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Transcript

The Real Reason You Have Diarrhea IMMEDIATELY After Eating (It’s NOT What You Think!) · The IBS Solution with Brooke Kane

• 0:00
  SPEAKER_00: If almost every meal sends you running to the bathroom, this is not a food problem.
• 0:04
  SPEAKER_00: Because when chicken does it, eggs do it, fruit does it, eating out does it, and even your safe foods eventually do it, blaming the individual foods stops making any sense.
• 0:15
  SPEAKER_00: And when women don't understand that, they can spend years cutting more and more foods out of their diet without ever fixing why a normal meal triggers the cramping, urgency, and diarrhea in the first place.
• 0:27
  SPEAKER_00: I'm Brooke Kane, registered nurse and functional medicine practitioner specializing in chronic urgent diarrhea.
• 0:33
  SPEAKER_00: And I'm going to show you what can make your gut react this aggressively after meals, what I would look for, and why another elimination diet may be the last thing that you need.
• 0:44
  SPEAKER_00: So first we need to talk about what normally happens when you eat, because your stomach and your colon are not operating independently.
• 0:51
  SPEAKER_00: As soon as food starts coming into your stomach, your digestive system starts communicating.
• 0:56
  SPEAKER_00: Your stomach stretches, hormones and nerve signals start firing, and one of the messages that gets sent farther down is basically more food is incoming, make some room.
• 1:06
  SPEAKER_00: That response is called the gastrocolic reflex.
• 1:10
  SPEAKER_00: And everybody has one.
• 1:11
  SPEAKER_00: Normally, it's not a big deal.
• 1:13
  SPEAKER_00: You eat, your colon gets stimulated a little bit.
• 1:16
  SPEAKER_00: Maybe sometime later you have a normal, non-urgent bowel movement.
• 1:20
  SPEAKER_00: But that's very different from taking five bites of breakfast, getting a wave of cramping, and suddenly needing to run to the bathroom right now.
• 1:28
  SPEAKER_00: That tells me the response to eating has become much more intense than it's supposed to be.
• 1:33
  SPEAKER_00: And this is the part that people miss saying, well, you have a strong gastrocolic reflex, or my personal favorite, you have a motility problem.
• 1:42
  SPEAKER_00: I'm sure maybe you've heard that one before.
• 1:44
  SPEAKER_00: They still don't answer the important question, why?
• 1:47
  SPEAKER_00: Why has your digestive system become so reactive that sitting down to a normal meal can turn into an emergency?
• 1:55
  SPEAKER_00: Unfortunately, this is usually where women start blaming food.
• 1:58
  SPEAKER_00: You eat something, you get diarrhea.
• 2:00
  SPEAKER_00: So of course you think, okay, maybe it was the dairy.
• 2:03
  SPEAKER_00: So dairy goes out the window.
• 2:04
  SPEAKER_00: Then you have the same problem after eating bread.
• 2:07
  SPEAKER_00: Okay, gluten goes too.
• 2:08
  SPEAKER_00: Now vegetables start bothering you.
• 2:10
  SPEAKER_00: So you cut those out.
• 2:12
  SPEAKER_00: Then it's fruit, then it's fat, then it's the coffee.
• 2:15
  SPEAKER_00: Before long, your diet keeps getting smaller and smaller while your bathroom problem isn't getting any better.
• 2:21
  SPEAKER_00: That is the point where I stop asking which food is doing this and start asking a completely different question.
• 2:27
  SPEAKER_00: Because if one specific food bothers you every time you eat, okay, fine, that gives us a little bit of information.
• 2:33
  SPEAKER_00: But if chicken can trigger it, eggs trigger it, food triggers it, and even meals that you have eaten a hundred times suddenly start sending you to the bathroom, then blaming each individual food is not getting us anywhere.
• 2:47
  SPEAKER_00: And at some point, we have to look at the gut that those foods are going into.
• 2:51
  SPEAKER_00: And one of the first things I think about is bile.
• 2:54
  SPEAKER_00: Bile is supposed to help you digest fat.
• 2:56
  SPEAKER_00: And under normal circumstances, most of it gets reabsorbed before it ever actually reaches the colon.
