Sugar alcohols such as sorbitol, lactitol, mannitol, and maltitol
FOODS THAT HEAL
Water
Whole grain breads and cereals
Berries
Lentils
Artichokes
Bananas
WHO’S AFFECTED
More than 37 million Americans and 5 million Canadians
Occurs more in women than men, especially during menstrual periods
People with a family history of IBS
Irritable bowel syndrome (IBS) is often characterized by abnormal muscle contractions in the
intestines, resulting in too little or too much fluid in the bowel Symptoms vary markedly from one
person to another
Some people experience urgent diarrhea Others experience the type called spastic colon, with
alternating bouts of diarrhea and constipation as well as abdominal pain, cramps, bloating, gas, and
nausea, particularly after eating
There are no tests for IBS, which is diagnosed by ruling out colitis, cancer, and other diseases
Although it may be aggravated by food intolerances or
Allergies
, no specific cause has been
established It may be worsened by stress and emotional conflict, but it is not a psychological
disorder
QUICK TIP:
Take peppermint oil capsules
Take one or two enteric-coated capsules of peppermint oil between meals The oil should not be
taken by people suffering from acid reflux disease
Nutrition Connection
Various dietary factors can play a major role in exacerbating or calming IBS While both the trigger
foods and effects vary from person to person, these general guidelines will help eliminate some
discomfort and some of the other symptoms:
Eat several small meals Avoid eating large meals and instead space meals out over the course of
a day This can reduce the increase in bowel contractions and diarrhea
Eat slowly Eating too quickly may increase swallowed air, which promotes irritating intestinal
gas Also, poorly chewed foods can be more difficult to digest
Drink lots of water To maintain adequate fluid, drink at least eight glasses of water or other
beverages daily, but avoid such potential bowel irritants as alcohol and caffeine
Avoid fatty foods Most doctors advise against eating fried and other fatty foods because fat is the
most difficult nutrient to digest
Closely monitor fiber intake Whole grain products and other high-fiber foods can pose problems
for some IBS sufferers who have chronic diarrhea On the other hand, if constipation is the
predominant symptom, a diet that includes ample fresh fruits and vegetables, whole grain breads and
cereals, nuts and seeds, and other high-fiber foods is usually recommended
Consider psyllium seeds For persistent constipation, ask your doctor about taking ground psyllium
seeds or another high-fiber laxative Avoid chronic laxative use, which can lead to vitamin and
nutritional deficiencies
Avoid sugar alcohols The sugar substitutes sorbitol, lactitol, mannitol, and maltitol are used in a
variety of foods and can trigger IBS symptoms in some people For others, the lactose in dairy
products and possibly fructose can exacerbate symptoms
Know which fiber you need Insoluble fiber helps to bulk up stools and ease elimination, relieving
IBS-associated constipation Foods high in soluble fiber absorb water and are helpful for bouts of
diarrhea
Consider probiotics Recent research has found that probiotics may help relieve the symptoms of
IBS Probiotics have been shown to normalize bowel function in those suffering from IBS
Beyond the Diet
Because IBS differs from person to person, it’s essential to develop an individualized regimen to
treat your symptoms
Beyond the Diet
ary modifications described above, try the following:
Track your triggers The first step in learning to control IBS symptoms is recognizing the factors
that may trigger symptoms A diary that records IBS symptoms along with all foods and beverages
ingested and stressful events can help pinpoint possible culprits
De-stress It is common for stress to exacerbate IBS symptoms, so it is important to make an effort
to develop effective relaxation techniques, such as meditation, yoga, and biofeedback
Exercise Being active can be very therapeutic for people with IBS because it helps reduce stress:
It can also normalize bowel function if constipation is a problem
Look to medications for relief A doctor may prescribe medications to quell abnormal muscle
contractions and alleviate diarrhea Some recent research suggests that bacterial overgrowth in the
bowel may be a cause of IBS In one study, 78% of those with IBS were found to have bacterial
overgrowth in the small intestine, and antibiotics eliminated the disease in half of those who got rid of
the overgrowth
20% of all adults are affected by irritable bowel syndrome