Why High Fibre Diets Are Not Always The Answer For Inflammatory Bowel Conditions

Fruits, vegetables and grains

Have you ever told a patient to eat more fibre only to find they complain of bloating, wind, pain in the stomach and worsening constipation or diarrhoea? The guidelines for fibre intake are around 25-30 grams per day according to the Australian Healthy Eating Guide. But there are some bowel conditions where this intake causes extreme gastric upset for some patients. There are journal articles that suggest we should be eating up to 50 grams of fibre per day to avoid modern lifestyle disease, such as diabetes and heart disease. There is evidence for and against this claim.

In practice I talk to many patients who suffer from inflammatory bowel diseases such as Crohn’s disease, ulcerative colitis, acute diverticulitis, colorectal cancer with or without an ostomy, where a high fibre diet simply made patients symptoms worse.

A low fibre diet is not a ‘forever’ diet, but it is very successful in the inflammatory stages of acute presentations of the above diseases and conditions.

The evidence is lacking for exactly how much, and when a low fibre diet should be advised as we only have interventional studies to go by. From an anecdotal and experiential perspective most of my patients state they have some form of benefit from adopting a low fibre diet when in an acute or ‘flare up’ state or post-surgery when the bowel is inflamed.

Resistant starch can still be safely used in the low fibre diet to feed colonocytes and make short chain fatty acid butyrate for a healthy bowel, such as cooked and cooled rice, skinned potatoes and greenish bananas.

Here are a few tips on how you can help you patients:

  • Rule out any sinister reasons for diarrhea or constipation by ensuring a diagnosis has been made.
  • Rule out all other potential irritants, FODMAPs, food allergy, intolerances, by taking a good food frequency questionnaire to see when the symptoms occur, what makes the bowel feel more or less comfortable, or what helps with daily Bristol Stool 4 type defecation.
  • Utilise functional testing facilities.
  • Ensure all nutrients are covered during the flare up period – this can last for up to a month, by using nutritional powders or supplements containing B group vitamins as these are usually found in the highest fibre foods – wholegrains.
  • Aim for 10 grams of fibre or under, in the first few days and gradually titrate back up to 25-30 grams over a period of weeks in increments of 5 additional grams per week, monitor patient symptoms.
  • Ensure all fruit and vegetables are peeled, have no pips, seeds or hard skins and are low fibre.
  • Find out how much fibre is in foods at Food Standards Australia and New Zealand, Australian Food Composition Database, Searchable database, Nutrient – Fibre, Dietary Fibre https://www.foodstandards.gov.au/science/monitoringnutrients/afcd/pages/default.aspx
  • Keep the bowel moving, if the patient has constipation whilst healing you can use bitter herb stimulants and relaxants, stool softeners or aloe vera whole leaf extract.
  • Slow the bowel down in diarrhoeal states with SB probiotics in addition to the low fibre diet.
  • Don’t forget the usual anti-inflammatory herbs, foods, nutrients and supplements to address the underlying cause of the disease.

Why the foods you choose are the key to good health

When you start working in the field of natural health and nutrition, you’ll never look at foods the same way again. Nutrition becomes more than can a career, it’s a way of life!

The quest to find the least processed food products is never ending. Once you have knowledge about nutrition, it becomes impossible to put something into your mouth without being fully informed of its nutritional value. Grocery shopping trips become crusades to find the most wholesome ingredients to make the healthiest dishes to feed your family.

Processed foods should be scrutinised to ensure they’re not full of artificial colours, flavours, preservatives, excess salt, excess sugar, sweeteners and in many cases free of dairy and gluten. (The ingredients list is an essential place to start to access the nutritional value of any packaged food item.)

It is also helpful to check out the nutrition panel which answers questions about how much fibre the product contains as well as the amount of protein, fat and carbohydrates.

We make daily food choices based on emotions, energy levels, convenience, finances and availability. When buying food for our children the choices often become even more complex as we often have to consider if the child will eat these foods and keep them happy?

Without a working knowledge of healthy eating and food as medicine, it can be very easy to fall into bad food habits and unknowingly create potential health issues.

My clients are often unaware of the links between diet and overall health. Nutritional deficiencies can produce a vast array of problems ranging from digestive disorders to skin problems, mental and behavioural issues, low energy, low immunity, food allergies and intolerances.

