What Does Your Poo Say About You?

Healthy poop chart

Your Poop and Your Health

Let’s chat about your poop, feces, poo, excrement or bowel movements.

Did you just cringe a bit? Let’s face it, poop isn’t anybody’s favourite topic. Nonetheless, our bowel movements hold valuable clues to our overall health. But these signs are often ignored because most of us are a bit uncomfortable talking about them – even to our healthcare providers. Or, our concerns about stool quality are glossed over or brushed off.

Your Appointment With Us is a Judgement-Free Zone

Keep in mind that your naturopathic doctor cares about such things as the quality of your stool. We will not be shocked or uncomfortable if you talk about your poop. In fact, that’s part of our job! We really want to get to the bottom of your health issues (no pun intended). Sometimes that means talking about things that fall under the category of “too much information”. We need to know all of your symptoms, even things that may seem unrelated or unimportant, in order to put your health puzzle together. So, if you have a concern, no matter what it relates to, please don’t hesitate to bring it up.

Your Poop is a Reflection of Your Health

The appearance and smell of your poop is a direct reflection of your gut health. Your gut health has a massive impact on your overall health. As well as helping you absorb all of your nutrients, your digestive system interacts with your nervous system and your detoxification pathways. Changes in your bowel habits can indicate changes in other parts of your body – from excessive nervous system stress, to liver problems, to cancers.

The good news is that we don’t have to go into great detail here describing the various types of bowel movements and what they signify. There’s already a chart that shows various problems and what to look for. It is called the Bristol Stool Chart and you’ll find it here: http://cdn.intechopen.com/pdfs-wm/46082.pdf. It was named after the hospital that developed it in 1997.

The Healthy Poop Chart

The Bristol Stool Chart looks at:

  • Your ease of passing stool – it should be fairly easy
  • The smell – sure there will be a smell to it, it is waste after all, but it shouldn’t be particularly foul smelling.
  • The consistency of your stool – the stool should be solid and uniform in texture without bits of undigested stool in it
  • The colour – the colour should be a medium or chocolate brown. Green poop can be from something you have eaten or can be because your stool is passing through your gut too quickly for intestinal bacteria to break down bile. This is what creates the normal stool colour.
  • How often you have a bowel movement – anything from one to three times per day, every day is considered to be normal
  • How completely you empty your bowels – bowel movements should feel complete.
  • And any additional red flags – red flags include blood in your stool, mucous in your stool, chronic constipation or diarrhea and chronic undigested food.

What The Bristol Stool Chart Means for You

To summarize the Bristol Stool Chart, you should have a daily bowel movement that is well-formed, medium brown in colour and not too smelly. If you see blood or mucus, or if you feel that anything about your stool doesn’t seem ideal, you should talk to your naturopathic doctor. We can address or rule out any issues that require medical help. The chart can help identify mild constipation, severe constipation, normal stools and inflammation in your gut.

Talk About Embarrassing!

Two of the more common but embarrassing issues related to bowels are fecal incontinence and itchy anus (or anusitis).

Fecal Incontinence

Fecal incontinence is where stool leaks from your rectum between bowel movements. You may notice staining of your underwear. It may happen when you pass gas or unpredictably. Incontinence may be associated with a bout of diarrhea, or may be accompanied by constipation or excessive gas. The causes of fecal incontinence include:

  • Muscle damage
  • Nerve damage
  • Complications of surgery or childbirth
  • Diarrhea
  • Inflammation in your bowels

Our naturopathic doctors can help identify the cause and help improve your digestion, the tone of your GI tract and remove sources of inflammation.

Itchy Anus, Anusitis or Proctitis

Anusitis is inflammation of the lining of the anal canal. Proctitis is inflammation of the skin of the rectum. Rectal itching (pruritis) is a sign of inflammation or infection. You may also notice bleeding or a burning sensation. Our naturopathic doctors can help identify the cause of the itching. We can help relieve itching, remove infections and identify food sensitivities that cause itching. Here’s why you shouldn’t ignore rectal itching: chronic inflammation can lead to bigger health issues like rectal cancer.

7 Simple Steps to Improve Your Poop

If you’ve ruled out a medical condition, but still feel that things are not moving quite like they should be, here are a few ways to improve your bowel movements.

Pay attention to your diet

Fiber keeps things moving by adding some bulk to your stool. For extra fiber, think seeds, beans, fresh fruit and vegetables. If you’re not used to a high-fiber diet, increase your fiber intake slowly to avoid upsetting your stomach or creating too much gas. Always make sure to up your water intake alongside extra fiber. In addition, make sure you’re eating enough healthy fats from sources such as avocados, nuts, and olive oil. If food is moving through too quickly, causing loose stool or diarrhea, good fats help to slow digestion down a bit. This gives food more time to digest fully.

Pay close attention to how particular foods affect your digestion. If you experience IBS symptoms like diarrhea or constipation, try keeping a diary of what you eat, and the symptoms you experience. We can help you set up an effective tracking system to monitor your diet. Alternatively, our naturopathic doctors can order food sensitivity testing for you to efficiently pinpoint which foods are causing trouble.

