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I've been 97% paleo for the past 60 days. After the first 20 days my bathroom routine changed and my stools became very loose, to the point that a few times a week I need to RUN to the bathroom.

How do I figure out what is causing the problem? I've been searching the internet for common causes in the paleo diet and haven't found anything.

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I've been reading that the cause could be due to increased fat, but now I need to figure out how to reduce the fat! I know the first to go should be nuts, but what else would be high in fat? – Amy Mar 10 2012 at 13:47
I doubt it's the fat. I eat loads of it and don't have any issues. Diarrhea or constipation only happens for me when I eat problematic foods or when I eat zero plant matter. – Korion Mar 10 2012 at 15:29
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I would research FODMAPS – Bread-Eating Beelzebub Mar 10 2012 at 17:21
Korion - Because you are absorbing the fat. If someone isn't putting out enough acid or bile they can get the runs, especially from coconut oil! – Satchmo Mar 10 2012 at 19:59
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OP: 97%? What's the 3%? Chocolate? Whine? Bagels? Heroine? (I'm kidding here) -- Paleo foods are usually pretty safe but that last 3% can screw you pretty good. – Satchmo Mar 10 2012 at 20:04
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14 Answers

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Hi Amy. I had the same issue! I felt like I had a bloaty build up then hit the bathroom then fine for a couple days and then the cycle replays. I got my blood tested first off, because I was worried I was not getting the nutrition from my food (expensive grass fed beef, etc).I had to wait for 10 days for the results during that time I researched more and really it looked like leaky gut-ish thing so I cut out nuts completely, tried daily kefir (no dairy for me) and then sauerkraut daily (perfect). Also upped my seaweed for iodine (I have eczema that started a month into paleo another sign of belly issues). I felt better but still I was not regular and so concerned about what I ate it was playing tricks with my mind. I reread the whole30 (that is how I got here) and tripled my veggies and doubled up on my fats (I still can't do straight oils but avacados work). I started feeling better within a day. Finally, we get to the end of the story, I got my blood work results I was below the chart on Vit D. It has been 3 weeks on a vit D3 supplement (and everything I added above) and I feel fantastic. Regular, great energy and I have actually started shedding weight again. I realized for me to eat nuts they need to be more processed prior, chopped/baked/blended, or it causes problems. I have not tried dehydrating them but think that would be the ticket. Seeds on the other hand are fine. Paleo eating is a very custom. I know this is just my experience (and I will continue adjusting). I hope some part of it can help you feel better. Good luck.

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I need to add my issues came with me from my SAD diet. Paleo eating did not cause any of this. – atd Mar 10 2012 at 16:52
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I have got to chime in on this one...I found this while doing a search about diarrhea and nuts...and IRONICALLY...I am a cave girl! So I have been recently eating more nuts as I got super lean and stayed away from nuts in the past wanted to get some healthy fats. Well I have had embarassing urgent bathroom trips that I have never been able to feel "clean" from unless ive just showered. Now ive cut out the nuts for a trial of 2 days and Ive had nice, normal stools. I love nuts but aparently, they don't love me!

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Sorry to hear that, but it's not a characteristic of Paleo diet itself.

I lived with running in a panic for 5 years with colitis, I hope it's not that. It can be a lot of things, like IBS (a catch all for I don't know).

I would be seriously re-assessing what food changes were made to isolate the cause, but it's not "Paleo" in general. Maybe something on your Paleo list doesn't agree with you. It happens.

Don't let it go too long if it makes you tired, see a doc, stay hydrated, get enough b complex, D3 and water. If you post more details maybe someone will have a better answer.

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I have found that if I don't eat enough vegetables, my stomach goes nuts and the bathroom isn't a very pleasant experience. Try increasing veggie intake (particularly broccoli)?

