Pineapple juice can replace barium contrast during MRI with contrast (MRE)
MRE (Magnetic Resonance Elastography) is a specific type of MRI (Magnetic Resonance Imaging) performed with contrast material to produce detailed images of the small intestine. MRE is preferred over CT (Computed Tomography) to reduce repeated radiation exposure, especially because the nature of IBD requires repeat examinations which can result in large cumulative doses.
However, some patients have concern about using the barium contrast. Mild side effects may include stomach cramps, diarrhea, nausea, vomiting or constipation. Rare side effects include allergic reactions like hives, itching, agitation or fast heartbeat. A patient is at greater risk of an adverse reaction to barium-sulfate contrast materials if he has a history of asthma, hay fever, or other allergies.
As it turns out, there are effective alternatives to using barium, namely the artificial drink Breeza or simply natural pineapple juice. Currently there is no clear unified standard, and it is unfortunate that not all doctors and not all imaging centers are willing to adopt these advanced options due to lack of awareness and indifference to patient’s comfort.
Not enough people are familiar with the crowded field of personal gut health apps.
Those who practice the specific carbohydrate diet may be familiar with SCD Buddy. It is a free phone app that only covers the basic SCD allowed / not-allowed list, but can be very helpful for those just trying to master the principals of SCD. There are also many apps for users of the Paleo diet and even for low FODMAP dieters.
Through years of mentoring and interacting with motivated and highly educated parents and with medical professionals, we have accumulated a comprehensive list of cold remedies that were tried by many reliable families and verified as helpful. Our earlier post from 2015 on the topic of cold and flu season provided a general overview. We now expand on this subject, offering more helpful details.
Maintaining gut wellness while fighting a cold is essential. The basic principle of gut friendly practice is to minimize the ingestion of medications whenever possible. Instead, prefer topical medications whenever those options are available.
Iron deficiency is a common problem for many IBD patients,who have a hard time absorbing and storing iron. However, iron supplements are not allowed when practicing SCD as a diet therapy, since iron in a supplement form is harsh on a sensitive gut. Research also suggests that iron supplements can alter the bacterial balance in the gut of people with IBD
When adhering to the Specific Carbohydrates Diet, there are several alternatives to the use of iron supplements. While mentoring SCD families I have seen people that managed to restore their iron levels shortly after starting SCD. As their gut was healing their absorption of iron from foods sources was sufficient to normalize lab results of iron levels. At the same time, some other people struggle to restore iron levels even while on SCD, and must try different methods to supplement their iron until they find a good fit that their body absorbs well. Listed below are various methods that are in compliance, or minimally interfere with SCD.
A colonoscopy can be the butt of many jokes, funny and dreadful at the same time. It is not a procedure that is reserved for older adults - thousands of kids, some very young, undergo this test every year. The cleansing preparation is notoriously unpleasant, but there are ways to make it easier. Here are some good options to ease the discomfort: ...continue reading "Gentle colonoscopy prep"
Whether you wipe your nose on your sleeve, a tissue or an expensive handkerchief, the cold virus is a uniquely humbling experience. In most cases it takes just a few days of good self-care to bounce back to wellness, but a lingering cold, a sinus infection or a bad flu can be taxing on the immune system and can trigger a gut flare.
Cold and flu prevention are still an unresolved frontier. We can already book a flight to space, but we have not made much progress in the fight against the common cold virus. ...continue reading "Colds"
Contrary to the old joke, plumbers are not the only ones that can turn shit into gold. Retail and pharmacy shelves full of laxative products are proof that when our ‘pipes’ are ‘clogged’ we will pay handsomely for fast relief.
It may be helpful to transition to low-residue foods which are pureed with lots of liquid on the third and second days before your procedure, then changing to clear liquids the day of the preparation.
Since a colonoscopy can be tough on the gut, be proactive in preventing a “post colonoscopy flare”.after the procedure, ease gradually back into a normal SCD diet. Start with pureed soups or smoothies, and then your most digestible (and low residue) soft foods before restarting your regular SCD foods.
Homemade popsicles from the white grape juice and SCD lemonade.
Any juice must be SCD legal and should be used diluted.
Chicken broth should be clear, with no solids in the liquid. Strain the broth several times to filter out any particulates. Skim the fat off as best you can, this is easier when the broth has been chilled. The fat is likely to affect a pill cam, so you do want to make sure the broth isn't too fatty.
Plan ahead to keep the child busy (toys, movies, playtime) and take their mind off of what’s going on so the time will go by faster!