2

votes

IBS, PALEO, diarrhea after 18 days

Answered on August 19, 2014
Created March 24, 2013 at 5:10 PM

Hey guys,

My therapist put me on Paleo to help me heal my gut problems (i've been diagnosed with IBS and such). I've been on Paleo for about 18 days and i do feel healthier and more fit than i used to when eating sugar, grains etc. I quit sugar in january and tried another sloppy diet before so it's been a long road. Anyway... I was wondering if it's normal if i'm still having diarrhea after 18 days of paleo?

I eat 2-3 pieces of fruit a day + some dried fruit as a snack, 2x a hand full of nuts, 1 big piece of meat / fish a day with loads of vegetables & salad.

I've been doing this for 18 days, the first weeks we're horrible, i had bloating, i had excessive gas and i felt pretty bad. Last few days i do feel better but i still only go to the toilet once a day and my stool starts out pretty normal but becomes more sloppy & wet as i stay on the toilet and it's not like agressive diarrhea but it's still not normal at all and the amount of feces is quite much.

How long will it take before i start seeing any results? I'm feeling quite anxious and panicky at times, worrying that my IBS problems are kinda forever etc.

So, any thoughts?

Visiting my therapist upcoming week and also getting results back from my blood tests on allergies.

Greetings,

X

Bc742d45a4d289875966a71093d38742

(15)

on March 25, 2013
at 09:31 AM

Ok, thanks Renee, it's just hard to find replacements, or hard to put those into my eating habits. Ditching grains, potatoes, rice & pasta was already killer! I'm finally dealing with that, but now i have to give up fruit :'( I'll try & replace the fruits with eggs / vegetables / meat or fish

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 25, 2013
at 02:42 AM

It seems that everybody thinks that seaweed is a good source of iodine and macronutrients. Nobody thinks that SIBO is as common as acne and IBS. Because it is. Most people with acne and IBS have SIBO as the underlying cause. It is usually misdiagnosed because doctors don't know what to look for.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 25, 2013
at 02:39 AM

I was on Flagyl for SIBO. Don't be nervous!

089dd41b18fbb95ebb5347cded708d98

(5635)

on March 24, 2013
at 11:49 PM

definitely insoluble fiber. I don't eat any starches at all so I can't comment on that aspect.

F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 24, 2013
at 08:34 PM

Joanna, which kind of fiber do you find aggravates your loose stools - insoluble (ie greens) or soluble (i.e. starchy tubers)?

F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 24, 2013
at 08:33 PM

XavierX, if you eat a big meal of meat/fish, veg and fat for every meal, you won't be as hungry between meals. Dried fruit and nuts are absolutely the worst for diarrhea-predominant IBS.

32652cb696b75182cb121009ee4edea3

(5802)

on March 24, 2013
at 08:17 PM

VB, that's interesting - thx for pointing out. I had not looked at them closely, as I'm already on enzymes from Standard Process. Why would they include those? I would bet that a good portion of people having digestive troubles with paleo are in SIBO territory.

089dd41b18fbb95ebb5347cded708d98

(5635)

on March 24, 2013
at 07:56 PM

hey vb. I was on flagyl and vancomycin. I will be starting IVIG therapy next week though and I'm nervous!

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 07:24 PM

Source: A New IBS Solution by Mark Pimentel.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 24, 2013
at 07:05 PM

Up your protein! Also, magnesium supplementation can help the sugar cravings. Try 400 mg of Magnesium Glycinate before bed. If you are OK with dairy, I would try some hard cheese, or beef jerky.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 06:56 PM

SIBO symptoms (you don't have to have all of them): sugar cravings, carb cravings, fatigue, diarrhea, constipation, bloating after digesting carbs, etc. etc. Find a good doctor.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 06:54 PM

RK, Paleologix ingredients are (among others) red algae and some kind of seaweed. This is a big NO when people have SIBO. Also, they are not recommended for nursing and pregnant women. It means that they could be dangerous to your health if you don't know what is wrong with you. So they are not for SIBO patients.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 06:30 PM

IBS is very often caused by SIBO. You cannot have any fruit, especially dried fruit, when you are on SIBO diet. Nuts - I don't know. Not sure how lactose intolerance test correlates with SIBO test. But if your diarrhea does not stop, take the SIBO breath test. If they have the lactose test, they might have that too.