Almost every health condition you can think of can be improved with a supportive and targeted diet.

In order to address these concerns we first need to understand our client’s typical diet and marry this with their current health concern. From there we can identify nutritional deficiencies and identify problematic foods and eliminate or reduce these, while incorporating foods that can positively affect a specific health issue and can be incorporated into their diet.

Making dietary changes can be challenging at first but the rewards can be amazing. From a client perspective, understanding that certain foods can exacerbate their current health concerns gives them a very practical and empowering path forward to improve their health.

From a natural healthcare point of view, there are numerous of ways to reduce blood pressure. Regular exercise for 30 minutes a day, reducing stress, getting good quality sleep, meditation and drinking more water can help, as can changing their diet. For example, someone wanting to reduce their blood pressure can gain immediate benefit from reducing their caffeine intake and eating a diet lower in salt. They can also incorporate more magnesium rich foods into their diet and consider and taking a magnesium supplement.

Nutritional education is one way of helping people to gain control of their health so they are not at the mercy of prescription medication for life.

It is important to be aware that nobody should go off their prescription medications without first discussing it with their GP, but by enabling people to take a proactive approach to their healthcare, optimal health can be achieved.

Natural Medicine Week – Practitioner Webinar Recordings 2020

Natural Medicine Week – Practitioner Webinar Recordings 2020

During Natural Medicine Week 2020 our accredited practitioners across different types of Ingestive Therapies, Bodywork & Massage and Chinese Medicine came together to present online events in celebration of a natural approach to health and wellbeing.

If you missed any of these fabulous events, don’t worry – they also recorded their webinars, sessions and Q and A’s so you can watch them at your own leisure.

START WATCHING NOW – check out all the links below!

And a huge THANK YOU to all our practitioners for taking the time to support Natural Medicine Week in 2020 and sharing their therapies

TO WATCH – Click  on the URLs below. 

“From Invisible to Invincible” – The Natural Menopause Revolution
https://www.youtube.com/watch?v=ykm3-IOA-5w&t=24s

Presented by Jennifer Harrington, Clinical Director / Naturopath – Menopause Natural Solutions
www.menopausenaturalsolutions.com.au

The Brain- Gut- Hormone Connection
How stress influences Gut Health and Hormone Balance
https://www.youtube.com/watch?v=TJAh7LjB6kU&feature=youtu.be

Presented by Jacqui Watts – Healthful Wellness (www.healthful.net.au) & Danielle Elliott -Tummy Rescue (https://www.facebook.com/tummyrescue/)

 

Endometriosis? Why You Should Remove Gluten and How

https://www.youtube.com/watch?v=XjUEBZm_oB0&feature=youtu.be

Anne-Marijke Gerretsen, the Endometriosis Nutritionist – Eat Well Live Well

www.eatwelllivewell.com.au

The Ketogenic Diet – Is It Right For You?

https://www.youtube.com/watch?v=C_Ek72TV4-U&feature=youtu.be

Sonya Reynolds, Nutritionist & Life Coach, Studio-You

https://www.studio-you.com.au/

 

Homeopathy for sleep disorders

https://www.youtube.com/watch?v=OPZgJA1ZL5w

Christina Boyd, Homeopath, Holistic Kinesiologist, Switch on Health

https://www.switchonhealth.com.au

Natural therapies for Hormonal Skin Conditions

https://www.youtube.com/watch?v=YADvMQXdBe4

Deanne Apostolou, Medical Herbalist & Iridologist, Switch on Health

https://www.switchonhealth.com.au

Natural Remedies for Pain

https://www.youtube.com/watch?v=KqF_Az3kqYU

Sally Maizey, Naturopath & Homeopath, Switch on Health

https://www.switchonhealth.com.au

Natural Medicine for Low Thyroid Function

https://www.youtube.com/watch?v=sw06Fx8agQ8

Carol Hannington, Naturopath, Switch on Health

https://www.switchonhealth.com.au

Switch on Health is the only ATMS accredited college to offer non-Bachelor qualifications in Nutrition, Herbal Medicine, and Naturopathy, and the only college in Australia offering an accredited course in Homeopathy. You can study from home in your own time at your own pace.  The courses are fully tutor supported and flexible payment plans are available.  Sample course content can be viewed for free at our learning platform: https://switchonhealth.learnworlds.com/start

