1

votes

Flatulence/rumbling & fat absorption

Answered on August 19, 2014
Created June 02, 2011 at 7:50 PM

I recently have been diagnosed with biliary dyskinesia (hopefully, this is the right translation, explanation went something like "you don't get enough bile/gall secreted") & slight IBS based on ultrasound, blood & `feces analysis. Basically, doctor told me that I have elevated level of bilirubin in blood & a little bit of stones in feces (if I understood correctly). But nothing serious.

I've been following paleo (but with dairy which I tolerate well) for about 8 months.

The only symptom I have (and this is the reason why I went to a doctor) is flatulence. No constipation, no pains, no nothing. With an exception of occasional rumbling right after meal. Flatulence actually started before switching to paleo didn't stop after the switch. Aside from that little (but quite irritating) problem I'm perfectly healthy 26 years old doing weightlifting twice a week & yoga once a week. Around 74kg at about 179cm, never was fat but kind of struggle with my attempts to gain weight.

The doctor suggest few things. 1. Drink mineral water (kind of local one called Essentuki) half a glass 20mins before food 3 times a day for 1 month. 2. A cholagogue (Artichoke leaves extract) - 1 tab 3 times a day 20 mins before food for 1 month 3. Almagel/maalox (kind of antacid & absorbent) - before bed one spoon for 10 days 4. Kind of conventional-wisdom advice, such as eating breakfast, not eating dinner (not later than 5-6pm at least) and adding porridges with sugar.

I try to follow everything (But partially except for #4 as I try to keep it paleo still). So far, no impressive results.

Earlier I also experimented with digestive enzymes & probiotics but without noticable effect. However, I'm going to try a better probiotic (Bio-Kult by Protexin), maybe this one will be more useful.

Also, about 3 months ago I did a blood test to determine my vitamin & mineral levels inspired by Ferriss' book and noticed that the only vitamin that was much lower than the minimum was E (4.3 vs. minimum of 12) despite the fact that I ate almonds almost daily. I currently try to add addional spinach and other sources but still quite concerned as I read that vit. E deficiency might be associated with gastrointestinal problems and specifically fat malobsorption. I'm concerned whether it can be related to some liver problems.

I thought that you could probably suggest some other out-of-box ideas of what it could be caused by and what can I try.

Also, interestingly enough I didn't notice any really significant changes after adoption of paleo diet ~8months ago. I still stick to eat as I consider it a sensible and smart system but I don't seem to have any issues with grains, to honest. The discussed problem appeared earlier and didn't changed much after switching to paleo (maybe a little better).

I tried eliminating different food groups but did not really notice any particular changes.

I also take multivitamin (Animal Pak), fish oil (NOW), vitamin D (local, liquid), whey protein (optimum nutrition) and occasionally creatine (optimum nutrition, which I cycle).

Thank you very much again and sorry for such a long question!

A7925ab8ea44e6d4d5d7c6f202632c6c

(404)

on July 21, 2012
at 11:25 AM

your mentioning brands like "essentuki" and "amalgel" gave me probably a fairly good guess which country you're from)...

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:59 AM

^ Um, spammer, we actually WANT to absorb our fat here. We love our fat, its good clean energy for living.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:56 AM

Agree with the probiotics. They can help, but they can also be trouble.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:55 AM

Yeah, what I was told, is that you take digestive enzymes in the middle of your meal, particularly as your stomach acid breaks down the enzyme proteins over time.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:53 AM

Id quickly add that one can get an overdose of magnesium from orally consuming epsom salts! Magnesium toxicity is rare, but there is a heck of a lot of magnesium in epsom salts. There are lots and lots of bitter plants that stimulate bile also. Oh and while we are on the topic of bile, you can buy bile salts too, and use them as a supplement.

1da74185531d6d4c7182fb9ee417f97f

(10904)

on June 03, 2011
at 02:55 PM

It only took a few days for immediate results and gets better with time.

D67e7b481854b02110d5a5b21d6789b1

(4111)

on June 03, 2011
at 12:47 AM

These "flushes" sound really uncomfortable...are they necessary? And if so, for whom? Just curious, thanks!

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 02, 2011
at 11:41 PM

Another flush is raw beet 1/2 grated, 1/8 cup olive oil, fresh lemon squeezed and all these mixed together. Beets have sugar so it you are a diabetic...beware.

B121fdbc1aaa6130f5bda3bf84e3ba2d

(952)

on June 02, 2011
at 09:15 PM

Annie, could you please describe your experience and how it workout out for you?

B121fdbc1aaa6130f5bda3bf84e3ba2d

(952)

on June 02, 2011
at 09:14 PM

Ashley, did you notice the effect of eliminating dairy only after a months and no signs of improvement after a week or two? Did it completely cured it? Do you have the same negative reaction to kefir (fermented dairy) as regular dairy? To cheese? I do eat starched occasionally... Thank you very much!

