Is Your IBS Driving You Crazy?

Bloated, constipated, gassy, crampy, heavy, loose stools- just plain uncomfortable? One minute you can’t go to the loo and the next minute you can’t get off of it?

The likely cause is Irritable Bowel Syndrome (IBS). It’s incredibly common. According to Guts UK, a charity set up to promote awareness of and funding for digestive problems, it affects up to a third of people at some stage or another and it is one of the main reasons people visit their doctor.

Unfortunately, according to the NHS, there’s not a lot you can do. The official view is that it’s a lifelong problem that no one really understands and that there’s no cure for (although over-the-counter medicines can help symptoms). So sorry, move along and deal with it yourself.

As nutrition professionals will tell you, there IS hope. A consultation with a nutrition professional specialising in digestive health can help provide some natural solutions for you, if you prefer not to take over-the-counter medication. AND your nutritionist can help you get to the bottom of what is causing your IBS symptoms (excuse the pun), so that you can take steps to start feeling your best.

Causes

SIBO– One of the most common causes of IBS is SIBO (small intestinal bacterial overgrowth). Experts estimate that 60% – 80% of people with IBS actually have SIBO. This describes a condition where bacteria manage to grow and thrive in the small intestine. It’s not a question of ‘good’ or ‘bad’ bacteria. There shouldn’t really be many there at all.

Lactose/Fructose Intolerance– It might be that you have a 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, leading to a host of ‘IBS symptoms’. It might similarly be fructose malabsorption. Again, some people are not able to absorb fructose and symptoms are very similar to lactose intolerance.

Dysbiosis– is an imbalance in the normal levels of beneficial (good) and pathogenic (bad) bacteria in the large intestine or colon. It can potentially be caused by the overuse of antibiotics or alcohol, other medications such as the contraceptive pill, an increase in high sugar diets, and stress.

Yeast overgrowth– Candida normally co-exists with many other types of bacteria, in a state of balance. We all have small amounts of Candida growing in our digestive tracts and living on our skin, usually kept in check by our “friendly” bacteria. When the gut environment gets out of balance (due to dysbiosis) we become vulnerable to overgrowth of yeast.

In some cases, digestive problems can be tricky to solve, and it almost always involves a lot of detective work. Although IBS might be very common, it is not normal to experience these symptoms. If your symptoms are hampering your life in a significant way, please know that there ARE things you can do. You don’t need to feel resigned to living with them for the rest of your life.

What can I do about my IBS now?

There are some simple tricks you can put into practice today and that might make enough of a difference to help you get your life back on track. I’m going to tell you what they are in a moment.

It might be helpful to clarify a few things in your mind first. To what degree do your symptoms bother you? Do you feel OK with finding temporary solutions for your symptoms? Are you feeling positive that they will eventually go on their own? The answers to these questions might be enough for you to keep going as you are. If it isn’t,  please contact me to book in a free 30-minute digestive health call to get an idea of what might be possible for you.

10 ways to improve your digestion

The following suggestions are very simple, but surprisingly effective for many clients at improving their symptoms of digestive distress.

DO

  • Try a cup of hot water or ginger tea (just chop up fresh ginger and steep in hot water) before meals to stimulate digestion.
  • Apple cider vinegar also works – take 1tsp before a meal in a bit of water or as part of a salad.
  • Eat bitter greens as a starter to stimulate your digestion- these are green, leafy vegetables like spinach, rocket, watercress, kale, broccoli rabe, cabbage, collard greens
  • Try a few cubes of pineapple or papaya before a meal. These contain enzymes that can boost your digestion. You might also consider taking a natural digestive enzyme supplement from a health food store to support your body’s natural digestion process.
  • Think about your food before eating it – the thought and smell kickstarts the digestive process so that stomach acid and digestive enzymes are produced, which help break down your food.
  • Make sure you’re chewing properly so your digestive tract has an easier time breaking down your food. Digestion starts in your mouth as soon as you start to chew your food. Chewing signals your salivary glands to start producing saliva, which contains enzymes that help you break down food. If you had to spit out the mouthful, no one should be able to tell what you’ve been eating.
  • Take a 15-minute walk after eating if you can. This lowers blood sugar levels and gets your digestive system moving (see, your granny was right).

