What helps in D-IBS?
#364690 - 05/11/11 10:22 AM
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boron
Reged: 05/11/11
Posts: 47
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I'm writing an article about nutrients and I'm dealing with fiber now. Can anyone diagnosed with D-IBS say if taking or avoiding any food/supplement has helped him/her?
I've read that avoiding insoluble fiber and taking partly hydrolyzed guar gum (PHGG) may help.
I would also appreciate any link about diet in D-IBS from a reliable site (evidence based).
I'm asking about specific nutrients (fibers) that may help, not only foods.
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I don't have IBS.
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You may find some useful information in the following references:
Brandt, L. J. et al. An Evidence-Based Systematic Review on the Management of Irritable Bowel Syndrome - American College of Gastroenterology Task Force on IBS . The American Journal of Gastroenterology 104 (2009).
Spiller, R. et al. Guidelines on the irritable bowel syndrome: mechanisms and practical management. Gut 56, 1770-1798 (2007).
John Hopkins Gastroenterology and Hepatology article on IBS
Sanjeevu, A. & Kirby, D. The Role of Food and Dietary Intervention in the Irritable Bowel Syndrome . Partical Gastroenterology, 33 (2008).
Tan, K. Y. & Seow-Choen, F. Fiber and colorectal diseases: Separating fact from fiction . World Journal of Gastroenterology 13, 4161-4167 (2007)
International Foundation for Functional Gastrointestinal Disorders IBS Diet
If you have access to a University library I might be able to provide you with some other sources too.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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Thanks.
I've got impression authors of the articles think adding fiber to meals is not effective much. Do you have any positive personal experience with any fiber-rich food or fiber supplement?
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I don't have IBS.
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I believe both the US and UK guidelines for managing IBS (first two references) suggest soluble fiber is moderately effective while insoluble fiber can make things worse.
Personally, I find insoluble fiber and insoluble fiber supplements particularly from cereal grains such as bran produces D even in small amounts. Psyllium which is 67% soluble and 33% insoluble fiber produces D too. I find soluble fiber and soluble fiber supplements reduce the speed of gastric emptying as reported in the literature and they reduce D symptoms. However, some rapidly fermenting soluble fibers, particularly those in the FODMAP class, such as inulin and FOS cause serious D too. Soluble and functional fibers that act as soluble fibers (such as resistant starches) that ferment at a moderate or slow rate don't seem to have any negative effects.
Who are you writing your article for?
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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You are giving psyllium a bad rap here. It is allowed on the fodmaps diet. I have seen posts by you saying you used it for years with no problems. I find that it produces solid stools (pseudo-d) and less urgency. Acacia, Benefiber, and possibly others give me loose stools with sometimes incontinence and increased urgency.
Cheers
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ibs-d (pseudo)with pain and bloating
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I used psyllium for a couple of years with no problems about 25 years ago before my IBS took a turn for the worse about 12 years ago. I gave it a try again about 8 years ago it and it gave me loads of problems so I discontinued it. At the moment I don't use any SF supplements.
The FODMAP diet allows lots of things that are restricted by the EFI diet and other dietary approaches. Also, the FODMAP approach makes no mention of known GI triggers such as caffeine, alcohol, fat, insoluble fiber, etc. In one of the research articles on FODMAPs the authors state that management of these triggers are left to the GP or dietitian to guide the patient.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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Psyllium is not a magic bullet, that's for sure. It certainly does not solve all my problems such as bloating and pain. But I have not found anything that does - on this board or anyplace else. I have seen you defend psyllium on this board within the past 1 or 2 years (much less than 8 years ago). There is an article in the library here posted by Heather where the title was changed to something like "psyllium causes bloating" from "fiber causes bloating" and you said you pointed this out to Heather and to me.
The other supplement I rely on is Heather's peppermint oil which reduces the pain for me significantly,
Cheers
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ibs-d (pseudo)with pain and bloating
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Indeed I have. Many people like yourself can tolerate psyllium I would guess primarily because it contains more SF than IF. On the other hand others cannot handle it at all.  Also the US and UK guidelines (first two references in previous posting) say clinical trials show it is useful for some people.
Yes - the posting concerned this abstract where in the title the word "fiber" is replaced with "psyllium" and throughout the text the word "pysllium" has been placed before the word "fiber". This posting had to do with the ethics of changing the wording of an abstract from its original form and the fact that many SF supplements can cause gas/bloating.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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ibs-d (pseudo)with pain and bloating
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I will either publish my article on my (new) blog or sell it. I'm trying to collect all important issues (effectiveness, side effects, food sources...) of all main nutrients.
Syl, does any particular food high in soluble fiber help you?
I've also read about some (few) bad reactions to psyllium. As you all probably know, IBS-D is not "one particular disorder" so reactions may differ from person to person.
EDIT: Green plantain is high in insoluble, not soluble fiber
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I don't have IBS.
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