Ulcerative Colitis Frequently Asked Questions

Frequently Asked Questions on SCD Diet and Ulcerative Colitis in Pakistan

Ulcerative Colitis mai bar bar pochay gai sawalaat ur un kai jawabaat

  • UC Disease kai oper pochay gai sawalat aur un kai jawabaat [Click Here]
  • SCD Diet kai baray mai pochay gai sawalat aur unkai jawabat [Click Here]
  • UC Medicines kai oper pochay gai sawalat aur un kai jawabaat [Click Here]

Answers to questions about ulcerative colitis and other intestinal diseases

السریٹو کولائتس اور دیگر آنتوں کی بیماریوں کے بارے میں پوچھے گئے سوالات اور ان کے جوابات


Question A0

Ulcerative Colitis kia hai aur isko kesay theek kia jaa sakta hai?

Answer

Jab insaan ko ye bemari, jis ka naam ulcerative colitis hai, ho jati hai, insaan aik normal person ki tarah har food item nai kha sakta, aur ye cheez doctors bi nai batatay. Iss liey hamaray symptoms nai khatam hotay and hamain bar bar doctor kai pas jana parta hai. Ulcerative colitis ki medicine ussi waqt effect karti hai jab diet mai bi sath proper control kia jai. Basically, agar ham diet par sahi control na karain, tu hamary colon (large intestine) kai ander aik bad bacteria hota hai jissay uski khorak ponchti rehti hai. Jab uss bad bacteria ki population ziada ho jai, tu wo immune system to activate karta hai, aur immune system colon mai ponch kar bajay bad bacteria ko marnay kai, bari aant ki androni dewar ko damage karna shoro kar deta hai, jiss sai hamain ulcers, pain, bleeding, cramping, diarreha, waghera feel hota hai, jo keh sab kai sab, ya inn mai sai koi aik bi, UC kai symptoms mai aata hai, jissay ham “Flare” kehtay hain. Issi liey jab ham doctor kai pas jatay hain tu wo hamain steroids waghera detay hain takay immune system to shut down kia jaa sakay aur wo bari aant ko mazeed damage na karay. Lekin immune system ko shutdown karnay sai aur boht nuqsaanaat hotay hain, insaan ko kisi bi tarah ki bemari ka hamla ho sakta hai, e.g, TB, pneumonia, chicken pox, measales, etc.

Yahan par phir “SCD Diet” ka role shoro hota hai. SCD diet mai insaan sirf wo cheezain khata hai jo keh bad bacteria kai liey khorak nai banti. Jab bad bacteria ko uski marzi ki khoraq nai milti tu wo ahista ahista marna shoro ho jata hai, aur khatam ho jata hai, jiss sai immune system ko bari aant mai janai ki koi reason nai milti aur wo bari aant ko damage karna khatam kar deta hai, aur inssan kai symptoms theek honay shoro ho jatay hain.

Jab kisi ko “flare” ho tu phir ussay sirf wo cheezen khani chahiyen jo keh SCD Diet mai “LEGAL” hain aur uskay alawa tumam illegal cheezon sai parhez karna chahiye. Flare khatam honay kai badh insan aik waqt mai aik cheez new try kar sakta hai thori quantities mai keh wo tolerate hoti hai ke nai, takay dobara flare na ho jai.

Ap inn steps ko follow karain, inshaa Allah apkai symptoms theek ho jain gai:

STEP 1: Sab sai pehlay ye link study karain: Link 1

STEP 2: ye short video dekhen: Link 2

STEP 3: Yahan par SCD Diet ka chart hai: Link 3

STEP 4: Aur phir ye video zaror dekhen: Link 4

STEP 5: Finally iss group par ab tak kai pochay gai sawalaat aur un kai jawabaat: Link 5

Question A1

Flare kia hota hai?
What is flare?

Answer

Flare ka ka matlab hai ke jab UC kai symptoms kharab ho jain aur pait mai maror, aur/ya  diarreha, aur/ya bleeding, aur/ya cramping feel ho rahi ho.

Flare sai nikalnay ka aik hi tareeqa hai keh strictly diet par control kia jai aur SCD diet chart ki stages kai mutabiq khorak istimal ki jai aur dawai regular li jai. Diet chart aur stages kai liye yahan click karain

Question A2

What is flare?
Flare kai baray mai batain?

Answer

Flare ka matlab hai symptoms kharab hona, diarreha, ya bleeding, ya cramping, ya gas, ya toilet bar bar jana.

flare aik peroidic cheez hai jo hona hi hona hai no matter aap jitnay marzi care karain. Important baat ye hai ke jab ho jai, uss waqt usko kaisay control kia jai ke wo ziada lamba na ho. Wahan par diet ka major role hai.

aik boht impotant cheez hai jo hamain understand karni chahiye. Jab aap ko flare ho, tu aap forun scd par aa jain, aur kuch din wait karain. Don’t immediately jump on steroids.

Mainay start kai alawa dobara steroid nai khai, no matter kis level ka flare hoa ho, kionke mai forun strict SCD par aa jata hon, jiss sai, bleeding tak nobat nai aati, aur na hi steroids khani parti hai.


Question A3

What are different types of Ulcerative colitis?

Ulcerative colitis ki kon kon si types hoti hain?

Answer

Please see this figure:

Jab kisi ko Ulcerative Colitis hota hai tu uss mai bari aant ka kuch portion involve hota hai. Har aik insaan ka different portion involve ho sakta hai depending upon ke usko kis severity ka colitis hai. Mild cases mai sirf rectal region involve hota hai. Ye wo patients ki category hoti hain, jo remission mai non scd cheezen, like rice, and wheat tolerate kar letay hain, aur SCD diet mai sai taqreeban sari hi cheezen tolerate kar letay hain. Next type mai rectum and sigmoid colon both involve hotay hain. Ye patients bi remission mai kafi cheezen tolerate kar letay hain, lekin SCD mai sai kuch cheezen nai kar patay. Next type mai Descending colon bi involve ho jati hai. Iss tara ka colitis ko “Distil Colitis” yani “left sided colitis” bi kehtay hain. Iss category kai logon ko khanay mai ziada bai ehtiyati karnay sai flare kai chances ziada ho jatay hain. Lekin agar apni diet mai control rakhain tu kafi lambay arsay kai liey remission achieve kar saktay hain and kuch non scd cheezen bi use kar saktay hain. Lekin SCD cheezon mai sai sab nai tolerate hoti. Kuch patients ki Transverse Colon bi involve ho jati hai. Ye wo patients hain, jinn ki condition kafi difficult hotti hai aur unko extra ordinary care karni parti hai, aur inka flare bi kafi extended period kai liey hota hai. Lekin iss condition ko bi SCD diet mai sai kuch cheezen kam kar ke kafi control mai rakha jata hai. Finally kuch patients ki ascending colon bi involve ho jati hai, jiss ko “Pancolitis” kaha jata hai. Ye patients bi non scd cheezon kai sath bilkul chance nai lai saktay warna aik dum flare honay ka chance barh jata hai… iss case mai bi boht sari SCD cheezen tolerate nai ho pati, aur sirf SCD mai kuch cheezen hi khai jaa sakti hai.

Tu iss mai understand karnay ki baat ye hai keh, har aik insaan ki specific condition kai hisaab sai, usko zaroori nai hai ke har SCD cheez hi tolerate ho. Ye uski UC type par kafi depend karay ga. Tu SCD diet mai train hona parta hai, ye hisab rakhna parta hai ke kon si cheez tolerate ho rahi hai aur kon si nahi. Iss liey iss ka best tareeqa ye hai ke apnay pass aik copy pen rakahin aur uss mai note kartain jain ke konsi cheez ziada dafa problem karti hai, aur konsi nai. Jo ziada problem karti hai, uss ka istimal bi ussi hisab sai kam kar dain.

SCD diet sirf unhi logon ko faida de sakti hai jo pehlay iss ki theory ko understand karain, phir apnay aap ko iss kai ooper train karain. Agar koi hit and trial par chalta rahay ga tu SCD diet usko ziada benefit nai de gi. Kionke SCD diet boht ahista ahista apna kaam kar rahi hoti hai. Iss liey agar ziada arsay isko aik discipline tareeqay sai follow kia jai, tabhi ye faida ponchai gi, warna nai. Just like aik pilot ko new jahaz mai bithanay sai pehlay training simulator par train hona parta hai… tabhi wo uss jahaz ka faida utha sakta hai

Question A4

mujay kesay pata chalay ga keh ab meri condition kafi behtar ho gai hai

Answer

aap ko apni condition ka sirf ussi waqt hi pata chalta hai, jab ap deltacortil use na kar rahay ho, aur pentasa ki minimum dose 1+1+1 lai rahay hon, aur kuch nahi. Main kafi aisay logon ka janta ho jo kehtay hai ke ham kafi cheezain normal diet wali use kartay hai. Lekin wo sath 5 or 10 mg deltra cortril bi use kar rahay hotay hai. Aur sab sai ziada khatray wali baat yehi hai ke deltacortril ka prolong use boht dangerous hota hai. Agar mai kal sai apni iss condition mai 5 mg deltacortril start kar don, tu mai bi roti aur chawal khaa sakon ga

Question A5

Hamain kesay pata chalay ga ke flani cheez hamaray UC kai liey sahi hai ke nahi?

Answer

Simple formula yeh hai, har wo cheez jo ap remission mai kafi arsa khaa sakain aur wo gradually apki tabiyet kharab na kar rahi ho, aur ap minimum dose lai rahay hon without steroid, tu woh safe hai. In SCD diet, corn, wheat, rice allowed nahi hai

Question A6

Mucus kia hota hai aur issay kaisay khatam kia jai?

Answer

Hamari bari ant mai “mucus membranes” hoti hain, jinn ka kam mucus produce karna hota hai. Mucus aik slippery liquid hota hai, jiss ka kam ye hai ke woh bari ant sai guzarnay wali cheez ko asani sai slip (guzar) kar sakay. Aik healthy insan ki antain bi mucus peda karti rehti hain. Lekin jab UC hota hai tu mucus membranes kai ander inflammation (sozish) ho jati hai, aur un mai small ulcers ban jatay hain. In ulcers sai khoon rista hai, aur pus aati hai. Aisi haalat mai mucus membranes normal sai ziada mucus peda karna shoro kar deti hain, jo ke hamain nazar anay shoro ho jata hai. Basically bari aant mucus apnay difaa mai peda karti hai takay jo bi cheez us mai sai uski zakhmi halat mai guzray tu usko ko ziada nuqsan na ponchai. Tu conclusion ye hai ke mucus ka matlab hai ke bari aant bemar hai aur uss mai chotay chotay ulcer ban rahay hain.
jab bari aant ziada mucus peda kar rahi hoti hai tu usska aik nuqsan bi hota hai…. wo dawai nai absorb karti. Kionke mucus shield kar raha hota hai, aur dawai ant kai cells mai enter nai ho pati. Yehi waja hai, ke aksar patients ko kharab haalat mai dawai asar nai kar rahi hoti. Uss kay 2 solution hain. Aik tu forun immune system ko shut down kia jai jo ke mucus membranes ko damage kar raha hota hai. Aur dosra solution ye hai ke uss cheez ko shut down kia jai jo ke immune system to active kar rahi hoti hai ya hyper kar rahi hoti hai. Wo cheez hai bad bacterias sai nikalnay wali poison, jiss ko ham english mai “toxins” bi kehtay hai. Ab iss bad bacteria kai ooper aksar antibiotics asar nai kartin, aur doosra masla ye ho jata hai ke antibiotics sath good bacteria ko bi maar deti hai, jo healthy aant kai liey zarori hota hai. Tu uss bad bacteria ko marna ka aik ziada behtar tareeqa ye hai ke uski khorak band ki jai. Yahan par phir SCD diet ka role aata hai ke jab ham SCD wali cheezen khatay hain, tu wo bad bacteria ko khoraq nai detin. Jiss sai aahista aahista bad bacteria ki quantity kam ho jati hai. Jab bad bacteria kam ho jata hai, tu immune system bi settle honay shoro ho jata hai, aur phir wo bari aant ko damage karna bi kam kar deta hai. Yehi waja hai jo log medicine kai sath, diet mai bi extreme care kartay hai, unki recovery nisbatan quick hoti hai, aur unko next generation medicines nai khani partin.

