Constipation and Diarrhea

Clay has a long history of being used internally. Since most people still equate clay with dirt and mud, the thought of ingesting clay internally may seem a little unsettling. It shouldn’t be.

For centuries, various clays have proven very effective at safely stopping diarrhea symptoms and even many types of food poisoning. Research has documented its use in China, Germany, France, and elsewhere to effectively treat cholera and to combat dysentery and other forms of diarrhea. One study from the 1960s involved 35 different individuals whose diarrhea symptoms were being caused by food poisoning, food allergy, viral infection, spastic colitis, or mucous colitis.

Two tablespoons of smectite clay (montmorillonite) were given with distilled water three times a day. (In the food allergy cases, six tablespoons of clay per day were used.) In 34 of the 35 individuals, the diarrhea was stopped in an average of 3.8 days, and bowel movements reduced to an average of 1.8 per day. Food allergy–induced diarrhea proved to be the most difficult cases, whereas those from viral infections resolved the quickest. (Med Ann Dist Columbia 61;30:326-328)

Until the late 1990s, the once very popular anti-diarrheal medicine Kaopectate contained the mineral clay kaolin, primarily found in Georgia and Alabama. It worked great, but there was some concern that the clay was mildly radioactive. The formula later was changed to include attapulgite clay, but around 2003, the formula was changed again and all clay was eliminated, due to possible lead contamination. It was replaced with pink bismuth subsalicylate (the same as Pepto Bismol). (If you’re wondering why it doesn’t work as well as it used to, this is probably the reason.)

For more information on diarrhea treatments, constipation and diarrhea, or other bowel problems, visit www.drdavidwilliams.com.

Most people with a constipation problem either don’t recognize they have it, or they don’t want to admit it. Rarely have I ever received a “yes” answer to the question, “Are you constipated?” I’ve always received a more accurate assessment by asking the person how often they have bowel movements.

The simple truth is, you eat two or three meals a day, so you should be having two or three bowel movements a day. Anything less than that falls under the category of constipation and needs to be corrected. Don’t kid yourself with the delusion that “everyone is different” or “this is normal for me.” It could end up killing you.

For more information on common digestive problems, constipation and diarrhea, or other bowel problems, visit Dr. Williams’ Web site.

While everyone sings the praises of the low-carb diet, there’s one offshoot of this trend that rarely gets mentioned, however, and that’s constipation. While the more common low-carbs diets such as Atkins or the South Beach diet both advocate salads and various vegetables, in practice they are often low-fiber diets, and that can quickly lead to bowel regularity problems. Reports are that about half the individuals who go on these diets, or variations of them, experience constipation problems.

The fact hasn’t gone unnoticed by the pharmaceutical companies. GlaxoSmithKline has experienced a jump in sales of its fiber laxative, Citrucel. Procter and Gamble has also started promoting its Metamucil product as a “zero net carb” product to help with the bowel regularity problem. Both of these companies see this as a huge opportunity to begin marketing their regularity products to younger consumers instead of just the geriatric crowd.

And, thanks to this diet fad, their target audience is changing to a younger age group. These two products are just part of the $350-million laxative market, and companies know that the sooner you get a customer hooked on one of these products, the greater the chance the customer will end up staying with them for life.

I have a better suggestion for you, if you have bowel regularity problems from a low-carb diet or other cause. Rather than opting for one of these fiber products, start including oats and oatmeal in your diet. Oats are not carb-free, but their benefits far outweigh their carb content. Oats are one of the simple solutions that inexpensively eliminate and prevent dozens of bowel problems.

For more information on bowel changes or other common digestive problems, visit Dr. Williams’ Web site.

In the 1980s, the big “discovery” was the importance of fiber in the diet. There were dozens of reports explaining how high-fiber diets could prevent heart disease, colon cancer, and dozens of other problems. For a while, high-fiber diets were all the rage. For reasons unknown to me, they fell out of favor. If you want to lose weight or maintain a proper weight, a diet rich in fiber can help.

There are two kinds of fiber in food—soluble and insoluble. In a nutshell, insoluble fiber doesn’t dissolve in water and is considered “roughage.” It swells and softens the stool, and it also scrubs and stimulates the intestines as it passes through. It helps protect against constipation, cancer, and the formation of pockets and inflammation in the colon.

