If you’re living with IBS (irritable bowel syndrome), you probably have lots of questions. IBS is one of the most common gastrointestinal conditions in the UK, and yet it remains widely misunderstood. Some of the questions I’m asked most often are: When do I need to see my doctor? What can I do to improve my IBS symptoms? Is the low FODMAP diet for me? I’m vegan or vegetarian, so can I still try the low FODMAP diet? Is the low FODMAP diet a weight loss diet? And what if I have a holiday coming up? Read on for clear, practical answers to all of these. You can also explore my other blogs covering many aspects of IBS. If you’re unsure if you have IBS, use the IBS Food and Symptom Tracker.
When do I need to see my doctor?
This is one of the most common questions I’m asked. If your bowel habits change suddenly, you notice blood in your stools, or you experience unexplained weight loss, see your doctor as soon as possible. These are red flag symptoms that need prompt assessment. If you’ve had IBS-type symptoms for some time, your doctor will recommend some investigations to rule out other causes. These will include blood tests to check for deficiencies, inflammation or gluten sensitivity. Current guidelines support a positive diagnostic approach to IBS. This means a small number of targeted tests, rather than through exhaustive investigation. If there are specific concerns, you may be referred to a gastroenterologist for further tests such as a colonoscopy or FIT test. Try not to worry. The diagnostic process is there to give you clarity and get you on the right path.
What can I do to improve my IBS symptoms?
Most people with IBS understandably want quick results. The good news is that targeted changes to your lifestyle and diet make a meaningful difference. IBS is recognised as a disorder of gut-brain interaction rather than a purely functional gastrointestinal condition. This means that both physical and psychological approaches have a role to play. Simple dietary changes will help, whether you have IBS-D (loose stools), IBS-C (constipation) or a mixture of both. See my other blogs for more detail on where to start. Find a relaxation technique that works for you – the Headspace app offers a free trial and is a good introduction to mindfulness. Regular physical activity is also beneficial; it doesn’t need to be intense. Something enjoyable that you can weave into your week: a swim, a jog, or even a lunchtime walk, makes a real difference to your physical and mental wellbeing.
Is the low FODMAP diet for me?
If you’ve already made some lifestyle and dietary changes but your symptoms haven’t improved sufficiently, the low FODMAP diet could well be your next step. It is recommended as the next step in dietary treatment for people with diagnosed IBS. Research from Monash University shows that symptoms improve in around 3 out of 4 people who follow it. The diet works in phases: firstly, the elimination phase to settle symptoms; then a structured reintroduction phase to identify your individual triggers; and finally long-term personalisation. The reintroduction phase is particularly important, to avoid unnecessary long-term food avoidance and to protect nutritional balance. The process is tricky to navigate alone, which is why the best results are seen when people have expert support from an IBS dietitian trained in FODMAPs. I offer a free initial telephone consultation so we can discuss whether the low FODMAP diet is right for you.
I’m vegan. Is the low FODMAP diet for me?
This is something I hear regularly, and I completely understand the concern. The honest answer is yes, the low FODMAP diet can absolutely work for vegans and vegetarians, and in some ways, people who already pay close attention to their diet find the process a little more intuitive. That said, there is an added layer of complexity, particularly around getting enough protein and ensuring nutritional adequacy when some higher FODMAP plant-based staples need to be temporarily restricted. This is exactly where my experience and specialist knowledge can help. I’ve supported many vegan and vegetarian patients through the low FODMAP diet with great results and significant improvement in their IBS symptoms.
Is the low FODMAP diet a weight loss diet?
No, and it’s really important to be clear about this. The low FODMAP diet is a therapeutic approach designed specifically for people with IBS symptoms, not a weight loss plan. The low FODMAP diet is not a diet for the long term, and it’s always important to work with a healthcare professional to ensure nutritional adequacy. Some people do find they lose a little weight during the restriction phase, but this is a side effect rather than the goal, and it can be a concern for those who are already at a lower weight. If that applies to you, I’ll make sure you have specific guidance on suitable snacks and nourishing options to maintain a healthy weight throughout the process. If weight management is your primary goal, there are much better-suited approaches. This diet is for IBS, full stop.
I have a holiday coming up – should I wait?
There’s always something on the horizon, isn’t there? A holiday, a wedding, a birthday…. But here’s the thing: there really is no need to wait. Starting the process sooner means that by the time your special occasion comes around, you could already be feeling significantly better. I can give you tailored advice for navigating meals out, social events and travel as part of your overall plan, so these moments feel enjoyable rather than stressful. So, what are you waiting for? Arrange a call today to find out whether the low FODMAP diet is right for you, and look forward to a brighter, more comfortable future. For more information about my services, recipes and testimonials, take a look around my website.
Do I need help to improve my IBS symptoms?
Many people with IBS begin by cutting out foods on their own in an attempt to identify what’s triggering their symptoms. While this is understandable, it often leads to a very restricted diet, potential nutritional gaps (especially when whole food groups are removed) and added anxiety around food and social situations. All of which can make symptoms worse. In the UK, IBS is estimated to affect around 17% of the population, and the low FODMAP diet remains one of the most evidence-based dietary tools available for identifying individual food triggers. But it works best with expert guidance.
Change Your Life in Just Three Sessions
Need help managing your IBS symptoms? I have a base in Cardiff and Bristol, but work with IBS sufferers across the UK through online sessions. Most of my clients find that just 3 sessions gives them the confidence and tools to move forward on their own. You’ll receive booklets that will guide you through the low FODMAP diet, and have my advice and support between sessions. Find out more about my IBS symptoms services. I offer a free initial telephone call so you can decide whether the low FODMAP diet is the right approach for you. So give me a call or fill out the contact form.
To help you decide whether this is right for you, see my webpage about IBS treatment.
Disclaimer: This blog is for informational purposes only and should not be considered medical advice. If you are experiencing persistent digestive symptoms, please consult a healthcare professional.
