Oatmeal
#370936 - 02/25/14 01:46 AM
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Is it possible that despite a favourable SF/IF ratio, when cooked, that oatmeal is too high in fibre for some individuals with IBS? Many guidance documents, on following a low fibre diet for IBS, remove all oat products. For example, the Mayo clinic suggests eating no more than 1g of fibre per serving. A typical 40g serving of oatmeal contains approximately 3g of fibre.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Oatmeal
#370937 - 02/25/14 05:57 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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It is possible - I guess.
The oatmeal I have contains 2 grams soluble and 2 gram insoluble fiber per 40 gram serving. And when cooked oatmeal produces resistant starch that acts like a soluble fiber - about another 2 grams. I have a serving every morning with 1/2 semi ripe banana which adds more soluble fiber.
At 1 gram per serving it seems like it would be rather difficult to get 20-25 grams of fiber per day unless one made up the rest with a soluble fiber supplement.
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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
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Yes, the Mayo clinic recommendations recognise this, stating;
"Because a low-fiber diet restricts what you can eat, it can be difficult to meet your nutritional needs. Therefore you should use a low-fiber diet only as long as directed by your doctor."
They also don't seem to distinguish between SF/IF. However, I've seem advice that does distinguish between the two, that also recommends removing oats from your diet for a trial period of 2-4 weeks.
I probably don't get enough fibre in my diet, and I've had no luck with SF supplements, so oatmeal forms an important part of my diet-I sometimes have it twice a day. 
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Oatmeal
#370939 - 02/26/14 05:49 AM
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Syl
Reged: 03/13/05
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Loc: SK, CANADA
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If you look at the list of disallowed foods you can see that they are high soluble fiber foods while the list of allowed foods are soluble fiber foods that contain less insoluble fiber. It is a low residue fiber diet which essential means low insoluble fiber. Here is a link to a discussion about Fiber and Low Residue Diets for IBS. Note the comment "Fiber, especially soluble fiber, should not be avoided and normal amounts are acceptable if tolerated."
Do you have a medical reason for going on a low residue diet?
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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 for the the link to the article. Although it's actually for IBD, not IBS. The article I have from the NHS, I've posted it on here before, is a low fibre diet for IBS. It recommends removing all high fibre foods regardless if they're high in SF/IF. I assume it is possible that too much fibre, even SF, could aggravate IBS symptoms.
I don't have a medical reason for going on a low residue diet, other than as a trial to see if it improves my IBS symptoms.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Oatmeal
#370941 - 02/26/14 08:13 AM
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Syl
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Some how one has to get 20-25 grams of fiber a day as the fermentation of fiber, particulary SF, produces important gut nutrients such as short chained fatty acids. I sure won't go on a low SF/IF diet that reduced fiber intake below the daily requirements without medical guidance - IMHO.
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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
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The Role of Food & Dietary Intervention in IBS
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Yes, but like much 'healthy' dietary advice, (for example; eat wholegrains, leafy vegetables, pulses/legumes, seeds, dairy products etc.) perhaps that figure of 20-25 grams of fibre is too much for some people with IBS to tolerate.
Thanks for the advice and opinion. I am in discussions with my GP, GI and dietitian to explore food intolerance (via an elimination diet)and the role that food plays in my IBS symptoms.
The next month is going to be tough. 
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Oatmeal always effects my ibs. I tried gluten free oatmeal but that effects it too.
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I've had Ibs all my life and still trying to figure out what to eat??!!
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Yes, it may be too high in fibre. As this article from 2010 states;
'Professor Whorwell believes that tens of thousands of people with IBS are sensitive to soluble fibre, too. 'So far we haven't done any studies on this,' he says.
'But there is anecdotal evidence of people having their lives wrecked by the symptoms caused by eating fruit and vegetables.'
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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Re: Oatmeal
#370951 - 03/01/14 09:13 AM
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Syl
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Bran and irritable bowel syndrome: time for reappraisal
Porridge (oatmeal in the UK) - seems to be quite well tolerated compared to bran and other sources of insoluble fiber.
Table : Symptomatic response to fibre
Fibre source - Porridge
Better - 0
Worse - 9 (12%)
Unchanged - 66 (88%)
Whorwell may have been thinking about soluble fibers like inulin and FOS which have found to be IBS triggers since that story in Mail Online was written
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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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Re: Oatmeal
#370952 - 03/02/14 05:06 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Bijkerk, C. J., Whowell, P.J. et al. (2009). "Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial." BMJ 339.
Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial
"After three months of treatment, symptom severity in the psyllium group was reduced by 90 points, compared with 49 points in the placebo group (P=0.03) and 58 points in the bran group (P=0.61 versus placebo). No differences were found with respect to quality of life. Fifty four (64%) of the patients allocated to psyllium, 54 (56%) in the bran group, and 56 (60%) in the placebo group completed the three month treatment period. Early dropout was most common in the bran group; the main reason was that the symptoms of irritable bowel syndrome worsened."
"Psyllium [mostly soluble fiber] offers benefits in patients with irritable bowel syndrome in primary care."
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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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Hi,
thanks for the research papers.
I wasn't disputing that soluble fibre helps IBS symptoms and that insoluble fibre (particularly bran) exacerbates symptoms.
I was simply passing on information, published by the NHS, that recommends avoiding all high fibre foods regardless of their fibre composition.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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So would you say that oatmeal is SAFE for IBSers? How about oatmeal cookes?
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Originally diagnosed with IBS-C in Spring, 2008. During spring to fall of 2008, had at least 10 acupuncture treatments and Chinese herbs. IBS went into remission. IBS returned in late July 2013 after taking 2 oral contrasts for a CT scan for cancer follow up. Had more acupuncture with different practitioner in summer 2014, but received little benefit.
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Yes, oatmeal (porridge) is safe for most people with IBS. I eat it most days. Oatmeal cookies, however, are not safe as the oats aren't cooked in water to form resistant starches which acts as soluble fiber. It is unlikely that uncooked oatmeal that is baked in cookies will do the same thing and therefore the ratio of insoluble to soluble fiber will be higher in cookies.
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IBS A. Managing my symptoms with the EFI/FODMAP diet and probiotics.
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I ate one small oatmeal raisin cookie yesterday and had problems. This explains it!!
Also my hubby has been trying to get me to eat oatmeal for breakfast. Based on what you said I WILL try this@
Thanks SO much, mradams1!!
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Originally diagnosed with IBS-C in Spring, 2008. During spring to fall of 2008, had at least 10 acupuncture treatments and Chinese herbs. IBS went into remission. IBS returned in late July 2013 after taking 2 oral contrasts for a CT scan for cancer follow up. Had more acupuncture with different practitioner in summer 2014, but received little benefit.
Edited by Candy07 (03/07/14 08:29 AM)
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Re: Oatmeal
#370961 - 03/07/14 02:02 PM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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I didn't realize you were eating oatmeal in cookies. I thought it was as porridge.  Porridge I can handle. Oatmeal cookies are guaranteed to give me a problem 
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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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Would half a bowl of oatmeal be tolerated? Oatmeal actually freezes well in portions, if you can't easily just mix up less (just microwave briefly to warm up). Sometimes smaller portions work better for anything. The rest can be eaten later in the day or another day.
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