Recently, on Goodreads, a reader wrote a very thorough review . . . It makes me think I should just do a book of all of “Dede’s Grey Boxes” from the Crohn’s book! What do you all think? A “how-to” from a patient who has kicked Crohn’s disease? A “saying no” to major medical institutions (like the Mayo Clinic) who advised me to start medication (Remicade/Humira, etc.) immediately and I didn’t and I beat the disease by following a naturopathic/holistic health plan that was outlined in our book . . . (just to be clear: Allopathic medicine saved my life by a combination of prednisone and bowel surgery of my small and large intestine (about 2 feet) to keep me alive…)
Check out the review & Happy Spring! Maybe I will work on this new book if it will help people!
Living with Crohn’s & Colitis: A Comprehensive Naturopathic Guide for Complete Digestive Wellness
Recommended for: People with Crohn’s, Colitis, IBD and their loved ones
Having just had a bad flare up of my Crohn’s, and a long and scary stay at the hospital, I’m now on a mission to read up more on current healing and overall wellness for people in my situation. This book was the only one amongst a sea of books that I had any interest in reading as a jumping off point. The combination of medical and personal account in this book is incredibly helpful. Hearing accounts of those who have “been there, done that, got better!” really is a spirit lifter for someone coming out of a bad flare and wanting to get on the right path.
The clinical information in this book is spot on and seems highly up to date. The biggest part of which is the proliferation of the idea that diet does matter to this disease. I was utterly dumbfounded during my hospital stay when I was given a menu of items I was allowed to eat (after being off food nearly a week) and it included so much junk. Though I didn’t thoroughly question my multiple doctors on their stance of diet in relation to Crohn’s, I got the impression most of them are operating under the “it doesn’t really matter what you eat” mentality. This blind spot in medicine, and not just related to Crohn’s, is a huge failing of our current system, and getting doctors to work with you on natural healing can be a challenge. Thankfully, books like this one are out there to help people start to see the interconnectedness of things like food, stress, supplements, along with pharmaceutical drugs and “modern” medicine. I have to give this book 5 stars for being detailed but understandable, informative, up to date accurate, and personally relate-able. The tips and tricks through the book are easy to understand and begin to incorporate in a healing plan for yourself. I recommend keeping paper and pen nearby to write down the names of various healing methods to try (like acupuncture and massage), as a reminder to look up that sort of thing in your area, and write down the names of supplements, foods and meals to try, etc.
My only complaint about this book is that Dede’s story and a lot of the helpful information is incredibly scattered throughout the book. We get chunks of things here and there between the related medical information. It was fine when reading through the first time, but I think the book would benefit from a few sections at the end that sort of combine the snippets scattered throughout into a more cohesive “summary” type section at the end for easier access when you want to use this as a reference instead. This is truly minor though, and since I can easily search the book on my Kindle it isn’t a huge deal to go back to re-read.
This book is a most excellent jumping off point for anyone wanting to get more information about Crohn’s and Colitis and a path to begin healing the whole body, not just covering up symptoms.
Lessoning stress in one’s life is key to maintaining a healthy balance including how stress affects one’s digestion. Adding probiotics daily as a supplement is an easy and helpful way to aid the homeostasis in the microbiome. Having Crohn’s disease is a tough diagnosis, but achieving gut-level homeostasis is key to keeping a balance of good and bad bacteria.
Many people don’t realize that taking antibiotics can sweep out the gut flora, causing the balance to shift. I watch my diet carefully: no wheat, no sugar, lots of vegetables and sustainably harvested fish and organic chicken, daily antioxidant tea, mediation, yoga, lots of sleep and daily 3-5 mile hikes.
About twenty years ago, I got severe food poisoning from a fast-food chicken sandwich and I didn’t realize the bacteria invaded my gut and created an inhospitable environment where good bacteria and “bad” bacteria normally thrive in a kind of symbiotic balance. I had an overgrowth of bad bacteria and it wasn’t until I developed full-blown Crohn’s disease and had a bowel resection that I started to really take care of my gut microbiome and my quality of life improved immediately.
Based on my experience with having an autoimmune disease, I have created the following list. Think of it as a kind of spring cleaning. Remember everyone is different, so some of my tips may not work as well for you but it’s worth a try (and as most of my readers know, I recommend keeping a daily log of your diet and activities and stress level). Here are “Dede’s daily tips” as follows:
- You should eliminate all sugar from your diet.
- They say no alcohol or coffee, but maybe a tiny bit of black tea, or half a cup of coffee with boiling water a day. I also have one or two drinks over the weekend. Vodka tonic or gin and tonic; sometimes I have a light beer.
- No dairy. That said, I do allow myself 1 tablespoon of half-and-half in my tea or coffee per day. That’s my only luxury!
