IRRITABLE BOWEL SYNDROME (IBS)

Hi friends

A lot of people complain of abdominal discomfort and bowel disturbance in the form of constipation or diarrhoea. If the symptoms are present for many months, and if no treatable cause if found for the symptoms, then irritable bowel syndrome is possibly considered.

It may recur, may be related to stress, and many other factors which the doctor can discuss.

Avoiding HIGH FODMAP foodstuffs is the key in IBS with bloating symptoms.

Please note: Few changes in diet and lifestyle are suggested , however detailed discussion must be done with treating doctor for case to case advise. This should not be solely used as a substitute for doctors advise. Viewers are advised to use their own discretion before finalising.

Also note that these blog articles STRICTLY must NOT be copied by anyone or used for any other purpose other than for patients who are recommended to follow these instructions are careful assessment of their symptoms and disease profile in OPD.

Some of the advise that can be followed are:

*         FLUID INTAKE SHOULD BE AROUND 3 LITRES PER DAY INCLUDING WATER,JUICE,COCONUT WATER ETC.(IF THERE IS HEART DISEASE, KIDNEY DISEASE OR LIVER DISEASE OR ANY OTHER DISEASE DUE TO WHICH PREVIOUS DOCTOR HAS ADVISED FLUID RESTRICTION, THEN DO NOT TAKE MORE FLUIDS, FOLLOW THAT RESTRICTION ADVISED. ALSO TYPE OF FLUID PERMISSIBLE FOR THAT DISEASE WILL BE DEPENDENT ON THE BACKGROUND DISEASE LIKE KIDNEY / HEART DISEASE ETC. PLEASE ASK PREVIOUS DOCTOR.

*      ADEQUATE REST

*      ADEQUATE SLEEP 6-8 HOURS AT NIGHT TIME

*         CARBOHYDRATE MODERATE INTAKE(LOW IF DIABETIC)

*         SUGAR INTAKE SHOULD BE REDUCED IF DIABETIC OR IF OVERWEIGHT

*      AVOID MILK, DAIRY,BAKERY PRODUCTS

*      AVOID PAINKILLERS OF NSAID VARIETY, IF TAKING ANY

*      DESTRESS, DO YOGA,PRANAYAM AND MEDITATION 10-15 MINUTES A DAY

*      DO NOT CONSUME HERBAL OR ANY ADDITIONAL SUPPLEMENTAL PRODUCTS

*      DO NOT CONSUME SPICY,OILY,MASALA, FRIED, JUNK FOODSTUFFS

*      NO HEAVY MEALS AT NIGHT

*      MINIMISE TEA,COFFEE INTAKE

*      NO MEDICATION WITHOUT VALID PRESCRIPTION

*      NO SLEEPING PILLS

*      SMALL MEALS 4-5 TIMES A DAY, REGULAR MEALTIMES AS FAR AS POSSIBLE

*      DO NOT BE COMPLETELY EMPTY STOMACH FOR MORE THAN 4 HOURS AT A STRETCH.

*      REDUCE NONVEG FOOD (IF EATING PREVIOUSLY)

*      NO ALCOHOL,SMOKING,TOBACCO(IF CONSUMING PREVIOUSLY)

*      AVOID SOFT DRINKS

*      AVOID KHARI,WHITE BREAD,PANEER,CHEESE,CURD,POTATOES,DALDA,BUTTER ETC.

*      AVOID OVEREATING 

*      PREFER BOILED FOODS INSTEAD OF FRIED.

*      AVOID ALTERNATIVE MEDICATIONS

*      LOSE WEIGHT IF DOCTOR SUGGESTS SO

*      CAN TAKE: OATS, MILLETS, POHA, DAHLIA, JOWAR, BAJRA,MULTIGRAIN BREAD, LEGUMES, DALS, MOONG, ALMOND, WALNUT, LOW FAT CURD, BUTTERMILK,OLIVE, NUTS, GREEN LEAFY VEGETABLES,  FRUITS LIKE BANANA,  ORANGE, MUSKMELON, AND OTHERS AS ADVISED

*      AVOID: DALDA, VANASPATI,GHEE,BUTTER,CABBAGE,CAULIFLOWER, BEANS,PEAS,ONIONS, FRIED SNACKS, PACKAGED FOODS, PROCESSED FOODS, GARLIC, BREAD, PAPAYA, WATERMELON, ONION, RED CHILLIES AND OTHERS AS ADVISED

*      EXERCISE ONLY AS PER RECOMMENDATION BY PHYSICIAN/CARDIOLOGIST

*      AVOID PRESERVATIVES, KETCHUP,SOUPS,SOUR FOODSTUFFS,CHOCOLATES

*      EAT MEALS GRADUALLY WHILE CHEWING PROPERLY

*      CAN TAKE: OATS, BARLEY, POHA, SABJA,DAHLIA,ETC AND OTHERS AS ADVISED

*      ALSO CHECK IF ALREADY DIABETIC OR HYPERTENSIVE OR KIDNEY DISEASE OR HEART DISEASE OR OTHER DISEASE, THERE MUST BE A PREVIOUS FOOD ADVISE LIST FOR THAT PREVIOUS DISEASE. OUR ADVISE IS ONLY FOR THIS PARTICULAR DISEASE, TRY TO FIND A COMMON FOODLIST FROM OUR LIST AND PREVIOUS FOODLIST FOR THAT DISEASE. 

Other points as per doctors case-to-case discussion.

Thanks

Dr Raajeev Vijay Hingorani

Gastronaut Clinic

www.gastronautclinic.com

gastronautclinic@gmail.com

drgastronautclinic.blogspot.com