IBS

Question 1

IBS

Answer 1

IBS = an umbrella diagnosis used to classify an individual with a constellation of chronic symptoms. It is not a ‘disease’.

Question 2

IBS: Key symptoms

Answer 2

• Abdominal pain and cramping relieved by passing a stool.
• Diarrhoea, constipation or mixed.
• Bloating and flatulence.
• Incomplete emptying of bowels.

As naturopathic nutritionists we must establish the cause, e.g., SIBO, lactose intolerance, dysbiosis, candidiasis, stress, NCGS, etc.

Question 3

IBS: natural support for CONSTIPATION

Answer 3

• ↑ dietary fibre and stay hydrated.
• Magnesium (e.g., magnesium citrate — increase dosage from 250 mg gradually until tolerance).
• Vitamin B5 and ginger (↑ peristalsis).
• Psyllium husk or ground flaxseed (15‒30 g / day). 5-HTP (for some).
• Natural laxatives e.g., prunes, figs.

Pour prune juice over freshly ground flaxseeds (leave it in the fridge).

Question 4

IBS: natural support for DIARRHOEA

Answer 4

• ↑ soluble fibre to help bulk stool e.g. apple pectin.
• Enteric-coated peppermint oil.
• Digestive enzymes.
• S. boulardii (↑ sIgA).
• Electrolyte replacement, juices and broths to account for fluid / electrolyte losses.
• Marshmallow root, slippery elm, meadowsweet (powder).