IBS - help needed

Cladf
Cladf Posts: 60 Member
Hey everyone
So I've just been diagnosed by my doctor with probable IBS (testing for coeliacs just in case, but IBS is the likely issue) and I now have no idea what to do. I've been given medication for the cramps/spasms but not sure where to start diet wise to try to limit my symptoms.

Do I cut any potential offending foods out my diet then wean back in? Do I only cut out certain things? I know there isn't a quick answer, and it'll be trial and error but looking for the best starting point - or any tips etc.

Currently on calorie counting to lose weight (got over 70lbs to lose) so I'm keen to still keep on with my deficit. Really could just use some advice from people who have been in the same position...

Thanks
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Replies

  • cblue315
    cblue315 Posts: 3,836 Member
    I was diagnosed about 20 years ago. I have maybe 2 symptom days a month.
    You need to figure out your trigger foods. For me these are: oatmeal, flax or any products with these two items in it. Also if I drink more than 4 oz of milk at one time. I cannot eat pizza from any chain restaurant. I think it may have something to do with the yeast they use in the crust. Becuse it does not matter what the sauce or toppings are I just cannot eat any of it.

    The thing that helped me the most was the decision to stop eating as much processed food as possible. I make most of my own food including soups, salad dressings and ice cream. This way I can control what additives are going into my body.

    I rarely eat out. If I do end up at a restaurant I never order anything that has been marinated or comes with a sauce on it. So maybe just a plain fish or steak. I avoid the bread basket.

    To get started I came up with a base diet that gives me no symptoms. Yogurt, plain fish, a couple of different vegetables and rice. I eat just that until I have no symptoms for 2 or 3 days then add in items one at a time to see if I experience any difficulties.

    Good luck, I hope you find health.
  • PositivelyFlawed
    PositivelyFlawed Posts: 316 Member
    I was diagnosed with Crohn's since 2006(IBD) (which seems to have started as IBS earlier) after 2 years of pain and finally, hospitalization. At first I was terrified to eat, anything. I didn't want to aggravate things back to where they had been.
    For me my biggest trigger was pork pre-diagnosis, but after i learned that cooked football ham/deli ham or lean pork roast wass ok for me, bacon was worse, but manageable, but pork sausage was (and still is) to be avoided unless I plan to be at home and crampy.

    I fully agree with starting out simple with a base diet of relatively 'safe' foods. You probably have already learned what food source/group is a trigger for you. Before I knew i had Crohn's I knew what made me feel worse. If not you will quickly find out.

    When i was first diagnosed i did a lot of reading and a lot of talking with other people and learned that everyone with IBS/IBD is completely different diet wise/trigger wise. Some people can't handle raw veggie, some can't do only certain veggies, some can't handle any. Some people can't eat spicy, others, like me, do fine with spice. Some are aggravated by legumes (beans), others aren't. Some struggle with dairy or beef.

    There are some things I noticed most people I met with IBS/IBD could eat - fish, poultry (chicken/turkey), and oddly enough, game meats (venison etc). Water vegetables were ok for most (cucumbers, lettuce, peppers).

    Good yogurt will support good GI health.

    Take it slow and figure o ut which naturally occurring foods are ok for your diet. Then you can go back to trying some of your favourite, if you have any, processed meals or treat. Then you can figure out restaurants/fast food. For me KFC/taco bell is the devil, can't eat it, but Burger king or wendys seems to be ok. I can eat italian style take out pizza (thinner crust, smaller toppings, authentic taste), but commercial (cardboard) pizza (think little caesars etc.) will casue me agony.

    It has been almost 10 years since diagnosis and have currently been off meds, for about 4 years with very few if anyflares.

    I do have to say that since I started on MFP and focused on really adding wholesome foods to my diet, my IBS symptoms have drastically reduced.

    Crohn's and Colitis Foundation in US and Canada has a very supportive base that I found quite helpful. I don't know about overseas groups, but that's the beauty of the Internet :)

    IBS/IBD can be quite manageable and try to focus on you and what works for you, just like MFP take in the info, evaluate, try it and do what works for you!

