An IBS Flare? How to manage symptoms
Navigating IBS Flare-Ups With Compassion Living with Irritable Bowel Syndrome (IBS) can often feel like being on a rollercoaster – full of unexpected ups and downs. One moment, you may feel relatively fine, and the next, you’re dealing with uncomfortable symptoms like stomach cramps, bloating, or an urgent need for the toilet. These sudden symptom flare-ups can greatly disrupt your daily routine and affect your overall quality of life. Simple activities such as going to work, spending time with family, or enjoying a meal can become difficult when you’re unsure of how your gut will behave. IBS flare-ups can be unpredictable and distressing, leading to feelings of frustration, embarrassment, or isolation. This is why it’s essential to treat yourself with kindness and patience. Many people with IBS tend to blame themselves or push through the discomfort, which can make the symptoms worse. A more helpful approach is to acknowledge what you’re going through, take steps to understand your triggers, and manage your symptoms with care and support. At 121 Dietitian, we recognise the daily challenges faced by those living with IBS. We understand how much it can impact both your physical health and emotional well-being. That’s why we offer personalised, evidence-based nutritional care designed to help you regain control. Our goal is to support you with practical dietary strategies that are tailored to your unique needs, so you can reduce flare-ups and feel more confident in managing your condition. With the right guidance and a compassionate approach, it is possible to improve your gut health and live a more balanced, comfortable life. Understanding IBS Flare-Ups What is IBS?IBS stands for Irritable Bowel Syndrome. It is a common condition that affects the digestive system, particularly the bowels These symptoms can vary in severity and may come and go over time. What are IBS Flare-Ups?An IBS flare-up happens when symptoms suddenly become worse than usual. During a flare-up, a person might experience strong and continuous abdominal pain. Bowel habits can become very irregular, with constipation one moment and diarrhoea the next. Bloating is also very common, where the stomach feels swollen and tight. Excessive gas, nausea, and weakness may also occur during these episodes. These flare-ups can last for a few hours or continue for several days. The length and severity depend on various factors, including diet, stress, and how well the person is managing their condition. Flare-ups can be very uncomfortable and often disrupt daily life, making it difficult to carry out normal tasks or enjoy everyday activities. Understanding your triggers and getting the right support can help reduce the frequency and intensity of these flare-ups. How IBS Flare-Ups Affect Daily Life – A Detailed Explanation IBS flare-ups can have a serious impact on everyday life, no matter your age. Whether you’re a child, an adult, or elderly, these episodes can make even normal routines feel stressful and unpredictable.During pregnancy, IBS flare-ups can become stronger due to hormonal changes and added stress. These flare-ups may cause more stomach pain, bloating, and bowel problems. 1. School and Work Life:Children with IBS may feel anxious about going to school. The fear of sudden stomach pain or needing to rush to the toilet can keep them from concentrating in class or enjoying their day. For adults, it’s often hard to keep up with work. They may need frequent sick days, struggle with focus, or feel embarrassed about leaving their desk often due to symptoms. This can affect job performance and create stress with colleagues or managers. 2. Home Life and Relationships:Many people with IBS start avoiding social activities. They prefer to stay close to a bathroom and feel nervous about long trips or events. Over time, they may begin to distance themselves from friends and family. Even close relationships can suffer — including marriage. Constant discomfort, mood swings, and low energy can affect emotional closeness and communication between partners. 3. Mental and Emotional Effects:Living with the constant fear of a flare-up takes a mental toll. Many IBS sufferers develop anxiety or depression. The stress of “what if something happens?” can stop them from leaving the house. During a flare-up, the pain and bloating can become so overwhelming that it’s hard to think about anything else. This leads to isolation, low self-esteem, and a lack of motivation to engage in life. Impact of IBS on Children and the Elderly Irritable Bowel Syndrome (IBS) affects people of all ages, but its impact can be especially difficult for children and older adults. In children, IBS can interfere with important parts of their everyday lives. Many children with IBS end up missing school activities and games due to stomach discomfort. They may begin to feel isolated from their friends and stop joining in with social activities. Because they are constantly dealing with stomach pain, bloating, or the urgent need to use the toilet, they often feel sad, frustrated, or withdrawn. This emotional toll can affect their overall growth and confidence. For the elderly, IBS presents a different kind of challenge. Older people are already more vulnerable due to age-related weakness, and IBS only adds to their discomfort. The pain, bloating, and unpredictable symptoms increase stress levels and make day-to-day living more difficult. In many cases, regular medications may have less effect, or they may cause side effects when mixed with treatments for other conditions. Seniors with IBS often feel constantly tired, anxious, and restless, as the body struggles to keep up with both age and illness. What Happens When IBS Gets Worse If IBS is not properly managed or treated in time, the condition usually worsens over time. In the beginning, it may just feel like occasional gas, mild stomach ache, or a bit of bloating. These early signs are often ignored, assuming they are temporary. However, without proper care, the symptoms become more frequent and more intense. Persistent constipation or diarrhoea can start occurring daily, causing major disruptions in routine tasks. When IBS flares up regularly, it becomes hard to focus on work or manage daily responsibilities.