Question A7

Meri tabiyat boht kharab hai, forun kia karon?

I am feeling too much sick, what should I do immediately

Answer

You should immediately quit wheat, rice, sugar, milk, and yogurt. Just eat squashes. Cooking procedure is here: Click Here

Aap forun gandum, makai, jo, bajra, doodh, dhai, cheeni chor dain, aur kaddo khain. Pakanay ka tareeqa ye hai: یہاں پر کلک کریں

Question A8

Kia colonoscopy kai alawa koi aisa test hai jiss sai colon ki inflammation ka pata chal sakay?

Answer

calprotectin test shows the severity of colon inflammation and infection and helps to access and monitor treatment and disease. 

Question A9

IBS (Irritable Bowl Syndrome) and IBD (inflammatory Bowl Disease) mai kia farq hai?
What is the difference between IBS and IBD?

Answer

IBS (Irritable Bowl Syndrome) ka matlab hai ke digestive system ko sahi kam karna chahiye, lekin wo nai kar pata, kionke uss mai koi functional disorder ho jata hai. Issi liey IBS mai “IBS” mai word disease nai ata aur nah hi word inflammation aata hai, kionke IBS mai ulcers, inflammation, aur bari aant ko damage nai hota.

IBD (Inflammatory Bowl Disease) mai bari aant mai inflammation hoti hai aur ulcers bantay hain. Ab IBD ki mukhtalif types hai, for example, Crohn’s disease and Ulcerative Colitis (aur in some cases Diverticolitis as well).

IBS ko kesay diagnose kia jata hai?
Iss kai liey mukhtalif tarah kai tests perform kia jatay hain, for example:

The tests that are especially relevant to the evaluation of IBS symptoms may include:

Blood Tests – A complete blood count is often done to check for anemia and other abnormalities. Others include a test for tissue damage or inflammation, and a test for celiac disease.

Stool Tests – Most commonly these check for a bacterial infection, an intestinal parasite, or blood in the stool.

Sigmoidoscopy or Colonoscopy – Visual examinations of the rectum and a portion or all of the large bowel (colon) performed with a scope. Usually done when there are alarm signs such as rectal bleeding or weight loss, or as part of diagnostic screening for colon cancer after age 50.

Barium Enema – Examines the large bowel, after being coated with barium, performed by taking x-rays. This test has for the most part been replaced by colonoscopy. Women who are pregnant or unsure whether they are pregnant should tell their physician, as this test should not be done in such cases.

Psychological Tests – Questionnaires that detect anxiety, depression, or other psychological problems may be used to supplement the evaluation.

Miscellaneous Tests – Other tests may be done depending on specific aspects of an individual’s illness, especially atypical symptoms or alarm signs. However, many people do not require these other tests.

Miscellaneous Other Tests
Test Purpose
Anorectal manometry To measure the function of muscles and nerves of the anus and rectum
Blood biomarker profile To distinguish IBS from other medical disorders. This test is available but requires refinement to achieve sufficient accuracy for routine screening evaluation
Capsule endoscopy An accurate way to detect Crohn’s disease or other abnormalities of the small intestine
Colonic transit To measure the rate of movement of contents in the colon
Hydrogen breath test To detect lactase deficiency (lactose intolerance)
Lactulose/glucose breath test To detect bacterial overgrowth syndrome
Upper GI X-ray (barium)

Taqreeban issi tarah kai tests IBD kai liey bi kia jatay hain.

Start mai IBS and IBD mai differentiate karna mushkil hota hai especially jab tak bleeding na start ho. Iss liey baz dafa aisa bi hota hai keh agar kisi doc nai IBS diagnose kia hai, kionke usko bleeding nai ho rahi, aur doc nai colonoscopy bi nai ki, lekin wo asal mai IBD tha, tu phir proper medicine na use karnay sai, IBS convert ho kar IBD ban sakta hai.

Question A10

Kia surgery karwani chahiye?

Kia surgery karwa kar large intestine ko nikwa dena chahiye?

Can surgery be used as an option to remove the colon, and thus get symptom free?

Answer

Surgery karnwanay kai baray mai discussions ho rahi hain. Surgery bilkul last option hoti hai, keh agar kisi ko cancer diagnose ho gia hai jo treat nai ho sakta tu wo surgery karwa kar ostomy bag lagwata hai.

Ostomy bag ki sath kafi complications ho jati hai. Aik tu insaan hamesha kai liey handicap/mazor ho jata hai. Dosra masla yeh hai keh ostomy bag kai hamesha leak honay ka khatra hota hai kionke ussay stomach kai sath tight chipkaya jata hai, lekin wo wahan sai hat bi sakta hai aur stool saray kapray kharab kar sakta hai. Dosra bara masla ye hai ke, jiss jaga par ostomy bag ko chipkaya jata hai, wahan fungal and bacteria infections honay ka kafi khatra rehta hai. Neechay kuch tasweerain share hain ostomy infections ki.

Proper medicine aur sath SCD Diet wahid wo ilaj hai jiss sai ostomy bag sai bacha jaa sakta hai. Research sai prove ho chuka hai ke agar red meat kam use kia jai and rozana extra virgin olive oil use kia jai tu cancer honay kai chances boht kam ho jatay hain. Rozana 30 minutes ki walk sai remission duration kafi increase ho jati hai.

Proper medicine, proper sleep (at least 7 hours daily), proper diet, proper exercise, and daily 5 waqt ki namaz aur sath tarjamay kai sath Quran e Pak ki tilawat, and din kai auqat mai Allah ki tasbeeh aur zikar …. Ye woh rasta hai jo aik insaan ko kafi ziada arsa remission mai rakhta hai aur medicine dependency bi boht kam ho jati hai. Iss bemari mai insaan ko kafi samajdari sai kam lena parta hai aur diet kai rule bo intihai strictly follow karna parta hai. Kafi cheezen refuse karni parti hain. Kafi sabar aur bardash sai kam karna parta hai. Agar ap aik time badparhezi karo gai tu ye apki 1 haftay mehnat ko zaia kar de ga. Aur aik boht important baat kai har insaan ko SCD diet ki har cheez tolerate nai hoti. Iss liey apnay pass aik copy/pen rakahin aur note karain ke jo cheez khai hai uss sai kia reaction hoa hai aur aik waqt mai sirf aik cheez hi try karain, aik sai ziada cheezen khain ge tu yeh janna mushkil ho ga ke ziada cheezon mai sai kis cheez nai react kia hai.

Surgery karwany kai bahd bi aik insan normal diet par nai aa sakta, ussay special diet hi use karni parti hai.

Question A11

Agar ham theek ho jain tu ke medicine chor daini chahiye?

Kia exercise sai insaan mukamal theek ho sakta hai?

Answer

har aik ki body chemistry different hoti hai, tu sirf exercise karnay sai ye zaroori nai ke aap normal diet par waapis aa jain. Aap jab minimum dose par hon, aur without steroids hon, tu aap exercise zaroor karain, aur non SCD cheezen bi sath try kar ke dekh lain, takay ye rule out kia jaa sakay ke sirf exercise sai aap wapis roti ya baqi cheezen tolerate kar paa rahay ho ke nahi. But, heavy exercise ko avoid karain jab app high dose of medicine par ho, especially with steroids kionke apka BP abnormal ho sakta hai.

Agar ap UC medicines ko bilkul chor do gai, tu its a bit risky,  Kuch complications hoti hain, jin ko UC ki medicine honay sai bachati hai, e.g., fistula. Ye complications hoti hain, colon kai ander inflammation sai, jo shayad app ko mehsoos bi na ho rahi ho, ya aap ki symptoms bi normal ho, lekin kionke aap ko UC hai, tu wo hidden inflammation wahan hai. Jab aap UC ki medicines use kartay ho, e.g., pentasa, lialda, meslazine (pentasa, mesacole), mesalamine, 5-amino sylicate, etc, tu aap ki inflammation under control rehti hai aur apki complications kai chances bi kam ho jatay hai. Scientific research sai ye prove ho chuka hai ke jo log UC mai medicines regularly use nai kartay, wo at higher risk of colon cancer hotay hain. Aur, ye bi aik khatray ki baat hai, ke jo prolonged dose of steroids par rehtay hain, wo unko bi cancer ka risk ziada hota hai. Neechay mai kuch scientific studies kai link bi share karon ga. Lekin iska ye matlab nahi ke jo log regular medicines use kar rahay hain, unko colon cancer nahi ho sakta… unko bi ho sakta hai, par risk kam ho ga. Tu conclusion ye hai ke exercise boht zaroori hai, lekin sath medicine bi. Of course, UC mai koi bi cheez one size fit all nahi hai, har aik bi body mukhtalif react karti hai. Lekin ya sabit zaroor hai ke SCD diet mai boht si cheezain boht sai log jo UC kai patient hain, tolerate kar saktay hain.

May Allah keep us all healthy, and safe from cancer:

Ye wo links hain jin mai research batati hai ke medicines chornay sai colon cancer ka risk ziada ho jata hai:

Colo-rectal cancer risk 1

Colo-rectal cancer risk 2

NOTE: Kuch cases mai exercise sai bi flare ho sakta hai. Read this link:
Please read info on this link:

Exercise related inflammation

Question A12

What is colitis?
Colitis kis ko kehtay hain?

Answer

Colitis refers to inflammation of the inner lining of the colon. There are numerous causes of colitis including infection, inflammatory bowel disease (Crohn’s disease, ulcerative colitis), ischemic colitis, allergic reactions, and microscopic colitis. Symptoms of colitis depend upon the cause and may include.

Meaning:

Colitis large intestine ki inner surface ki inflammation (sozish) ko kehtay hai. Sozih ka matlab hai kisi jaga ka red ho jana aur wahan chotay chotay microscopic ulcers ka ban jana. Colitis kai honai ki kahi wajohaat ho sakti hain, jin mai infection, Inflammatory Bowl Disease (sozish zada bari aant ki bemari) maslan, Crohn’s disease, ulcerative colitis), ischemaic colitis, allergy, aur microscopic colitis shamil hain. Colitis kai symptoms iss cheez par depend kartay hain ke uss kai honay ki waja kia he.

Question A13

What are die off symptoms?

Answer

Jab koi SCD diet start karta hai, tu bari aant kai andar bad bacteria ko food supply band ho jati hai. Jab usko food sahi nai ponchta tu wo aahista aahista marnay lagta hai, tu wo brain ko strong signal bhejta hai ke uski khoraq bheji jai (gandum, makai, chawal, cheeni, etc ki soorat mai).