    Wishing the best for ya!
  • SpecialKH
    SpecialKH Posts: 70 Member
    I have a friend who suffers - she actually finally tried meditation on the advice of her doctor. Hers was aggravated by stress. The doctor suggested what cblue315 said - limit processed foods and high fat foods tho she still uses cream in coffee. She does well with sourdough from a quality bakery (is fermentation used instead of yeast? maybe that's why?) but doesn't eat any other breads/baked goods. But the meditation seems to have really helped - she started out 5 min in the morning to calm herself before the day and if things got hectic at work she went to the ladies room stall (sat clothed, sounds goofy but no other place to go!) for a few minutes to decompress. She meditates every night about 30 minutes before bed before the rest of her nightly routine and swears by it - really helped calm the abdominal distress for her.
  • PositivelyFlawed
    PositivelyFlawed Posts: 316 Member
    edited May 2015
    Stress is a huge factor to IBS/IBD. I forgot to mention as I got so caught up in t he diet aspect. Meditation sounds like a great idea!
  • Cladf
    Cladf Posts: 60 Member
    Thanks everyone for taking the time to reply... the list of generally safe foods is really helpful, thank you! I eat a LOT of bread at the moment (also not great for dieting as it makes me crash and get hungrier!) so I'll maybe try to limit that and processed foods for a while and just keep an eye on how my symptoms are feeling.

    Although I've had the symptoms of IBS for a while, this weekend was the first time I had the horrendous cramps and pain alongside it, so I'm pretty keen to figure out what brought on that flare-up.

    Stress relieving meditation sounds like a good idea...I do get anxiety, and it certainly affects my symptoms so I'll definitely give that a try.

    Might stick to white meats / fish / venison and veg for a while if I can, and stay off the alcohol to see if that relieves it any.
  • ahtullos
    ahtullos Posts: 2 Member
    I had some symptoms for a bit and saw a homeopath. The remedy he prescribed addressed the symptoms for the most part. My remedy was ignatia 30c. 6c may also help. I am still dealing with my anxiety levels in different ways, but the external symptoms are not as severe.
  • 89Madeline
    89Madeline Posts: 205 Member
    Add me please, I suffer from IBS ever since I was little. I just started trying an elimination diet to see what triggers my main issues (bloating, pain, pain, pain, constipation and fatigue when having flare ups). It's called low-fodmap and has helped 80% of IBS with their symptoms. Basically, you cut out everything that brings water or gas to your bowels (most lactose, gluten, fructose, etc) and only eat that in low-doses. After 6 weeks, you probably feel much better and you start adding back in one group at time to find out your major triggers. It is advised to do so with a dietitian, but I'm trying out myself because I don't have one around me who specialises in low-fodmap. Either way, it's a great way to start! I wish I'd done it sooner
  • Jackie9950
    Jackie9950 Posts: 374 Member
    So, I have had IBS since I was in Middle School. My doctor said one of my biggest triggers was stress. Almost every ailment I have had in my life a doctor asks, "Do you stress easily?" Ummm....yes! I have noted that my IBS acts up after dealing with a stressful situation, eating too much dairy in one setting (usually milk or eggs), too much sugar (If I went anywhere near a soda before 11am, I would be in crampy pain!), and if I binge (which happens). My IBS tends to be diarrhea, not constipation. My gastroenterologist recommended Accidopholis, which has helped out a lot, but the biggest help was getting my Macros under control. Activia helps as well.

    I was also diagnosed with Diverticulitis in 2004, which doesn't allow me to eat large amounts of small of seeds or nuts. A week of Poppy Seed Dressing had me hospitalized for over 4 days. Then in 2010 I had my gallbladder removed which just increases IBS issues. In 2011 I started eating healthier and exercising and my IBS symptoms basically disappeared. In 2013, I went back to my bad eating habits and immediately I was having IBS pains daily, In March this year, I started eating healthy again and no more symptoms.

    I think everyone is different, but you are definitely on the right track by getting healthy! Good luck, and your welcome to add me as an MFP friend!
  • blueboone
    blueboone Posts: 1 Member
    I have IBS too. It makes me feel great knowing I'm not alone. Because IBS tends to make me feel like an alien among friends when I can't eat much of anything.
  • eros_bittersweet
    eros_bittersweet Posts: 9 Member
    I have had IBS for 11 years. In the last 2 years I started on a low-FODMAPS diet, which is definitely something to try if you have IBS-D; it took me from just-about-nonfunctional to someone who can comfortably exercise outdoors without constantly worrying about the bathroom. I also got bloodwork done last year which revealed I have pernicious anemia - the inability to absorb vitamin B12. After oral supplements (which made me sicker) I got a few B12 shots and this has really helped my stomach tremendously. It's something to get checked out. And finally, consider whether hormonal birth control, if you're on it, might be making your IBS worse. That was the case for me - there are other options out there, of which the IUD is probably the least likely to result in pregnancy.

