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Irritable bowel syndrome doesn’t have to be a life sentence
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Irritable bowel syndrome doesn’t have to be a life sentence
Monday 1 November 2021, 01:00 AM
A low-FODMAP diet is often recommended for irritable bowel syndrome
KIRSTEN ASKS IF you could recommend a probiotic or laxative to help her manage her irritable bowel syndrome, which she was diagnosed with last year. She says constipation, bloating and abdominal pain are her main symptoms. The laxatives her doctor gave her tend to make her bloating worse, although they do help her go to the toilet. She finds her condition frustrating, and it affects her social life and when eating out with friends.
Treatments should be tailored depending on the most troublesome symptoms or to minimise identified trigger factors
Irritable bowel syndrome (IBS)
References
- Southern Cross Medical Library. Irritable bowel syndrome - symptoms and treatment. September 2020. https://www.southerncross.co.nz/group/medical-library/irritable-bowel-syndrome-symptoms-and-treatment
- Fookes C (Tech Ed). Irritable Bowel Syndrome. Healthcare Handbook 2021–2022. Auckland, NZ: The Health Media Ltd; 2021.
- International Foundation for Gastrointestinal Disorders: About IBS. Bloating. https://aboutibs.org/signs-and-symptoms/bloating-in-ibs/
- Leuven KU. Scientists reveal mechanism that causes irritable bowel syndrome. ScienceDaily, 17 January 2021. https://www.sciencedaily.com/releases/2021/01/210117132238.htm
- Bellini M, Gambaccini D, Usai-Satta P, et al. Irritable bowel syndrome and chronic constipation: Fact and fiction. World J Gastroenterol 2015;21(40):11362–70.
- International Foundation for Gastrointestinal Disorders: About IBS. Dietary Fibre. https://aboutibs.org/treatment/ibs-diet/dietary-fiber/
- Ford AC, Moayyedi P, Lacy BE, et al. American College of Gastroenterology monograph on the management of irritable bowel syndrome and chronic idiopathic constipation. Am J Gastroenterol 2014;109 (Suppl 1):S2–26.
- Cappello G, Spezzaferro M, Grossi L, et al. Peppermint oil (Mintoil) in the treatment of irritable bowel syndrome: a prospective double blind placebo-controlled randomized trial. Dig Liver Dis 2007;39(6):530–36.
- Merat S, Khalili S, Mostajabi P, et al. The effect of enteric-coated, delayed-release peppermint oil on irritable bowel syndrome. Dig Dis Sci 2010;55(5):1385–90.
- GI Society: Canadian Society of Intestinal Research. Peppermint and Irritable Bowel Syndrome Pain Relief. https://badgut.org/information-centre/a-z-digestive-topics/peppermint-and-ibs-pain-relief/
- Probiotics For IBS: How To Choose The Best Probiotic For IBS Symptoms. Atlas Biomed. https://atlasbiomed.com/blog/probiotics-for-ibs/
- Lembo A. Probiotics — even inactive ones — may relieve IBS symptoms Harvard Health. June 22, 2020. https://www.health.harvard.edu/blog/probiotics-even-inactive-ones-may-relieve-ibs-symptoms-2020062220303
- Bellini M, Tonarelli S, Nagy AG, et al. Low FODMAP diet: Evidence, doubts, and hopes. Nutrients 2020;12(1):148.
- Nanayakkara WS, Skidmore PM, O'Brien L, et al. Efficacy of the low FODMAP diet for treating irritable bowel syndrome: the evidence to date. Clin Exp Gastroenterol 2016;9:131–42.
- GI Society: Canadian Society of Intestinal Research. Irritable Bowel Syndrome (IBS) and Diet: The Foods You Can Eat. https://badgut.org/information-centre/health-nutrition/ibs-the-foods-you-can-eat/
- International Foundation for Gastrointestinal Disorders: About IBS. Hypnosis for IBS. https://aboutibs.org/treatment/complimentary-or-alternative-treatments/hypnosis-for-ibs/
- Peters SL, Yao CK, Philpott H, et al. Randomised clinical trial: the efficacy of gut-directed hypnotherapy is similar to that of the low FODMAP diet for the treatment of irritable bowel syndrome. Aliment Pharmacol Ther 2016;44(5):447–59.
- Lee HH, Choi YY, Choi MG. The efficacy of hypnotherapy in the treatment of irritable bowel syndrome: A systematic review and meta-analysis. J Neurogastroenterol Motil 2014;20(2):152–162.
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