Easter with food intolerance

Simnel Cake

What is Simnel cake? Simnel cake is a cake that is traditionally consumed on Easter Sunday, it is a light fruit cake with a toasted marzipan topping. The Lancashire version is a particularly fine version – recipes I have found don’t contain saffron, you can leave it out if you wish but I felt it added a nice flavouring and colour to the cake. It is a festival cake once used for mothering Sunday – see a history of the cake here

http://www.timetravel-britain.com/articles/taste/easter.shtml

I hope you have a happy holiday this weekend – despite the cold weather!

IMG_1664

Ingredients

240g of self-raising wheat free/gluten-free flour

1 flat tsp of cinnamon*

1/4 of grated nutmeg

1/4 tsp of ground cloves*

1 teaspoon of gluten-free dairy free** cocoa powder

50g of pecan nuts

50g of sultanas

4 eggs

200g of milk free margarine

Large pinch of saffron

200g of golden caster sugar

Method

Pour approximately 1 tablespoon of boiling water on to the saffron and set aside to cool.

Weigh all other ingredients into a mixing bowl, add saffron and liquid mix, mix well.

Place in a paper lined seven-inch baking tin and bake till a cake skewer comes out clean when inserted into the centre of the cake.

Trim the top of the cake flat and turn upside down to give an even working surface. Cover with rolled out marzipan* (or ready roll icing sugar* if you are following a low FODMAP diet – you can colour it pale yellow to simulate marzipan if you wish!) Roll 11 equal balls of marzipan or icing sugar to represent the disciples (minus Judas) and if you are using marzipan place the cake under a grill to brown the marzipan.

IMG_1665

Enjoy a small piece with a nice cup of tea!

**Milk free see http://lucysfriendlyfoods.wordpress.com/2012/07/05/dairy-and-nut-free-cocoa-powder-found-at-last/ , lactose free, wheat free, gluten-free, Low FODMAP (without marzipan.) *Ensure these ingredients are not contaminated with wheat or gluten.

Reflection on a year of blogging.

IMG_1650I have just had my anniversary of my blog, I started the site a year ago and did wonder how it would go, but I have been really hooked on writing and cooking recipes. Watching my stats I am also surprised at the breadth of countries who are interested in looking at my site, plus an interest in which countries have not viewed my site yet – so, come on guys I want to complete the full globe this year, as sure as anything you can bet that someone has some digestive complaint that would benefit.

I have experienced writers block for the last month and a paucity of recipes too. I am hoping that IBS Awareness Month spurs me on with writing more and I would also appreciate some ideas about what people would like to read on digestive disorders. The plans for the next twelve months include more book reviews and recipes, I hope to expand the blog to a website – and perhaps most exciting of all I hope to be running a clinic for patients who have intolerances, allergy and low FODMAP dietary requirements very soon, email me if you are interested.

http://www.arikhanson.com/wp-content/uploads/2010/08/InspirationPoint.jpg

I have attended The IBS Networks AGM today, my third one and the future in IBS is looking really positive, new ideas, treatments (including the Low FODMAP diet) and new research into the gut microbiome (bacterial population) and it’s effects on health and disease have made IBS more of an attractive area for research and medical management. If you are interested in getting involved, maybe you would be interested in running a support group in your area, The IBS Network can provide support if you do.

ibsnetwork

So watch this space and any ideas on what you would want to read are gratefully appreciated!

Valentines Day approaches – love me, love my gut – even if it misbehaves sometimes.

Now, I’m not a counsellor or psychologist but I am able to give you some advice around dining out and reducing the anxiety this can cause around safe foods to eat. If you are going out with a new partner Dr Barbara Bolen has some really useful advice around dating and functional bowel problems (IBS.) She advises that you should be open about having digestion problems and it is OK to describe them as such, you don’t need—and probably

A little flippant perhaps – but also some truth, love me love my GUT!

wouldn’t wish to go into detail. She also provides some good examples of how to describe your GUT problems so check out her website. An explanation will also help to reduce your anxiety about needing to go to the loo frequently during a meal and this might help reduce the actual visits required. Dr Bolen also has some really good information on her website about how to tell someone about your IBS, relationships and how to enjoy a healthy sex life with functional bowel problems, check out her site here –

http://ibs.about.com/od/livingwithibs/tp/IBSandDating.htm

Dr Bolen has also posted a link about this post and she does also appreciate Valentines Day is not a day that everyone celebrates and it can be a time that can be difficult psychologically – see the link here:-

http://ibs.about.com/b/2013/02/14/ibs-and-valentines-day.htm

If you are going on a date you may want to go to an establishment that you know well and ask for a table to be reserved in a good position, making it easier should you need to visit the toilet. Making a suggestion about where to go on a date shouldn’t cause a problem, just be a little assertive and ensure that you explain about your IBS at some point—if someone wishes to go out with you this really shouldn’t be an issue. You could also a look at the menu before your visit and telephone the chef to ask if they can cook your food without ingredients that may cause problems if this helps. See if your partner also wishes to look at the menu before arriving, this will leave more time for conversation and getting to know each other. Looking at the menu is easier to do these days as most restaurants post menus on-line.