Choose medication carefully

Many medications can cause constipation as a side effect. It is important to be aware of this and adjust your diet accordingly to compensate for this effect. Avoid laxative medications as much as possible. Your body quickly becomes dependent on them. Some evidence also links the chronic use of laxatives to colorectal cancer. Talk with your naturopathic doctor about natural solutions for medication-induced constipation if diet alone isn’t enough.

Drink lots of water

Aim for the proverbial eight cups of water per day. It’s particularly important to get enough water if you have recently increased your fiber intake. Not only are our stools 75 percent water, but your bowel muscles need plenty of hydration to work their best. Water in your stool also keeps it softer and easier to pass. I have seen patients where even one or two more glasses of water per day made a difference in regularity.

Increase your body movement

Exercise stimulates your digestion. Studies suggest that digestion is better if you exercise regularly and, if possible, at the same time each day.

In fact, sitting for too long overall can lead to constipation regardless of your physical activity level. This is another reason to stand up and walk around every 30 minutes or so throughout your work day. How you move your body also matters. Did you know that some yoga poses are designed to help with digestion?

Get into a routine and don’t suppress the urge to go

If you feel like you’ve gotta go, don’t ignore that feeling! Fighting the urge to poop can lead to constipation. Setting aside a specific time of the day can help you stay regular. Good digestion requires good parasympathetic nervous system activity. This is the part of your nervous system that helps you rest, digest, relax and sleep. If you’re always stressed out or on the go, your nervous system will be in sympathetic or fight or flight mode. That works against good digestion.

Squat to poop

As well, consider the way you sit on the toilet. Over the course of history, toilets themselves are a pretty recent invention. In nature, we would have squatted to have a bowel movement. Many people find that bringing their feet up onto a stool can help bring them into a squatting position which makes bowel movements easier. Check out the Squatty potty for more info on aids for better positioning.

Talk openly

Don’t hesitate to come into the office and have an open talk if you have any concerns or questions about your bowel movements. Your stool can be a good indicator that your body has something going on that needs attention. It’s always better to bring up a concern than to ignore it or worry about it! Call us at 416-481-0222 or book an appointment online to speak to one of our ND’s.

By Dr. Pamela Frank, BSc(Hons), ND

Sources:

https://www.ncbi.nlm.nih.gov/pubmed/25223576

https://www.theguardian.com/lifeandstyle/2015/may/18/truth-about-poo-doing-it-wrong-giulia-enders-squatting

https://www.ncbi.nlm.nih.gov/pubmed/15043514

https://www.ncbi.nlm.nih.gov/books/NBK430892/

https://www.ncbi.nlm.nih.gov/pubmed/30880096

https://www.ncbi.nlm.nih.gov/pubmed/30880096

Candida or Yeast Overgrowth

Candida or Yeast Overgrowth Can Make You Really Tired

How to Get Rid of Candida Naturally

Do you have a white coating on your tongue? Circular skin rashes with a white centre? Bloating? Constipation? Vaginal irritation? You’re always craving sweets? You could be suffering from a yeast overgrowth.

What is Candida Albicans?

Candida albicans is the most common kind of yeast that co-exists with humans. It is normally harmless to people when it is present in small amounts. There are many other strains of yeast that can inhabit your gut. There are almost 200 known Candida species, although few of them are a threat to humans. The most important species are C. albicansC. dubliniensisC. tropicalisC. Parapsilosis, C. glabrataC. kruseiC. guilliermondii, and C. Lusitaniae. Other medically important species of fungi include Histoplasma capsulatum, Cryptococcus neoformans and Aspergillus fumigatus.

However, as anyone who’s ever baked bread knows, yeast likes to grow. It is a fungus, after all. Candida is considered to be an “opportunistic pathogen”. This means that if it gets the opportunity to cause disease, it can. Under normal conditions in your gut, your healthy gut bacteria keeps intestinal yeast growth in check. This maintains a balance between bacteria and yeast.

The fragile balance between your gut bacteria and yeast

This delicate balance is, however, easily upset. For example, we can lose beneficial bacteria from taking even one round of antibiotics. We can encourage yeast growth by bingeing on sugar and refined carbs. Estrogen dominance, birth control pills and stress all allow yeast to multiply. The result? Yeast overgrowth.

Is gut Candida overgrowth the same as a yeast infection?

Most people are familiar with a couple of the different kinds of local yeast infections.

Thrush

A Candida yeast infection in your mouth is called oral thrush.

Symptoms of oral thrush include:

  • white, bumpy patches in your mouth
  • a white coating on your tongue
  • if you try to scrape the white coating off your tongue, there are pinpoint bleeding spots
  • cracks at the corners of your mouth
  • difficulty swallowing

Vaginal Yeast Infections

The symptoms of a vaginal yeast infection include:

  • vaginal redness
  • vaginal swelling
  • itchiness of the vagina and surrounding area
  • an unpleasant white, chunky discharge

These reactions are typically immediately noticeable – and very annoying.

