标题: 推荐kwenma的SCD diet（特殊碳水化合物饮食疗法 [打印本页] 作者: heping_zhu 时间: 2007-6-3 22:00 标题: 推荐kwenma的SCD diet（特殊碳水化合物饮食疗法 我们很多家长都认为饮食和孩子的行为、表现和认知有重要的关系。昨天细读了kwenma贴的SCD。很受启发。它仔细阐述了如何看待饮食调整，如何开始，家长的精神和心态调整，饮食调整的步骤和应注意的问题。（时间关系，没有翻译。）。
this is the info from the pecan bread about the SCD diet's intro step and the other stages.
Here's most info about the SCD siet.
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Transitioning a Child to the SCD
Broadly speaking, there are two ways to go about this: cold turkey or gradual. What you choose depends on your child and your circumstances. However, regardless of what you decide, here are some tips that can make the transition a smooth one.
* Attitude is key. Kids pick up on our lack of confidence, our nervousness, our uncertainty. Before beginning the diet, take a moment to get excited about what you are about to do. Believe, without question, that it will reap all the great rewards you have been hearing about. Do not think about how you are "depriving" your child, instead become enthusiastic for how you will be giving your child the gift of health. Accept that it might be hard at first, that your child might resist, but that you will stand firm and confident that this is the right road for you to take.
* In most cases children adjust and accept the diet more easily if the whole house is SCD™ and there are no illegals to be had. In addition to eliminating the the risk of infraction, without any illegals available there is less chance that the child will go on a hunger strike hoping you will cave in.
* Don't be surprised and alarmed if behaviours and stools get worse before they get better. Usually this is die-off, an indication that the diet is helping your child. If the stools and behaviours continue beyond 10 days consider possibilities other than die-off such as too much fruit.
* Transitions and changes in routine are difficult for many ASD children. It could help to spend a few days (or a week, whatever is appropriate for your child) explaining the changes you will be making in their food choices beginning on a specified day. Again, convey a positive attitude about this. When that day comes, you should have the food selection look as enticing as possible.
* For some children, it could help to explain why you are doing SCD™. If he/she has overt diarhea, mushy stools, or constipation, a simple explanation could be that
this diet helps people's bellies feel better, or makes their poops healthy. For those with
out overt digestive problems, an explanation could be that the SCD is a healthy diet that the family is going to follow.
* While many parents ultimately decide to keep their child on SCD™ indefinately, some children, when starting the diet, feel better if they know that they won't be giving up their beloved foods forever. You could explain that you are going to try this diet for X amount of time (3 months, 3 years etc.) and then you'll decide about whether or not to continue. (At which point many kids feel better and won't mind staying on it.)
One mother made a 100-year timeline, assuming a 100-year lifespan, and showed what 2 years looks like. Then she explained that if they followed the diet for that tiny period of time, her son would gradually be able to eat more and more different foods. If they didn't do the diet, he would likely remain intolerant to many foods and would spend the rest of his life having to go everywhere with special foods.
* Some parents have reported that, for hunger strikers, it helps to have as wide a variety of legal foods readily available. Eventually the child will choose something. The one thing to be careful of with this approach is that you don't keep offering your child a new food everytime he rejects something. This pattern might lead a child to believe that he can continue to hold out until you start offering illegals. It is best to, physically or verbally, lay out all their choices at one time.
* Those familiar with ABA techniques have reported using a social or toy-based rewards system for encouraging their child to eat legal foods.
* Those who have been previously using food-based rewards systems in ABA programs should phase those out prior to starting SCD™ in favor of non-food rewards.
* It is well-known that there are few pre-manufactured legal foods. Consult elaineschildren or the recipe section of this website to find a good substitute for any pre-manufactured foods that your child will be giving up. For example, legal sausage can often be made up by a butcher or by following the recipe in Lucy's Cookbook. However,
some kids initially find these substituted foods to be unacceptable. Attempting the switch only makes them upset or angry at the diet. For these children, it is best, obviously, to find entirely new foods that they will like.