 

The Gut-Brain Connection Webinar

https://us02web.zoom.us/rec/share/2f1yL7POykhIH7fz6G72d4wlEo_OX6a8hHMe_PMPyh0BxjbW3SvUT-LDQNCQco0m

Rachel Aldridge, Naturopath – In Natures Hands

http://www.innatureshands.com.au

 

All Disease Begins in the Stomach

https://www.medicinetraditions.com/natural-medicine-week.html

Adam Tate, Practitioner of Traditional Medicine, Medicine Traditions

https://www.medicinetraditions.com/

 

Cuppa with a Kinesiologist

https://www.kinique.com/share-a-cuppa-with-a-kinesiologist-webinar-recording/?utm_source=mailpoet&utm_medium=email&utm_campaign=share-a-cuppa-with-a-kinesiologist-thank-you_22

Marney Perna – www.kinique.com

Anika Brizuela – www.branchoutempoweredhealth.com

Madonna Guy – www.newleafnaturaltherapies.com.au

Molly Brumm – www.consciousheartkinesiology.com.au  

Vanessa Worn – www.facebook.com/Full-Potential-Kinesiology-107332970999197

Zoie Andrews – www.mybestselfwellness.com.au

 

Benefits of Kinesiology

https://www.youtube.com/watch?v=iOskfN5FFeA&t=11s

KinesiAlice – Kinesiology, Mind Body Medicine, Integrative Therapy

https://www.kinesialice.com.au/

Kinesiology and Anxiety

https://www.youtube.com/watch?v=UQL9SCSkdsQ

KinesiAlice – Kinesiology, Mind Body Medicine, Integrative Therapy

https://www.kinesialice.com.au/

Kinesiology and Depression 

https://www.youtube.com/watch?v=rDWOTK0YwZc

KinesiAlice – Kinesiology, Mind Body Medicine, Integrative Therapy

https://www.kinesialice.com.au/

Kinesiology and Sleep

https://www.youtube.com/watch?v=3vR4rAHyn8o&t=7s

KinesiAlice – Kinesiology, Mind Body Medicine, Integrative Therapy

https://www.kinesialice.com.au/

Kinesiology and Kids

https://www.youtube.com/watch?v=Z3OruKmKqZM&t=1s

KinesiAlice – Kinesiology, Mind Body Medicine, Integrative Therapy

https://www.kinesialice.com.au/

 

7 Secrets to Success – how to beat burnout, stress & overwhelm for good!

https://kajabi.awakendivinefeminine.com/registration-page-1

Kristie Hayden

https://www.facebook.com/DreamWeaverCoaching/

For the first to know about the next Natural Medicine Week – sign up to our newsletter – click here! 

#naturalmedicineweek – natural medicine, a natural choice

Why the Mediterranean diet and lifestyle is good for your health and wellbeing

Fish and legumes on a wooden bench

As a nutritionist I am always being asked what I think the best diet is. Is it Keto or Paleo? Should I intermittent fast? Is red meat a health hazard? Should I avoid carbs?

With so much conflicting information online and in media it is not surprising that people are confused.

For me, negating any underlining issues, the answer is to eat real food in balance, along the lines of a Mediterranean style diet. Plant based with the addition of good quality protein and healthy fat with the odd glass of red wine – it doesn’t get more perfect than that.

A traditional Mediterranean style of eating ensures plenty of fibre to aid digestion and detoxification, plus antioxidants and omega 3 fats to target inflammation, and finally good quality protein to help stabilise blood sugar levels – all key factors in the maintenance of good health. Importantly it is also delicious and sustainable over the long term.

However, there is a crucial component of the Mediterranean diet that many overlook and that is the role the Mediterranean lifestyle plays in supporting the diet, to achieve good health. Way before the term mindful eating had been coined it was everyday practise in the Mediterranean. Taking time to eat and enjoy food, the social interaction of sharing food with friends and family and of course the importance of relaxation (afternoon siesta anyone?). These traditions switched on the parasympathetic nervous system to ensure food was well digested and stress levels were kept in check. The importance of social interaction has been evident on a global scale of late and is paramount in fuelling happiness and enriching mental health, both key players in ensuring overall health and wellbeing.

