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I'm on a v.low fat diet due to gall bladder probs. I also have a wheat & peanut allergy and IBS. Eating out?


I'm a little bit sick of cooking for myself :) I'm on holidays and would like to just once be able to go out to a restaurant with my partner and order something I know won't make me sick (that isn't plain boiled rice). Any ideas?

1. as far as your gall bladder problem, several studies have shown that fatty meals may not play as much of a role in the colicky type of pain associated with either stones or a malfunctioning gall bladder, however all the patients I treat and including myself who has what is called "cholelithiasis" find that certain meals will set off an attack. It is probably a good idea when you eat to have several small meals per day rather than the traditional three meals. Smaller portions throughout the day may help with your gall bladder pains.
2. Now for your diagnosis of IBS. This is usually a diagnosis of exclusion which means you must rule out other more ominous causes, ie. Crohn's Disease, Ulcerative Colitis both can be detected with a colonoscopy. Additionally, you should be tested for what is called "gluten sensitivity" and "celiac sprue". There are blood tests that can shed light on these disorders such as a test called "gliadin antibodies". Your GI doctor may also want to take some biopsies of your colon during the colonscopy so a Pathologist can microscopically determine what type if any inflammation is going on and what the mucosal lining of the intestine looks like. Flattening of the mucosa may be indicative of some of the diseases I mentioned previously.
3. When you go out to eat, the problem is that if you are allergic to peanuts, many times they will cook with peanut oil and there may even be remnants of peanuts or the oil in preparing your food. This can be very dangerous. I had a patient several years ago who was allergic to peanuts and ate out at McDonalds I believe and there were trace amounts of peanuts or peanut oil which threw him into anaphylactic shock; thank goodness he survived. So you have to be very very careful and let the restaurant know that you are allergic to peanuts, oils, or any by product of peanuts.
I hope this helps you. You should speak to a Gastroenterologist and have a colonoscopy and some blood work to check for the antibodies. Gluten sensitivity usually goes hand in hand with wheat allergies. There are newer medications that will help with irritable bowel syndrome. Zelnorm is the one that comes to mind. For some reason when it first came to market it was only for women, I assume because most cases of IBS are in females, but more recent studies show that it can be effective in relieving the symptoms of IBS in men too.
Regards,
Warren Shaffer, M.D.

Everything you describe is consistent with a condition called Celiac Disease. Have you been tested for this? You may need to find a doc that specializes in Celiac Disease because most docs know very little about it (even though it is very common, but rarely properly diagnosed).

Unfortunately, eating food from restaurants can be 'risky' with your allergy issues.

Best wishes.

I would suggest that you give the establishment a call before you attempt to go anyway to eat...any chef worth their chips! will be able to adapt any menu to your needs but they need some notice to do this ....just call the restaurant n speak with the chef let him know exactly wot you are able to eat n he'll do the rest !!!

baked or charbroiled chicken and fish, baked potato, sorry I don't have any more ideas. Have you contacted a registered dietician? they should be able to give you a lot of suggestions

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