Today we are discussing Irritable Bowel Syndrome and FODMAP’s. IBS is a very common disorder in our society causing gastrointestinal distress for millions of Americans, who often do not know what foods are increasing their symptoms of abdominal bloating, flatulence, and altered bowel habits. Today we will discussing a cornerstone of IBS management, and that is acknowledgment of foods that contain short chain carbohydrates which increase symptoms for IBS patients. Please enjoy!
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References:
1. | Diet low in FODMAPs Reduces Symptoms of Irritable Bowel Syndrome as Well as Traditional Dietary Advice: A Randomized Controlled Trial. |
Böhn L, Störsrud S, Liljebo T, Collin L, Lindfors P, Törnblom H, Simrén M. | |
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2. | Does a low FODMAP diet help IBS? |
[No authors listed] | |
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3. | Randomised clinical trial: gut microbiome biomarkers are associated with clinical response to a low FODMAP diet in children with the irritable bowel syndrome. |
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7. | Does a diet low in FODMAPs reduce symptoms associated with functional gastrointestinal disorders? A comprehensive systematic review and meta-analysis. |
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10. | Role of FODMAPs in Patients With Irritable Bowel Syndrome: A Review. |
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12. | Low-FODMAP Diet for Irritable Bowel Syndrome: Is It Ready for Prime Time? |
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Dr. Gates, you mentioned you suffer from IBS. Do you believe stress is a major cause or component in your illness? I ask because I believe, after suffering from IBS-D for 20 years with no successful management, stress is not the cause but instead is caused from SUFFERING from IBS with no management or hope. I’m so tired of doctors blaming everything on stress when a lot of us are suffering stress as a RESULT of being sick. Can you please elaborate or give your opinion. Thank you. PS: did the whole antidepressant trial and the side effects were too bad and none of these pills worked on the IBS. While I understand stress can kick in your motility, it doesn’t necessarily mean stress and anxiety cause IBS.
Thank you for the comment. Stress is associated with about 80% of IBS cases, but that does not mean that the stress is the causal mechanism in all of these individuals. It is part of the intermingled web of dysfunction with dysbiosis, FODMAP reactions, and Leaky Gut syndrome. Though my IBS is far improved, stress still proves to be a provocative factor when present, though I have mitigated stress to a large degree also.
In our experience, when stress is not an inciting factor, dysbiosis is usually the key factor driving the IBS. Though we have not formally evaluated your case, that is the experience I can speak from.
I hope this helps, and let us know if you want us to evaluate your case.