While a poor response to the diet can be disheartening, there are a number of very good reasons to explain this. Working with an experienced dietitian will help you to understand why your symptoms improved less than hoped, and to formulate a management strategy going forward. This diary allows you to track changes in your IBS symptoms as you follow the diet. Alternatively, you can rate the improvement in your IBS symptoms on a simple, 0 to scale. If after weeks on the diet, you consider that your symptom response was adequate, then it is time re-challenge. However, if not, work with your dietitian to figure out why. This may occur if you unknowingly consumed high FODMAP foods, or if you had trouble implementing the dietary restrictions. Your dietitian may consider. Another possibility is that you have another underlying diagnosed or undiagnosed condition that is contributing to ongoing gastrointestinal symptoms. Conditions with IBS-like symptoms include inflammatory bowel disease, coeliac disease and endometriosis. Although these conditions are relatively uncommon and usually ruled out when your IBS is first diagnosed, if they have not been ruled out, you may need to arrange screening tests with your GP or a gastroenterologist.
Research has consistently shown that the diet can be quite effective in significantly reducing symptoms, particularly when the diet is undertaken under the supervision of a qualified dietary professional. The good news is that approximately 75 percent of people who attempt the diet achieve diet success. Let’s talk about what might have gone wrong and some things that you can try to get your symptoms under better control. Before you look into alternative treatment approaches, take a moment to think about whether or not you had the necessary conditions in place to optimize your chances for success on the diet. Did you work with an appropriately trained dietary professional? All the participants in all of the research studies on the use of the diet as a treatment for IBS received direct supervision from a dietitian who was well-versed in the diet. Such a professional can ensure that not only do you adhere to the strict restrictions of the diet but that you are also eating well-balanced meals and getting in all of the important nutrients. How well did you do adhering to the diet guidelines? What makes the diet so challenging is that many common foods contain high-FODMAP ingredients such as wheat, garlic, and onions. If you took a casual approach to follow the diet or had a lot of “slips”, you may not have provided yourself with the conditions necessary for optimal symptom improvement. If this is the case for you, you may want to give the diet another try, with a firm commitment and focus on strictly following through on the elimination phase of the diet. Did you try long enough?
Eating and IBS symptoms. Did you work with an appropriately trained dietary professional? One of the most challenging aspects of having IBS is trying to figure out what’s safe to eat. Nour Zibdeh is a functional and integrative dietitian and nutritionist, author, and speaker. The diet can affect the composition of the gut microbiome, which can lead to other health implications later. January 7, Secrets to success, Testing and diagnosis.