Welcome, I feel your pain...
Personally, I wouldn't be in a rush to embrace
la purga at this stage.
I found psyllium husk very beneficial for regulating my GI transit. If you're fast, it slows you down, and vice versa.
I also looked in depth at ayurveda, the traditional medicine of India which has ~5000 years of knowledge linking herbs, diet, illness and the gut, among many other things. It can be hard to find a qualified ayurveda practitioner outside of major urban centres, but there are plenty of good books available. Dr Vasant Lad is a current, noted authority with many titles to his name. I fully realise what I am about to say looks perilously close to the 'humorous medicine' now largely derided in the West, but it still forms the cornerstone of Ayurveda and TCM, and in my case, and that of many others, both have succeeded where conventional approaches have failed.
Basically, there are 3 metabolic types (doshas) and everybody has a combination of all three, but usually with one predominating.
Pitta = warm, active
Kapha = cold, sluggish
Vata = cool, dry
There are many versions of
this questionnaire online to help you work out your type, without a personal examination.
Certain kinds of illness are held to be specific to each dosha. Pitta types are easily inflamed, for example, while kapha types are prone to weak digestion and various kinds of blockages.
All foods and plants are assigned their own doshic qualities too, so chilli for example, being hot, is pitta and can aggravate somebody who is a pitta-predominant type, especially if they are already out-of-balance or ill. Conversely, it can help somebody who is kapha, and needs a bit more 'fire'.
Again, food lists for each dosha are widely available online and in print, but none are absolute (in contrast to our usual notion of such lists) and all speak in terms of favouring or avoiding particular items. As the seasons also have doshic qualities, it can be perfectly acceptable for say, a pitta person in winter, with a heavy cold, to eat chilli, garlic and ginger too. But at the height of summer, when that same person might have heat rash, those foods would be strongly contraindicated. This is a level of sophistication, I think, that one will search for in vain in our "Top 10 Foods To Do X" lists...
From the ayurvedic perspective, when talking about the gut, the first thing to ensure is that the right stuff is going in, if you want the right kind of stuff coming out... It also recommends incorporating any dietary changes slowly over time, rather than switching radically from one diet to another, and monitoring any changes as they arise.
Three herbs in particular are recommended for balancing wayward guts, per dosha:
Pitta - Amalaki (emblica officinalis)
Kapha - Bibhitaki (terminalia berelica)
Vata - Haritaki (terminalia chebula)
And these three are also combined to form 'triphala powder'. Amalaki has helped me
a lot and I wasn't very surprised to
subsequently discover that it is also an MAO-A inhibitor.
Probiotics definitely have a role too, and I make my own kombucha and kraut, but it's noteworthy that most OTC formulas do not include
Bacillus Subtilis a soil organism, formerly common on our (unwashed, unbleached) veggies. It is believed to regulate other bacterial populations in the gut, and also form films which may help repair any damaged lining. It was also used to treat certain infections before the discovery of antibiotics. It is in some (expensive) capsules, but if you like Asian food, then
natto is packed with it, and I definitely don't regret getting a taste for that, as it made a big positive difference...it's not nearly as frightening as some people make out. Mixed with rice, it makes a kind of mildly cheesy risotto, and is almost addictive. Just make sure the rice is lukewarm, before you mix the natto in, to avoid killing all the wee beasties...
I probably don't need to remind you, but there's a lot of piping down there, which ideally contains an immense variety of microhabitats and their inhabitants. Any changes are likely to be slow and gradual, if they are to last. As such, we should be particularly wary about sudden/random interventions, whether food or drug-based, no matter how desperate the situation might appear at a given time.
Good luck!
โI sometimes marvel at how far Iโve come - blissful, even, in the knowledge that I am slowly becoming a well-evolved human being - only to have the illusion shattered by an episode of bad behaviour that contradicts the new and reinforces the old. At these junctures of self-reflection, I ask the question: โare all my years of hard work unraveling before my eyes, or am I just having an episode?โ For the sake of personal growth and the pursuit of equanimity, I choose the latter and accept that, on this journey of evolution, I may not encounter just one bad day, but a group of many.โ
โ B.G. Bowers
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