- No grains at all! Focus on big salads (with avocado and organic vegetables and a hard boiled egg in the mix—make your own dressing with pure olive oil and a little bit of lemon juice or balsamic vinegar)), and chicken, fish and eggs (all organic and the fish should be cold water/wild caught), and chopped nuts and dried fruit.
- Start drinking green, organic Moroccan mint tea in the afternoon for a little pick me up, and snack on carrots and hummus. At night, always drink a cup of chamomile tea with a little honey. This will help you de-stress your body. And mind.
- Try to get out and exercise, usually walking (or slow jog), 3 miles per day. When you come back, do gentle Rodney Yee yoga for about 20 minutes, and then do guided meditation for about 1 to 5 minutes. When you do guided meditation try to focus on healing and forgiveness and bring the breath from the top of the head down the spina. Focus on the breath. I always do a cleansing mantra that goes like this: white light healing inflammation gone.
- Try to get at least seven hours of sleep a night
- Take a hot bath or shower and use lavender in the bath before you go to bed. Try to read a book before you go to bed to take your mind off social media, etc.
- Get acupuncture once a month. Get a massage once a month (I know this is expensive, but it’s worth it!)
- Take a really good quality probiotic every night before bed. I usually take the Jarrow brand with the highest count of lactobacillus and acidophilus.
- Take omega-3, a multivitamin, vitamin C, hi high-potency turmeric/curcumin, and some liquid vitamin D drops every day.
- When you feel a tiny bit of a scratchy throat or rundown, add an immune booster homeopathic liquid (usually it’s about 30 drops in water) once a day before going to bed. Note: when I’m really feeling sick, with actual symptoms like cough or fever, I take goldenseal and echinacea in liquid drops.
- Carry a small spray canister of Bach Flower Remedy in your knapsack or purse. When you really feel rundown or stressed, just spray twice in your mouth. It really helps!
- As far as this list goes just try it for three months and see if it helps, then continue for three years (!). But really do it carefully! You can make things using almond flour and coconut flour (homemade tortillas, yum—black beans are okay in moderation and I mix them with roasted veggies/roasted potatoes).
- I forgot to mention that I love coconut milk—unsweetened—that you can use for breakfast. I usually mix bananas and nuts with dried fruit and cut up melon or strawberries in a bowl and add coconut milk to make a kind of morning cereal.
- Drink tons of water every day as well! I think that’s it… but I hope it helps.
Try to plan some kind of trip, and remember, it doesn’t have to be expensive or involve air travel which can add to the stress. Just a trip to the beach or a hike with a friend or loved one is a great way to relax. Going out in the woods every day is amazing.
Happy Spring! I would love it if readers shared their own tips in the comment area.
I am symptom-free from severe Crohn’s disease since my surgery to remove a section of small and large bowel in 2006. Doctors at the Mayo Clinic and Dartmouth did not recommend my decision to go against their advice to take a cocktail of drug therapies for the rest of my life since the majority of patients relapse after surgery. They are nonetheless very pleased (and supportive!) with my naturopathic/holistic treatments that balance Western medicine tests and surgery with age-old herbal and natural remedies that have worked remarkably well.
Instead of taking the recommended monthly infusion of Remicade (which would costs thousands of dollars per year), I have remained in remission by following a strict diet (Paleo), having monthly acupuncture treatments, going to my naturopath, taking herbal and mineral supplements, doing yoga and meditation and exercising daily, etc.
This coming spring, I will celebrate my tenth anniversary on May 22, of healing from Crohn’s disease! Many of my readers know how much I struggled and how sick I was, back in 2006 when I was admitted to Dartmouth Hitchcock Medical Center with a life-threatening bowel obstruction.
Everyone is different, and each one of us has a unique microbiome that needs to be balanced not only on the gut level, but also in terms of diet and lifestyle, by taking supplements like probiotics and high-potency curcumin/turmeric, etc. (like I do) and working with a naturopathic doctor (ND) which is what our book recommends. Not everyone will be able to do this—some patients will have incredible results from taking the various class of drugs out there on the market today; other patients will want to embark on a journey to health that involves ancient practices of medicine (like acupuncture and Zen Shiatsu massage, Aureuvedic treatments, etc.) that requires a great deal of patience, and time to devote to changing ones life to accommodate the holistic approach I advocate.
With the seasons changing from winter to spring here in Vermont, I am filled with hope that other Crohn’s/colitis//IBS/IBD/Celiac patients who follow this blog will not be deterred from their own path toward health and wellness. It is important to have hope when dealing with an autoimmune disease.
This is the vicious cycle. When we feel pain from our physical debility, that pain amplifies our sense of hopelessness; the less hopeful we feel, the fewer endorphins and enkephalins and the more CCK we release. The more pain we experience due to these neurochemicals, the less able we are to feel hope.”
