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Always be sure to cook<br />

your food thoroughly.<br />

Well-cooked foods<br />

are much easier to<br />

digest than raw foods.<br />

a consideration, especially if you eat<br />

more than 2–3 servings of fruit daily.<br />

To figure out if a certain food is<br />

causing your symptoms, you need to<br />

completely avoid the potentially<br />

offending food for 2–3<br />

weeks, then reintroduce it<br />

into your diet and watch<br />

for symptoms. IBS can also<br />

present with heartburn, fatigue,<br />

headache, back or abdominal pain,<br />

and even palpitations. If after<br />

3 days of reintroduction there are no<br />

undesirable changes to your gut function,<br />

skin, mood, joint stiffness, or other<br />

symptoms, that food is likely fine.<br />

This takes careful <strong>org</strong>anization<br />

of your diet, and it really helps to<br />

work with a licensed naturopathic<br />

physician or well-trained nutritionist<br />

(not dietician). Some chiropractors also<br />

have additional nutrition training, but<br />

most MDs have very little training in<br />

nutrition, since they are experts in<br />

pharmaceutical medicine.<br />

Natural Solutions<br />

During the acute phase of IBS (lots of<br />

watery stools and cramping), try a hypoallergenic<br />

diet (see sidebar). As improvement<br />

occurs, eggs and yogurt (preferably<br />

made from goat’s milk) can be added if<br />

they don’t worsen the symptoms. Supplements<br />

that often help heal and soothe<br />

the gut include liquid chlorophyll (1 Tbs.<br />

daily), alfalfa tabs, calming herbal teas<br />

(Melissa, chamomile, fennel, peppermint,<br />

and ginger), and my favorite GI repair<br />

agent: glutamine, about 2 grams daily.<br />

As your symptoms stabilize, you can<br />

slowly add the cruciferous vegetables<br />

back into your diet. These provide many<br />

important nutrients, but can be hard to<br />

digest, so are best cooked with digestionaiding<br />

herbs such as fennel, caraway,<br />

cumin, anise, and dill. Nuts and seeds,<br />

grape skins, and red meat are also all<br />

difficult to digest, but may not be the<br />

causes of your GI distress.<br />

Carrageenan is a common additive used<br />

to make ice cream and other confections<br />

“smooth,” but is very irritating to the gut.<br />

Avoid this additive when possible, which<br />

is used in a lab setting to make mice guts<br />

bleed. Very spicy and very sweet foods<br />

are also GI irritants, as are fried foods,<br />

alcohol, and caffeine.<br />

Keep in mind that we’re exposed to<br />

more chemical additives than ever in our<br />

food and drink, so read labels and try to<br />

stick to food that is as close to the way it<br />

grew as possible when you eat it. And cook<br />

your food thoroughly. Well-cooked foods<br />

are much easier to digest than raw foods.<br />

With acute crampy pain, heat to the<br />

abdomen (hot water bottle or heating<br />

pad) can be very soothing. Regular<br />

exercise helps everything, including<br />

being a highly effective stress-reliever.<br />

HYPOALLERGENIC DIET<br />

BREAKFAST: whole brown rice cereal<br />

(3–4 Tbs. rice in 2 cups water, stirring<br />

constantly over medium heat) with<br />

2 tsp. virgin olive or flax oil stirred in<br />

when cooked.<br />

MORNING SNACK: baked apple or<br />

blueberries/sliced banana topped<br />

with unsweetened cocoa powder.<br />

LUNCH: vegetable soup from massaged<br />

kale, parsley, zucchini, pumpkin,<br />

carrots, and squash, with millet or<br />

barley, and 2 tsp. olive or flax oil.<br />

AFTERNOON SNACK: baked apple or<br />

berries or orange.<br />

DINNER: same as lunch, or add a little<br />

fresh fish or free-range chicken.<br />

Some of my colleagues have noted<br />

that the low FODMAP diet can help<br />

IBS. This basically means avoiding<br />

fermented foods (kombucha, pickles,<br />

yogurt); short-chain (simpler) carbs such<br />

as those found in high fructose corn<br />

syrup; honey; inulin; wheat; soy; garlic;<br />

onions; beans/peas; celery; mushrooms;<br />

most fruits; many condiments, dips,<br />

and sauces; beer; wine; coconut water;<br />

fruit juice; and all dairy.<br />

What’s left to eat? Most squashes,<br />

sprouts, pumpkin, potato, chard, kale,<br />

fennel, zucchini, yam, blueberries,<br />

banana, clementines, oranges, lemon,<br />

lime, papaya, pineapple, carrots, cucumber,<br />

ginger, radish, clean beef, chicken,<br />

lamb, pork, turkey, tuna, salmon, cod,<br />

most fresh fish and crustaceans, bone<br />

marrow, oats, quinoa, rice, seeds (chia,<br />

pumpkin, sunflower, etc.), maple syrup,<br />

mustard, eggs, and cocoa powder.<br />

A low FODMAP diet may work<br />

better if you have confirmed SIBO<br />

(small intestinal bacterial overgrowth).<br />

Do you have a question for Dr. Kane? Email it to editorial@<br />

betternutrition.com with “Ask the ND” in the subject line.<br />

!" • APRIL <strong>2017</strong>

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