Digestive Health Articles

Review: The Complete Idiot’s Guide to Eating Well With IBS
Sharon Palmer, RD, Today’s Dietitian, April 2011
Small Intestinal Bacterial Overgrowth — What to Do When Unwelcome Microbes Invade
Today’s Dietitian, April 2011
Manage IBS Symptoms by Limiting FODMAPs
The Complete Idiot’s Guide Blog,Feb 2011
The FODMAPs Approach — Minimize Consumption of Fermentable Carbs to Manage Functional Gut Disorder Symptoms
Today’s Dietitian, August 2010
Got Wheat?
Worcester Telegram, May 20 2009
Cracking Myths – Experts Bust Digestive Health’s Top Misconceptions
Sharon Palmer, RD, Today’s Dietitian, April 2011
Whole Wheat and Irritable Bowel Syndrome
Anne Tourney, Livestrong.com, December 2010

13 thoughts on “Digestive Health Articles

  1. my computer won’t open the “sibo” one…

    the problem is that eliminating food and food groups intimidates me….i wonder if there’s a way to tweak things to help me without jumping full fledge (can’t afford dietitian consults, trust me)…have you seen the meal plans for “Beyond Sugar Shock” book and the “17 day diet book”? I’ve heard many people say their digestion improved with those plans…i need plans and structure, but on’t know what to try and am unable to access guidance or counsel…

    1. The majority of my clients do not use digestive enzymes while on the diet initially. If there is a specific problem, i.e. fat malabsorption by medical testing, the gastroenterologist may add some digestive enzymes to the medical regimen.
      The lactose enzymes and ‘beano’ products may be helpful, but I tend to add those back after the elimination phase as I am not sure how effective they are in throughly ‘digesting’ the FODMAPs in the short time they are in contact with the food sources. So–initially I do not add and then may try the lactaid pills with say an ice cream after the ‘re-challenge’ phase of the diet.

  2. Hello Kate – I would really appreciate your advice. I had pelvic radiotherapy 8 years ago and have had IBS(D)-like symptoms ever since. Over the last few months the symptoms have become more difficult to manage. I’ve heard this referred to as chronic radiation enteritis and my general practitioner is offering loperamide. Do you think there may be any benefit in treating the problem as IBS (as the symptoms are the same) and starting a low FODMAP diet? I’d value your comments. Thank you!

    1. Sue,
      I am not an expert in chronic radiation enteritis, but from what I have read fat malabsorption can be an issue. If you were my client I would send you to a top gastroenterologist (hard to find) and have them check for fat malabsorption first–followed by small intestinal bacterial overgrowth testing. Just my 2 cents. My thought is that the low FODMAP diet may be helpful but you may require modifying your fat intake as well. Any injury to the intestine has the potential to impact absorption of nutrients. When you malabsorb foods, particularly FODMAPs, this causes osmotic diarrhea–water enters the intestine and contribute to water-y diarrhea in some. Fat malabsorption can contribute to diarrhea as well. So in some individuals, modifying fat and the FODMAPs together helps minimize diarrhea. When I say minimize fat, you don’t eliminate fat–but have 1-2 TB of peanut butter vs 4 TB at a sitting or choose lean meats vs. fatty cuts. I recommend that you work with a dietitian that specializes in digestive health.

  3. I am DESPERATELY looking for information to help my 19 year old son. Lots of testing done/ have seen drs at both Mayo and Cleveland Clinic…..best advice has been “we don’t know…just be glad it isn’t something that will kill you”. *Note….weight loss over 100 pounds and still going….had to quick job etc) When we mentioned all he could eat without pain was “boiled whole chicken and white rice..” we were told to google fodmap! (really!)…okay fodmap seems to “fit” and we’re working on it..but no local (or state) dieticians have ever heard of it? now going on two years with extremely limited diet…..any suggestions?

    1. Hi Jean–Sorry to hear about your son’s digestive woes. Where are you located exactly? I can put out a query to see if I can find you a dietitian to help you.
      I would imagine they tested your son for small intestinal bacterial overgrowth (SIBO), correct? This would be done with a breath test using lactulose (not lactose)? SIBO can lead to weight loss. It is hard to believe that health care providers just say google it…but health care has changed so much in the past 20 years and everyone is rushing against a clock and patient care has declined–its so unfortunate. For menu and snack ideas, check out this handout I have here on the blog….http://blog.katescarlata.com/fodmaps-basics/fodmaps-menu-and-snacks/

  4. Hi, just a quick question, in your opinion, would the low fodmap diet help functional dyspepsia?..I have bloating and gas in the upper abdomen pretty much straight after eating anything usually, even water..go to the loo fine… everything else has been ruled out by my specialist(apart from sibo as they wont do that), but have had blood and stool tests and the camera. All normal. Do you think the diet mould help?? Other info i have found has said diet doesnt really play a part..Thankyou in advance and what a great websight!!

    1. I think it is worth a try. I have seen patients with gastroparesis feel better with the diet modifications. Perhaps do a short term trial for 2 weeks–that should be long enough to see if you are feeling better with the diet in place. Ibergast may be helpful for you too–ask your doctor about it. http://www.iberogast.ca

  5. Hi Kate,
    First I want to thank you and all the dieticians who work to help patients feel better through making appropriate food choices based on their individual GI issues. I have both a 7 year old daughter and 13 year old son with GI issues. Daughter definitely has dietary fructose intolerance and son has problems with wheat. This is my question, I would like to provide my children with a probiotic supplement and vitamins, but am having a hard time finding chewable types that don’t have added sugar alcohols, inulin, etc. Do you think this small amount that’s in the vitamins will bother them??? Or, do you have a recommendation for a good source of vitamins for kids that are FODMAP friendly. There is only one dietician in our state who has FODMAP training, and that’s at a GI office that only sees patients 16 years and older. Thus, I am learning alot of this on my own by trying to find the best sources of info on the internet like your site.

    1. There are some gummy vitamins by Vitafusion that should be tolerated. I would not recommend a probiotic or vitamin with inulin or sugar alcohols but perhaps try align for a probiotic—you can open up the capsule and sprinkle on cool foods if they would prefer to take it that way.

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