From Elaine:
So often those first weeks are so very perplexing and worrisome. But when you think that you are giving the child what is probably the most nutritious diet in the world - the kind of food to which man's biological machinery is truly compatible with, and when you think that the entire world of trillions of microorganisms (bacteria and yeast) are undergoing dramatic transformations, hang in there, try not to worry (you are doing only good) and you will see the light at the end of the tunnel.
ASD Intro Diet
Since the many of the children with ASD were casein free before beginning the SCD™, here is a list of suggested foods for the intro diet. The intro diet should be followed for 2-5 days.
Chicken broth
--Chicken broth with pureed cooked carrots
--Chicken broth with chunks of cooked chicken
--Chicken broth with cooked carrot sliced into little "coins"
--Chicken broth with "chicken balls" made from ground chicken
--Chicken broth with "noodles" made from beaten eggs cooked omelette-style into a "crepe" and then rolled up and thinly sliced
--Chicken egg-drop soup
Chicken pancakes
Roasted chicken
Roasted turkey
Beef broth
--Beef broth with meatballs made from ground beef
Hamburger patties
Eggs
--scrambled
--poached
--hard-boiled
--soft-boiled
--sunny side up
--deviled eggs made with homemade mayo
Homemade jello (made from unflavored real gelatin and purple and/or white grape juice)
Made in a shallow pan and cut with shaped cookie cutters or into cubes
Beyond the Intro Diet
This chart is a guide to introducing foods after the Intro Diet.
As with all things, individual tolerance to foods will vary.
This guide is to reinforce the need for gradual introduction of new foods into the diet.
1. Never feed a child a food which has previously caused an anaphylactic reaction.
2. Introduce new foods one at a time.
This will make it possible determine whether each new food can be tolerated.
3. This chart is based on the healing process that is taking place.
It is not based on a timeline.
Some people may be able to add new foods more quickly than others.
4. This list of foods is not all inclusive.
Please check BreakingTheViciousCycle.info for a list of legal/illegal foods.
5. Oil/butter may be used to prevent sticking when preparing pancakes.
Oil/butter may be used in any recipe that calls for it.
Oil/butter can also be used when cooking meat or vegetables.
The suggestion to avoid frying foods early in the diet was made due the difficulty
that kids on our list were having with deep fried foods.
* Note: For those with strictures (narrowed ileums) certain foods may aggravate the narrowed portions of the ileum.
These foods include raw grapes, lots of raisins, spaghetti
squash, celery, vegetable and fruit peels, whole nuts (nut flour or nut butter seems to be okay). Please also see Obstructions and Resections from Elaine's website.
Again, this chart was created in an effort to help parents remember to introduce foods slowly and feed only well-tolerated foods.
Stage 1
FRUITS
Peeled, deseeded & well cooked
Apple
(applesauce)
Pear
(pearsauce)
Raw Banana
(very ripe with spots)
VEGETABLES
Peeled, deseeded & well cooked
Carrot
Green Beans
(Especially French Cut )
Spinach
Zucchini
作者: heping_zhu 时间: 2007-6-3 22:04 标题: re: What is the Spec...
What is the Specific Carbohydrate Diet™?
The Specific Carbohydrate Diet ™ is a scientific diet based on chemistry, biology and clinical studies. It is detailed in the book, Breaking the Vicious Cycle, written by Elaine Gottschall, M.Sc..
The selection of foods that are allowed on the Specific Carbohydrate Diet ™ is based on the chemical structure of these foods. Carbohydrates are classified by their molecular structure. The allowed carbohydrates have a molecular structure that is small enough to be transported across the surface of the small intestine into the blood stream. These carbohydrates do not need to be broken down by various processes of the digestive organs such as the pancreas or the intestinal cell surface enzymes.