On the other hand, soluble fiber dissolves in water and forms sticky gums and gels. A good example is much of the fiber found in oats. Soluble fiber foods tend to absorb certain compounds like toxins, bile acids, cholesterol, et cetera. They also slow the digestion of food, which improves insulin regulation and helps prevent diabetes.

The highest fiber foods include fruits and vegetables (with the skins left on when possible), beans, and whole grains. Stay away from such refined foods as white flour, cream of wheat, oat flour, cornstarch, and white rice—all of which are low in fiber.

From a dietary standpoint, high-fiber foods are very versatile. Some, like beans, can be the main course, while others, such as fruit, popcorn, and raw vegetables, make excellent snacks. High-fiber foods generally are very low in fat and are made up mostly of high-quality proteins and complex carbohydrates. The fiber itself has no calories, yet provides bulk and a sense of fullness. Fiber isn’t the cure for obesity, but a high-fiber diet with proper nutrition can definitely help you lose weight.

A high-fiber diet decreases what is called “transit time” in the gastrointestinal tract—the time it takes for food to move through your body. A shorter transit time results in less formation and absorption of toxic material into your system. Be aware, though, that higher-fiber diets require an increase in fluid intake. As you start to add more high-fiber foods, be sure you’re drinking plenty of water.

Estimates are that most adults consume between 10 and 15 grams of fiber a day but should be taking in at least 25 to 30 grams. Eating 30 grams a day has been shown to reduce the weight gain that seems to gradually accumulate as one gets older.

For more information on the health benefits of fiber or a list of the highest fiber foods, visit Dr. Williams’ Web site.

One of the more painful problems you can experience is that of mouth ulcerations, commonly referred to as canker sores. These aren’t necessarily the same as “cold sores” related to the herpes virus, which generally occur on the outside of the mouth.

There doesn’t seem to be any one trigger for these recurrent mouth ulcers. For some women, they develop when certain hormones fluctuate during the menstrual cycle; for other individuals excess exposure to the sun may be the trigger; and for others they seem to crop up in times of stress or from actual physical injury to the mouth.

They can be very painful and interfere with swallowing and eating, and oftentimes take a week or longer to resolve.

One very interesting study screened patients suffering from these recurrent ulcerations, looking for gluten intolerance (an allergy to wheat and wheat products, as well as to other grains that contain the protein gluten). This condition is also called gluten sensitive enteropathy or celiac disease. It’s considered an immune disease where products that contain gluten trigger an immune reaction in the small intestine that can cause permanent damage. Common symptoms also include unwanted weight loss, chronic diarrhea or constipation, and bloating and gas.

When individuals with gluten intolerance were placed on a gluten-free diet, there was a very significant improvement in their prior problem with mouth ulcerations. (BMC Gastroenterol 09;9:44)

A gluten-free diet may not be the answer for everyone with this problem, but for some it will be a godsend in more ways than one. Mouth ulcerations may be just the one noticeable symptom of an allergy to gluten that could be destroying areas of the small intestine. A gluten-free diet is not the easiest thing to follow, but it would be well worth trying if nothing else has helped with your recurrent mouth ulcerations.

For more information on gluten intolerance, or for a list of gluten free foods, visit Dr. Williams’ Web site.

Prebiotics are substances that bacteria feed on or ferment, and are necessary to maintain a healthy bacterial balance. Most prebiotics are oligosaccharides, or long-chain sugar molecules. They’re considered to be indigestible fiber, and they mostly are, at least from our perspective. But from the perspective of the bacteria, they’re quite digestible.

Whey is a particularly effective prebiotic because of the sugars it contains. (There’s one more reason to start your day with a whey protein shake.) However, many other foods and compounds are also effective as probiotics. One that’s gotten some exposure lately is inulin, from chicory root.
 
Another that’s receiving increased attention is the kiwifruit. Studies from Hong Kong and elsewhere show that eating kiwi decreased constipation and laxative use in constipated patients by improving bowel transit time. (World J Gastroenterol 07;13:4771–4775)

Some of the benefit of kiwi comes from the fiber contained in each piece. The fruit also contains enzymes that aid in digestion and improve bowel motility, the pulsations that help move food through your digestive tract. I know that kiwi isn’t the cheapest variety of fruit available in your grocery, and it’s a very seasonal item in most parts of the country. In addition, the participants in the studies I mentioned were eating around three pieces of the fruit a day.

