It explains that you should not stay on the elimination phase of the fodmap diet long-term, and there’s really no point in staying on the diet if it’s not helping. The idea is to identify certain trigger foods, and then re-introduce everything else.
I’ve read in other articles that the low fodmap diet helps about 3 in 4 IBS sufferers.
Try going back to your doctor and discussing it with them. If your IBS is anxiety-related, there is help for that.
You can have IBS-d without having leaky gut. Your actual gut lining could be fine, and it's just increased peristalsis, or digestive speed that causes the D. Or a gut-brain thing, or serotonin imbalance...
It's good that you don't have leaky gut.
I guess your doctor didn't refer you to a dietician to guide you through the Fodmap diet? I didn't get that either. I had to work it out myself. I stuck to the 8 weeks strict low Fodmap elimination diet, then very gradually started introducing small amounts of high Fodmap foods one by one....wait a day or two, see how it suits, then try another food, etc.
I found some of them had never been an issue (re: gluten, honey, small amounts of alcohol, and chocolate.) But I also found some low Fodmaps really never suited me at all.
It's a slow process. How long have you been on the low Fodmap diet? Some people say it's bad to be on it too long, but I have a friend who was on low Fodmap for 2 years! And it was only then she started to feel better. Now she gets the odd flare if very stressed, but generally can eat anything.
A lot of the low Fodmap foods have become my staples, but over time I've been able to eat more of some things like celery and avocado. But my diet still leaves a lot to be desired I think, though I am generally doing okay on it and fit enough in myself.
Thank you Edgar, Yes I did look at bile acid malabsorption to see if I could relate. I'm not sure it's BAM with me. Stool never has been watery, completely liquid, odd colour, or smelly, passing wind isn't smelly either and flares aren't triggered or made worse by fats I eat (butter on toast). I haven't so far had extreme urgency or incontinence, and my weight hasn't changed. Just times of too-soft stool, a sensation of discomfort like something being stretched inside down on lower left a few hours after dinner (sometimes, not every day) Pass a lot of wind about 2 times when I first wake up, and sometimes trapped wind gripes. In a bad flare, need to use toilet a few times a day. Those are the main symptoms, there are others but not like BAM from what I read about it (?)
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