Low FODMAP Diet and IBS Symptoms
IBS symptoms are the result of chronic stress
Has anyone ever told you that IBS (Irritable Bowel Syndrome) is an umbrella term for symptoms of digestive distress? Put differently, it’s not the cause of your IBS symptoms, it’s simply the name we’ve given them.
What that means is, there are ways to get rid of IBS symptoms by addressing their root causes. But chances are, that wasn’t explained to you when you received (or gave yourself) your IBS diagnosis. Addressing those symptoms requires a more individualized approach than simply following a low FODMAP diet.
This article will dig into potential root causes of IBS symptoms and provide information on how to address them so you can have more freedom and flexibility in your food choices and stop saying ‘no’ to social invites.
Hi friends. I’m Hilary Beckwith, ex-dieter and holistic nutrition expert. Clients come to see me with signs of adrenal stress and inflammatory conditions, and my job is to find the root causes so we can address their symptoms more effectively, and fill in the gaps between what their doctor is saying and what their body is saying.
In this article, we’ll discuss:
how to know if you might have IBS
common root causes of IBS symptoms
where western medicine is missing the mark when working to address your IBS symptoms - why low FODMAP and probiotics aren’t enough
steps you can take to address root causes of IBS symptoms
do you have IBS?
Cleveland Clinic classifies the following as IBS symptoms:
frequent constipation, OR
frequent diarrhea (or a combination of both)
excess gas
excess bloating
abdominal pain and/or cramping
mucus in your stool
unable to feel like you’ve completely evacuated a bowel movement
The word “syndrome” included in the term IBS, indicates these symptoms consistently occur together.
DISCLAIMER
Now is a good time to point out that the information you read in this article and throughout the website should not be construed as diagnosis or medical advice. But rather to provide information and education to help you make more informed decisions about your health, and to empower you to advocate for your own health in the presence of a medical practitioner. Click here to read the full disclaimer.
Do you need a diagnosis of IBS to be able to address underlying causes? Absolutely not.
If you are interested in getting an official IBS diagnosis, consult with a trusted licensed physician who can provide an IBS diagnosis after a proper examination.
While Cleveland Clinic contradicts itself by calling IBS both a cause of symptoms and a “group of symptoms”, I have to give them credit for pointing out the interaction between the gut and the brain, further pointing to “childhood stress” as one common cause of IBS symptoms.
THE DIFFERENCE BETWEEN IBS AND IBD
IBS is an acronym for Irritable Bowel Syndrome, a group of symptoms that consistently occur together, that does not cause damage or inflammation to the intestines.
IBD is an acronym for Inflammatory Bowel Disease, which is an umbrella term that includes Crohn’s Disease and ulcerative colitis, both of which cause inflammation and damage to the intestines. According to Cleveland Clinic, IBD is incurable.
I would argue that there are ways of reducing underlying stress and systemic inflammation that may help symptoms of IBD in addition to addressing digestive health and adrenal health as a whole.
Addressing these symptoms goes deeper than following a low FODMAP diet. It requires an individualized look at your body’s symptoms, history, and needs. That’s the work I do.
common causes of IBS symptoms
Earlier we discussed how Cleveland Clinic describes the causes of IBS symptoms, but let’s break it down a bit more. I’ve used the list of common IBS symptoms we looked at earlier in the article, and provided common root-causes I see in my clients who have these symptoms.
potential causes of constipation
candida overgrowth
low stomach acid
slow motility (food does not move quickly enough through your digestive system)
lesions in the gut lining
dehydration
potential causes of diarrhea
intestinal inflammation (it’s possible IBS doesn’t cause inflammation and tissue damage, but it can certainly be caused by it)
food intolerances
unaddressed infection, such as bacterial overgrowth, Lyme, h. pylori, clostridia, or parasites
heightened adrenal response (chronically active fight or flight response)
potential causes of excess gas
low stomach acid and digestive juices
slow motility
diet high in fermentable foods (high FODMAP)
bacterial overgrowth in small or large intestine
potential causes of excess bloating
(see potential causes of excess gas)
potential causes of abdominal pain and/or cramping
Because the abdomen consists of many organs, it’s difficult to provide generalized information about what may be causing abdominal pain or cramping.
