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About Crohn's Disease

About Ulcerative Colitis

The IBD Nutrition Book

By guiding you through a maze of dietary and nutrition advice this nutritional primer gives you the practical knowledge necessary to make wise food choices and thus avoid the problems of poor nourishment common amongst people afflicted with inflammatory bowel disease.

The information contained re dietary requirements is comprehensive and easily understood. Not only are essential nutrients and their function listed but the key requirements are discussed in some detail. Sources are outlined together with information re function in the healthy body and the effects of deficiencies.

Dietary modifications are covered. The modified diets discussed range from clear fluid ,full fluid, restricted lactose, restricted fat, fibre adjusted etc. through to basic information on the dietary issues related to an ostomy.

Sample diets are included for each modification along with symptoms and situations where they apply. I found the general guidelines detailed for each dietary modification to be of particular interest. There is even a chapter on vitamin, mineral and other types of commercial supplements. 75 recipes are included at the end of the book. Although I tried none of them they appeared tasty and sound. Each recipe includes advice as to how it can be further modified for specific dietary needs and identifies those for whom it would be inappropriate. There is a sample weekly menu at the end.

All in all a very useful primer which should provide enough information to guide the reader to safe modification of their diet in response to the needs of their disease.

(reviewed by Raewyn Bluck)

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Young People & Chronic Illness

This is the latest addition to the CCSG Library. Received only a few days ago, this title tells the stories of 9 young people who have various chronic illnesses. Of course one of them, Mathew, has an IBD. In this case it's Crohn's disease.

While these tales of illness are interesting in themselves the best part of this book is Part 2: Learning to Cope. Coping with hospitals, doctors, your family and friends and more.

Humourous, practical and above all entertaining.

(reviewed by Staff Writer)

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'Middlemore' Episode 2 (video)- Crohn's disease surgery An episode of the TV2 series 'Middlemore'. Made for TVNZ by Communicado

Some of you might have seen this episode when it played on TV2 some months ago. Although it is the whole episode, a fair portion is devoted to a young man facing surgery for his Crohn's disease. A warning for the sqeemish - the cameras are in the operating theatre when the knife goes in. Yep, you see what they do to you when the anaesthetic goes in and your "lights" go out. If you ever wondered what they do, here is your chance.

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Talk About Crohn's - NACC video

Video review by Shirley Hartshorne, CCSG committee member

In this video 3 young people with crohn's disease talk about living with crohn's. How they feel about aspects of the disease and its treatment, how they coped with parents, school and relationships. They are all living in England.

Allan has had the disease since the age of 15, Elaine 5, Gareth 13. They have all had surgeries and Elaine has a permanent ileostomy. Allan and Gareth did not feel they could communicate with anyone about their disease in their early teens and as a result suffered a very traumatic time of it. Elaine appears to have coped well.

This video tells quite plainly how each of these young people felt during the worst stages of their illness but at the end of each segment they go on to say how they are doing now. All have progressed through the difficult times and feel they are leading relatively 'normal' lives.

Along the way they rebelled by not sticking to diets that were recommended and by stopping their medication.

My recommendation to parents would be to view this video yourself then watch it with your young people so that you can be on hand to discuss feelings that could arise.

The camera angles are annoying and there is lots of zooming in and out but it is worth sitting through all of this to hear Gareths closing remarks.

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The Angry Gut - Coping with Colitis and Crohn's Disease

by W. Grant Thompson MD

Reviewed by Karen Constable, CCSG member.

"The Angry Gut" is a well written book, aiming to empower readers with colitis or Crohn's disease. I enjoyed the book's pace, and all aspects of IBD were discussed in a clear and concise manner.

Topics range from a description of IBD through to diagnosis, treatment, complications and surgery. It was good to see Dr Thompson go beyond the physical aspects of IBD to discuss quality of life, sexuality, and psychosocial factors also.

The book is accurate and up-to-date in most parts, and the photos were very helpful. In some parts the medical jargon could be a bit hard going for some readers, making this book less suitable as an introductory book for recently diagnosed IBD patients.

I particularly enjoyed the way the book attempted to bridge the gap between physician and patient, encouraging more active participation in therapy under a physicians guidance. It was actually in hospital that I found the book most helpful, being an invaluable reference and source of clarification for me as well as other IBD patients in my ward.

