Constipation as a common cause of belly aches.

A follow up of a 10 year old in my practice revealed that constipation was the cause of her bellyaches. On miralax, she had bowel movements daily and her three times daily belly aches were completely resolved. Mom asked if there was an Over the counter fiber supplement her daughter can have. Here were my nutritional recommendations:

Minimize the milk and cheese intake, as they contain no fiber to help constipation and the casein part of cows milk, slows down digestion- almost bringing it to a grinding halt.

Use soy and almond milk instead if you want milk substitutes.

Increase your intake of insoluble fiber- from fresh fruits, peas, lentils, beans

Insoluble fiber, helps increase the transit time of your stool and keeps it moving along the intestinal tract.

Food that cross react with wheat in Celiac

There are foods that the immune system recognizes as gluten in addition to wheat, rye, and barely. This process is called cross-reactivity

A few examples of such foods include, casein ( milk protein)

corn, yeast, millet, rice, sesame, soy

Some hidden sources of gluten include modified food starch, food emulsifiers, food stabilizers, artificial coloring, processed ketchup, mustard, certain salad dressings, deli meats, beer, soy sauce, and shampoos.

Leaky Gut, is Permeable- celiac

The term leaky gut refers to a part of the intestinal tract, stomach, small intestines, that becomes permeable due to exposure to a virus, bacteria, parasite, stressor, chemical, environmental toxin. Once permeable the immune system becomes involved in trying to rid the body of the stressor by producing antibodies and cells that fight their battle. The immune system may  make antibodies that cant tell the difference between healthy tissue and the offending agent ( as in the case of Celiac autoimmune disease to gliadin, a protein in wheat, rye, barley ).

What people might not be aware of is cross reactivity.

Cross reactivity means that eating one food can cause a response similar to eating another

cows milk is known to cross react to gluten in grains

Whey protein is known to cross react to rice

Chocolate milk is known to cross react to corn

casomorphin in milk is known to cross react to oats

alpha and B casein in milk is known to cross react with yeast

This is why when a person has a leaky gut, initially it is best to stay away from milk and wheat products, since a permeable intestines may cause milk and wheat proteins to enter the blood and cause inflammation from their proteins.

Its best to wait until the initial insult and the leaky gut has been resolved.

Withholding of stool

Yesterday I saw a 4 year old boy who is not potty trained. Mom is having problems because he holds his stool and refuses to let go. After taking a detailed history and a physical exam it was determined he had a hard collection of stool in his rectal area that he would not be able to pass on his own. His problem was a physical one and can become an emotional one if not treated. Mom was given advise and will be coming back in 2-3 days to monitor his progress. Dietary advice was given as well. Many people are not aware of the constipating effects of milk and cheese. These products are CASEIN predominant. Casein as you will remember from Little miss muffet sat on her tuffet eating her CURDs and whey. Casein curdles in the stomach to form balls of protein which slow down digestion. There also is no fiber in casein to help with a soft formed stool.
Casein also gets converted into alpha caseomorphine- which is similar to morphine the narcotic and slows down the entire intestinal tract, also contributing to constipation.
One of the first things I tell parents of children with constipation, is to limit the intake of milk and dairy products. We don’t see adult cows drinking milk, do we?
So, children and adults really don’t need milk. They can get their calcium and vitamin D from other sources. Milk in moderation if not allergic or sensitive to the cow protein is fine, but if youre constipated, one should rethink how much milk and cheese is in your diet and perhaps cut back.
For more nutritional information on constipation http://www.thedoctorsvideos.com/video/8828/Constipation-and-Fiber

Link

Dr Fried’s Videos

Here is a link to a host of videos on Nutritional and Gastrointestinal conditions such as celiac, diet, nutrition, crohns, Lyme, pet diseases, GERD, diabetes, glycemic load, H. pylori, underweight,

Also included are videos on diarrhea, colitis, milk allergy, Iron, infant formulas, casein and whey proteins

Link

Gastric Emptying, Whey vs Casein

http://www.slideshare.net/martinfried/delayed-stomach-emptying-study

This study shows that whey empties faster than casein. There are many implications to this in everyday life, in all age groups and in all conditions. Ask me about them.

For example, if your newborn baby spits up alot, a whey formula empties from the stomach faster, and improves emptying- thus reducing the number of episodes of reflux. Cow’s milk is 80% curds or casein, and 20% whey. When the make cheese from milk and they stir it until the curds precipitate. They keep the curds and empty out the whey. Most cheeses are 100% casein. This would be a bad choice of food to eat right before laying down to go to bed, knowing that it will take over three hours to empty from your stomach—–and perhaps contribute to nighttime reflux. Milk doesnt contain gluten- as is acceptable as part of a celiac or gluten free diet. Most cows milk is fortified with Vitamin A and D, but is low in iron and should not be used in infants under a year of age.

Curds verses Whey- When is Whey an advantage to take?

Video

 

THis video shows that whey protein which remains a liquid in the stomach, empties faster than curds which become solid in the stomach. Whey emptying is faster and more useful in people with stomach problems that delay gastric emptying. Whey actually restored the emptying of the stomach to normal for a liquid. ( 50% emptied in one hour, and 75% emptied at two hours)