For those reasons, I’ve been looking for substitutes for kiwi. It turns out that the best substitute is a concentrate of kiwi itself. This concentrate maintains all the enzyme activity of the whole fruit, while packing the prebiotics into a much more convenient form.

Prebiotics are often combined with probiotics to create what’s called a synbiotic. Research in animals shows that synbiotics can help reduce the risk of colon cancer. (Food Chem Toxicol 2009 Dec 21)

Synbiotics also improve healing in patients who have undergone surgery or experienced significant injury. Trials in Greece with trauma patients showed that treatment with synbiotics reduced inflammation and the risk for pneumonia and blood infections, as well as length of stay in intensive care and the amount of time spent on mechanical ventilation. (J Trauma 09;67:815–821) (World J Surg 06;30:1848–1855)

If you find that you’re currently taking a probiotic supplement, and you’re not seeing the probiotics benefits you expected, it could be due to a lack of appropriate prebiotics.

For more information on probiotic benefits, body digestion, or bowel regularity in general, visit Dr. Williams’ Web site. While there, you can also sign up for Dr. Williams’ FREE eLetter or subscribe to his monthly newsletter.

As I was sitting eating my crunchy, delicious 15 day–fermented sauerkraut recently, I ran across a study showing that infectious digestive disorders are among the biggest risks to our military troops who are deployed overseas. Every month, about 30 percent get infectious diarrhea. Those who had experienced even just one incident had six times the risk for subsequent functional diarrhea and four times the risk of developing irritable bowel syndrome.

The medical records of personnel deployed in Operations Iraqi Freedom and Enduring Freedom indicate the fourth leading cause of their visits to Veterans Affairs medical centers was chronic gastrointestinal disorders. As many as 20 percent of these patients have conditions that have persisted for five years or longer after returning home.

It’s not hard to understand the high incidence of this problem, considering the stress these soldiers are under and the less-than-sanitary conditions they’re exposed to. What is hard to understand is the way these men and women are being treated.

Typical treatment focuses on the use of antibiotics to wipe out the offending bacteria. Patients are then switched to over-the-counter diarrhea treatments and bulking agents when the problem persists. Knowing what we know today, I’m amazed that probiotics aren’t being used to correct and ultimately prevent diarrhea symptoms.

I don’t have cost figures, but I’m certain that adding a daily probiotic supplement to their regimen would be an extremely cost-effective method to prevent many of these problems. And the fact that probiotics aren’t used following every round of antibiotics is absurd.

For more information on diarrhea treatments, body digestion, or bowel regularity in general, visit Dr. Williams’ Web site. While there, you can also sign up for Dr. Williams’ FREE eLetter or subscribe to his monthly newsletter.

One of the more painful problems you can experience is that of mouth ulcerations, commonly referred to as canker sores. These aren’t necessarily the same as “cold sores” related to the herpes virus, which generally occur on the outside of the mouth.

There doesn’t seem to be any one trigger for these recurrent mouth ulcers. For some women, they develop when certain hormones fluctuate during the menstrual cycle; for other individuals, excess exposure to the sun may be the trigger; and for others yet, they seem to crop up in times of stress or from actual physical injury to the mouth.

They can be very painful and interfere with swallowing and eating, and oftentimes take a week or longer to resolve.

One very interesting study screened patients suffering from these recurrent ulcerations, looking for gluten intolerance (an allergy to wheat and wheat products, as well as to other grains that contain the protein gluten). Common symptoms include unwanted weight loss, chronic constipation and diarrhea, and bloating and gas.

When individuals with gluten intolerance or celiac disease were placed on a gluten-free diet, there was a very significant improvement in their prior problem with mouth ulcerations. (BMC Gastroenterol 09;9:44)

A gluten-free diet may not be the answer for everyone with this problem, but for some it will be a godsend in more ways than one. Mouth ulcerations may be just the one noticeable symptom of gluten intolerance that could be destroying areas of the small intestine. A gluten-free diet is not the easiest thing to follow, but it would be well worth trying if nothing else has helped one’s recurrent mouth ulcerations.

Gluten intolerance is a tricky condition. Not only is it often misdiagnosed, it is also associated with a myriad of other conditions, including:

• thyroid disease,
• type 1 diabetes,
• lactose intolerance,
• arthritis,
• bowel and stomach cancer,
• eczema, and
• allergies.

