PeterB wrote:Another major factor seems to be chronic inflammation following infection and/or trauma. In those cases neither drug nor dietary interventions seem to have much success.
The sufferer often has little choice but to change their lifestyle, including the adoption of a low fibre and bland diet.
It could be that some forum members have direct experience here.It would be interesting to hear about their regimes.
Total colectomy about 17 years ago with an ileoanal anastomosis as a result of severe ulcerative colitis. High fives all around.
Just as with eating once a day or not, eating X and not Y or not, diet science is only just coming to grips with the interplay of variables that have input with respect to this molecular monstrosity of a digesting body. Solid pieces of noncontroversial advice which are not over-vague and which apply to most/all humans is fairly difficult to attain, which I think is one reason why anecdotes yet prevail in this sort of literature.
Probably the best thing for people to do is, if they suffer from X condition, to network with others with similar challenges in order to come to grips with a communal body of wisdom that generally applies to their particular case. This 'hearth-science', when put in dialogue with gastrointestinal specialists' commentary, is probably the best thing for any individual with such issues.
For these people, hearing such advice as "eat more fruits & vegetables" is probably already known not to apply in their own case; for those just starting out with gut adventures, the primary lesson is small and patient application of food to the digestive system with all foodstuffs until one's own baselines are known.