Taming Stomachs With Fodmap Diet Spurs $8 Billion Market

Royal Melbourne Hospital Gastroenterologist Jason Tye-Din

Food Revolution The market in developed nations has undergone a revolution, Hudson said in an e-mail. Prior to that, gluten- free had been the preserve of pharmacies and specialist health- food stores. Abbott and Mead Johnson Nutrition Co. (MJN) have about 7 percent each of the global food-intolerance market by value, according to Euromonitor. Abbott, which sells intolerance products under the Vital and Ensure labels, introduced a limited-ingredient, gluten-free nutrition bar called Perfectly Simple in June. We expect to launch an additional 20 products and formulations this year and have more than 30 clinical studies, Abbott said Oct. 17, when it reported third-quarter earnings. Shepherd said shes sold almost 200,000 copies of her eight cookbooks, which include Irresistibles for the Irritable , that help people choose bowel-friendlier foods. The recipes avoid sugars that arent well absorbed in some peoples bowels, found in products ranging from onions to yoghurts. Too Much Gas These foods can cause bloating, excess gas, abdominal discomfort and diarrhea in some people — hallmarks of irritable bowel syndrome experienced by at least 10 to 15 percent of adults, according to the International Foundation for Functional Gastrointestinal Disorders , a research and education group in Milwaukee , Wisconsin . I pieced together what was an experimental diet, said Shepherd, who began teaching the regimen in her private dietetics practice in early 1997. I wasnt randomly picking these foods — they all had something in common: they were all potentially not absorbed in the small intestine. Peter Gibson , gastroenterology professor at Melbournes Monash University, helped coin the term Fodmap to describe the molecules people with irritable bowel syndrome have difficulty stomaching — fermentable oligosaccharides, disaccharides, monosaccharides and polyols found in dozens of everyday things from apples and wheat to milk, high-fructose corn syrup, and sugarless chewing gum. Fell Off My Chair Shepherd, who has celiac disease, tested her diet on 25 people, preparing all their meals herself for 22 weeks in a study that formed part of a PhD thesis at Monash. She found the diet quelled symptoms in at least 70 percent of participants, compared with 12 percent given a placebo meal resembling typical Australian fare. I honestly nearly fell off my chair because it looked just too good to be true, said Shepherd, who now employs 13 dietitians in a practice that sees about 4,000 people a year.

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The new way to tackle IBS

FODMAP: helps reduce gas in your bowel.

These are fermentable carbohydrates found naturally in vegetables, fruit, grains, nuts, seeds, dairy food, as well as some additives, that for some people are a pain in the gut. Cauliflower, onions, garlic, apricots, chickpeas and yoghurt are just a few of the otherwise healthy foods that can cause problems for some sensitive people. These foods all contain types of carbs that we don’t digest and when they arrive in the large bowel undigested they ferment and create gas. For most of us this is a non-event, but for the 15 per cent of people with IBS this gas can trigger bloating, discomfort and pain – pain that’s occasionally bad enough to send people dashing to Accident and Emergency, says dietitian Dr Sue Shepherd of La Trobe University’s Department of Dietetics and Human Nutrition who first identified these carbs as culprits in IBS. The cause of many IBS symptoms is the genetic lottery that’s supplied some of us with hypersensitive nerve endings in the lining of gut, she explains “When there’s a lot of gas it puts pressure on the gut and the nerve endings of the bowel and this can make the brain overreact and register pain. These fermentable carbohydrates can also change how quickly the bowel works – in susceptible people they can lead to constipation and diarrhoea or a combination of both,” she says. The trick to taming these symptoms is having fewer fermentable carbohydrates in the diet – research at both Monash University and London’s Kings College Hospital has found that this works for around 75 per cent of people with IBS. While a low FODMAP diet puts some healthy fibre-rich foods off limits, it doesn’t mean sacrificing fibre, says Shepherd, the author of’Low FODMAP Recipes’, a new cookbook to help people with IBS make meals that minimise the gassy effects of FODMAPS. Ad Feedback Although wheat, rye, barley and many vegetables including peas and mushrooms can cause problems, there’s still brown rice, quinoa, oats and buckwheat, as well as plenty of other vegetables. Spelt, a form of wheat, is also a problem but some breads made with spelt flour (Ancient Grains and Healthybake, for instance) are low in FODMAPs. This is because fructans – one of these indigestible carbs – gets broken down in the manufacturing process, she adds. Low FODMAP eating can be harder on vegans for whom high FODMAP beans and lentils are a good source of protein, iron and zinc. “But you don’t have to cut legumes out entirely – everyone with IBS has a different threshold of how much fermentation their gut can handle before the nerve endings start screaming,” says Shepherd. The trick is to be scrupulous about avoiding other high FODMAP foods so you can tolerate some legumes. It’s best to eat just small amounts of legumes, ideally spread throughout the day – two small serves of legumes over lunch and dinner is easier on a sensitive gut than one generous serve at dinner, for instance.