The Specific Carbohydrate Diet ™ was very successfully clinically tested for over 50 years by Dr. Haas and biochemist Elaine Gottschall.
The Specific Carbohydrate Diet ™ was designed for patients with intestinal diseases, but has been "found" by parents of children with autism. The kids on the diet are doing very well.
In order to effectively implement the Specific Carbohyrdate Diet ™, it is necessary to read Breaking the Vicious Cycle. The diet is not merely one of substituting one group of foods for another. The diet begins with a limited number of foods and gradually adds more foods as the intestinal tract heals.
How does the SCD ™ work?
When the diseased intestines are inflamed from the effects of dysbiosis, they cannot break down the molecules that are too large to be transported across the small intestinal surface into the bloostream. Instead of entering the bloodstream, the undigested starch and sugar molecules serve as a continual source of food for bacteria and fungi. The premise of the SCD ™ is to remove all sources of carbohydrates whose molecular structure is too large for direct entry into the bloodstream. By removing starches and sugars, dysbiosis is corrected. The result is a decrease in intestinal inflammation and healing of the intestinal tract.
Can a child remain Gluten Free and Casein Free while following the SCD ™?
The SCD ™ was originally developed as a diet for celiac disease. The SCD ™ is completely gluten free. Dr. Haas, the doctor who pioneered the SCD ™, spent many years investigating which foods people with celiac disease could tolerate. He found that they could tolerate lactose-free dairy products. So, certain dairy products, such as properly prepared homemade yogurt, are allowed on the SCD. However, some of the parents of children with ASD are reluctant to try any kind of dairy products and avoid them even though they are
lactose free. There are children who remain strictly casein free while following the SCD ™ and still comsume a well-balanced diet packed with needed nutrients.
The parents who decided to try the homemade goat milk
yogurt were surprised by the dramatic improvement seen in their children. Yogurt is a remarkably healing food. The decision to try the homemade goat yogurt remains completely up to the parents.
Where do I find an SCD™ cookbook that is casein free?
There is an SCD™ cookbook called SCD with Taste and Tradition that contains mostly dairy free recipes. There are more than 150 recipes in the book. Only about 12 recipes contain dairy products and they are in a separate section of the cookbook. The cookbook can be ordered from Digestive Wellness. Telephone (845) 356-4557.
Also, there are many dairy-free SCD recipes on this website.
Why is the SCD™ a good choice for a child with ASD?
Gluten sensitivity and intolerance to salicylates are symptoms of a damaged digestive system which is overrun with intestinal pathogens. When the health of the gut is restored, these symptoms disappear. It is better to cure the underlying cause than to just try to treat the symptoms. Because SCD™ reaches to the root cause of these problems by restoring the helath of the digestive system, the Specific Carbohydrate Diet™ is the optimal choice for a child with ASD.
For a more detailed explanation of why the SCD™ is the optimal choice for children with ASD, click here.
What is the protocol for implementing the SCD™ for a child with ASD?
The Elaine's Children ASD/SCD™ Protocol
1. Serve only food that is allowed on the diet. Use only foods that the child can tolerate and digest.
When initially starting the diet, many children cannot tolerate all of the SCD legal foods. Carefully introduce permitted foods one at a time to determine if the child can tolerate the food. Add new foods slowly. A food journal is very helpful to determine if there are any reactions to new foods. Following the intro diet even for a day or two yields better long term results.
Keep in mind that as the yeast and bacteria begin to die off, there may be an initial bad reaction to the diet.
NEVER give a child a food which has previously caused an anaphylactic reaction.
2. Use probiotics and/or homemade goat yogurt.
Probiotics should be introduced slowly, gradually building up the amount given. This helps prevent die-off from happening too quickly.
