I was diagnosed two years ago with Microscopic Colitis. 17 years prior I was diagnosed with celiac disease and irritable bowel syndrome. I take Asacol and Entocort. My frustration is with abdominal pain. I am constantly pulling things out of my diet that may be problematic but sometimes I get flares for no reason. Any thoughts for those of you out there?


Hi Mary Lee,
Starting with your diet and how what you eat makes you feel is great. But, since you aren't able to see a corollary between foods and your symptoms you might want to take a look at your stress levels.
I KNOW, first hand that stress isn't the cause of IBD, but I also know that stress can affect my symptoms and make them worse. You're a nurse, so I can only imagine that you are under some stress from your job, as well as the long hours you probably work, and the rest of your responsibilities in life. Do you have a way to cope with stress? To de-stress? Yoga, meditation, rhythmic breathing, a 20-minute walk, alone, per day? A half hour to read a favorite book or magazine?
Making time for ourselves seems like a luxury, I know, but it is so very important for keeping our lives balanced and this includes our body as well as our souls. In my 10 years of living well despite having both IBD and IBS I have learned, that for me, keeping a good balance between work and family and responsibility and time for myself is IMPERATIVE to staying healthy.
Schedule time in each day, even if it's only 10 minutes, just for YOU. And do what you want with that time. The gut is the root of all physical and emotional 'stuff' in our body. You may actually be a lot more stressed than you fully realize and you may be storing that stress in your gut.
Just start by giving yourself 10 minutes a day and see how you feel in a week.
Good luck,
Elizabeth
Hi Elizabeth: Nice to hear from you. I have just been rereading your book and recommending it to a counselor friend and my internist. You're probably right about the stress. I don't do bedside nursing anymore; rather, I am a discharge planner. Most of the staff nurses say they wouldn't want my job! I think I need to get back into my exercise program, as suggested, as well. And, yes, stress hits me in the gut and has for most of my life. Thank you for your kind reminders. As a matter of fact, I have a day off today and am just relaxing. It's great! Have you ever thought of writing a sequel to your first book?
Thanks again.
Mary Lee
Madison, WI