    So, part of the reason I'm on here is that low-FODMAPS worked really well for me, and I gained weight from eating easily-absorbed starches on the diet, and eating too much. Calorie tracking would definitely help you to manage this. I'm grateful I can finally focus on something other than eating to avoid a flare-up, though of course all my meals are chosen with being gentle to my stomach in mind.

    Good luck! I know IBS doesn't have a one-size-fits-all solution so what I've experienced may or may not work for you. In the past I've tried taking tons of probiotics, virtually every commercially available one on the market (which did nothing for me, though others have had good success with it) and taking daily calcium supplements with meals to cut down on stomach acidity (which sort of worked, but left me with frightening heart palpitations).
  • eros_bittersweet
    eros_bittersweet Posts: 9 Member
    Also, I know that stress is a trigger for IBS, but seriously, it annoys me so much when doctors pass the buck to the patient by saying, "do things to manage your stress." I mean, sure, it's a good idea for everyone to do this, and I do things to manage stress all the time, but it's not like normal people who are stressed have to run to the bathroom 20 times a day. It's rarely the whole problem. That, and "have you tried eating more fiber?" really raise my ire. If being zen and eating more fiber would have solved my problems, those solutions would probably have worked during the many, many times I tried doing those things during the past 10+ years of suffering.
  • gaelowyn_pt_duex
    gaelowyn_pt_duex Posts: 135 Member
    My youngest daughter has ulcerative colitis. I have symptoms of IBS, but it's really hormonally driven(worse at AF), and undiagonsed. My daughter started having problems at 3 yrs old. We worked with doctors for a year trying to manage the symptoms, finally had a colonoscopy when she was 4 and that's when they diagnosed the colitis. We were able to get her into remission with immunosuppressant meds. That worked for another year or so. Last year we had to make the decision to go with hardcore nasty medications or surgery to remove her colon. The meds only help about 30% of the people for maybe a year or two. She had her colon removed. She's basically almost normal now. I find for her a "bland" diet is most tolerated. easily absorbed protiens and starches. simple fruits and veggies. anything like kale or greens is too much. Milk is tolerated for the most part. Colitis is different than IBS- the main thing is to find your triggers.
  • harpsdesire
    harpsdesire Posts: 190 Member
    edited May 2015
    My husband has (fairly mild as these things go) IBS and he's mainly triggered by very rich/fatty foods and spicy things. He does best if he gets plenty of fiber from food, mainly meaning veggies, and probiotics either through pills or yogurt. Excess sugar can also cause him problems but he doesn't have to avoid it altogether.

    It really seems like people have completely different reactions to foods and different symptoms even though it's all IBS as far as the doctor is concerned.
  • pisceanprincess
    pisceanprincess Posts: 22 Member
    Thanks for this thread. I'm currently going through this right now and my doctor has me working with a nutritionist to help find my triggers. I have been diagnosed for years. Occasionally, my monthly hormones would cause havoc to my body and no one knew why. They would just say take aleve or midol. I now know that Sara Lee whole wheat bread and dairy are just a few of my triggers. Also, I don't like taking prescription meds so I asked people at my local whole foods what did they recommend. I was given a probotic. HTH
  • jenniator
    jenniator Posts: 475 Member
    I wish I could help, but I'm struggling with IBS myself. I always have to rush to the bathroom several times a day without fail. I've tried the low-FODMAPS diet for 2 months, but I didn't notice any difference. :( So I'm not sure which food triggers my symptoms or if it happens with anything I eat/drink. I noticed the symptoms get a lot worse with stress, worry, or being nervous.
  • bbontheb
    bbontheb Posts: 718 Member
    Some people might need to look into SIBO if you are not having any results on the low fodmap diet. Also, anxiety can really affect IBS. Anyone feel free to add me, I eat low fodmap now for a month (open diary). Mind you can still have gut irritants that are not fodmap :)
  • Cladf
    Cladf Posts: 60 Member
    These are all great suggestions, thank you all so much!

