Sunday, July 28, 2013

Yogurt

I made my first batch of SCD yogurt yesterday.

"Eat yogurt" is a common refrain from doctors and friends to anyone who has IBS.  The reason is that yogurt (generally) contains a lot of bacteria that is good for your gut, specifically lactobacillus acidophilus.

As someone who has believed for the past 30 years that he's lactose-intolerant, it's a bit strange to be eating yogurt.  However, because of the process for making SCD yogurt, lactose isn't a problem: it's cooked (or "incubated") for much longer than regular yogurt.  The idea is to give the good bacteria a much longer time to eat the lactose in the milk.  The yogurt maker I bought indicates that you can make yogurt in 4 to 4 1/2 hours, but SCD yogurt is cooked for 24 hours.  Apparently this is enough time for the bacteria to eat all the lactose.

The yogurt maker that I bought is the YoGourmet Multi.  I bought it on the recommendation of several SCD sites.  Fortunately, several of those sites go into detail about how the maker is fine for the standard 4-4.5 hour time, but that it runs too hot to use for an entire 24 hours: long before the 24 hours are up, it will have heated up to 125F or hotter, most likely killing off the majority of the bacteria that you're interested in.  That will mean not enough good bacteria, and too much lactose, a double-whammy negative.

The solution that someone came up with is to use a plug-in dimmer switch.  You let it get up to the optimal temperature of 100F - 110F, then turn the dimmer down to about halfway (depending on the switch), which should keep the temperature in range.  Since I had read all this, I went ahead and got a switch before my first batch.  Without knowing how much power the switch lets through, it's a bit of a guessing game at first: it's still a bit hot, turn it down; turn it down some more; oops, seems a bit cool now; etc.  Hopefully I kept the temperature close enough that the bacteria thrived, and the lactose is gone.  And now that I'm familiar with the switch, it shouldn't be so hard next time (if there is a next time!).

The yogurt came out well.  I'm definitely not a yogurt connoisseur, so I asked Jenny to try it, and she thought it was very good.  I had a spoonful on some blueberries this afternoon, and I liked it.  If I'm doing okay tomorrow, I'll try two spoonfuls.

Unfortunately, water intake still seems to be a problem.  For some reason, it seems as though too much water is getting to my colon, and my colon isn't efficient enough at absorbing it, and bingo, diarrhea.  My current hypothesis is that a) my gut motility has always been on the high side, meaning everything moves a bit too quickly; and b) the appendectomy either negatively impacted my ileo-cecal valve operation, allowing it to open too easily, or it damaged the nerve structure in my lower gut in a way that decreased its ability to absorb liquid, or both (there's also the possibility in this scenario that the surface area of my appendix was just enough to keep things in line most of the time, and not having that surface area available is just enough to tip the scales toward diarrhea; not having any nerve damage down there would be nice, although the end result is the same).

This problem is much more pronounced on days when I take on strenuous physical activity in the morning: I sweat a lot, and get thirsty, and drink a lot of water.  Later in the day, boom.  I try to limit the amount I drink without getting dehydrated, but it's a delicate balance.  If only my body was like the World Book Encyclopedia illustrations under "Human Body" that I so loved as a kid: layers of plastic pages, each one revealing a deeper layer of the body.  If I could just see what the hell was going on in there I'd be so much closer to a solution!

But I can't.  So I'll continue to muddle through the best I can.

3 comments:

  1. I'm curious about your water intake issue an I think I'm experiencing the same. I have had IBS-D for about 10 years, I have always been on the dehydrated side as I drank coffee and little water, but still had D a minimum 5 times a day. The last few months I got more active and upped my water intake and cut out coffee all together. I feel a lot better.

    Last night I went to dinner at a friends and was impressed that I had 2 glasses of wine and home made pizza and my stomach was pretty quiet. That is until I decided to drink water. As soon as the water hit my stomach it started gurgling and I could feel the gas pains start.

    I know I'm not absorbing water properly and I need to look into that, but have you ever heard of water setting off symptoms?
    Thanks
    Frustrated-gut

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  2. Hi Frustrated-gut,

    I know that gurgling! Sometimes it's benign, but more often than not it's a precursor to an attack of diarrhea. You're thinking everything's fine, and then, all of a sudden, you start going through the familiar thought pattern: how long will it be before the attack actually hits, where are the nearest bathrooms, etc. Frustrating indeed!

    I posted a question about this to the BTVC-SCD Yahoo group (in case it's not obvious, that stands for Breaking The Vicious Cycle - Specific Carbohydrate Diet) that I joined recently. It's a great resource, with many frequent posters who have been on the diet for many years and have a wealth of personal experience. One response was from someone who suggested drinking smaller amounts of water more frequently, which I often do. She indicated that if she drinks a lot of water all at once, it will bring on an attack.

    I also learned a while back that glucose aids in the body's absorption of water. Since commercial sports drinks are out because of the types of sugar that are used, I started mixing my own sports drink based on a recipe I found in the cookbook "Cooking for the Specific Carbohydrate Diet" by Erica Kerwien: one cup fruit juice (grape in my case), three cups water, and 1/4 teaspoon salt (I believe the recipe called for 1/2 teaspoon, but I found that too salty). I can't say whether or not it helps my body absorb water better, but it's tasty. :)

    Unfortunately, I don't have any great suggestions on the subject at this point, as I believe this is still a problem for me, albeit slightly less pronounced. I'd just say continue to try to fine-tune your water intake based on whatever signals your body is giving you. If I learn anything helpful about water absorption, I'll be sure to write a post about it.

    Cheers,
    Rich

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  3. Thank you, I will try that drink mix you suggested and look more into glucose's effect on water absorption.

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