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Irritable Bowel Syndrome Can Be Treated

Associate Professor of Medicine Baha Moshiree, M.D., M.S.  director of the motility program at the University of Miami Miller School of Medicine talks with Dr. Leopoldo Arosemena, a second year gastroenterology fellow on Tuesday, September 24, 2013.  
Dr. Moshiree sees patients diagnosed with Irritable Bowel Syndrome and offers the treatments available.

Although the cause of IBS is currently unknown, several factors have been said to aggravate symptoms: stress, anxiety, dairy products, legumes such as beans, and cruciferous vegetables such as cauliflower, broccoli and Brussels sprouts. Which came first the chicken or the egg is kind of hard to figure out, she said. What was happening before the symptoms occurred? You want to find out what factors were there before patients started having these symptoms, or if they started having these symptoms and then when they get stressed or anxious, everything gets worse. Unfortunately, the gut does its own thing. Although IBS is uncomfortable, can greatly affect patients quality of life and currently has no cure, people do not die from the disorder. There are several medications available to help relieve pain, diarrhea and constipation that can be purchased over the counter or prescribed. Moshiree also says that counseling, cognitive behavioral therapy and hypnosis can also help patients cope with the pain, and alleviate their stress and anxiety. Her advice: Stay away from narcotics when treating IBS. Although narcotics are effective for relieving pain, these drugs can worsen the symptoms. We give patients medication to help with the pain, but that do not worsen bowel movements. Meyer, who lives in Connecticut and flies to Miami to be treated by Moshiree, says collaboration and communication with your doctor is key to figuring out a treatment that works best for you. My change is dramatic.

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Acg Recommends Effective Diet For Ibs

IBS is a common functional disorder of the GI tract. There is no known cause for it and there is no known cure. However, there are ways to manage its symptoms. Regulating the diet is one of the ways to manage IBS symptoms, but sometimes this can be difficult. Certain foods ingested or avoided may help some IBS sufferers, while causing symptoms in others. Jeffrey Roberts, founder of the IBS Self Help and Support Group , recently reported that the American College of Gastroenterology has recommended a low Fodmap diet as one of the most effective dietary therapies for IBS. The low Fodmap diet is a dietary plan that was developed by Sue Shepherd PhD. Fodmap is an acronym for Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols. These substances are complex molecules found in foods we eat that can be poorly absorbed in people with IBS. Dr. Shepherd has shown that eliminating Fodmaps in the diet can be an effective treatment for people suffering with IBS.

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Eat your way to a flat tummy