    It definitely sounds like there could be a gazillion different things triggering it...the low-FODMAP diet sounds like a good plan, there seems to be a few people who've given it a try anyway. It looks as though I might benefit from seeing a nutritionist perhaps.

    It's also nice to know I'm not alone!...trying to calorie count while controlling this is really important to me!

    I'll send friend requests now to those who said I could :) thanks! x
  • Cladf
    Cladf Posts: 60 Member
    My youngest daughter has ulcerative colitis. I have symptoms of IBS, but it's really hormonally driven(worse at AF), and undiagonsed. My daughter started having problems at 3 yrs old. We worked with doctors for a year trying to manage the symptoms, finally had a colonoscopy when she was 4 and that's when they diagnosed the colitis. We were able to get her into remission with immunosuppressant meds. That worked for another year or so. Last year we had to make the decision to go with hardcore nasty medications or surgery to remove her colon. The meds only help about 30% of the people for maybe a year or two. She had her colon removed. She's basically almost normal now. I find for her a "bland" diet is most tolerated. easily absorbed protiens and starches. simple fruits and veggies. anything like kale or greens is too much. Milk is tolerated for the most part. Colitis is different than IBS- the main thing is to find your triggers.

    Wow, that really sounds like she's been through the wringer with it...hope she's doing well now...
  • maril101
    maril101 Posts: 12 Member
    I've had Chrohn's for a long time. Stress is one of the major triggers and I work in a law firm. Plenty of stress to be had by all! I find trigger foods have tended to change over the years, but there are a couple of constants for me: blueberries and alcohol, not necessarily together. LOL.. I've had to eliminate alcohol completely. For me, it's high fiber food that will upset the balance. It's so interesting to read the comments of other people to see just how individual the sensitivities manifest themselves. Best of luck in working through this.
  • Vune
    Vune Posts: 674 Member
    I've been in pain for 15 years, and my latest GI doc just suggested the the fodmap elimination diet. And my hida scan was abnormal, so I'm talking to a surgeon about my gallbladder next Monday. When you add in my kidney transplant and impaired renal function, things get tricky. I'm limiting sugars, fats, and protein. I don't want to be in pain, but I really, really don't want to lose my kidney.

    Anyway, when I hit my calorie goal (painful fasting days are very common lately), and when I don't binge (it's hard when you can't eat for three days), I've been pretty proud of myself. I feel like I could live like this. It's most of the food I preferred as a child, which makes me wonder if maybe I didn't want to eat some foods as a child not because I was a fussy cow, but because they didn't feel right. I branched out a lot with food when I realized my parents cooked things to mush. Pain coincided.

    I'm also managing stress differently. I have bad racing thoughts, but I've been trying to catch them and take even 15 seconds to check in with my breathing with the intention of resetting my brain with positive thoughts. I've always been a skeptic, but our brains lie to us all the time. It's the hardest to do when I'm already in pain, but it can't be bad for me to stop and be gentle with myself.

    I'm happy to be added by anybody!
  • annebaby1431
    annebaby1431 Posts: 3 Member
    I was diagnosed w/ IBS a few years ago. I take a daily probiotic recommended by my family doctor and GI doctor. I have also been doing some research and people who have IBS are gluten sensitive but not allergic. I did try cutting out gluten for a couple weeks and felt better, and of course I reverted back cause I thought it was all in my head but it didn't last long I had to cut out 95% of gluten. My IBS is much better now.
  • CDMSlayer
    CDMSlayer Posts: 8 Member
    Hello, feel free to add me. I'm on 2nd week of fodmap elimination 8 weeks. & wheat, gluten, lactose free.
  • kmsoucy457
    kmsoucy457 Posts: 237 Member
    I was diagnosed w/ IBS a few years ago. I take a daily probiotic recommended by my family doctor and GI doctor. I have also been doing some research and people who have IBS are gluten sensitive but not allergic. I did try cutting out gluten for a couple weeks and felt better, and of course I reverted back cause I thought it was all in my head but it didn't last long I had to cut out 95% of gluten. My IBS is much better now.

