Most bulimics, recovering bulimics and anorexics have irritable bowel syndrome (IBS) either before, during or in recovery from their eating disorder. IBS is typically characterized by pain/cramping in the lower abdomen, nausea, gas, bloating and alternating diarrhea & constipation. Pain may be continuous or intermittent throughout the day, week, month, etc. The cause is not fully understood — some doctors used to tell patients it was “all in their heads” because there is nothing functionally wrong with the small or large intestine. However, more people in the health and medical profession are starting to understand more about IBS.
The funny thing about IBS and eating disorders is that there are a lot of similar things at play, just as there are with eating disorders and depression. For example, IBS is related to disturbances in the nervous system, which also happens with bulimia. Usually, IBS causes excessive activity in the small intestine and/or colon. I once had an ultrasound by a doctor who believes bulimia is caused by a diseased gall bladder. During this test, the radiologist pointed out — “Look at her small bowel (small intestine) fluttering so fast, was this happening before we administered the drug for this test?” The answer was yes — with no food in my system since the previous night’s meal, my small intestine was fluttering madly away. No wonder I had digestive distress most of the time.
Instead of having my gall bladder removed, I chose to follow The Body Ecology Diet (BED), so that I could repair my liver, gut and gall bladder. I at least wanted to give it a try before having surgery because I could find no evidence that removal of the gall bladder resulted in long term recovery from an eating disorder (especially a long-term/chronic ED). I also started to read more and more about the body and mind as a system — rather than a dysfunction of just one part — I really believe there is something to this. I believe we can bring ourselves back to health without medically invasive procedures (at least most of the time!). BED seems to be doing the trick — my digestive system feels healed. In this post, I will share some tips that I have learned over the years to help with digestive distress. I hope they help ease any pain you may be feeling.
First Things First
Digestive distress can be caused by many issues in the body and mind spectrum – stress, fear, worry, poor nutrition, accumulation of toxins from food or the environment, disruption of natural rhythms like sleep, etc. It’s difficult to trace & diagnose the root cause of digestive distress for this reason — and the fact that there may be “nothing wrong” on your medical tests.
The more you get in touch with your body and aware of your state of mind (catching your thoughts — catching yourself in worry, stress, fear or negative thinking), the more you will be able to sense what might be creating imbalance for you. For example, I used to drink coffee all the time and now I don’t. If I do have an occasional sip of coffee, I can feel the caffeine rush after just 4 sips. I feel the affect on my thinking (a bit cloudy & revved up) and I can see what it does to my natural sleep rhythms (disrupts them). The more aware you are about things like this, the easier it will be to decide what works for your health.
Tips to Ease Digestion
Over the years, I’ve had many tests and tried many things to ease my digestion, here are some tips.
Food & Drink
- Drink fennel tea – fennel is a spice that you may see often in Indian meals. It is sometimes chewed on after Indian meals to ease digestion. You can take a tablespoon of fennel seeds and put it in a tea strainer. Steep hot water over this for about 1o minutes and sip the tea. Hot tea can be soothing to your digestive system and add water for hydration. Yogi brand tea makes several options with fennel, ginger, peppermint and other ingredients that soothe the digestive system. Experiment with what works for you (e.g., peppermint, while a good digestive aid, is irritating to me, but may work for you). You can also make tea with fresh ginger, cut up and boiled. Strain the water & drink as tea — I sweeten it with a bit of stevia.
- Pay attention to what you eat and drink- foods that irritate the gastro-intestinal tract can cause pain and bloating. These foods and drinks tend to be coffee (regular & decaf — it’s the oil that floats on the coffee that irritates the system), carbonation, alcohol and foods that are very high in fat. One source to look at is Heather Van Vorous’s Help for IBS website. It may provide some helpful information. It did not really help me completely — because I believe the root cause for IBS eating disorders are a bit different. Not all people with IBS develop addictions that further harm the body-mind connection, so you may want to work with a health professional who knows how the body-mind system heals best from addiction as you experiment with nutrition plans.You are your own best guide when it comes to how you feel before, during and after you eat — keep a journal and identify how what you eat impacts your body and moods.
- Consider talking to an Ayurvedic doctor or counselor who can help you choose spices to cook with – these can be soothing to your digestive system. Based on my individual needs, I started using fennel, cumin, corriander, hing and a few other spices in my cooking.
- Consider reducing flour products and eating whole grains. Flour is hard on the digestive system — leave some pretzels in water for an hour or so and see what happens. Flour does not move quickly through the digestive tract and can create issues with constipation or build up of toxins. The gains recommended by The Body Ecology Diet are amaranth, quinoa, buckwheat (Kasha, not Kashi) and millet. All grains should be soaked overnight or for 8 – 12 hours to make the protein more readily abosorbed by your body. I found that soaking grains helped me tremendously. Nuts and seeds that are soaked similarly ease digestion.
- Experiment with the amount you eat at one meal – your digestive system may need smaller, more frequent meals rather than 3 large meals. Experiment & record the results in your food journal to see what works best for you.
- Pay attention to your emotions before and during your meals – Read the post I wrote on your sacred connection to food for more tips on easing your mind during meals.
