irritable bowel syndrome (القولون العصبي)
- MARAM FADHEL
- Nov 1, 2014
- 2 min read
The pathophysiology of IBS involves disturbances of the brain–gut axis, because 95% of the body’s serotonin is located in the GI tract, it is important to note that people with IBS have diminished receptor activity.
Nutrition Diagnosis (PES)
Undesirable food choices related to excessive intake of colas and coffee as evidenced by abdominal pain each day, symptoms of IBS-D, and poor nutritional quality of life.
Intervention
Educate about better fluid choices, probiotics, prebiotics, fiber, reduction in gas-forming foods.
MNT
1/ Fiber is marginally beneficial; insoluble fiber may worsen symptoms but soluble fiber may help to alleviate constipation
2/ Avoid high-fat foods, which may increase cholecystokinin( is a hormone of the gastrointestinal system responsible for stimulating the digestion of fat and protein) release. Avoid high sugar intake
3/ fruits and vegetables are useful. Omit gas-forming oligosaccharides (beans, barley, Brussels sprouts, cabbage, nuts, figs, and soybeans), if not tolerated. Limit or omit spicy foods if poorly tolerated.
4/ Slowly increase dietary fiber by 2–3 g/d to prevent discomfort and to promote soft, painless stools.
5/ IBS does not harm the intestines and does not lead to cancer; it is unrelated to IBD.
6/ Drink six to eight glasses of water or fluids per day. Avoid carbonated beverages, chewing gum, or eating quickly, which may promote gas production.
7/ Certain foods or drinks may make symptoms worse, such as
Foods high in fat-
-some milk products
-drinks with alcohol or caffeine
-drinks with large amounts of artificial sweeteners, which are used in place of sugar
-beans, cabbage, and other foods that may cause gas
IBS and IBD: Two Very Different Disorders
IBD>> (inflammatory bowel disease)
IBS = disturbance in bowel function. It is not a disease, but rather a syndrome, defined as a group of symptoms.
IBD = inflammation of the digestive system. It is one of a group of diseases called inflammatory bowel disease. Crohn's can affect any area from the mouth to the anus. It often affects the lower part of the small intestine called the ileum.
People with IBS are not at higher risk for colon cancer, nor are they more likely to develop IBD or other gastrointestinal diseases.
The new guidelines:
released this week by the American College of Gastroenterology, say there is evidence to support the following treatments for irritable bowel syndrome:
1/ Fiber (psyllium especially when compared to bran)
2/ Probiotics
Some evidence that gluten-free diets can help reduce symptoms of irritable bowel syndrome.
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