Lekin agar koi apnay ooper control rakhay tu phir aik waqt aata hai ke kafi ziada tadaat mai bad bacteria marnay lagta hai. Tu har aik bacteria ka cell marnay sai pehlay aik suicide bomber ki tarah zehar (toxin) release karta hai. Jab kafi bari tadaat mai bad bacterias marnay lagtay hain tu kafi ziada toxins release hotay hain. Tu iss taadaat mai bateria kai die honay sai aik banday ko “die off” symptoms honay lagta hai. “Die off” symptoms mai hamaray UC kai symptoms kuch arsay kai liey kharab ho jatai hain, jiss mai joron ka dard, thakawat, gas, mucus, etc hota hai. Iss tarah ki kefiat ka matlab hota hai ke ab SCD diet apna asar karnay shoro ho gai hai, aur kafi ziada tadaat mai bad bacteria jism sia saaf hona shoro ho gia hai. Iss doran “Epsom salt” sai ghusal karna chahiye takay “detoxification” yani zehar sai jaldi chutkara paya jaa sakay.

Neechay tasweer mai “die off” ko explain kia gia hai.

Click here for Die off symptoms
Die-off symptoms image

Epsom salt bath lena ka tariqa:
Epsom Salt Relaxation Bath
To prepare the bath, fill a tub with warm water and mix in the following:
1/2 to 1 cup* of Epsom salt* (without added scents or coloring)
(A similar mixture for adults would use 2 cups of Epsom salt.)
1/2 cup of baking soda
1 drop of lavender essential oil (optional)

Question A14

aap ko ulcerative colitis kaisay hoi, aur aap nai kaisay apnay symptoms ko control kia?

How did you get the ulcerative colitis, and how you controlled your symptoms?

Answer

abi tak ye nahi pata chal saka ke konsi cheez immune system ko activate karti hai jiss sai wo jaa kar colon kai cells damage karnay shoro kar deta hai. Iss mai mukhalif theories hain, aur hai aik ke experiences different hain. Kuch kai khiyal mai ye stress ka role hai, kuch kai khiyal mai ye bacterias sai trigger hota hai.

Aksar jab aap doctor kai pass jao gai tu aap sai kahay ga:

“khana peena sai kuch nai hota”

Unfortunately doctors ap ko ziada tar yehi batatay hain aur phir boht sari high dose steroids and anti-stress medicines pakra detay hain. Ap log zaroor aik book Breaking the Vicious Cycle study karain kionke wo shayad apkay doc sb nai study nai ki ho gi, isley aksar docs ko UC mai diet kai role ka nahi pata hota.

Here is my complete story, how I got UC, how I started SCD, what challenges I faced while on SCD, how I slowly started including different things in my diet, which medicines and multivitamins I was taking, and so on

My Story of Ulcerative Colitis

Question A15

Is it possible to use normal diet after using Scd diet for several years?

Answer

I have read stories of many people on BTVC-SCD yahoo group who are back on normal diet after getting cured from SCD. But pls note that this also varies from person to person, and the extent of UC a person may have, and the type of UC (autoimmune, bacterial, or amoeboic). The other habits also have a role to play, e.g., those who have sleep issues, or sleep less get more frequent flares
However, one thing is clear that if not completely heal, SCD definitely improves the quality of life of those who avidly follow it.

Question A16

Pakistan and USA mai UC treatment mai kia difference hai?

Answer:

Actually, bahir, developed countries mai jo main advantage hai wo yeh hai ke wo diagnosis quick kar letay hain. Uss kai bahd zarori nai hai keh unka treatment ya medicines yahan kai muqablay mai ziada effective hon. Foreign doctors ko bi diet ka koi khas idea nai hota kionke, diet is not subject in medical studies. Jab mai USA mai tha aur mai initial flare kai bahd hospital sai discharge ho raha tha tu meri meeting aik dietician sai karwai gai. Uss nai mujay mostly NON SCD cheezen hi batain, jiss sai meray oper kafi torture period guzra, aur steroids ka pehla course fail ho gia. Kionke doctor tu wahan par bi standard procedure follow kar ke apko steroids aur high potency mesalamine/meslazine detay hain. Lekin jab tak ham khud diet par proper control na karain tu ye medicines sahi effect nai karti hai. Issi liey mainay phir khud Internet par searching shoro ki aur kai dinno ki study kai bahd mujay SCD Diet ka pata chala.

Dosra masla USA mai yeh tha ke ap bagher prescription kai medicines nai lai saktay UC ki. Jiss ki waja sai apko pehlay lazmi doc sai milna paray ga, aur appointment milnay kai liey kafi ziada wait bi karna parta hai. Aur doc sai milnai ki insurance 100% cover nai karti. Nah medicines ko insurance 100% cover karti hai, aur ooper sai insurance ka separate saal ka 3 sai 4 lac dena parta hai.

Teesra aur sab sai important problem USA mai ye tha keh wahan mainay 2 different types ki medicines use ki, pehly Delzicol, aur phir Lialda. Dono kai results meray oper itnay achay nai thai, jab sai mainay Pakistan aa kar pentasa shoro ki tu boht improvement aye.

UC ka na allopathy mai complete elaj hai, nah hi homeopathy mai. Ye aik life time disease hai, aur ham just apnay ap ko train kar saktay hain keh symptoms ko kesay qabo mai rakha jai.

Jab aik patient ko initial symptoms anay lagtay hain tu USA and Pakistan mai iss tarah sai treatment kia jata hai:

USA:

Agar bleeding na ho tu sab sai pehlay ye assume kia jata hai ke koi viral infection hai aur koi medicine nai di jati. Water intake ko ziada rakhnai ka kaha jata hai. Iss infection ko stomach flu ya gasteroentritis bi kehtay hain. Iss situation mai diet kai baray mai koi khas guide nai kia jata lekin standard BRAT diet hai: Bananas, Rice, Applesauce, Toast internet par recommend ki jati hai.

Viral infection 4 days mai khud hi khatam ho jati hai, aur patient ko ye bataya jata hai ke agar 4 days mai symptoms theek na ho tu dobara visit karain. Aur dobara visit karnai par antibiotics start ki jati hai. Agar antibiotics ka course kai bahd bi symptoms theek na hon tu phir colonoscopy karwai jati hai.

Pakistan:

Patient ko 2 or 3 types ki antibiotics start kar di jati hain. Phir stress ki medicines etc di jati hain. Antibiotics ka pehla course agar na successful ho tu ya tu patient doc change kar leta hai, ya doc patient ko change kar leta hai, ya phir new types of antibiotics di jati hain. Agar doc ki skill achi hai phir antibiotics treatement fail honay kai bahd colonoscopy recommend kar deta hai.

Jab UC diagnose ho jai tu phir USA and Pak mai docs same standard treatment follow kartai hain, jo steroids and mesalazine par based hota hai, lekin diet ka nai bataya jata.

Question A17

Pakistan mai gastroenterologists kaisay UC ko treat kartay hain?

How gastroenterologists treat UC in Pakistan?

Answer

Mainay Pakistan mai 4 top gastroenterologist sai checkup karwaya hai in 2014 and 2015, aur phir nahi karwaya, because inn sab nai pehlay tu yeh kaha, medical tests karwa kar, ke apko koi masla nai, phir mainay unko kaha ke mai normal food par ana chata hon, tu unhon nai antibiotics aur heavy medicines pakra di aur sath kaha, ab ap jo marzi khain, jis sai mainay agree nai kia kiyon ke mai steroids aur heavy medicine dose nai lena chata tha normal food ki khatir. Yeh doc mostly aisay hi kartay hain aur diet ka baray mai kuch nahi batatay, aur jab insan ki tabiyet aur ziada kharab ho jati hai tu aur ziada side effects wali medicines, like imuran, aur, deltacortil pakraa detay hain, aur kehtay hain haftay bhd phir aajain

. Actually, UC is a complicated disease and its treatment is a bit difficult than e.g., compared to stomach ulcers… so most docs have same level of knowledge about UC, no matter it is USA or Pak. None of those I met in both countries had any idea of role of diet.

Question A18

how can we know what type of UC we have?? Autoimmune, bacterial etc?

Answer

To rule out parasites like C Diffile or bacterias, a doc may put a person initially on heavy antibiotics, which I also took at start when this disease attacked me. I was even given a cocktail of flagyl and some other antibiotic drug. If the body does not respond to antibiotics, then this is most probably non bacterial. However, the issue is that in some cases c diffilie type infections show resistance to antibiotics and become chronic. And they even may not be detected in a single stool tests, multiple stool tests would be required in this case. So in these special circumstances, SCD diet has little role to play. Same is the case with some amoebas that don’t respond to simple or tradional antibiotics, please see in google “amebic colitis”. If UC is primarily due to autoimmune disorder, it will show response to immunosuppressents, like delta cortil or imuran. As there is 1000 types of bacterial species in large intestine, it becomes difficult to single out the main culprits. One theory says that UC is triggered when a specific bacteria population crosses a specific threshold, which triggers the immune system to counter it, and then immune system confuses the colon’s epithelial cells with bad bacteria and start damaging it.

Question A19

Olive oil kai advantages kia hain?

Answer

1. extra virgin olive oil kai side effect koi nai hai
2. iss mai Oleuropein hoti jiss mai anti-inflammatory properties hoti hain, means ye aant kai ander ki redness ko kam karti hai, jiss stay bleeding or motions stop honay mai help milti hai. Aur ye cheeze proper tests sai prove ki jaa chuki hai unlike most homeopathic medicines jo mostly hit and trial hoti hai.Olive Oil aik boht hi achi homeopatheic remedy hai:Mazeed faiday ye hain:”5. Oleuropein and Health
Oleuropein has several pharmacological properties (Fig. 4), including antioxidant [2], anti-inflammatory [36], anti-atherogenic [37], anti-cancer [38], antimicrobial [39], and antiviral [40], and for these reasons, it is commercially available as food supplement in Mediterranean countries. In addition, oleuropein has been shown to be cardioprotective against acute adriamycin cardiotoxicity [41] and has been shown to exhibit anti-ischemic and hypolipidemic activities [42].

Olive Leaf benefits

The main phenolic compounds, hydroxytyrosol and oleuropein, give extra-virgin olive oil its bitter, pungent taste.”

Question A20

konsa olive oil use karna chahiye?

Answer

Koi bi imported extra virgin olive oil theek hota hai. Ziada behtar hai ke Borges company ka mil jai

Geniuine Extra virgin Olive kai kuch features hotay hain

1. Color dark green ya bright green hona chahiye

2. Ooper cold pressed ya cold extraction likha hona chahiye

3. Aik saal sai ziada shelf par na para hona chahiye

Source: Info about olive oils

Meri disease kai start sai pehlay 1 year tak mai sirf extra vrigin oil mai cooked cheezen use karta tha. Ab seasons canola oil use hota hai

Borges olive oil ki bottle aisi hoti hai:

Question A21

Kia UC aik person sai dosray person ko transfer ho sakti hai?

Answer

No. UC aik non-contagious disease hai, iss liey yeh aik sai dosray person ko transfer nai hoti, e.g., saliva (thook) kai zariye, ya sexual intercourse karnai sai.

UC kai patient ko blood donation sai avoid karna chahiye kionke UC kai patients ka waisay bi HB level low hota hai, aur agar sath wo medicines lai rahay hon tu blood receive karni walay kai liey shayad wo medicines sahi na hon.

