The Constipated Battleship King George V
30 Mar 2009
Recently a patient, who is extremely health conscious, asked, "If you had to pick the most important food what would you choose?" I replied, "fiber". I’ve believed for years that fiber is the corner stone of a healthy diet and without adequate amounts people are headed for a variety of health problems.
The National Academies’ Institute of Medicine formulates dietary recommendations for the government. It recently reported that the average North American consumes only 14 to 15 grams of fiber a day. This is a failing grade as it’s less than half of what people should be eating.
Fibers primary benefit never crosses the minds of most people. Fiber is bulky and therefore filling. Years ago, my father-in-law called it "roughage" and swore by it. You can drink a cola loaded with eight teaspoons of sugar but it has practically no effect on deadening the hunger reflex. However, eat one apple containing 3.3 grams of fiber and you rarely need a second.
The consumption of fiber is, therefore, one of the first steps to controlling weight. There simply isn’t enough room left for all the other snacks you shouldn’t eat. And maintenance of normal weight is a major step in circumventing heart disease, diabetes, some cancers and a variety of degenerative problems.
This fact isn’t rocket science or anything new. History has numerous examples of the benefits of fiber. Dr. Denis Burkitt, a British researcher, showed that African natives who consumed large amounts of fiber did not suffer from constipation, appendicitis or large bowel problems.
During the war with France in the 18th century food was scarce. The British parliament passed a law designed to stretch the supply of grain. This meant that 80,000 English soldiers ate bread from unbolted flour. Army physicians noted that the health of the troops improved.
Most people remember the Battle Ship King George V for chasing Germany’s battleship, the Bismark. But the history books fail to mention that constipation was rampant among the sailors. Their ship’s surgeon Captain T. L. Cleave was also constipated and he hated to take laxatives.
Faced with this situation Cleave decided to experiment on himself. For several days he consumed raw unprocessed bran. It cured his and his sailors’ constipation.
All these people were doing what Hippocrates had preached in 400 B.C. But as has been aptly said, "The only thing we learn from history is that we don’t learn from history". His sage advice to the people of Athens was to keep healthy they must always have bulky bowel movements. He suggested they consume whole bread, fruits and vegetables.
In my office I know immediately if patients are getting sufficient fiber. During rectal examination those with insufficient dietary fiber have small hard stools. Those eating large amounts of fiber have large, bulky stools as soft as toothpaste.
The best way to start the day is with a high fiber cereal. It’s hard to beat All-Bran. Just one-third of a cup contains 10 grams of fiber. It would take nearly 4 cups of cheerios to get the same amount of fiber!
High fiber bread is hard to find. Don’t be fooled by labels. Look for the words "whole wheat" and it should contain two grams of fiber per slice. Those labeled "multigrain" or "wheat" may contain little or no fiber.
To boost your fiber content further add lentils, black beans, green peas, pears, bananas, prunes, broccoli, tomatoes, celery and roasted almonds to your diet. Fiber supplements can be taken but it’s better to obtain fiber from food.
I’ve suggested in earlier columns that fiber reduces constipation thereby decreasing the risk of colon cancer. Foods remaining in the bowel contain cancer-containing compounds. The longer it’s left in contact with the intestinal wall, the greater the chance of malignancy. Some recent studies question this theory, however.
But, no one has ever proven that fiber is bad for you. It’s best to add it to the diet slowly as it may cause bloating and gas. And remember if your stools never float you’re not getting enough fiber.
What happened to Captain Cleave? He should have been awarded a Noble Prize. But he became known as "The Bran Man" and the subject of ridicule.