• 3:02
  SPEAKER_00: But if too much bile gets down into the colon, it can be very irritating.
• 3:06
  SPEAKER_00: It can pull water into the bowel and trigger that very watery, very urgent kind of diarrhea where you barely have time to make it.
• 3:13
  SPEAKER_00: If bile is part of your problem, then eating can set off diarrhea pretty fast, especially after a meal with more fat.
• 3:20
  SPEAKER_00: And if this started after your gallbladder was removed, that moves bile even higher on my list.
• 3:25
  SPEAKER_00: But if you still have your gallbladder, I would still want to know whether bile is getting into the colon and irritating it.
• 3:30
  SPEAKER_00: And this is why I do not hear I get diarrhea after eating and immediately start making a list of foods for you to remove.
• 3:37
  SPEAKER_00: I want to know what that meal is triggering inside your gut because that's a very different question.
• 3:42
  SPEAKER_00: The other problem is that two women can have almost identical symptoms and have completely different things going on underneath.
• 3:49
  SPEAKER_00: One woman may have a bile issue, another may have poor digestion, another may have significant inflammation, another one might have bacterial overgrowth, severely depleted protective bacteria, or an intestinal environment that's been very disrupted for years.
• 4:04
  SPEAKER_00: And sometimes it's not one thing.
• 4:06
  SPEAKER_00: There can be several layers happening in there at the same time.
• 4:10
  SPEAKER_00: That's why an IBSD label does not tell me nearly enough.
• 4:14
  SPEAKER_00: If you tell me you have diarrhea, I already know what your bowel movements are doing.
• 4:18
  SPEAKER_00: What I need to understand is what is happening inside of your digestive system that keeps producing that diarrhea every time you eat.
• 4:26
  SPEAKER_00: Because once we know that, now we can start actually start making intelligent decisions about what we want to do next.
• 4:33
  SPEAKER_00: And if you're listening to this and you're thinking, this is exactly what happens to me.
• 4:37
  SPEAKER_00: I barely finish eating before I have to run to the bathroom.
• 4:40
  SPEAKER_00: There's a link below to learn more about working with me.
• 4:42
  SPEAKER_00: Most of the women I work with have already spent years trying to control this with food.
• 4:47
  SPEAKER_00: They've done low FODMAP, they've cut dairy and gluten, they keep taking immodium just to get by.
• 4:52
  SPEAKER_00: They've had colonoscopies, blood work, stool tests, and sometimes they've already spent thousands of dollars in functional medicine or naturopaths.
• 4:59
  SPEAKER_00: Yet they are still choosing restaurants based on where the bathroom is or skipping meals completely because they have to go somewhere later.
• 5:08
  SPEAKER_00: At that point, I don't want to guess anymore.
• 5:10
  SPEAKER_00: I want the right data.
• 5:11
  SPEAKER_00: So if you're ready to actually look at what's happening inside your gut, click the link below because there's another layer here that can make this pattern even harder to break.
• 5:20
  SPEAKER_00: This is where it can start to get interesting.
• 5:22
  SPEAKER_00: If you have been dealing with diarrhea after meals for years, eating stops feeling normal.
• 5:28
  SPEAKER_00: You sit down at a restaurant, and before the food even gets there, part of your brain is already tracking the bathroom.
• 5:35
  SPEAKER_00: You may order based on what you think is gonna be the safest.
• 5:39
  SPEAKER_00: You may eat less than everybody else.
• 5:41
  SPEAKER_00: You may skip breakfast before a long drive because you don't want to take the chance.
• 5:45
  SPEAKER_00: Over time, your nervous system learns that eating is scary.
• 5:50
  SPEAKER_00: Eating means danger.
• 5:51
  SPEAKER_00: Now I want to be very careful here because women with IBS get told constantly that they're just stressed or anxious, it's all in your head.
• 5:59
  SPEAKER_00: I hate those explanations.
• 6:00
  SPEAKER_00: You can have a very real gut problem and also have a nervous system that has spent years bracing for the next bathroom trip.
• 6:08
  SPEAKER_00: Those two things can feed each other.
• 6:10
  SPEAKER_00: So if the gut's already irritated and the nervous system is already on high alert, that normal digestive response to eating can become even more intense.
