Many of you know that I had digestive distress years before I developed bulimia. As a constant source of pain, discomfort and embarrassment, bulimia was the only relief I could find from the pain – although it was temporary and certainly not the solution. My experience recovering from bulimia the day I recovered from digestive distress with The Body Ecology Diet led me to do some research.
In fact, my research paper and project for my graduate studies program on Eating Disorders is on how digestive distress can contribute to eating disorders. In this paper, I am going to shed some light on how the principles of repairing digestive health can aid in the prevention and recovery of eating disorders.
I have been scouring the internet for articles that I can use for my paper and have found some amazing links to IBS and eating disorders, namely the problems with serotonin resulting in digestive problems and pain. Last night, I finally found an interesting website and wanted to share it with you:
The Gastroparesis & Dysmotilities Association has found that many people with digestive distress are mistakenly diagnosed with eating disorders.
Here is some of what they say in the website:
Any suspicion of an eating disorder must be carefully evaluated by a qualified psychiatrist or psychologist. Those who have a genuine eating disorder may also have significant upper digestive distress and should be fully evaluated by a gastroenterologist with expertise in “motility” disorders/diseases. These two problems can co-exist.
Without adequately addressing an underlying motility disturbance, then any psychological intervention will be ineffective.
You cannot make someone eat or stop vomiting when this problem is driven by an electro-physiological dysfunction within the stomach and / or gut. Motility problems are problems found within the enteric (gut) nervous system and are not psychologically induced. Emotions and stress will modify the digestive symptoms–but they are not the cause for the symptoms.
Of important note, many who suffer with upper digestive symptoms of chronic, severe nausea, may find relief with self induced vomiting; again this is not evidence of an eating disorder.
Some people with upper digestive motility problems (like gastroparesis) do not vomit easily and instead can have nausea build to a horrible crescendo an hour or two after eating. They will have perspiration, excess salivation, paleness, hyperventilation and want more than anything to vomit to get through the over whelming symptom of nausea.
Some of these individuals may induce vomiting which may bring relief from the acute, intense urge to vomit.
They are intuitively performing what, for others is surgically done through the placing of a venting gastrostomy tube.
It cannot be stressed enough. It occurs too frequently. Individuals with upper digestive distress who have an underlying physiological disorder of gut motility are dismissed or incorrectly labeled with psychological problems to explain their symptoms.
My Situation – A Bit Differnt From What They Wrote
Now, I did have nausea and pain before bulimia started, but it did not build into a crescendo an hour or two after eating with the symptoms they described. It was more like a terrible case of IBS. So I want to dig a little further by calling this group of doctors and see if we can find out some answers.
Recovery – Repairing The Inner Ecosystem
The good news is that the The Body Ecology Diet helps to repair these issues – slow digestion, slow motility, IBS, issues with the small intestine & colon, etc. I will talk more about the principles that make this possible in future posts.
I also plan to share any additional findings from my research – maybe even my paper if it doesn’t put people to sleep! In any event, I’ll share resources and insight as I find it. The idea is not to say, hooray, we never really had an eating disorder
— it’s actually to say that there are truly physiological reasons that we are driven to this behavior – and there are ways we can repair this process. The longer we’ve had it, the longer it may take to find our way back to health, but each step feels better and better!
Body Affects Mind, Mind Affects Body
I don’t think it’s possible to live with an addiction and not have it enter your mind in some way, even if it started from the body. How do you decide how these things start? For example, as a teenager, I – like all my friends – thought about weight, diets, jeans sizes, etc. However, on any given day, I’d be so bloated that my clothes were tight. Why? I had no idea. I didn’t connect it with digestive pain or constipation.
I didn’t realize my body was trying to do what it needed to because things weren’t working as they should digestively. So I learned to not trust my body. I’d try things like eating less on some days and if the bloating went away, I thought that must be it! Little did I know that it wasn’t about the FOOD/CALORIES/RESTRICTION, etc. In fact, my body was possibly going through a process of getting back to normal. Suddenly, my clothes fit again.
What Came First?
Is it unbelievable to figure that I’d think I couldn’t trust my body and had to manipulate my food in order to fit into my clothes? Is it any wonder I’d think that I could get fat overnight? What was I supposed to think, when no doctor could help me?
So this is my point, I don’t know what came first – the chicken or the egg – the physiology or the psychology. However, I do know that before I ever cared about diets I had digestive distress, pain and abdominal distention. That makes me think it must have originated from my body and infected my mind with “mistakes of the intellect” – or creating an equation between food and weight that didn’t exist.