Eating out on the Low FODMAP diet can be challenging, as onion and garlic are widely used, don’t forget to ask about sauces and stock. Having dietary intolerances shouldn’t stop you going out – some ideas for choosing food are grilled chicken breast, fish fillets, steak—in other words plain meat or fish without sauce. Egg dishes are also a possibility, omelette or frittata, check the dishes are onion and garlic free, if they are a problem for you. Choices for the starchy component are plain rice, freshly cooked potato or you could ask for wheat or gluten-free dishes (depending on your intolerance,) but again check for other FODMAPs. Establishments are now better at labelling their menus, or providing separate gluten-free menus, since a recent change in regulations. Or you could try sushi, if you like it but again check any vegetables for FODMAPs. Always remember that it might not be the food you have just eaten that causes symptoms. If you are through the exclusion phase stick to your known low FODMAP foods for the day and possibly the evening before your date depending on your GUT motility (knowing the time it takes food to pass through your digestive system.)

If foods high in fat are a problem for your digestion then ask for the meat grilled or cooked on a griddle which will allow the majority of the fat to drain away. Vegan options are a little more challenging as they often contain foods high in fermentable carbohydrates, but a risotto based on Low FODMAP vegetables or rice stuffed peppers would be an option here, not forgetting to ask about use of onion and garlic in the dish, should you need too.

Wheat free pasta I presume?

Some people find alcohol is a problem, if you want to have alcohol and it does give you symptoms, limit the amount that you have. You could have a glass of wine, for example with your main meal, or ask for a spritzer to make a longer drink. Order a spritzer with your starter and allow it to go a little flat before drinking it, if you suffer from bloating. Using an implement such as a straw or cocktail stirrer to mix your drink will help to disperse the gas it contains, but don’t be tempted to drink from the straw.  You could try a little seduction and gaze into your partners eyes, whilst stirring your drink! Watch the amount of fruit cocktails you have, if you have fructose intolerance—one small glass (100 ml) of pure fruit juice containing low FODMAP fruits is usually the maximum advised. So ensure your cocktail has no more than this amount and drink it with the main dish or sweet.

Check out The IBS Network Self-Care Plan for medications that are helpful.

I would really encourage you to eat out this Valentines Day if you are invited, you may have some symptoms because it can be difficult to avoid all FODMAPs, but the most important factor is that you go out and enjoy the experience. You might find a life partner by going on the date, what more could you wish for? If you don’t have a partner, you could plan to do something special with friends or family for the day.

Most of the advice has been about functional gut problems (IBS) but if you have inflammatory bowel disease IBD, some of the advice posted may be useful but I would strongly advise you to go on-line and check out Crohns & Colitis website (link to the main site is found to the right) as they have some really useful advice on relationships and IBD, or the link for The Ileostomy and Internal Pouch Association for advice.

Check out the living with IBD leaflet here

http://www.nacc.org.uk/content/services/infoSheets.asp

Now for the bah humbug ;-),  this advice also applies to the rest of the year! Valentines Day is very commercialised, expensive and anticipation of events occasionally can prove to be disappointing if you spend lots of money on the day. You could always suggest going out at another time, if you wish and there are other ways of showing your affection than an expensive card and some petrol station bought carnations! If you know what your partner likes, try making your own gifts, some baking perhaps (and I do include you gentlemen readers here too)—invest some time and personalise your gift, this will be really appreciated as it shows your love and understanding.

Happy New Year! Clinical Alimentary blog awards 2012

https://i0.wp.com/wallpaper.goodfon.com/wallpaper/previews-middle/379111.jpg

Will you sing this tonight on the strike of midnight, to being in the new year?

Should auld acquaintance be forgot

And never brought to mind

Should auld acquaintance be forgot

For the sake of auld lang syne.

For auld lang syne my dear

For auld lang syne

We’ll take a cup of kindness dear

For the sake of auld lang syne – Robert Burns

So as not to forget times long past and new friendships found – with a special thanks to all my followers – in particular (in no order of preference)

Dr Gary Lum author of Yummy Lummy, who consistently likes my posts and has so far provided my only reblog http://garydavidlum.com/

John Thompson (not a relation!) author of Sybaritica, for comments http://sybaritica.me/

Alex Gazzola author of Food Allergy and Intolerance, for support and always making me think ‘out of the box’ http://foodallergyandintolerance.blogspot.co.uk/

Dr Barbara B. Bolen author of About IBS, http://ibs.about.com/ and Patsy Catsos author of IBS free http://ibsfree.net – for driving the most views to my site

Nina and all at IBS Impact http://www.ibsimpact.com/about_us.htm http://ibsimpact.wordpress.com/ for supporting the IBS community and driving some very interesting discussions.

I hope the New Year brings all of my followers good luck, new opportunities and most of all a calm gut.

My most popular posts of 2012

https://clinicalalimentary.wordpress.com/2012/04/18/surely-these-digestive-enzymes-ive-found-can-help-or-are-they-money-down-the-toilet/

https://clinicalalimentary.wordpress.com/2012/03/27/lofflex-recipes/

https://clinicalalimentary.wordpress.com/2012/09/30/low-fodmap-on-a-budget-how-to-make-the-diet-more-affordable/

The WordPress.com stats helper monkeys prepared a 2012 annual report for this blog.

