Showing posts with label bloating. Show all posts
Showing posts with label bloating. Show all posts

Friday, June 21, 2013

Tired of the Gas and Bloating? Is it Gluten?

One of the most common symptoms that patients complain of is gas and bloating. Sometimes it’s associated with acid reflux or heartburn, and other times it comes along with constipation or diarrhea, but gas and bloating are very, very common.

Is it normal? Absolutely not. I don’t care how long you've had it, there is nothing normal about gas or bloating. There is a treatment that works and it’s completely natural.

For some people the symptom has been with them since childhood. As a child you may have complained of ‘tummy aches’ when the gas got too bad. Perhaps you remember these tummy aches, I know I do. Or perhaps you have a child who complains. This is not a symptom to ignore and personally I get a little peeved when parents casually mention the symptom but quickly add that the child’s teacher or their spouse believes the symptom is ‘made up’. No one enjoys pain and I rarely find that children are fabricating their symptoms.
So, regardless of your age, let’s discuss why gas and bloating occur.

Your digestive tract is a closed system with an opening at either end. Considering its length is almost 30 feet, that leaves a lot of potential room for trapped gas. When food is ingested it goes to the stomach where it is broken down somewhat and then it move on to the small intestine where full digestion occurs. Once a food is fully broken down, it leaves the small intestine via the bloodstream, where it is delivered as fuel to all the cells of the body.

If a food is not considered a good fuel by your body, it won’t be able to digest it properly. This is what occurs with the protein gluten. For those with celiac disease or gluten sensitivity, gluten is seen as a toxin that therefore becomes a burden to the small intestine. (It is interesting to note that the protein gluten is unable to be fully digested by any human, regardless of whether they have celiac or gluten sensitivity. It starts to make you wonder if we should really consider it a food...)

When a food is improperly digested it starts to putrefy within the small intestine. This creates gas, and built-up gas creates bloating. It’s a little like what occurs when something gets pushed to the back of your refrigerator and goes bad. If it’s in a plastic container, it will start to bulge and it’s definitely built up gas.
Do you feel overly full, uncomfortable or gassy after eating? This is not normal and it indicates that something that you’re eating is not being perceived as a good fuel. Is it a gluten sensitivity? Possibly. It could also be a dairy sensitivity or another food that’s bothering you.

An interesting catch-22 occurs when you don’t digest food properly. Over time you then don’t produce enough stomach acid and enzymes that are required to digest your food. You need enzymes and stomach acid to digest, but you make those things from the foods you eat – it can get quite circular.

In addition to discovering any food sensitivities, it is therefore important to discover if you do require any extra stomach acid (hydrochloric acid) or enzymes to assist you in regaining the proper balance within your intestine.

Another factor is your probiotic balance. These good bacteria help strengthen the immune system of the gut and destroy any pathogenic (disease-causing) organisms.
Lastly, those above mentioned infectious organisms can be in residence in the small intestine, and due to their less than hospitable intentions, can be creating inflammation that causes bloating and improper food digestion.
In summary:
1.       Gas and bloating is not normal
2.       Food sensitivities such as gluten and dairy can cause the problem
3.       Insufficient stomach acid and/or enzymes can also cause the symptoms
4.       Probiotic levels should be evaluated to ensure proper functioning of the intestine
5.       Intestinal infections can be present that prevent healing and perpetuate the symptoms
Treatment would look like this:
1.       Determine if you have any food sensitivities. Blood testing is a great place to start to rule out celiac disease but even if that test is negative, a 30 day gluten elimination diet will help you to determine if you have a problem. Sadly, our available tests are not perfect.
2.       For a dairy, corn or soy sensitivity – eliminate the foods for at least 2 weeks and then challenge one at a time allowing three days between challenges. Notice if you feel better off the foods and then what occurs when you reintroduce them. Remember that a reaction after reintroduction can occur anywhere from immediately up to 3 days later.
3.       Once you have determined any food sensitivities, if the gas and bloating is continuing and it tends to be something you feel shortly after eating, try some hydrochloric acid. Get a good one from a reputable health food store or your doctor. You may need to titrate it up a bit to find the proper dosage, but if it’s what you need you’ll be able to tell relatively quickly.
4.       If your symptoms tend to occur about an hour or so after meals, try pancreatic enzymes first. Much like the stomach acid, you may need to titrate the dose up to find what works for you.
5.       Probiotics are always a safe bet, just use human strains of different organisms at a high strength. Once again, your doctor or reputable health food store is your best source.
6.       Determining the presence of any infectious organisms requires a lab test. We use a lab that looks for an abundance of different bacteria, parasites, amoeba, etc. Often a traditional medical stool test only looks for a couple of parasites. This is not what I’m referring to. You want a comprehensive test. The good news about this test is that it also evaluates your probiotic and enzyme levels.

