Identifying Your CSID Triggers: How to Rule-Out IBS
In a publication posted by the National Institutes of Health, Digestive Diseases Statistics for the United States, digestive disorders affect 60 to 70 million Americans, accounting for 48.3 million doctor’s office visits per year (measured in 2010). There are many different types of gastrointestinal (GI) conditions; two are Sucrose Intolerance caused by Congenital-Sucrase Isomaltase Deficiency (CSID) and irritable bowel syndrome (IBS).
Sucrose Intolerance caused by CSID is a rare disorder that is equally prevalent in males and females. CSID causes a decrease in the activity of the enzymes sucrase and isomaltase, which assist in the breakdown and absorption of sucrose (table sugar) and other sugars from starch. IBS, on the other hand, is much more prevalent and affects 15.3 million Americans. IBS can be caused by many factors including stress, infections, dietary factors, and inflammation.
The GI symptoms caused by CSID typically present as loose stools or watery diarrhea, abdominal distention, and intestinal gas. However, the symptoms of IBS can appear similar to those of CSID and typically include diarrhea or constipation, abdominal pain or cramping, and intestinal gas. Although the symptoms of CSID and IBS are similar, there are some distinct differences in the causes of the two conditions, as well as what triggers the GI symptoms associated with each.
CSID is a condition that is caused by the body’s inability to breakdown sucrose, or table sugar, and other sugars found in dietary starches. If you have CSID, GI symptoms occur when you consume foods that naturally contain sucrose such as carrots or bananas, or processed foods such as cereals and grains.
If you have IBS, GI symptoms also can be triggered by foods containing specific types of carbohydrates. Foods that can cause IBS symptoms include beans, apples, onions, and garlic, but GI symptoms caused by these foods can vary with each individual. For example, some individuals do well with grain products, while others need to avoid them completely. IBS symptoms can also be triggered by a stressful situation such as speaking in public or running late to an important meeting.
What Is Causing My Symptoms?
To evaluate what is causing your GI symptoms, it is important to take a close look at when they occur. CSID is not typically triggered by a stressful situation but is almost always triggered by an offending food. Foods high in sucrose, whether naturally occurring or added to processed foods, can cause symptoms within a very short time after consumption. Foods such as carrots, grain products, and potatoes may all cause symptoms of diarrhea, gas, bloating, and abdominal pain.
However, IBS, which can also be triggered by food, can sometimes have a more delayed response. Occasionally, IBS-associated symptoms caused by offending foods can be delayed up to 24 hours after eating!
If GI symptoms are consistently occurring after sucrose-containing foods are consumed, it is possible CSID is causing the symptoms and not IBS. Take this quiz to assess your symptoms and speak with your doctor to develop a plan for treatment.
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