Dietary Advice for IBS

A simple resource for patients with IBS or IBS-like symtoms including constipation, diarrhoea, bloating and discomfort, and excessive wind.

Credit: 21

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The resource aims to support improved symptom control and enhance long-term management and quality of life.

The Target Group (TG) will:

  • understand what IBS is
  • understand that symptoms may be aggravated by diet, lifestyle and/or other factors including stress
    • the TG should aim to be active
    • The TG should aim to manage/minimise stress and/or promote relaxation 
  • know to have regular, balanced meals based on healthy eating principles of the Eatwell Guide
  • understand that eating a variety of foods aids optimal nutrition
  • understand that over-restriction of food or food groups should be avoided
  • understand how to modify their fibre intake based on their symptoms via low/high fibre suggestions
  • NICE Guidelines: Irritable bowel syndrome in adults: diagnosis and management Clinical guideline [CG61] 2008, updated: April 2017.
  • British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. 2021.
  • British Dietetic Association systematic review and evidence based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update) Mckenzie, Y. A.; Thompson, J.; Gulia, P.; Lomer, M. C. E. Journal of Human Nutrition and Dietetics, October 2016, Vol.29(5), pp.576-592
  • British Dietetic Association systematic review of systematic reviews and evidence-based practice guidelines for the use of probiotics in the management of irritable bowel syndrome in adults (2016 update), Mckenzie, Y. A.; Thompson, J.; Gulia, P.; Lomer, M. C. E. Journal of Human Nutrition and Dietetics, October 2016, Vol.29(5), pp.576-592
  • Carbohydrates and Health, Scientific Advisory Committee on Nutrition, 2015.
  • Lactose Intolerance in Adults: Biological Mechanism and Dietary Management, Deng, Yy; Misselwitz, B; Dai, N ; Fox, M, Nutrients, 2015 Sep, Vol.7(9), pp.8020-8035
  • Misselwitz, B et al. Update on lactose malabsorption and intolerance: pathogenesis, diagnosis and clinical management. Gut 2019;68:2080–2091.
  • Ford, A.C et al. Systematic review with meta-analysis: the efficacy of prebiotics, probiotics, synbiotics and antibiotics in irritable bowel syndrome. Aliment Pharmacol Ther. 2018;48:1044-1060.
  • Ceccherini, C et al. Evaluating the Efficacy of Probiotics in IBS Treatment Using a Systematic Review of Clinical Trials and Multi-Criteria Decision Analysis. Nutrients 2022, 14 (3), 2689.
  • Francavilla, R et al. 2019. Clinical and Microbiological Effect of a Multispecies Probiotic Supplementation in Celiac Patients With Persistent IBS-type Symptoms: A Randomized, Double-Blind, Placebo-controlled, Multicenter Trial. Journal of Clinical Gastroenterology, 53 (3), e117-e125.
  • Facioni, M. S. et al. Nutritional management of lactose intolerance: the importance of diet and food labelling. J Transl Med 18, 260 (2020).
  • Corgneau, M. et al. Recent advances on lactose intolerance: tolerance thresholds and currently available answers. Crit Rev Food Sci Nutr. 2017 Oct 13;57:3344-3356.
  • EFSA Scientific opinion on lactose thresholds in lactose interlace and galactosaemic. 2010.
NDR-UK Ref No: 9468EV2
Classification: HP
Related Printed Version: 9468
Publication Date: 2019
Last Review: 2023
Last Update: 2023

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