According to Dr Shepherd, there are three reasons why FODMAPS cause symptoms of IBS: they are poorly absorbed in the small bowel; they are small molecules, consumed in a concentrated dose; and they are “fast food” for the bacteria that live naturally in the large bowel. Common high-FODMAP foods include: Fruit: apples, blackberries, cherries, mango, nectarines, peach, pear and watermelon Vegetables: artichoke, asparagus, beetroot, Brussels sprouts, cabbage, cauliflower, garlic, mushrooms, onions Beans and pulses, such as baked beans, lentils and chickpeas Wheat-based products including bread, pasta, cereals, noodles and biscuits Dairy products including milk, yoghurt, ice-cream and soft cheeses Honey and high-fructose corn syrup Fruit juices, pastes and sauces Coconut milk and cream Sugar substitutes (with names ending in “ol” such as xylitol) Coffee substitutes Sweet wines Who would benefit from a low-FODMAP diet? The low-FODMAP diet is designed to help people suffering from food intolerances that lead to IBS and has been proven to work in the treatment of IBS symptoms in both the long term and short term. If you have been diagnosed with IBS or have experienced bloating, discomfort or a change in your bowel habits and would like to try the low-FODMAP diet, your first step is to contact an experienced and qualified dietician for advice. You can also get a breath hydrogen test to check whether you have fructose or lactose intolerance, or both, which will help you identify which FODMAPs you should be avoiding. A typical low-FODMAP menu plan Breakfast options: wheat-free cereal with ‘lite’ milk; poached eggs with wheat-free bread Lunch options: Rice cakes with ham, cheese, lettuce and tomato; roast vegetable salad Dinner options: Lamb and sweet potato curry; tomato chicken risotto; Chinese chicken on fried wild rice Snack options: Yoghurt, popcorn, mixed nuts, rice crackers with a slice of hard cheese General dietary guidelines As well as avoiding FODMAPs, there are a few other rules you can follow to help reduce the severity of IBS symptoms. Firstly, avoid overeating, and enjoy your meals by savouring them and eating slowly. Avoiding excessive intake of fats, caffeine and alcohol is also important. Avoid stress-filled meals don’t work or have difficult discussions when you’re eating. And lastly, don’t skip meals. Eat regularly and always have a good breakfast. The Food Intolerance Management Plan (Penguin, $35) is available now. Read our fact sheet on irritable bowel syndrome . Related articles What’s standing in the way of you and losing weight?

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How To Cure Irritable Bowel Syndrome In A Few Days

The Blood Sugar Solution: The UltraHealthy Program for Losing Weight, Preventing Disease, and Feeling Great Now!

There is no current standard medical treatment. Yet, it causes more than twice the number of days off work, days in bed, and reduction in regular activities than for people who don’t suffer from it. That’s the bad news. The good news is that it is curable, that you don’t have to suffer, and that following a few simple steps will cure this debilitating problem for most people in a few days. How do you know whether you have irritable bowel syndrome (IBS)? And what can you do to fix it? Do you have: Diarrhea or constipation (which means NOT going every single day at least once or twice)? If you do, then you have irritable bowel syndrome. Through the science of functional medicine, a new way of thinking about how to solve this (and every other!) complex health problem, you can fix this problem quickly by simple changes in diet and a few other simple strategies. Get to the root of the problem. Don’t just suppress symptoms. Watch this week’s House Call below and find out why you actually have IBS and how to cure it quickly. Wishing you health and happiness, Mark Hyman, M.D. Mark Hyman, M.D.

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How To Cure Irritable Bowel Syndrome In A Few Days

The Blood Sugar Solution: The UltraHealthy Program for Losing Weight, Preventing Disease, and Feeling Great Now!

There is no current standard medical treatment. Yet, it causes more than twice the number of days off work, days in bed, and reduction in regular activities than for people who don’t suffer from it. That’s the bad news. The good news is that it is curable, that you don’t have to suffer, and that following a few simple steps will cure this debilitating problem for most people in a few days. How do you know whether you have irritable bowel syndrome (IBS)? And what can you do to fix it? Do you have: Diarrhea or constipation (which means NOT going every single day at least once or twice)? If you do, then you have irritable bowel syndrome. Through the science of functional medicine, a new way of thinking about how to solve this (and every other!) complex health problem, you can fix this problem quickly by simple changes in diet and a few other simple strategies. Get to the root of the problem. Don’t just suppress symptoms. Watch this week’s House Call below and find out why you actually have IBS and how to cure it quickly. Wishing you health and happiness, Mark Hyman, M.D. Mark Hyman, M.D. is a practicing physician, founder of The UltraWellness Center, a six-time New York Times bestselling author, and an international leader in the field of Functional Medicine. You can follow him on Twitter , connect with him on LinkedIn , watch his videos on YouTube , become a fan on Facebook , and subscribe to his newsletter .

