Managing IBS Through Diet: Evidence-Based Recommendations

A Comprehensive Guide to Dietary Modifications for IBS Management

Gastroenterology

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Last updated: Mar 24, 2025

Understanding Dietary Impact on IBS

Dietary modifications play a crucial role in managing Irritable Bowel Syndrome (IBS) symptoms. This guide outlines evidence-based recommendations for optimizing your diet.

Key Dietary Strategies

1. FODMAP Modification

  • Low FODMAP Diet
    • Reduce fermentable carbohydrates
    • Follow a structured elimination phase
    • Systematic reintroduction of foods

2. Fiber Management

  • Soluble Fiber:
    • Gradually increase intake
    • Target 20-35g daily
    • Sources: oats, psyllium, legumes

3. Trigger Foods to Monitor

  • Caffeine
  • Alcohol
  • Spicy foods
  • High-fat meals
  • Dairy (if lactose intolerant)

Implementation Steps

  1. Keep a Food Diary

    • Track meals and symptoms
    • Note timing of symptoms
    • Identify patterns
  2. Gradual Changes

    • Implement one change at a time
    • Allow 2-3 weeks per modification
    • Document effectiveness
  3. Regular Meal Schedule

    • Eat at consistent times
    • Avoid skipping meals
    • Maintain portion control

Working with Healthcare Providers

  • Consult with gastroenterologist
  • Consider dietitian referral
  • Regular follow-up appointments

Additional Lifestyle Factors

  • Stay hydrated
  • Regular exercise
  • Stress management
  • Adequate sleep

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