Though no two people seem to have the exact same symptom profile, you can expect to see one or more of the more common symptoms:

• abdominal pain,
• diarrhea symptoms,
• no appetite,
• skin rashes (often itchy and blistery),
• anemia, and/or
• stunted growth.

If the condition isn’t addressed, eventually the classic signs of malnutrition will appear, including the large tummy, thin thigh muscles, and flat buttocks.

There are a couple of reasons the symptoms and other diseases caused by celiac disease are so varied; one is the body’s severe allergic reaction to the glutens. Second, the damage to the small intestine impedes the absorption of essential vitamins, minerals, and nutrients:

• Deficiencies in the B vitamins can lead to depression, mental problems, and the expression of neurological diseases, such as the Alzheimer’s.
• Deficiencies of essential fatty acids lead to skin disorders, cancer, etc.
• Inadequate calcium absorption results in osteoporosis, joint deterioration, muscle weakness and wasting, heart disease, etc.

The list related to various deficiencies goes on and on. In addition to deficiency problems, the damaged intestinal wall allows undigested proteins to enter the bloodstream, triggering additional allergic reactions throughout the body.

Based on the variety of related, complex symptoms, it’s easy to see why the diagnosis of celiac disease and gluten intolerance is often overlooked. That’s why a family health tree can be of such great help. Once it is determined that celiac disease could be a factor, there are very specific antibody blood tests your doctor can order. The presence of certain antibodies provides a definitive diagnosis, and the antibodies will rapidly decline once the problem is treated.

There’s a critical connection between bowel problems and the nervous system that doesn’t receive much attention in most medical circles. In fact, in testimonials concerning the Specific Carbohydrate Diet, you’ll find that many individuals have seen a dramatic improvement or even complete reversal in such problems as schizophrenia. The same is true when bowel problems are corrected with probiotics or many of the other digestive cleansing methods I’ve discussed in this blog.

Generally, those in conventional medical circles haven’t been able to grasp the connection between toxins in the bowels and neurological disease. (Most still believe the cause of IBS, ulcerative colitis, and similar bowel problems is totally unknown.)

Between 60 and 70 percent of our immune system is located in the digestive tract, which makes sense when you realize it’s one of only three direct connections our body has to the outside world (our skin and respiratory tract are the others)—making it one of the places we are most exposed and vulnerable.

A breach in the gut wall—common in individuals with IBS, Crohn’s disease, and chronic constipation and diarrhea—is commonly referred to as “leaky gut” syndrome. This state allows toxins, bacteria, yeast, fungi, viruses, and incompletely digested foods to enter the bloodstream. An excess of these pathogens creates additional acids, fermentation byproducts, waste, and toxins that eventually overcomes our gut’s defenses.  

That’s why it is vital to maintain bowel health. It’s one of the most effective methods of improving your overall immune function. It can help prevent or reverse many of the neurological diseases on the rise in both children and adults.

Once these toxins and other particles breach our body’s protective barriers, they cause inflammation throughout the body and can often cross the blood/brain barrier, where they then interfere with the circulation and flow of nutrients to the brain—which in turn impairs consciousness, speech, cognition, and behavior. It shouldn’t come as any surprise that digestive and bowel problems are one of the principal complaints of people of all ages with depression, “brain fog,” irritability, schizophrenia, and seizures—even children with autism. It also should be no surprise to see these problems resolved when the bowel problems are corrected.

If you or your loved ones suffer from one of these neurological problems, getting rid of body toxins and restoring the bowels to normal is one thing you don’t want to overlook.

The use of probiotics is preventive medicine at its best. For this very reason it’s important to constantly replenish your body’s supply of these important life-sustaining organisms, which you can do easily with a daily probiotic supplement. And to that you can add my favorite—a nice daily helping of homemade sauerkraut to reap full probiotic benefits.

When you are looking to detoxify the body, you must start with the basics—your diet. To kick off a truly effective cleansing detoxification program, you should try what I call the “weed and feed” program.

The idea is to first cleanse the bowels of any harmful or large numbers of undesirable bacteria, fungi, yeast, and parasites; heal any damage that has taken place; and then re-establish a healthy population of beneficial bacteria.

Overall it’s roughly a two-week program that begins with a 24-hour fast, where ideally nothing would be consumed except purified water. (Chlorinated water is not recommended, because it is not particular about which bacteria it kills—even the beneficial types in the bowel.) If one can’t fast on water alone for 24 hours, a homemade vegetable broth or the low-sodium version of V8 juice can be included, but under no circumstances should you add any fruit, juices, or other foods or drinks.