- Liver flush drink – from The Body Ecology Diet, by Donna Gates – when you wake up in the morning, squeeze a fresh lemon and combine it with 6 0z. of water. Mix in a tiny pinch of stevia (be careful, stevia is 100 times stronger than sugar — it’s a calorie free, natural herbal sweetener found in the health food store’s vitamin section). This helps your liver, an important part of your digestive system. The stevia in the drink also helps regulate blood sugar.
Relaxation
- Lie on your back (wait at least an hour after a meal) with a hot water bottle on your abdomen – this creates warmth and comforts your digestive system.
- Lie on your stomach, possibly use a rolled up hand towel under your left hip to stimulate your colon. Abuse of laxatives or bingeing and purging can reduce your colon’s natural function. This can help stimulate your body’s natural urges.
- Meditate and do other stress management activities – calming your mind has a direct effect on your body and can help with digestive distress. Consider this healing meditation and focusing on your digestive system.
- Get plenty of sleep – at least 7 hours of sleep is important for healing your mind, body & spirit. When I was first starting down my recovery/relapse journey, I learned that the more sleep I had, the more “centered” and healed that I felt. I was more stable in body and mind –including my digestion — when I had enough sleep. Experiment to see what amount of sleep is right for you.
Self-Care Routines
- Yoga – a yoga practice can calm the mind, deepen your breath (bringing oxygen into your system and further calming you) and ease digestion. Forward bends and twists are quite good for digestion, among other poses.
- If you have gas after meals or when at work, consider going for a light walk on your own. Walking is great for your digestive system and if you walk somewhere away from others, you can relieve your gas without being embarrassed. See if you can make a commitment to doing this after meals when you are working around other people. Holding gas in only makes it worse. In my experience, being able to respond the body’s needs for elimination and gas has helped tremendously. Work environments are not always conducive to this, so be creative when deciding how you can meet the needs of your body. I used to get in my car in the parking lot and just sit and relax after eating, if it was not possible to take a walk alone.
- Abdominal massage – gently massage your colon by starting approximately a hand’s width near your right hip-bone and massaging slightly up and to your left and down toward your left hip-bone. Be very gentle and follow the shape of your colon on your abdomen. This can soothe and stimulate your digestive system. Here is another great abdominal massage with pictures and instruction. A massage therapist or health practitioner who knows massage may be able to teach you some good techniques for this. I have always been intrigued by Maya Abdominal Massage and plan to give it a try sometime.
- Make a massage oil with any carrier oil (like jojoba oil) and a soothing essential oil, like lavender. An Ayurvedic counselor or doctor can tell you which massage oil is best for you. A bindi massage oil for your dosha might be useful for this. You can massage this oil all over your body, taking the time to love and appreciate your body while you do this. Then take a bath or shower. This can be very soothing and relaxing for body, mind and spirit. I use sesame oil from the health food store with about 40 drops of lavender to 8 oz. of oil. This makes a nice massage oil for the pitta dosha, which when imbalanced, can create compulsive disorders, like bulimia & other addictions, and poor digestion.
If you have other tips and ideas to share, please leave a comment and share with us! Your ideas are welcome and appreciated!
by Maya
11 Apr 2006 at 05:50
Not a comment, tip or idea, unfortunately, Heather, but another query about your experience. Like some other people with an eating disorder, I often drink really huge volumes of artificially sweetened carbonated diet drinks (and hot drinks with a vast amount of artificial sweetener), at bad times virtually constantly throughout the day. My recovery is progressing well but this is one behaviour I am finding, off and on, difficult to change. I feel I would like to stop consuming so much of these drinks- they can mask my connection to my body’s needs, thirsts and appetites, leave me bloated and distended, and all the artificial sweetener can’t be good for my health. I wondered if this was an issue you’d encountered before, or whether you yourself found it a challenge to wean yourself off diet drinks/ sweeteners when you began your programme of digestive repair through dietary means? I know you’ve mentioned Stevia sweetener but it’s not available in the country in which I live, and to be honest I’d prefer not to consume things that strengthen an association between a sweet taste and no calorific/ nutritive load. Any advice or experiences you’ve had in reducing the craving/ dependence on diet drinks would be most appreciated- however, if it’s not been something that’s been a feature for you, thanks for being someone who I could at least ask!
many thanks, as always
Maya
by Heather
11 Apr 2006 at 15:00
Hi Maya, Great question — so good I had to write a whole entry on it!!
You can find the entry by clicking here. Thanks for asking!
With love,
Heather
by Meg
29 Jun 2006 at 21:05
Hi, Heather:
Thanks for sharing your tips with us. I am in my sixth month of recovery from ED. I can see things are getting better and better with me. Recently, I found I don’t have as much digestion distress or swelling as I had in my first 4 months of recovery. So it is good, but I still have to be very careful about what I eat. Some food can still make me bloated or have lots of bad gas, for example garlic. Although I know garlic is great food to suppress the over growth of Candida, it seems I am not digesting it.
I will love you tips so I would like to try them, but I wonder if Fennel tea is safe to drink everyday? Because of my highly addictive personality, I want to just be sure.
