“…The low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet may have a stronger scientific premise in DGBI (specifically for IBS) (3)(4)(5) but without properly designed meal planning, and a plan for food reintroduction could be harmful over the long term (6,7). Several "popular diets" have also been adopted by patients with DGBI that involve significant food restriction with little or no scientific justification and could worsen symptoms (e.g., excess fructose consumption in the Whole 30 diet) or other health outcomes (e.g., higher saturated fat intake in "the Plant Paradox" diet) (8,9).…”
In this article, an expert team of 2 gastro-psychologists, a dietician, and an academic gastroenterologist provides insights into the psychological and social implications of evidence-based and “popular” dietary interventions in disorders of gut-brain interaction (DGBI). We focus on practical approaches for evaluating a patient's appropriateness for a dietary intervention, considering the nutritional, psychological, behavioral, and social context in which a patient may find themselves managing their DGBI with dietary intervention. We also discuss how to identify risk factors for and symptoms of avoidant/restrictive food intake disorder, a growing concern in the DGBI population.
“…The low fermentable oligosaccharides, disaccharides, monosaccharides and polyols (FODMAP) diet may have a stronger scientific premise in DGBI (specifically for IBS) (3)(4)(5) but without properly designed meal planning, and a plan for food reintroduction could be harmful over the long term (6,7). Several "popular diets" have also been adopted by patients with DGBI that involve significant food restriction with little or no scientific justification and could worsen symptoms (e.g., excess fructose consumption in the Whole 30 diet) or other health outcomes (e.g., higher saturated fat intake in "the Plant Paradox" diet) (8,9).…”
In this article, an expert team of 2 gastro-psychologists, a dietician, and an academic gastroenterologist provides insights into the psychological and social implications of evidence-based and “popular” dietary interventions in disorders of gut-brain interaction (DGBI). We focus on practical approaches for evaluating a patient's appropriateness for a dietary intervention, considering the nutritional, psychological, behavioral, and social context in which a patient may find themselves managing their DGBI with dietary intervention. We also discuss how to identify risk factors for and symptoms of avoidant/restrictive food intake disorder, a growing concern in the DGBI population.
“…Haller and Scarlata [1] 2021 Individualization of nutritional therapy is necessary due to the variability of symptoms and the likelihood of maladaptive eating behaviors in IBS patients.…”
Section: Authors Year Findingsmentioning
confidence: 99%
“…Additional medicines, such as intestinal secretagogues, minimally absorbed antibiotics (chosen based on predominant bowel habits), central neuromodulators, medications acting on opioid or 5-HT receptors, and psychiatric therapies, are often saved for patients with more severe symptoms. Over the past ten years, a robust pipeline of innovative medications has been under development due to an increased understanding of the pathophysiology of IBS [ 1 ].…”
Abdominal distress and irregular bowel movements are the hallmarks of irritable bowel syndrome (IBS), a chronic functional gastrointestinal illness (FGID). It is typified by recurring abdominal discomfort brought on by bowel movements or changes in pattern. Mind-body treatments have gained popularity recently as a way to manage IBS because of the role of the brain-gut axis. In addition to offering a helpful guide for identifying alternate diagnoses in patients exhibiting symptoms similar to IBS, this review attempts to offer an evidence-based solution to these perplexing problems. The etiology, diagnostic standards, and treatments for IBS will be summed up in this review, along with a summary of the available data supporting innovative digital medicines for these two illnesses. This brief study will give an overview of the pathophysiology, clinical characteristics, and treatment strategies of post-infectious irritable bowel syndrome (PI-IBS). In this study, we offer thorough methods for therapeutic therapy and talk about the possible contribution of psychological stress to pathophysiology. Additionally, to help with the introduction and suitability of these patient therapies, we offer a comprehensive review and meta-analysis of randomised controlled trials (RCTs) investigating the effectiveness of exclusion diets (low FODMAP and gluten-free diets, etc.) in IBS.
“…NCGS/NCWS is treated with a gluten-free diet, yet it remains unclear if Gluten is the only part of wheat involved in this condition [21]. Wheat contains other components that impact gut physiology, including wheat agglutinin, amylase trypsin inhibitors, fermentable carbohydrates, particularly fructans, a water-soluble fiber found in wheat, barley, and rye [22]. Fructans are a subtype of the low fermentable oligo-di-monosaccharides and polyols (FODMAP) diet [21].…”
Section: Celiac Disease Vs Non-celiac Gluten or Wheat Sensitivity (Nc...mentioning
Celiac disease (CD) is a multisystem immune-mediated disorder resulting in enteropathy of the small intestine with the ingestion of gluten, in genetically susceptible individuals. This condition impact 1% of the population and can result in the development of other conditions such as chronic fatigue, anemia, osteoporosis, aphthous stomatitis, elevated liver enzymes, joint pain, infertility, peripheral neuropathy, and epilepsy. In this review, we outline the clinical presentation of CD, the physiological differences between CD and non-celiac gluten sensitivity, proper management and the need for thorough patient education to increase adherence to a gluten free diet and reduce GI symptoms.
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