I'm new to the site so I'll try to be brief until I know how this works. I am overweight despite having IBS-D for many years. Doctors suggest diets that include foods I know I cannot eat. In addition I have borderline high cholesterol and need to cut carbs which are one of the things I turn to when I feel sick and can't eat. Exercise is difficult because I never feel good. I'm exhausted and want to feel better.
Please reply if you feel the same or have suggestions. Thank you.
I'd encourage you to focus on small consistent changes that you can make. Are you able to add in small amounts of physical activity? This is a great article on exercise from one of our contributors and how it can actually help IBS symptoms: https://irritablebowelsyndrome.net/living/what-ive-discovered-about-exercise.
Hope those are some helpful thoughts for you. Please reach out with specific questions, we're here to support you. Best, Kelly, Irritablebowelsyndrome.net Team Member
Love your outlook! Rooting for you and new beginnings. -Elizabeth (team member)
I've never been able to persuade an MD that chronic diarrhea is a life-altering condition that requires urgent treatment so they've been both useless and occasionally insulting. So far, Immodium as per label is effective but I worry about long-term regular use and alternatives. Probiotics are useless as are Rabaprazole, Dexilant, Metamucil and Olystra. Ugh. Awful filth.
Eating less and removing tomatoes altogether have been very helpful tho I squeeze half a lemon into Sodastream bubble water with vodka once a week or so - no more than an inch of vodka per drink and no more than 2 drinks.
I have given up going anywhere after eating and going anywhere w/o toilets. Can't meet friends or take transit or walk more than a few blocks in my hood.
I'd stop eating altogether if I could but I'm the chief cook here which means meal planning, shopping and cooking so no easy outs.
I treat every outing, every liftees, every jump as a major victory and I feel pretty good most of the time. I'd like not to have be so mindful. I had a hard time thru school denied access to toilets without first having to plead a case publicly. No MD has ever explored what exactly goes wrong in my guts or why. IBS-D began for me with menopause but I had had anxious stomach troubles at various times. I had a GI specialist who tried very hard to insist anxiety is the root cause but I say NO: Undiagnosed, untreated chronic diarrhea is life altering and along with the need to have constant access to a toilet just in case, is the CAUSE of my stress!
For now, the Immodium controls the crises, and diarrhea is a crisis.
Once the diarrhea is under control, then one can contemplate exercise. So first get the diarrhea under control, I would say.
Typically, one removes acidic food - tomatoes, citrus fruits - replacing them with bland, binding food - eggs, bananas, cereal, rice, potatoes. As with exercise, get the explosions under control then one may contemplate variations. Look for a pattern of what works for you to control the diarrhea. MDs in my experience don't know or care to investigate so I work my own case. Your body will tell you pretty fast what it can take.
I no longer eat raw food beyond apples and an occasional carrot. Whole grain anything for me is indigestible. This means the popular view of food has no relevance for me. So be it.
I feel best when I eat beef. Meat and potatoes are best for me. I cook for a vegetarian so it's challenging but in a good way. I like to cook so I don't mind kitchen adventures.
I made a pear crisp last night with ground walnuts and it gave me some trouble after midnight but controlled with Immodium so life goes on. Am planning a beet-horseradish salad that might kill me but worth a try if it doesn't.
Moral: Keep trying new strategies and combinations. This yields a better understanding of what works going forward and gives one the sense of being in control despite the crises, which become less frequent in time, or they have for me.
This forum has been a game changer for me. Very grateful to all who have shared your narrative.
I agree that the stress CAUSED by the gut dysfunction does seem to be the worst thing for me too. I doi not feel stressed or down or sad when my gut is calm. I feel normal then.
Re: tomatoes. NOPE! They may be low Fodmap, and allowable but they do NOT suit me. Last year I got some lovely organic ones from a friend's vegetable patch. The first night I ate 5 (cherry type) and got away with it. 2nd night I ate 5 again and oops....
Had to give up tomatoes. Pity because I like them.
I find I can drink Vodka too, and I marinate pieces of ginger and a bit of cinnamon in mine, and add some honey (I am OK with honey though it's high Fodmap it never bothers me) I usually have about an inch also and that doesn't upset my gut. Sometimes 2 drinks and that's fine.
Sometimes one of those can even ease my gut if it is windy and uncomfortable in the evening after dinner.
I'd never like to stop eating. My issue is I Love Food which is sad as often I can't eat much of it or the things I'd like to eat. I used to love cooking and baking but have lost the enthusiasm nowadays and just prepare quick simple meals.