Diet and Ibd new studies

[my little penguin]

http://www.medscape.com/viewarticle/840847_2

 

[rollinstone]

Thanks for the effort of posting, but this just takes me to a log in page, any chance you could recheck link? Thx again

 

[my little penguin]

You need a login to read any medscape article
But the login is free
You can track key words such as Ibd and when any new studies are out medscape will email you - no log in needed from the email

Diet and Inflammatory Bowel Disease
REVIEW OF PATIENT-TARGETED RECOMMENDATIONS
Jason K. Hou, Dale Lee, James Lewisk Disclosures
Clin Gastroenterol Hepatol. 2014;12(10):1592-1600.

ABSTRACT AND INTRODUCTION
Abstract

Patients have strong beliefs about the role of diet in the cause of inflammatory bowel disease (IBD) and in exacerbating or alleviating ongoing symptoms from IBD. The rapid increase in the incidence and prevalence of IBD in recent decades strongly suggests an environmental trigger for IBD, one of which may be dietary patterns. There are several pathways where diet may influence intestinal inflammation, such as direct dietary antigens, altering the gut microbiome, and affecting gastrointestinal permeability. However, data that altering diet can change the natural history of IBD are scarce, and evidence-based dietary guidelines for patients with IBD are lacking. Patients, therefore, seek nonmedical resources for dietary guidance, such as patient support groups and unverified sources on the Internet. The aim of this review is to identify patient-targeted dietary recommendations for IBD and to critically appraise the nutritional value of these recommendations. We review patient-targeted dietary information for IBD from structured Internet searches and popular defined diets. Patient-targeted dietary recommendations focus on food restrictions and are highly conflicting. High-quality dietary intervention studies are needed to facilitate creation of evidence-based dietary guidelines for patients with IBD

From
http://www.medscape.com/viewarticle/840847?src=wnl_edit_tpal&uac=185734DZ

 

[crohnsinct]

Patient support groups? Unverified internet sources? I sure hope they aren't talking about me!

But seriously, from all I am reading and hearing from the girls' doc and nutritionist, food is going to be like meds because the disease is so different for each person what works for one will not work for all. There probably will never be one ibd diet for everyone but many different diets.

I am just encouraged that researchers are looking at diet as one component.

 

[Justanothercp]

Have any of you had food allergy testing done? I was wondering if that might be worth my time/money.
I seem to do well on paleo diet, so mostly I'd like to be tested for grains, dairy and legumes.

 

[my little penguin]

Random food allergy testing is not recommended
The gold standard for food allergies is a oral food challenge in a doctor's office actually eating the food . So if you are able to eat the food without a reaction then you are not IgE allergic to that food . IgE allergies are the ones that cause anaphalaxis . Non-ige allergies such as mixed IgE allergies are associated with EgiDS ( EoE EGE EC etc..) these cause a delayed non life threatening reaction in the gut . IgE trsting is not useful for them some success is found with patch testing but typically you avoid top eight allergens and rescope after three months to see if there is any damage .

IgG is not a true food allergy at all and is found in everyone ( suppose to be there ).

DS was tested for IgE food allergies and has had life threatening reactions to food before requiring an epipen .

Here is an article on food allergy testing
http://www.kidswithfoodallergies.or..._alternative_food_allergy_tests_and_therapies

 

[my little penguin]

http://www.apfed.org/drupal/drupal/allergies_and_EoE

Apfed testing for egiDS food intolerances

 

[Justanothercp]

Penguin,
Thank you for your response! Good information.
Just to make sure I am digesting it correctly: it seems there - is no really good test for food sensitivities (or things that may irritate my gut). So, I may just be better off reintroducing one food at a time and seeing my reaction to it over a few days? Sound right?
I use to read about keeping food diaries, but my guts were bad every single day, so that didn't make since to me. But now, with Paleo diet, I'm having mostly really good days - so a diary may help.