In contrast, a gut Candida overgrowth can be much more subtle and difficult to determine. Candida overgrowth’s impact may be more troublesome and even life-threatening. When your good gut bacteria decreases and yeast multiplies, the overall effect on your body can be far-reaching.

How does Candida overgrowth work?

Disease-causing yeasts have properties that allow them to overcome your defenses. These include the ability to stick to the gut wall and invade tissues. Also, certain strains of yeast have developed escape mechanisms, to avoid being eliminated by your immune system.

When Candida grows unchecked, it attaches to and sends roots through the lining of your intestine. This creates “leaky gut” syndrome where the barrier of your intestinal wall is weak. As the name suggests, leaky gut syndrome allows undigested food, bacteria, and toxins to “leak” from your intestine into your system.

When your immune system is faced with undigested food, bacteria and toxins, it sees them as unknown invaders. That causes it to kick into overdrive trying to neutralize these things it doesn’t recognize, things that it perceives as a potential threat. This immune system hyper-activation leads to a number of symptoms ranging from inflammation to autoimmune diseases.

Candida overgrowth is often overlooked or misdiagnosed because the symptoms vary so widely. It is also not something that conventional doctors would ever test you for. If you’re experiencing autoimmune symptoms, having a foggy brain, or dealing with digestive issues, it’s possible that a gut Candida overgrowth could be the underlying problem.

Who is most at risk for Candida overgrowth?

Certain populations are more susceptible to yeast overgrowth. These include premature infants, elderly, pregnant or menopausal women, diabetics, alcoholics, and anyone taking immunsuppressants or antibiotics.

What are the symptoms of Candida overgrowth?

So how would you know if you have a Candida overgrowth? Here are the signs and symptoms:

  1. Despite your best intentions, you have strong cravings for sugar and carbohydrates. Candida wants to keep eating and multiplying, so a taste of sugar will leave you wanting more!
  2. You feel itchy all over, especially, and certainly embarrassingly, in your anal or vaginal areas.
  3. Fungal infections. You suffer from athlete’s foot, toenail fungus or other unexplained itchy foot rashes.
  4. Irritable bowel syndrome. Your digestion feels out of whack. You experience a lot of gassiness, constipation, diarrhea and bloating.
  5. You experience mood swings and frustration for no obvious reason. Or you frequently feel anxious or depressed, even though you are doing your best to look after your emotional well-being. Did you know that depression is considered by some to be an inflammatory condition of the brain? Candida overgrowth may be the stimulous for that inflammation.
  6. Unexplained joint pain that makes it hard to keep up with your exercise routine. Sadly, that lack of exercise is only worsening your other symptoms. You want to work out and you know that you should, but it’s painful.
  7. Fatigue. If other causes of fatigue like hypothyroidism, iron deficiency and allergies have been ruled out, yeast overgrowth may be the issue. Particularly if there are other symptoms pointing to a yeast problem.
  8. Allergies. Studies show that animals whose guts are colonized with yeast develop allergic reactions.

Diagnostic testing for gut bacteria and yeast

Boxed Candida cleanse “kits” may be popular, but in reality overcoming Candida overgrowth and restoring a healthy balance of yeast and gut bacteria can be very challenging. Our naturopathic doctors can work with you to develop a program that’s tailored specifically for you. We start with a complete analysis, stool testing if necessary and then create a customized treatment plan. Stool analysis determines what exactly is growing in your gut, how much and how best to get rid of what shouldn’t be growing in there.

Once we have an accurate picture of what’s really going on in your system, we can work on a plan to restore health and balance.

Our holistic approach to managing Candida

There is no one-size-fits-all solution. Our holistic approach means taking an in-depth look at various aspects of your lifestyle.

Specialized Candida diet

In general, the first step of Candida treatment consists of dietary changes. You knew that was coming, right? Together we can work on a diet plan that works for you to starve out the yeast.

Dietary changes should be realistic and manageable for you over the long term. After all, we want to create a sustainable solution, not a quick fix that may be too difficult to stick with.

Say goodbye to sugary sweets

To get Candida under control, patients have the greatest success by limiting all processed sweets from their diet. We also recommend cutting back on starchy carbohydrates. Low-sugar fruits such as berries are the best options for a sweet treat.

Alcohol

Eliminating all fermented, yeasty or moldy foods and drinks, including alcohol, will help control yeast symptoms. This includes well-known fermented foods such as sauerkraut and kombucha. It also includes the less-obvious ones, like soy sauce or peanuts. If your immune system is sensitized to yeast, it will also react to these food sources of yeast, mold and yeast metabolites.

Add extra fibre

Adding more fibre to your diet and drinking lots of water (2-3 litres per day) improves your intestinal “transit time”. This means that things move through your gut more quickly, so that nothing lingers too long in your system.

Carbs in moderation

It’s important to note that carbohydrates aren’t necessarily completely forbidden on a Candida diet. Although processed flour can contribute to to a Candida overgrowth and slower transit time, whole food carbohydrates such as rye or quinoa can add good fiber and minerals to your system. We can work together to look at your carb consumption and make any necessary adjustments.

