Thanks
Nutritionist
Ensure you have other serious gastrointestinal diseases (coeliac disease) ruled out before changing your diet.
Although patients often blame high intakes of fatty foods, alcohol or caffeine for their gut symptoms, our research group has substantiated a large group of short-chain carboydrates which can be poorly absorbed and rapidly fermented, which can contribute to common IBS symptoms. We have grouped these specific carbohydrates as FODMAPs and are found in a range of foods:
- fructose (certain fruits including pears, apples and honey)
- lactose (milk)
- sorbitol and mannitol (stone fruits and added as an artificial seetwener)
- fructans (in large amounts of wheat, rye and in onion and garlic)
- GOS (legumes)
Please see a specicialised dietitian to ensure you retain a nutritionally balalnced diet whilst following the low FODMAP diet. The dietitian or breath testing will also help refine your diet, as people vary in their tolerance levels and to which FODMAP they are sensitive to.
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to your account or now (it's free).Dietitian, Nutritionist
The cause of IBS is complex and often multifactorial, and will differentiate amongst individuals - causes may include one or more of the following:
* Abnormal nerve stimulation in the gut - often associated with stress, anxiety and depression
* Gut micro-flora imbalance (the ‘good’ bacteria)
* Personal sensitivity to normal gut motions such as bowel noises, movement, flatulence etc which
are described as uncomfortable
* and as Jessica pointed out - an inability to absorb fermentable oligosaccharides, disaccharides,
monosaccharides and polyols (FODMAPS) properly
Nutrition intervention involves defining the problem clearly and managing the IBS symptoms (eg. diarrhoea, constipation etc) using the following steps:
1. Normalising eating behaviours
2. Increasing dietary fibre intake OR decreasing dietary fibre intake depending on the symptom
3. Including a daily probiotic
4. Avoidance of ‘windy’ foods and known gut irritators (It is interesting that you found cabbage to
set off your IBS, as it is known for its ‘windy’ characteristics)
It may be best to remove or limit these foods in your diet:
- Vegetables such as brussel sprouts, cabbage and cauliflower
- Legumes such as baked beans, kidney beans, lentils, chickpeas etc
- FODMAPS (as Jessica as nicely explained above), especially lactose and sorbitol
- Artificial sweeteners
- Caffeine
- Spices
- Alcohol
5. Following a low fat diet
6. Normalising toileting behaviours
7. Elimination of food sensitivities (under professional guidance)
8. Emotional support
An Accredited Practicing Dietitian (APD) can help you implement the following steps into your lifestyle without compromising your diet nutritionally. Go to www.daa.asn.au to find an APD in your area.
Good luck!
Samantha Ling
Rostant Nutrition
(Find us on Facebook at www.facebook.com/RostantNutrition )
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