Treat IBS with Diet & Lifestyle Modification

 Treat IBS with Diet & Lifestyle Modification

Living with Irritable Bowel Syndrome (IBS) can be very frustrating and irritating in day to day life. Modifying the regular diet and the awkwardness in explaining your symptoms to others while having team lunch or home get-togethers makes it even more difficult. No one will understand most of the time about it unless they are also sailing on the same boat. If you are someone dealing with IBS do not worry, bring certain modifications in your lifestyle to get relief from IBS and its symptoms. In nearly all cases of IBS, Diet plays a huge role. This article will give you a general overview of IBS.

What is IBS? 

Irritable Bowel Syndrome (IBS) is a group of symptoms – including lower abdominal pain, and changes in the pattern of bowel movement(Constipation or Diarrhea) without any evidence of underlying damage. 

Irritable Bowel Syndrome (IBS) is one of the most common chronic disorders of the digestive system.IBS is a group of intestinal disorder Symptoms that occur together. Such Symptoms may occur over a long time, even years. The symptoms vary in severity and duration from person to person.

Irritable Bowel Syndrome (IBS) is usually classified under four categories :

  1. When diarrhea is common (IBS -D)
  2. When constipation is common (IBS -C)
  3. Both are common (IBS-M)
  4. Neither of them occurs often (IBS-U)

Irritable bowel syndrome can negatively affect your quality of life which may result in interruptions in regular day to day life or work life. Related disorders commonly found are depression, anxiety, or chronic fatigue syndrome. (1) (2)

Treat IBS naturally with Diet and Lifestyle modifications - It's awkward

What are the symptoms of IBS?

  1. Pain and Cramps in the stomach, that may be relieved by releasing stool.
  2. A noticeable change in the pattern of your bowel movements, such as diarrhea, constipation, or in some cases both.
  3. Frequently experiencing the urge to go to the toilet.
  4. Bloating or swelling of your stomach
  5. Excessive accumulation of Gas.
  6. Mucous in the stool.
  7. An uncomfortable feeling of not having your bowels completely emptied after coming from the toilet. (3) (4) (5) (6) (7) (8) (9) (10)

Additional Symptoms:

Along with the symptoms stated above few people may experience the additional symptoms which include:

  1. Lethargy at work.
  2. Backache
  3. Falling sick all the time.
  4. Problems in the bladder, such as waking at the midnight to urinate, experiencing an urgent need for urination, finding difficulties in urinating completely.
  5. Experiencing pain during sex.
  6. Loss of bladder control. (11) (12) (13) (14) (15)

Serious Symptoms

If the condition is left untreated, it may exhibit more severe symptoms similar to colon cancer.Under such circumstances, one should get tested for colon cancer. Serious Symptoms of IBS include:

  1. Frequent Diarrhea
  2. Weight Loss.
  3. Rectal Bleeding.
  4. Difficulty Swallowing.
  5. Iron deficiency anemia.
  6. Excessive Vomiting.
  7. Persistent pain while gas or bowel movement. (16) (17)

Difference between IBS – C & Chronic Constipation 

IBS – C is mostly confused with chronic constipation. Let us see the similarities and differences :(18)

                         SIMILARITIES (Symptoms common in both IBC-C & Chronic constipation)                          DIFFERENCES (Some Symptoms of IBS-C usually don’t happen in chronic constipation alone)
Great effort is need to pass the bowelOften have stomach ache and discomfort that goes away after passing bowel.
Lumpy and Hard Stools are passedLoose and watery stools in between bouts of constipation
It is felt that something is blocking the bowel movementHave Nausea
It feels that stool is not completely passed in washroom 
Deal with Gas and Bloating 

Difference between IBS & IBD

Despite having similar acronyms and symptoms both are different. (19)

                              IBS                                      IBD
Full form – Irritable Bowel SyndromeFull form – Irritable Bowel Disease
Disorder of Lower Gastro Intestinal TractInflammation and Destruction of the bowel wall
Affects Large intestine, small intestine and ColonSores and Narrowing of the intestines.
Symptoms – Constipation, Diarrhea ,Lower abdominal pain, Gassy and BloatedBroad Spectrum of disease, most common Crohn’s disease and Ulcerative Colitis.

