Feature ArticleAddressing the Role of Food in Irritable Bowel Syndrome Symptom Management
Section snippets
Foods Associated With IBS Symptoms
Many IBS patients associate certain foods with their IBS symptoms and perceive food intolerance. For individuals with IBS-D, there may be a higher prevalence of food trigger reactions.4 The most common foods reported as symptom triggers are fruits (citrus and banana), grains (wheat, barley, rye, oats, and corn), vegetables (onions, peas, and potatoes), dairy products (yogurt, milk, cheese, eggs, and butter), legumes (beans and lentils), wine, chocolate, coffee, tea, and fried foods.3, 4 Using
Alcoholic Beverages
The direct contact of alcoholic beverages with the mucosa lining of the GI tract can lead to mucosal damage, disrupting the assimilation of nutrients and intestinal motility.12 Prior studies have been inconclusive or conflicting for alcohol, and alcohol intake was not correlated with IBS in epidemiologic studies.9 For individuals with IBS-D, alcohol intake may exert a more potent influence on symptom severity than for IBS-C or IBS-M.12 An association between alcohol intake, particularly binge
Conclusion
In clinical practice, the reporting of specific foods with IBS symptoms by patients is sometimes viewed with uncertainty or oversight, but the role of food and diet is being increasingly recognized to play a pivotal role in the management of symptoms. With the variation of IBS symptom presentation, successful management with diet and lifestyle changes involves the careful discrimination of dietary treatments based on the predominant symptoms and severity. Current dietary recommendations are
Acknowledgment
This work was supported by the National Institutes of Health research grants R01NR013695 and R01NR010730.
All authors are affiliated with New York University College of Nursing. Bernadette Capili, PhD, NP-C, is an assistant professor of nursing and an associate director at the Division of Special Studies in Symptom Management and can be reached at [email protected].
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Cited by (16)
Subtypes and Severity of Irritable Bowel Syndrome Are Not Related to Patients’ Self-Reported Dietary Triggers: Results From an Online Survey in Dutch Adults
2021, Journal of the Academy of Nutrition and DieteticsCitation Excerpt :In our study, we did not find any difference in reported response to grains, bread, pasta, cereals, fruit, or vegetables between IBS subtypes. For greasy foods, advice is targeted toward patients with IBS-D and bloating43; however, Caldarella et al have shown that both patients with IBS-C and patients with IBS-D experience gastrointestinal symptoms after intraduodenal lipid infusion, but the type of complaints were different. Patients with IBS-C reported mainly cramping, while patients with IBS-D mostly experienced an urgency to defecate.44
Dietary monosodium glutamate increases visceral hypersensitivity in a mouse model of visceral pain
2023, Neurogastroenterology and MotilityEffects of Healthful Bioactive Compounds on the Gastrointestinal Tract
2022, Effects of Healthful Bioactive Compounds on the Gastrointestinal Tract
All authors are affiliated with New York University College of Nursing. Bernadette Capili, PhD, NP-C, is an assistant professor of nursing and an associate director at the Division of Special Studies in Symptom Management and can be reached at [email protected].
Joyce K. Anastasi, PhD, DrNP, FAAN, is a director of Special Studies in Symptom Management and the Herbs, Nutraceuticals, and Supplements Program.
Michelle Chang, MS, Lac, is research associate at the Division of Special Studies in Symptom Management.
In compliance with national ethical guidelines, the authors report no relationships with business or industry that would pose a conflict of interest.
This activity is approved for 0.9 contact hour(s) of continuing education by the American Association of Nurse Practitioners (AANP). Program ID 16042169. This activity was planned in accordance with AANP CE Standards and Policies. AANP members may receive 0.9 CE contact hours from AANP by completing the online posttest and evaluation at cecenter.aanp.org/program?area=JNP.
American Association of Nurse Practitioners (AANP) members may receive 0.9 continuing education contact hours, approved by AANP, by reading this article and completing the online posttest and evaluation at cecenter.aanp.org/program?area=JNP.