After the first 24 hours, steamed vegetables and light salads can be gradually added to the diet. (Yeast products, sugar, and starchy foods such as potatoes and rice are not allowed.)

Days 2 and 3 begin the “weeding” of your colon as “broad spectrum” natural antimicrobials are added to the regimen. The standard antimicrobial is garlic, preferably fresh—which has been proven effective against eliminating an extremely wide variety of harmful bacteria, fungi, yeast, and viruses while at the same time sparing the beneficial forms of bacteria. You can achieve these effects by simply consuming two crushed garlic cloves twice daily with your meals.

Beginning on Day 4, and through the remaining two weeks, you need to heal any damage to the bowel and re-establish the growth and dominance of the beneficial bacteria. In addition to adding specific supplements (such as a good probiotic), you can now gradually begin to introduce more and more fresh foods into your diet.

During this period it is important not to consume sugar, alcohol, caffeine, wheat products, or high starch foods such as bread, potatoes, and rice. Steamed or stir-fried vegetables are highly recommended—particularly high-sulfur foods such as cabbage, broccoli, bok choy, Brussels sprouts, cauliflower, cress, kale, mustard, radish, and turnip. Cabbage is one of the most researched (and also one of my favorites)—steamed, stir-fried, or fermented as sauerkraut. Onions, asparagus, and artichokes are also good choices.

Legumes (beans and peas) may also be introduced. Keep in mind, too, that these last few items are higher in fiber—which will be  a great help for IBS and other bowel problems, but may need to be introduced later if diarrhea is an issue. The timing of when and how much can be eaten will vary from individual to individual.

Meat can also be gradually added (begin with chicken, fish, or lamb), and it is generally easier and best to do so in the form of broths, stews, or soups. Slow-cooked (not instant) oatmeal is a good addition at this point. Dairy products may also be included. Start with the fermented ones first (such as yogurt).

As you begin to re-introduce different foods, be alert to any changes in bowel changes or symptoms. You may have to discontinue certain foods and add them back later when you see improved bowel regularity.

IBS is a digestive disorder marked by cramping, constipation and diarrhea.

It’s estimated that condition called irritable bowel syndrome (IBS). Unfortunately, an estimated 70 percent of the people with IBS don’t seek any medical attention.

On top of that, being able to diagnose IBS still seems to be a problem for most doctors. The medical profession is more comfortable with diseases that present a consistent set of symptoms. However, roughly a third of those who suffer from IBS experience diarrhea, another third have constipation problems, and the remaining third alternate between the two.

If you have the problem, you likely experience abdominal pain or discomfort that is:

• relieved with defecation,
• associated with a change in frequency of stool, or
• associated with a change in the form or appearance of the stool.

Other symptoms also support a diagnosis of IBS:

• abnormal stool formation—either hard and lumpy or loose and watery,
• abnormal stool frequency—either more than three bowel movements a day or fewer than three a week,
• abnormal stool passage—straining, extreme urgency (in the case of diarrhea), or the feeling of not being able to completely evacuate,
• passage of mucus in the stool, or
• bloating or the feeling of bloating.

Common digestive problems are the second most common cause of hospitalizations. (Pregnancy is #1 with women and coronary problems are #1 with men.) Thousands of diseases can be linked directly to a poor digestive system.

In the case of diarrhea, one of the best diarrhea treatments is to increase your intake of cultured foods, specifically, those made milk products, such as yogurt, buttermilk, sour cream, etc.

Yogurt has been used for centuries to cure bowel problems and diarrhea. The oldest people in the world, in the mountains of Russia, reportedly use plenty of yogurt and clabbered milk as their protein source. Similarly, a study at a New York hospital confirmed that between a third and a half cup of ordinary yogurt stopped severe infant diarrhea twice as fast as the standard anti-diarrhea drug Neomycin Kaopectate (Clin. Ped.63;1(7):407-411). In fact, yogurt works so effectively at preventing diarrhea in the first place, it is routinely used for that purpose in hospitals throughout Russia, Japan, and Italy.

