*the podcast will be changing to every other week during the COVID-19 outbreak due to my interviewees busy schedules*
Joanna and I talk about how food chemical sensitivity often presents like IBS but is unresolved with typical IBS interventions. In addition, these patients also have extra-intestinal symptoms. We discuss salicylates, glutamates, and amines as well as other sources of food chemicals, and gaps in the current literature around food chemical sensitivity.
Nutrition Pearls for Food Chemical Sensitivity
- Food chemical sensitivity can present with constipation, diarrhea, and bloating, in addition to extra-intestinal symptoms like migraines, sinusitis, mouth ulcers, hives, and angioedema
- A differential diagnosis to consider in IBS patients who present with these symptoms could be food chemical sensitivity
- A low food chemical diet is not a NO food chemical diet and consists of 3 phases – elimination, reintroduction/challenge, and long term modified food chemical diet
- This diet should only be done under supervision of a trained dietitian
Joanna Baker is an accredited practicing dietitian and registered nurse from Victoria, Australia. Her passion is to help others eat well, be well and feel great, without giving up the foods that they love. She founded a private practice called Every Day nutrition in 2013.
Due to her medical background, Joanna is particularly adept at managing complex medical conditions like diabetes and heart disease alongside gut health issues
Joanna has also suffered with Irritable Bowel Syndrome (IBS) and food intolerance her entire life. She knows first-hand what it’s like to live with unpredictable gut upsets and dietary restrictions. At Everyday Nutrition, she aims to help people to pinpoint their food triggers, enabling them to identify what foods they can enjoy while keeping their gut happy at the same time.
Joanna and I discuss:
- What is food chemical sensitivity & how does it differ from IBS?
- What are symptoms of a food chemical sensitivity
- When would you consider food chemical sensitivity instead of IBS?
- What we think happens in patients who have a food chemical sensitivity to cause symptoms?
- What is a low food chemical diet?
- Food sources of salicylates, glutamates, amines and other food chemicals
- What are current limitations in the research with food chemical sensitivity and where should research go?
- Where can people find information on food chemical sensitivity?
Follow Joanna at www.everydaynutrition.com or on Facebook or Instagram.
References
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Smolinska, S., Jutel, M., Crameri, R., & O’mahony, L. (2014). Histamine and gut mucosal immune regulation. Allergy, 69(3), 273-281.
Maintz, L., & Novak, N. (2007). Histamine and histamine intolerance. The American journal of clinical nutrition, 85(5), 1185–1196. https://doi.org/10.1093/ajcn/85.5.1185
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Skypala, I. J., Williams, M., Reeves, L., Meyer, R., & Venter, C. (2015). Sensitivity to food additives, vaso-active amines and salicylates: a review of the evidence. Clinical and translational allergy, 5(1), 34.
Barrett, J. S., & Gibson, P. R. (2012). Fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAPs) and nonallergic food intolerance: FODMAPs or food chemicals?. Therapeutic advances in gastroenterology, 5(4), 261-268.
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Raithel, M., Baenkler, H. W., Naegel, A., Buchwald, F., Schultis, H. W., Backhus, B., … & Konturek, P. (2005). Significance of salicylate intolerance in diseases of lower gastrointestinal tract. Journal of physiology and pharmacology, 56, 89.
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Maintz, L., Yu, C. F., Rodríguez, E., Baurecht, H., Bieber, T., Illig, T., Weidinger, S., & Novak, N. (2011). Association of single nucleotide polymorphisms in the diamine oxidase gene with diamine oxidase serum activities. Allergy, 66(7), 893–902. https://doi.org/10.1111/j.1398-9995.2011.02548.x
Lackner, S., Malcher, V., Enko, D., Mangge, H., Holasek, S. J., & Schnedl, W. J. (2019). Histamine-reduced diet and increase of serum diamine oxidase correlating to diet compliance in histamine intolerance. European journal of clinical nutrition, 73(1), 102–104. https://doi.org/10.1038/s41430-018-0260-5
Holton, K. F., Taren, D. L., Thomson, C. A., Bennett, R. M., & Jones, K. D. (2012). The effect of dietary glutamate on fibromyalgia and irritable bowel symptoms. Clin Exp Rheumatol, 30(6 Suppl 74), 10-17.
Malakar S. (2017). Bioactive food chemicals and gastrointestinal symptoms: a focus of salicylates. Journal of gastroenterology and hepatology, 32 Suppl 1, 73–77. https://doi.org/10.1111/jgh.13702
Vally, H., & Misso, N. L. (2012). Adverse reactions to the sulphite additives. Gastroenterology and hepatology from bed to bench, 5(1), 16–23.
Raithel, M., Baenkler, H. W., Naegel, A., Buchwald, F., Schultis, H. W., Backhaus, B., Kimpel, S., Koch, H., Mach, K., Hahn, E. G., & Konturek, P. C. (2005). Significance of salicylate intolerance in diseases of the lower gastrointestinal tract. Journal of physiology and pharmacology : an official journal of the Polish Physiological Society, 56 Suppl 5, 89–102.
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