So, what do I think is the best diet for good health? A Mediterranean diet with a side of Mediterranean lifestyle would be my tip.

WHEN you eat matters – Chrononutrition, the science of food timing

When we eat matters. Recent discoveries in chronobiology invite us to review our eating patterns in terms of circadian rhythms, feast and fast [1].

Eating three meals a day with snacks in-between or eating at any time are recent phenomenon in our modern societies [2]. In the scientific community and media, the debate is open between eating regularly versus eating occasionally, between grazing and intermittent fasting. Chrononutrition, the synchronisation of food intake with our natural circadian rhythms [3], is an innovative approach to optimal nutrition and healthy longevity.

In Chinese Medicine, the rhythm of different organs and their desynchronisation from daylight and seasonal influences has always been perceived as a root cause of chronic disease. Besides, many cultures and religions practice seasonal and rhythmic rituals (like Lent, Ramadan or Vinaya).

These traditional perspectives have recently been validated by modern science, revealing the molecular mechanisms that control the body’s circadian rhythms.

All biological processes follow an approximate 24-hour cycle – called the circadian rhythm – regulated by a central clock located in the hypothalamus. This central clock is known to respond to external signals such as day and night. However, it’s only recently that researchers have discovered that this central clock also synchronises with multiple peripheral clocks located in our main organs.

These ‘inner timekeepers’ are not affected by light but are influenced by our body temperature and feeding/fasting rhythms [4, 9]. They affect physiological processes such as glucose and lipid metabolism in a feedback mechanism.

  • Desynchronisation with natural light and dark cycles, such as poor sleep, jet lag or shift work stimulates hunger and increase food intake. This affects fat storage [5]. These modern disruptions also disturb the natural oscillation of our gut microbiome. The good news is that once natural circadian rhythms are restored, the risk of chronic disease related to these metabolic changes decreases.
  • Meal schedule itself acts as a circadian cue. Insulin secretion, all calories equal, varies based on meal time [6]. More than 80% of the liver “clocks” respond to timing and frequency of food intake [4]. Specific eating schedules have an impact on the gut microbiome circadian rhythms [7, 11]. Up to 80% of our genes show a rhythmical response to eating [8]. Therefore, eating schedules affect weight, blood sugar balance and cortisol levels [2].
  • Both meal timing and meal frequency determine our peripheral clocks oscillations [3, 4]. While exploring the liver’s daily cycles, S. Gill and S. Panda found that reducing the “eating windows” of participants over 16 weeks contributed to an increased sense of wellbeing for a year [10].

Modern lifestyle perturbs the human circadian system, primarily with shift work, exposure to prolonged hours of artificial light and erratic eating patterns [2]. The “chrono-disruption” of our natural feeding/fasting rhythms contributes to the disturbance of our hormonal and neural balance and alter our food assimilation. The resulting metabolic changes increase our risk of chronic disease, from diabetes to cancer.

More recent studies in Time-Restricted Feeding (TRF) show that clearly identified fasting/feeding cycles consolidate the circadian rhythm of gene expression. Scheduled meals and periodic fasting can re-align the natural circadian rhythms of peripheral clocks, improving food metabolism and sleep [11, 12]

These positive metabolic results improve with a good breakfast and late lunch or an early lunch and early dinner, as long as the “fasting window” is maintained over 14 to 16 hours. These effects of TRF involve the biological process of “hormesis”, which is the adaptive cellular response to mild stress.

Is there an optimal time to eat for healthy longevity?

If food quantity and quality has been primarily discussed and is still the foundations of good health, it is now time to consider meal timing and meal frequency as a key for optimal nutrition.

Whatever your chronotype [13], research shows that TRF positively affects the circadian rhythms of peripheral tissue, while erratic feeding patterns disturb these clocks.

In short, disturbed circadian rhythms alter digestion, affect sleep and prevent the management of healthy weight. The backbones of chrononutrition for healthy longevity rely on:

  • Routine – Regular eating patterns
  • Rest – Prolonged digestive rest by increasing our fasting window
  • Reset – Eating during daylight

When you shift your focus from WHAT to WHEN you eat, you will immediately begin feeling more energised. You may well live longer and healthier. This is the purpose of chrononutrition.