Principle of Uniqueness – A Body Ecology Tenet
After attending the Certified Body Ecologist training, I know that people can eat without feeling pain and still have symptoms that drive them to want to binge or even not to eat at all. Everyone is unique. So while my situation may describe some of you, others may wonder if they too have a physiological reason for bingeing or restricting. It all goes back to the inner ecosystem, which I will write about in another post.
I’m very interested in people’s stories, if you’d like to share. I think we can shed some light on prevention and recovery through sharing with each other. Thank you for all you have shared so far!
by Tessa
02 May 2006 at 22:01
Hi Heather,
First, I just wanted to say I love reading your blog. You’re so insightful and knowledgeable.
Second, I am struggling with the exact same thoughts and feelings on the subject. I am so confused about what to do.
I will give you a brief overview of my situation and hope you can maybe give me some advice.
I am 28 yrs old. I have been struggling with eating disorders for about 12 yrs. I started out restricting and yo-yo dieting for years. I have now been a bulimic for six years. I binge and purge between 2 and three times a day. I am so confused about it all. I binge for so many reasons I can’t even differentiate it sometimes. I do know though that a lot of times it is because the food I eat doesn’t agree with me. Wheat, sugar and milk products are the triggers. They make me feel horrible. Physically and emotionally. And yet I love them and can’t seem to resist them.
I know I am addicted to sugar. And I just plain love bread and muffins.
I have tried the body ecology diet and after three or four days I bomb. I want to stick with it so bad. I don’t know why I can’t? I feel so great when I do.
My problem is so different now then when i first started the bulimia. I admit at first it was all about weight. But now it seems to be more. Besides for the obvious reasons…Coping mechanism, habit, boredom. It is like my body will only accept the food on the body ecology diet. And I know this in my heart. But my psychologist says it is in my head. Or that it will go away when my body gets used to having food in it. Well I can’t make it through the month or whatever it takes. I feel so horrible and can barely function.
I am sorry This is so long… My original question is this.. in over a week I’m going to go to an eating disorder clinic.. They have told me I will have to eat what is on the menu. Wheat, sugar etc. I don’t know how I can get well eating that stuff. My digestion is screwed. But I do need the therapy part I guess.. Although when I am avoiding that stuff I feel great, I know I do have an eating disorder. But I don’t feel so obsessed about weight like I used to. I have gained a bit of weight and feel ok. But the feeling of those certain foods in my stomach is more than I can bear. I just don’t know if it is me talking or the eating disorder anymore. I am so sick of living with it. I am really ready to get well. No matter what it takes.
What do you think I should do?
Any advice would be greatly appreciated.
Thanks Tessa
by Emily
03 May 2006 at 01:35
Hi Heather,
Thanks for some excellent food for thought! I started writing a comment here, but it got so lengthy that I ended up making a post on my own blog out of it. If you’d like, you can read it on nourishyoursoul.blogspot.com.
with love,
Emily
by Heather
03 May 2006 at 08:26
Hi Tessa, thank you for sharing your story. After 12 years of disordered eating, I would imagine that you have destroyed the healthy bacteria, or microflora in your digestive system, as I did. This means that bad bacteria, like yeast/Candida can grow in your system. When this happens, the candida want sugar and sweet foods — they crave it and these cravings can result in an uncontrollable desire to binge.
Lack of microflora/good bacteria also means that you may have leaky gut, making foods like wheat, milk and corn difficult to digest. So you have a bit of a catch 22 — you want the sugary stuff and processed foods badly, but once they are in your system, you may not feel so well. This could have happened before the bulimia, from years of yo-yo dieting and all the diet fads we all went through — or it can happen afterwards, as a result of bulimia.
On top of that, our colon’s health is responsible for 80% of our immunity…this means that if your digestive system is shot, your immunity is lowered. Food allergies that were once not present, may start to crop up. Some people find they get sick more easily. With all of that going on, the bad bacteria start to eat up the B vitamins in your system, like B3, folate and B12. Deficiencies in these vitamins can cause depression, mood swings and other issues. Now the mental state spirals downward in the vicious cycle.
You enter into a dilemma with conventional treatment, because most doctors are not trained on how the digestive system works. Nutritionists/Dietitians are not trained in this either, however, I have found that they seem more interested in learning about it. You might consider contacting the nutritionist prior to treatment — or once you get there. Bring the BED book with you and see if the nutritionist can support you in implementing some of the principles. Maybe the ones that are easiest to implement while in treatment.
Also, how long are you in treatment? One way to look at it is, say you are there for a month – three months. Get the therapy and break the binge-purge cycle while there. Just being there means you will break the cycle for a period of time, hopefully setting up new coping skills and behaviors. When you return home, plan to get the foods you need for the BED. It might be easier to stick to it when you’ve already broken the BEHAVIOR of b/p. Then the foods can support you into rebuilding a healthy inner ecosystem.
