Irritable Bowel Syndrome Message Boards

This statement doesn't make sense. There are a range of different soluble fibers. They range from quickly fermenting fiber such as FOS to slowly fermenting fiber such as acacia fiber or anywhere in between including partially fermentable.

The UK GI society in the Guidelines on the irritable bowel syndrome: mechanisms and practical management says "However, if it is felt that fibre supplementation is needed and this cannot be achieved by diet alone, then the soluble varieties (ispaghula, sterculia, or methyl cellulose) are probably the best choice." And the US College of GI in their report An Evidence-Based Systematic Review on the Management of Irritable Bowel Syndrome says "Psyllium hydrophilic mucilloid (ispaghula husk) is moderately effective and can be given a conditional recommendation".

The dietitian seems to contradict what the western GI doctors have found through clinical trials. Strange!

It cannot hurt to try an elimination test. It is a long and boring process that has help some individuals. The mediator release test is of questionable value as an allergy or IBS trigger identifier.

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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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