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Diarrhea-Predominant Irritable Bowel Syndrome

When serotonin stimulates receptors in your intestinal wall, intestinal motion increases, and more fluid is secreted into the interior of your bowel. These actions lead to cramping and more frequent bowel movements or even diarrhea. IBS-D is believed to result, in part, from heightened intestinal sensitivity to serotonin, a concept that has led to the development of medications that block serotonins actions. Currently, alosetron (Lotronex) is the only serotonin blocker licensed for treating IBS-D in the U.S. Due to potentially serious side effects, such as decreased intestinal blood flow, alosetron is available only through special prescribing programs. Antidepressants Due to their tendency to slow bowel activity, tricyclic antidepressants have found a place in the treatment of diarrhea-predominant IBS. Among these agents, amitriptyline (Elavil), imipramine (Tofranil) and desipramine (Norpramin) have been tested in clinical trials and have been shown to improve symptoms in patients with IBS-D. The doses required to relieve IBS symptoms are often below those needed to control depression, which may help to limit the dry mouth, dizziness and fatigue that are sometimes associated with tricyclic antidepressants. Intestinal Bacteria A number of studies have suggested a link between IBS symptoms and alterations in intestinal bacteria. Treatments designed to normalize the bacterial populations in your gastrointestinal tract may relieve some of the bloating, gas and cramping associated with IBS-D. Probiotics, which are friendly microbes that can be administered orally, have been associated with reduced symptoms of IBS — bloating, cramping and gas — in some trials. According to the American College of Gastroenterology, probiotic preparations containing Bifidobacteria or several different strains of organisms seem to provide relief in some patients, while those containing only Lactobacillus are ineffective. If your IBS-D is resistant to other treatments, your doctor may prescribe a short course of antibiotics to normalize your intestinal bacteria. Other Therapies Dietary modifications are routinely recommended for people with IBS, but it is not clear if such changes are universally helpful.

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Irritable Bowel Syndrome: Herbal Help?

25, 2006 — Some traditional Chinese, Tibetan, and Indian herbal medicines may improve irritable bowel syndrome (IBS) symptoms, researchers report. The finding comes from a review of 75 studies on irritable bowel syndrome. The herbal medicines that stood out in the review were: Standard and individualized Chinese herbal formulations including “STW 5” and “STW 5-11” A Tibetan herbal formula called “Padma Lax” An Indian formula of two unnamed herbs used in Ayurveda, a traditional Indian health system However, the review doesn’t endorse or recommend any herbal medicines for irritable bowel syndrome, since many of the studies weren’t of top-notch quality. The report appears in The Cochrane Library, a health care research journal. The scientists included Jianping Liu, MD, PhD. Liu works at Beijing University of Chinese Medicine’s Evidence-based Chinese Medicine Centre for Clinical Research and Evaluation. He is also on staff at the National Research Centre in Complementary and Alternative Medicine at Norway’s University of Tromso. Helpful or Not? The studies, which were mainly done in China, had a combined total of nearly 8,000 patients with IBS. “Some herbal medicines may improve the symptoms of irritable bowel syndrome,” the researchers write. For instance, IBS patients in nine studies either got herbal and conventional medicines or conventional medicines alone. Those who got herbal and conventional medicines reported greater improvement of their IBS symptoms, the researchers note. None of the studies reported serious side effects from any of the herbal medicines. But the researchers note that that doesn’t mean that the medicines are safe for everyone. Liu’s team urges “caution” in considering positive findings from studies with poor design, small numbers of patients, and unconfirmed results.

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Dealing with Irritable Bowel Syndrome with Complimentary Health

Depending on what the image is, the patient may imagine their intestines expanding and relaxing to let fluids flow through. Hence, this imagery is meant to help the patient with their constipation problem. Why is hypnotherapy an effective IBS treatment? The reason is because hypnosis is a therapy that can help both the body and the mind. Think of hypnosis as a treatment that helps a person put mind over matter. In other words, its a way to use the mind to help heal physical ailments. Furthermore, many researchers believe IBS is a primary disorder of the brain/gut axis. The what? The brain/gut axis is the term given to the important relationship between the events that have an affect on the way the central nervous system (brain) functions, and how this resulting function affects the way the intestines function through the intestinal specialized enteric nervous system. Essentially, the mind and body are connected. The state of ones mind can have positive or negative affects on the way the body functions.