    I've had relatively minor IBS for years. About 3 months ago I tried eliminating gluten as an experiment to solve some of my own stomach issues, but I did the same thing you did! I was symptom free for a couple of weeks, then got to thinking "naw, this can't be it, I've got to be a crazy hypochondriac", went back to it and had an even worse reaction.
    Now I am off wheat (and gluten, just for good measure) for a month while I deal with what my doctor guesses is acute gastritis. What fun it is...
    Good luck to all, and congrats to those who have cracked the code!
  • fitchick256
    fitchick256 Posts: 12 Member
    Cladf wrote: »
    Thanks everyone for taking the time to reply... the list of generally safe foods is really helpful, thank you! I eat a LOT of bread at the moment (also not great for dieting as it makes me crash and get hungrier!) so I'll maybe try to limit that and processed foods for a while and just keep an eye on how my symptoms are feeling.

    Although I've had the symptoms of IBS for a while, this weekend was the first time I had the horrendous cramps and pain alongside it, so I'm pretty keen to figure out what brought on that flare-up.

    Stress relieving meditation sounds like a good idea...I do get anxiety, and it certainly affects my symptoms so I'll definitely give that a try.

    Might stick to white meats / fish / venison and veg for a while if I can, and stay off the alcohol to see if that relieves it any.

    For me gluten was the primary trigger for symptoms. And I can't have alcohol at all.

    Good luck!
  • fitchick256
    fitchick256 Posts: 12 Member
    Thanks for this thread. I'm currently going through this right now and my doctor has me working with a nutritionist to help find my triggers. I have been diagnosed for years. Occasionally, my monthly hormones would cause havoc to my body and no one knew why. They would just say take aleve or midol. I now know that Sara Lee whole wheat bread and dairy are just a few of my triggers. Also, I don't like taking prescription meds so I asked people at my local whole foods what did they recommend. I was given a probotic. HTH

    Raw sauerkraut also has pro-biotics. I eat a few tablespoons every day.
  • dawnna76
    dawnna76 Posts: 987 Member
    for me i eliminated dairy ( i still have small amounts just not a lot at one time) greasy fried foods, rich desserts (mostly it was the dairy) and breads.

    i eat lots of veggies and oatbran, flax etc and have never been more regular since upping my fiber intake. unfortunatly IBS is not a one size fits all solution and it will need some trial and error
  • californiansun
    californiansun Posts: 392 Member
    My IBS gets worse from stress, so please try anything to get in under control (as im sitting here dying from pain, during finals week!!!). Another trigger for me was beer. I had two beers with a friend one night, woke up in the night with horrible pain, fainted from the pain and broke my nose!! So, I would stay away from alcohol, sugar, caffeine, and anything high fat. I had my gallbladder removed which brought on my IBS and indigestion. I'll have a week of diarrhea and a week of constipation and pain!
  • vanillawarfare
    vanillawarfare Posts: 1 Member
    I've been through this too. I used to try endlessly to identify "trigger foods" only to discover that sometimes fatty food triggers me and sometimes high sodium /processed foods trigger me, sometimes high sugar, sometimes just cold water, etc, etc. For me, it's really hard for me to exclude a food totally based on "sometimes" because my IBS is fickle and I've gone months feeling normal and have also gone years where I forget what normal feels like. Amazingly, I've found something that works for me and has reduced my symptoms by about 70%. I take 3 tablespoons of Metamucil (or some other Psyllum fiber powder) in water every day. I also take a probiotic with Bifidobacterium longum in it. Since I've taken both from the very beginning, I don't know if it's the probiotic, the metamucil or if both are needed to help me out. I know the scientific evidence on probiotics is messy right now, but at least one study has shown that psyllum husk affects peristalsis (sorry too lazy to look it up). I've found that IBS is a difficult condition to have because it's the "dumping ground" of GI conditions that aren't diagnosed as something else. I think it's pretty well accepted that there are multiple different things that can cause IBS. In my case, I researched the causes and chose to target disrupted gut flora and brain-gut link controlling peristalsis as the underlying things causing my pain. For me, this worked, but IBS is a complicated beast. Good luck to you!
  • shaumom
    shaumom Posts: 1,003 Member
    edited May 2015
    I'll be perfectly honest - I get really, really frustrated by the IBS diagnosis. I have celiac disease and another disorder, both of which are quickly and happily misdiagnosed as IBS by untold numbers of doctors. For my disorder, I think at least 1/3 of those I know with it were first diagnosed with IBS.