DON’T

  • Eat at your desk at work. Getting up and out is important for so many reasons. But in this case, checking emails while you are also eating may make you wolf down your food and/ or not chew properly. Neither are good for your digestive health.
  • Try to eat on the go or when you’re stressed out. You won’t digest your food properly or absorb the nutrients. This is the quickest way to get heartburn and bloating.
  • Don’t eat fruit aftera meal. Fruit likes a quick passage through the digestive system. It can get stuck behind other foods that are digested more slowly and then ferment, causing gas.
  • Although there isn’t much scientific evidence yet for this, many people find that drinking too much water or other fluids with their meal slows down digestion. This is because the extra fluid is thought to dilute stomach acid which is needed to break down food properly. The best thing is try and see if it helps you or not.

 

Arthritis: What You Need To Know

As we get older, one of the things that can start to happen is that we experience aches and pains. If your aches and pains are a regular feature of your life, it’s definitely worth asking your doctor or physio for advice. Sometimes that regular twinge you are getting is something more serious, but don’t let the possibility of ‘something more serious’ prevent you from getting it checked out. If it’s nothing but creaking joints, that’s great. If it’s something else, well we can work on that too.

You may have guessed that the ‘something else’ I am thinking about is arthritis. I want to share some of my top tips for using food to help alleviate some of the symptoms of arthritis.

Types of Arthritis

There are 2 types of arthritis: osteoarthritis and rheumatoid arthritis.

Osteoarthritis occurs when cartilage between bones and joints wears down, allowing bones to rub together rather than giving them the protection and cushion they need. Cartilage is made up of collagen and other substances that make connective tissue both flexible and strong. Cartilage covers the ends of bones where they meet the joints — and deterioration over time can affect the shape and functionality of the joints, making it painful and difficult to carry out everyday tasks.

Under the age of 45, it’s more common in men, and over the age of 45, it’s more common in women. By the time they get to 50, 80% of people will have symptoms associated with this type of arthritis, which starts as a stiffness in the hips, back, knees or other joints. The joints then become increasingly swollen and inflexible.

Rheumatoid Arthritis is a chronic autoimmune disease that affects someone’s joints and causes ongoing pain, swelling, stiffness and limitations in terms of movements. For most people, their rheumatoid arthritis symptoms tend to flare up at times and become worse when inflammation levels rise, but then become better for a while, only to return once again. It can be triggered by genetics, or a bacterial or viral component, and also environmental or lifestyle factors. About 80% of sufferers are women. The body – for whatever the reason – develops antibodies against its own tissue, and it attacks the cartilage and connective tissue. Over time, joints become inflamed and enlarged.

There are a number of factors that are important in managing arthritis:

  • How good your digestion and detoxification are
  • Blood sugar balance
  • Inflammation
  • Levels of essential fats
  • Allergies

Underlying Causes

The key to improving the symptoms of arthritis is to work on the underlying causes rather than just treating the symptoms.

Digestion

The scene for inflammation – even if that inflammation is elsewhere in the body, e.g. the joints – is often set in the digestive tract. If the gut environment is disturbed (a disruption in the normal balance of bacteria), this can lead to bacterial infection, parasites, intestinal permeability (aka ‘leaky gut’), allergies and intolerances.

What then happens partially digested food proteins get into the bloodstream, along with other toxins and microbes, putting greater pressure on the body’s detoxification processes. Once the liver starts to become over-taxed, any dietary or environmental toxins may cause further inflammation.

A programme that works on creating a good gut environment is ideal. Probiotics and prebiotics can be very helpful.

Blood Sugar Balance

There is a big link between inflammation and how well your body responds to insulin, the hormone produced in the pancreas to help control blood sugar levels. If your body has a reduced sensitivity to insulin, for example due to long-term poor dietary/lifestyle habits or you are diabetic, this can lead to high levels of sugar and/or insulin in the blood. Too much of either is toxic and can trigger inflammatory reactions.

