Friday, 14 Aug 2020

Low-FODMAP diet: it will really help with irritable bowel and should be avoided

Anyone who suffers from irritable bowel syndrome, has never really quiet: often Affected by abdominal pain, bloating or diarrhea are plagued. Since much of the disease is still unexplored, there are so far no standard therapy. Experts have examined which treatments are useful.

How many people in Germany suffer from irritable bowel syndrome, which is so to say. In the world there will be an estimated eleven percent of the population. The reason why there are no exact Figures, one can on the one hand, with the vague notion to explain, the includes a whole series of non-specific symptoms, on the other hand, the shame of the Affected is likely to play a significant role. Because no one likes to talk about on a regular basis with bloating to severe diarrhea and abdominal pain to fight.

Now article for later “Pocket” to save

However, when one speaks of the irritable bowel syndrome (IBS)? The German society for gastroenterology, digestive and Metabolic health (DGVS) has determined three criteria that must be met so that Physicians can make the diagnosis. Accordingly, need to

Now, however, can also add to psychological complaints such as Stress, anxiety or depression and the course of the disease continue to influence – the other way around, they can also be involved in the development and maintenance of the RDS.

Stress is a factor, but is by no means the only

On the question of cause and effect, there is uncertainty in the research still to a large extent. But it is clear at least that in the case of the patient, the “intestine-brain axis” is disturbed; Belly and head brain are not able to communicate correct with each other. Also, the composition of the microbes in the gut is altered in the Affected.

Stress can worsen symptoms, according to the DGVS and therefore, is “by no means the only, or demonstrably the most important psychological factor, even if he was looking for the best.”

Clearer words of the experts, with respect to the role of antibiotics as a possible cause for the disease. So repeated antibiotic therapy-is a back again in addition to intestinal infections by bacteria, viruses or parasites – according to previous research results, strongly suspected of the syndrome to trigger.  

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The Problem with RDS is that it is not the a therapy, just because a lot about the syndrome and its causes are still relatively unknown, it is therefore primarily a diagnosis of Exclusion is. There is, however, a number of actions that could try out of patients; the DGVS has updated its guidelines for the treatment of the disease, together with many other professional societies, and argues, among other things, a clear recommendation for the so-called “Low-FODMAP”diet.

You can also read:

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What foods should you save and what you will eat

“Fermentable Oligo-, Di -, and monosaccharides and polyols (FODMAPs) are short-chain carbohydrates, which are absorbed in the small intestine bad. You will at the latest be active in the colon osmotically and are fermented rapidly, so that abdominal pain, flatulence, and a soft, voluminous stool arise,“ says the DGVS.

A diet with a low proportion of FODMAPs will pain therefore, in IBS patients with bloating or belly, as a dominant Symptom is recommended. Foods that are rich in FODMAPs and therefore savings should be, are:

  • Apple
  • Bulb
  • Plum
  • Avocado
  • Beans
  • Peas
  • Cauliflower
  • Mushrooms
  • Onions
  • gluten-containing products (bread, pasta)
  • Dairy products with lactose
  • Meat (fat) and sausage
  • Sweeteners such as sorbitol, xylitol
  • Invert sugar

This food is characterized by a low amount of FODMAPs and can, therefore, be consumed easily:

  • Berries
  • Orange
  • Mandarin
  • Salads
  • Tomato
  • Carrot
  • Pumpkin
  • Potato
  • Kohlrabi
  • Broccoli
  • Spinach
  • Zucchini
  • Gluten-free bread and pasta
  • Oat bran
  • lactose-free dairy products, and Butter
  • Lean meat and fish

The DGVS warns, however, against a self-employed change of diet: “The diet should be presented to the patient by a medical nutrition consultant/in order to avoid unnecessary, excessive restrictions and a lack of food.” The complaints in the course of the diet decreases largely, the critical food back on the dining plan.

Experts speak out against the stool transplant

For the relief of abdominal pain and bloating has proven to be, according to the experts, in addition, peppermint oil in enteric-coated capsules. Also Mindfulness and relaxation techniques for coping with stress may be able to help, especially if you suffer from psychological symptoms.

The DGVS calls about Yoga as a “promising therapy option”. Physical movement is for the colon in General is always good. In the case of patients with mental symptoms, psycho, it was also therapeutic methods such as cognitive-behavioral therapy. And also a bowel hypnosis can bring relief.

Clearly, the experts are against a stool transplant. Not only there is hardly any meaningful study, but “a large number of completely unresolved technical, ethical and safety issues”, the DGVS.

Of chair analysis, so self-payer microbiome tests, and IgG testing for the detection of food intolerances, the authors of the guideline recommend also decidedly. Applications and foot reflexology massage are not recommended. When the topic of probiotics, the study location, however, is not sufficient – if you can help, could therefore only test.

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