Agar aik family mai UC ka trend hai tu within family marriages sai agay bachon ko UC honay ka risk barh sakta hai, kionke aik theory kai mutabiq UC hereditary disease hai, lekin zarori nai keh family mai agar UC ho tu tab hi aik insaan ko UC ho gi. UC honay mai aur bi deegar factors role play kar saktay hain. For example, pollution, smoke, chlorinated water,  bazar ki cold drinks aur sastay hotels, jo poisonous oil use kartay hain, samosay pakoray walay, jin par koi check nai hota, ya jo chemicals sai banay doodh ki sasti tea bechtay hain… innay avoid karain.

Agar husband and wife mai sai kisi aik ko UC hoa hai tu dosray ko bi apna life style change karnai ki zaroorat hai aur wo foods avoid karnai chahiye jo keh woh dono sath khatay hain. Kionke ho sakta hai ke jo food kisi aik react kar ke UC cause kar gia ho, agar dosra partner wohi cheezen khata rahay tu uss ko bi UC ho sakta hai. Mazeed yeh ke healthy partner ko apna lifestyle change karnai sai UC walay person ko boht help aur motivation milay gi.

Question A22

Kia UC sai sex health par effect hota hai?

Answer

Baz men ko effect hota hai aur baz ko nahi.

Jinn logon ka sperm count kam ho gia hai, ya koi aur sexual disability ho jai, tu uski aik waja ye ho sakti hai vitamins waghera ka issue ho ya medicines ka reaction ho. Zarori nai keh UC ki disease ka itself direct effect ho sex health par. Aur factors bi effect kar saktay hain, for example, medicines ka reaction.

Iss article ko zaror study karain, jiss mai UC ka sexual health par effects batai gai hai:

UC and Sexual Health

Fertility ko improve karnai kai liey aik cheez jo keh lazmi faida deti hai woh exercise hai, kionke exercise hamary blood vessels ko open karti hai… rozana thori si running karain 5 to 10 mins kai liey, jis mai sans bi charhay. Baki fruits waghera jo tolerate hotay hain use kar len. Potato chips (agar flare nah ho tu), desi ghee, extra virgin olive oil, lagnese honey, omelette, vegetables, ye sab healthy food items hain. Sath kisi achi multivitamin ka course bi kar lain, agar reason vitamin deficiency hai.

Question A23

Constipation ka kia solution hai?

Answer

Constipation honay ki aik waja medicines ki high dose ho sakti hai. Constipation ki sorat mai ye water intake kafi ziada rakhain. Dates (khajor) kai istimal sai bi constipation ko control kia jaa sakay.

Neechay diay gai link par constipation ka solution hai:

Constipation solution


Answers to questions about SCD Diet

ایس سی ڈی ڈائیٹ کے بارے میں پوچھے گئے سوالات اور ان کے جوابات


Question D1

SCD Diet mai kia kia kha saktay hain?

Answer

Neechay walay link par aik SCD Diet kai istimal karnay ka diet chart given hai jo ye batata hai ke kis condition mai kia cheez khani chahiye

SCD Diet Chart

Question D2

Mai diet mai kia use karta hon?

Answer

Jo diet mai use karta hon, uss mai ye items hain:

kaddo, tori, tinday, chicken, egg, lagnese honey, butter, desi ghee, dates, lechees, kharboza/garma (occasionally, some pieces), aaro (occasional), potato chips (one time daily in remission only), bengan (occasionally), mashroom (occasionally), strawberries,

Mai ye fruits bilkul use nai karta: apple, banana, tarboz, mango.

Meri three times diet yeh hai:

Morning breakfast:
Omelet cooked in desi ghee (without red/green chillies)
Kaddo/tori salan
Lagnese honey
Butter
2 tablespoons extra virgin olive oil before breakfast (jab inflammation ziada ho)

Lunch:
Ziada tar kuch bi nai, kabi kabar khajors

Dinner:
Kaddo/tori ka salan (recipe kai mutabiq , and / or some quantities of other items jo oper mentioned hain )
Chicken (occasionally)
Meat (occasionally)
Fish (very rare)
Butter (occasionally)
Potato chips (only in remission)

Meri Medicines yeh hain:
Pentasa 1+1+1
Kabi kabar din mi dose miss ho jati hai, bhool kar ya busy honay sai.

Agar mujay inflammation sai frequency ziada honai lagay aur colon mai sensitivity ziada ho jai tu phir mai kia karta hon?

Extra virgin olive oil 2 tablespoons at fajr and 2 tablespoons before dinner

Agar symptoms aur ziada kharab ho rahay hon tu increase of pentasa dose by 1 tablet at night

Agar mujay diarrhea ho tu mai kia karta hon?

1 sachet gutcare + 1 (5ml) entrogermina probiotics + 2 tablespoons extra virgin olive oil, yeh sab ikhatay

Stress par kesa control karta hon?

Daily exercise karna
Logon ki help karna
Allah ki rah mai kharach karna
5 times ki namaz parhna
Allah ka zikr karna.

Question D3

UC mai kia cheez khana mana hai?

What is forbidden to eat in UC?

Answer

Here is the complete list of legal and illegal items in SCD:

SCD legal/illegal foods

Question D4

How I got healed from using SCD?

Answer

I began by reading a good book named SCDLifeStyle Thriving…. . I purchased it in 2013, when I got severe case UC. While I was reading this book, I saw this book was referring to another book at various places. That was the book that was written by Elain Gotshal, the inventor of SCD diet. Then, I ordered that book “Breaking the Vicious Cycle (BTVC)” and read it all. The good thing I liked about the book BTVC was it explained the “logic” why SCD diet has ability to reduce symptoms of UC. The recipe section of book is a bit difficult to follow, as every one’s disease level and tolerance to even SCD “legal” foods is difficult. And this is also most challenging part, as at this stage, most people get disappointed and quit SCD. I managed to overcome this stage by maintaining a food diary to see which foods of SCD legal list I was able to tolerate, and which were problematic, by adding one food at a time, and then rotating. I remember, even the intro diet proposed in SCD was not well tolerated to me, as soup was giving me lot of gas and carrots, cheese, etc. I did not tolerate well. I was relying on chicken, that had to be boiled first and then broiled (baked). As soon as I started SCD, I started losing weight, and overall, I lost 10 kg, my bones were visible. This weight loss continued till a time came, when use of SCD controlled my diarrhea and blood loss. Eventually, the things got on the right track and the “vicious cycle was broken”, and I started gaining weight. It was hell difficult to control myself, as craving for sweet and wheat was getting higher, with steroids being fuel on the fire. I realized I have to overcome this, as it was test of patience, like a drug addict suddenly stopped from drugs. I think my long prayers, and daily Quran recitation of Surah Rehman, Surah Yasin, Surah Waqia, and Surah Mulk gave me that patience. And, finally, in my personal experience, the SCD diet effects on a person who has a strong belief on it, and that belief is established by studying it. The second thing required is the strong motivation. For me the motivation was to get healed as quickly as possible as I was very close to the finish line of PhD from USA. So that motivation and will-power helped me in strictly restraining myself from using SCD illegal items. However, it was never a smooth sailing. It was journey with lot of ups and downs. I used to feel good 2 days and bad for next 3 days. It was progress in inches. Four steps forward, three steps backwards. In initial days I used to get disappointed/depressed quickly, and often I used to question myself “why SCD is not working on me?” Why got diarrhea again, and having fine tummy for two days, and so on. I kept studying to know answers of many unanswered questions, whose answers were not there in BTVC book. I joined the yahoo group of BTVC-SCD, and started reading people queries, and their responses by SCD experts and veterans. This helped me taking right decision, learning from the mistakes of others. Then, with more and more knowledge, I got a training of how to avoid a flare, and how manage it if it occurs.

Question D5

agar wheat aur rice nai khain tu kia khain?

If I should not eat wheat and rice, then what else should I eat?

Answer

Check these links, inn par aur cheezen bananay kai tareeqay hain jo SCD specific hain

The following links contains cooking methods of SCD specific food

Neechay diay gai 2 links SCD ki mukhtalif dishes bananay ka tareeqa bata hain.

LINK 1

SCD Recipe Website

Question D6

kiya waqt k sath SCD diet ko proper follow karne se, colon ka ya rectum ka part heal hota hai?? Agr hota hai waqt k sath tou kiya heal hone k baad jo cheezien hum tolerate nahi kar paa rshe hote hein..wo tolerate baad me kar sakte hein??

Heal hone k baad agr tolerate ho b rahi ho…tou humien kese pata chalega k wo humare colon ko nuqsan nahi de rahi? Ulcers nahi ban rahe uski wajah se??

Answer

Mai SCD Diet ki book Breaking the Vicious Cycle kai kuch paragraphs paste karta hon:
Ye Book ki author apni daughter kai baray mai keh rahi hai:

“In 1958, we took our eight year old daughter to the Drs. Haas. Three years before she had been diagnosed by specialists as having incurable ulcerative colitis and her condition was deteriorating. The years of treatment with cortisone and sulfonamides, plus innumerable other medical approaches, had been unsuccessful and surgery seemed imminent. The Drs. Haas placed her on the Specific Carbohydrate Diet and within two years she was free of symptoms. She returned to eating normally after another few years, and has remained in excellent health for over twenty years.
Many students, friends, and others whom I have seen in my practice who were suffering from ulcerative colitis, Crohn’s disease, celiac disease (not cured by a gluten free diet), diverticulitis, and various types of chronic diarrhea have tried the Haas Diet and most of them are now free of their respective diseases.”
“Many cases of celiac disease, spastic colon, and diverticulitis, appear to be cured by the end of a year. Other disorders such as Crohn’s disease and ulcerative colitis take much longer with the minimum time of two years on the diet. A rule of thumb is to stay on the diet for at least one year after
the last symptom has disappeared.”

Ab jo log tu boht hi ziada strict SCD follow kartay hain, wo recover ho jatay hai, ya phir bilkul complete remission mai chalay jatay hain, provided that wo sath maintenance dose bi lai rahay hon. Tu wo non SCD cheezen tolerate kar saktay hain.

Lekin ziada tar log itni strict SCD diet nai follow kartay, yahi diet mai cheat kartay hain, iss liey unki kai symptoms bi completely disappear nai hotay.

Ab mai apna experience apkai ke sath share kar sakta hon ke, aik time tha jab mai anaar ka juice and potato chips touch bi nai kar sakta tha. Lekin ab remission mai, ye donon mai tolerate kar leta hon aur symptoms bi nai kharab hottay.

Lekin kuch cheezen phir bi aisi hoti hai jinn sai meri symptoms kharab honay lagtay hain. For example, agar mai rotti start karon tu mujay aik dam kuch nai ho ga, lekin phir burning sai symptoms start hona shoro hon gai, e.g., gas, diarreha, cramping. Ab ye wo time ho ga jab mujay idea ho jai ga ke ye cheez meray ooper sahi nai chal rahi. Agar mai continue karon ga tu phir painful cramps, and gas, phir next stage par diarreha, aur uss sai next stage par bleeding ho sakti hai.

Tu ham nai apnay initial symptoms ko observe karna hai aur phir wahi par uss cheez ko stop kar dena hai jo masla kar rahi hai.

Hamnay nai SCD diet mai Vicious Cycle ko break karnay ki trick seekhni hai. Jiss ka matlab ye hai, ke ham forun wo cheez use karna stop kar dain, jo ke bad bactera ko feed kar rahi hai, jis sai immune system activate ho raha hai, aur colon ko damage kar raha hai.

Question D7

How quickly the SCD diet can heal?