• 6:18
  SPEAKER_00: This is why I work on both.
• 6:20
  SPEAKER_00: I want to understand what's happening in the gut, but I also want to get the body out of this constant state of waiting and bracing for the next emergency because you can't fully calm one while you're completely ignoring the other.
• 6:33
  SPEAKER_00: Now, I am not anti-imodium.
• 6:35
  SPEAKER_00: If you have to get on an airplane tomorrow and emodium is what allows you to take the trip without panicking about the bathroom, use it.
• 6:42
  SPEAKER_00: Sometimes we just have to do what we have to do.
• 6:45
  SPEAKER_00: But I want you to understand what emodium is doing.
• 6:47
  SPEAKER_00: It's slowing down your bowels.
• 6:49
  SPEAKER_00: That can absolutely be useful in the moment.
• 6:52
  SPEAKER_00: What it does not tell you is why food keeps triggering diarrhea in the first place.
• 6:57
  SPEAKER_00: And that is how women end up managing this for years without ever really understanding it.
• 7:02
  SPEAKER_00: They take Imodium before they travel, they skip breakfast before appointments, they don't eat before a long drive, they memorize where every bathroom is between home and work.
• 7:11
  SPEAKER_00: Eventually, all of those workarounds start feeling normal because you've been doing them for so long.
• 7:17
  SPEAKER_00: But this isn't normal.
• 7:18
  SPEAKER_00: These are signs that your whole life has started adjusting around a digestive system that you can't trust.
• 7:24
  SPEAKER_00: And I want to know why.
• 7:25
  SPEAKER_00: So the real reason you're having diarrhea right after eating usually isn't because you keep choosing the wrong foods.
• 7:32
  SPEAKER_00: It's that eating is triggering a gut that's already too reactive.
• 7:35
  SPEAKER_00: And the job is to figure out what made it that way.
• 7:38
  SPEAKER_00: If almost every meal is sending you straight to the bathroom, the first thing I would stop doing is making your diet smaller and smaller.
• 7:46
  SPEAKER_00: Pay attention to the pattern instead.
• 7:48
  SPEAKER_00: Does it happen after every meal or mostly breakfast?
• 7:51
  SPEAKER_00: Is it worse with higher fat meals?
• 7:53
  SPEAKER_00: Does it start after your gallbladder was removed?
• 7:56
  SPEAKER_00: Is the stool watery, yellow, greasy?
• 7:59
  SPEAKER_00: Is it urgent with cramping?
• 8:01
  SPEAKER_00: Do even your safe foods start setting it off?
• 8:04
  SPEAKER_00: Those clues can point us toward very different problems.
• 8:08
  SPEAKER_00: Then I would stop guessing.
• 8:09
  SPEAKER_00: If you've already done all the tests and nobody's found an answer, that is when I want to look deeper at what's happening inside the gut with more advanced and comprehensive testing and then treat what we actually find in there.
• 8:21
  SPEAKER_00: Because if every meal has become a total emergency, you don't need another list of foods to avoid.
• 8:27
  SPEAKER_00: You need to figure out why your digestive system is reacting this way in the first place.
• 8:31
  SPEAKER_00: If almost every meal sends you running to the bathroom, you do not need another 20-item list of foods to avoid, you need to understand why your digestive system keeps reacting so aggressively every time you eat.
• 8:42
  SPEAKER_00: Maybe bile's part of it, maybe digestion is kind of breaking down, maybe there's an inflammation or a major bacterial problem in there.
• 8:50
  SPEAKER_00: Maybe several of those things are happening together at once.
• 8:53
  SPEAKER_00: But you're not going to figure that out by cutting out one more food and hoping that this time you finally picked the right one.
• 9:00
  SPEAKER_00: You have to investigate what's actually happening, then work on the problem you actually find.
• 9:05
  SPEAKER_00: And if you are tired of planning meals around bathrooms, there's a link below to learn more about working with me.
• 9:10
  SPEAKER_00: If you're sick of running to the bathroom after every meal and your GI doctor told you there's nothing else to do, you just have to manage it, bring extra clothes, wear some depends, take a modium.
• 9:21
  SPEAKER_00: Watch this video next where I lay out the five questions that your GI doctor is hoping that you never ask.