IBS FAQ - Common Questions Answered - THE IBS DIETITIAN

IBS FAQ – Common Questions Answered

  • Treatments, Testing and Diagnosis

By Kirsten Jackson

This post covers common questions and facts about IBS (irritable bowel syndrome). If you have further questions then please post in the comments below.

IBS FAQ

IBS Introduction Questions

What is irritable bowel syndrome?

Irritable bowel syndrome (IBS) is a disorder of the gut-brain axis.

What are the symptom of IBS?

Symptoms of IBS vary from person to person but include loose stools, constipation, stomach pain, bloating and urgency or difficulty going to the bathroom.

You can find out more about IBS symptoms here.

What causes IBS?

We do not know the exact cause of IBS. However, the onset of IBS has been linked to mental health conditions, traumatic events, GI infections and antibiotic use.

Having IBS in your family or being female is also thought to have a role. You can find out more about IBS causes here.

What are the different types of IBS

There are 4 different types of IBS based on symptoms: IBS-mixed type, IBS- diarrhoea predominant, IBS- constipation dominant and IBS-U – unspecified.

You can find the official guidance from the ROME IV Foundation.

How common is irritable bowel syndrome?

1 in 10 people have IBS.

How is IBS diagnosed?

There is no 1 test for IBS. Instead, IBS is a process of ruling out other possible conditions such as coeliac disease and inflammatory bowel disease. If testing comes back negative, the person should also meet the ROME IV Foundation criteria to be diagnosed.

FAQ – IBS and Diet

What diet should I follow for IBS?

There is no one diet for irritable bowel syndrome as every sufferer has different symptoms are triggers.

What is the low FODMAP diet?

The low FODMAP diet is a diet which is low in fermentable carbohydrates. The diet is used as part of a process which identifies dietary IBS triggers by firstly removing them and then systematically reintroducing them.

You can read more about the low FODMAP diet here.

What type of fibre is best for the people with IBS?

People with IBS should limit their intake of fermentable fibres. This means fruits, vegetables and grains which are low in FODMAPs. Tolerance of these varies.

How many meals per day should someone with IBS eat?

Someone with IBS should eat at least 3 meals per day. Irregular eating has been shown to worsen symptoms.

Is fasting good for IBS?

Fasting may worsen IBS symptoms and should be avoided. Although someone may feel initially better, this is because their gut is not processing anything. But, long-term irregular eating has been linked to worse symptoms in IBS.

Should I soluble or insoluble fibre for IBS?

Solubility alone will not predict how a fibre reacts in your bowel so you should not consider this when looking at different fibre types.

What fibre supplements are good for IBS-C?

Psyllium husk, ground flaxseed and partially hydrolysed guar gum are all useful in IBS-C.

What fibre supplements are good for IBS-D?

Psyllium husk and partially hydrolysed guar gum are useful in IBS-D. These help to bulk up the stoolL

Lifestyle Recommendations in IBS

What can I do to help manage stress for IBS?

Mindfulness such as breathing exercises, meditation and journalling can all be useful. Regular (gentle) exercise has also been shown to help IBS.

You can read more about IBS and exercise here.

Does yoga help IBS?

Yes yoga can help IBS symptoms via targeting the gut-brain axis.

Which yoga poses help IBS?

There are no known specific yoga types or poses to help with gut-health. This is despite some claims online and from yoga instructors but this is based on theory rather than science.

Summary

IBS is common and complicated condition which is impacted by multiple areas.

If you have further questions which were not answered in this general FAQ on IBS, please do not hesitate to reach out below.

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