The steps above can slow the growth of Candida which may improve some of your symptoms, but as always tackling one side of the issue isn’t enough. You also want to increase the number of good bacteria in your gut. An effective way to do this is by consuming more probiotics or “healthy bacteria”. A high quality supplement of the right kind of probiotic for you is usually recommended, as they are able to rapidly populate the gut and restore balance.

Foods that kill Candida

Research has found that many substances aid in the killing off of stubborn overgrowth. Studies have found turmeric to be effective as well as coconut oil, some essential oils and much more. In order to determine the right solution for your body, help from your naturopathic doctor is recommended. We can talk about the best treatment plan to eradicate this overgrowth and eliminate the problems Candida overgrowth can cause in your system.

The effect of stress on Candida

In addition to dietary changes, reducing your stress levels can help. When we’re stressed, our bodies produce more of the stress hormone cortisol, which over time will increase blood sugar.

Since Candida feeds off sugar, stress can make us more vulnerable to Candida overgrowth. It’s not always easy to lower stress levels – life often gets in the way. However, we can change the way we react to stress through science-backed stress reduction techniques such as meditation and yoga.

Candida overgrowth is one of the more common reasons people seek holistic care. The good news is that we are experts in treating digestive issues.

If you suspect that you may be experiencing an overgrowth of Candida, give us a call at 416-481-0222 or book an appointment online any time here.

Together we can make an effective plan to get your health back on track.

https://www.cdc.gov/fungal/diseases/candidiasis/index.html

https://www.ncbi.nlm.nih.gov/pubmed/26709650

https://www.ncbi.nlm.nih.gov/pubmed/17083732

https://www.ncbi.nlm.nih.gov/pubmed/26723514

https://www.ncbi.nlm.nih.gov/pubmed/17651080

https://www.ncbi.nlm.nih.gov/pubmed/28184328

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803610/

Food Sensitivities

man suffering from food sensitivities

Food Sensitivities: What You Need to Know

You’re careful about your health. You do your best to eat well, and you pay attention to the ways that your diet affects your energy levels. But something seems off. You’re experiencing annoying symptoms that you can’t explain. Maybe you have food sensitivities?  You’re often gassy and bloated, your skin may not be clear and glowing anymore, you may be ready for a nap after a meal and you wish you could remember where you put your keys. Why does your memory feel so foggy?

These issues are frustrating (and often embarrassing). They’re also very common. Many patients come to see us with healthy lifestyles but are baffled by continuing digestive issues, mysterious rashes, and low energy levels. If this sounds familiar, it may be time to take a good look at your diet. Even a “healthy” food can make you sick if your body is sensitive to it. For many, the food mystery becomes both frustrating and overwhelming when trying to understand what foods are nourishing you and which ones may be harming you.

But the good news is that you may not have to look very far to make changes that relieve your symptoms. With a bit of detective work and our help, we can map out a dietary plan that restores your well-being.

What are the Symptoms of Food Sensitivities?

Food sensitivities can be tricky to diagnose. One reason is that there’s no one-size-fits-all list of food sensitivities or description of the way your body may react. Symptoms can vary from person to person and can even be different depending on what else is happening in your body. For example, you might respond differently at different stages of your menstrual cycle.

Food sensitivity symptoms can include:

Gas
Bloating
Constipation
Diarrhea
Heartburn/GERD
Irritable Bowel Syndrome
Swollen or painful joints
Muscle weakness
Migraines
Headaches
Dark circles under your eyes
Skin rashes like eczema and psoriasis
Brain fog – that annoying forgetfulness and lack of clarity
Acne
Fatigue
Difficulty getting up in the morning

Another reason why food sensitivities are often a missed diagnosis is that these symptoms can be delayed up to 48 hours after the food that is causing them. So many people don’t make the connection between what they ate and how they feel as much as 2 days later.

Similarly, it’s difficult to measure how many people suffer from food sensitivities because a lot of us don’t seek medical help, figuring that it’s “normal” to feel gassy and tired all of the time. In fact, conventional medical practitioners can be sceptical about food sensitivity symptoms, which can lead to frustration for patients. But it doesn’t have to be this way, not with our doctors.

What is a Food Allergy?

It’s important to recognize the difference between food allergies and food sensitivities. What is commonly called a food allergy is an immune reaction. After eating a certain food, your body’s immune system launches an attack by making an antibody called immunoglobulin E (IgE). The next time you consume that food, your body is ready to attack again. But the IgE antibody causes your body to release a chemical called histamine, which triggers the physical symptoms of an allergic reaction. The most severe version of this is called anaphylaxis or an anaphylactic reaction. This extreme food allergy reaction can be lethal. Common foods that provoke an anaphylactic reaction include wheat, soy, peanuts, shellfish, milk and eggs. Symptoms of anaphylaxis include throat swelling, lip swelling, difficulty breathing, shortness of breath, wheezing and hives.

What is a Food Sensitivity?

In contrast, a food sensitivity is often caused by a different antibody, known as IgG antibodies. IgG antibodies provoke a milder immune reaction than IgE and so this is considered a food sensitivity rather than a food allergy. In both cases, your immune system is responding inappropriately to your food. But the reactions differ in intensity. IgG-mediated food sensitivities are not lethal but do affect people’s quality of life with the above-mentioned symptoms.