    I agree with vanilla warfare - it's a dumping ground for all the conditions that aren't properly diagnosed. Personally, I believe that eventually there will be no IBS, because the medical community will have figured out all the various conditions that were ACTUALLY the cause for the symptoms. And maybe then, people with get more help.

    Something I was surprised to find out: IBS was originally supposed to be a diagnosis of exclusion. Or in other words, you were tested for OTHER possible reasons for the symptoms, and if they didn't have any conclusions, then you were given a diagnosis of IBS. It really was the dumping ground, the diagnosis of: we don't know what you have, but this diagnosis confirms that you DO have something physical going on, even if we don't know the cause.

    This has changed so that doctors now generally assume that if you have the symptoms, you have 'IBS.' There is no known cause, it's essentially a list of symptoms, but now that list of symptoms has become a diagnosis, no matter how many other diseases or disorders those symptoms ALSO match.

    The only problem is that there is no cure for IBS, but there are cures or treatments for many of the other conditions that a patient could have with the same symptoms. And doctors giving a diagnosis for IBS so quickly means that patients are unlikely to be properly diagnosed if they happen to HAVE any of these other conditions.

    Which can be celiac disease (thankfully you're being tested - many people aren't and are given an IBS diagnosis anyway), Crohn's, parasites, enzyme deficiencies, gall bladder problems, food intolerances, food allergies, mast cell activation disorders, histamine intolerance, fructose malabsoption, SIBO, poor gut bacteria - the list just goes on and on.

    And many of the things listed as 'common' for IBS are actually 'common' for some of these other conditions that are rarely tested for. Most are affected by dietary changes, for example.

    Another example, Mast cell activation disorders (http://www.wjgnet.com/2218-6204/pdf/v3/i1/1.pdf - which are thought to be 'rare' but now experts believe are more 'rarely diagnosed' and may be much more common than celiac disease) and histamine intolerance cause problems due to too much histamine in the body. Histamine is released whenever we feel stressed - so stress frequently causes gut symptoms in people with MCAD and histamine intolerance.

    If a person with IBS only has symptoms when they eat a few different foods? It's more likely they have a mild allergy or food intolerance to the food, rather than IBS. However, doctors are typically taught in medical school that food is rarely the cause for physical ailments (or at least, they are according to a number of doctors who I've spoken to about this), so they rarely will look for a food intolerance, or even an allergy unless you have hives and anaphylaxis. So in their opinion, you must have IBS, not a problem with a few foods, or with food dyes, etc...

    If the IBS waxes and wanes in cycles, it can be a parasite, and the waxing and waning goes along with the parasite's life cycle. But there are numerous tests to look for parasites, so...IBS.



    I always assume someone with IBS has symptoms, and I know they can be debilitating. I'm glad that the doctors at least came up with something to let OTHER doctors know that a patient's experience was real (since, it seems, they often don't simply trust the patient to tell them that yes, they feel pain and it's real). But I just get very angry on all our behalf over what feels like being rushed through to a diagnosis without enough care.

    The doctors tried to do this to my daughter, and continued to say she had IBS made worse by anxiety, but we kept pushing for other testing, with the doctors giving us the stink eye and commenting on unnecessary testing...until she turned out to have celiac disease AND that rare mast cell activation disorder. Then they kind of shut up.

    I have met so many people whose doctors slapped the IBS label on them and then essentially left them to deal with it on their own. And hundreds - literally hundreds, because I talk far too much, LOL - who eventually found out that it was something else. With the variety of different strategies that work for folks with the IBS diagnosis, I honestly assume the reason they don't all work is, in large part, because they have different conditions driving the symptoms, too, just like others I've met to eventually found the answer.



    So I guess, Cladf? I would honestly think hard about whether to let the doctors just stop with IBS, or to explore further. You deserve more of their time, honestly. Lots of folks here have some ideas that seem good to help look at, really.

    And freaking hugs - because it is SO hard to deal with gut pain so frequently. So sympathy, and I hope that you find a way to help your symptoms improve.


  • bbontheb
    bbontheb Posts: 718 Member
    To the person above posting about gluten...are you sure it's gluten and not wheat? (see more info on fodmap)