Implement a dairy-free SCD™ for at least several weeks prior to the introduction of the homemade goat yogurt. This gives the gut a chance to heal. This period of time may need to be longer if there are dietary infractions. 100% compliance is necessary. When the SCD™ is started, there may be an initial bad reaction in some children due to microbial die-off. So, waiting for a few weeks before introducing the yogurt makes it possible to determine the source of the bad reaction. Keep in mind that the only yogurt that is allowed is properly prepared homemade yogurt. The yogurt should also be introduced slowly, beginning with 1 TBL per day and gradually working up to 1-2 cups per day for a child. If the yogurt is introduced too quickly, there could be a significant die-off reaction.
For complete directions on how to make homemade goat yogurt, click here.
Non-dairy yogurt starter and non-dairy acidophilus can be purchased from Custom Probiotics.
3. Use SCD™ legal vitamins such as Freeda (as mentioned in BTVC) or another legal brand (see Supplements page).
4. If there are still digestion problems, consider using SCD legal enzymes (see Supplements page).
5. B12 shots can also be quite helpful when dealing with intestinal problems.
作者: heping_zhu 时间: 2007-6-3 22:07 标题: re:Where can a complete... Where can a complete list of legal/illegal foods based on the SCD™ be found?
Go to Elaine Gottschall's Breaking the Vicious Cycle website. The legal/illegal list can be found there as well as an enormous amount of helpful information about the SCD™.
Where can a list of legal supplements be found?
Go to SCD™ Supplement List. This list is kept as up-to-date as possible.
What online support groups exist for parents of children with ASD?
There is a Yahoo Group Pecanbread, which is a support group for parents of children following the SCD™. The majority of the children on the list have ASD, but not all. Some have GI problems, seizures or serious food allergies. It is a very supportive group made up of parents of children following the SCD.
For information on how to join the Yahoo Group Pecanbread, please click here.
TOP 10 FAQ of SCD DIET (continued)
Where can SCD recipes and products be found?
Breaking the Vicious Cycle by Elaine Gottschall contains many recipes.
A compilation of recipes from members of various SCD Groups can be found at:
SCDRecipe.com
Mike Simon has a running daily "Flog" (food log) on his site as well as recipes:
Glassbird.com
The Upper Canada Lower Bowel Society (UCLBS) webpage.
UCLBS.org
Recipes from the SCD™ Organization Web Library can be accessed at:
SCDiet.org
Pictures of some fun SCD™ kid-friendly foods along with the recipes can be found at:
SCD Kid's Foods
Lucy Rosset's Book is profiled in Breaking the Vicious Cycle.
Lucy has a kitchen shop with many helpful items for following the SCD Diet.
Lucy's Kitchen Shop
Rochel Weiss's cookbook is called SCD with Taste & Tradition.
Her cookbook and other SCD™ items can be ordered from:
Digestive Wellness
J-Gourmet ready-made SCD™ products are available in Southern Ontario, Canada.
J-Gourmet
Overcoming Difficulties
Topics:
Chelation issues
Child consumed something illegal
Child is allergic (anaphylaxis) to nuts
Child is an extremely picky eater
Child is sensitive to phenols
Child is responding negatively to SCD™ or is not making any progress
Child still shows signs of malabsorption
Child takes illegal medication that has no legal version
Child won't eat foods on intro diet
Report Problems with SCD™
SCD™ Counselors to help with difficulties
School parties and other social events
Unsupportive family members and school staff
Chelation issues
We believe that the SCD™ is the best diet to follow to keep bacteria and yeast overgrowth under control.
It is well-known fact that chelating agents such as DMSA and ALA create or worsen bacterial and/or yeast overgrowths. We cannot guarantee the same degree of success with controling yeast and bacteria if a child is undergoing chelation.
Any medical treatment is a choice that must be made by the parent and the child's health care provider.
Parents need to know that by administering agents which contribute to bacterial and yeast overgrowths, that the bacteria and yeast may NOT be able to be controlled by the SCD™ alone. 作者: heping_zhu 时间: 2007-6-3 22:08 标题: re:Back to topicsCh... Back to topics
Child consumed something illegal
It happens to the best of us. If the child regresses, go back to a more basic diet for a few days.
