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Suggest Dietary Advice For IBS And Chronic Iron Deficiency Anemia

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Posted on Fri, 28 Nov 2014
Question: I have been unfortunately diagnosed with IBS and have no idea what kind of diet would reduce or eliminate symptoms. If you are able to help I would appreciate it.
Also, how would you get rid of chronic Anemia caused by lack of Iron absorption?
doctor
Answered by Dr. Noble Zachariah (50 minutes later)
Brief Answer:
Dietary advice for IBS and Iron deficiency anemia

Detailed Answer:
Hello,

Thank you for your query.
Irritable bowel syndrome is of two main types - constipation type and diarrhoeal type. In the constipation type, you should have a wholesome diet with all foods in moderation, and adding high-fiber foods to your diet gradually to help relieve IBS.
It is a good idea to keep an IBS symptom journal. If you regularly write down the types of foods you eat, when and where you ate them, the amount, and the symptoms associated with the food, it may help you figure out which foods and situations trigger your IBS symptoms.
Fiber makes stool easier to pass and less roughage can make it hard to have a bowel movement. The recommended fiber content is 38 grams per day for men. Fiber can be found in
Whole-grain bread and cereals
Fruits
Vegetables
Beans
Add a little fiber each day to give your body some time to get used to it. Fiber helps many people with IBS symptoms, but too much and too fast can make things worse. An addition of 2 or 3 grams per day is fine.
Another way to encourage bowel movements is to drink plenty of liquids like water and juice.
On the other hand, coffee, carbonated drinks, and alcohol have a dehydrating effect and can actually make IBS constipation worse.
you should avoid eating too many refined foods such as:
White bread
White rice
Certain cereals without fiber
Chips
Cookies
A high-protein, low-carb diet can make your constipation worse.
Enjoy your food chewing well and eat leisurely. Eating in a rush reduces the pleasure you get from a meal, and can actually trigger IBS symptoms.
As for your iron deficiency anemia, dietary iron and supplements may be required.
There are two forms of iron in the food- haem and non haem. Haem foods are the animal source like red meat, poultry and fish.
Very good source of haem iron are beef or chicken liver, clams, mussels and oysters. Beef , sardines and turkey also are rich in haem iron.
Plant foods such as lentils, beans, and spinach contain nonheme iron.
Tofu, pumpkin, sesame, squash seeds, lima beans, red kidney beans, chickpeas, split peas,dried apricots, baked potato broccoli, wheat germ, peanuts, pecans, walnuts, pistachios, roasted almonds, roasted cashews, sunflower seeds,dried seedless raisins, peaches, or prunes, spinach,green pepper are all good sources of non haem iron. Non haem iron is not as well absorbed as haem iron.This is the form of iron added to iron-enriched and iron-fortified foods.
If you have further queries, i shall be happy to share what I know.
Wish you good health.
Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Noble Zachariah (1 hour later)
so basically IBS symptom control revolves around what stage it is in? Constipation stage you just want to eat enough fiber to make solid stool and diarrheal you would want to eat less fiber, high protein and drink plenty of electrolytes and water?

Most of that stuff I love to eat and I don't indulge on junk food at all even before IBS, so this is great news.

Also I heard certain herbs have gas relief qualities. Like if you drink Peppermint tea, it would help with it. Is this true?

just noticed I had them reversed Constipation I meant for eat less fiber and diarrheal I meant for eat more fiber.
doctor
Answered by Dr. Noble Zachariah (10 minutes later)
Brief Answer:
Peppermint may be helpful.

Detailed Answer:
Menthol and methyl salicylate are the main active ingredients of peppermint. They have anti-spasmodic actions, with calming effects on the muscles of the stomach and intestinal tract. They also have analgesic properties.
There is a product called Colpermin which is peppermint oil capsules and some of my patients, who have taken it say they find relief.
No harm in trying.
Hope it would be helpful.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Noble Zachariah (6 minutes later)
One last question. Is peanut butter bad for IBS or is the oil in it just to much?

Thanks for the all the really helpful information. It is going to be huge life adjustment but change is always fun.
doctor
Answered by Dr. Noble Zachariah (15 minutes later)
Brief Answer:
If you love it, try a little and see the response.

Detailed Answer:
The response to food is very individualistic.
Many people tolerate peanut butter in small amounts. If you love peanut butter, try a small amount and see how you tolerate it.
I am extremely happy if the interaction has helped you.
Cheers & Good Health.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Suggest Dietary Advice For IBS And Chronic Iron Deficiency Anemia

Brief Answer: Dietary advice for IBS and Iron deficiency anemia Detailed Answer: Hello, Thank you for your query. Irritable bowel syndrome is of two main types - constipation type and diarrhoeal type. In the constipation type, you should have a wholesome diet with all foods in moderation, and adding high-fiber foods to your diet gradually to help relieve IBS. It is a good idea to keep an IBS symptom journal. If you regularly write down the types of foods you eat, when and where you ate them, the amount, and the symptoms associated with the food, it may help you figure out which foods and situations trigger your IBS symptoms. Fiber makes stool easier to pass and less roughage can make it hard to have a bowel movement. The recommended fiber content is 38 grams per day for men. Fiber can be found in Whole-grain bread and cereals Fruits Vegetables Beans Add a little fiber each day to give your body some time to get used to it. Fiber helps many people with IBS symptoms, but too much and too fast can make things worse. An addition of 2 or 3 grams per day is fine. Another way to encourage bowel movements is to drink plenty of liquids like water and juice. On the other hand, coffee, carbonated drinks, and alcohol have a dehydrating effect and can actually make IBS constipation worse. you should avoid eating too many refined foods such as: White bread White rice Certain cereals without fiber Chips Cookies A high-protein, low-carb diet can make your constipation worse. Enjoy your food chewing well and eat leisurely. Eating in a rush reduces the pleasure you get from a meal, and can actually trigger IBS symptoms. As for your iron deficiency anemia, dietary iron and supplements may be required. There are two forms of iron in the food- haem and non haem. Haem foods are the animal source like red meat, poultry and fish. Very good source of haem iron are beef or chicken liver, clams, mussels and oysters. Beef , sardines and turkey also are rich in haem iron. Plant foods such as lentils, beans, and spinach contain nonheme iron. Tofu, pumpkin, sesame, squash seeds, lima beans, red kidney beans, chickpeas, split peas,dried apricots, baked potato broccoli, wheat germ, peanuts, pecans, walnuts, pistachios, roasted almonds, roasted cashews, sunflower seeds,dried seedless raisins, peaches, or prunes, spinach,green pepper are all good sources of non haem iron. Non haem iron is not as well absorbed as haem iron.This is the form of iron added to iron-enriched and iron-fortified foods. If you have further queries, i shall be happy to share what I know. Wish you good health. Dr Noble Zachariah