Yogurt can do so much more than just correct bowel problems. At least seven natural antibiotics have been isolated from yogurt and fermented milk products. One called acidolin has been shown to be as effective, if not more so, as many prescription antibiotics (J. of Antibiotics 74;27(8):631-636). Eating yogurt may also decrease the risk of cancer. One French study discovered that among women who ate dairy products, those who ate the greatest amounts of yogurt had the lowest rate of breast cancer (J.Nat.Cancer Inst. 86;77(3):633-636).
Yogurt can also drop LDL cholesterol levels as much as 10 percent in one week, while raising HDL cholesterol levels (the good kind) (Ather.77;26[3]:335-340). And regular yogurt (not the low-fat kind) contains the hormone-like substance prostaglandin E2, which, among other things, can prevent ulcers. It can even boost the immune system.

Like just about everything else these days, the type of yogurt you eat makes a difference. The label of any yogurt you buy should say it has "active cultures." Some companies pasteurize the product after it’s been made, and this kills off the remaining beneficial bacteria making it useless. If you can find products made from L. acidophilus bacteria cultures, they will have the greatest benefits. If the yogurts made in your area don’t list the type of cultures used, you may have to call or write the manufacturer.

Also, avoid the yogurts containing sugar. Usually the yogurts with fruit are loaded with sugar. Add your own fruit. Bananas give it a sweet taste and counteract the sourness. For a more consistent sweetness, try blending the banana into the yogurt in the blender.

I am always amazed when people question whether or not they have the right balance of beneficial bacteria. The answer to this question lies, obviously, in your body. Generally, any negative health symptoms you might have are a very good indication if you have a good, balanced bacterial flora in your bowels.

The following is a partial list of common bowel problems and other health issues associated with inadequate bowel flora:

• Constipation and diarrhea;
• Intestinal gas;
• Chronic bad breath;
• Hormonal problems (i.e. PMS or menstrual complaints);
• Prostate trouble;
• Breast enlargement in men;
• Candida;
• Chronic anemia;
• Allergies to dairy;
• Vitamin B deficiencies;
• High cholesterol levels;
• Severe bruising problems;
• Chronic vaginal infections;
• Chronic bladder infections; and/or
• Osteoporosis.

If you have a healthy intestinal tract, you have over 400 different species of microorganisms living there. They make up two pounds of your body weight! In the stomach, very few are able to survive because of the acidity. In fact, there may be as few as 10 to 100 organisms in every milliliter (.0338 fluid ounces) of stomach content. In the small intestine, there might be anywhere from 100 to 1000 organisms per milliliter.

As you reach the junction between the small and large intestine (at the ileocecal valve), the numbers begin to grow. In the large intestine or colon, as many as one trillion organisms per milliliter are common.

Good bacteria do four key things to help promote a healthy body, digestion, and even immune system:

1. Acidify the Colon—A healthy colon pH should, ideally, be between 6.7 and 6.9. Some of the by-products that help good bacteria achievethis are lactic and acetic acids. This slightly acidic environment inhibits the growth of undesirable bacteria like salmonella (causes food poisoning), shigella (common diarrhea cause), and E coli (which can cause intestinal disease and chronic kidney failure). These bacteria also produce a volatile fatty acid that, along with the acids, makes it difficult for fungus and yeast (like Candida) to survive.
2. Promote Bowel Regularity—Good bacteria can decrease the time it takes for waste products to move through the digestive system. They can also prevent the opposite problem. In other words, they correct both constipation and diarrhea.
3. Improve the Ability of the Immune System—By providing an area for controlled antigen production, good bacteria help stimulate the formation of antibodies. They provide a natural form of vaccination.
4. Eliminates bloating and gas problems and sweetens the breath—Bad breath (halitosis) is very frequently caused when the wrong bacteria takes over in the colon and produce foul smelling waste products, bloating and gas. These gases can be expelled and/or reabsorbed into the blood, where they are later released in the lungs and exhaled. All the breath mints in the world won’t correct bad breath caused by a bowel problem.

If you are looking for IBS help, you first need to understand IBS trigger foods and the role they play in the disease.

One of the main IBS trigger foods is wheat. IBS patients are often sensitive or allergic to wheat and other grain products. As such, wheat bran and other cereals are generally not the best source of fiber for people looking for IBS support. Instead, water-soluble fibers that promote the formation of protective gel and mucus in the bowel are best. This type of fiber is found in guar gum, psyllium or Indian husks, oat bran, flax seeds, fruits, vegetables and legumes. (Legumes is a fancy word for beans and peas.)

