Irritable bowel syndrome dietary modifications - what to forbid and what to recommend?
DOI:
https://doi.org/10.12775/JEHS.2020.10.08.008Keywords
irritable bowel syndrome, diet, abdominal pain, diet pyramidAbstract
Irritable bowel syndrom is a gastrointestinal disorder, that affects about 10 % of worlds population. The etiology remains unclear, however studies show, that bad dietary habits may aggravate the symptoms. The most frequent signs of IBS are: abdominal pain, bloating, constipation, diarrhea and change in bowel habits.
The aim of this study was to describe dietary modifications that can alleviate the symptoms and improve patients quality of life. The study material consisted of publications, that we’ve found on databases as PubMed, ResearchGate and Google Scholar.
Patients find out, that certain food aggravate the symptoms. The most frequent triggering factors are: coffee, diary products, alcohol, spicy foods and lipids. Our review shows, there are some recommendations that help patients in their everyday diet change. For example drinking at least 3 cups of coffee per day can reduce bloating and diarrhea, while drinking more than 1,5 L of other fluids per day can alleviate symptoms as constipation. According to studies, following a IBS diet can minimize the signs. Moreover, recently developed „IBS food pyramid” is based on actual recommendations and knowledge a visual and user-friendly tool helping patients in everyday diet changes.
Unfortunately, still there is insufficient evidence of studies about dietary approaches. Well designed and randomized control trials are needed to improve efficacy, safety and knowledge about dietary modifications.
References
Choung, R.S. and G.R. Locke, 3rd, Epidemiology of IBS. Gastroenterol Clin North Am, 2011. 40(1): p. 1-10.
Lovell, R.M. and A.C. Ford, Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. Clin Gastroenterol Hepatol, 2012. 10(7): p. 712-721 e4.
Wilson, K. and R.J. Hill, The role of food intolerance in functional gastrointestinal disorders in children. Aust Fam Physician, 2014. 43(10): p. 686-9.
Wang, Y.T., et al., The impact of irritable bowel syndrome on health-related quality of life: a Singapore perspective. BMC Gastroenterol, 2012. 12: p. 104.
Lin, L.D. and L. Chang, Using the Rome IV Criteria to Help Manage the Complex IBS Patient. Am J Gastroenterol, 2018. 113(4): p. 453-456.
El-Salhy, M., J.G. Hatlebakk, and T. Hausken, Diet in Irritable Bowel Syndrome (IBS): Interaction with Gut Microbiota and Gut Hormones. Nutrients, 2019. 11(8).
Hetterich, L. and A. Stengel, Psychotherapeutic Interventions in Irritable Bowel Syndrome. Front Psychiatry, 2020. 11: p. 286.
Boekema, P.J., et al., Coffee and gastrointestinal function: facts and fiction. A review. Scand J Gastroenterol Suppl, 1999. 230: p. 35-9.
Cozma-Petrut, A., et al., Diet in irritable bowel syndrome: What to recommend, not what to forbid to patients! World J Gastroenterol, 2017. 23(21): p. 3771-3783.
Mearin, F., et al., [Clinical practice guidelines: Irritable bowel syndrome with constipation and functional constipation in adults: Concept, diagnosis, and healthcare continuity. (Part 1 of 2)]. Semergen, 2017. 43(1): p. 43-56.
Reding, K.W., et al., Relationship between patterns of alcohol consumption and gastrointestinal symptoms among patients with irritable bowel syndrome. Am J Gastroenterol, 2013. 108(2): p. 270-6.
Cuomo, R., et al., Irritable bowel syndrome and food interaction. World J Gastroenterol, 2014. 20(27): p. 8837-45.
Pohl, D., et al., Excellent agreement between genetic and hydrogen breath tests for lactase deficiency and the role of extended symptom assessment. Br J Nutr, 2010. 104(6): p. 900-7.
de Roest, R.H., et al., The low FODMAP diet improves gastrointestinal symptoms in patients with irritable bowel syndrome: a prospective study. Int J Clin Pract, 2013. 67(9): p. 895-903.
Ostgaard, H., et al., Diet and effects of diet management on quality of life and symptoms in patients with irritable bowel syndrome. Mol Med Rep, 2012. 5(6): p. 1382-90.
Feinle-Bisset, C. and F. Azpiroz, Dietary lipids and functional gastrointestinal disorders. Am J Gastroenterol, 2013. 108(5): p. 737-47.
El-Salhy, M., et al., Dietary fiber in irritable bowel syndrome (Review). Int J Mol Med, 2017. 40(3): p. 607-613.
Pietrzak, A., et al., Guidelines on the management of irritable bowel syndrome: In memory of Professor Witold Bartnik. Prz Gastroenterol, 2018. 13(4): p. 259-288.
Liu, J.H., et al., Enteric-coated peppermint-oil capsules in the treatment of irritable bowel syndrome: a prospective, randomized trial. J Gastroenterol, 1997. 32(6): p. 765-8.
Cappello, G., 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): p. 530-6.
Kligler, B. and S. Chaudhary, Peppermint oil. Am Fam Physician, 2007. 75(7): p. 1027-30.
Simren, M., et al., Intestinal microbiota in functional bowel disorders: a Rome foundation report. Gut, 2013. 62(1): p. 159-76.
Ligaarden, S.C., S. Lydersen, and P.G. Farup, Diet in subjects with irritable bowel syndrome: a cross-sectional study in the general population. BMC Gastroenterol, 2012. 12: p. 61.
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