What If You Eat Your Food Sensitivities?

If we continue to eat the problem foods, we can exacerbate the sensitivities and our symptoms can affect more aspects of our bodies. Because our immune system creates antibodies against the food the lining of the gut can become inflamed and damaged. Eventually, the gut wall can become permeable, so that undigested food material “leaks” into the bloodstream. Not surprisingly, this is called “leaky gut” syndrome.

Why does leaky gut syndrome make us feel so lousy? There is growing evidence that the microorganisms in our guts exist in a complex relationship with our brains – what scientists call the “microbiome-gut-brain axis.” In other words, food sensitivities and the resulting leaky gut can affect our brains. And, as a result, our moods and energy levels. And that’s in addition to the general discomfort we can feel with digestive difficulties. No wonder patients with food sensitivities are often exhausted!

But what is the root cause of food sensitivities?

Research is still developing, but there are a few theories, ranging from changes in farming practices to the increased use of antibiotics, which can affect our gut bacteria and make it more difficult to digest certain foods.

What is a Food Intolerance?

A food intolerance is caused by a lack of the enzymes necessary to digest a substance that the food contains. For example, some people may develop a lactose intolerance if their intestinal mucosa doesn’t produce enough of the enzyme lactase. A lactose tolerance test is used to diagnose lactose intolerance.

Which Foods Can Cause Food Sensitivities?

Somewhat ironically, many foods that can lead to sensitivity symptoms are considered “healthy” foods. In fact, ANY food can trigger an immune response.  As a result, it’s easy to keep eating them, hoping they will improve your health and help you feel better. Yes, it’s a bit of a Catch-22! Common food sensitivity culprits include:

Dairy: The proteins casein and whey found in goat, sheep and cow milk, as well as cheeses, ice cream and yogurt are difficult for our gut to break down. The immune system then reacts against what it perceives as “foreign” protein. Your immune system is programmed to be on the lookout for foreign proteins from viruses and bacteria. So other foreign proteins like casein and whey, if not properly digested, can trigger an immune response.

Gluten: Gluten is a protein (or family of proteins) found in wheat, rye, barley, spelt, kamut, triticale, and other grass-related grains. It’s often a hidden ingredient. For example, many spices, sauces and processed foods can contain gluten. Because it is a protein, similar to casein and whey if it’ is not broken down, it can generate an immune response.

Which Foods Can Cause Food Intolerances?

Fructose intolerance: Fructose is a simple sugar found in many fruits. A fructose intolerance, also known as fructose malabsorption, is caused by an inability to absorb this sugar. Unabsorbed fructose leads to fructose fermentation in the gut, causing bloating and gas. Excessive fructose in the gut can also cause diarrhea. High fructose corn syrup is found in processed foods like cereal bars and some juices.

Histamine and other amines: Histamine is found in greater amounts in aged or stored foods such as cheese, ripe fruit, chocolate, and processed meats. These foods are often migraine triggers for people with a histamine intolerance. Normally dietary histamine is broken down in your gut by an enzyme known as DAO. Some people are genetically predisposed to low levels of DAO. Undigested histamine can create inflammatory conditions like headaches, migraines, foggy thinking, and pain.

Lactose intolerance: Lactose is a sugar present in varying amounts in dairy products like milk and cheese.  The enzyme lactase is normally located on the lining of your gut, also called the brush border.  As we age, it is normal for us to lose the ability to digest lactose.  It’s present in highest amounts when we are born and declines after we are weaned.  Where cattle are domesticated and used to produce dairy products, the presence of the enzyme can persist, but not in everyone.  If you lack the enzyme and can’t digest lactose, you may experience symptoms like bloating, gas and diarrhea from the undigested lactose in your gut.

This is not an extensive list of food allergy or food sensitivity triggers. We’re all different, and there is no universal recipe for food sensitivities. That’s one reason why seeing a naturopathic doctor is a good idea if you suspect your food may be making you sick. In addition, our medical supervision can ensure your approach to food remains healthy and balanced. Research suggests that food sensitivities can be a trigger for disordered eating in some people. After all, if food is causing you pain, but you’re not sure which foods are to blame, it’s easy to associate all food with negative experiences.

How Can You Treat Food Sensitivities?

On the surface, treating a food sensitivity sounds simple: just eliminate the problem foods. But first, you’ll have to do a bit of detective work. Because of possible delayed reaction times, the troublesome food is not always obvious. There are tests that can be done that will give you a comprehensive list of what is creating a reaction and you can eliminate the culprits, allowing your body to heal faster. A blood test for food sensitivities can help pinpoint which foods to eliminate. The test identifies IgG antibodies in your bloodstream to either 96 or 184 foods. Our naturopathic doctors can provide information about this test.  Although it may be common to produce these antibodies to foods, it is not normal for your immune system to attack food. After testing, our naturopathic doctors can then provide specifics about what to take out, for how long and which foods you could eat as alternatives. Alternatively, you can choose to keep detailed records of everything you eat. Then, under naturopathic supervision, you can start eliminating foods, then reintroducing selected foods, carefully tracking your symptoms. This is also known as an elimination-challenge diet.

