Friday, October 27, 2006

Diet and Nutrition

One of the most frustrating things a patient with IBD has to deal with on a regular basis involves the realm of "diet." I've read homeopathic sources that claim Colitis and its ilk arise as illnesses in certain populations because of an unhealthy diet. While an extremely unhealthy diet may lead to certain gastrointestinal issues, I would have to assume that there are many sufferers out there who have always had quite a healthy diet. This post is for you: oh fellow member of the club who dislikes the ceaseless conjecturing of family and friends -- "it must have been something you picked up when you were overseas" -- or -- "have you tried changing your diet" etc...

The issue of diet, for a patient of IBD, is a very touchy one. Like most, if not all, facets of IBD, diet is hyper-personal. One book will tell you to stay away from refined sugars and bread products, another source might tell you that dairy is your worst enemy. I cannot stress enough how there is no one answer for any question having to do with food, medicine, atmosphere, or personal well-being when the subject is IBD. What, then, in this amorphous milieu of careening symptoms and sickness can serve as foundation, as objectivity? Numbers.

The human body needs a certain amount of calories per pound to maintain its health and energy. Counting calories might be a good place to start. Especially if your IBD has flared, and you are losing weight. As always, I recommend taking advantage of the free tools available to you on the Internet. Let's look at NutritionData's calorie counter. I'll be back with a step-by-step setup process to track your diet using a few simple online tools. In the meantime, start playing with the calorie tracker here.

Zoloft Patent Expires

The patent has expired on Zoloft, meaning, among many other things, that all you unhappy people out there have something to cheer about: Name-Brand medication, on many insurance policies, has a minimum co-pay of $25.00, and SSRIs are regulated by the insurance companies to 30 day durations unless you mail your scripts out. The bottom line, instead of $300.00/year, you now pay $120.00/year. This is good news, happy people.

On Routines

One of the most crucial aspects to understand about Colitis, for both parents/children of sufferers, and patients, is somewhat paradoxical under my theory of observation: full-blown cases of active Crohn's and Colitis are dehumanizing. I don't say this lightly: one of the first motor skills learned by newborns is how to control the bladder and bowels. Therefore, to grasp the extent of an active bout of IBD is always to keep in mind that the sufferer has, paradoxically, the bodily "skills" of an infant and retains their current intellect.

This is to say, therefore, that one very strong commitment the patient of IBD must make is to the realm of routines. Bathroom experiences are fundamental in every human's daily life. We've a host of euphemisms and vernacular surrounding this routine: the "morning constitutional", and the like. When this most basic, most human routine is disrupted, something must stand in for it. This idea of a stand-in routine is where the support group of a sufferer comes in. Don't let a patient resort to inactivity and feeling sorry for themselves. And, if you are the patient and you don't have a support group, don't give in to the illness. There are plenty of alternative routines which may act as a stand-in, among those are: showering, eating, medicine, reading, television (follow a weekly/nightly show), and many more.

Nothing is disruptive to your daily routine as a disruption in all your routines simply because one has been displaced. Now go about your day!