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Pancreatic malfunction is often a downstream result of gallbladder malfunction, so address your gallbladder first, as previously outlined. If you have Type 1 Diabetes, it’s critical that you eliminate gluten from your diet 100%. This means looking for hidden gluten in foods and being diligent about your food choices/requests when dining out. (see here for a guide to finding hidden gluten in foods.)
the part: small intestine
The small intestine is seven feet of complex, hard-working, tube-like tissue that holds the key to much of your immune capability. There are three parts to the small intestine: the duodenum, the jejunum, and the ileum. Just on the other side of the cell walls that line your small intestine is an immune layer and your bloodstream.
Your small intestine is where most of your food is either broken into its end-usable forms of amino acids (from proteins), fatty acids (from fats), or glucose (from carbohydrates)— or not. If not, what you get is digestive or stomach irritation, malfunction, and malabsorption. Food particles, combined with stomach acid, bile, digestive hormones, and enzymes, interact with a brush-border lining in the jejunum as they move through. This is where your body decides if it recognizes food as particles it knows how to use (such as amino acids, fatty acids, glucose, vitamins, and minerals) or as an enemy. It’s truly the make or break stage in the game of digestion and absorption.
signs & symptoms of disrupted digestion
Burning feeling in your gut after meals (heartburn)
Frequent belching after meals
Indigestion
Feeling of fullness after meals
Frequent stomach upset
Gas, flatulence after meals
Constipation
Diarrhea
Chronic intestinal infections: bacterial, yeast, parasites
Chronic candida infections (candidiasis), which can cause a host of symptoms such as skin rashes and vaginal yeast infections in women
Undigested food in stool
Known food sensitivities
what can go wrong?
Before broken-down food particles are assimilated into your bloodstream, your immune system assesses whether they’re safe or if they appear to be invading pathogens like bacteria or a virus. When the peace of your digestive tract is disturbed by food proteins that are hard to digest (mainly from grains or beans), an immune response is launched on the offending proteins because they’re seen as invaders. You may feel this response in the form of digestive distress, or you may not feel any gastrointestinal upset at all. That’s the kicker! The immune response in your body may be entirely different from the way the same irritants affect someone else. One man’s diarrhea is another man’s eczema, tendonitis, or migraine, for example. In fact, this irritation can lead to an inflammatory response anywhere in your body.
The problem starts upstream. Down-regulated, low, or slow digestive enzyme signaling or hormone signaling may cause the release of inadequate digestive secretions from the liver, gallbladder, and pancreas. Decreased stomach acid (HCl) or disrupted cholecystokinin (CCK), for example—all “upstream” problems that occur before food reaches the small intestine—set the stage for these issues. If your upstream processes of digestion are “broken,” you run a greater risk of downstream malfunction as well.
Bacteria, which are found in smaller proportion in the stomach and most abundantly in the large intestine, can creep into the small intestine, promoting Small Intestinal Bacterial Overgrowth (SIBO). This can also cause an imbalance in stomach flora (good vs. bad bacteria) that can lead to food intolerances and digestive upset.
The largest issue, however, is leaky gut, a condition that occurs within the small intestine and is 100% diet-related. The leaky gut chapter is devoted entirely to that problem.
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