6670b38baf0aae7f4d8ac2463ddc37c0

(3946)

on June 02, 2011
at 08:24 PM

Try cutting out the dairy.

1da74185531d6d4c7182fb9ee417f97f

(10904)

on June 02, 2011
at 07:58 PM

I hate to say this but I have always tolerated dairy well but was also having flatulence problems and I just got my blood tests back and found out I have a moderate dairy allergy. You don't need to have lactose intolerance symptoms to have a dairy allergy. Have you tried cutting dairy before? even for a month? I was really resistant to doing it myself but it made a big difference. Also when I'm feeling stopped up I find eating some healthy starches helps a lot.

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4 Answers

1
345c1755efe005edd162b770dc6fb821

(8767)

on June 03, 2011
at 02:52 PM

I tried Digestive Enzymes and didnt find much help from them until my sister (who has an autistic child and uses them religiously) told me to take one at beginning of meal, one during and one after for best affect. I have to say, it might have helped more than just talking them 1 before each meal.

I'm still experimenting with them. I guess the stomach acids can kill the enzymes off if taken at the beginning but have a better chance of helping if taken 3 times at various points of the meal.

As for probiotics, they could be causing/adding to some of the issues if you are taking a dose thats higher than you are use to. I didnt work up to a high dose and it cause me severe distress including gas, weird noises and terrible dirreha which only disappeared after stopping. (and they were allergen free as well)

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:55 AM

Yeah, what I was told, is that you take digestive enzymes in the middle of your meal, particularly as your stomach acid breaks down the enzyme proteins over time.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:56 AM

Agree with the probiotics. They can help, but they can also be trouble.

1
166f449979d83186bd876e8f466d0a69

(1317)

on June 02, 2011
at 10:14 PM

To increase the bile your body is releasing you could try taking bitters (either Swedish bitters or Chinese bitters although I've heard angostura bitters, the kind used in cocktails, also work well.

If you want a really "out of the box" idea, try a liver flush, which is supposed to clear stones out of your gallbladder and liver. It basically involves drinking Epsom salts (form of magnesium) to relax the bile ducts, then a lot olive oil mixed with grapefruit juice to provoke a massive release of bile through the relaxed bile ducts, pushing out stones and old stagnant bile. You can google the exact procedure. It does sound kooky I'll admit, and some people think the stones you get out are saponified olive oil,but I found it very beneficial and fully believe in it.

If you don't want to go the whole hog, malic acid and the Chinese herb gold coin grass are both supposed to break down stones.

Good luck!

D67e7b481854b02110d5a5b21d6789b1

(4111)

on June 03, 2011
at 12:47 AM

These "flushes" sound really uncomfortable...are they necessary? And if so, for whom? Just curious, thanks!

06d21b99c58283ce575e36c4ecd4a458

(9948)

on June 02, 2011
at 11:41 PM

Another flush is raw beet 1/2 grated, 1/8 cup olive oil, fresh lemon squeezed and all these mixed together. Beets have sugar so it you are a diabetic...beware.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:53 AM

Id quickly add that one can get an overdose of magnesium from orally consuming epsom salts! Magnesium toxicity is rare, but there is a heck of a lot of magnesium in epsom salts. There are lots and lots of bitter plants that stimulate bile also. Oh and while we are on the topic of bile, you can buy bile salts too, and use them as a supplement.

0
166f449979d83186bd876e8f466d0a69

(1317)

on June 02, 2011
at 10:13 PM

To increase the bile your body is releasing you could try taking bitters (either Swedish bitters or Chinese bitters although I've heard angostura bitters, the kind used in cocktails, also work well.

If you want a really "out of the box" idea, try a liver flush, which is supposed to clear stones out of your gallbladder and liver. It basically involves drinking Epsom salts (form of magnesium) to relax the bile ducts, then a lot olive oil mixed with grapefruit juice to provoke a massive release of bile through the relaxed bile ducts, pushing out stones and old stagnant bile. You can google the exact procedure. It does sound kooky I'll admit, and some people think the stones you get out are saponified olive oil,but I found it very beneficial and fully believe in it.

If you don't want to go the whole hog, malic acid and the Chinese herb gold coin crass are both supposed to break down stones.

Good luck!

-2
1557d441237cf92922354d82009da11e

on July 21, 2012
at 07:24 AM

For Fat Absorption I have been taking Biobind for a while now and I have lost 9lbs!!! It may not sound like a lot in 1 month but that's what I love about Biobind. Weight loss is not rapid and therefore controllable. I'm not losing loads of weight fast, so I am able to incorporate it well with exercise and lose weight almost naturally.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on July 21, 2012
at 07:59 AM

^ Um, spammer, we actually WANT to absorb our fat here. We love our fat, its good clean energy for living.

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