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Nutritious Foundations
Some people can eat anything and be just fine. And then there are the rest of us. If you experience bloating, indigestion, abdominal pain, cramping, diarrhea, constipation or even a combo of both and you suspect it is linked to the food you eat, you may have IBS.
IBS (Irritable Bowel Syndrome) is an intestinal disorder that affects the bowels. It is a chronic condition that, while not dangerous, is certainly uncomfortable and potentially disruptive to your life. In order to diagnose IBS, your doctor will first need to rule out other causes of your symptoms that can actually cause damage to your intestines such as colon cancer, celiac disease, diverticulitis and inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis.
Along with uncomfortable indigestion symptoms such as gas, bloating or abdominal pain, IBS manifests through diarrhea (IBS-D), through constipation (IBS-C) or through a combination of both (IBS-M for mixed). The type of IBS you have determines the treatment.
Experts believe the prevalence to be between 10-15% of the adult population. It is difficult to quantify because many people don’t seek help and instead just live with their symptoms. Some figure out how to change their eating patterns to reduce symptoms while others just suffer. It can also feel elusive to connect the dots in IBS because many patients experience both “normal” days and “symptomatic” days with seemingly no rhyme or reason to them.
First off, be grateful you don’t have one of the diseases above which damage your intestines. IBS is manageable! However, once diagnosed with IBS, many patients are left to their own devices to sort out what they can and can’t eat which can be confusing and frustrating. I often talk with clients who express frustration over not knowing what to eat or in what amounts, or a certain food that is sometimes problematic for them.
Specifically, there are certain carbohydrates referred to as FODMAP’s that can be problematic for those with IBS because these carbohydrates are harder to digest than others. FODMAP is an acronym that stands for Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols. Big words, I know, and hard to remember which is why we refer collectively to them as FODMAP’s. They are simply small-chain sugars which the small intestines tend to absorb poorly.
The tricky part about IBS is there is no one-size-fits-all cure. Every individual is unique and thus requires an individualized approach. In fact, some of the strategies to help manage IBS may contradict one another, but it all depends on the person.
· A low FODMAP diet
· A high-fiber diet (even though some of the fibers added in may be high FODMAP)
· Supplemental fiber (psyllium husk is the go-to)
· Cutting out dairy products high in lactose
· Limit foods that make you gassy. Cruciferous veggies such as broccoli or cauliflower or legumes (high in galactans) are often culprits.
· Hydrate (especially helpful for IBS-C)
· Go gluten-free for a while to see if it offers relief.
If you think you may have IBS, don’t despair, I have plenty of tools and resources available to help you find relief. Give me a call and together we will figure it out!
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