Answer

Think in terms of months/years and not days/weeks. I’d suggest re-evaluating again after being on the diet for 6 months. I continued to have UC symptoms for the first 1.5 years on SCD. Be patient. the diet works, but your body needs time to heal itself.

Only introduce 1 thing every 4 days

Personally, I also consider yogurt to be ‘advanced’. I do better with probiotic pills.

Question D8

What is SCD Diet?

SCD Diet mai kia hota hai?

Answer

“Any thing” made up of wheat, corn, rice, barley, sugar, milk, tea, coffee must be avoided. Here is the complete list of legal/illegal items

SCD Legal/Illegal Item List

But pls note that, depending upon your disease type and current status you may NOT tolerate all the items presented in this list. You will have to create your own “safe zone” of foods, by trying one item at a time and noting down the reaction into a register.

Here are some guidelines of which food item can be tried at which stage:

In URDU follow this diet chart:

Diet Stages in Urdu

(However, never take carrots and apple):

Diet Stages on Pecanbread

After you will be on SCD, in a few days, the “Vicious Cycle” will break and bad bacteria in your colon causing UC symptoms will begin to die, due to starvation, as they are not getting the illegal items to feed on. When such bacteria die in huge numbers, they release a poison (toxin) in large quantities at time of their death. With increased quantities of these toxins, your symptoms will deteriorate again, you will feel lot of weakness, muscular pains, starvation feeling, and in some cases diarrhea. You may feel worried and think that perhaps SCD diet is reacting you. This condition is known as “die off symptoms”. This is the time of make and break, as many people lose heart and quit SCD. However, die off symptoms don’t last longer, and after you overcome those, you are set on remission track.

Here are details about die off symptoms:

Die-off Symptoms

Some people may experience constipation after beginning SCD. Here are the solutions for that:

Constipation Solution

Question D9

When to introduce new foods in SCD?

Answer

It really depends on the individual’s condition. Some people have mild case of UC so they can begin with advanced items in vegetables. Some have severe case, so the advanced items from the “SCD Legal” list may not tolerate them well. On the following page are some stages defined. However, I would suggest not to “touch fruits” initially.
The safest way I found is begin with squashes, “kaddos, and tindas, torris, ghia toris” etc as they tolerate really well. Add chicken meat in food. Then if the things go fine, add one next item at one time and wait to see its results. If it is tolerating, add the next food item.

Here are some general principles:

Add one food item at one time, and note in a diary how it reacted.
if it does not increase diarreha, then mark it in “safe zone” of your foods
Then pick the next vegetable and try it, and repeat above two steps.

On this page, I mentioned some recipes that are in the safer zones:

Click here for safer foods

I think the only hard and fast rules about the diet have to do with what’s legal and what’s not. The timing of when legal foods are introduced is really up to the individual. There are recommendations — the intro diet, when to introduce more advanced foods like raw fruits and vegetables and nuts, stages/phases, etc. — that are based on observation of what generally works and what generally doesn’t. But the timing of when to introduce foods is really up to the individual.

the carrots, celery etc in the chicken broth is for flavour not for healing. Fats aren’t disallowed at the beginning of the diet, I think it’s just generally recommended to go easy on them at the beginning because your gut is going to be going through a lot of changes, and some people don’t do as well on a high-fat diet (especially if that’s a substantial change from what they were eating).

Question D10

makhan mean butter kah skta hn kia?

Answer

Aksar milk (jiss sai butter banta hai) pure nahi hota iss liey na use karain tu behtar hai Pakistan mai zaida tar doodh mai formalin mili hoti hai jo carcinogenic hoti hai, means cancer causing.

Kuch butters achay hotay hain aur wo ap flare kai alawa try kar saktay hain. Butter mai sugar nai mili honi chahiye

Maslan ye wala

Question D11

Kaddo kaisay khanay chihye

Answer

spoon kai sath, jaisa tasweer mai nazar aa raha hai. Chicken bi use kar saktay hain:

    

pakanay ka tareeqa ye hai:
SCD Diet Recipes in Urdu

Question D12

Honey konsa user karna chahiye?

Which honey tu use?

Answer

In Pakistan the best honey you can use for UC is lagnese.

Pakistan mai lagnese honey best hai UC kai liey

Question D13

ulcerative colitis mai nashtay mai kia khana chahiye?

What to eat in breakfast in UC?

Answer

mai nashtay mai fried egg jiss mai thora boht omelete wala material hota hai, bagher dhania kai use karta hon (2 eggs). Aur sath kado ya tori ka salan, aur occasionally chicken pieces.

Yad rahay ke anda sirf uss waqt istimal karain jab ap ki dose minimum par aagai ho aur steroids na user kar rahay hon

mai din ko kuch nai khata

raat ko tori ya kaddo, and chicken, and aur potato chips (chips sirf us waqt agar mai minimum dose par hon aur tabiyet boht theek ho. Chips SCD mai lega nai hain)

kaddo, anda, aur Lagnese Honey. (Squash, egg, Organic Honey)

The egg does not contain red chillies, dhania, and payaz. Don’t use egg and honey if your condition is not good, means diarrhea, bleeding, is continued.

Question D14

koi website jiss par SCD kai tareeqay kai kafi khanay hon?

Answer

aik ye website bi hai jiss par SCD sai related kafi achi food related information hai:
http://pecanbread.com/

http://www.scdrecipe.com/

Question D15

Rice recommended hain ya nai? Boil ya tarky waly

Answer

agar SCD kai point of view sai pochain tu SCD diet mai na wheat na rice allowed hain, kionke ye dono UC ko kharab karti hain

Question D16

UC mai SCD kai mutabiq kon kon sai fruits kha saktay hain?

Answer

Ap sirf woh fruits try karain jo keh legal list mai hain. Aur phir unn mai sai dekhen keh kon sa fruit apko kitna tolerate hota hai.

Ziada quantity mai mango and watermelon (tarboz) dono flare kar saktay hain. Koshish yehi karain keh flare kai doran fruits ko maximum avoid karain.

Dates use kar saktay hain, black dates ziada safe hain, lekin wo dates jinn par sugar water sprayed hai wo avoid karain.

Question D17

SCD mai hamain kia cheezen istimaal nai karni chahiyen and uski kia waja hai?

Answer

SCD diet mai, roti, chawal, wheat, corn, rice, allowed nahi hota. Wheat and corn sai bad bacteria ki khorak banti hai. Jab bad bacteria ziada hota hai, tu wo immune system ko activate kar deta hai, aur immune system large intestine ko damage karnay shoro kar deta hai. Agar hum proper diet na use karain tu bad bacteria banta hi rehta hai, aur kam nahi hota. Yehi waja hai, ke phir medicine full dose lainay kai bawajood bi ziada effective nahi rehti. Tu sab sai pehlay aap nai bad bacteria ko kam karna hai, jo kai SCD Diet sai kam ho ga.
iss page par UC diet kai baray mai likha hai, aur kia kia khana chahiye, ap isko follow karain:

Ulcerative Colitis in Urdu

aur iss page par likha hai, ke SCD diet mai kia allowed hai aur kia nai khanay mai:

Legal / Illegal List of Foods

Question D18

What is origin of SCD Diet? and How does it actually work?

Answer

INFO ABOUT SCD DIET:

SCD Diet Info

Question D19

SCD diet ki book kai bara may batain?

Please tell more about the book of SCD Diet?

Answer

This book is “Breaking the Vicious Cycle” is great to read.

There are some additional sources one may need to practically implement the ideas presented in the book.

The first is the group of people who are following the diet mentioned in the book. This is a yahoo group where you can send any type of SCD related query and get answers from the expert in the diet. I have seen emails of many people from this group who got 100% recovered from UC by using SCD diet and now are back on normal diet.

Here is the URL of the group: SCD Yahoo Group

The second is the summary of legal and illegal list of items mention in this book. Here is the URL:

Legal / Illegal List of foods

The third is the stages of SCD diet, like what item to take/introduce when. However, caution is required as this may vary from person to person. Here is the URL:

Pecanbread Stages

In Urdu, follow these stages:

SCD Diet Chart in Urdu

This book is very good in explaining the theory, however, it is difficult or lacks a bit at practical side. For example, it recommends the usage of cottage cheese, or almond cake, and such items are very difficult to cook in Pakistan. Therefore, the page I shared in Urdu/English is meant to do the things that are easy to do in Pakistan.

Question D20

SCD Diet kai mutabiq cake kasiay bana saktay hain?

Answer

SCD Kai mutabiq cakes

Jab mainay SCD diet shoro ki, tu meray liey sab sai bara aur difficult challenge rotti ko chorna tha. Mujay rotti kai baghair faqay ki si feelings hoti thi. Especially, jab aap kai ander sai bad bacteria mar raha hota hai, tu wo brain ko signal bhejta hai ke kissi tareeqay sai unko ko unqi khoraaq rotti ki shakal mai ponchay. Aur phir agar ap steroids bi kha rahay ho tu rotti ki bhook aur bi double ho jati hai. Aisi condition mai, aksar bhai wapis rotti khanay shoro ho jatay hain, jiss sai unki bleeding diarreha waghera settle nahi hota. Iss tara kai haalaat mai phir SCD diet hamain aik solution provide karti hai, jiss mai ham SCD kai mutabiq cakes bana kar khaa saktay hain. Ye cake apko rotti kai muqablay mai, na honay kai braber takleef detay hain,… aur jahan tak mera experience hai, jitna arsa mainay ye cake khai, mujay kabi bleeding etc nahi hoi, kionke inn mai koin non-SCD cheez nahi hai. Doosra faida ye hai, ke agar ap kisi safar par jaa rahay hain, tu aap ye cake bana kar sath le jaa saktay hain, jiss sai apko hotels mai non-SCD cheezen nai khani parain ge.

Yahan mai SCD kai mutabiq cake bananay ka tareeqa share kar raha ho. Ap apni condition kai mutabiq shoro mai anday aur honey ki quantity kam kar saktay hain. (Ye tareeqa mainay Breaking the Vicious Cycle book sai liay hai aur usko mazeed safe bananay kai liey modify kia hai)

نوٹ: شروع میں کم مقدار میں کیک بنائیں اور دیکھیں کہ آپ کو جلن یا ڈائیریا تو نہیں ہو رہا۔ اگر ان میں سے کوئی بھی علامت ہوتی ہے تو کیک مت کھائیں کیونکہ اس سے آپ کے علامات مزید بگڑ سکتے ہیں۔

Akhroton ka cake bananay ka tareeqa: (aap pecan bi istimal kar saktay hain jo ziada behtar hai)

1. Aik baray cup mai akhrots lain, aur unko achi tara grind karain takay powder form mai aa jai

2. Adha cup extra virgin olive oil lain

3. Three chamach honey (organic, unpasteurized… agar nai milta tu aur kam kar dain)

4. Baking soda 1 khanay ka chamach

5. Two eggs

– Oven ko 350 Fahrenheit mai heat karain

– andon ko achi tarah phentain, baking soda dalain aur mazeed mix karain

– adha cup olive oil dalain aur dobara mix karain

– honey add karain aur mix karain

– 2 cup extra virgin olive oil mix karan

– 2 cup akhrot mix karain

– aik thaal mai neechay aur sides par olive oil lagain aur thora sai akhrot ka ata lagain

– ooper mix kiay ajzaa ko thaal mai dalain pehlay sai garam oven mai

– 45 minutes tak oven mai rakahin. Phir usko nikal kai, cake kai beech mai knife marain. Agar knife oily aur clean bahir aye, tu akhrot ka cake tiyar hai.