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You're Bigger Than It - A young person's perspective

After scouring the world for a book on IBD written for young people, this is the result. However, it is no compromise. 'You're Bigger Than It' is an excellent publication full of coloured cartoons that capture the essence of being diagnosed with and treated for IBD. This Canadian publication was inspired by young people and written by a Clinical Nurse Specialist with considerable experience in treating children with IBD. Her experience shows, with the cartoons capturing some of the most common feelings of people coping with Crohn's disease or ulcerative colitis. Some will tickle your funny bone and others just tell it like it is. Meanwhile the text is clear and succinct, and does not try to cover too much in what is essentially a children's book.

Topics covered include the tests you might need, dealing with doctors and hospitals and the effects of taking all those pills. There is also plenty of basic information including a glossary of terms and explanations of the most common tests used. An invaluable guide in helping parents discuss IBD with their children.

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Treating IBD - A patients guide to the Medical and Surgical Management of IBD.

The Crohn's and Colitis Foundation of America, Inc. have produced a number of books covering various aspects of IBD. Another book we have ordered recently covering paediatric IBD is also a product of this well funded, professional organisation. As the title suggests the above book covers all you want to know about the drugs used to treat IBD, as well as the surgical procedures used in cases that don't respond to medication alone. The pouch operations described by Prof. Hill at our AGM are covered in detail with illustrations. Less common procedures are also described, such as strictureplasty and operations for perforations, abscesses and fistulas.

Over 40 different contributors, representing the medical elite of the USA, have used their expertise to produce a text which is clear, concise and comprehensive. There's enough detail to satisfy every type of reader, from lay person to medico. Particularly interesting is the section on the role of support groups in helping people deal with IBD. Other topics covered include IBD in older people, psychotherapy in IBD and genetic counselling.

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'Nutrition and Crohn's and Colitis'

and

'Crohn's and Colitis - overview'

The videos are made by the ACCA and as a result are of home video standard. They are about 60 minutes in duration. Both are reports from public meetings which have a similar format to the ones we hold in Auckland. If you are looking for a rapid overview of some of the topical areas of interest to sufferers of IBD then these videos will certainly be of interest.

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Crohn's, Colitis, Hemorrhoids, and Me

Before you all start shuddering at the thought of reading about haemorrhoids, let me say that I have looked through this short book and it is an honest account of the trials of living with Crohn's disease. I found myself identifying with many of the author's comments and thoughts about doctors, surgery and medical tests. For those of you who have had surgery it will make especially good reading.

"One thing about long hospitals stays is your ability to develop a routine. After a few weeks, I was able to effectively program the computer that controlled my IV. I could clear the beeping occlusions and reset the monitor without having to call a nurse. I could also maneuver that contraption everywhere. In a hospital you must fend for yourself."

Note for NZers: watch out for the Americanisms throughout and also take note that the pouch operation that Kathlene eventually gets is not offered here in NZ for Crohn's sufferers. Written in diary form this is an entertaining read and even though she describes a lot of hardship and setbacks there still remains a positive feel from the words which express that there is always going to be a solution to the problem at hand and life will eventually get better.

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Taking Charge: overcoming the challenges of long-term illness

This book outlines a method by which we can all "weather the crisis of long-term illness and live productively despite it." It addresses such fears as the fear of loss of control, the fear of dependency, the fear of stigma, and the fear of abandonment (will my loved ones leave me?).

You can read it cover-to-cover or just look at the parts that interest you. Either way you may find that encouragement you're looking for. Lots of practical advice mixed in with case studies of people who have "been there" and "done that". Read how these people coped and be better prepared yourself.

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Inflammatory Bowel Disease in Children and Adolescents

This book adds a new dimension to the CCSG Library collection. It is a modern clinical textbook which deals with all aspects of Crohn's disease and ulcerative colitis, as it pertains to the younger population.

However, there is enough general information given to make it a valuable reference for anyone wanting to know the medical details about any aspect of inflammatory bowel disease.

Chapters describe the presentation, diagnosis, and clinical features of IBDs - including radiography (x-rays etc.) and pathology (changes in the tissues associated with the disease). In addition, there is some discussion about the possible causes of IBDs as well as all aspects of management including drug therapy, surgery, diet, and psychology.