While you’re following an elimination diet like this, our naturopathic doctors can provide ways to support your gut health. And as you work to track down the problem foods, you’ll want to avoid substances that are known to cause gut inflammation, such as alcohol.

Immune System Involvement?Antibody Involved?SymptomsTestingLife-threatening?
Food AllergyYesIgEItchy mouth, itchy throat, throat constriction, swelling, airway constriction, hives, anaphylaxis,abdominal pain, nausea, vomiting, diarrheaSkin prick testing performed by an allergistCan be
Food SensitivityYesIgG and/or IgABloating, gas, constipation, diarrhea, acid reflux, heartburn, nausea, vomiting, abdominal pain, headaches, sinus problems, muscle weakness, joint pain, acne, eczema, psoriasis, hives, fatigue, recurrent infectionsBlood test for IgG or IgA antibodies to foods OR Food Elimination-Challenge diet through a naturopathic doctor
No, but do affect quality of life
Food IntoleranceNoNoneBloating, gas, diarrhea Fructose or Lactose Intolerance Test, ordered by an MDNo, but do affect quality of life

Do you think your foods might be causing your health issues? We have testing and treatment to help you understand which foods are helping you and which ones may be harming you. It may not be the foods you suspect. It can even be perfectly healthy foods like avocado, blueberries, salmon and almonds for example.  We’ve seen these foods test positive on food sensitivity testing in our patients. Contact us and we will work together to find the potentially hidden food triggers for your health issues.

Call or email us at 416-481-0222 or Maria@ForcesofNature.ca

To your best health!

Forces of Nature Wellness Clinic

Food Sensitivities References

https://www.ncbi.nlm.nih.gov/pubmed/28936357

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5603184/

https://www.sciencedirect.com/science/article/abs/pii/S0277953608002773

https://www.ncbi.nlm.nih.gov/pubmed/7460264

https://www.nature.com/articles/s41575-018-0064-z

https://www.sciencedirect.com/science/article/pii/S0306453018303950

https://journals.lww.com/co-gastroenterology/Abstract/2016/03000/A_gut__microbiome__feeling_about_the_brain.7.aspx

https://my.clevelandclinic.org/health/diseases/10009-food-problems-is-it-an-allergy-or-sensitivities

SIBO

woman suffering from SIBO

SIBO: Small Intestinal Bacterial Overgrowth

Despite its name, the small intestine is actually a whopping 20 feet of very important tissue between your stomach and large intestine. The small intestine is divided up into 3 parts. The part closest to your stomach is called the duodenum, next is the jejunum and the last stretch before your large intestine is your ileum. The small intestine has the important job of digesting food and absorbing nutrients to keep us in good health. As if that wasn’t significant enough, it is also a key contributor to a healthy immune system.

The small intestine plays host to specific beneficial microorganisms that help protect our bodies against bad (pathogenic) bacteria and yeast. These good bacteria also do their part to produce vitamins and nutrients like vitamin K and folate. They are the keepers of the small intestine, ensuring that it continues to do its thing, muscling waves of food through the gut.

What is SIBO?

Small intestinal bacterial overgrowth or SIBO occurs when there is an increased number of bacteria and/or a change in the type of bacteria present in your small intestine. Overgrowth of bacteria in the small intestine is considered to be greater than 100 000 bacteria per millilitre of fluid. Most often SIBO is caused by an overgrowth of the wrong types of bacteria that actually belong in the colon (the large intestine). In truth, the small intestine is meant to be fairly clean. Food coming from the top down through the stomach is sterilized by stomach acid. So anything passing into the small intestine from the top shouldn’t contain much in the way of bacteria. Absence of adequate stomach acid may contribute to SIBO as this would allow passage of bacteria into the intestines. Another theory as to how this occurs is that there is a motor complex that propels everything in your intestines one direction – out the far end. This migrating motor complex or MMC can malfunction, allowing a backwash of bacteria from the large intestine to move up into the small intestine.

The bacteria that causes SIBO is like a bad tenant. It invites all its rowdy friends in for a party and damages the cell lining of the small bowel. This can lead to leaky gut, allowing large protein molecules to move through the intestinal barrier and escape into the bloodstream. As you can imagine, this causes a number of problems, including general inflammation, immune reactions that cause food allergies, and autoimmune diseases.

These havoc-causing bad bacteria are also responsible for poor digestion, constipation or diarrhea and malabsorption. Patients with SIBO may suffer from nutritional deficiencies, particularly iron, vitamin B12, and fat-soluble vitamins A, D, E and K, as well as having unintended weight loss, and even osteoporosis.

Do I Have SIBO?

SIBO is considered an under-diagnosed condition as many people do not seek medical care for their symptoms or they get wrongly diagnosed with irritable bowel syndrome.

The Most Common Signs and Symptoms of SIBO

Signs and symptoms of SIBO include:

· Bloating and abdominal swelling

· Abdominal pain or discomfort

· Diarrhea

· Constipation

· Gas and belching

· Weakness and fatigue

In the most severe cases, patients experience weight loss and vitamin deficiency-related symptoms.