Sometimes a parent is giving child an illegal food by mistake. Double check the legality of the foods on this website: Breaking the Vicious Cycle.
If the child is sneaking illegal foods, investigate and try to eliminate any chance for infractions. Put the cat food up. Attempt to get any illegals out of reach, out of sight or completely out of the house. Even the school bus driver can be giving your child snacks without your knowledge. It is imperative that you have the support of anyone your child comes in regular contact with, including teachers, babysitters, and family members.
Back to topics
Child is allergic (anaphylaxis) to nuts
IMPORTANT: Foods that that cause an anaphylactic reaction (severe allergic reaction), should permanently be eliminated from the diet.
Elaine writes: “Some of the allergy testing is far from accurate. However, if you have ever had an anaphylactic reaction to a nut or another food, stay away from it forever and ever.”
It is recommended that any food the child has had a severe reaction to should be avoided.
For those who can't do any nuts, there are still many options that can be enjoyed with meat, veggies, fruit and SCD™-legal dairy. Nuts are not an essential part of this diet. The SCD™ without the use of nuts is still a very healthy diet.
Some very creative moms have come up with recipes for pancakes and cupcakes that do not use any type of flour.
Back to topics
Child is an extremely picky eater
Sometimes kids are picky because they are self-limited to foods that harm them. Sometimes kids are picky because they want sameness and routine. Sometimes kids are picky for sensory reasons. Sometimes kids are picky for who knows what reason. The good news is that plenty of picky eaters have survived and thrived on SCD™. And, even better news, some parents of picky eaters report that their children become much more adventerous after some time on SCD™. As the gut heals, cravings for harmful foods should fade and sensory issues often--though not always--fade.
Here are some tips for parents of picky eaters:
* For children who refuse all SCD™-legal foods, see the pecanbread section entitled "Transitioning a Child to SCD™" under the heading "Food Prep."
* Veggies can be hidden. The easiest to disguise are zucchini, yellow squash, and cauliflower (especially mashed and pureed.) These can be used in muffins and SCD™-legal lasagne and breads, to name a few. Some have even used baked pureed squash in muffins as a binder replacement for eggs. Greens are trickier but workable, especially in meat dishes like meat balls. Spinach chopped really, really small can look like spice--for the picky child who is not offended by spice. Creativity is the name of this game.
* Go through all the SCD™ recipes you can find. Some overtly veggie-based recipes, like squash fries, are kid favorites.
* Some parents have used ABA techniques to encourage eating new foods. For example, every new food eaten gets a reward. And maybe that reward could be a desired SCD™-legal food.
* Some parents have used the method of allowing one bite of a preferred food in exchange for one bite of a less preferred food.
* Parents of kids with sensory issues have successfully gotten their kids to eat veggies inn the following ways:
o Pureeing a veggie into babyfood consistency.
o Steaming miscellaneous veggies then pureeing them with salt and water to create a homemade "V8".
o Using a turkey baster to drop a little bit of a pureed veggie into their child's mouth. The parent who used this method reported that it took a long time before it got easy. Sometimes her daughter would take only a bite then quit. Patience, patience, patience.....
* In general, with sensory-picky-eaters, parents need to experiment with different textures (though pureed seems to be a favorite), colors and smells. One mother reported that she herself is nauseated the color orange. Play detective: try to find consistencies in what your child gravitates to and what they recoil from.
* Sometimes a Sensory Integration Occupational Therapist can help with feeding challenges.
* Cook a food you want your child to have in as many different ways as possible. Ground beef, for example, can be burgers, meatloaf, a pizza topping etc.
* In homes where the entire family is follwing the SCD™, some picky eaters eventually come around when they repeatedly see a particular food enjoyed by everybody else. Reverse psychology often works well in this situation: don't care one bit whether or not your child joins in. The food is for everybody else, not your picky eater.
