A GAME-CHANGER: Multidisciplinary Treatment for IBS and Functional GI Disorders

A GAME-CHANGER: Multidisciplinary Treatment for IBS and Functional GI Disorders

The Tummy Clinic | November 27th, 2023

Functional gastrointestinal disorders affect millions of people worldwide, causing chronic and often debilitating symptoms. These disorders, which include conditions like irritable bowel syndrome (IBS) and functional dyspepsia, can have a huge impact on a person’s quality of life. Traditionally, standard gastroenterologist treatment has been the go-to approach for managing IBS and functional GI disorders. However, a recent study titled “Standard gastroenterologist versus multidisciplinary treatment for functional gastrointestinal disorders (MANTRA)” by Basnayake et al. (2020), challenges this conventional approach. In this blog post, we’ll explore the findings of this groundbreaking study and discuss the potential implications for managing IBS and functional GI disorders.

What exactly is MANTRA?

The MANTRA study aimed to compare the efficacy of standard gastroenterologist treatment with a multidisciplinary approach for IBS and functional GI disorders. The multidisciplinary treatment approach involved a team of healthcare professionals, including gastroenterologists, dieticians, psychologists, and physiotherapists, working together to provide comprehensive care.

Study Design and Participants

The study was an open-label, single-center, randomized controlled trial conducted with 436 participants diagnosed with functional GI disorders. The participants were randomly assigned to either the standard gastroenterologist or multidisciplinary treatment group.

So…What was discovered?

The findings of the study revealed several key points that challenge the traditional approach to IBS and functional GI disorders management:

  • Symptom Improvement: Participants in both groups experienced symptom improvement. However, the multidisciplinary treatment group showed a much more significant and sustained improvement compared to the standard gastroenterologist treatment group.
  • Quality of Life: Participants in the multidisciplinary treatment group reported a greater improvement in their overall quality of life compared to the standard treatment group.
  • Psychological Factors: The multidisciplinary treatment approach addressed psychological factors, such as anxiety and depression, often associated with functional GI disorders. This comprehensive approach contributed to better outcomes for participants.
  • Patient Satisfaction: In the multidisciplinary treatment group, participants reported higher levels of satisfaction with their care compared to those in the standard treatment group.

Let’s talk about the implications!

The findings of the MANTRA study have remarkable implications for the management of IBS and functional GI disorders:

  • Holistic Approach: The multidisciplinary treatment approach recognizes that functional GI disorders, including IBS, are complex conditions influenced by various factors, including physical, psychological, and dietary aspects. By incorporating multiple healthcare professionals, this approach offers a more holistic and personalized approach to patient care.
  • Tailored Treatment: The multidisciplinary team can tailor treatment plans to address individual patient needs. This personalized approach may lead to more effective symptom management and improved quality of life.
  • Addressing Psychological Factors: The study highlights the importance of addressing psychological factors in managing IBS and other functional GI disorders. By integrating psychologists and therapists into the treatment team, patients can receive the necessary support to manage anxiety, depression, and stress-related symptoms.
  • Enhanced Patient Experience: The multidisciplinary approach promotes a patient-centered care model, ensuring patients feel heard, understood, and supported throughout their treatment journey. This can improve patient satisfaction and engagement in their own care.

To Sum It All Up

The MANTRA study challenges the traditional approach to managing IBS and other functional GI disorders by demonstrating the superiority of a multidisciplinary treatment approach. By incorporating various healthcare professionals, this approach offers patients a more comprehensive and personalized care plan. The findings suggest that addressing physical, psychological, and dietary aspects of functional GI disorders can lead to better symptom management and improved quality of life. Healthcare providers should consider adopting a multidisciplinary approach to IBS and functional GI disorder management, providing patients with the best possible care and outcomes.

The Tummy Clinic is Here to Help

We recommend considering The Tummy Clinic to further enhance your journey towards better gastrointestinal health. At The Tummy Clinic, we specialize in providing multidisciplinary care for IBS and functional GI disorders. Our team of experienced Naturopathic Doctors, Dietitians, and Psychotherapists work together to provide personalized treatment plans — addressing the physical, psychological, and dietary aspects of functional GI disorders. We’re here to help you experience the benefits of a holistic approach, improved symptom management, and enhanced quality of life. Start your journey towards better digestive health with The Tummy Clinic today! Contact us to schedule your appointment and discover the comprehensive care that can transform your well-being.

Source: https://www.sciencedirect.com/science/article/abs/pii/S2468125320302156

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.