Food Sensitivities and Leaky Gut Syndrome
I had my RNY in November 2009 and have had various types of upper abdominal pain since 2 weeks after surgery. I had both gastrojejunal and jejunojejunal ulcers and gallbladder dyskinesia. These were all treated but pain remained. I have had multiple endoscopies, abdominal CTs, 2 courses of antibiotics for possible intestinal overgrowth, and even a diagnostic laparoscopy in 8/10.
I have seen 2 Gastroenterologists, 2 Endocrinologists (for my worsening hypothyroidism), a Hematologist (for gradually worsening blood counts), my PCP, my Acupuncturist, a Nutritional Counselor, a Colonhydrotherapist and most recently an Integrative Medicine Doctor.
Beginning In December I started having abdominal distention (up to 4-6 inches more by evening as compared to morning, and 2-3 inches more than my waist measurement was in December 2010 without much change in weight). My weight can vary as much as 5 pounds day to day, and I get swelling in my ankles and feet by evening. The Nutritional Consultant suggested an Elimination Diet of no gluten, soy or cow dairy - difficult to do as I am vegetarian and worry about getting enough protein - but I did it for 2 months. My Integrative Medicine doctor got blood tests for IgG titers for food sensitivities and a stool analysis. These tests came back saying I had a " leaky gut" with lots of food sensitivities, especially to all dairy/whey and eggs as well as thyme and basil, honey, kiwi, asparagus, brewers yeast, ginger, kidney beans, and cilantro! I also have a potentially pathogenic bacteria in my gut and low amounts of a digestive enzyme (despite taking digestive enzyme supplements) or Lactobacillus probiotics (I also take a good probiotic). I am malabsorbing large quantities of fats as well ( a common issue with RNY). Now I have to go on a different Elimination diet as well as a Rotation Diet of the foods I can eat such that I don't eat the same foods but every 4 days.
Has anyone ever heard of either food sensitivities or Leaky Gut Syndrome developing as a complication of RNY? What about the viability of getting enough protein on a vegan diet that cannot have soy but every 4 days, have even less frequent amounts of gluten, and may or may not react to various beans (kidney beans have moderate reactions but other beans were not tested but peas and green beans are ok)? Should I consider eating some fish as much as I hate the thought given over 30 years of being vegetarian? Does anyone have other ideas about what could be causing my distention and pain that has not been explored?
I have seen 2 Gastroenterologists, 2 Endocrinologists (for my worsening hypothyroidism), a Hematologist (for gradually worsening blood counts), my PCP, my Acupuncturist, a Nutritional Counselor, a Colonhydrotherapist and most recently an Integrative Medicine Doctor.
Beginning In December I started having abdominal distention (up to 4-6 inches more by evening as compared to morning, and 2-3 inches more than my waist measurement was in December 2010 without much change in weight). My weight can vary as much as 5 pounds day to day, and I get swelling in my ankles and feet by evening. The Nutritional Consultant suggested an Elimination Diet of no gluten, soy or cow dairy - difficult to do as I am vegetarian and worry about getting enough protein - but I did it for 2 months. My Integrative Medicine doctor got blood tests for IgG titers for food sensitivities and a stool analysis. These tests came back saying I had a " leaky gut" with lots of food sensitivities, especially to all dairy/whey and eggs as well as thyme and basil, honey, kiwi, asparagus, brewers yeast, ginger, kidney beans, and cilantro! I also have a potentially pathogenic bacteria in my gut and low amounts of a digestive enzyme (despite taking digestive enzyme supplements) or Lactobacillus probiotics (I also take a good probiotic). I am malabsorbing large quantities of fats as well ( a common issue with RNY). Now I have to go on a different Elimination diet as well as a Rotation Diet of the foods I can eat such that I don't eat the same foods but every 4 days.
Has anyone ever heard of either food sensitivities or Leaky Gut Syndrome developing as a complication of RNY? What about the viability of getting enough protein on a vegan diet that cannot have soy but every 4 days, have even less frequent amounts of gluten, and may or may not react to various beans (kidney beans have moderate reactions but other beans were not tested but peas and green beans are ok)? Should I consider eating some fish as much as I hate the thought given over 30 years of being vegetarian? Does anyone have other ideas about what could be causing my distention and pain that has not been explored?
Highest Weight 277; Surgery Weight 237, Goal Weight 128;
Lost 40 pounds before surgery
Lost 40 pounds before surgery
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