 

Symptoms – Abdominal Cramps, Diarrhea, Blocked Bowel, Loss of body fluids and appetite, Fever and Anemia,Eye Inflammation,Rectal Bleeding.

Treat IBS naturally with Diet and Lifestyle modifications - The large intestine is generally get affected

What Causes IBS?

Unfortunately, what causes IBS is still not clear, but few factors are suspected to cause IBS. Research is going on for the same.

Muscle Contractions in the Intestines

IBS could be linked with your digestive organs, specifically the ones that help move food through the system. As the food you eat passes through the GI tract, these muscles contract to push it through. When these contractions are slower and weaker or Faster and longer than what is considered to be normal, IBS symptoms occur. Strong contractions cause bloating, gas, and diarrhea, and weaker ones cause constipation. (21)

Nervous system

Poorly coordinated signals between the brain and the intestines can cause your body to overreact to changes that normally occur in the digestive process, resulting in pain, constipation, and diarrhea. (22)

Inflammation in the Intestines

In the case of autoimmune diseases, too many immune cells may accumulate in intestines leading to inflammation of intestines. This immune system response is associated with pain due to diarrhea and Constipation. (23)

Severe Infections

IBS can be developed after a serious episode of Diarrhea (Gastroenteritis) caused by Bacteria or Viruses. Bacterial overgrowth ( Bad bacteria) is also associated with IBS. 

Small Intestinal Bacterial Overgrowth (SIBO) is caused when bacteria leak into small intestines from the colon and rapidly multiply causing uncomfortable symptoms. 

Research indicated the intestinal microflora of IBS patients is different from the intestinal microflora of healthy individuals. (24)

Treat IBS naturally with Diet and Lifestyle modifications - food can trigger IBS

What triggers IBS?

Symptoms of IBS can be triggered by –

1.Food

People suffer worse IBS symptoms when they eat and drink certain food and beverages, including, wheat, dairy products, citrus fruits, beans, cabbage, milk, and carbonated drinks. This happens due to sensitivity towards certain food which causes discomfort after reacting with that food. (25)

2. Stress

Stress doesn’t cause the IBS symptoms but it aggravates the symptoms. Most people experience worse and frequent signs of IBS symptoms during the period of increased stress. (26)

3. Hormones

Women are more likely to have IBS than Men. Women find that the symptoms get worse during or around their menstrual time and during menopause. (27)

How IBS is diagnosed?

There are no specific tests for the diagnosis of irritable bowel disorder. The diagnosis for the condition is based on the symptoms of IBS. The doctor may recommend tests to rule out other conditions that exhibit symptoms similar to those of irritable bowel syndrome.

Blood tests, Stool tests, Lactose intolerance test, Endoscopy, Colonoscopy, and CT scan are some tests done to understand the severity of IBS and sensitivity towards certain foods.

What is the treatment for IBS?

There is no treatment for IBS. Medications are prescribed to relieve the symptoms related to IBS. Usually, fiber supplements, antispasmodic, laxatives, and anti-diarrhea medicines are prescribed. Certain home remedies and lifestyle changes are explained to overcome IBS. (28)

 Lifestyle Changes for IBS Patients

   INCLUDE     EXCLUDE
Probiotics in the regular dietIdentify the food which triggers IBS symptoms and eliminating them from the diet
Soluble Fiber rich foodCaffeine and other caffeinated beverages
Smaller Meals and eat at the same time daily.Spicy and Deep fried foods
Good Hydration(3-4 liters)Processed and Refined Carbohydrates
Stress Management ( Meditation, Indulging in hobbies and Talking with family/friend)Junk and Fast Foods
Regular Physical Exercise – (1 hour/day)Carbonated Beverages, Alcohol and Smoking
Chewing food slowly for proper digestionEating fruits immediately after meals
1 hour gap between Meal and SleepEating meals while watching Television or Reading
Good 7-8 hours of sleepSkipping meals.
Treat IBS naturally with Diet and Lifestyle modifications - Few vegetables can trigger the IBS