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How To Cure Irritable Bowel Syndrome In A Few Days

The Blood Sugar Solution: The UltraHealthy Program for Losing Weight, Preventing Disease, and Feeling Great Now!

Yet, it causes more than twice the number of days off work, days in bed, and reduction in regular activities than for people who don’t suffer from it. That’s the bad news. The good news is that it is curable, that you don’t have to suffer, and that following a few simple steps will cure this debilitating problem for most people in a few days. How do you know whether you have irritable bowel syndrome (IBS)? And what can you do to fix it? Do you have: Diarrhea or constipation (which means NOT going every single day at least once or twice)? If you do, then you have irritable bowel syndrome. Through the science of functional medicine, a new way of thinking about how to solve this (and every other!) complex health problem, you can fix this problem quickly by simple changes in diet and a few other simple strategies. Get to the root of the problem. Don’t just suppress symptoms. Watch this week’s House Call below and find out why you actually have IBS and how to cure it quickly.

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Is tummy trouble keeping your child out of school? It could be Irritable Bowel Syndrome

Surprising: The second most cited cause for school absence is IBS

‘One main fear is that they won’t be able to get to the loo in time, and that can make them fearful of leaving the house at all. ‘It’s usually safe to say that the symptoms are learned responses and perhaps began as a result of previous gastro-intestinal upset, but lingered on.’ Mr Mahoney adds: ‘Sometimes the symptoms could also be a subconscious way for the child to obtain focus on themselves. Parents of younger children, especially, may actually contribute to symptoms continuing. ‘I try to teach children that every thought has a physical response, and that they can learn to get rid of negative thoughts to reduce anxiety and IBS symptoms.’ Children with IBS are often advised to change their diet as some foods can trigger an attack, perhaps because they are harder to digest. They should also avoid caffeine, found in some fizzy drinks, which elevates the stress hormone cortisol. Dr Peter Irving, a gastroenterologist at Guy’s and St Thomas’ Hospital and The London Clinic, has had promising results with a diet devised in Australia. The ‘Low Fodmap’ diet restricts foods containing poorly absorbed sugars called FODMAPs. ‘It works on the principle that not all sugars can be absorbed within the small intestine,’ says Dr Irving. ‘As a result, they are rapidly fermented by bacteria in the bowel which draws in fluid and produces gas. ‘This can cause symptoms including bloating, abdominal pain and diarrhoea.’ Foods containing FODMAPs include honey, apples, pears, stone fruit such as peaches, onions, garlic, cabbage, beans and sweeteners such as sorbitol. Research at King’s College Hospital found that 75 per cent of those on the diet saw their symptoms improve. Elliott, now 12, has learnt to manage his symptoms through trial and error.

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Dealing with Irritable Bowel Syndrome with Complimentary Health

Hypnotherapy has become a natural way of dealing with Irritable Bowel Syndrome like acupuncture, which has become very popular for different illnesses and health problems, it was until a few years ago not properly understood how acupuncture can help but now thousands and thousands of people go for acupuncture treatment and this is happening with Hypnotherapy for Irritable Bowel Syndrome. More and more people are now becoming familiar that Hypnotherapy can help with Irritable Bowel Syndrome and this is why more and more doctors and information their patients that they can see a complimentary health expert who can help them with IBS. Hypnotherapy allows a person to tap into a special mental state (the subconscious level of their mind), allowing them to alter the way in which they consciously perceive their health problems, and encourages them to respond to these problems in new ways. How? While they are in this special mental state, the person is given verbal suggestions or provided imagery to assist them in finding relief from their symptoms. The stimulation that the person under hypnosis receives from words and images has a significant impact on the way they function mentally and physically. For instance, imagery used during hypnotherapy for IBS patients would be images that encourage healing. Depending on what the image is, the patient may imagine their intestines expanding and relaxing to let fluids flow through. Hence, this imagery is meant to help the patient with their constipation problem. Why is hypnotherapy an effective IBS treatment? The reason is because hypnosis is a therapy that can help both the body and the mind. Think of hypnosis as a treatment that helps a person put mind over matter. In other words, its a way to use the mind to help heal physical ailments. Furthermore, many researchers believe IBS is a primary disorder of the brain/gut axis.

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