Learning to balance your blood sugar levels plays a key role in managing the symptoms of arthritis. This is achieved through eating adequate amounts of protein at every meal and snack, increasing the amount of non-starchy vegetables, and considering the quality and the quantity of the starchy carbohydrates you eat.

All of my work with clients looks at balancing blood sugar, which focusses on eating real foods (not weird things you can only buy at health food shops), keeps you feeling full, and helps you manage your cravings.

Inflammation

In pretty much every circumstance, joint problems are linked to inflammation and sometimes also to problems with the immune system (autoimmunity).

The body produces chemical agents in the body to either switch on or reduce inflammation.

Prostaglandins are one of the main chemicals in this process, and these are the easiest to manipulate with diet. There are 3 different types. Types 1 and 3 are anti-inflammatory and type 2 is pro-inflammatory (causes inflammation and promotes pain).

Omega-6 fats can convert into either type 1 or type 2 prostaglandins. Eating a diet high in omega-6 polyunsaturated animal fats (found in processed food, ready-made meals, meat and dairy produce – particularly non-organic) has the body producing more of these less desirable type 2 prostaglandins. Reducing animal proteins and dairy products can bring symptomatic relief.

Omega-3 fats on the other hand, can only go down the route towards the anti-inflammatory type 3 prostaglandin. Omega-3 polyunsaturated fats are found in foods like walnuts, flaxseeds, hemp, chia seeds, and oily fish. Monounsaturated fats, e.g. avocados and olive oil, are also anti-inflammatory but work differently and are not involved in these specific pathways.

High levels of sugar and insulin can also direct the conversion of omega-6 fats down the type 2 pro-inflammatory pathway.

There’s another group of chemicals called ‘free radicals’. These are highly reactive oxygen molecules that “steal” electrons (a negatively charged particle that orbits the nucleus in an atom of matter) from neighbouring molecules to stabilise themselves.  You might have heard of free radicals in skincare commercials. They are linked to accelerated ageing, cancer and other diseases. What helps keep these unstable molecules in check are antioxidants (again, something often talked about in skincare).

Antioxidants are found in large amounts in brightly coloured fruit and vegetables. The different colours tend to indicate the type of antioxidants produced – all are good. What we know about antioxidants is that they have a synergistic effect – eating a variety of different ones (by eating a large range of different coloured fruit and veg) has a greater effect that eating the same volume of the same type of fruit or veg.

Bottom line? Eat a LOT of vegetables and a moderate portion of low sugar fruits like berries (which have some of the highest antioxidant levels of all fruit).

If you have rheumatoid arthritis, talk to me about whether a more restrictive diet would work for you. This further cuts out all grains, nightshade foods (like potatoes, peppers, tomatoes, and aubergines) and other foods thought to play a role in causing an inflammatory environment.

Levels of Essential Fats

Omega 3 fatty acids (found in oily fish, seeds like flax, pumpkin and chia, and walnuts) are important to include daily because of their anti-inflammatory properties, which are well-documented.

Allergies

Many people with inflammatory conditions have allergies or intolerances, some of which may be due to leaky gut, where food proteins are able to get through the gut lining, triggering an inflammatory immune response. Common offenders are dairy products, yeast, wheat and gluten, other grains, eggs, beef, chilli, coffee and peanuts. If you experience arthritis – or in fact any other inflammatory condition, there may be mileage in having a food intolerance test. Ask me for details.

Food Action Plan

Remove Gluten and Dairy products

Reduce Animal protein

Increase non-starchy vegetables of all kinds (eat a rainbow of colours),vegetable protein such as pulses, oily fish, nuts, seeds, olive oil

Increase specific foods: celery, chilli, garlic, ginger, pineapple, red peppers, shiitake mushrooms, sweet potato, turmeric

Supplements– there are also numerous supplements which have been researched and can help reduce inflammation, including fish oil, curcumin, proteolytic enzymes, Boswellia. Ask me for details as it’s best to take them under supervision.

