Saturday, 22 June 2013

“Why Do Some People Suffer Gut (IBS) Problems More Than Others?”



When you were developing in your mother’s womb, your gut was sterile. When you were born, you were covered with the bacteria and other microbes that were in your mother’s  vagina – the same ones that were in her colon. (Told you it was scary!)

You were put to the breast where you and your brand new gut microbes were nourished and you all thrived. As you grew you were given a good diet of eggs, meat, healthy fats, vegetables, fruit and quality dairy products. Playing was fun and you crawled around the garden in the sunshine, tasting the worms and making mud pies. (Well I did!)

Childhood illnesses were encountered and fought off and even when antibiotics were necessary, you were quick to recover on your nutrient-dense diet. The status quo is maintained and you continued your healthy lifestyle. As an adult, you are healthy and wellness is easy.

Now another – even more scary story which does not end so happily.

When you were developing in your mother’s womb, your gut was sterile. When you were born, it had to be by Caesarian section as your mother was in difficulties and you had to go straight into an incubator. You had not picked up your dose of mum’s gut microbes but you got a little of everyone else’s flora from being handled. As your mother was unwell for a while, you were fed formula milk and you and your new – but unbalanced - gut microbes were nourished.
 
Your diet was mostly quick and easy foods as your mother went back to work and you play time was mostly indoors at the nursery. You suffered all the childhood illnesses going around at the time, and needed several courses of antibiotics which upset your tummy. As an adolescent you settled on a high carbohydrate diet as the government advised.
 
You had a holiday abroad, got a stomach bug from which you partially recovered but ever since that holiday your stomach has not been the same. Foods you were able to eat become ones you now can’t tolerate. You get diarrhoea, cramping, gas, gurgling and more. As an adult, you don’t really know what wellness is.

I have made these stories simple but there are lots of other factors that contribute to how you will fare health-wise. Vaccinations, household cleaning, exposure to sunlight, accessible good quality food etc. – if/how/when these are done will all impact on your immunity.  The problems encountered in the second story can be overcome as long as the very basics are observed – nurture of the immune system.

Next time I will give you a "close up" of what is happening in a gut suffering "dysbiosis" - microbial life at war!


Wednesday, 12 June 2013

"How Did I Get Irritable Bowel Syndrome?"

IBS is right up there at the top, sharing first position with the common cold, as the medical reason for  absence from work. The impact on the workplace is not insignificant, but it can have a truly devastating effect on the individual.

Irritable bowel syndrome is a miserable condition as any sufferer knows. It can vary in how it presents itself, how uncomfortable it is, how long it lasts and how it affects individuals. Perhaps the most disruptive aspect - is that a flare-up can happen without warning. Plans for the day go out of the window as a day in bed, near to the bathroom is all that is practical.

When I started nursing in the 70s, there was no such thing as irritable bowel syndrome. Even ulcerative colitis and Crohn's disease were rarities. I do remember that there were a few cases of "spastic colon", which I guess was the forerunner to IBS but again it was rare. What has happened since then to make gut problems commonplace now?

I have interviewed hundreds of patients during my career as a nurse and I have often been asked "how did I get irritable bowel syndrome?" Over this time I have been able to put two and two together and after considerable researching, reflecting and witnessing, have at last made four! For so long, the sums just made no sense. Why do some drugs cause diarrhoea? Why is it many people do not recover completely after a nasty bout of holiday tummy? Why is an upset stomach common after chemotherapy? Or more to the point, the question I eventually asked was - why is it some people are OK after these things?

Most of us have had antibiotics at some time, but for women in particular, a course of antibiotics means another problem - thrush - why? Or for anyone, antibiotics can cause diarrhoea - again, why?

There is a common denominator in all the above situations and it is candida. The ubiquitous yeast, candida.

The symptoms of candida infection (overgrowth), exactly match those of IBS. Bloating, abdominal cramps, headaches, gas, constipation and diarrhoea and more. Can this be coincidence? I don't think so and over the next few weeks, I want to answer some of the questions I have posed here.