Do you have a diagnosis of IBS? IBS is a functional gut disorder. It can not be diagnosed with a medical procedure or blood test. The Rome IV Criteria is used for the diagnosis of Irritable Bowel Syndrome which is defined as:
Recurrent abdominal pain, on average, at least 1 day per week in the last 3 months, associated with two or more of the following criteria:
- Related to defecation
- Associated with a change in frequency of stool
- Associated with a change in form or appearance of stool.
Always talk with your physician before undergoing any dietary changes. It is best to work with a Registered Dietitian that specializes in the low FODMAP diet to help you navigate this diet. Your RDN can help determine the most appropriate approach to reducing your FODMAP intake for IBS symptom relief.
Questionable celiac disease. If one suspects they have celiac disease it may be in your best interest to be screened for this before initiating any diet changes. Some symptoms include skin rashes, brain fog, weight loss, anemia, fatigue, depression, thin bones, pale mouth sores, infertility, tingling, numbness and joint pain. It is also recommend to have celiac screening if you have a strong family history. It is important to remain on a gluten containing diet for at least 6 weeks before lab testing to ensure accurate results.
A low FODMAP diet is not recommended with the following health issues:
Underweight. If you struggle to keep your weight in a normal range a low FODMAP elimination diet may be overly restrictive and put you at high nutrition risk. Please contact your doctor and find a dietitian to provide you with a more individualized nutrition plan.
Eating Disorder. It would be greatly discouraged for any person with an active eating disorder to refrain from the low FODMAP elimination diet since it may be overly restrictive and put you at high nutrition risk. Please contact your doctor and find a dietitian to provide you with a more individualized nutrition plan.
Proceed with caution:
Diabetes. Adapting a low FODMAP diet may affect your carbohydrate intake which in turn can affect your blood sugar. Please contact your doctor so he or she is aware of these changes and can adjust your diabetic treatment plan if appropriate. It is very important to monitor your blood sugars more closely when making diet changes. I would also encourage you to work with a dietitian for additional support.