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 06:25 PM

Yeah, i might have to add that i also feel really hungry and that i used to be a sugar addict. Can't help but grab a handfull of nuts & some dried fruit every few hours :-/ Any tips on replacements for fruit? Other snacks?

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 06:16 PM

I am not lactose intolerant i'm also not having any type of diary food so this isn't really relevant at this point. I think i'm just eating too much fruit / dried fruit / nuts, which are laxative.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:55 PM

Good to see you are doing well! What did they give you for C. Diff?

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:37 PM

They do SIBO testing in England. Not sure about Belgium.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:37 PM

Are you lactose intolerant?

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 05:30 PM

I should also state that i don't rly have any type of abdominal pain. I sleep perfectly and i have no more excessive gas (atleast waaay less than before when i did sugar, candy, soft drinks, etc).

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 05:28 PM

Hmm, i did a breathing test to see if i was lactose intolerant or not, i've had blood tested, i've had a colonoscopy and endoscopy. Everything turned out to be working fine, the gut specialist told me i have IBS. My therapist is treating me for IBS / leaky gut syndrom, but i honestly haven't heard in SIBO. I live in Europe, Belgium any clue what's the dutch term for this? I can try meat only... I do have to admit that i'm starting to feel better & better, but i still have irregular stool which tends to lean more towards diarrhea and it's rly dragging me down :-(

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7 Answers

1
F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 24, 2013
at 08:32 PM

Fruit AND dried fruit?! Dried fruit is a major laxative and gas-producer. DEFINITELY ditch that. Also might want to ditch the nuts for a while too, they aren't easy to digest. And increase your meat/fish servings from 1 to ideally 3.

0
75d65450b6ff0be7b969fb321f1200ac

(2506)

on March 24, 2013
at 08:58 PM

When I first went Paleo my bowel movements were extremely volatile for several weeks. I chalk it up to a major die off of pathogens, including Candida. So what you are experiemcing might not be entirely unexpected. Still, I think the suggestion of paring back on fruits is a good one.

_Lazza

0
Eccdc4a151a251107ade4d052c3978df

on March 24, 2013
at 06:49 PM

Do you soak your nuts? And which sort of vegetables are you consuming? Are you eating a lot of raw vegetables? I suspect some kind of FODMAP-sensitivity and insoluble fiber sensitivity.

0
32652cb696b75182cb121009ee4edea3

(5802)

on March 24, 2013
at 06:43 PM

When I have diarrhea, it's usually 1 of 2 things: (1) not digesting the fat or (2) losing weight. Really, every time I lose any weight, I have diarrhea. Over time your body will transition to digesting the fat better. In the meantime, you may want to try some enzymes to help with fat digestion, or ox bile (bile helps digest fat, and your body may not be making enough).

Everyone is dissing on Christ Kresser and Robb Wolf for coming out with a supplement line (Paleologix) but this is exactly what it is for: people who start paleo and have digestive troubles. Worth looking into.

32652cb696b75182cb121009ee4edea3

(5802)

on March 24, 2013
at 08:17 PM

VB, that's interesting - thx for pointing out. I had not looked at them closely, as I'm already on enzymes from Standard Process. Why would they include those? I would bet that a good portion of people having digestive troubles with paleo are in SIBO territory.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 06:54 PM

RK, Paleologix ingredients are (among others) red algae and some kind of seaweed. This is a big NO when people have SIBO. Also, they are not recommended for nursing and pregnant women. It means that they could be dangerous to your health if you don't know what is wrong with you. So they are not for SIBO patients.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 25, 2013
at 02:42 AM

It seems that everybody thinks that seaweed is a good source of iodine and macronutrients. Nobody thinks that SIBO is as common as acne and IBS. Because it is. Most people with acne and IBS have SIBO as the underlying cause. It is usually misdiagnosed because doctors don't know what to look for.

0
Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 24, 2013
at 06:17 PM

Try dropping the fruit for a few days and see how you do.

Ce41c230e8c2a4295db31aec3ef4b2ab

(32556)

on March 24, 2013
at 07:05 PM

Up your protein! Also, magnesium supplementation can help the sugar cravings. Try 400 mg of Magnesium Glycinate before bed. If you are OK with dairy, I would try some hard cheese, or beef jerky.

