Raw honey should not be given to children younger than one as it may contain botulinum spores.

Sore throats may additionally benefit from gargling with salt water, while saline (salt water) nose drops help clear mucous from blocked nasal passages and soothes tender skin inside the nostrils.

PS If you’re the kind of person who ALWAYS has a cold or gets things worse than everyone else, would you like to try to fix that? Maybe you have other health issues or niggly symptoms you know you need to work on. You’d be amazed how you can improve your health by following a good eating plan. You know where I am… and you can book a free call HERE.

 

Top Tips for Portion Control

I am often asked by clients – and in fact many other people I come across as soon as they discover I am a Registered Nutritional Therapist ‘how much should I be eating?’ This is never a straightforward question but I’m going to give you some general guidance.

WHAT YOUR PLATE SHOULD LOOK LIKE

My experience is what people are actually asking is ‘how much of the different food groups should I be eating’ or ‘what should my plate look like’ and my answer is this:

  • Have protein at every meal
  • Eat as much non-starchy veg as you can
  • Think carefully about the type and quantity of starchy carbs like potatoes, pasta, bread and rice.

I ask people to split their plate in half. Consider filling 2/3 of one half of the plate with protein, the remaining 1/3 of that half plate with starchy carbs, and the second half of the plate with non-starchy veg. This is a good visual guide.

THE DIETING INDUSTRY AND READY MEAL PORTIONS

People are frequently surprised because the advice on the starchy carbs goes against what the diet industry and big slimming clubs have been telling us for years. It is also the exact opposite of the ratios you’ll see if you open up a ready meal ­ – the starchy carbs section is usually very generous as this is typically the cheapest part of the meal to manufacture. Even if you’re a little unsure, trust me on it.

SHOULD YOU EAT UNTIL YOU’RE FULL?

You’ve probably heard it said that you should eat until you are 80% full, then stop. There is a lot of logic in this because it takes some time for the stretch receptors in your stomach to pass the message to your brain that you are actually full.

If you eat slowly, taking care to properly chew every mouthful, your body will thank you for it because you will be digesting your food better, and you may find you eat less than you normally would simply because you’ve given your brain a bit of a chance to catch on to the fact that you no longer need to eat!

A SECRET WEAPON

There’s usually something else going on, too, and this cunning trick might be what you need if portion control is something you struggle with. Serve yourself a meal on a smaller plate. I’m not suggesting you go from dinner plate to side plate but try swapping from a 12-inch dinner plate to a 9-inch plate. The same serving will look significantly more generous, tricking you into thinking it’s more food.

Try it, it does work.