Who is at risk for SIBO? How Do You Get SIBO?

While the elderly may be the most vulnerable population for developing SIBO as its prevalence rises with age, there are multiple other risk factors that can increase your chances, no matter your age. These include:

· Medication use, especially antibiotics

· Gastric acid suppression or Low Stomach Acid (due to stress, medications such as proton pump inhibitors (PPI’s) or antacids, and lifestyle factors)

· Fibromyalgia

· Celiac disease

· Crohn’s disease

· Prior bowel surgery

· Diabetes Types I & II

· Irritable bowel syndrome

Studies also indicate that moderate alcohol consumption (one drink per day for women and two for men) promotes the overgrowth of certain types of bacteria and also impairs vital functions. This results in small bowel injury and decreased muscle contractions impairing the migrating motor complex.

If you are experiencing any of the symptoms mentioned above or think you might be at risk, then we encourage you to make an appointment to assess your symptoms and get tested. Specialized testing can be accomplished through a breath test. This breath test measures your hydrogen and methane gas levels produced by bacterial metabolism and can be a very helpful indicator to determine if you are suffering from SIBO.

What Causes SIBO and How Can You Treat It?

Despite multiple courses of antibiotics being a risk factor, specific antibiotics (like Rifaximin) are still most often used to treat SIBO. However, studies show that SIBO returns in nearly half of all patients within a year after treatment.

Successful treatment of SIBO must be handled just like any other health condition – not with a temporary Band-aid solution, but by addressing the underlying cause! Intestinal bacteria can be influenced by numerous factors beyond what we eat and how much. Environmental effects, drugs, alcohol, sedentary lifestyle, mood disorders, hormone imbalances and lifestyle factors such as stress can all be contributing factors to poor gut health. Therefore, the treatment must be unique to the individual and all-encompassing.

Once you have identified the cause, treat SIBO symptoms through a healthy diet, nutritional supplements and positive lifestyle changes that help return the body to balance.

Tips for dealing with SIBO

  1. Eat three meals per day spaced 4-5 hour apart and avoid snacking. We need to give our body time in between meals to fully digest the previous meal.
  2. With guidance from your naturopathic doctor try an elimination diet for two weeks to get your body back on track by reducing inflammation and bacteria overgrowth. If this doesn’t seem to help, you may want to pursue food sensitivity testing through one of our ND’s. The test checks for antibodies in your bloodstream to either 96 or 184 foods. Employee benefits will sometimes cover the cost of this test along with other lab or diagnostic testing.
  3. Enjoy foods that assist digestive health like fresh pineapple which is rich in bromelain and can also help lower inflammation, and bananas which are an excellent source of potassium and manganese that your stomach lining needs for healing. Boiled cabbage water is an excellent source of the amino acid glutamine that helps heal the gut lining. Vitamin A is also essential for a healthy gut. Eating liver and beta carotene-rich foods like leafy greens and orange vegetables like carrots as well as taking cod liver oil help insure adequate vitamin A intake.
  4. Keep your fat intake in check. Research has shown that a high-fat diet, increases the growth of fat digesting bacteria at the expense of other more healthful ones. That is, microbes from the Clostridiaceae and Peptostreptococcaceae families increased while beneficial bacteria from the Bifidobacteriacaea and Bacteroidacaea families (which are commonly associated with leanness) went down.

How to Get Rid of SIBO: The Steps for Successful Treatment

    1. Elimination/modification of the underlying causes. This may involve changing your diet to a whole food, low FODMAPs diet, reducing your stress, eating 3 meals per day, reducing or eliminating the need for antibiotics, optimizing digestive juices like stomach acid, bile and pancreatic enzymes.

    2. Induction of remission (antibiotics or natural anti-microbials and elemental diet)

    3. Maintenance of remission (promotility herbs, dietary modifications, healthy lifestyle, optimized digestive juices, repeat or cyclical antimicrobials, hormone balancing, reduced alcohol intake).

SIBO Diet Food List (derived from the work of Dr. Alison Siebecker)

