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Crohn's Disease
by author Chantelle Drobot, ND

We have all checked with our gut from time to time to make major decisions, but imagine having to check in for the most basic of lifestyle choices. How do I feel today? Can I eat this without consequence? This is the reality for people with Crohn’s disease.

This chronic inflammatory condition most commonly affects the lower part of the small intestine although it may be present anywhere within the digestive tract. It causes abdominal pain, rectal bleeding, diarrhea, weight loss, anemia, and nutritional deficiencies and the symptoms are generally exacerbated by stress. Crohn’s disease is characterized by lesions in the lining of the digestive tract which, when irritated, become inflamed and begin to bleed. The digestive tract no longer is able to move food through at a rate that allows for absorption and instead spasms, causing uncontrollable diarrhea, fatigue, and blood loss.

Although Crohn’s disease sometimes erupts in acute episodes, minor lifestyle changes can generally keep the severity of the symptoms under control and in remission. Three main factors are important:

  • removing possible irritants from coming in contact with the digestive lining
  • protecting the lining from present irritation
  • encouraging the lining to heal and return to a state of normalcy

Think Food Substitutions

Dietary factors are the biggest contributor to irritation within the digestive tract as food allergies or sensitivities cause physical stress on the lining of the digestive tract, which then leads to irritation and inflammation. When reactive foods are removed the digestive tube is allowed to heal and symptoms decrease. The biggest offenders seem to be wheat, sugar, caffeine, and dairy products, specifically milk; however, for some individuals removing all gluten products for a time seems to be highly beneficial. Replacing these products with suitable alternatives allows the digestive tract a reprieve from constant irritation so it can begin to repair.

Finding substitutions for wheat, sugar, and milk has become much easier as most health food stores now carry a number of suitable alternatives. Look for bread made from the alternate grain product spelt or from sprouted wheat, a grass product that provides fibre without the negative effects of starch. Rice pasta can be substituted for regular pasta and rice or rye crackers are acceptable cracker alternatives. Milk substitutions include goat’s milk, soy milk, or rice milk and sugar can be substituted with honey, maple syrup, or molasses. Avoid chemical sugar substitutes, however, because they have negative side effects.

Host a Gut Bug Party

Protecting the lining of the digestive tract is the second priority. In a healthy digestive tract, the digestive tube is covered by a mucous membrane. When this lining is consistently irritated, it produces mucus to attempt to “flush” the irritating agent out of the tube, resulting in diarrhea. Over time this constant irritation damages the mucous membrane, causing bleeding and pain.

The lining of the digestive tract is covered by over 400 species of micro-organisms, weighing an astonishing two kilos. These organisms live in the digestive tract and are the primary protectors of the mucous membrane from damage and irritation. Stress, hormonal changes, sugar consumption, and poor nutrition remove these good bacteria, which leaves the digestive tract open to infection from organisms that should not be present in high amounts, a condition called dysbiosis. Replenishing and supporting good bacteria is an important component in restoring proper digestive function.

Probiotics, nutritional supplements that contain the strains lactobacillus acidophilus, bifidobacterium bifidum, streptococcus thermophilus, and lactobacillus bulgaris, replace these beneficial organisms and restore the healthy environment of the digestive tract. They can be purchased from any health food store and should be taken daily.

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Chantelle Drobot, ND, is a naturopathic doctor at Calgary’s Integrative Health Centre. Her clinical focus includes hormonal imbalances, digestive disorders, stress-related conditions, allergies, and cardiovascular conditions. integrativehealthcentre.com.

Source: alive #266, December 2004

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