Food therapy
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Food Therapy. Dr. Megan Gonzales ND, EAMP. THE GUT. so, lets talk about food therapy for the gut and what might work with regard to common illness you could see there. recall that many of the problems we talked about result in malabsorption. GERD. this is a common and concerning condition.

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Food Therapy

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Food therapy

Food Therapy

  • Dr. Megan Gonzales ND, EAMP


The gut

THE GUT

  • so, lets talk about food therapy for the gut and what might work with regard to common illness you could see there.

  • recall that many of the problems we talked about result in malabsorption


Food therapy

GERD

  • this is a common and concerning condition.

  • A treatment that is easy and can work is to ask the patient to take more time between eating and sleeping. Frequently, people may suffer gastroesophageal reflux because they eat and then head to bed. It’s the society we live in. It can also be related to quantity - a huge meal puts more pressure on the lower esophageal sphincter which then opens and allows food up rather than keeping it down


Food therapy

GERD

  • other common causes of GERD relate to consumed foods - food intolerances, spicy, fatty, acidy foods are often the culprit. Tomatoes, fried foods, coffee, chocolate, meats, alcohol, wheat, dairy, soy. So find out what your patient has been eating, how much they have been eating, and how they cook it/have it cooked. If coffee is consumed there should be food with it.

  • Treatments include - smaller meals, waiting at least 30 minutes (though I would say an hour or when the feeling of fullness goes away) before lying down, avoidance of trigger foods if it’s related to intolerances. Drink a full glass of water to weight stomach.

  • digestive enzymes: papaya, bitters - including a small salad of bitter greens (arugula, mache, spices, raddicio), lemon juice in water

  • Supplements: GAIA Reflux Relief, DGL before meals,


Gastroenteritis

Gastroenteritis

  • because this is quite acute an illness with generally extreme symptoms the treatment focuses on treating the intestinal tract gently.

  • well cooked small meal: brown rice, applesauce, oatmeal, cooked/steamed carrots, potatoes, zucchini, carraway, parsley, fennel, dill, cumin


Gastritis

Gastritis

  • Acute: needs to be low impact due to acute nature of pathology/location. Increase fluids. Juice fast primarily vegetable.

  • Chronic: hypoallergenic diet/rotation diet, eat in a relaxed atmosphere and chew thoroughly, good digestive aids - carob powder, chamomile and licorice tea, papaya. Cooked carrots due to vitamin A content and other foods rich in vitamin A. Bland.

  • Supplements: bromelain - as an anti-inflammatory and digestive aid. Vitamin A, zinc, beneficial bacteria

  • Avoid foods with small seeds or leaves - broccoli, strawberries, sesame seeds, food intolerances, harsh foods.


Peptic ulcer disease

Peptic Ulcer Disease

  • again - a bland diet. High fiber to slow gastric emptying, that would be psyllium powder mixed into applesauce (for instance), a mixture of flax + slippery elm + marshmallow + licorice and water (quite gelatinous) can also add glutamine powder. Sauerkraut or boil cabbage until partly cooked, remove from water, add sliced lemon, a little salt and honey and simmer until the lemon is cooked. Drink this “juice” for 15-20 days.

  • Vitamin A containing foods or as supplement, essential fatty acids, glutamine, Chamomile tea, Carminative tea


Irritable bowel syndrome

Irritable Bowel Syndrome

  • think about the possibility of food intolerances and have the patient do a food elimination diet.

  • acutely: easy to digest foods with soluble fiber - rice cereal, ground flax, psyllium powder, well cooked soups that are blended.

  • as getting better: oatmeal, soft boiled eggs, lentils, yogurt if not dairy intolerant.

  • Stabilization: eat cruciferous veg with carminatives (fennel, caraway, anise, dill, cumin)

  • Make sure patient is getting enough nutrition - nutrients and calories. Emphasize eating in a calm environment and thorough chewing, consider pre-meal bitters or lemon juice in water to increase digestion.

  • Supplements: Biogenesis - intestinal repair complex, DGL, essential fatty acids, peppermint oil


Crohn s disease

Crohn’s Disease

  • hypoallergenic diet, make sure proper nutrition, steamed/cooked vegetables only, simple and easy to digest meals. Foods high in essential fatty acids. Complex carbohydrates that are easy to digest. Do not consume anything that is extremely leafy, raw, irritating to the digestive tract (think about insoluble fiber)

  • Supplements focus on gut health and decreasing inflammation. Papaya, bromelain, Thorne - GI-Encap (has DGL, ulmus, althea, plantain), glutamine - check out biogenesis.


Ulcerative colitis

Ulcerative Colitis

  • again, the focus is on soothing the GI, repairing the colon, decreasing inflammation and providing a healthful and simple diet that does not irritate the system.

  • find food intolerances. Recommend easily digested foods, steamed and cooked vegetables, focus on soluble versus insoluble fiber.

  • Supplements: easy to digest/absorb multivitamin, magnesium, healthy fats, calcium, beneficial bacteria, quercetin.


Pancreatitis

Pancreatitis

  • recall the symptoms and causes of pancreatitis.

  • Acute: initially nothing is given orally. Give digestive enzymes at every meal - pancreatin. Simple meals with simple carbs, trace minerals and protein. Vitamins and B12.

  • Chronic focuses also on easy to digest - simple carbohydrates, digestive enzymes, essential fatty acids.

  • Supplements: multi-vitamin, magnesium, pancreatic enzymes, beneficial bacteria. Papain, bromelain. Thorne - BioGest


Diverticulitis

Diverticulitis

  • increase fluids acutely. Consider veg/fruit juice fast moving into well cooked foods. As recovery takes place - add in cooked grains and soft foods like tofu. Mashed potatoes, bananas, carrots, sweet potatoes, squash.

  • Chronic: look for food intolerances, unrefined carbs, high soluble fiber, add beneficial bacteria, vitamin A and B containing foods.

  • Avoid: small seeds/nuts, skins of fruits and vegetables.


Hemorrhoids

Hemorrhoids

  • Focus on complex carbohydrates and protein with less percentage of fats and high fiber.

  • Increase insoluble fiber versus soluble fiber. Simple carbs and processed foods can contribute to hemorrhoid development and size.

  • vitamin C and other bioflavonoids to provide vascular and cartilage support. Essential fatty acids.


Conjunctivitis

Conjunctivitis

  • These are topical applications: teas - dandelion root tea, potato or carrot poultice, black tea and black tea bag compress.


Eye strain

Eye Strain

  • Vitamin A supplements and containing foods, bioflavonoids especially bilberry, huckleberries

  • Supplement: Thorne - Vacimyr


Diet diary

Diet Diary

  • An example.

  • Include weekend day


Diet history on intake

Diet History on Intake

  • Ask generalities: what do you usually have for breakfast, lunch, dinner, snacks, to drink, how much/often...


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