1

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Dr. Ordered a bland diet. Now what?

Answered on August 19, 2014
Created April 07, 2013 at 2:45 PM

I am 2 months into a paleo diet but this past week I have developed severe indigestion issues. I don't know if my body isn't agreeing with the high fat content of my diet or if there is something more serious going on. Hoping to see a GI doctor this week. Until then, the ER doctor told me to switch to a bland diet. Can I do this and remain paleo? Shiism I just say screw it and eat some rice? I double over in pain a few hours after any meal but haven't lost my appetite. I'm scared to eat though because the pain is so bad. Any advice??

Thanks for the responses. I started my diet in mid- February. I eat bacon, eggs and berries most mornings. A meat and veggie for lunch. For dinner I almost always either grass fed ground beef with guacamole, salsa and spinach or free range skin on chicken with veggies. Sweet potatoes about once or twice a week. When I first started the diet, I had fun making paleo treats, such as fr paleomg's site but I have chilled out on that because my goal is to lose a few pounds. Last week, I vacationed in key west and ate Terribly. This week when I returned to the paleo is when my symptoms started. ??? Jasmine Gannalo 4 hours ago
I get a really bad pain in my sternum. Pretty severe. The pain spreads to my back. I get really nauseous but can't vomit. The pain is intense for 30 mins to and hour and then disapates. It usually happens at night and I feel fine again upon waking up. It has happened every night this week. Went to ER last night. They ruled out pregnancy and gallstones ??? Jasmine Gannalo 4 hours ago

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19acef0aed67ef8dc1118d8e74edb349

(2954)

on September 07, 2013
at 01:28 AM

Buy a roast chicken and make chicken stock from the bones. Make soup from that stock and have a small bowl of it at breakfast and at each meal.

4fa0f40ff4c15d5cfcc41c231976e02a

on April 08, 2013
at 10:04 AM

Sometimes I do get bloated, yes. Today I was so terrified to eat, so I of ate quick oats, sliced banana and coconut milk all day long. Ta da! No pain! Hoping to find a GI today and then talk to my naturopath about whatever the GI discovers.

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 08, 2013
at 04:35 AM

Do you get bloated when it happens?

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 08, 2013
at 04:34 AM

My stomach started turning when you mentioned salsa and spinach :P Those are some of the first few foods I associate with nausea and pain. I have very vivid memories about it. I noticed this, and besides dairy, they were the first things I eliminated from my diet (to be honest I'm not sure if it made a difference). Anyway, I can eat those vegetables now, as well as dairy, for what it's worth. Just make sure the spinach is well cooked, not raw. If you like to make homemade food try making lacto-fermented salsa so it's easier to digest.

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 08, 2013
at 04:22 AM

The pain in the sternum I think was became the acid was coming up to the esophagus. You would think that means you want to reduce stomach acid, right? No, actually you want to *raise it* to improve digestion. I think that when the pain spreads to the back it must be because of inflammation. (Just a feeling I got from all those sick nights)

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 08, 2013
at 04:20 AM

Saw your update to Joanna's answer. That's exactly how my gallbladder/pancreas pain started. For a few months, it was as you described. The I would leave the dinner table because I was *sure* I would vomit, but I never did. Months later, I would spent every night vomiting from about 8PM until 9AM or so. Gallstones were only detected *months* after I had already been vomiting every night. It was only *one* tiny gallstone, 1cm or so.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on April 08, 2013
at 01:13 AM

Great answer! Lots of practical info. Under fun info, despite not having my gallbladder any more I also found it easy to adapt to meat fat. It was the processed carbs that had been my problem, and if I'd known that I would probably still have my gallbladder.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on April 07, 2013
at 11:02 PM

I probbaly would blame the food you had on vacation. Any viruses you picked up? I had a stomach bug and still do and have had severe stomach burning. I have been on a steady diet of bacon, really well cooked julienned sweet potato, apple sauce, cooked cabbage and salt, bacon fat and berries. Even beef is making me nauseas unless well cooked. Be easy on your body, try to stick within your paleo template and let your instincts guide you. Maybe you need more fruit and starch carbs (well cooked).

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 10:53 PM

Jasmine: I recommend editing your question and adding this info to the original post.