نوٹ: شروع میں کم مقدار میں کیک بنائیں اور دیکھیں کہ آپ کو جلن یا ڈائیریا تو نہیں ہو رہا۔ اگر ان میں سے کوئی بھی علامت ہوتی ہے تو کیک مت کھائیں کیونکہ اس سے آپ کے علامات مزید بگڑ سکتے ہیں۔

Badamon ka cake:

Ap ooper dia gai procedure sai badaams ka cake bi tyaar kar saktay hain. Lekin uss say pehlay ye karna zarrori hai:

1. Badamon ko pehlay pani mai boil karain, jab tak ke unka chilka naram nai ho jata

2. Jab chilka naram ho jai tu nikal kar chilka utaar dain

3. Usskay bahd badamo ko aik tray mai rakh kar pehlay sai garam oven mai rakhain takay wo roast ho jain

4. phir unko nikal kar unka aata banain.

aur uss kai bahd wohi steps follow karain jo akhrot kai cake kai liey kian hain.

Question D21

Yogurt kai baray mai SCD Diet kia kehti hai?

Answer

Hamain flare kai doran yogurt ko avoid karna chahiye, kionke agar woh properly ferment na hoa ho, ya uss mai lactose ho, ya milk agar khalis na ho tu wo takleef barha sakta hai.

Agar doodh khalis hai tu phir ghar mai SCD Diet kai tareeqay kai mutabiq yogurt bana kar try kia jaa sakta hai jo keh ye hai:

1. Doodh ko aik saf bartan mai rakhain aur 180 F par ubalain. Sath sath uss mai chamcha marain takay doodh brabar taur par heat up ho.

2. Jab doodh ubal jai tu uss kai bahd ussay room temperature par thanda honay kai liey rakh dain (fridge mai na rakhain)

3. Doodh mai yogurt starter mix karain, aur bartan ko dhak dain. Doodh ka temperature 100 F to 110 F par rakhain.. .kionke iss temperature par yogurt kai ander ka bactera properly sari lactose ko kha lai ga.

4. Iss halat mai, aur iss darja e hararat (100-110F) par doodh ko 24 sai 30 ghantay rakhain. Iss waqfay kai bahd apka yogurt SCD kai tareeqay kai mutabiq tiyar ho ga aur iss mai lactose nai ho gai.

Mainay khud iss tareeqay kai mutabiq kai baar goat milk ka yogurt banaya hai aur wo boht successful raha hai. Goat milk ka yogurt cow milk kai yogurt mai muqablay mai ziada safe hai.

Mazeed details kai liey ye link dekhen:

SCD Yogurt

Question D22

Can we eat yogurt?

Answer

Kuch cheezon ka khial rakhna zarori hai

1. Dhai har aik uc kai patient ko suit nai karta, chahe bilkul sahi kion na bana ho
2. Dhai ka dodh guaranteed pure ho
3. Dhai ko sahi Time kai liey sahi temperature par jamaya ho

this is how I used to prepare SCD specific yogurt when milk is 100% guaranteed to be pure with no formalin added, no injections to animal, and no water added

SCD Yogurt

For some specific milk source it worked really well by making yogurt in our traditional domestic ways, but for some other sources, it wasn’t much successful. I think the animal condition and salesman honesty really matters a lot. The other issue is that if still there is some amount of lactose is left, because of not having ideal temperature for fermentation, I.e., 105 F, it can be problematic

If dairy yogurt is not tolerating then make yogurt with either a nut milk or coconut milk

Following strains for yogurt are SCD legal

Streptococcus Thermophilus, Lactobacillus bulgaricus, Lactobacillus acidophilus and/or Lactobacillus casei. Also, the Saccharomyces Boulardii, Leuconostoc mesenteroides, Lactobacillus plantarum, Pediococcus pentosaceus, and Lactobacillus brevis, Lactobacillus Rhamnosus, Bifidobacterium Lactis

Custom Probiotics Formula One contains Streptococcus thermophilus, Lactobacillus bulgaricus and Lactobacillus acidophilus. It is also dairy-free.

Question D23

What are nightshades?

Answer

Nightshades have a reputation as bad actors in a variety of chronic conditions, such as arthritis, fibromyalgia, and IBS. But what do we really know about how these foods affect our health?

Meet the Nightshade (Solanaceae) Family:
Tomatoes
Tomatillos
Eggplant
Potatoes
Goji Berries
Tobacco
Peppers (bell peppers, chili peppers, paprika, tamales, tomatillos, pimentos, cayenne, etc)

Question D24

Scd pe reh kr kya hmra weight increse hoga ku k jo hmri body ko calories chye wo shyd scd pr reh kr pori na ho….ap apni raye pesh kreb

Will my weight increase while on SCD?

Answer

Jee waight increase hota hai, aur mera to pehlay walay normal sai 1 kg ziada hai. Dosra yeh kai apka stamina kafi set rehta hai due to low cholesterol. App kabi hiking waghera kar saktay hain aur sans bi ziada nai charhay ga

Weight does increase, as you don’t have a bad tummy, so you don’t lose too much energy in diarrhea, and that energy builds fat in your body

SCD par rehtay hoay wazan ziada karnay kai kuch tareeqay hain:

1. Aap desi ghee try karo. Jesa mainay pehlay bi likha yahan ke mainay kafi arsa desi ghee istimal kia jiss sai mera weight increase honay mai kafi help mili. Aik masla ye hai ke agar app ki tabiyet sahi nahi hai tu ziada fats wali cheez nuqsan dai sakti hai. Lekin jab aap behtar feel kar rahay ho, tu aap desi ghee istimal karo. Mai fried eggs desi ghee mai aur kaddo desi ghee mai pakkay hoay khata raha. Ye khiyal rakhana boht zarrori hai keh desi ghee 100% khalis ho aur reliable source sai ho.

2. Chicken sai bi ap apna weight increase kar saktay ho. Uskay liey aap chicken ko “skin” samait pakao. Kionke chicken ki skin mai kafi fats hoti hai. Goat meat aap fats samaet istimal karo, fats aap ka weight increase karain gi.

3. Coconul oil sai bi fats increase hoti hain, lekin limited quantity mai use karo.

4. Fruits mai jo fruit boht ziada fats increase karta hai, wo “Avacado” fruit hai. Ye fruit UC patients kai liey boht hi advantageous hai aur iss sai na sirf fats balke energy bi increase hoti hai.

5. Baghair cheeni kai butter use karain.

Ooper batai tumam cheezon ki miqdar to shoro mai boht kam rakhain aur aahista aahista barhain takay aap ki body adopt ho jai.

Source: SCD Increase weight

Desi ghee kai baray mai ke konsa istimal karna chahiye internet par ye likha hai:

“It is depends upon which type of ghee an individual is consuming as Vanaspati and buffalo ghee increases the weight whereas Cow ghee supports the weight loss as it helps in digesting the harmful fats which increases the unnecessary weight gain and helps in weight loss. ghee provides the proteins,Proper levels of Vitamin K2 help to protect against tooth decay, supports proper growth, building the muscles and development of bones.”

Question D25

sabzi konsi istimal karain

Answer

iss bemari mai, app in sabziaon mai sai koi bi khaa saktay ho, sab mai shifa ho gi
کددو ، توری ، گھیا توری ، کالی توری، ٹینڈا-in sabzion ka bananay ka tareeqa yahan likha hoa hai
SCD Diet Recipes

Question D26

Kia UC mai fish user kar saktay hain?

Answer

fish is in grey area. In my case, har 5 mai sai 3 baar ye mujay masla karti hai

Question D27

banana and apple kha saktay hain?

Answer

banana and apple grey area mai aata hai. Ye ziadar tar logon ko problem deta hai, iss liye jitna aap avoid kar sako , issko avoid karain, khas tur par kharab tabiyet mai

Question D28

green tea user kar saktay hain?

Answer

green tea comparatively safe hain, lekin mai iss liye use nahi karta hai, us kai ander weight reduce karnay ki properties hoti hain, aur agar UC mai weight lose ho jai tu increase karna zara mushkil hota hai

Green tea ki jaga “ginger tea” use karain, ya olive kai pataon ko ubal kar tea banain aur use karain.

Question D29

Kon sai dry fruit khanay chahiyen?

Answer

dry fruit mai mongphali sab sai ziada dangerous hai
uss kai bahd kaju,sukhi khubani dangerous hoti hai, badam comparatively safe hotay, lekin badam ka chilka sahi nahi hota
tu aik best tareeqa ye hai, ke badaam ko geela rakhain, aur phir unka chilka utaar dain
akhroot small quantities mai safe hota hai
aur uss sai be safe, “pecan” hotai hain jo akhrot type hotay hainpecan is like akhrot, here is image

Question D30

Dhai, akhrot, badam, khajoor  kai baray mai batain?

Answer

badam advanced level food hai. Issko ussi waqt use karna chahiye jab symptoms control mai hon. Dosra, jo cheez masla karti hai, wo badaams ka chilka hota hai. Iss liey SCD diet humain ye kehti hai ke pehlay badamon ko pani mai soak karain ya ubalain jis sai unka chilka naram ho jai ke utara ja sakay. Uss kai bahd unko bake karain, or phir apni dishes mai istimal karain. Agar waisay khanay hain tu boht kam quantities main khain, magar peechay batai procedure kai bhad hi.

Dahi mai aik protein hoti hai jo har UC patient par sahi nahi chalti. Us protein ka naam “casein” protein hota hai. Ye protien sirf dairy products mai hoty hai. Agar dairy dhai tolerate na ho raha ho, tu uska alternate hai ke almond milk ka dhai banaya jai. Us mai ye protein nai pai jati.

khajor mai sugar content hota hai, iss liey ye boht ziada nai use karni chahiye aur sirf advance level par hi try karni chahiye. Again, har ek ko har khajoor ki variety suit nahi karti, iss liey bhot thori quantity mai bari bari har aik variety ko test karain.

Akhrot comparatively kafi safe hai. Issliey isko use karnay sai pehlay pani mai bhagonay ki zarrorat bi nahi parti. Lekin, again, daily use karnay ki quantity kam rakhain, aur start mai thori quantity sai start lain takay body used to ho jai.

Question D31

Which lentils are legal?

SCD mai ham konsi dalain use kar saktay hain?

Answer

red, green and brown lentils are all legal, the red ones are easier to digest, I use them exclusively. I do soak overnight or 24 hours, pouring the water off often as it is very dirty, and then use.

Red, brown, and green lentils are all legal, though they do need to be soaked. So-called French Green Lentils have a very hard shell and are harder to digest.

the recipe is called RED LENTIL FLATBREAD

1 cup raw red lentils soaked over night or 24 hrs. then rinsed and drained
1/2 cup water
1 clove garlic
1/8 tsp baking soda
1 tsp. salt
1 tsp. cumin
you can add any other herbs you wish.

Mix all items and bake

Question D32

Kia ispaghol (Psyllium husks) istimal kar saktay hain?

Kia tukh malanga (Chia seeds) istimal kar saktay hain?

Answer

Ispaghol aur chia seeds ye dono hi SCD Diet mai illegal hai.

Iski waja yeh hai keh ispaghol mai cellulose and lignin mix hota hai jo keh bad bacteria ko khorak ponchata hai. Ye cellulose fruits and vegetables mai bi thori miqdar mai paya jata hai, lekin itna keh tolerate ho jai. Ispaghol mai iski quantity ziada concentrated hoti hai iss liey ye allowed nai hai.