Keep in mind that most of these fiber sources are either absorbents or binding agents. One of their characteristics is that they absorb or bind with water. This causes them to soften, swell, and increase in volume. This creates the extra bulk necessary to gently stimulate the cleansing movement in the colon. For the whole process to work, you must consume adequate amounts of water. This means that it’s absolutely necessary to drink a minimum of eight glasses of water a day.

Note: Although increasing the intake of fruits and vegetables is essential in treating IBS, during periods of diarrhea they are best avoided. But they should be reintroduced gradually when the bowels are normal. The amounts and timing will vary from individual to individual. The same holds true for the amount of guar gum or psyllium that needs to be taken. It would be impossible for me to give the exact amount needed. Each person will have to monitor bowel regularity, consistency, and looseness and adjust the dosages accordingly.

In the 1980s, the big “discovery” was the importance of fiber in the diet. There were dozens of reports explaining how high-fiber diets could prevent heart disease, ease common digestive problems, and help dozens of other health problems. I’d like to add another key health benefit of fiber: weight loss. If you want to lose weight or maintain a proper weight, a diet rich in the highest fiber foods can help.

There are two kinds of fiber in food—soluble and insoluble. In a nutshell, insoluble fiber doesn’t dissolve in water and is considered “roughage.” It swells and softens the stool, and it also scrubs and stimulates the intestines as it passes through. It helps protect against constipation, cancer, and the formation of pockets and inflammation in the colon.

On the other hand, soluble fiber dissolves in water and forms sticky gums and gels. They tend to absorb certain compounds like toxins, bile acids, cholesterol, et cetera. They also slow the digestion of food, which improves insulin regulation and helps prevent diabetes.

The overall highest fiber foods include fruits and vegetables (with the skins left on when possible), beans, and whole grains. Stay away from such refined foods as white flour, cream of wheat, oat flour, cornstarch, and white rice—all of which are low in fiber.

From a dietary standpoint, high-fiber foods are very versatile. Some, like beans, can be the main course, while others, such as fruit, popcorn, and raw vegetables, make excellent snacks. High-fiber foods generally are very low in fat and are made up mostly of high-quality proteins and complex carbohydrates. The fiber itself has no calories, yet provides bulk and a sense of fullness. Fiber isn’t the cure for obesity, but a high-fiber diet with proper nutrition can definitely help you lose weight.

A high-fiber diet decreases what is called “transit time” in the gastrointestinal tract—the time it takes for food to move through your body. A shorter transit time results in less formation and absorption of toxic material into your system. Be aware, though, that higher-fiber diets require an increase in fluid intake. As you start to add more high-fiber foods, be sure you’re drinking plenty of water.

Estimates are that most adults consume between 10 and 15 grams of fiber a day but should be taking in at least 25 to 30 grams. Eating 30 grams a day has been shown to reduce the weight gain that seems to gradually accumulate as one gets older.

In the last 100 years, most of the more beneficial fermented foods have practically been eliminated from our diet. Much of the problem has to do with the way we now preserve foods, particularly vegetables.

When fresh vegetables weren't as readily available throughout the year, they were often preserved through fermentation. Nowadays, thanks to improved transportation and storage techniques, we can buy various vegetables all year around. And when it comes to preserving vegetables, freezing and canning have become the methods of choice.

While these techniques help retain vitamin content and provide a high degree of convenience, they do little to provide beneficial bacteria for your system. This fact should be fairly evident when you consider the 35 million people in this country alone who suffer from IBS, and the millions more who suffer from ulcers, indigestion, chronic constipation and diarrhea, and dozens of other related bowel problems.

One of the key bacteria needed to make the majority of fermented food products is lactic-acid bacteria. Lactic acid-fermented foods have been dietary staples for thousands of years. Early writings show that Chinese workers ate acid-fermented vegetables while building the Great Wall of China. The Japanese have routinely served a small serving of pickled vegetable with their meals. Centuries ago, the Koreans developed kimchi by acid-fermenting cabbage and other vegetables. In fact, lactic acid-fermented cabbage has been revered as one of the most beneficial healing agents since early man.

To help stave off common digestive problems like IBS, constipation and diarrhea, I encourage you to add fermented foods to your diet. In addition to yogurt and sauerkraut, you can also try pickled cucumbers, garlic, beets, radish, corn relish, potatoes, various chutneys, Korean kimchi, and more. No matter which type of food you decide to eat, you'll start to reap the benefits.