4fa0f40ff4c15d5cfcc41c231976e02a

on April 07, 2013
at 07:19 PM

I get a really bad pain in my sternum. Pretty severe. The pain spreads to my back. I get really nauseous but can't vomit. The pain is intense for 30 mins to and hour and then disapates. It usually happens at night and I feel fine again upon waking up. It has happened every night this week. Went to ER last night. They ruled out pregnancy and gallstones

4fa0f40ff4c15d5cfcc41c231976e02a

on April 07, 2013
at 07:16 PM

Thanks for the responses. I started my diet in mid- February. I eat bacon, eggs and berries most mornings. A meat and veggie for lunch. For dinner I almost always either grass fed ground beef with guacamole, salsa and spinach or free range skin on chicken with veggies. Sweet potatoes about once or twice a week. When I first started the diet, I had fun making paleo treats, such as fr paleomg's site but I have chilled out on that because my goal is to lose a few pounds. Last week, I vacationed in key west and ate Terribly. This week when I returned to the paleo is when my symptoms started.

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 06:12 PM

Never mind, it's been discussed before: http://paleohacks.com/questions/168961/meta-paleohacks-using-viglink-is-this-new#axzz2PnSyIo00 I sure wish they'd use a different style from regular links, though.

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 07, 2013
at 05:58 PM

Eat small meals through the day until you get better. Divide one big meal into smaller portions and eat a little of it every 3 hours. Avoid raw vegetables and fruits. Make sure they're well cooked.

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 07, 2013
at 05:40 PM

(Sorry, with each meal)

19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 07, 2013
at 05:32 PM

Where's the pain?

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 04:45 PM

Hey, what's with the advertising link being added to my answer? I've never seen that on this forum before. (in case it's not showing up for everybody: "sweet potatoes" links to an amazon page selling sweet potato concoctions).

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4 Answers

2
19acef0aed67ef8dc1118d8e74edb349

(2954)

on April 07, 2013
at 06:41 PM

Well, I've added so many comments I might as well write a full answer (now that I'm in front of my laptop instead of my cell phone).

What are you eating now? Could you give a one day example, and when you got the pain that day?

If you tell me what you generally eat I could try and help make that food easier to digest.

Where's the pain? I've had pain in my gallbladder and my pancreas, so I'm used to cooking plain food...

Here's some ideas:

1) eat smaller meals until you get better. Split a big meal into smaller meals and eat a little of it every 3 or 4 hours. Be careful not to eat too few calories when you do this.

2) Don't eat any raw vegetables or fruits (except banana, maybe), cook all of them, and make sure you cook them well. You can stir-fry the fruits in a little butter or coconut oil, or even chicken or beef broth. Definitely do not eat any lettuce or raw greens!

3) Since you're new to paleo, eat low fat and increase fat very slowly. Strangely enough, I didn't have to, I had severe gallbladder and pancreas pain but I switched from nearly zero fat to super high fat without any trouble. Maybe because I went 100% paleo, instead of gradually? Maybe because I only ate meat/fish/eggs and low-fiber vegetables? I don't know. By the way, fat isn't the problem with gallbladder or pancreas pain. I haven't have any pain in years, and I eat nearly 75% of my calories just from saturated fat alone.

4) Consider taking digestive enzymes until you get better. I really liked Twin Lab enzymes, but funny enough, I didn't need them because of fat, I needed them for vegetables and fruits! But I didn't need enzymes anymore once I started having a lot of chicken/beef broth atleast 2 or 3 times per day.

5) I disagree with eating rice, for someone having pain. If you really have to, go ahead, but it could keep making your problems worse. For what it's worth, I'm healthy again and I eat white rice two or three times per week, but when I had pain it make it worse.

6) Keep a food journal and write when you get pain.

7) Don't eat any nuts or seeds for now, and definitely no "paleo baking" or "natural sugars" like honey.

8) Cook a roast chicken, then shred the meat. Trash the skin. Put all the bones and cartilage in a large pot, cover with water, add (if you have them) a celery stalk, half a onion, and maybe carrot.

Bring that to a boil, cover, and reduce it to a low simmer. Leave it simmering for atleast 4 hours. I generally leave it on overnight while I sleep.

Strain the broth into tupperware and keep it in the fridge.

Now you can use this to cook (boil or stir-fry) vegetables, meat, or make soups.

.

You could also just buy some beef soup/marrow bones (ask the butcher at the grocery store). Roast them in the oven so the white marrow melts. Put this in a jar, you can use it to cook meat or vegetables. Remove all the bits of meat and fat so the broth doesn't become greasy. Then put the bones in a big pot with water and do the same thing as chicken broth.

Chicken soup: slice one or two celery stalks, chop one onion, and slice one large carrot. Boil in chicken broth until the carrot becomes soft (it takes the longest to cook among the vegetables). Then add some shredded chicken, a big pinch of salt, cover the pot and turn off the burner. Will be ready in 5 minutes.