In general, we cannot control what our children put in their mouths, chew and swallow. And we don't want to be forcing anything in. But we can, for the most part, control what they don't put in their mouths. On close inspection, you might find that, eating SCD™, your confirmed picky eater is taking in a more balanced diet than you thought.
For a behavioral approach to getting your picky eater to try new foods, please read this article from TACA (Talk About Curing Autism): Picky Kids, Eating, And Autism Creative ways for healthy nutrition by Lisa Ackerman.
Child is sensitive to phenols
Many parents report that their children have problems with foods that are high in phenols. Parents report the need to follow the Feingold diet. The Feingold diet protocol removes foods high in salicylates. After a period of 4-6 weeks, the non-artificial foods (fruits and vegetables) should be able to be added back into the diet. This does not seem to be the case for ASD kids who follow the Feingold diet. The foods are not able to be reintroduced as the protocol suggests.
The underlying problem with phenol sensitivity seen in kids with ASD may very well be leaky gut syndrome. It has been seen numerous times that once kids follow the SCD™ and their GI tracts begin to heal, they are able to eat phenolic foods that were previously not tolerated.
When beginning the SCD™, it is not required to eat the foods that are high in phenols, but in time, it may be possible to resume eating the foods that are high in phenols with no negative reactions.
A child may also benefit from using an enzyme such as No Fenol to help with highly phenolic foods.
Back to topics
Child is responding negatively to SCD or is not making any progress
It is not unusual for kids to have some negative reactions at first as bacterial overgrowth and yeast “die off”, releasing toxins. This could manifest itself as behavioral symptoms (stimming, tantrums, etc.) or physical symptoms such as nausea, headache, or even fever. Give child lots of love during this difficult time. Try epsom salt baths and activated charcoal supplements. Check out the Initial bad reactions link for more details.
Keeping a food journal often helps determine if certain legal foods are not tolerated. Until some gut healing takes place, some of the SCD™ legal foods may need to be avoided. If this is the case there are often legal substitutes available. Examples: For those that don't tolerate almond flour, there is pecan or filbert flour. For those children that don't tolerate eggs at the beginning there are egg-free recipes (see Food Preparation page). Manufactured foods that have not been listed as legal either in BTVC or on Elaine’s website: Breaking the Vicious Cycle could possibly have illegal ingredients and might be interfering with progress. Double check all the products you are using. If you are not seeing as much improvement as you were hoping to, please pull all possible illegals for a time and see if that makes a difference.
Also, take a close look at the supplements your child is receiving. There may be illegal ingredients which are causing problems. Please check the SCD™ Supplement List to see if you can find a suitable legal supplement to replace any illegal ones your child might be currently taking.
Back to topics
Child still shows signs of malabsorption
If you suspect continuing malabsorbtion issues (undigested food in stools, etc.), your child may benefit from digestive enzyme supplements.
Some legal enzymes by brand name:
Peptizyde by Houston Nutraceuticals, Inc.
No Fenol by Houston Nutraceuticals, Inc.
H N-Zyme Prime by Houston Nutraceuticals, Inc.
Digest Gold by Enzymedica
Ultra-zyme Plus by Thorp Nutrition
Vitase Digestion Formula
EnZymAid by Kirkman Labs
Enzym-Complete/DPP IV by Kirkman Labs
Multi-Enzyme Formula by Kirkman Labs
Peptidase Complete by Kirkman Labs
Back to topics
Child takes illegal medication that has no legal version
If your child is taking prescription medication that contains illegals, first check with your pharmacist to find out if the med might possibly be available in another form that might be legal. Some medications can be specially compounded. If not, and the medication is essential, continue giving it and simply do the best you can in every other aspect of the diet. You may find that some prescriptions, such as antacids or laxatives, may no longer be needed once the child is on SCD™ but this decision is up to you and your physician. Do not attempt to stop any medication for seizures or for mood or behavior disorders without discussing the preferred protocol for weaning the drug with your child’s doctor.