What’s interesting is how all the above points are inter-related. The food sensitivity often starts the problem and the rest of them follow as a result.

Please realize that gas and bloating go beyond discomfort or embarrassment when gas passes. These symptoms are an indicator of poor digestive function. If you cannot turn your food into proper fuel, there truly is no way the rest of your body can be healthy.

If you have any of these symptoms and are having difficulty remedying them, you are welcome to contact us for a free health analysis. Just call 408-733-0400.

We are a destination clinic, meaning that we treat patients from across the country and internationally. You don’t need to live locally to receive assistance.

Please share this information with those you know. It’s certainly not ‘dinner table’ discussion, but it’s extremely important for overall health and many who are suffering either don’t know it’s abnormal, or they don’t know that it’s correctable without dangerous drugs.
I look forward to hearing your questions.


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If you felt as if I was describing you above, you are not alone. As I mentioned earlier, adrenal fatigue/exhaustion is almost epidemic. If you would like assistance and don’t have a clinician whom you feel can assist you, consider contacting us for a FREE Health AnalysisWe are a Destination Clinic and treat patients from across the country and internationally. We would be delighted to help you as we have been doing so for over two decades.

Visit us at www.RootCauseMedicalClinic.com. If you have questions or need any help, I’m here for you! C
all 408-733-0400.

I look forward to hearing from you.

To your good health,
Dr Vikki Petersen, DC, CCN, CFMP

IFM Certified Practitioner

Founder of Root Cause Medical Clinic
Co-author of “The Gluten Effect”

Author of the eBook: “Gluten Intolerance – What You Don’t Know May Be Killing You!”




Tuesday, February 26, 2008

Published in IAACN INSIGHT. Volume 12, Number2


(Official Publications of the International and American Associations of Clinical Nutritionists)

Case History: Elliot B.
  • 42 year old male
  • Weight: 268 lb. Height: 5’ 10 ½”
  • BP 140/90

Main Complaint:
  • IBS – symptoms for 20 years but diagnosed 5 years ago and getting worse.
  • BM: 7 – 8 times/day. Diarrhea, mostly liquid.
  • 1 to 2 x/mo will pass blood with bowel movements if has more movements than usual.
  • Bloating, gas and heartburn.
  • Abdominal pain and gurgling.

Secondary Complaints:
  • Extremely depressed.
  • Very irritable and anxious.
  • Loud noises bother him; he’s startled easily and easily upset.
  • Severe claustrophobia. Never had the problem 20 years ago. - can’t get into a car w/ others unless he’s driving.
  • Can’t drive anywhere unless he knows exactly where the bathrooms are.
  • Sums up his problem as debilitating. Had to quit his job and become a consultant so that he could work from home.
  • He can’t do any hobbies or desired activities.
  • When family went on vacation he would stay in his room.
  • Won’t go outside the house much. - gets worried about leaving home.

History / Family History
  • Had gas pains as a child and thinks he’s always been lactose intolerant.
  • Feels good at 200 lb but currently weighs 268lb; recently gained 20 lb.
  • Drug use: abused drugs in 1980s; underwent rehab for cocaine.
  • Sister who is anorexic and also has drug abuse history.

Current Medical Diagnosis
  1. IBS
  2. Obesity (BMI 37)
  3. Anxiety

Diet Diary
  • Breakfast – fast food
  • Lunch – subway sandwich or tacos – fast food
  • Dinner – fast food or chicken, rice and veggies (at home)
  • Snacks – pretzels, cookies, fruit, crackers
  • Needs coffee to get going in the morning
  • Drinks 3 litres of diet soda/day.
Medications:
  • Lexapro 10 mg/day. 4 years ago was on Paxil, it stopped working so switched to Lexapro.
  • Lorazapan for anxiety as needed for 5 years.
  • Ativan – as needed

Plan:
  • Discover the source of the bowel irritation. Rule out food reactions and infections.
  • After removing any irritants, heal the bowels.
  • Evaluate adrenal function.
  • Educate on healthy diet.