Chia seeds (tukh malanga) bi SCD diet mai illegal hai.


Question D33
SCD diet mai kuch cheezen kuch logon ko tolerate hoti hain aur baqion ko nahi. Iss ki kia waja hai?

Answer

Sab sai pehlay SCD Diet ye karti hai keh jitnay bi food items available hain unko legal and illegal mai categorize kar deti hai (Read Here), uss theory ki based par jis par keh yeh diet bani hai. SCD diet mai jo carbohydrates hain woh singular molecular structure par based hain, jo keh asani sai digest ho jatay hain aur colon mai reaction nai cause kartay. Mazeed jannay kai liey keh SCD diet kesay kam karti hai, ye link study karain: Read Here

Jab kisi kai symptoms theek nai hain, yani, agar ussay “flare hai” tu ussay strongly recommend kia jata hai keh wo SCD diet mai sai hi food items khai, takay colon mai allergy level kam rahay aur colon ki healing ho.

Ab yahan sai agay tricky part start hota hai. Aur woh tricky part yeh hai keh, har aik ho har SCD diet ka food item tolereate nahi ho pata. Uski main waja yeh hai keh har aik body mai allergy level different hota hai, har aik ka lifestyle, eating habbits, stress level, sleeping habbits, sensitivity, mood, etc. level different hota hai. Har aik kai ulcers ka extent bi different hota hai. Har aik kai immune system ka response bi mukhtalif hota hai.

Iss liey jab insaan SCD start karta hai phir ussay aik training phase sai guzarna parta hai, takay wo ye jaan sakay keh SCD diet mai rehtay hoay ussay kon kon sai food items sahi tolerate ho paa rahay hain, aur kis condition mai. For example, agar kisi ko flare hai tu shayad wo SCD legal fruits tolerate na kar sakay, lekin agar wo remission mai hai tu wo kar lai.

Tu basically SCD diet ka main maqsad aik insaan ko flare sai nikalna hai takay wo medicines ko support karai aur medicines proper effect kar sakain, warna agar diet ma control nah ho tu phir UC ki medicines ka effect sahi nai hota.

Jo diet chart mainay banay hain (Read Here), uss mai jo food items hain, wo mostly logon ko tolerate ho jatay hain, especially Stage 1 kai food items. Yeh diet chart mainay pecanbread jo aik standard SCD diet ki website (http://pecanbread.com/p/how/stages.html), ko dekh kar banaya hai takay iss mai Pakistani environment kai mutabiq food items likhay jain. Iss diet chart kai mutabiq flare kai dinno mai kaddo, tori, tinda, aur chicken sab sai safe food items hain. Iss diet chart ko bananay mai kuch meray apnay personal experiences bi hain jo keh mainay study sai aur apnay oper hit and trials sai experience kiay hain, jo keh mainay yahan describe kiay hain aur boht informative hain: Read Here.


Question D34
SCD Diet jab sai start ki hai boht ziada weakness feel ho rahi hai, iss ka solution kia hai?

Answer

SCD diet jab shoro karain tu weakness hoti hai. Mujay tu koi 8 months shadeed weakness rahi thi. Lekin phir waqt kai sath sath healing shoro hoi, aur colon nai apna kam karna shoro kia, meri weakness khud hi khatam honay lagi…. kuch cheezon kai short term benefits hain aur kuch cheezon kai long term. Non SCD cheezon sai energy feel hoti hogi lekin yeh short term solution hai. Ye apko waqt guzarnay kai sath sath theek nai honay dai ga. Lekin agar ap SCD diet use karo tu short term mai apko weakness waghera feel tu ho gi, lekin long term benefit apki colon ki healing ho gi.
Actually jo main cheez ham understand nai kar patay woh yeh hai, keh colon ki healing aik intihai slow process hai. Agar mai apni progress years mai count karon tu mujay clear farq mehsos hota hai. Lekin mai agar days ya weeks mai count karon tu shayad itna idea nah ho.
Meray oper bi SCD start karnai keh bahd aik aisa time aya keh mainay tang aa kar non scd cheezen khani shoro kar di, ye jantay hoay keh, ye meray liey theek nai. Lekin waqt kai sath sath mainay yeh dekha keh non scd cheezen mujay mazeed damage kar rahi thi, aur mujay aik mahinay mai 2 sai 3 bar flare honay laga. Iss liey mainay SCD ko follow kia aur achi progress hoi.

Question D35
Kia dhania (coriander / cilantro) aur zeera (cumin) use kar saktay hain?

Answer

Yes use kar saktay hain


Answers to questions about Medicines for UC

 السریٹو کولائٹس کی ادویات کے بارے میں پوچھے گئے سوالات اور ان کے جوابات


Question M1

Probiotics ka kia faida hota hai?

Answer

Probiotics live good bacteria ko kehtay hain
Ye good bacteria hamary intestine ko healthy rakhta hai.
Iss tarah ka bacteria dahi mai bi paya jata hai, jissay ham Lactobacilus Acidophilus kehtay hai.
Lekin dhai aksar logon ko tolerate nai hota. Iski aik waja yeh hai keh dahi mai aik protein jis ka naam casein hai, wo pai jati hai jo aksar UC patients ko react karti hai. Dosri waja yeh hai keh agar dhai properly ferment nahi hoa ho tu uss mai thori boht lactose reh jati hai jo keh bad bacteria ko feed karti hai, jiss sai ulcers ban saktay hain. Teesri waja yeh hai keh aksar doodh mai formalin dali jati hai takay wo kharab nah ho, lekin formalin bari aant kai ulcers ko kharab karti hai.

Iss liey jo log yogurt tolerate nai kar saktay wo almond milk ya coconut milk ka yogurt bana kar bi try kar saktay hain jo keh dairy free and lactose free hota hai. Internet par dairy free almond milk yogurt ya dairy free coconut milk yogurt search karain tu recipes mil jain gi.

Jin logon ko UC hota hai unka bad bacteria ziada ho jata hai, jiss sai aksar diarrhea ki shikayat hoti hai. Probiotic good bacteria ki population ko increase karti hai.

Pakistan mai jo 2 types ki probiotics UC mai successful hain wo gutcare aur enterogermina hain.
Diarrhea ki sorat mai 1 sachet gutcare + 1 enterogermina (5ml) + 2 tablespoons extra virgin olive oil (borges company) ka use karain aur sath strict diet control karain tu diarrhea forun khatam ho sakta hai.

Probiotics kai daily use ki waja sai ho sakta hai keh ya tu constipation ho jai, ya gas hona shoro ho jai, jo keh kisi aik bacteria ki population ziada honay sai ho sakta hai. Jab keh hamary colon mai har bacteria ki population ka balanced rehna zarori hai.

Iss liey behtar yehi hai keh 32 sai 48 hours kai gap kai bahd len.

SCD Diet mai wo tumam probiotics allowed hain jinn mai neechay diay gai bacterias kai strains hon:

Streptococcus Thermophilus, Lactobacillus bulgaricus, Lactobacillus acidophilus and/or Lactobacillus casei. Also, the Saccharomyces Boulardii, Leuconostoc mesenteroides, Lactobacillus plantarum, Pediococcus pentosaceus, and Lactobacillus brevis, Lactobacillus Rhamnosus, Bifidobacterium Lactis

Custom Probiotics Formula One contains Streptococcus thermophilus, Lactobacillus bulgaricus and Lactobacillus acidophilus. It is also dairy-free.

Question M2

Medicine khali pate lain ya nahi?

Answer

Har medicine ki requirement different ho sakti hai. Ye medicine kai required pH scale per probably depend karta hai. UC ki medicines mai Delzicol, Asacol, Lialda, Pentasa, and Apriso, etc. hoti hain. USA mai jab mujay delzicol di gai tu instructions thi keh 1 hour before food ya 2 hours after food lain. Maqsad ye tha ke jab medicine jai tu khali colon par ja kar effect karay. I think pentasa kai literature mai likha hai ke with food lain.

Ye information online available hai:

How to take

Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.

Take Asacol HD on an empty stomach, at least 1 hour before or 2 hours after a meal.

Lialda should be taken with a meal.

Other brands of mesalamine can be taken with or without food. Follow your doctor’s instructions or the directions on your medicine label.

Question M3

Which enema is better (konsa enema behtar hai)

Answer

mesalamine (asacol/mesacol/pentasa) enema comparatively behtar hai steroidal enema kai muqablay mai. Aksar logon ko steroidal enema sai reaction ho kar bleeding ki shikayat hoi hai.
Rowasa enema

Asacol anema lahore sy jinah hospital k samny green pharmacy ki lab hy wahan sy mil jaty hain
aur ye 4g hota hy 60ml mai
1 night ko ly skty hain

enema Sehat.com.pk waley bnwa kr dety hain… Fazal.din walo sai bi milta hai…

Enema lenay sai pehlay aik bar bathroom ka visit kar lena aur colon ko khali kar len. Phir left side par lait kar enema ander dalain takay left side ki colon ko cover kar sakay.

Question M4

Any herbal supplements available in Pakistan and where.

Any homeopathic treatment of UC?

Answer

Extra virgin olive oil,

In the beginning, when condition is bad

1 table spoon early morning on empty stomach and 1 table spoon right after food

when condition becomes a bit stable

2 table spoons early morning empty stomach and 2 at night after food

Olive leaf extract is also very good and excellent results, especially against UC due to amoeba. Here it is: Olive Leaf Extract

Olive leaf extract you can also make by washing, drying, and then grinding the healthy leaves of olive tree.

aap olive leaf extra olive kai paton ko dho kar, sukha kar aur grind kar ke bi bana saktay hain

Question M5

UC ki minimum medicine dose kia hai?

What is the minimum medicine dose in UC?

Answer

UC mai medicine kabi nai chor saktay warna dobara shadeed flare ho sakta hai aur medicine chornay sai fistula (intestine kai ander blockage) and cancer bi ban sakta hai.

Minimum dose of Pentasa: 500 mg morning, 500 mg afternoon, 500 mg night

OR

Minimum dose of Mesacol 400 mg morning, 400 mg afternoon, 400 mg night.

Behtar ye hai ke medicine khanay sai one hour pehlay li jai.

Question M6

Kia antibiotics khani chahiyen?

Does antibiotics have any effect on UC?

What to do in sore throat in UC?
Gala kharab honay ki sorat mai kia karna chahiye?

Answer

Use of Antibiotics in Ulcerative Colitis

In some scenarios, antibiotics are unavoidable, e.g., surgery, or some severe infection etc. In that case, the antibiotics also disturb the colon, and this is established fact. So as precautionary measures, the “probiotics” are recommended to avoid having flare. The SCD specific probiotics are those that contain acidophilus bacterium. The following is an example of what I used: SCD probiotics

In Pakistan, the best alternative (but probably non SCD specific) that I am using is “Gutcare” and enterogermina.

There can be some situations where antibiotics can be avoided, by showing some patience, e.g., in case of sore throat. I never use antibiotics for sore throat or chest infections, as when a person has such infections, the immune system is already hyper. So use of antibiotics in such circumstances can cause a flare with high probability. The remedy for sore throat etc is to wear extra warm clothes, and avoid cold exposure as much possible, and use olive fruit. Extra virgin olive oil is also very effective in cold that really boosts immune system. Initially, it may be a bit challenging to fight sore throat without antibiotics, but if you control yourself and avoid antibiotics, the immunity will become stronger, and you will stop feeling pain in throat whenever the cold will attack you. And, in case of flu, the antibiotics are anyways useless. So the conclusion is that instead of panicking, wait a bit, and let your immune system fight in case of cold and fever. Thanks.

