Eating for IBS: How to Choose the Best Diet for You

Eating for IBS: How to Choose the Best Diet for You

The Tummy Clinic | October 6th, 2021

Is there a one size fits all IBS diet?

The quick answer is sort of and no. I know, that doesn’t really help. The reason for the hedging is because IBS is not a one size fits all syndrome. It is not a disease we can cure but rather, it’s a syndrome. It is definitely not a process of elimination diagnosis anymore. We can diagnose IBS from your symptoms alone, following strict criteria known as the Rome IV Diagnostic Criteria for Irritable Bowel Syndrome. However, each person’s set of symptoms responds differently to different foods and that’s what make is complicated.

Since the invention of the FODMAP diet by Dr. Peter Gibson and his crew at Monash University, for the better part of a decade people all over the world have been trialing and removing their offending foods with great success. But the key word here is trialing. IBS treatment with a FODMAP diet requires great patience and the experience of a FODMAP trained dietitian to help guide you through the intricacies of this dietis fundamental to it’s success.

Let me explain. Where one person may say— it’s garlic! Garlic is my offending food and as long as I stay away from garlic my symptoms are manageable and I can get on with my life! Another may not be so lucky. Some people notice that they are reactive to several categories for example, Fructan- grains and fructose + sorbitol and, they also notice that they have to limit too many high FODMAP foods within a 24 hour period. To make matters worse, some people also are so prone to constipation that their diet requires a regular input of laxative type foods. For these unfortunate folks, the low FODMAP diet requires great patience and perseverance and a skilled practitioner to guide you through the diet so that you can find the foods that you CAN eat!

Furthermore, top of mind in any diet needs to be the ever important microbiome— those critters in your colon that must be fed and must be fed well.

If you have watched the Microbiome Summit put on by a partnership through the University of Toronto Leslie Dan Faculty of Pharmacy and Genuine Health, you know how important the gut microbiome is to our overall health. Yes, we all have bugs living in our gut but it’s a good thing!

The great news is that with a diet focused on feeding the microbiome, we know it is possible to change the composition of those critters for the better. Especially in the area of mental health. So if your IBS diet is causing you stress which, in turn is making your IBS symptoms worse, hang in there. Putting in the effort to find the right IBS diet for you is well worth the effort— especially if the end goal is finding the right diet to feed your gut microbiome.

If you are willing to put in a bit of sweat equity, you will determine the right diet for you and your microbiome, and this will mean less stress for you! It’s a win/win! However, if putting in that sweat equity has you super frustrated and ready to scream, we have another option. It’s called Gut Directed Hypnotherapy.

Gut Directed Hypnotherapy is new to the scene of IBS treatment. Gut directed hypnotherapy is a research-based therapy that has a practitioner guide you into a focused state of awareness while in a deeply relaxed state. The goal is to help address the miscommunication between your brain and your gut that feeds the IBS symptoms. These sessions can take plane in the privacy of your own home or clinician’s office.

Here at The Tummy Clinic we collectively believe that an integrative approach is exactly what you need to manage your diet and stress and ultimately improve your IBS symptoms.

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Frequently Asked Questions

Managing IBS with diarrhea can be challenging, but making the right food choices can help. Here’s what works for many people with IBS:

  • Low FODMAP diet: This dietary approach helps reduce symptoms like diarrhea, bloating, and stomach pain. It involves removing certain foods and gradually reintroducing them to see which ones trigger your symptoms.
  • Easy-to-digest foods: Stick with foods like plain rice, cooked carrots, zucchini, and lean proteins (e.g., chicken, fish) to ease digestion.
  • Avoiding triggers: Steer clear of fatty, spicy, or fried foods, as well as dairy and caffeine. These can worsen symptoms for many people with IBS.

If you’re unsure which foods work for you, consulting with a healthcare provider can help you create a personalized meal plan.

Bloating, gas, and stomach pain are common in IBS. These symptoms often result from:

  • Gas buildup: Undigested food or fermentation in the intestines can cause gas and bloating.
  • Gut motility issues: In IBS, food may move too quickly or slowly through the digestive tract, leading to discomfort.
  • Food sensitivities: Certain foods like high FODMAP foods can cause bloating or pain.

Managing these symptoms typically involves diet modifications, stress management, and finding the foods that work best for your body.

IBS constipation can be tough, but there are ways to improve bowel movements:

  • Increase soluble fiber: Foods like oats, bananas, and carrots can help soften stool.
  • Stay hydrated: Drinking plenty of water helps keep things moving.
  • Exercise regularly: Physical activity helps stimulate digestion.

If these strategies don’t work, gentle laxatives or stool softeners might be considered, but always under the guidance of a healthcare professional.

Certain foods can make IBS symptoms worse, including:

  • High FODMAP foods: These include foods like onions, garlic, certain fruits (e.g., apples, watermelon), and dairy.
  • Fatty foods: Rich, greasy foods often cause discomfort for those with IBS.
  • Caffeine and alcohol: These can irritate the digestive system and increase symptoms like diarrhea or bloating.

By tracking your food intake and symptoms, you can start to identify which foods are causing flare-ups and work toward a personalized plan.

Constant constipation in IBS can be caused by:

  • Low fiber intake
  • Dehydration: Not drinking enough water can make stool hard and difficult to pass.
  • Stress: Emotional stress often affects digestion and can contribute to constipation.

If constipation persists despite lifestyle changes, consider speaking with a healthcare provider for further assessment and potential treatment options.

Severe bloating can occur when:

  • Gas is trapped in the intestines due to difficulty digesting certain foods or fermentation.
  • Slow motility: In IBS, the digestive system may move food too slowly, leading to bloating.

To manage bloating, consider reducing high FODMAP foods and incorporating more digestive-friendly meals. Stress management techniques like yoga or mindfulness can also help reduce bloating by calming the nervous system.