― Jerome Groopman, The Anatomy of Hope: How People Prevail in the Face of Illness
According to the Mayo Clinic, after you eat, it takes about six to eight hours for food to pass through your stomach and small intestine. It takes a total average time of 43 hours from eating to stool elimination—I like that they call,this “transit time.” Food then enters your large intestine (colon) for further digestion, absorption of water and, finally, elimination of undigested food. After I researched this topic, I thought about how proper digestion is integral to maintaining good health — vital, really. I am interested in hearing from readers about exploring their own relationship to food. Start when you were young, or when you were first diagnosed. I recently discovered the amazing work of Crohn’s patient, Daniel Leighton. He openly explores his disease through his art, and I was blown away—his piece entitled “Tied Up at the Hospital” is superb (heartbreaking to me), and I encourage you to follow his work. So, let’s use ART to share our experiences! I use creative nonfiction, and writing has always been my release—in our book, Jessica and I encourage patients to “keep a food journal,” but now I also want to encourage patients to explore their disease, their relationship to food, their fears and loneliness, humor and love, through making art (photography, poetry, writing prose, painting, video, drawing, etc.). I can’t wait to publish some of these works! (Email me at email@example.com.). Okay, I will start off with a piece of my own creative nonfiction:
How my longing for food — my lifelong love affair with what I could, or could not, eat — began.
I was longing for food, literally desperate for the half-eaten slices of pizza left on the plates at a restaurant off Harvard Square. I was a 26-year-old bulimic, and food was my secret obsession. Who doesn’t love the hot-out-of-the-oven, doughy-crust pizza with fresh-grated mozzarella garnished with chopped basil leaves?
The revelers had straggled out of the room after a private engagement party. I told my boyfriend I had forgotten something, and walked back in through an arched doorway. The jukebox finally playing the Bonnie Raitt song, “Somethin’ to Talk About,” I had selected earlier. I stood there and gazed around the room: it looked a hurricane had breezed through around 60 knots with chairs overturned and crumpled napkins scattered about….
But it was what was on the paper plates that caught my attention: I made my way along the tables and grabbed slices of pizza and—gazing back at the arched doorway to see if anyone was coming — I scarfed them down and pushed the food into my mouth with both my hands like a refuge from war-torn Biafra.
You see, I didn’t know it then, or perhaps that was when I knew something was the matter with me. I was skinny and sick; mentally obsessed with a longing for food that occupied my thoughts much of the time.
A morning run along the Charles River was the usual start to my day—I loved this and felt so light as I jogged the worn paths past the brick buildings of academia. After my run, my reward was half a honeydew melon and a cup of coffee. Then I’d ride my bike to work at the publishing house on Beacon Hill. At lunch, I ate dry salad, and when I came home in the early evening, I ate popcorn with brewer’s yeast with Diet Coke.
Why, you may ask, did this young woman who was outwardly happy—a job in publishing, a boyfriend who had returned after a year hiatus, a loving family in nearby Providence, Rhode Island—resort to eating leftover food from people’s plates in public restaurants?
Having a mother who apparently subsisted on candy bars was one thing, a father who talked obsessively about food and his inability to loose weight, was another. “Am I fat?” plagued me throughout my adolescence.
My family prided themselves on being thin and fit, with tennis, riding, and golf practiced at various clubs—and at school, we played field hockey. Going to an all-girls high school had the added benefit of questions like “You Haven’t Gotten Your Period Yet?”
After high school, I took a year off from attending the non-existent college that my parents pretended I’d been accepted to. I headed to Vienna, where Weiner Schnitzel, Würst, pastries, and beer were to form the main ingredients of my diet, and after a few short months, I weighed 170 pounds.
When I returned from Europe after a year, my father announced that I had gained the “Freshman 15-times-two,” without attending college!
I remember the day I landed at Boston’s Logan Airport. My mother and one of my little sisters, Alex, stood there at the gate. My mother had her kerchief on, covering her wig at the top of her head that gave her that ’70s bouffant look; she was wearing her big Jackie O shades and had one of those purses that look like a small picnic basket with flowers painted around the edges clutched under her arm.
“Guüten Tag, Muttie und meine kleine Schwester!” I called gaily.
I walked toward my mother and sister and watched their mouths drop open. I was around 180 pounds at that point, my hair was cut in an ill-fitting pageboy, and my skin was dark brown from a summer spent sleeping on the edges of fiords after hiking around Scandinavia. They had no idea who I was!
The reality of my situation—home after 12 months after living on my own in Vienna and traveling around Europe—was horrifying to me! I was so heavy the buttons on my Indian print button-down shirt were almost popping off.
The whole way home in the car, I only spoke German, trying to explain to my mother that I had “forgotten how to speak English!”
I also liked this “no food/empty stomach” feeling I had in the car that afternoon when I returned, a stranger to my family, back from my year off, and I wanted it to last.