After reading this book I feel that it will be a valuable reference for the CCSG although the scientific nature of the writing (as well as all the medical terms) will make it difficult reading for most. My advice? Skip the hard bits (as I did) and concentrate on the specific sections you are really interested in. If you have a child with IBD it's a must-see, if not a must-read.

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Diets to Help Colitis and Irritable Bowel Syndrome

This small softcover book is written by a naturopath "with many years experience". The explanations of the "basic" causes of colitis are accordingly simple and non-medical. However, note that the authors definition of colitis is simply "inflammation of the colon" with only a very brief mention of ulcerative colitis in the introduction. This is not a diet specific for ulcerative colitis sufferers.

Despite the generality of the approach there is some useful information about digestion, stress, allergies, and unbalanced diets. The diets themselves take up the majority of the book and are very specific. Being a UK publication some items may not be available in NZ e.g., 'Vecon' or 'Barmene'.

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Food and the Gut Reaction: Intestinal Health through Diet

Here is a book about diet and nutrition for IBD that actually makes sense. Elaine Gottschall advocates a Specific Carbohydrate Diet on the basis of personal experience in which sufferers of various intestinal disorders, incliuding Crohn's disease and ulcerative colitis, have gained relief of symptoms after following it. There is plenty of scientific evidence presented in support of the diet and the opening chapters discuss how the diet arose and lots of theory about why it works. It doesn't look to grim either. A complete list of foods that are "allowed" and "disallowed" feature in Chapter 8 and this is promptly followed by a "Gourmet Section" full of recipes that sound rather too appetising to be good for you.

There are plenty of warnings throughout the book about the need for medical supervision when attempting this diet as well as important notes about the danger of changing drug regimes without consulting your doctor. We agree and certainly reccommend that you consult a dietician before starting this diet. One of the better books about diet for IBD, but as with all these diets the proof is in the eating.

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Living with Chronic Illness: Days of Patience and Passion

"I think of myself as a very healthy person - with a problem."

I started reading the introduction and immediately wanted to read on.

Cheri Register, chronically ill from an early age, interviewed many other people who suffer from conditions that range from diabetes to colitis, liver disease to asthma, and it is this collective experience of being "interminably ill" that gives this book impact.

However, it is her personal story, told so eloquently, that leads us through the challenge of coping with chronic illness. From the uncertainty and the pain, to the effects of illness on self-esteem, marriage, childrearing, relationships, work, aspirations and emotional well-being.

I found myself identifying with many of the comments and couldn't help but recognise myself within the pages. It gave me insight into why I feel the way I do today and I'm sure has given me some help as to how to cope with that ever uncertain future.

As a previous reviewer has commented, this is a "wise and compassionate book about people whose illnesses have made their lives extraordinarily difficult but who are convinced that chronic illness, though ever-present, is not what matters most in their lives."

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When Mommy is Sick

Here is a short book written from a childs perspective on a subject that can be very traumatic for young ones. Namely an ill parent who is away in hospital.

The main character in the book is an unnamed young girl whose mother is in hospital with an undisclosed illness. It tells how she misses the love, caring and familiarity of her mother. The girl has confused emotions. Why do these illnesses have to happen to her mother. Why is she away for so long? Here the book reminds us how time passes very slowly for a child.

The girl and her father visit her mother in hospital and wait expectantly for the time that she comes home. When that moment arrives everybody is happy, especially when the mother reassures her daughter that she will still be there in the morning. This reminds us again how children need constant reassurance and love.

When Mommy is Sick is in a hardback form with good modern illustrations. It is ideal for parents to read to young children, perhaps up to age 12.

Even though it is written from an American perspective and no particular illness is mentioned, it's appeal should be universal.

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Managing Your Child's Crohn's Disease or Ulcerative Colitis

This is another excellent book from the Crohn's and Colitis Foundation of America (CCFA) to complement and update The Crohn's Disease and Ulcerative Colitis Fact Book (1983) also produced by the CCFA.

Although Managing Your Child's Crohn's Disease or Ulcerative Colitis is aimed at parents of children with IBD, its first 11 chapters give general information about IBD, diagnosis, medications, surgery and diet. Only in Part III are specific questions relating to children raised and discussed.

