Hey guys,
I've taken about an hour to write the following information out to you. I want it to be super concise, but easy to read. I hope you can get through it all because I think it will be important for everyone on this site. Over the last 3 weeks, I have read almost every posting on this website, in every category. I've read books on Crohn's disease, diets, and looked at all the different medications available to us. I've literally spent about 40 hours, simply reading everything I can and taking down key information. I've done this because I've been laid up in hospital for the last 3 weeks, having undergone my third and hopefully final resection of bowel. And I want to share what I've discovered with you. I know there is a TON of information out there, half of which contradicts the other half, and it's nearly impossible to weed through it all (unless you have 3 weeks with nothing else to do). So here goes:
1- Diet IS a factor in treating your disease. I'll talk about why I'm so certain of this a little later in this post. Many western doctors feel that this is not the case, but I have been listening to my Western doctor for 14 years, have gone on every medication available to us from Prednisone to Remicade, and still have had 3 resections. Once I accepted that *maybe* the western docs don't know everything there is to know about the disease, I was able to look further into the role of diet. And here is what I've found:
2- First and foremost, I found Robert747. He is an active user on this forum who has been in remission for about 13 years (no small feat). From age 40 to age 50, he was in a complete remission and from ages 50 to 53, his Crohn's has slowly crept back into his life. I asked him to provide me with a list of his general food intake from ages 40-50 and his intake from ages 50-53 to see if anything has changed in the last 3 years. Here is what he sent me:
40 to 50
Dairy Average to high
Grains Low
Meats Average
Raw vegetables / Fruit High (juicing)
Sugar Average to low
50 to 53
Dairy Average to high
Grains High
Meats Average
Raw vegetables / Fruit Low to medium
Sugar Average to low
Based on this list, I started looking into grains as a potential cause of Crohn's disease, since that was the biggest change in his diet. And what I found out was pretty astonishing.
3- The SCD diet, The Paleo diet, the LOFFLEX diet...they all in some way remove grains and/or fibre and/or dairy from the diet, and they all seem to have some degree of success. The most success lies within the strictest diet: The Paleo diet. I literally can't find anyone on this forum that has said the Paleo diet did not work for them. Every person who I've spoken to and read about on this forum seem to be in a complete remission (with no medication or very little medication) if they can stick to a strict Paleo diet. There is a moderate degree of successes and failures with the SCD Diet, but it allows a significant amount of dairy in the diet, whereas Paleo does not. If you have SERIOUSLY tried the Paleo diet for 30 days and it didn't work for you, then please feel free to comment, but even a google search of "Paleo doesn't work" didn't come up with any IBS related results, just weight loss ones.
4- For those unfamiliar with it, the Paleo diet essentially states that processed foods (such as dairy, grains and refined sugars) are relatively new to the human digestive system and humans haven't completely adapted to digest these foods yet. It makes sense from an evolutionary standpoint and is backed up by the fact that our diseases (IBS, Crohn's and colitis) never existed before we began cultivating grains and milking cows. For those who are underweight (such as myself), a Paleo diet seems to help with weight gain, and for those who are overweight, it appears to be very successful with helping weight loss.
5- My best educated guess is that there are 3 types of foods: Crohn's CAUSING, Crohn's IRRITATING and SAFE foods. Crohn's CAUSING foods are foods that will bring back the disease no matter what stage of health you are in. These foods include Grains (not just gluten, but wheat, corn, rice, etc), dairy and processed sugars. However, these foods don't actively HURT us when they're being digested, which is why a "low residue" diet prescribed by doctors (lots of noodles, rice, and white bread) feels just fine when we're on it, but does nothing to remove the disease itself. Crohn's IRRITATING foods are high fibre foods such as raw fruits and vegetables, seeds, nuts. This is why when a person has ACTIVE disease (aka, a flare-up), we can't seem to stand raw fruits and vegetables. It's because the high fibre content of these foods irritates the active crohn's in our digestive tracts. Since my surgery a few weeks ago, I am Crohn's free (for all intents and purposes), so I have vastly increased the intake of my fruits and vegetables (raw) and I'm finding very very little ill effects. I have gotten the occasional cramp just before a bowel movement, but that's it. The 3rd type of food is crohn's SAFE, which from what I've gathered, seems to include chicken, fish, and most fruits/vegetable juices (watch out for acidic juices such as pineapple or tomato or juices containing pulp!). This will neither irritate active crohn's, nor will it make the disease any worse. This also supports the juice diets that we know can be successful at bringing ourselves back to health from a flare-up.
6- Finally, stress seems to be a major factor in contributing to the disease. I haven't really determined its exact role, but definitely try to do some moderate exercise, yoga or meditation. I HATE exercise with a passion (I'm a computer geek!), but I'm going to do my damnedest to try and go for a 20 minute walk every day for starters and move to some weight bearing exercises over time.
Now guys, I'm not a doctor. But my personal doctor is world renowned at being a leading expert in Crohn's (he was the guy who brought Remicade onto the market and conducted the clinical trials), and not even HE knows what causes the disease. I'm sick of letting this disease rule my life and I absolutely refuse to put my family and friends through the weeks of hospital visits and suffering that we both endure every time I have to go back. I've already lost 3 feet of intestine and am vowing to do everything in my power to not lose any more. I'm going to do my best to fully commit to the Paleo diet and I will come back to all of you with HONEST results. If I'm totally and completely wrong, I will let you know and I will commit to reporting back every few days or weeks with progress. If you want to join me, I'd certainly appreciate the support. If you're currently in a flare, my advice is to buy a good juicer and juice fast for at least a few days (and maybe have some SCD legal chicken soup - no noodles!) to get your gut healed. Report back with any results (good or bad!). I hope we can tackle this thing and get some people disease free.
I also want to say thank you to Robert747 for his awesome communication and support. I'll be in touch, and feel free to email me or PM me at any time.
Sincerely,
Adam C
[email protected]