It might just be a perspective thing — you KNOW the body ecology diet works best for you, yet you are not really following it right now anyway. Maybe treatment is an opportunity for you to work on the mind-spirit aspect of healing, while giving your body a rest from the exhaustion of b/p. Then you have renewed energy to return home and build up your healthy microflora, your minerals, your B vitamins, etc. What do you think?
I honestly don’t think there is a way to separate the mind-body aspect of ED. Trust & accept yourself — and your body. Start there, regardless of what’s going on in your life currently. From that place of trust, you can heal. Allow the treatment to feed your mind and rest your body, then come back and feed your body in a way that heals you. It’s all just steps in a process — and it sounds to me like you are moving in the right direction.
Let me know when you return and perhaps we can discuss a plan for getting started successfully on BED? I support you in this process and send you my love & positive energy for your recovery!
With love,
Heather
by karen
03 May 2006 at 16:41
Hi Heather
Your article brought so much home
And so did the responses
I so like to fel that I have developed a good recovery but then my mind goes to work on my body and I am that same teenage girl with choices to make and answers to find
MY eating has been poor because I try to eat only thing s that wil make my IBS fel bettter But when I do overeat and it becomes so painful physically anbd emotionally the first thing that comes to mind is vomiting I think If I can get some of this stuff out I will fel beter
SOmetimes I have to practicalky tie my hands doen to keep from geting back into that dusguting habit
Then ther are times that i want to shove a supposotory or enenma up there to help relieve the pain.
I try to convice my self I am doing it for a healthy reason but I know I am wroing and cannot indulge in those behavios so I go witht lot of misery attached to the fact that I overate and have to follow it through
If I stay on my track I am OK You know my choices are limited and the BEd I am just not ready for. They tested my thyroid it was fine I didnt want fine I want to know the reasons I feel the way I do
I am sick mostly everyday with so much pain it is an efort to get out of bed and climb the stairs
The leg pain and wekness is very frightening and there is no hope in store I pray and pray and either I dont understand what God wants me to do or he just isnt listening
I am having more x-rays tomorrow but they still dont know what to do. My back pain has radiated through the rest of my body and I think now I am more afraid of the pain and if I should fall than I am about gaining weight
I have put on some weight I cant deal with it now
I am taking fish oil supplements now Theyare supposed to help the back
There is anchovie in it WHen I was a tenager I was allergic to anchivies I havent had an anchovei in over 40 years I dont know what it is really doingto me
When I can see to be able to carry on a noermal day and have les pain and not sleep away my day I will attempt the BEd Right now I have to be where I am I am trying to build up protein
Should my doctor test for candida yeast,bad bacteria. These have to be the reason I am so tired and slugish andweak and in pain. Something in there is causing my pain and we cant find out how to fix it
with lots of love and good light coming your way
looking forward to hearing from you
KAren
by Tricia
05 May 2006 at 09:19
Heather,
Thank you so much for all of the work you have done on this topic. I am so happy to see that someone knows that all eating disorders are NOT psychological and are NOT driven by an obsessiveness to be thin. My bulimia started out as digestive problems when I was 13 years old. Everytime I ate, my stomach would hurt so bad! I would have so much indigestion, gas, pain and nausea. Sometimes, my body would throw up on its own to rid itself of the discomfort and pain. Eventually, the problem just became so bad that I would throw up every time I ate just to avoid the future pain and problems. I went to so many gastroenterologists who could find NOTHING wrong with me. I even went to stay at the Mayo clinic for a while. At that point, I was just not eating at all because the pain was so bad and I hated vomiting. I was made to go to an eating disorder treatment center (even though I was fine with myself and was not worried about weight issues). It was in this center that the other girls there messed with my head. I aquired many of the typical psychological obsessions of a person with an eating disorder. IN the clinic, I was forced to eat dairy and wheat (which I am allergic to) and also sugar. I have always tried to not eat refined sugars, but ironically, the clinic made me eat all of these things! As you can guess, I got worse. My bloating and digestive problems escalated. By the time I left, More damage had been done than good. Since that time, I have been really struggling with Bulimia. Even though, I currently take supplements (omega 3′s, calcium, magnesium, b vitamins, probiotics, digestive enzymes, fiber, and regualrly colon cleanse). I only eat organic, whole grain foods. I am a vegetarian and only eat organic free-range eggs and wild fish. I do the best I can to stay on a good diet, as these are the only kinds of foods my body will accept without pain. I do not have any kind of sugar or processed foods because they just cause digestive problems. I still struggle with Bulimia, as I feel that the world I live in is pervaded by by food and influences. I really wish I could find an effective way to deal with the emotional side of all of my problems, but after 10 years of bulimia…it is so hard to not revert to that behavior as a way to calm myself. If you have any advise on what I can do to further aid my recovery, I would appreciate it. I have tried to search for a therapist in my area, but living in Kansas, there are not any therapists who understand that my disorder is not associated with a weight obsession. I really wish there was a therapist out here who knew what it is like to struggle with the B/P cycle. I know that you have had bulimia, so any advice from you would be extremely appreciated. What started out as a physical problem has now manifested into a psychological problem and emotional release. I grately appreciate your time. Thank you for any comment you can make! I wish you success in all of your endeavors.