If you don’t know where to start, refer to a qualified nutritionist listed on atms.com.au


References

[1] Paulose JK, Cassone CV, Cassone VM (2019) “Aging, melatonin biosynthesis, and circadian clockworks in the gastrointestinal system of the laboratory mouse”, Physiol Genomics. 2019 Jan 1;51(1):1-9.doi: 10.1152/physiolgenomics.00095.2018.

[2] Mattson MP & al (2014) “Meal frequency and timing in health and disease”, Proc Natl Acad Sci U S A. 2014 Nov 25; 111(47): 16647–16653. doi: 10.1073/pnas.1413965111

[3] Oike H,  Oishi, K,  & Kobori, M (2014) “Nutrients, Clock Genes, and Chrononutrition”,  Curr Nutr Rep. 2014; 3(3): 204–212. doi: 10.1007/s13668-014-0082-6

[4] Gnocchi D, Bruscalupi G (2017) “Circadian Rhythms and Hormonal Homeostasis: pathophysiological Implications”, Biology 2017, 6, 10; doi:10.3390/biology6010010

[5] Hanlon EC (2016) “Sleep Restriction Enhances the Daily Rhythm of Circulating Levels of Endocannabinoid 2-Arachidonoylglycerol”, Sleep, Volume 39, Issue 3, 1 March 2016, Pages 653–664, doi.org/10.5665/sleep.5546

[6] Jakubowicz D & al (2013) “High caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women, Obesity (Silver Spring). 2013 Dec;21(12):2504-12. doi: 10.1002/oby.20460. Epub 2013 Jul 2.

[7] Deaver JA, Eum SY,& Toborek M (2018) “Circadian Disruption Changes Gut Microbiome Taxa and Functional Gene Composition”, Front Microbiol. 2018; 9: 737. doi: 10.3389/fmicb.2018.00737

[8] Mure LS & al (2018) “Diurnal transcriptome atlas of a primate across major neural and peripheral tissues”, Science  16 Mar 2018; Vol. 359, Issue 6381, doi: 10.1126/science.aao0318

[9] Andreani TS & al (2015) “Genetics of Circadian Rhythms”, Sleep Med Clin. 2015 Dec; 10(4): 413–421. doi: 10.1016/j.jsmc.2015.08.007

[10] Gill S and Panda S (2016) “A smartphone app reveals erratic diurnal eating patterns in humans that can be modulated for health benefits”, Cell Metab. 2015 Nov 3; 22(5): 789–798. doi: 10.1016/j.cmet.2015.09.005

[11] Asher G & Sassone-Corsi P (2015) “Time for Food: The Intimate Interplay between Nutrition, Metabolism, and the Circadian Clock”, Cell Press – Volume 161, Issue 1, 26 March 2015, Pages 84-92

Review. https://doi.org/10.1016/j.cell.2015.03.015

[12] Longo VD  & Panda S (2016) “Fasting, circadian rhythms, and time restricted feeding in healthy lifespan”, Cell Metab. 2016 Jun 14; 23(6): 1048–1059. doi: 10.1016/j.cmet.2016.06.001

[13] Figueiro MG, Plitnick B & Rea M (2014) “The effects of chronotype, sleep schedule and light/dark pattern exposures on circadian phase”, Sleep Med. 2014 Dec;15(12):1554-64. doi: 10.1016/j.sleep.2014.07.009. Epub 2014 Sep 3.

5 foods that can improve your stress levels

Bench full of vegetables

Stress is a prolific illness in our world today. It permeates into our kid’s lives while they are still in school, creeps into our relationships, into our offices and stays with us through to old age. But it doesn’t have to be so. There are many ways to alleviate stress – what we need is a healthy tool kit to use against it. Natural medicine can teach us different skills, including how to use the different modalities to ease stress levels. This is something we can all adopt at any age for all of our lives. Learning to eat right is part of this tool kit, which includes many foods that can help you reduce your stress levels.

