Diet vs Meds: Diet WINS for Irritable Bowel Syndrome!

woman holding stomach with intestines image

Diet vs Meds: Diet WINS for Irritable Bowel Syndrome!

A recent four week trial published in the Lancet journal Gastroenterology & Hepatology showed 76% of patients following a low fermentation diet (low FODMAP) and 71% of patients following a low carb diet had a significant reduction in IBS symptom severity (such as pain and bloating) while only 58% receiving prescription meds experienced a significant symptom reduction.

I definitely agree with the study author’s comment that dietary treatments of IBS have limitations including “nutritional compromise, gut microbiota effects, difficulty integrating into a vegetarian diet, development of avoidant restrictive food intake disorders, and social and psychological effects”.

I have seen ALL of these issues present in practice. That’s the reason I general limit dietary interventions for IBS so that we minimize the duration of use of the restrictive diet (mostly using it for prevention of recurrence of IBS after treatment) and guide patients to identify specific foods that elicit symptoms such that other foods can be reintroduced.

Dr. Leat Kuzniar ND
Dr. Leat Kuzniar ND
drkuzniar@njnaturopath.com

Dr. Kuzniar is a board member of the New Jersey Association of Naturopathic Physicians and is also a member of the Gastroenterology Association of Naturopathic Physicians. She currently holds a State of Vermont Naturopathic Physician license (as New Jersey does not yet offer licensing for Naturopathic doctors).