Premium low FODMAP meal plans & apps by casadesante.com? That help is sought by millions who suffer from GI sensitivities. April was named National IBS Awareness Month to bring attention to both the problem and the remedies. Kroser notes that medications are available, but many of her patients are reluctant to use them as first-line treatments—and so they opt for diet modifications. Because of its degree of difficulty, a low-FODMAP diet may not be the first recommendation for IBS sufferers. “We generally start by eliminating or reducing lactose or gluten, and possibly highly acidic foods,” says Dr. Brenda McBride of Main Line Integrative Nutrition in Bryn Mawr. Most of us are familiar with lactose and gluten—two things that can cause tummy trouble. Those issues are so common that grocery stores usually have special sections for products without lactose and gluten. “If people are still experiencing symptoms, then we look at a low-FODMAP diet,” McBride says.

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Chronic vomiting syndrome (CVS) is a common, chronic functional GI disorder with episodic nausea, vomiting, and often, abdominal pain. Symptoms can be distressing, and prompt diagnosis and therapy is important. CVS is associated with many conditions such as migraine, anxiety and depression. Medications such as amitriptyline are effective in preventing CVS, but side effects hinder their use. Cannabis is frequently used by patients for symptom relief but use of high potency products may cause worsening of symptoms or reveal symptoms in genetically predisposed individuals.

If you suffer with abdominal symptoms or IBS, a low FODMAP diet may help. If you would like to learn more you can visit www.fodmapfriendly.com. However, I would also encourage you to work with a FODMAP trained Dietitian. Molecules resist digestion, pass through the digestive tract to the colon where they are fermented, creating IBS symptoms. “oligo” means “few” and “saccharide” means sugar. These molecules made up of individual sugars joined together in a chain. Include Fructans & Galactans found in onion, garlic, wheat, barley, rye, inulin, some dried fruit and Legumes (kidney beans, lentils, chickpeas, soy beans).

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Stefanski and Lemond agree: The low-FODMAP diet should be just one part of a multipronged approach to managing IBS symptoms. They recommend finding strategies to manage stress and anxiety as well, which can be major symptom triggers. According to Lemond, people with IBS have greater sensitivity in the nerves in their digestive tract, and they often fire during times of high stress, such as during an exam or a work presentation. “Sometimes people have to realize that it’s not just the actual food you’re eating. It’s that you have a sensitive stomach, and during times of high anxiety, your stomach is going to hurt regardless of what’s in it,” Lemond says. What to do instead: Work on a stress-management plan with your IBS treatment team. Regular engagement in stress-busting activities like mindfulness meditation can help, says Lemond. And Stefanski recommends consulting a licensed therapist to help keep stress and anxiety at bay.