Clear and well explained illustrations are found throughout the text. Of particular note are the computer generated images which explain the different surgical procedures.

The final section on "Resources" is a very useful addition to this type of book. It includes an obligatory section about the CCFA and their educational and support services. Of greater interest to NZ readers will be the simple and concise Guide to Medications, as well as the Glossary of IBD Terms.

In summary, if there is a question about IBD that isn't answered in this book I would be surprised. A well written and informative text this book is essential reading for those interested in learning more about IBD. This book provides a wealth of information in easy to read language.

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All you really need to know about... Crohn's Disease

By the time people know or suspect that they have Crohn's disease it seems logical that they would have already confronted many of the questions and issues raised in this video.

Possibly, the video's greatest value lies in assuring family and friends that even though the sufferer has been diagnosed with a rare, chronic illness, there is still hope for a return to a reasonable quality of life.

The video's production is certainly professional, but some edits are a bit slow and the links can tend to be a touch condescending. The in-your-face style would also have become quite annoying had the video been any longer than 22 minutes, and despite one of the presenters being a famous 'Python', don't expect any 'funny walks'.

Overall a handy addition to the CCSG video library, but non an in-depth information source. As a general introduction to Crohn's disease, the video achieves its objective but the obvious "padding" is noticeable and the lack of specific case histories, interviews with patients, and more specific surgical options clearly mark this as a "piece of mind" video.

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Inflammatory Bowel Disease

Edited by J.B. Kirsner & R.G. Shorter

The latest addition to the CCSG library is this detailed medical reference text. It has been purchased with a grant received from the Todd Foundation. It will not be available for issue through the library system because it is so large and expensive but instead will be used to provide information to members who request details about any aspect of IBD.

Sections include Medical and Surgical Therapy, Radiology, Endoscopy, Pathology, Complications, Fertility, and Prognosis. If it isn't in this book then it isn't known.

Printed in 1995 this is the latest edition of this 'standard' textbook and it provides the CCSG with the most detailed and up-to-date information about all aspects of IBD. Please call us if you have a request for information from this book and we can photocopy and mail out relevant sections.

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The Ostomy Book

By Barbara Mullen & Kerry Anne McGinn, RN, BSN, OCN

The subtitle of this book is "Living comfortably with colostomies, ileostomies and urostomies". It provides in-depth information for anyone about to undergo ostomy surgery, or those who have had surgery and their families. It covers practical issues such as pouch skills and eating well, and also sensitively tackles things like sex and pregnancy. There are also specific chapters aimed at children and teenagers.

While this is not a book that will be relevant to all our members, there will be others who find it very useful, and we felt that it was an important area that was not fully covered by any of our other books.

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Good Food for Bad Stomachs (1)

Although not exclusively related to IBD, this book does contain a chapter specifically entitled "What should we feed the inflamed intestine? Crohn's disease and ulcerative colitis". In addition, the general dietary information included is relevant to everyone! One word of caution though, patients with IBD don't have the same requirement for a high fibre diet as recommended for the general population in the book.

Good Food for Bad Stomachs (2)

In his book, Good Food for Bad Stomachs, the author provides a useful guide to healthful eating tailored especially to those who suffer from or have a history of heartburn, peptic ulcers, gall stones, gastritis, colitis or any other gastrointestinal disorder. He gives special attention to the inflammatory bowel diseases including ulcerative colitis and Crohn's disease on which he is a renowned expert.

The book begins with elements of a realistic and reasonable diet. The suggestion is that most of us need to increase intake of fibre, lower our consumption of fat, reduce our reliance on caffeine, alcohol or tobacco and supplement our daily diet with vitamins.

The book then details specific gastrointestinal problems, examining chapter by chapter ailments ranging from oesophagitis, swallowing disorders, gallbladder and malabsorption problems, irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) to cancer of the colon and even the aging gut. For each it describes the symptoms and causes, and recommends ideal eating patterns.