F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 24, 2013
at 08:33 PM

XavierX, if you eat a big meal of meat/fish, veg and fat for every meal, you won't be as hungry between meals. Dried fruit and nuts are absolutely the worst for diarrhea-predominant IBS.

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 06:25 PM

Yeah, i might have to add that i also feel really hungry and that i used to be a sugar addict. Can't help but grab a handfull of nuts & some dried fruit every few hours :-/ Any tips on replacements for fruit? Other snacks?

Bc742d45a4d289875966a71093d38742

(15)

on March 25, 2013
at 09:31 AM

Ok, thanks Renee, it's just hard to find replacements, or hard to put those into my eating habits. Ditching grains, potatoes, rice & pasta was already killer! I'm finally dealing with that, but now i have to give up fruit :'( I'll try & replace the fruits with eggs / vegetables / meat or fish

0
089dd41b18fbb95ebb5347cded708d98

(5635)

on March 24, 2013
at 05:45 PM

it probably took about 7 months for me to get rid of the diarrhea. I just had some last night but contribute it to all the pineapple I had yesterday. otherwise, I haven't had it for about a month now. my stool is still loose but has hard pieces, too.

the lower your diet is in fiber, the better. I've noticed my poop is always looser with more fiber.

also, I should mention that I got hit with a bad c diff infection in February so for about 2 weeks, it was pure bloody diarrhea. I just can't win sometimes.

089dd41b18fbb95ebb5347cded708d98

(5635)

on March 24, 2013
at 07:56 PM

hey vb. I was on flagyl and vancomycin. I will be starting IVIG therapy next week though and I'm nervous!

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 25, 2013
at 02:39 AM

I was on Flagyl for SIBO. Don't be nervous!

089dd41b18fbb95ebb5347cded708d98

(5635)

on March 24, 2013
at 11:49 PM

definitely insoluble fiber. I don't eat any starches at all so I can't comment on that aspect.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:55 PM

Good to see you are doing well! What did they give you for C. Diff?

F92e4ca55291c3f3096a3d4d3d854986

(11698)

on March 24, 2013
at 08:34 PM

Joanna, which kind of fiber do you find aggravates your loose stools - insoluble (ie greens) or soluble (i.e. starchy tubers)?

0
F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:18 PM

Because everybody is so afraid of taking the breath test for SIBO, I suggest alternative approach. Unless you are not scared and want to take the 3 hour methane/hydrogen breath test.

Can you eat meat only for one day and see if your symptoms worsen or not? If you are not as bloated and feel better on all-meat diet, you have SIBO. If nothing changes, you could have something else.

It is interesting how many people with poor gut health end up doing Paleo, me included. There must be something about it.

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:37 PM

Are you lactose intolerant?

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 06:16 PM

I am not lactose intolerant i'm also not having any type of diary food so this isn't really relevant at this point. I think i'm just eating too much fruit / dried fruit / nuts, which are laxative.

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 05:28 PM

Hmm, i did a breathing test to see if i was lactose intolerant or not, i've had blood tested, i've had a colonoscopy and endoscopy. Everything turned out to be working fine, the gut specialist told me i have IBS. My therapist is treating me for IBS / leaky gut syndrom, but i honestly haven't heard in SIBO. I live in Europe, Belgium any clue what's the dutch term for this? I can try meat only... I do have to admit that i'm starting to feel better & better, but i still have irregular stool which tends to lean more towards diarrhea and it's rly dragging me down :-(

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 05:37 PM

They do SIBO testing in England. Not sure about Belgium.

Bc742d45a4d289875966a71093d38742

(15)

on March 24, 2013
at 05:30 PM

I should also state that i don't rly have any type of abdominal pain. I sleep perfectly and i have no more excessive gas (atleast waaay less than before when i did sugar, candy, soft drinks, etc).

F5a0ddffcf9ef5beca864050f090a790

(15515)

on March 24, 2013
at 06:30 PM

IBS is very often caused by SIBO. You cannot have any fruit, especially dried fruit, when you are on SIBO diet. Nuts - I don't know. Not sure how lactose intolerance test correlates with SIBO test. But if your diarrhea does not stop, take the SIBO breath test. If they have the lactose test, they might have that too.

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