Back to topics
Child won't eat foods on intro diet
Think like a kid for the intro. Here’s a few suggestions:
For the homemade gelatin - cut it into kid shapes.
If he/she won't eat eggs you could mix them, cook them flat & then cut them into more shapes.
Try apple cider or grape juice (1/2 juice, 1/2 water) frozen into popsicles.
The broiled beef patty can instead be rolled into little kid-size meatballs.
Unless symptoms are severe (cramping and diarrhea), one or two days on the intro diet are sufficient. If your child refuses to eat the intro diet foods, simply do the best you can to provide a very simple diet of easily digestible SCD™ legal foods. Get as close as you can to the intro diet with just a few basic foods you know your child can tolerate and will eat. After that, introduce new foods slowly. You may be able to return to a stricter intro diet later for a day or two to jump-start further progress.
Back to topics
Report Problems with SCD
If you are having problems with SCD™, please go to the Problem Report Form. Follow the directions on the page to submit the report.
Back to topics
SCD™ Counselors to help with difficulties
If you are interested in a private SCD™ Counselor to help with difficulties, please contact the webmaster to obtain a list of private counselors.
Back to topics
School parties and other social events
These events are most difficult to deal with during the beginning stages of the diet. Once nut flours and baked good can be well tolerated, there are many options for providing yummy treats for these occasions. There are recipes for cookies, cakes and other treats on the Food Preparation page.
Some suggestions for fun treats that do not contain nuts would be: homemade gelatin cut into shapes with cookie cutters, homemade popsicles, and fruit salad.
Back to topics
Unsupportive family members and school staff
Sharing a brief overview of the science behind the SCD™ and a list of legal/illegal foods could help gain the support of family and school staff. Oftentimes people are more willing to be cooperative with special dietary restrictions when they understand that there is a real reason for the diet.
A copy of the SCD Autism Summary could be printed out and shared with family members and school staff.
Back to topics
Pecanbread.com
Initial Bad Reactions to the SCD
Elaine writes: "There is no way that we can judge how beneficial this diet will be during the first few days. Some children do well even the first week, but others will go through a period of adjustment and what some call "detoxification". Please remember that this diet is creating PROFOUND CHANGES in the intestines. It is readjusting the entire population of yeast and bacteria beyond what anyone understands fully at this time. But the results have been excellent and that is what SCD is about: Results."
"During the first week or so, it often happens that things look a bit worse. What frightens many moms and dads is that the color of the stool can become bizarre shades of green and yellow. This color change is a good sign: bacterial metabolism is CHANGING. The change is affecting the bile salts and therefore affects the color of the stool."
These inital reactions may include a worsening of behavior, GI symptoms and mood swings. Some children experience and increase in the size of their bellies. There might also be an increase in "stimming", hyperactivity or agression. This is an indication that the diet is beginning to work and there is a "die off" reaction taking place.
If my child does not have a bad initial reaction to the diet, will he still see results with this diet?
Many times, children show no initial bad reaction, yet see great results. Some children show immediate positive results. Every child is different.
My child is GFCFSF and sugar free. Could my child still have an initial bad reaction to the SCD?
It is possible because rice and potatoes supply plenty of food for the bad microbes (yeast/bacteria).
How can I make my child feel better during the die off period?
Give lots of love.
Activated charcoal for a brief time. It should not be taken with meals.
Epsom salt baths have helped relieve some symptoms of die off for some children.
Start with 1 cup of epsom salts in waist deep water and soak for at least 20 minutes.
If this is tolerated go up to 2 cps of slats per bath.
If this is not well tolerated, cut the amount to 1/2 cup per bath or even less.
Find the amount that can be tolerated. Hyperness, irritability, and/or whining can indicate that a person is detoxing too fast.