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IBS-D: Doctor suggested Paleo diet to help

Answered on August 19, 2014
Created March 29, 2012 at 1:12 AM

I got food poisoning in July 2011 and I haven't recovered. I have had diarrhea ever since. I have had every test possible done to determine a cause and the doctors have found none. My first doctor told me just to eat more fiber. That just made me feel worse. I found a new doctor and he suggested (after testing more things) that I try the paleo diet. I am 51, 5'6" and am down to 116lbs. I used to exercise (hike and walk) all the time but can't be more than 100 yards from a bathroom. I'm not sure how to start all this. Should I not eat nuts yet? Does that include nut flours and butters? Should I not eat raw vegi's yet? I ate some dried fruit for a snack and felt a little gut pain. Is that just because I'm new at this or should I take that off my okay to eat list for now? I am so tired of feeling bad. I want to start off right and get better!!!

24fcc21452ebe39c032be6801d6bbadd

(9812)

on March 29, 2012
at 02:56 PM

I don't have anything to add that the others haven't touched on, but it sure made me happy to hear that your doc suggested paleo! Mine just tried to put me on IBS meds and told me it was pointless for me to avoid gluten because I don't have Celiac. Glad you've got a good doctor!

24fcc21452ebe39c032be6801d6bbadd

(9812)

on March 29, 2012
at 02:56 PM

I don't have anything to add that the others haven't touched on, but it sure made me ahppy to hear that your doc suggested paleo! Mine just tried to put me on IBS meds and told me it was pointless for me to avoid gluten because I don't have Celiac. Glad you've got a good doctor!

1096aa84d006fe967128ffbd37e8070e

(1002)

on March 29, 2012
at 04:11 AM

could you have a parasite? Diarrhea is a symptom.

1296f5fecd084f101d7c5fbe013f07eb

(1213)

on March 29, 2012
at 02:06 AM

Yes, great advice! I am really surprised that a doc recommended eating more fiber...even where I intern, where most dietary recommendations are stuck in the 80s, it is standard operating procedure to offer low-fiber, "gentle" foods (some with a little soluble fiber, like the applesauce you mentioned, to delay gastric emptying) to those presenting with diarrhea. I thought at least this was common knowledge! Yeesh.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on March 29, 2012
at 01:56 AM

Great advice as usual--let's hope it helps!

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3 Answers

best answer

8
9d43f6873107e17ca4d1a5055aa7a2ad

on March 29, 2012
at 01:54 AM

Fiber is bad for people with chronic diarrhea. You need to focus on stopping that. I would read up on the GAPS diet, which generally do a good job on that. Also on FODMAPS (explains why the dried fruit upsets your stomach). Definitely browse the IBS tag here. I have some posts on my blog on the subject.

There are two strategies that have worked for me with stopping diarrhea. One is "soothing" foods that seem to stop the spasms. That diet is mostly broth, bananas, apple sauce, canned pumpkin, and rice cooked in broth (not paleo, but heck, it always work). Just a few days of this works for some people and then they can resume a more normal paleo diet.

For more serious cases, sometimes, a very low carb diet is the best approach. Mainly meat, eggs, and fish, no fruits and vegetables or nuts until the diarrhea stops. Then add in other things to see if you react.

The GAPS approach also not just focuses on stopping the issue, but on healing the gut, because that's important to. You do that by avoiding irritants and eating healing foods like bone broth.

1296f5fecd084f101d7c5fbe013f07eb

(1213)

on March 29, 2012
at 02:06 AM

Yes, great advice! I am really surprised that a doc recommended eating more fiber...even where I intern, where most dietary recommendations are stuck in the 80s, it is standard operating procedure to offer low-fiber, "gentle" foods (some with a little soluble fiber, like the applesauce you mentioned, to delay gastric emptying) to those presenting with diarrhea. I thought at least this was common knowledge! Yeesh.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on March 29, 2012
at 01:56 AM

Great advice as usual--let's hope it helps!

best answer

1
3eca93d2e56dfcd768197dc5a50944f2

(11697)

on March 29, 2012
at 08:18 AM

For me, Paleo + SCD's yogurt/kefir worked fine for my IBS-D. I was a sufferer for 10 years, it went away as long as I cut down most carbs (I feel the best when I'm on ketosis, but up to 100 gr of carbs still works too), and I added all the important Paleo foods (e.g. bone broth, offal, coconut oil, sea veggies etc). I have various blog posts about it on my blog too.

best answer

2
Ebb10603524dd22621c1155dd7ddf106

(19150)

on March 29, 2012
at 02:43 PM

I strongly agree with @Melissa-huntgatherlove.com's suggestion.

However, I also agree with the first comment to the questuon above: take one last doctor visit and make sure you do not have a parasite.

If you are sure you do not, I suggest running a month or so of a course of a probiotic that contains a variety of bacterium (make sure to get a good one that actually gets to your intestines).

Also, discover if any foods cause a little (but not too much) binding action. For me, that food is 1/4cup of cooked white rice (yeah yeah, not paleo), whereas a white potato seems to bind me up completely.

As a long time GI-problem person (never diagnosed IBS), I feel your pain. I've finally conquered it after many years, and have been symptom free for at least a year now. Sincerely, good luck.

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