Here’s an excerpt:

600 people reached the top of Mt. Everest in 2012. This blog got about 6,900 views in 2012. If every person who reached the top of Mt. Everest viewed this blog, it would have taken 12 years to get that many views.

Click here to see the complete report.

Dippy over Hummus – oh *sigh* to find a Low FODMAP alternative

IMG_1616Since I have being doing the Low FODMAP diet I have been missing hummus and I was seeking out an alternative when I came across this recipe by a fellow blogger Frugal Feeding here

http://frugalfeeding.com/2012/12/09/carrot-and-coriander-hummus/

It’s definitely worth a look, however I decided to try to de-FODMAP it somewhat so it could be used by those people who want to follow a low FODMAP diet.

Ingredients

600g bag of carrot batons

1 tablespoon of garlic infused olive oil

1 teaspoon of cumin seeds

1/2 teaspoon of chilli power (optional)

1 teaspoon of fennel seeds

Juice of 1/2 lemon

Sprinkling of asafoetida*

300ml of water

Salt + pepper

Method

Add the carrots to a baking tray and sprinkle with olive oil, crushed cumin seeds, chilli, aesofotida and fennel seeds and roast in a hot oven till soft.

Remove from the oven and add the juice of 1/2 lemon, salt + pepper and water and blend till amalgamated.

Serves 2-3

With much thanks to frugal feeding!

http://sqlrus.com/2012/06/thank-you-for-voting-in-the-nomcom-election/

Suitable for low FODMAP, lactose & fructose intolerance (count in your fruit intake – lemon  juice – if you have a large portion,) gluten free(*check for gluten!) and vegan diets.

Updated post 22.11.14

Marilyn and the #IBS Myth

I have recently been interested in celebrity and IBS – would someone famous divulge that they have IBS? Would they want to act as an advocate, perhaps? My twitter followers would tell you I do hold a certain amount of disdain for celebrity culture, but I also appreciate the good work a role model can have to support a cause. I am not averse to sidelining my principles to help. Having a role model would be really beneficial as in my view we certainly need some support for this condition. Could any of these people be a real role model to help with promotion of the cause?

http://www.topnews.in/people/marilyn-monroe

There appear to be a number of famous people who clearly have not, or would ever be able to give consent to discuss this very private aspect of their lives. Whilst looking into celebrity and IBS I can across the following article. It appears Marilyn was reported to have had IBS, she was also reported to have been ‘unhygienic’, eating in bed and pushing the remnants of her meal under the bedclothes when she had finished. This was reported to have been disclosed by Clarke Gable (in a biography by David Brett) – who had a cleanliness fetish, she has also been classed as one of the top 15 filthiest people.

http://www.standardmedia.co.ke/?id=2000012098&cid=349&articleID=2000012098

So – it was reported by a person who ‘had’ an issue with dirt – is this a good scale to use to measure someone’s cleanliness? Possibly not, but it is a good titbit to sell a publication, however.

http://www.huffingtonpost.com/2012/08/01/marilyn-monroe-fbi-files-_n_1730017.html

It is always reported, after describing her apparent less than desirable cleanliness habits – oh by the way, just so you can know this, alongside her obnoxious habits, she also had ‘a form of IBS.’ I am not sure what ‘a form of IBS’ means as a diagnosis – it either is or it clearly isn’t. Marilyn always held a fascination for me, I am not sure why, perhaps it was her ethereal qualities, the fact that she died young and had a pretty hard life. Her beauty is indisputable, even in the first picture in this post, windswept and ruffled she appears alluring. Yet she was also vulnerable, courting nurturing – one of her reported virtues. She does not deserve to have her memory belittled by gossip about her personal life, the worst of it is she cannot defend herself.

http://jamiemalanowski.com/blogwp/2012/01/page/2/

She had a tragic life and fifty years after her death we still are enthralled by her story but we really should apply the Socrates triple filter test to this – do we know this is true? Well, Clarke Gable cannot confirm that he said it, let alone prove that it was in fact true. Is this something good? – the reported slovenliness no, obviously not. She may have been ill at that time, the circumstances are never included in the short internet reports. Do we, therefore, have a right to report this information, assuming it were true? It is a piece of useful information? Well the fact that she had IBS might be an interesting fact that would be useful to inform people IBS can affect anyone, but did she consent to us knowing? However, when reporting someone’s health status to help others it is vital HOW you inform – discussing it whilst also reporting a range of spurious unappealing habits clearly does not shed IBS in a good light. An incorrect association of IBS with unappealing habits may have been made by the report authors, this is damaging to what we want to ultimately achieve and the association is so far wide of the mark – simply false, but in fact, we don’t know if she had IBS at all. We clearly don’t know if what has been said is fact and neither does it pass any of the triple filter test. We cannot ask Marilyn for her consent so we should respect her memory and not gossip about something that we know little real facts about.