The whole fiber story about helping severely constipated people is a story which just does not work and can cause other problems. I have had a good deal of experience with this problem. Not only have adults been helped by the following information but the SCD has saved a few babies from horrible surgery as these babies were given the diagnosis of Hirschprung's disease which makes it impossible for them to move their bowels. The result of this operation is a horror story. One Mother brought her baby on a TV interview with me in Canada and I can remember her saying to all of Canada (cross-Canada program): "You do not know what it is like to change a baby's daiper day after day which has only urine!" She was told to pry feces out with a rectal thermometer. In the meantime, the baby was doubled up with pain screaming night and day. One young child was getting prolapses of the rectum from straining. In both these cases, the children (including the baby) recovered in short time. The baby was put on the infant formula in the book and the child on a regular SCD diet.
The first step is to get up one hour earlier in the morning if you usually have to go to work. The morning is the normal time for people to have a bowel movement - right after breakfast and the regimen I am giving you is based on this principle. Start this regimen on the weekend when you do not have to go out as it may cause urgency.
Get on the introductory diet for two days. Then introduce the muffins, one per day, along with COOKED AND PEELED vegetables and fruits. Raw fruit and vegetables (with the exception of the ripe banana) can aggravate both diarrhea and constipation. When you are adjusted to the diet, we can then start the treatment for constipation altho the diet alone may do the trick. Introduce a few stewed prunes with your breakfast - about 3-4 for about one week. See if that helps along with the SCD.
If the diet and stewed prune do not make you go to the bathroom after a week to ten days, do the following:
1) Go to the market and look for PRUNE NECTAR (legal, without sugar). If you cannot find prune nectar, buy prune juice (legal) in a jar. Simmer the contents of the jar to half the volume. In other words, if you start with one quart, simmer it down to one pint. Refrigerate.
2) At breakfast, mix three tablespoons of the prune nectar with 1/2 cup Tropicana or freshly squeeze orange juice.
3) Start your breakfast with this mixture. Then eat your regular specific carbohydrate breakfast but make sure you have a large cup of something hot. Either your coffee or tea. Then go to the washroom and see if anything happens. Read and relax. If this does not work the first day, repeat for two or three days. On the fourth day if this does not work, then insert a glycerin suppository (get in drugstore) while you are sitting on the toilet and hold it in for one minute. If it still doesn't work, do the same thing the next day. It would not hurt on the first day you try the glycerin suppository after breakfast to use another one before going to bed. I am trying to establish a normal pattern of defecation for you and it may take almost a month. However, the children responded in a short time without the suppository.
So give it a try. Good luck.
From the LI listserve
The book should be required reading for anyone with Crohn's disease and we wish gastroenterologists would read it as well. The diet is a real alternative to the drug based therapy from the medical community.
- Bruce Senn