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Suggest a diet plan to treat IBS with constipation and also, to lose weight

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Posted on Thu, 18 Oct 2018
Question: I need a diet to lose weight and to help me with irritable bowel syndrome with constipation. I am taking medicine for acid reflux, constipation, pain for colon.
doctor
Answered by Neethu Vipin (1 hour later)
Brief Answer:
Please reply with your height, current weight and food allergies.

Detailed Answer:
Hello,

I would like to know your height,current weight and also,about the food allergies if you have any.

Hope I have answered your query.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Neethu Vipin (59 minutes later)
5'6' weight 164. Not allergic but some foods I have eliminated because upsetting stomach: corn, seeds, chili, Mexican food even with mild spices, alcohol;I love coffee I drink it with 1 gram sugar lactose free milk. I want and do drink coffee all day with lots of water. I was asked today by Doctor to stop smoking because of acid reflux is getting worse.

Also, I am a binge eater. I love anything chocolate and peanut butter, Mainly all sweets. I can't eat just one. I usually eat sweets until the package is gone. My husband usually hides his sweets and peanut butter from me.
doctor
Answered by Neethu Vipin (1 hour later)
Brief Answer:
Detailed Diet Plan

Detailed Answer:
Dear,

Irritable bowel syndrome (IBS) is a condition in which the intestinal muscles open too fast or slow. As a result, one experiences recurrent symptoms, such as abdominal cramps, gas, bloating, diarrhea or constipation. With a carefully planned diet the symptoms can be easily cured.

Low calorie High fiber Lactose free diet can help you in loosing weight and in controlling the IBS. Please find the following sample Diet Plan given below:-

EARLY MORNING     
A glass of plain lukewarm water followed by a pro biotic drink

BREAKFAST     
Oats with water – 1cup topped with ½ banana + 2 boiled egg whites
Or
Multigrain bread – 2 slices + Scrambled egg whites -½ cup
Or
Blueberry pancake with multigrain flour and soy milk – 2
Or
Wheat toast with peanut butter – 2 slices + Poached egg -1

MID MORNING     
Apple/Pear/Orange- 1 no Or Cucumber and carrot sticks – ½ cup

LUNCH     
Chicken stew with carrots, green beans and spinach- 1 cup + Pumpkin soup – ½ cup
Or
Brown rice – ¾ cup + Vegetable preparation – ¾ cup
Or
Pumpkin & Carrot Risotto – 1cup
Or
Brown rice noodles with stir fry vegetables and shrimp – 1cup

EVENING     
Low fat yogurt – ½ cup / Boiled egg -1 / Banana slices with almond butter – ½ cup / Walnuts or Brazil nuts or macadamias – 40 g (approx.)

DINNER     
Steamed salmon – ½ cup + Rice noodles with vegetables – ¾ cup
Or
Mashed potato with poached chicken breast – 1cup + Clear veg
soup- ½ cup
Or
Spring rice paper rolls – 1 large + Fresh fruit smoothie – 1glass
Or
Quinoa with vegetables – ¾ cup + Crushed potatoes with sizzled chicken – ¾ cup

POST DINNER
Dark Chocolate- 2 inch Square piece

Dietary Guidelines For You:-

· Do not hurry into your food, take time and eat thoughtfully. Chewing the food properly improves the digestion time as the breakdown of carbohydrates begins in the mouth. 

· Try to eat at about the same time each day, and never overload your stomach. Avoid on-the-run eating (or over-the-kitchen-sink) eating. Think of these healthy habits as time invested in training the digestive system.

· Avoid foods that contain additives, as these are found to interfere with the normal digestion process. Simple homemade food should always be preferred over the junk food.

· Limit the intake of resistant starches, like raw banana, sweet corn, dried pasta and muesli without XXXXXXX These starches are not digested completely and cause gas and bloating, upon reaching the bowl.

· Live ‘probiotic’ curd, supplements or fermented milk drinks: if you choose to try them you will need to take them daily for at least one month at the dose recommended by the manufacturer to see if they are likely to help. Monitor the effect on your symptoms. If a product does not appear effective, you could consider another brand as the types of bacteria used vary between products.

· Avoid foods high in fats such as chips, fast foods, burgers, cakes etc. Try low fat versions of the processed fats. Include complex carbohydrate sources in diet to delay the release of sugar into the blood and provides a steady source of energy.

·Eat smaller portions; perhaps break down your eating into segments during the day instead of three huge meals. The changes in the diet and eating pattern are to be made gradually so that the body has time to adjust.

· Avoid carbohydrate rich fruits like XXXXXXX grapes, banana,melons and vegetables like potato, sweet potato,yam and yellow pumpkin.

Below listed are some of the IBS trigger foods, you may avoid these

· Milk and Dairy : In IBS, one finds it difficult to digest Lactose (milk sugar), as a result of lactase shortage. Lactase is an enzyme that breaks down milk sugar into smaller components that are absorbed into the blood stream. Curds do no not have Lactose therefore its use is recommended. Include soy milk and its products in place of cow’s milk.

· Foods high in insoluble fiber :Foods like wheat XXXXXXX high fiber breakfast cereals, specially-formulated high-fiber breads and whole wheat pasta are very high in insoluble fiber, and tend to aggravate the symptoms. It is advisable to stick to foods with moderate levels of insoluble fibers like whole grain breads, wheat germ, millet and popcorn. Nuts and seeds may be taken in moderation after soaking for 10-12 hours.

· Raw and cruciferous vegetables :Cruciferous vegetables like cabbage, cauliflower and broccoli aggravates the symptoms, like gas and bloating, when eaten raw. Therefore, it is advised that these vegetables are always consumed in cooked form. Too much take of the green leafy vegetables also should be restricted. Spinach may be taken once a week.

· Artificial sweeteners: The sugar sweetener like Sorbitol, Malitol or Mannitol, can send the intestinal tract over the edge and cause irritation.

· Carbonated, Caffeinated and Alcoholic beverages:These foods produce gas and leave one feeling bloated.

· Condiments: A mindful selection of the condiments goes a long way in proper digestion. The usual offenders include Ketchup, pickle, soy sauce etc.


Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Neethu Vipin,
Dietitian & Nutritionist



Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Neethu
Neethu Vipin

Dietitian & Nutritionist

Practicing since :2006

Answered : 64 Questions

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Suggest a diet plan to treat IBS with constipation and also, to lose weight

Brief Answer: Please reply with your height, current weight and food allergies. Detailed Answer: Hello, I would like to know your height,current weight and also,about the food allergies if you have any. Hope I have answered your query. Let me know if I can assist you further.