Top of the list are dark green, leafy vegetables such as kale, spinach and broccoli. These contain folate which help your body make neurotransmitters like serotonin and dopamine. Serotonin is found in the gastro-intestinal tract, blood platelets and the nervous system and contributes to our good moods. Dopamine is important for good coordination and memory.
Dark leafy vegetables also contain magnesium, something that we do not seem to have enough of it in our diet these days, but something which is good for muscular aches and pains, anxiety, panic attacks, depression, tiredness, PMS, cramps and fluid retention. Other sources of magnesium include pumpkin seeds, sunflower seeds and flaxseed. So while kale, spinach and broccoli may not seem like the most appetising options, they can be made into a juice with sweet vegetables such as carrot and beetroot, or cooked and served with your favourite protein dish such as chicken or turkey. Turkey contains tryptophan which will add to your stress buster kit as it is an amino acid that converts into serotonin.

Serotonin is found in the gastro-intestinal tract and although people often do not connect the two, much ill health begins in the gut area. Unhealthy gut flora can impact how you think, your anxiety levels, and what causes you stress. Fermented foods help the body make beneficial bacteria which can help to enhance your moods and make you feel better. A simple food such as yoghurt, can have a beneficial effect on brain function enhancing your positive feelings. Be careful when buying yoghurts from supermarkets as they can be full of artificial flavouring and sugar. A natural yoghurt or one made yourself is much better.

In addition to yoghurt, when looking for a healthy snack, nuts are a great choice, especially pistachio nuts which can lower vascular constriction when you get stressed. This means it lowers the stress on your heart by dilating your arteries. Ensure the nuts are fresh and good quality, and choose organic where possible. The reason for this is that non-organic foods can be either genetically modified or exposed to sprays that are absorbed into the food, entering our bodies which could result in illness.

Some other foods on the de-stress list are salmon, sardines, chocolate and avocados. Salmon and sardines contain Omega 3 fats, EPA and DHA which are good for your joints, aches and pains and assist with lifting your moods, anxiety and depression. Add to this a square or two of dark chocolate which contains ananamide, a substance made in the brain that temporarily blocks out pain, anxiety and depression and you have a happy recipe. Some people find that as their glucose levels fluctuate they become tired, anxious and grouchy, avocados help to regulate blood sugar, therefore helping to enhance your mood. Quite often a deficiency in vitamins such as B, especially B12, can lead to depressive moods, avocados contain lots of vitamins and nutrients such as Vitamin E, Vitamin B and folates to help combat this.

So while there are lots of natural supplements you can take to enhance your absorption of nutrients if you are deficient, food still plays a major part in how you can combat stress. If you eat healthily and ensure you compensate for any deficiencies in vitamins and minerals you may have, you will find that very soon, you will start to slim down, have more energy and feel better with reduced stress levels. Have a talk to a natural therapist who can point you in the right direction to knowing which nutrients you are lacking and how you can speed up your healing.

Are you reacting to your dinner?

Bench full of fresh fish, fruit and vegetables

If you constantly have an upset stomach, headaches or skin problems chances are you have thought about whether something you were eating was triggering your symptoms. So what options are there for finding out whether a food is upsetting you ?

The medical testing for allergies consists of either skin prick testing to determine if a substance provokes a reaction or blood testing for antibodies to Immunoglobulin E known as RAST testing. Naturopathically there are a number of other options including an Elimination Diet, Food Intolerance Panel or Bio Compatability Hair Testing. So what are the advantages of each of these forms of testing ?

Skin prick testing involves scratching the skin with a range of allergens to see what generates a reaction. Usually done by a specialist you do need to be under supervision if a topical reaction causes full on anaphylaxis to an allergen so that you can be treated appropriately. Understandably many parents are not enthusiastic about this option however it does accurately identify  true allergens. A blood test to detect antibodies can be done where the skin prick testing is too invasive. It detects antibodies to specific allergens such as dust, pollens and foods.

What you can eat on a food sensitivity elimination diet:

  • Vegetables, well-washed (preferably organic), eliminate nightshade vegetable (such as eggplant, tomato and capsicum) if you suspect they are a problem
  • Fruits, well-washed (preferably organic), start with berries initially
  • Meat and fish (preferably organic and free range meats and wild fish)
  • Fats and seasonings – Extra-virgin coconut oil for cooking, and extra-virgin olive oil for dressings and other low-temperature applications, sea salt, herbs
  • Drink: only water (filtered if possible)

Naturopaths often conduct a food intolerance panel which looks for an immunoglobulin G reaction. It’s useful but will usually only tell you about foods you have been eating in the past few months. So if you haven’t had wheat for a year it may not show up.