If you experience abdominal pain or cramping, please consult with a trusted healthcare practitioner.
potential causes of mucus in your stool
mucus membranes are home to part of your immune system (think congestion when you get a head cold). Mucus in your stool can indicate immune activity, fight off a gut infection such as bacterial overgrowth, candida, parasites, or mold.
constipation - if you’re constipated, your body may secrete mucus in order to help you evacuate a bowel movement
ulcerative colitis
potential causes of feeling unable to completely evacuate a bowel movement
parasitic infection
congested liver
dehydration
chronic sympathetic nervous system response (fight or flight) due to stress
low FODMAP and probiotics aren’t enough to address IBS symptoms
Here’s where Western medicine and health influencers are missing the mark.
I commonly hear clients and friends who experience digestive symptoms (including IBS symptoms) tell me that they’ve tried probiotics and low-FODMAP diets for their symptoms, with little or short-lived success.
It’s also common for me to hear that they were instructed to do so by their Primary Care Physician or that they saw it on socials somewhere.
Without also addressing digestive health and underlying stressors, changing your diet and supplements is a giant waste of your money. Probiotics and low-FODMAP foods might help your symptoms, but they are not going to resolve the why behind your IBS symptoms.
When clients come to me with IBS symptoms, I commonly look at their adrenal health, digestive health, liver health, dietary habits, sleep habits, and look for signs of pathogenic activity. When necessary, I’m also looking at specialized lab testing to find sources of these underlying stressors that are part of the root cause for their IBS symptoms.
The process of eradicating these pathogens is specific to each person, the severity of the infection, and includes personalized dietary support. Once the pathogens are successfully eradicated (confirmed with lab testing), THEN we rebuild the gut microbiome with probiotics.
So, while low-FODMAP diets and probiotics might temporarily help with your symptoms, they are not fixing the problem.
steps you can take to address root causes of IBS symptoms
ADDRESS DIGESTION - This may seem rudimentary, but it is fundamental to addressing IBS symptoms. Mindful eating (sitting down to meals, undistracted, chewing adequately, relaxing) are all ways to effectively support your digestion.
Additionally, clients who show indications of low stomach acid production or intestinal inflammation are also recommended supplements to temporarily support those functions, as well.
This Digestion Troubleshooting Guide will help you understand the basics of healthy digestion, and troubleshoot your own symptoms.
ADDRESS ADRENAL HEALTH - This is a broad ask, and requires more than a simple blog paragraph can offer, but like digestion, is essential to long-term solutions for IBS symptoms.
Addressing adrenal health requires a look at sleep, blood sugar regulation, mental health, activity levels and timing, and light exposure. The adrenal glands regulate sleep, stress, hormone balance, fluid balance, and energy production.
If you want a closer look at supporting adrenal health, check out this article.
GET TESTED - Before you can address gut pathogens, we first need to know what they are. Addressing mold is different than addressing bacterial overgrowth (same for candida, h. pylori, parasites, and other factors). Lab testing is the only way to know for sure what we’re dealing with.
In order to know which type of testing best suits your symptoms, we need to have a face-to-face conversation. Book a free 30-minute consultation so we can figure it out together.
YES! EAT A LOW-FODMAP DIET! - By writing this article, I’m not suggesting low-FODMAP diets or probiotics won’t help. I’m pointing out why those two remedies are not enough to resolve your IBS symptoms. As you can see, IBS is more complex than that, but there is hope! And eating low-FODMAP can help reduce your symptoms.
FODMAP is an acronym that stands for:
Fermentable
Oligosaccharides
Disaccharides
Monosaccharides
And Polyols
IBSDiets.org put out a comprehensive FODMAP food list here that will help get you started.
learn something new?
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