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IBS help

The Sanitarium Nutrition Service
Monday, November 16, 2009
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Question: I have been diagnosed with irritable bowel syndrome. What is it and how can diet help?

Answer:

Irritable bowel syndrome (IBS) is a collection of reoccurring symptoms, including abdominal pain, bloating, gas, diarrhoea, constipation and a feeling of urgency to visit the toilet. It is brought about by a disturbance in the way the intestines, the brain and the nervous system interact, causing sensitivity in the nerves and muscles of the bowel.

Because IBS can't be diagnosed with a single test, a diagnosis is generally made after excluding other diseases with similar symptoms.

Unfortunately, IBS is a common condition, with females being more affected than males. It's triggered by stress and diet in some people, and treatment for IBS varies between people but usually includes diet therapy, medication, stress management and/or psychological counselling.

Tips for managing IBS
There is no special diet specifically for IBS. For some people, even thinking about food or eating will stimulate gut movement, causing symptoms. The following advice, however, may be helpful for many people.

  • Increase your fibre intake by gradually including more high-fibre foods such as wholegrain breads/cereals, wholemeal pasta, dried fruits, brown rice, fruits and vegetables.
  • Avoid large amounts of unprocessed bran as this may worsen symptoms.
  • Make sure you have at least eight glasses of water each day.
  • Identify and avoid trigger foods. These may be alcohol, fatty foods, caffeine, dairy products, wheat, carbonated drinks, and/or artificial sweeteners like mannitol and sorbitol.
  • Try to eat smaller, regular meals and eat your food slowly.
  • You might find it useful to keep a food, fluid and symptom diary to monitor the effect of diet on your symptoms.

IBS is a complex condition and you need to work closely with your doctor and/or an accredited practising dietician (APD) to help you identify problem foods and to ensure your diet is balanced.

This information is provided by the Sanitarium Nutrition Service.

Your say: Have you struggled with IBS? How do you manage it? Share with us below...

User comments
An update on my earlier report on IBS and Questran Lite. I didn't have any positive results from taking it so saw a Naturopath who looked Questran Lite up in the latest manual of medications. He discovered that it takes Vitamin D and I think it was A from the body and also can have other side effects that aren't very good. He recommended that I cease taking it immediately. He has me on some tablets that can restore the flora and good bacteria to the bowel and also some powder to take to put back proteins etc that I'm losing from my body. He has taken me off wheat and dairy and alcohol and I have noticed improvement after about 10 days. I am not getting severe cramps and so much diarrhoea now.
I have also been diagnosed with IBS and suffer badly with the pain, bloating, & diarrrhoea. Gastro Stop helps with the diarrhoea if I'm going out. Mornings are the worst. I saw the recommendation for Questran Lite, which I have discovered is mainly for lowering Cholestoral, with a side effect of constipation. I have been on it now for nearly a week, with no noticeable change in my problems. I intend to see a dietician or naturopath to see if they can help. My doctor doesn't seem to think they will.
I had tests a year ago, but the doctor at that time failed to tell me the results were IBS. I have battled on until last week when my stomach was bloated from just under my breasts to the base of my belly. I felt like I was expecting twins! Then I started getting stomach cramps and spasms, followed by diarrhoea so I went to see another doctor in the same practice, and he confirmed from reports that I had IBS. I am annoyed that I wasn't told a year ago so the problem could've been been addressed much earlier. However, on reading Jordan's (Bathurst) post, I would like to find out more about Questran Lite, and the foods she could cope with for her symptoms. My doctor has prescribed Dothep 25 which apparently helps with control IBS and help with depression. He has not suggested I see a dietitian or nutritionist to work out a suitable eating plan, and I believe this should've been mentioned to put me on the right track. It's been hard to source recipes online, and I'd appreciate advice.
I suffered from IBS for 16 years. Finally got a fantastic Gastrointerologist, took test, x.rays etc of my stomach and ended up putting me on Questran Lite. What a difference. No more upset tummys, bloating etc. It worked from the first night I took it. I have not had an upset stomach since. My whole life has changed. I eat what i want, when i want - its amazing.

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