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IBS and Gut Health with Dr Megan Rossi #5

Feb 14, 2018 38m 9s 19 insights
In this episode Dr Rangan Chatterjee meets The Gut Health Doctor - Megan Rossi, dietician and researcher at Kings College London, to discuss IBS, SIBO, the role of pre and pro-biotics and simple steps to improve the health of your gut. Show notes available at: https://drchatterjee.com/5 Follow me on instagram.com/drchatterjee/ Follow me on facebook.com/DrChatterjee/ Follow me on twitter.com/drchatterjeeuk
Actionable Insights

1. Seek Accurate Gut Diagnosis

If experiencing persistent tummy pain at least one day a week for six months, along with unusual stool patterns, consult a GP. This is crucial to rule out conditions like celiac disease and inflammatory bowel disease before diagnosing IBS, ensuring proper treatment.

2. Adopt Multi-Pronged Health Approach

For chronic conditions like IBS, combine dietary adjustments, gentle movement, and stress reduction techniques. This holistic strategy is often more effective than seeking a single ‘magic bullet’ as multiple factors typically contribute to symptoms.

3. Prioritize Plant-Based Diversity

Aim to consume around 20 different types of plant-based foods weekly, including whole grains, nuts, seeds, fruits, and vegetables. This provides diverse prebiotics that feed different gut bacteria, promoting their flourishing and overall gut health.

4. Practice Morning Meditation

Start your day proactively with 10 minutes of meditation, potentially using an app in airplane mode. This helps cultivate a less reactive, more energetic, and balanced outlook, taking control of your mind before external distractions.

5. Implement No-Tech 90 Before Bed

Avoid using electronic media, especially phones and social media, for 90 minutes (or two hours) before sleep. This practice promotes relaxation and can significantly improve sleep quality.

6. Manage Stress for Gut Health

Actively address and reduce stress levels, as stress is a significant trigger for conditions like IBS and can negatively impact gut microbiota. Incorporate relaxation techniques into your daily routine to help manage symptoms.

7. Chew Food Thoroughly

Aim to chew each mouthful of food at least 20 times. This aids digestion by breaking down food more effectively and allows for greater appreciation of its flavors.

8. Implement First-Line IBS Diet

Before considering restrictive diets like low FODMAP, address eating patterns (avoiding one large meal), limit caffeine and alcohol, and ensure adequate dietary fiber and fluid intake. These foundational changes can significantly improve gut function for many.

9. Seek Individualized Expert Gut Advice

For complex gut issues like IBS, consult an expert who can tailor therapies to your specific symptoms and condition. This personalized approach is more effective than trying numerous generic treatments independently.

10. Explore Hypnotherapy for IBS

Consider targeted hypnotherapy as a proven treatment for IBS symptoms. Research indicates it can be as effective as a low FODMAP diet in significantly improving gut health.

11. Reintroduce Beneficial Prebiotic Foods

After any temporary exclusion period for gut issues, gradually reintroduce beneficial prebiotic foods like leeks, onions, garlic, and artichokes. These foods are crucial for long-term gut health and should not be permanently eliminated.

12. Use Low FODMAP Diet Systematically

If a low FODMAP diet is necessary for severe IBS symptoms, follow it strictly for only 4-6 weeks under specialist guidance. This three-phase process involves reduction, systematic reintroduction, and personalization, as long-term restriction negatively impacts gut microbiota.

13. Avoid Low FODMAP If Anxious

Do not pursue a low FODMAP diet if it significantly increases anxiety around food. For anxious individuals, the stress induced by dietary restrictions can worsen IBS symptoms.

14. Incorporate Fermented Foods

Include fermented foods like live yogurt (check for ’live culture’), kefir, kombucha, kimchi, and sauerkraut in your diet. These foods provide beneficial probiotics that support gut health.

15. Probiotic Supplements Not Always Essential

For general gut health, probiotic supplements are not essential; focus instead on feeding existing good bacteria with diverse plant-based prebiotics. The body naturally acquires beneficial microbes from the environment.

16. Probiotics for Traveler’s Diarrhea

If traveling overseas and at risk of traveler’s diarrhea, taking a specific type of probiotic supplement may help reduce your risk.

17. Check for Lactose Intolerance

If experiencing IBS-like symptoms, investigate whether your symptoms are related to milk consumption. Lactose intolerance is a common condition that can mimic IBS.

18. Prebiotics with Antibiotics for SIBO

For suspected SIBO, consider taking a prebiotic supplement alongside antibiotic therapy. This combination has been shown to decrease the risk of gut symptom relapse.

19. Embrace Personalization in Health

Understand that the body is interconnected and there are many effective, personalized ways to achieve similar health results. Avoid rigid ‘right ways’ and focus on what works best for your individual body and mind.