I've been paleo for a year with about a month's worth of indiscretion over the holidays and still lost a considerable amount of weight, resolved the majority of my stomach issues, as well my seasonal environmental allergies (hay fever, etc...).
That being said, I'm recently having a resurgence of stomach problems, while otherwise feeling great. Very foul smelling, very loose stool... considerable urgency upon onset... I've noticed these considerably increase when I eat starchy food, i.e. potatoes or plantains. If I'm zero carb, the occurrence is very rare... so lately it's been no carbohydrate at all.
While not "painful" like movements were in my gluten days (like passing lava), these are still pretty uncomfortable.
A good friend of mine that went on a trip with me (pre-paleo days) commented that my frequent stomach upset and gas were signs of h.pylori and I should get checked out.
I am wondering, if gluten is my issue, or if I have a long-standing parasite that is thriving on the starch that I'm not fully digesting?
Regardless of answers - I still plan on getting tested. It's better to know, but perhaps my experiences will help fellow Paleohackers...
who should test for celiac
You can read about the full "celiac panel" http://medschool.uma...c/faq.asp#blood
Health Questionaire from Dr.Peter Green's book: Celiac Disease: A Hidden Epidemic
Section 1 Symptoms
Experienced at least once a week during the past 3 months
gas and/or stomach cramping
diarrhea or runny stools
numbness or tingling in your extremities
itchy skin lesions
constant unexplained fatigue
frequent headaches or migraines
Section II Diagnoses
Have been diagnosed with any of the following:
irritable bowel syndrome
eczema or unexplained contact dermatitis
chronic fatigue syndrome
nervous stomach (non-ulcer dyspepsia)
Section III Associated Illnesses
Do you have any of the following:
ostopeia and/or osteoporosis
autoimmune disorders (thyroid disease, hypo or hyper, Type I diabetes, Sjogrens syndrome, chronic liver disease)
an immediate family member with an autoimmune condition
psychiatric disorders or depression
small intestinal cancer
If you checked one or more lines in either Section I or II and have ANY of the illnesses in section III, test for celiac disease, especially males or women under 45 with osteopenia/osteoporosis.
If you have checks in all 3 sections, you and your doctors should definitely explore a celiac diagnosis.
You sound like you have SIBO -- overgrowth of microbes (yeasts, bacteria) in places they don't belong -- the small intestines which is nearly sterile in asymptomatic and healthy individuals.
Consider trying the (elimination) diet that works for you (no starch, lactose, fruit/high-fructose-corn syrup (berries might be ok), sugar alcohols, inulin/FOS or sweets/sugar) for 2-4 wks then gradually re-introduce 1 food at a time. This is a common reason for 'fail-eo' on paleo despite going gluten-free -- I had this too when I hit the croissants in France last year! I was set back by 1-2 mos of bloating so last time for big time non-paleo-goodies FOR ME. Interestingly monosaccharides are ok (like pure glucose and ribose) because they do not require pancreatic enzymes or enzymes from our damaged villi/brush border/GI lining.
What helped me too was
--allibiotic (garlic and coconut oil/caprylic acid are anti-microbial) from NOW foods (on iherb.com)
--super enzymes again from NOW
--working out (this affects GI motility and I think brief hypoxia to the pathogenic organisms)
--probiotics (sometimes this makes SIBO worse -- b/c you are adding to the fire-- but in most cases adding lactobacillus in IBS/SIBO studies will 'cure' the symptoms and breath tests a great majority of the time)
If there is leaky gut/permeability issues, over time it should improve but many things heal this faster (vitamin D repletion, NAC, aloe, lactobacillus, S.boulardii, glutamine, high quality $$$$ omega-3, butyrate/ghee, etc).
Don't worry about h.pylori yet. The microbes and yeasts are bigger targets. Parasites are actually bigger public health threats than people think... I wash all my veggies and fruit now in a 10-20 min lemon juice or vinegar bath (dilute).
Hope you feel better!
I'm in a similar situation and I have found that testing for gluten allergies doesn't always come up positive even if you know you are reacting to them. Caseins are a possibility as well.
I'm doing alot of reading on GAPS, it suggests that sometimes you wont test positive for things until you've done a considerable amount of damage. Also try reading up on leaky gut and see if anything resonates there.
Are you taking any kinds of probiotics? according to GAPS (I am currently doing this) you can work up to a therapeutic level of probiotics to fight off the bad bacterias you have and get the good ones in control. If you are like me, I've been sick for years with stomach issues so my stomach acids are gone as well as good bacteria. It can take up to 4 months to get up to a full probiotic dose (suggests 15-20 billion) and you need to take that dose for 6 months. Supposedly this will get rid of any parasites and yeast issues as long as you are also controlling your diet. I'm still building up my dose but if done slowly you wont suffer too much die off effects (as the battle begins in there), and I've already noticed a change. (theres also stuff about fermented foods like homemade sauerkraut that is helpful too)
I just thought i'd throw this out there for you, it took me about 3 months on primal to uncover/discover other issues that I didn't realize existed. The info on GAPS also helps to understand if you fall into this category of issues..
I had really wretched problems with my stomach for YEARS. Gluten free helped (have been working with Zero Carb/Low Carb/Paleo since 2008) but I found my stomach problems resurfaced again about a year later ... when I started taking supplements again.
For me, I found out it was a sensitivity to some of the newer, artificial sweeteners in my chewable vitamins or cold meds. I'd kicked the Diet Coke habit, and no longer ate any sugar-free, low carb treats -- but had never thought to look at what was in my supplements. Far too many have artificial sweeteners.
Been fine since. Hope you feel better soon!
I have had these problems for year too - paleo has not helped me and I would say even made things worse, until I added back potatoes a few times a week. Mornings are still bad - esp after breakfast (doesn't matter what the food is) but it generally settles down after lunch.
I've started not having any supplements until after lunch now - when even magnesium citrate seems to be tolerated!
I'm eating masses of home made sauerkraut in the hopes that will restore order - but so far it is a vain hope. And I love veg too much to give it up. Plus, I have this inbuilt belief that vegetables do confer all sorts of miraculous benefits which I need.
If you find a cure, or something that brings your intestines peace, do let me know - it is an answer I have been looking for for around 40 years!!!
These symptoms could be H pylori, but more likely to be related to a parasite like Giardia or Blastocystis.
The best celiac panel available is at Cyrex Labs (California). Conventional celiac testing methods are completely useless unless total villous atrophy is present. See www.TheDr.com and get his DVDs for more information.
Best wishes Dave Hompes
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