If you’ve been following my journey, then you know from my March update that I started working with a Nutritionist. Even though I purchased The Complete Low-FODMAP Diet book, and it has been helpful, I wanted the guidance of a professional to help me through the elimination phase. I wanted some type of guidance with regards to where to begin and how long the elimination phase should last before I start re-introducing certain foods. She stated the elimination phase varies per person. For some it could take six weeks for their symptoms to improve; while for others it could take up to a year (Fix it, Jesus!).
At her recommendation, and the recommendation of the GI doctor I spoke with last year, I stopped drinking coffee at the end of March. This actually wasn’t as difficult as I thought it would be. I realized most of the time, I was drinking coffee to keep warm (#TeamAnemia). So instead I drink hot water and lemon which seems to satisfy my need.
Most of the research I found regarding caffeine and IBS is that it is primarily a trigger for those with IBS-D (diarrhea) since coffee is a stimulant and can make the digestive tract work faster causing lose stool. I haven’t seen much in relation to IBS with constipation. However, I have noticed my movements are starting to become more regular (insert happy dance!). I’m thinking there is a correlation between coffee and my digestive system because when I would drink coffee, I noticed my stomach would make loud gurgling noises. That should have been my signal to stop drinking coffee, but, what can I say? I’m just stubborn like that!
Second Nutritionist Visit
On m second visit, she suggested I finish dinner 1-2 hours before bedtime, because when you lie down it makes it more difficult for your body to properly digest your food.
She gave me a list of probiotic foods, such as Kefir, Kimchi, Sauerkraut, or Yogurt with live active cultures. I probably won’t try yogurt since I had flatulence last time I tried yogurt. Probiotic foods can help improve digestive health. I just need to get over the strong smell of Kimchi!
She provided meal and snack Ideas. Some of the meal combinations I currently eat and some of the other suggestions seem appetizing! But, eating at home isn’t the challenge. What honestly causes me the most anxiety is when I eat away from home, because I can’t be certain how the food is prepared. I feel bad (although I shouldn’t) because I have to ask questions or request that certain foods be removed from the dish so I don’t experience IBS symptoms.
With that said, I have had some pretty good dining out experiences. I don’t eat out much, even before I started the elimination diet. When I have dined out, I tried to order from the Gluten Free Menu options. But….there were times when I assumed something was gluten free or safe to eat and that proved to be the wrong assumption. So I learned the hard way to never assume, ALWAYS ask!!
In addition to dietary changes, there are some medications and supplements that I began taking. The first being Dicyclomine, which helps reduce gas, bloating, and constipation. Magnesium, which is a natural muscle relaxer. The colon is a muscle, so if the muscle is more relaxed that will promote regularity. And I must say that an added benefit is that I have experienced AMAZING sleep since taking magnesium! So if you have challenges with getting better sleep, then definitely try this and you will be lights out!! I also take Miralax, which is a laxative and we all know what those do. Lastly, I take digestive enzymes to help me better digest my foods.
From my research, what was consistent is that it would take a combination of dietary changes and medications/supplements to help improve my symptoms.
After my March Nutritionist visit, she told me I don’t need to see her again unless I started feeling worse or until my symptoms have cleared up and I am ready for the re-introduction phase. Bring on the avocados! Lol
As sweet as she is, she doesn’t appear to be a specialist for this particular diet. Our visits were short (less than 30 minutes) and she didn’t provide a customized meal plan, which I was expecting to receive. She provided documents to me that were more generic. So I will continue to monitor my progress, try to adhere to the list of foods to avoid, read labels, research, take my medications/supplements, and seek help from various Facebook groups.
So, like Dori I’ll “just keep swimming!” 🙂