Keep in mind that, due to their acidity, lactic acid-fermented vegetables should be used as a complement to meals and not eaten in large quantities. Consistency is the key, so eat small amounts (3 or 4 tablespoons) on a daily basis.

Digestive problems are the second most common cause of hospitalizations. (Pregnancy is #1 with women and coronary problems are #1 with men.) Thousands of diseases can be linked directly to a poor digestive system. And one of the biggest culprits is bowel problems, specifically a bacteria imbalance in the bowels.

Cultured foods can help intestinal bacteria growth. Generally, cultured foods are made from milk products. Since the bacteria is necessary for their production requires milk sugar (lactose), the end product will contain less sugar and therefore be less sweet. This holds true for all "soured" milk products like yogurt, buttermilk, sour cream, etc.

Yogurt has been used for centuries to cure bowel problems and diarrhea. The oldest people in the world, in the mountains of Russia, reportedly use plenty of yogurt and clabbered milk as their protein source. A study at a New York hospital confirmed that between 1/3 and 1/2 cup of ordinary yogurt stopped severe infant diarrhea twice as fast as the standard anti-diarrhea drug Neomycin Kaopectate. (Clin.Ped.63;1(7):407-411.) It works so effectively as a diarrhea treatment, it is routinely used for that purpose in hospitals throughout Russia, Japan and Italy.

Yogurt can do so much more than just correct bowel problems. At least seven natural antibiotics have been isolated from yogurt and fermented milk products. One called acidolin has been shown to be as effective, if not more so, as many prescription antibiotics. (J. of Antibiotics 74;27(8):631-636.) Eating yogurt may also decrease the risk of cancer. One French study discovered that among women who ate dairy products, those who ate the greatest amounts of yogurt had the lowest rate of breast cancer. (J.Nat.Cancer Inst. 86;77(3):633-636.)

Like just about everything else these days, the type of yogurt you eat makes a difference. Don't be fooled by the recent clever marketing of many yogurt products. The label of any yogurt you buy should say it has "active cultures." Some companies pasteurize the product after it’s been made, and this kills off the remaining beneficial bacteria making it useless. If you can find products made from L.acidophilus bacteria cultures, they will have the greatest benefits.

Also, avoid yogurts with fruit, as they are loaded with sugar. Add your own fruit instead. I find that bananas give yogurt a sweet taste and counteract the sourness. For a more consistent sweetness, try blending the banana into the yogurt in the blender.

I’ve found that successful treatment of IBS requires a multi-faceted approach. And key among these are dietary changes. Research (not to mention common sense) shows that there is a strong connection between IBS and diet. Specifically, IBS problems require the addition of fiber in the diet, but two very important factors must be taken into consideration.

First, some types of fiber should be avoided. IBS patients are often sensitive or allergic to certain types of food. Wheat and other grain products are typically on that list. As such, wheat bran and other cereals are generally not the best source of fiber in these cases. Instead, water-soluble fibers that promote the formation of protective gel and mucus in the bowel are best. This type of fiber is found in guar gum, psyllium, oat bran, flax seeds, fruits, vegetables and legumes (or beans and peas).

Secondly, although increasing the intake of fruits and vegetables is essential in treating IBS, during periods of diarrhea they are best avoided. But they should be reintroduced gradually when the bowels are normal. The amounts and timing will vary from individual to individual. The same holds true for the amount of guar gum or psyllium that needs to be taken. It would be impossible for me to give the exact amount needed. Each person will have to monitor bowel consistency and looseness and adjust the dosages accordingly.

And no discussion of IBS and diet would be complete with discussing those foods that must be eliminated from the diet. Sugar and highly concentrated sugar-containing products like fruit juices need to be eliminated. People looking for IBS help also need to avoid alcoholic beverages. The acidity and nature of tomatoes and tomato products will irritate a sensitive bowel and should be avoided.

Additionally, consumption of saltwater fish and those from lakes contaminated from acid rain should be minimized or completely avoided. This caution also applies to canned tuna. Although most individuals will experience no such problems, German research has found that the mercury often contained in these fish is one of the main IBS trigger foods.

If you still want that tuna, make sure you are choosing young tuna. I personally like Wild Planet Low Mercury Albacore Tuna. Or even forgo the tuna and give wild salmon or sardines a try.