Beef soup: buy some chuck steaks, slice them in half vertically (to remove the hard line it has), then cut each half into thin slices. Marinade these slices for atleast eight hours to give flavor. Don't be afraid that it's too spicy, it's the only seasoning the soup will have so it will be mild. To marinade, I use chili paste, vinegar, soy sauce, worcestershire sauce, salt and pepper, ginger, and a lot of garlic cloves or powder.

When you want to cook the beef soup, slice some mushrooms and onions (or shallots), and use a vegetable peeler to make thin carrot peels. Bring the chicken broth to a boil, then drop some of the marinated meat on it. Add the cut vegetables and cover the pot. Turn off the burner. It will be ready in a couple minutes.

It's so easy, I just leave everything ready in the fridge so my beef soup takes less than 5 minutes to make.

Try to eat a small cup of these soups with your meals to help with digestion. Maybe a half cup of soup with each meal.

There's also other simple soups, like boiling broccoli and cabbage in broth and blending it, or boiling sweet potato, celery, and onion with a big pinch of salt in broth, and then blending it.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on April 08, 2013
at 01:13 AM

Great answer! Lots of practical info. Under fun info, despite not having my gallbladder any more I also found it easy to adapt to meat fat. It was the processed carbs that had been my problem, and if I'd known that I would probably still have my gallbladder.

1
72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 03:50 PM

Yes, eat some rice. White rice is usually considered paleo. Far better to throw your macronutrient ratios off than to starve. Have you tried fruit? Bananas are the epitome of bland food, and they're pretty paleo. So are mashed potatoes and sweet potatoes.

What kind of paleo diet were you trying to eat before you developed these problems? If you were hoping to go very low carb, then you probably should put that off until you figure out how to eat without incredible pain.

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 04:45 PM

Hey, what's with the advertising link being added to my answer? I've never seen that on this forum before. (in case it's not showing up for everybody: "sweet potatoes" links to an amazon page selling sweet potato concoctions).

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 06:12 PM

Never mind, it's been discussed before: http://paleohacks.com/questions/168961/meta-paleohacks-using-viglink-is-this-new#axzz2PnSyIo00 I sure wish they'd use a different style from regular links, though.

0
142d7e06e608cff536ab78e6ca78ce38

on April 08, 2013
at 07:02 AM

HI, I have recently been diagnosed with celiac and am on a Paelo diet. Even after being on this for a while I was still having severe bloating, pain and some days I would vomit. I know it wasn't from the gluten as I wasn't having any! I have had to cut back on the variety of food i am eating, it is still all Paelo but apparently it takes some time to heal the gut. i can't even eat fruit, I don't think I am allergic to them but until my gut heals I can't tolerate them. It is a matter of finding food that you can tolerate. Initially I just ate 2 foods one day then if I was ok the next day introduced another. Pain but hey its worth it. Anyway it is working for me, last week I had yoghurt, first time in ages and I really paid the price so i know for now that is off the list for me.

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on April 07, 2013
at 05:49 PM

jasmine, can you explain the symptoms you are having? have you ever felt like this before paleo? you say it just started happening- is there something different you are doing like exercising soon after you eat or eating different foods?

you might try a low residue diet until you feel better.

72cf727474b8bf815fdc505e58cadfea

on April 07, 2013
at 10:53 PM

Jasmine: I recommend editing your question and adding this info to the original post.

4fa0f40ff4c15d5cfcc41c231976e02a

on April 07, 2013
at 07:16 PM

Thanks for the responses. I started my diet in mid- February. I eat bacon, eggs and berries most mornings. A meat and veggie for lunch. For dinner I almost always either grass fed ground beef with guacamole, salsa and spinach or free range skin on chicken with veggies. Sweet potatoes about once or twice a week. When I first started the diet, I had fun making paleo treats, such as fr paleomg's site but I have chilled out on that because my goal is to lose a few pounds. Last week, I vacationed in key west and ate Terribly. This week when I returned to the paleo is when my symptoms started.

4fa0f40ff4c15d5cfcc41c231976e02a

on April 07, 2013
at 07:19 PM

I get a really bad pain in my sternum. Pretty severe. The pain spreads to my back. I get really nauseous but can't vomit. The pain is intense for 30 mins to and hour and then disapates. It usually happens at night and I feel fine again upon waking up. It has happened every night this week. Went to ER last night. They ruled out pregnancy and gallstones

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on April 07, 2013
at 11:02 PM

I probbaly would blame the food you had on vacation. Any viruses you picked up? I had a stomach bug and still do and have had severe stomach burning. I have been on a steady diet of bacon, really well cooked julienned sweet potato, apple sauce, cooked cabbage and salt, bacon fat and berries. Even beef is making me nauseas unless well cooked. Be easy on your body, try to stick within your paleo template and let your instincts guide you. Maybe you need more fruit and starch carbs (well cooked).

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