Very much appreciated your tips.
Meg
by Emily
30 Jun 2006 at 15:41
I can relate on the garlic thing! It wasn’t until a few months ago that I realized I didn’t digest garlic well. I would have salads or steamed veggies with brown rice for lunch with a garlicky dressing on top and then wonder why I felt so bloated the rest of the day despite having eaten a light lunch. Once I switched to a dressing without garlic in it, I felt so much better!
love,
Emily
by Heather
30 Jun 2006 at 21:07
Hi Meg, Congratulations for being in your 6th month of recovery! And thank you for your comment — you make a good point about garlic and foods that create bloating. You are right about garlic being good at fighting candida — and this could be exactly why you have gas and bloating when you eat it. When you start to kill the candida, there is “die off” which is when the candida and bad bacteria start to die and enter your bloodstream. This creates all kinds of symptoms — and you know it’s die off if overall, you feel a little better.
On the other hand, it could be that it doesn’t agree with you — so it takes a little time to experiment. For example, if you tried cultured vegetables, which are full of healthy bacteria (microflora), it also kills the yeast/candida. You’d likely experience the same gas and bloating for about a week and then it would start getting better. You might notice you feel better in many other ways as well because cultured veggies help your digestive system overall.
Regarding fennel tea, it is very healthy and safe — fennel is a spice used in Ayurvedics since ancient times to help with digestive issues. You can alternatively cook with the fennel seeds as a spice — or the fennel powder. You can also chew some fennel seeds after a meal or when experiencing gas.
Another option is to soak flax seeds for 30 minutes in hot water and then strain. It makes a nice tea that is great for IBS and other digestive issues. It may take time to get over digestive issues — it did for me and I still find that sometimes I have a return of symptoms depending on stress or what I ate. It keeps getting better and better though! I’m looking forward to hearing more from you and I appreciate you stopping by!
With love,
Heather
by Emily
30 Jun 2006 at 22:22
Heather, I’m intrigued by your idea of flax seed tea. I had never heard about it before. I will be sure to try it! I wonder: do you use ground flax seeds, or whole? And how much would you put in one cup of tea? A teaspoon? A tablespoon? More?
love,
Emily
by Heather
30 Jun 2006 at 23:38
Hi Emily, you would use 1 tablespoon of whole flax seeds and 12 oz. of boiling water. 30 minutes good for steeping, but it’s even better if you let it sit overnight, then drain and drink the liquid. You could reheat the liquid (in a pan is preferable to the microwave!) or let it get to room temperature and sip it.
I didn’t know this before I made the tea, but when you soak flax seeds for at least 8 hours or overnight, they become goey and gelatenous. That’s when I realized you can then grease a pan with butter, coconut oil or ghee and flatten them out on a pan — maybe with Herbamare or sea salt. Then cook them in the oven to make crackers (I use a food dehydrator and make them as raw carckers)!
I used to buy flax crackers wondering how they got it to do that with just water and sea salt. Just imagine, all that from making a cup of tea and leaving the flax seeds to soak overnight!
With love,
Heather
by Emily
02 Jul 2006 at 12:38
Thanks, Heather! I look forward to trying this!
Em
by Meg
03 Jul 2006 at 16:38
Hi, Heather:
I am curious about how you cook amaranth, quinoa, buckwheat and millet for breakfast. I went to the health food store to get these grain last week. I was recommended to the puffed quinoa and I cooked it as hot cereal. It tastes great! But I am wondering if puffed quinoa is as nutritious as its original form. I also conerned whether it contains enough fiber for me, because I have to take lots of fiber.
Thanks for answering my questions.
Meg
by Heather
03 Jul 2006 at 21:55
Hi Meg, You cook amaranth, quinoa, buckwheat and millet just as you would cook rice — for simple recipes. You typically use 1-2 cups water per 1 cup of grain (I start with less water and add more if needed. The key is to soak the grain in water for at least 8 hours, preferably 24 hours before cooking. Just put it in a pyrex dish with a top and cover with water overnight in the refrigerator.
Then you can cook it like rice, adding your favorite vegetables and spices — this is quick and easy. There are also nice recipes where you can make things like millet loaf — checkout bodyecology.com and click on recipes. The book also has some excellent recipes. I will post some here in the near future, when I add a recipe page.
The puffed versions of the grains do have less fiber. I’ve never had puffed quinoa, but I have had puffed millet and puffed buckwheat. These days, I tend to stick to the grains because they are high in protein and fiber — and they add water to the colon in the digestive process, which helps for constipation.
The buckwheat groats (kasha, not Kashi) are excellent with cinnamon, a little nutmeg, ghee and a little stevia — this makes a nice sweet hot cereal. You can also make buckwheat groats with curry, cumin and coriander with your favorite vegetables (like peas, carrots, collards, etc.) for a nice, savory meal. I actually eat the savory version for breakfast, since I have been eating vegetables for breakfast since I changed my diet. It was weird at first, but it was recommended and over time, I didn’t want sweet things anymore.
Have fun experimenting!
With love,
Heather