Remedy for sore throat without using antibiotics

In traditional practice when a person get sore throat and he/she visits a doctor, the doctor prescribe antibiotics. This is especially so common in Pakistan that doctors immediately prescribe patients with 3rd generation high potency antibiotics for minor problems. Since antibiotics have quick affect (at the cost of side effects), so patients become satisfied and happy on using them. In majority of the patients who suffer from UC, the main reason behind the ulcer formation in colon are antibiotics. For UC patients, the antibiotics are very dangerous as they may lead to bleeding of colon and ulcers. Some days ago, I got a very bad attack of flu, followed by fever and sore throat. For fever I relied on Panadol (paracetmol) and for runny nose, I used chicken soup. However, I was finding it difficult to get rid of pain in the throat pain. Finally, I found a remedy for that and when I used that, miraculously, my throat pain was gone within a single night.

In our home, there is an olive tree. The olive tree has green olive fruits. I detached some olive fruits, washed them and ate them one at a time after lying in bed at night. The taste was not that pleasant and when the juice touched the sore part of my throat, it had some burning sensation. However, I tolerated the pain and taste, and later slept. When I got up in the morning for Fajr prayer, it was difficult for me to locate what place was actually hurting in my throat. The pain was magically gone. This is just one example of sore throat. In normal days as well, I use extra virgin olive oil (2 or 3 table spoons a day) for my UC care and especially when I am doing some physical exercises.

According to an online source, it has been observed that regular use of olive significantly reduces the chances of getting cancer.

If Olive can do such wonders, then that is no surprise, because olive is mentioned as “Blessed Tree” in Quran by Allah Almighty in Surah Noor:-

“Allah is the Light of the heavens and the earth. The example of His light is like a niche within which is a lamp, the lamp is within glass, the glass as if it were a pearly [white] star lit from [the oil of] a blessed olive tree, neither of the east nor of the west, whose oil would almost glow even if untouched by fire. Light upon light. Allah guides to His light whom He wills. And Allah presents examples for the people, and Allah is Knowing of all things.” https://quran.com/24/35

Question M7

Pakistan mai konsi probiotic istimal karain?

Which probiotic to use in Pakistan?

Answer

Gutcare should be used. Here is picture. However, do not use it daily, use after 48 hours or more, otherwise it will start reacting. Secondly, gutcare also has traces of sugar in it. So if you are in a condition of severe flare, gutcare is not advisable, as sugar in it can further spoil the condition.

Dosri types probiotics ki jo ham use kar saktay hain wo enterogermina hai. Agar apko diarreha hai tu behtar hai keh ap 1 sachet gutcare + 1 5ml enterogermina + 2 spoons extra virgin olive oil shoro mai every 24 hours and then 3 days bahd every 48 hours use karain, jab tak keh diarreha settle nai ho jata.

Question M8

Steroid kai sath ka supplements kahany chahiye?

Which supplements to eat if I am taking steroids?

Answer

aik boht important baat un bhaion ke liay jo steroids aur imuran lay rahay hain ke wo calcium zaroor use karain, warna osteoporosis, hadion ka purpura pan ho jata hai

SCD Diet kai mutabiq multivitamis ki following dose leni chahiye:

In Pakistan, the following vitamins type are SCD Legal:

Ye vitamins yahan sai milti hain:

Iss kai alawa kuch log QALSAN D multimultivitamins use kartay hain jo keh non chewable and sugar free honi chahiyen.

Question M9

kia mai delta cortril chor don?

Answer

aik dam sai na chorna, proper tapper karna, jesa doc nai bola. Aik dam chorna boht khatarnak hota hai

Question M10

What is Best time to take mesacol/pentasa in a day

Answer

normally, ye kaha jata hai ke masacol/pentasa etc ya khanay sai aik ghanta pehlay, ya 2 ghantay bahd leni chahiye

Question M11

Pentasa, asacol, mesacol, ye sab kaisay kaam karti hain?

Answer

pentasa, asacol, mesacol, delzicol, liada. Ye sari 1st generation medinces hain. Inn ko “slow release” medicines bi kehtay hai. In medinces ki property ye hoti hai ke ye sirf aik khas “PH” Scale par apna asar karti hai. PH scale “acidity” ko reprsent karta hai. Tu stomach mai wo PH scale nai hota jiss par ye medicines apna asar karti hai, lekin “colon” mai wo PH Scale value hoti hai. Iss liey ye sirf wahan ja kar apna kaam karti hai. Let ye baat hai ke stomach acid sai inn ka asar kafi kam ho jata hai
doosra yeh hai keh, jo bi medicines ham use kartay hain, wo liver wo liver mai bi pass hoti hain, aur kidneys mai bi
wo tumam log jo pentasa, asacol, mesacol, etc ki heavy dose use kar rahay hain, unkay liey ye boht zarrori hai ke har 3 months bahd apna kidneys test karwain.ye wo saray saftey precautions hain jo USA mai ziada follow kiye jata hain, jo hamaray doc aksar nai batatayJin logo ko “1st generation” medicines asar nai kartin, tu on ko “biologics” di jati hai, jo next level medicines hainaik example Imuran hain. Basically, Imuran un logon ko di jati hai jo kidneys transplant karatay hai, takay unki body kidneys ko reject na kar dain, Tu Imuran ka main maqsad Immune systme to suppress karna hota hai, lekin imuran kai side effects ziada sever hotay hai
ab problem hamaray mulk mai ye hai, ke doc sb, patient ko diet mai control par sahi guide nahi kartay. Jab patient dobara doc sb kai pass jatay hain, tu wo un ko next level medicines like Imuran and steroids pakra detay hain, aur ye cycle chalta rehta hai

Question M12

steroids like delta cortril ya prednison kinay arsay kai liey leni chahiye?

Answer

ye condition to condition vary kar sakta hai. Agar condition ziada severe hai tu phir steroids ki longer duration dose di jati hai. Jaisay meray case mai start mai mujay steroid recommend hoi wo ye thi:
40 mg for 5 days
20 mg for next 5 days
10 mg for next 5 days
5 mg for next 5 days
2.5 mg for next 5 daysLekin meri condition mai, jab mai 10 mg par poncha, tu meray saray symptoms phir wapis aa gai. Jab mai dobara doc kai pass gia tu usnay ye steroid dose di (prednisone)40 mg for 7 days
35 mg for 7 days
30 mg for 7 days
25 mg for 7 days
20 mg for 7 days
15 mg for 7 days
10 mg for 7 days
5 mg for 7 days
2.5 mg for 7 daysye aik boht lamba arsa ki dose thi aur iss sai meri eyesight severely effect hoi thi. Iss kai alawa insan aur bemarion kai attack kai risk par rehta hai kionke immune system shut down hoa hota hai. Wo bemari bi insaan ko ho sakti hai jiss kai bachpan mai hifazati teekay lagay hotay hain. Iss liye steroids ka long term use, normal halaat mai, nai hona chahiye. Issi liey issay “Life Saving Drug” kaha jata hai, yahi, sirf us waqt li jai jab zindagi ko khatra ho

Question M13

Kia anar kai chilka ka powder user karnay sai faida hota hai?
Is using pomegranate peel powder beneficial?

Answer

AIK IMPORTANT INFO ABOUT POMEGRANATE PEEL POWDER AND HOMEOPATHIC MEDICINES

Mainay apni website par jinn lady ki story share ki thi ke unko UC tha aur unno nai pomegranate peel powder use kia tu un ka UC khatam ho gia.

Ag mainay unki dobara updates li hain aur pata chala ke un ko ab bi on off symptoms hotay hain. Yehi mainay aik aur patient kai case mai dekha kai pomegranate use karnay kai bahd jo unki UC theek hoa, wo kai years kai bahd dobara ho gia.

Iss sai ye sabit hota hai ke pomegranate peel powder koi final solution nai hai UC kai liey aur ye har ek par effect bi nai karta, balkay ho sakta hai ulta react kar jai.

Iss liey kharab symptoms mai ziada behtar yehi hai ke sahi medicines aur sahi diet use ki jain aur peel powder ko avoid hi karain.

Dosra har ek ki UC ka severity mukhtalif hoti hai, iss liey zarori nai hai keh har aik ke ooper har homeopathic medicine chalay.

Finally, homeopathic medicines kai koi clinical trials nai hotay. Jab allopathic medicines banti hain tu woh pehlay rats, rabbits, etc par test hoti hain, aur uss kai bahd humans par unkay trials hotay hain. Iss liey most cases mai unkai side effects known hotay hain. Homeopathic doctors yehi keh kar patients ko satisfy kartay hain ke inkay side effects koi nahi, jis ki waja ye hoti hai, ke unkai side effects known hi nahi hotay, kionke unkai clinical trials hi nahi hotay.

Question M14

Are homeopathic medicines effective?

Answer

All those interested in homeopathy should read this informative article:

Homeopathy Info

A paragraph from the above article:

“What the Science Says About the Effectiveness of Homeopathy
A 2015 comprehensive assessment of evidence by the Australian government’s National Health and Medical Research Council concluded that there is no reliable evidence that homeopathy is effective for any health condition.

Homeopathy is a controversial topic. A number of its key concepts don’t agree with fundamental scientific concepts. For example, it’s not possible to explain in scientific terms how a product containing little or no active ingredient can have any effect. This, in turn, creates major challenges to rigorous clinical investigation of such products. For example, researchers cannot confirm that an extremely dilute mixture contains what is listed on the label; nor have they been able to develop objective measures that show effects of extremely dilute products in the human body.

Another research challenge is that homeopathic treatments are highly individualized, and there is no uniform prescribing standard for homeopathic practitioners. There are hundreds of different homeopathic remedies, which can be prescribed in a variety of different dilutions for thousands of symptoms.”

Question M15

Pentasa and Mesacol mai sai kon si medicine ziada behtar hai?

Answer

Pentasa and Mesacol dono ka base formula same hai, jo keh Mesalazine hai. Pentasa ki aik tablet 500 mg hai, jab ke Mesacol ki aik tablet 400 mg hai.

Inn dono mai sai ziada behtar pentasa hai. Iss ki waja yeh hai keh boht saray patients nai ye bataya hai, ke jab woh mesacol laitay hain tu woh stool mai ussi tarah bahir aa jati hai aur body kai ander properly absorb nai ho pati. Agar medicine stool mai bahir aa rahi hai tu wo body mai absorb nai ho rahi, jiss sai uski afadiat, yani uska faida khatam ho jata hai.

Yehi waja hai keh aksar patients jo keh mesacol lai rahay hain, unkai symptoms ziada control mai nahi rehtay.

Kia ham pentasa aur mesacol ko khali pait lai saktay hain? Yes, lai saktay hain.

Pentasa ki maximum dose normally 3000 mg di jati hai (1000 mg + 1000 mg + 1000 mg) aur mesacol ki maximum dose 2400 mg di jati hai (800 mg + 800 mg + 800 mg), jo ke “flare” kai waqt ki dose hai.

Remission mai Pentasa ki dose 500 mg + 500 mg + 500 mg  hai, aur mesacol ki 400 mg + 400 mg + 400 mg.

Ziada behtar yeh hai keh inn medicines ko khanay sai 1 hour pehlay liay jai.

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