Defeat Irritable Bowel Syndrome (IBS) understanding FODMAP’s

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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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.
Gastroenterology. 2015 Aug 5. pii: S0016-5085(15)01086-0. doi: 10.1053/j.gastro.2015.07.054. [Epub ahead of print]
PMID: 26255043 [PubMed – as supplied by publisher]
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2.Does a low FODMAP diet help IBS?
[No authors listed]
Drug Ther Bull. 2015 Aug;53(8):93-6. doi: 10.1136/dtb.2015.8.0346. Epub 2015 Aug 6.
PMID: 26251411 [PubMed – in process]
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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.
Chumpitazi BP, Cope JL, Hollister EB, Tsai CM, McMeans AR, Luna RA, Versalovic J, Shulman RJ.
Aliment Pharmacol Ther. 2015 Aug;42(4):418-27. doi: 10.1111/apt.13286. Epub 2015 Jun 24.
PMID: 26104013 [PubMed – in process]
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4.[Non-celiac gluten sensitivity: Another condition that responds to gluten].
Navarro E, Araya M.
Rev Med Chil. 2015 May;143(5):619-26. doi: 10.4067/S0034-98872015000500010. Spanish.
PMID: 26203574 [PubMed – in process] Free Article
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5.Irritable bowel syndrome: dietary interventions.
Ford AC, Vandvik PO.
BMJ Clin Evid. 2015 Jul 30;2015. pii: 0410.
PMID: 26226510 [PubMed – in process]
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6.Sensitivity to wheat, gluten and FODMAPs in IBS: facts or fiction?
De Giorgio R, Volta U, Gibson PR.
Gut. 2015 Jun 15. pii: gutjnl-2015-309757. doi: 10.1136/gutjnl-2015-309757. [Epub ahead of print] Review.
PMID: 26078292 [PubMed – as supplied by publisher]
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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.
Marsh A, Eslick EM, Eslick GD.
Eur J Nutr. 2015 May 17. [Epub ahead of print]
PMID: 25982757 [PubMed – as supplied by publisher]
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8.Diet in irritable bowel syndrome.
El-Salhy M, Gundersen D.
Nutr J. 2015 Apr 14;14:36. doi: 10.1186/s12937-015-0022-3.
PMID: 25880820 [PubMed – in process] Free PMC Article
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9.Systematic review: dietary fibre and FODMAP-restricted diet in the management of constipation and irritable bowel syndrome.
Rao SS, Yu S, Fedewa A.
Aliment Pharmacol Ther. 2015 Jun;41(12):1256-70. doi: 10.1111/apt.13167. Epub 2015 Apr 22. Review. Erratum in: Aliment Pharmacol Ther. 2015 Aug;42(4):490.
PMID: 25903636 [PubMed – indexed for MEDLINE]
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10.Role of FODMAPs in Patients With Irritable Bowel Syndrome: A Review.
Mansueto P, Seidita A, D’Alcamo A, Carroccio A.
Nutr Clin Pract. 2015 Feb 18. pii: 0884533615569886. [Epub ahead of print] Review.
PMID: 25694210 [PubMed – as supplied by publisher]
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11.Diet and irritable bowel syndrome.
Thomas A, Quigley EM.
Curr Opin Gastroenterol. 2015 Mar;31(2):166-71. doi: 10.1097/MOG.0000000000000158.
PMID: 25612261 [PubMed – in process]
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12.Low-FODMAP Diet for Irritable Bowel Syndrome: Is It Ready for Prime Time?
Khan MA, Nusrat S, Khan MI, Nawras A, Bielefeldt K.
Dig Dis Sci. 2015 May;60(5):1169-77. doi: 10.1007/s10620-014-3436-4. Epub 2014 Nov 20. Review.
PMID: 25410635 [PubMed – indexed for MEDLINE]
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13.[The diet low in fermentable carbohydrates short chain and polyols improves symptoms in patients with functional gastrointestinal disorders in Spain].
Huamán JW, Felip A, Guedea E, Jansana M, Videla S, Saperas E.
Gastroenterol Hepatol. 2015 Mar;38(3):113-22. doi: 10.1016/j.gastrohep.2014.08.007. Epub 2014 Nov 6. Spanish.
PMID: 25458546 [PubMed – in process]
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14.[Current issues on irritable bowel syndrome: diet and irritable bowel syndrome].
Kim JH, Sung IK.
Korean J Gastroenterol. 2014 Sep 25;64(3):142-7. Korean.
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  1. 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.

  2. 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.

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