Lab Tests:
  • Stool analysis
  • Adrenal profile – salivary testing
  • Comprehensive blood analysis – fasting
  • Gluten test – blood and saliva

Results of laboratory tests:
  • H. pylori, Clostridium Difficile toxin A and moderate Proteus species were identified.
  • Stage II adrenal fatigue with low afternoon cortisol, low DHEA and very high cortisol : DHEA ratio.
  • Cholesterol – 216
  • Direct LDL – 150 (high)
  • Total Fe binding capacity – 401 (high)
  • Cortisol (blood)– 4.85 ( very low)
  • Hemoglobin A1C – 6.10 (high)
  • Gliadin – borderline in saliva, negative in blood
Treatment:
  • Modified Elimination Diet – eliminating the most common food allergies from the diet for 10 days followed by a reintroduction.
  • Lifestyle and dietary management.
  • Antibiotic therapy to treat H. pylori and C. Difficile infections followed by probiotics.
  • Supplements to support adrenal function, enzymes, B12 injections and sublingual B12 on days not receiving injections.

Current Status:
Best communicated from a report written by the patient after being on the program for 90 days:
IBS ruled my life. I could not go anywhere where I was not absolutely sure that there was a close bathroom. I tried to take over the counter and prescription diarrhea medicine, but it would only last a few hours. Because of my symptoms, I was also on depression medication on a daily basis to "help" me deal with the anxiety that was caused by my IBS. I also suffered from extreme claustrophobia, and could not travel in my car without stopping to go to the bathroom every 20 minutes or so. I would say on a good day I had 6-7 bowel movements and on a bad day 8-9 - every day. I have had IBS for the last 20 years, but this bad, only for the last 2-3 years.

I could not go skiing, running or walking outdoors. Traveling was a nightmare for me and my family. I was always stressed about when I would have to next go to the restroom.

I remember at our first meeting Dr Petersen told me that she could help me, not with arrogance, but with confidence. She showed me pictures of what my insides probably looked like, but explained it in an easy to understand, matter of fact way. Dr Petersen told me I would have to give up eating like I was (eating myself to death, or a certain heart attack), but I could do it gradually.

I was given a diet that included none of the things I had been eating or drinking. It included giving up caffeine and gluten and sugar and aspartame. I had come to the clinic willing to try anything and I knew it would be hard but nothing could have prepared me for the withdrawal from caffeine and sugar. I thought that during the first week I was getting sicker, but I made it through. No real progress on my IBS, but I felt different. We went through blood tests and saliva tests and stool samples. It turned out I had 2 infections in my intestines that were not letting me digest food. The antibiotics at first made me feel even worse, but I was in this for the long haul. I knew I was on the right track because soon I started to feel better. Maybe the IBS was not cured yet, but I had more good days than bad, and I felt better emotionally and physically than I had in a long time. About one week after I finished the antibiotics, I began to lead a normal life. I was only going to the bathroom 3-4 times a day, and the experience was much better. Two weeks later, I had a few days in a row with only 2-3 bowel movements per day. In three days, I had what would have been one of my bad days, but with no anxiety or discomfort.

The side benefit of my gluten free diet is that I am off of my "maintenance anxiety drug". This did not happen because my new doctors told me not to take it, I just forgot to about two weeks ago, and have not had the need for it. Today I got in a car w/ 4 other men and I wasn’t doing the driving. It suddenly dawned on me that I would never have done that before. The anxiety would have prevented me.

I have also lost 18 pounds, which was not why I came here, but is a definite benefit.
It is very difficult to explain the pain and suffering that I went through and that I put my family through with my panic attacks and IBS. I am lucky that they supported me and did not leave me. I feel that I can start to be the person that I am meant to be. My life gets better every day. Maybe everyone is not as sensitive to gluten as I am, but for me it is poison. It is easy to pass up gluten with the great results I am seeing. I asked Dr Petersen if it was just the caffeine that made me so irritable. The doctor explained that for some people gluten is neurotoxic. This was definitely the case for me and understanding that makes it easy to stay on a gluten free diet. I also realized that all of the food that made me sick has gluten in it....bagels, bread, pizza, pasta, sandwiches......I was killing myself while trying to eat healthy. When I had a salad with bread and croutons, it defeated the purpose.
Anyway...that is my story so far. I feel better everyday. I can not thank Dr Petersen enough for helping me change my life.

Sincerely,

Elliot B.

Case study submitted by: Drs Vikki and Rick Petersen, DC, CCN.
HealthNOW Medical Center
1309 S. Mary Ave., Suite 100
Sunnyvale, CA 94087
www.healthnowmedical.com


Visit us at www.RootCauseMedicalClinic.com. If you have questions or need any help, I’m here for you! Call 408-733-0400.