Stay Active

Low-impact exercise which doesn’t overly stress sensitive joints, including cycling, walking, water aerobics and yoga is beneficial for strengthening the muscles around the affected joint. this provides added support and reduces strain. Exercise has been shown to help lower inflammation and can even help prevent unnecessary replacement surgeries.

The Vitamin D Epidemic

By London Nutritionist Sylvia Hensher

How Vitamin D Deficient Is The UK?

A recent survey in the UK showed that more than half of the adult population in the UK has insufficient levels of vitamin D. In the winter and spring about 1 in 6 people has a severe deficiency. It is estimated that about 9 in 10 adults of South Asian origin may be vitamin D-deficient. Most affected people either don’t have any symptoms, or have vague aches and pains, and are unaware of the problem.

Why Do Your Vitamin D Levels Matter?

In addition to the well-known osteoporosis connection, deficiency of this fat-soluble vitamin can be linked to a wide range of health problems, from cancer and cardiovascular disease to cognitive impairment and problems with auto-immunity such as multiple sclerosis and type 1 diabetes. Huge increased research interest in this field is constantly bringing to light new evidence which underscores the enormous importance of vitamin D to human health.

Sources of Vitamin D

What many people don’t realise is that very few foods naturally contain vitamin D. Fortified milk, egg yolks and oily fish are the best sources, but we can’t rely on food to provide with optimal amounts of vitamin D on a daily basis. In fact, the major source (80 – 100%) of vitamin D is actually sunshine. Ultraviolet B (UVB) sunlight rays convert cholesterol in the skin into vitamin D.

That’s right, although cholesterol is often a much maligned substance, our bodies literally could not survive without it! The sunlight has to fall directly on to bare skin (through a window is not enough). To add to the complexity of this issue, age, skin colour, geographic latitude, seasonal variations in sunlight availability and sunscreen use can impact on your body’s ability to produce all the vitamin D it needs. For example, darker skins need more sun to get the same amount of vitamin D as a fair-skinned person and because of geographic location, people in the United Kingdom cannot synthesise vitamin D from November to the end of March.

Why the Vitamin D Epidemic? Continue reading “The Vitamin D Epidemic”

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Curcumin, Pain And Inflammation In Osteoarthritis

By London Nutritionist Sylvia Hensher

What Is Osteoarthritis?

In osteoarthritis, the cartilage that cushions your joints deteriorates and the synovial fluid that keeps your joints lubricated and cushioned is typically reduced as well. It is the most common form of arthritis among the elderly. It’s normally associated with “wear and tear” on your joints, but can also be caused by repetitive stress or acute trauma. The pain is a result of your bones starting to come into contact with each other as cartilage and synovial fluid is reduced.

It causes joint stiffness, pain, inflammation and swelling that can become debilitating. Many patients turn to non-steroidal anti-inflammatories (NSAIDs) and analgesics for pain relief but the regular, chronic use of these types of medications is associated with side effects such as cardiovascular problems, gastrointestinal harm and kidney and/or liver damage. If you are taking an NSAID, you are at approximately three times greater risk for developing serious gastrointestinal side effects than those who aren’t.

What Is Curcumin?

Curcumin is the pigment that gives the curry spice turmeric its yellow-orange color and is the active ingredient in the herb turmeric. Both the ancient Chinese and Indian systems of medicine have recognized curcumin’s beneficial properties for thousands of years, and now modern research is showing it may be one of nature’s most powerful potential healers.

Curcumin is known for its potent anti-inflammatory properties. The compound has been shown to influence more than 700 genes, and it can inhibit both the activity and the synthesis of enzymes such as cyclooxygenase-2 (COX2) and 5-lipooxygenase (5-LOX) that have been implicated in inflammation.

How Can Curcumin Help Osteoarthritis Patients? Continue reading “Curcumin, Pain And Inflammation In Osteoarthritis”

Digiprove sealCopyright secured by Digiprove © 2011 Sylvia Salvendy