The chapter on IBD briefly defines ulcerative colitis and Crohn's disease. In the opinion of the author, diet and vitamins cannot cure the diseases but never-the-less must be considered. In particular, nutrition plays an important part in recovery. A low residue diet is detailed should it be needed, (eg. pre- or post-operatively) along with comments on how to handle and detect lactose and fibre intolerance. Also included is a section on prevention of oxidative kidney stones. It is the author's contention that those with IBD also have a tendency to suffer from kidney stones. He recommends a goal of not more than 40 - 50 milligrams of oxalate a day, limited fat ingestion, increased fluid intake and avoidance of vitamin C supplements in order to minimise the risk. Oxalate levels of the most common food sources are detailed along with suggested meal plans. An interesting chapter.

Although not specifically written for people with IBD, this is an interesting an easy read for those who wish to better understand the effect of diet on the various diseases of the gastrointestinal tract. It is recommended to anyone who has an interest in food intake and its effects on health.

(review [2] by Raewyn Bluck)

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Kitchen Table Wisdom - Stories That Heal

By Rachel Remen, MD

The first part of this book's title appears to allude to some sort of dietary focus. However, it is in fact a series of stories and insights written by a medical doctor who has had Crohn's disease since the age of 15. Each of these could be read in isolation, or as part of the whole book. Anyone with a chronic illness will be able to relate to many of the insights given in this easy-to-read volume.

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Crohn's Disease & Ulcerative Colitis: Everything you need to know

By Fred Saibil, MD

This manageably sized (200 pages) text provides clear and concise information on standard IBD topics such as symptoms and signs, diet and IBD, drugs and IBD, surgery and IBD, and complications of IBD. It would be a great starting point for the less technically minded, and provides concise relevant information for those who don't have time to wade their way through a large book.

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Coping with Prednisone (and other cortisone-related medicines).

By Eugina Zukerman and Julie Ingelfinger M.D.

The subtitle of this book ("It may work miracles, but how do you handle the side effects?") will strike a chord with many CCSG members. And those who chose to borrow this book will find all sorts of practical answers in the form of specific recipes to help beat the bloat, exercise regimes and personal stories about how to think positive. In fact everything your doctor didn't have time to tell you.

When Eugina Z. was diagnosed with a rare lung disease and told that she would have to take large doses of prednisone (or possibly die) it was her sister Dr Julie I. that she immediately contacted for more information about the drug, what it does, and its side effects. With essentially no information available for the patient Julie and Eugina decided a book about prednisone "for people taking the stuff" was desperately needed. This easy to read volume is a personal account of how to make taking prednisone (and other glucocorticoids) as effective and trouble-free as possible.

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From Strength to Strength

by Iris Barrow

Iris Barrow is a social worker and counsellor who is experienced in industrial and clinical psychology. Iris heads her own counselling agency in Auckland, and the CCSG was fortunate enough to have Iris come and speak about stress management at a public meeting a couple of years ago.

In this book Iris outlines simple steps whose aim is to enable you to increase your confidence, self esteem and peace of mind, to cope better with change, extend yourself and achieve goals.

The first few chapters deal a lot with conditional and unconditional love, so it is a bit heavy going. There is also the odd reference to God. However, if you stick with it as I did, the case studies presented help you to understand how the points Iris raises work. At the end of each chapter there are exercises to do which are very thought provoking - and I found myself looking forward to doing these.

If you have a couple of nights to spare and are sick of novels, TV, and books of a medical or dietary nature, try this one and you might be pleasantly surprised.

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Breaking the Vicious Cycle

(plus companion video 'Elaine Gottschall Discusses the Specific Carbohydrate Diet')

The book is an updated version of 'Food and the Gut Reaction' with the main difference being a new cover illustration. However, the companion video is new and has been produced to compliment the book. At over 1 hour long it is a bit heavy on chit-chat and light of specifics. However, it does give the viewer some background regarding the origin of the diet. Be wary of the "facts" that are mentioned as several we picked up are simply false. Elaine is accompanied by a younger woman who has used the diet to help her Crohn's disease "with great success". Her medical treatment at the same time is not mentioned so we have little idea about the true benefit that can be attributed to the diet.

Elaine Gottschall and her followers claim 100% success with this diet (if it is followed exactly). This in itself should be a warning and those of you who have tried other alternative therapies will be aware that there is simply no such thing.

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© Crohn's and Colitis Support Group Inc, Ph: 0508 227-469 or (09) 636-7228 Fax: (09) 636-7242 Email: ccsg@clear.net.nz