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Curiously, I found that removing broccoli improved things very slightly! Coffee seems to be a trigger too - a mug after breakfast and away we go again... – andrew Dec 29 at 10:51
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something that has caused me to have "softer" stools in the past is relying on way too many nuts... also if you are not used to eating a lot of fat, it just seems to "pass through" you.... so it could be the fat also. Its a good idea to work up slowly the amount of fat you are eating so that your gallbladders bile production can adjust

edit: though I wouldn't say I was desperately running to the bathroom, that did happen earlier on when I ate a hell of a lot of fat and my body wasn't used to it yet

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There is "ate something bad and I don't think this is a fart, get out of my way" and then there is serious panic events that linger for days or weeks. The latter is not a bad food choice that keeps on giving. Something is wrong inside at that point. – DFH Mar 10 2012 at 13:21
Too many nuts, or too much fat doesn't treat me well. I feel like fat is like lube for our guts, and too much makes things move way to fast. Sometimes I end up eating around a cup of nuts throughout the course of a day, and maybe an avocado. Those days usually make for fast bathroom trips later. – Crystal Mar 10 2012 at 17:38
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If you are using coconut milk a fair amount, check the label to make sure that it is JUST coconut milk! I accidentally bought a few cans that had guar gum in them, and because I was just kind of using coconut as a liquid component in a lot of meals, both my boyfriend and I were racing each other the the bathroom. Nice, easy fix, something to check!

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I've heard that guar gum can cause issue, but I don't use the coconut milk on a regular basis and I have the diarrhea about 3 times per week so I think it's something I'm eating on a regular (no pun intended) basis. – Amy Mar 10 2012 at 14:23
Jenny, the guar gum is not always listed. paleohacks.com/questions/2376/… – Warren D Mar 10 2012 at 15:20
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If I cook coconut milk with guar gum additives, I don't get the poopskis. As soon as I have it uncooked, straight out of the can (like in a smoothie), OMGPOOPNOW happens. – Joshua Mar 10 2012 at 15:31
True dat on it not always being listed- this can happened to have it on it, but not always the case! Also to Josh, so gross but my boyfriend was complaining after I didn't notice and made smoothies out of it "I want a smoothie going in, not going out!" – JeJ Mar 12 2012 at 18:01
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I had diarrhea for a month or two eating low carb paleo. I added sweet potatoes or another starchy tuber for dinner. My bowels have been smoother since the addition. My system doesn't do too well and too low carbs.

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Are you paying attention to what you are eating before you have these incidents? or the night before? what time of day? I will say if you have a major sweet-tooth and are using sugar-alcohols (such as xylitol) to sweeten stuff, these can cause major diarrhea and digestive upset. Coconut water is also a diarrhetic. In fact, I drink 8 oz. every morning just so I will poop within the hour- I'm pregnant and if this doesn't happen... I get very uncomfortable for the day. I wouldn't worry about taking out the fats, but you also shouldn't eat more than a handful at a time. Good luck!

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I am still looking for more answers, but my stools are vastly improved when I consistently take a probiotic. I tried it after other research suggested it and it made sense and definitely helps. My problem is that I think I'm fixed... and I stop taking it and the problem returns. I am going to try other diet variations... no nuts, etc as suggested above and see how I go.

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I had that problem with certain eggs. I'm okay with just regular cage-free eggs (from Trader Joe's), but when I tried the more organic ones, I had a problem almost every time I ate them. I haven't tried more organic eggs from other sources yet to see if they would have the same effect.

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I thought it might be eggs, but none of my online research showed eggs to be the cause. I'll give the TJ eggs a try – Amy Mar 10 2012 at 14:20
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Thanks so much for the fast responses. Keep em coming! I crave information and knowing that I'm not alone.

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I find that if I eat too much oil, specifically olive oil on salads, I get the runs. Are you eating a lot of oil?

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I am having the same problem..

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I have been paleo for about 3 months now. It's going great and I've been very dedicated. I have no idea what the problem could be... I never had diarrhea before I started paleo. I've been eating exceptionally and never cheat, I eat only whole foods: a lot of steamed veggies, eggs for breakfast, stirfys, etc. I do eat a few pieces of fruit a day as well, usually a good bit with before breakfast. But ya, every time it's diarrhea...

There's not pain and I don't even have as much gas as before-paleo... I feel super healthy and I love eating this way

I cook with coconut oil when frying and use a bit of olive oil in my salads.. I eat fermented foods as well to help with gut-health...

Any ideas anybody??

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