by Heather
05 May 2006 at 23:20
Hi Tricia, thank you for sharing your story. It really hit home for me and I want you to know how strong and courageous I think you are! Did you know that when ulcers were first diagnosed by doctors, they thought they were psychosomatic, brought on by stress? Then after awhile, they realized it was actually physiological. The same things are happening for IBS — although it takes awhile for the medical profession to all catch up.
I imagine that eventually, the medical profession will catch up regarding the physiological causes of eating disorders, but until then, it’s important for all of us to be leaders in our own health. The fact that you are continuing to look for answers tells me so much about your strength.
I also understand what you mean about having a physiological problem and then having it affect your mind. I know this happened for me as well. I do have some recommendations, that might be useful.
1. Given that our minds & bodies are connected (by the vagus nerve, the brain in our head and “gut brain” or “second brain” in the Enteric Nervous System) – this means that whatever happens in our bodies affects our brains and vice versa. Any healing we do must happen both in our minds and in our bodies. For your mind, consider any uplifting & inspiriring reading, workshops, coaching, support groups — anything that helps your mind. For me, it was Eckhart Tolle’s work. I also love Wayne Dyer, listening to Hay House Radio (hayhouseradio.com), getting coaching to learn how to use my mind to serve me better and attending seminars at places like Omega Institute (eomega.org).
2. Heal the body – there are two parts to this:
a) A healing diet – The Body Ecology Diet, by Donna Gates worked miracles for me. So much that I went to her Certified Body Ecologist training so that I could help others with the diet. This diet will not only support your food allergies, but it also works to repair your body and replace the vitamins that no supplement can help. If your body can’t absorb vitamins from food, it may not even be able to absorb the vitamins from supplements.
b) Movement & Bodywork – yoga, pilates, Nia — anything that puts you more in touch with yourself and allows a feeling of self-love is wonderful. Bodywork – pick whatever appeals to you – massage, Alexander Techique, Somatics, Thai yoga massage, reflexology, etc. I liked yoga, the Alexander Technique & chiropractic – they helped me understand how to improve my posture and alignment, giving me more body awareness. I even took a belly dancing class so I could learn a very different way of moving my body, along with a celebration of bellies of all sizes.
After what I learned at the Body Ecology Diet training, I am convinced that we can heal ourselves through food — as long as it is supported by our minds & spirits. Each one affects the other.
e-mail me if you want to set up a free coaching session. And watch this weekend for the application I am posting for my free coaching group (weekly, by phone). I will be selecting 6 – 8 people for a free coaching group where we will take a step-by-step mind,body and spirit approach to recovery.
With love,
Heather
by Heather
05 May 2006 at 23:43
Hi Karen, I want to send you healing energy, love and support! I wonder, what is your body saying to you? Most of the time, we let our minds shape and lead our bodies around. We do this for so long that the only way our bodies know how to get our attention is to create a great deal of pain.
Sometimes the pain gets our attention (e.g., sore neck and shoulders) and sometimes it stops us in our tracks, makes us get into bed and slow down. Consider doing a meditation where you ask your body what it wants you to know. This is where you will be tapping into you innate wisdom, letting your body lead you. Sometimes, there are no answers at first, because we don’t know how to “hear” them, to sense them. After awhile, they start to come. It may be a feeling or a flash of a thought.
Also, you asked about getting tests. I do think they can be helpful. Great Smokies Labs have blood, urine and stool tests that can tell you all about what’s happening in your body. Digestion, vitamin & mineral shortages, parasites, Candida, etc. I found it very enlightening.
Finally, there is a lot in the BED, so it can be overwhelming to try to do it all at once. If you do just one thing, that is a step in the right direction. It may be that you pick one grain from BED (quinoa, buckwheat, millet or amaranth), soak it for 8-24 hours before cooking. Try subsituting wheat products or rice with this grain for a day or two. And really pay attention to how you feel. If that feels good, try something else over time. That’s all it takes. Do it at your own pace — and really listen to your body. Your body knows what you need — for food, rest, self-love, etc.
Take good care of yourself!
With love,
Heather