I retreated to my bedroom and unpacked my Kelty backpack, holding back the tears that I knew would never come.
This piece is excerpted from Spin Cycle by Dede Cummings, a creative nonfiction work-in-progress to be published (hopefully!) in 2017.
What About Bowel Surgery?
There are various complicated surgical options available these days which continue to change and develop with the advancement of medical techniques and technology. If you are experiencing significant symptoms, or problems that either warrant immediate attention or have not responded to previous treatments, please consult your physician or gastroenterologist about surgical options that may be right for you.
May 22, 2006, I was hospitalized for three weeks for a dangerous bowel obstruction due to a flareup of Crohn’s disease. My surgeon, the amazing Horace Fuller Henriques, III, removed a large section of my Sigmoid colon along with an attached granuloma, and he removed the terminal ileum and cecum. After a really rough 24 hours with the pain aided by a morphine pump, I began to come back to the world. Horace came to visit me in my hospital room, and while I was in my groggy state, he excitedly told me how he had rebuilt the ileocecal flap. I felt like I was listening to an episode of This Old House on PBS—it was like he was discussing the carpentry job!
It is hard believe that was nine years ago! My quality of life improved after my surgery, so much so that I have remained drug-free and very healthy since then. Sure, I’ve had times of flareups, but I’ve never had to go back to the hospital or stay in bed for more than 12 hours. Since I’m so attuned to my body and keep a food journal, I can notice when flares are coming and I conveniently resort to my dietary and lifestyle regimen in order to stop the flareup before it really knocks me down. I take lots of daily supplements prescribed by my naturopath, too, like VSL#3 Probiotics and Zturmeric, along with Omega 3, Vitamin C, D, and other supplements.
Yesterday, a young mother of two who is a professional singer-songwriter, called me to talk about her case of Crohn’s and her upcoming surgery. I love it when people find me, reach out and email me, and sometimes call me. I feel that the Crohn’s and colitis community is a really tightknit one, and we have the CCFA to help through their efforts as well. But it is the people with Crohn’s, and colitis, the patients themselves, I want to hear from! We have had to endure so much and, in the case of Crohn’s, have had to live with a disease that has no cure. The very active reaching out – whether it’s by email or phone for text message – is a big first step toward healing and taking charge of living with chronic disease.
So back to surgery. . .
Surgery should be a last-resort treatment; but if the need arises, surgery may provide relief for some individuals. About 20% of ulcerative colitis suffers will require surgery at some time in the course of their illness. Approximately 75% of Crohn’s disease patients who have disease in the small bowel will have surgery in the first 10 years after diagnosis. Unfortunately, if no other treatment is done, nearly 50% (or more) of those who have surgery for Crohn’s will still have a reoccurrence of disease symptoms. In colitis that does not respond to medical treatment, surgery is an option that can wipe out the disease. Many people live without the large intestine. In my case, the risk of perforation of the small intestine was very dangerous. If surgery for Crohn’s disease is an option, it is much safer to have elective surgery, rather than be admitted like I was through the ER.
If you have a scheduled surgery for either Crohn’s disease or ulcerative colitis, I highly recommended having a lengthy pre-op appointment with your surgeon so you understand fully the outcomes and what to do and how to prepare. Since I rely heavily on the care of my naturopathic physician, I also scheduled a pre-op appointment with her, where she planned a whole course of preparation for me. This included taking Arnica before my surgery and doing meditations and preparations with diet to lessen the burden on my digestive tract.
After my surgery, the surgical nurses were instructed by my naturopath to place small pellets of Arnica underneath my tongue. It is still amazing to me that this big teaching hospital where I was a patient was so accommodating! Also, the hospital had a wonderful dietitian who helped me slowly introduce foods back into my diet — and made me drink Smooth Move tea! I remember my stepsister went to the local natural foods co-op and smuggled in some organic chicken broth. The wonderful Dr. Henriquez even searched high and low for someone to come in and do acupuncture for me, and there was also a volunteer at the hospital who was able to do Reiki (a form of alternative medicine through “hands-on healing” developed in 1922 in Japan) to aid in my recovery.
After five days, I was ready to go home. It wasn’t easy, and transferring from morphine to other pain meds was really difficult. I also got really depressed and cried a lot as I tapered off Prednisone (tapering should be done with great care, and slowly, so as not to cause a flare-up). But, I let my body gradually heal and realized that crying and being depressed is part of having major surgery, too. But I didn’t just pick up my life the way it was: my recovery lasted about six weeks and I took it day by day, and very slowly, and I asked friends to help with care for my kids and help with house cleaning. I kept a food journal and gradually added exercise every day, along with yoga and meditation.
So, don’t despair if you have a surgery coming up. Instead, take control of the situation and keep a positive attitude!