Recently I have also looked at Biocompatibility Hair Testing conducted by Naturopathic Services. It has the advantage of not requiring a blood test and covers 500 widely available foods including a significant list of health foods.

Christine Pope is an experienced nutritionist and homeopath based at Elemental Health.

Travelling with a weak gut?

Chalkboard drawing of body focusing on the gut area

It can be quite tricky travelling when you have a range of food intolerances but even more so when you have a weak gut that is quite reactive. I have put a few tips together for supporting your gut whilst travelling however I would always recommend that you get it in the best shape possible before you go as the ideal way to prepare.

First up how do you just prepare for an extended trip? Make sure you are taking a good quality probiotic for up to two months before you travel to seed your gut with a good range of protective bacteria for your journey and then travel with a heat stable probiotic. If you have quite a few food intolerances ideally do a bit of a heal and seal protocol before travelling which should include high doses of glutamine. Better still a full detox would get your whole system working as well as possible to protect you on the journey.

What are some things you can do to acclimatise your gut when you get to your destination? On an extended journey start consuming the local fermented food – it could be kim chi, sauerkraut or yoghurt but it will help innoculate your bowel with the protective species of your local environment.

Feed the good gut bacteria a range of fruit and vegetables, just remember to stick to cooked or peeled as much as possible as salads which are washed in local water can be very problematic in some regions. Ideally aim for at least six serves of vegetables a day which will optimise your nutrition as well as keeping gut bacteria happy.

For gut protection and repair you can’t go past traditionally made bone broths or stocks. Whether its a miso soup in Japan or just a hearty home made soup, bone broth is a great source of nutrients as well as providing healing ingredients for the gut, such as gelatin. On the off chance that you do pick up a tummy bug the tips in my Stomach aches and pains blog for suitable homeopathic medicines would be helpful reading.

Christine Pope is an experienced nutritionist and homeopath based at Elemental Health.

Stomach Aches and Pains

Woman crouching over clutching stomach in pain

Tummy bugs can be a real pain however its possible to manage them easily with homeopathic medicines and a few simple dietary strategies.

With any stomach upset it is important to keep up liquids to reduce symptoms from dehydration. Headaches in particular may indicate that the patient is not drinking enough or is losing too much fluid. Consistently heavy diarrhea and/or vomiting may lead to a dangerous change in a patient’s hydration and can require hospitalization.

The diet needs to be bland and food can be avoided for a couple of days if the patient cannot bear the thought of eating. Bland food can include rice, toast, clear soup or a banana. Avoid spicy or acidic foods until the stomach is settled.

Chronic recurring diarrhea or constipation can be a sign of food allergies or intolerances. An exclusion diet or allergy testing will help identify these foods and removal of the foods from the diet as well as treatment for the gut will minimise symptoms.

When travelling I always take along a heat stable strain of sacchrymdes boulardi which is a prebiotic. It can be very helpful at reducing your symptoms if you do pick up a stomach bug but it can also assist by attaching to bad bugs and helping them move out of your system and in that way reducing the length of the episode.

A similar benefit can be obtained by eating the local fermented food if you are staying in the area for a few weeks.

My homeopathic first aid kit consists of the following medicines and remember when choosing a homeopathic you are looking for at least 2-3 symptoms which are similar to your patient.

Arsenicum

First remedy to think of for food poisoning or stomach flu. May not be able to bear the sight, smell or thought of food. Worse at midnight to 2am. Generally chilly and desiring frequent cold drinks. Patient may be very anxious and better for warm applications.

Lycopodium

Patient is full of gas with flatulence and belching. Weak digestion and may be satiated after a little food.  Can’t stand anything around the waist. Usually worse between 4-8pm.

Mag Phos

Colic in children. Abdominal cramping better for warmth and pressure, often quite gassy and better for bending over.

Nux Vomica

Hangover remedy. Over indulgence in food and alcohol. Constipated or with heartburn made worse by spicy food. Grumpy irritable and workaholic people.

Better for rest or discharges.

Podophyllum

Good remedy for Bali Belly with explosive diarrhea. Also for constipation alternating with diarrhea. Worse for acid fruits or milk. Sour smelling vomit.

Thirst for large quantities of water.