Foods to Eat with SIBOFoods to Avoid with SIBO
Nuts and Seeds
Almonds
Almond flour
Coconut: flour/shredded/milk
Hazelnuts
Macadamia
Peanuts
Peanut butter
Pecans
Pine nuts
Pumpkin seeds
Sesame seeds
Sunflower seeds
Walnuts
Nuts and Seeds
Cashews
Pistachios
Pumpkin seeds
Legumes
Lentil: brown, green or red
Lima beans
Legumes
Borlotti beans
Cranberry beans
Kidney beans
Red beans
Navy beans
White beans
Haricot beans
Baked beans
Spilt pea
Butter beans
Cannellini
Chickpea
Garbanzo beans
Fava beans
Broad beans
Pinto beans
Soy beans
Protein Sources
Bacon
Broth: homemade meat or marrow bones
Beef
Eggs
Fish
Game
Lamb
Organ Meats
Pork
Poultry
Seafood
Protein sources
None
Sweeteners
Honey: alfalfa, cotton, clover, raspberry
Stevia-pure (no inulin) in small amounts, occasionally
Sweeteners
Agave syrup
Barley Malt syrup
Brown Rice syrup
Cane sugar (Rapadura, Sucanat)
Coconut sugar
Fructose, powdered
High-fructose corn syrup
Maple syrup
Molasses
Sugar/Sucrose
Sucralose
Polyols/Sugar alcohol: isomalt, erythritol, lactitol, maltitol, mannitol, sorbitol, xylitol
Beverages
Coffee 1c/day (weak)
Tea: black (weak), chamomile, ginger, green, hibiscus, lemongrass, mate, mint, oolong, rooibos/rooibos chai, rose hip
Water
Beverages
Fruit Juices
Coffee substitutes with chicory
Coconut milk-with
thickeners (guar gum, carageenan)
Soda (fructose, sucrose)
Tea: chicory root, licorice, pau d’arco
Fats and Oils
Bacon fat
Butter
Coconut oil
Cod liver oil & Fish oil
Duck fat
Garlic-infused oil
Ghee
Lard & Tallow
Medium Chain Triglyceride/MCT oil
Macadamia oil
Olive oil
Palm oil
Polyunsaturated Vegetable Oils: Borage, Canola Flax, Grape seed, Hemp, Pumpkin seed, Sesame, Sunflower, Walnut
Fats and Oils
Soybean oil
Herbs, Spices, Condiments and Seasonings
All spices (except onion & garlic)
Garlic-infused oil
Ginger (fresh & dried)
Mayonnaise, homemade or commercial with honey
Mustard - without garlic
Pickles/Relish - no sweetener or garlic
Tabasco sauce (McIlhenny Co)
Wasabi - pure
Vinegar: apple cider, distilled/white, red & white wine (NOT balsamic)
Herbs, Spices and Seasonings
Asafoetida powder
Chicory root (leaves ok)
Cocoa/chocolate-unsweetened
Gums/Carrageenan/Thickeners
Sauces or Marinades with High Fodmap ingredients
Soy Sauce/Tamari
Spices: Onion & Garlic powder
Vinegar: balsamic
Fruit
Berries: blueberry, boysenberry, strawberry, raspberry
Carambola
Citrus: lemon, lime, oranges, tangelos, tangerine
Currants
Dragon Fruit
Durian
Grapes
Guava
Kiwifruit
Longon
Melon: cantaloupe/rock, honeydew
Papaya/Paw Paw
Passion fruit
Pineapple
Pomegranate
Prickly Pear
Rambutan
Rhubarb
Fruit
Apple
Apricot
Avocado
Berries: cranberry
Cherries
Citrus, grapefruit
Custard Apple
Date, dried
Fig, dried
Mango
Nectarine
Papaya, dried
Peach
Pear
Pear: nashi
Persimmon
Plum
Pomegranate
Prunes
Raisins
Tamarillo
Watermelon
Canned fruit
Vegetables
Artichoke Hearts (small amounts)
Arugula
Bamboo Shoots
Beets
Bok Choy
Broccoli
Brussels Sprouts
Cabbage
Carrot
Celery Root/Celeriac
Chives
Cucumber
Eggplant
Endive
Fennel bulb < 1 cup
Green Beans
Greens: lettuce, collard, chard, kale, spinach
Olives
Peas, green
Peppers: Bell/Sweet Peppers: Chili
Radicchio
Radish
Rutabaga
Scallion: green part
Snow Peas
Squash: Butternut Kobocha, Sunburst, Yellow, Zucchini
Tomato
Vegetables
Asparagus
Bean Sprouts
Canned vegetables
Cauliflower
Corn
Garlic
Jerusalem artichoke
Leek
Mushrooms
Okra
Onions
Potato: white/all colors
Potato: sweet
Scallions: white part
Seaweeds
Shallot
Starch powder: all
arrowroot, corn, potato, rice, tapioca
Sugar Snap Peas
Taro
Turnip
Water Chestnuts
Yam
Yucca

Download our free one-week SIBO diet guide, low FODMAPs meal plan here.

Do any of the above symptoms or risk factors sound familiar? Do you think you might be suffering from SIBO? We can help! Please contact us and we’ll get to the bottom of what’s going on and create a plan of action to bring your body back to good health.

Call or email us at 416-481-0222 or Info@ForcesofNature.ca for more information or to book an appointment.

To your best health!

The Team at Forces of Nature Wellness Clinic – Naturopathic Doctors, Chiropractor, Massage Therapist, Acupuncturist/TCMP, Osteopath, Registered Dietitian, Psychotherapist

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3099351/

https://www.ncbi.nlm.nih.gov/pubmed/22109896

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890937/

 “Small intestine microbiota regulate host digestive and absorptive adaptive responses to dietary lipids,” Cell Host and Microbe (2018). DOI: 10.1016/j.chom.2018.03.011

How to Test and Treat Small Intestinal Bacterial Overgrowth: an Evidence-Based Approach. Curr Gastroenterol Rep. 2016 Feb;18(2):8. doi: 10.1007/s11894-015-0482-9.