Diet, the theme that most false beliefs generate in patients with Irritable Intestine syndrome, according to GEMD

 

 

 


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20% of IBS patients believe they have allergies to certain foods

Diet is one of the topics that most interest and false beliefs generate among patients with Intestine Irritable Syndrome (Intestine Irritable Syndrome), which can compromise their nutritional health by excluding certain foods radically and in the long term, as experts warn Spanish Group of Digestive Motility (GEMD). For this reason, on the occasion of the National Intestine Irritable Syndrome Day on 21 October, the GEMD, together with the initiative # Greetings and in collaboration with Laboratorios Norgine, he has prepared a list to dismantle the main myths with the hashtag #ViviendoConSII, about food.

 

A recent Spanish-Portuguese work published in the magazine Journal of Medical Internet Research confirms that Twitter has become an influential space for the conversation about intestinal conditions between patients and experts and concludes that among the topics most spoken are diet and nutrition. “Food is one of the topics that most concern patients with IBS as many of the symptoms appear or get worse with certain foods or foods,” says Dr. Anna Accarino, president of the GEMD. Thus, according to different studies, up to two thirds of patients with IBS relate their symptoms to some food. “They look forward to an explanation of their problem and designate some component of their diet as guilty, which leads them to make diets too restrictive,” he warns. However, he adds, “we need to take into account that avoiding or even excluding certain foodstuffs with the aim of relieving symptoms, without consulting with a specialist, may affect their nutritional health.”

Between 16 and 25 per cent of Aparato Digestivo consultations are related to IBS, which affects between 6 and 8 per cent of the population, especially women between 20 and 40 years of age. It is a chronic functional disorder of the digestive tract whose main symptoms include abdominal pain, swelling and alterations of intestinal transit, in the form of constipation or diarrhea, depending on the case. “That’s why the diet and eating habits of these patients have a very important role in their treatment, so it’s essential that they receive comprehensive and individualized professional advice about the convenience of restricting or not certain foods in their daily lives,” says Dr. Accarino. Thus, “there will only be exclusionary diets when indicated by a specialist, who will take care of the supervision of it and will also mark its recommended duration and the precise time of reintroduction of restricted foods,” he says. Therefore, given the suspicion that a particular food is the cause of the symptoms of the disease, experts recommend informing the doctor to investigate whether there can be any intolerance. “In this sense a newspaper can be useful in which to write down what they eat and whether they have symptomatology,” he suggests.

In certain cases, a poor FODMAP diet limiting the consumption of foods rich in fructose, lactose, oligosaccharides as fructose and galactous, and alcoholic sugars. “This type of diet, although it can reduce digestive discomfort in an important way, can generate nutritional deficits and modifications of the intestinal microbiota if they are kept in the long term,” says Dr. Accarino. Tipos de lenguaje

 

On the other hand, “there are well-proven data that a balanced, varied diet, in moderate amounts, avoiding excess proteins, fats, processed foods, and without tobacco and alcohol, can be equally effective than a more restrictive diet such as poor FODMAP diet,” explains Dr. Accarino.

Relationship with intolerance or food allergies
20% of patients with IBS believe that allergy to certain foods is the origin of their symptoms, according to different statistics. “However, it has not been shown that there is an association between IBS and allergies to immunomediated foods by IgE,” says Dr. Virginia Matallana, a member of the GEMD and the Digestive Aparatus Service at the Puerta de Hierro Hospital in Madrid.

On the other hand, when diagnosing IBS doctors should rule out that there is no latent celiac disease or a lactose malabsorption or other sugars “The symptoms that produce both disorders are similar to those suffered by IBS patients but in these cases there is a different organic basis that causes them,” says Dr. Matallana.

The truth is that, according to this specialist, “the symptoms of IBS are not usually associated with a particular food and in most cases are often random, that is, a meal can one day cause discomfort and another day not.”

5 false myths about IBS feeding
Patients with IBS cannot consume fiber:
It is recommended to moderate insoluble fiber consumption and increase soluble fiber (in the form of rubbers, pectins and mucilages). In any case, it is best to consult with the specialist in Digestive Aparatus the most convenient in each case.

Drinking coffee produces IBS: drinking coffee does not pose a risk for the development of IBS. What happens to caffeine and other exciting substances, such as tein or alcohol, is that it can exacerbate the symptoms of those who suffer from this pathology.

IBS can be cured with a special type of diet: IBS is a chronic disease so any advice or remedy presented as a curative will be false. Diet is a factor that can alter the intestinal function, and this is what helps to generate the symptoms of the disease. IBS etiology is multifactorial, so recommending a low-fat diet and free of stimulants, among other tips, will help improve symptoms, but should not be the only treatment, but a complement.

“I have SII, I cannot take dairy”: The prevalence of lactose intolerance is the same in the general population as in patients with IBS, however it has been shown that the symptoms are more intense in this subgroup of patients. For this reason it is only recommended to make a dairy exclusion diet when a lactose malabsorption has been objectively detected or when there are symptoms related to the consumption of these products.

“I don’t take gluten because I have IBS”: You can't generally recommend all patients who stop taking gluten because there is no scientific evidence to support it. Only those patients who have been diagnosed with any of the diseases related to gluten intake would benefit: wheat allergy, celiac disease or non-Celiac gluten sensitivity.

Diet, the theme that most false beliefs generate in patients with Irritable Intestine syndrome, according to GEMD

Diet, the theme that most false beliefs generate in patients with Irritable Intestine syndrome, according to GEMD

Diet is one of the topics that most interest and false beliefs generate among patients with Intestine Irritable Syndrome (Intestine Irritable Syndrome), which

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2023-04-11

 

Diet, the theme that most false beliefs generate in patients with Irritable Intestine syndrome, according to GEMD
Diet, the theme that most false beliefs generate in patients with Irritable Intestine syndrome, according to GEMD

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