 Dietary Guideline for IBS 

It is a myth that Excessive restrictions are necessary and forever in IBS, but, the fact is Initially dietary restrictions may be necessary and once the patient comes back to ‘normal’ slowly more foods can be added depending on the tolerance of food. Food never causes IBS but it can trigger the symptoms of IBS. It is advisable to consult a qualified dietitian and nutritionist to get a tailor-made diet according to the IBS symptoms. Consulting a certified dietitian will make your life simple and easy for meal planning. (29) (30)

         List of foods allowed in IBS             List of foods to avoid in IBS
White Rice, Oats, Broken wheat, Quinoa, Sorghum Millet (flour) and Ragi Millet (flour), Rice Flakes.Wheat, Corn,Maida, Pearl Millet.
Ridge Gourd, Bottle Gourd, Potato,Sweet Potato, Spinach, split lentils like Toor Dal and Moong dal,Eggs and Fish, Nuts like Almonds and WalnutsRed Meat, Cauliflower, Capsicum, Cabbage, Mushrooms, Rajma, Chole and other dried legumes, Nuts like Pistachios.
All seasonal Fruits (Wash them thoroughly before consuming)Processed and Refined Carbohydrates, Deep fried and spicy foods, Pickles,Junk and Fast Foods
Soya milk  and Ghee ( 2 teaspoon/day)High Fat Milk and their products, Butter and Cheese
3-4 liters of WaterFizzy Carbonated Drinks
Coconut WaterSorbitol containing foods like Chewing gum, flavoured drinks, sugar free Mint based mouth fresheners.
Flax seed Powder (1 tsp) with Buttermilk and Herbal Teas.Caffeine and Caffeine containing beverages

 Take away message

Irritable bowel Syndrome (IBS) is one of the most common chronic digestive disorders diagnosed by physicians and gastroenterologists. Due to modern work and personal lifestyle IBS has become a soaring problem amongst the world population. Recent statistics show 10-15% of world population is suffering from IBS. Abdominal Cramps, Constipation, Diarrhea, Bloating, and gas are some of the common symptoms associated with IBS. Either of the symptom or combination of symptoms can be experienced in IBS. Apart from some over the counter medications to relieve the symptoms lifestyle change can help to overcome IBS. Regular exercise, Dietary changes, and Stress management can help in the management of IBS. If symptoms do not respond to OTC medications and lifestyle change, then doctors may give intensive treatment to cope up with IBS. Most of the people with IBS overcome it with a change in their lifestyle and diet.

Consult a qualified Dietitian or Nutritionist who can help to plan a diet for you according to your IBS symptoms.

Akhila Y

Akhila holds a Post graduate diploma in clinical nutrition and dietetics from Apollo health education and research foundation. She is into this field since a year.She worked as an intern at Apollo hospitals, Hyderabad. She is trained in both inpatient and outpatient dietetics department. She did nutritional assessment, diet planning and clinical counselling for individuals with Hypothy-roid, Diabetic mellitus, Hypertension and kidney dysfunctions at outpatient department in Apollo. Akhila was into agricultural biotechnology but destiny had different plans and her strong passion towards nutrition and food sciences got her into clinical nutrition field. Having a strong background in biochemistry and human genetics she acquired a deep knowledge in the statistics specific to whole body macronutrient and micronutrient metabolism and its relation to metabolic diseas-es.Coming from agricultural background she did research on how organic foods are beneficial than conventionally grown counterparts in terms of nutrients such as antioxidants.She always motivates to encourage locally grown food for better health. She doesn’t encourage usage of supplements and crash diets. She believes the blend of traditional food wisdom and modern nutritional science is necessary for healthy body and mind. She em-phasises more on health gain than just loosing weight.This can only be possible by Sustainable diets.She is all happy in to help her clients who are ready to lead healthy, happy and nourishing life through Wellness munch!

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