Women’s Hormones and Gut Health: The Crucial Connection
Understanding how women’s hormones and gut health are connected is important for overall well-being. As a leading dietitian, Gillian Killiner emphasizes the importance of this connection. Hormones significantly influence gut health, and vice versa, making it vital to address both aspects for optimal health. The Role of Women’s Hormones in Gut Health Hormones are important chemicals that control many functions in women’s bodies, like metabolism, mood, and reproductive health. They are essential for keeping the body working properly. Estrogen, progesterone, and cortisol are important hormones for women that have a big impact on their bodies. Even small changes in hormones can cause many health problems like irregular periods, mood swings, and digestive issues. Maintaining hormonal homeostasis is therefore absolutely paramount for safeguarding women’s hormone cycle, overall health, wellbeing, and quality of life. Hormones play a key role in many important bodily functions, so it’s crucial for women to prioritize maintaining hormonal balance. So what do we need to consider…. Estrogen and Gut Health Estrogen, a key female sex hormone, exerts a profound influence on overall gut health. This important hormone helps shape the types of microorganisms in the gut, which are tiny organisms living in the digestive system. Estrogen helps protect the gut lining by keeping it strong and preventing harmful substances from entering the bloodstream. During menopause, lower estrogen levels can upset the balance in the gut, causing a condition called “leaky gut.” In this state, the gut barrier becomes more permeable, letting harmful substances pass through and enter the bloodstream. This permeability can lead to inflammation in the body. This inflammation can cause autoimmune disorders like inflammatory bowel disease (IBD), chronic fatigue, infertility, and other health issues. Understanding the importance of estrogen in maintaining gut health is crucial for women going through menopause. Taking steps to support gut health can help women stay healthy during this time of hormonal changes. Converesly when estrogen gets out of wack oestrogen dominance takes over. A healthy estrobolome helps maintain estrogen balance by regulating its levels in the body. Dysbiosis, or an imbalance in gut bacteria, can impair estrogen metabolism, leading to estrogen dominance or deficiency. This imbalance can contribute to conditions such as PMS, endometriosis, and polycystic ovary syndrome (PCOS). How does this occur? one group of offenders are Endocrine disruptors, such as environmental toxins. These can disrupt hormonal balance, potentially leading to estrogen dominance. Estrogen dominance can manifest in various symptoms, including menstrual irregularities, infertility, and weight gain. Gut health disruptions may exacerbate these symptoms, affecting overall well-being. Progesterone and Digestion Progesterone, another essential hormone, plays a pivotal role in regulating the menstrual cycle and sustaining pregnancy. Furthermore, this crucial hormone exerts a significant influence over gut motility. During the luteal phase of the menstrual cycle or pregnancy, imbalanced progesterone levels can slow down digestion. This can lead to symptoms such as bloating and constipation. These symptoms may be more severe if estrogen levels are also not balanced. Conversely, a low or diminished progesterone levels can trigger increased gut motility, consequently resulting in diarrhoea and discomfort. The balance of hormones like progesterone affects the digestive system. It’s important to keep hormone levels in check for good digestive health and overall wellbeing. Cortisol and Stress on Women’s Hormones Cortisol is a hormone that responds to stress in the body. It plays a big role in gut health through the gut-brain connection. Long-term stress can disrupt the balance of good bacteria in the gut. This can make it easier for harmful substances to pass through the gut lining. This stress-induced physiological response can significantly exacerbate the symptoms associated with irritable bowel syndrome (IBS) and other debilitating digestive disorders. The gut and brain are connected in a complex way. Changes in gut function can affect brain activity, and vice versa. Managing cortisol levels and stress is important for a healthy gut and reducing symptoms of conditions like IBS. Gut Health’s Impact on Hormonal Balance So how can your gut health impact on hormones? The gut microbiome is a complex system of trillions of bacteria, fungi, and other tiny organisms. It is increasingly seen as important for regulating hormones in the human body. A well-balanced, thriving gut microbiome can actively contribute to the harmonious regulation of our hormonal systems, helping to maintain optimal hormonal balance. On the other hand, an unhealthy gut can cause hormonal imbalances, showing how closely connected gut health is to hormone function. This growing understanding highlights the importance of nurturing a healthy gut microbiome as a means of supporting overall hormonal equilibrium and wellbeing. 7 Tips for Balancing Hormones and Improving Gut Health Eat a mix of fiber-rich foods, lean proteins, healthy fats, and fermented foods to help your gut stay healthy. Stay Hydrated: Adequate water intake is essential for digestion and overall health. Reduce stress and improve sleep by practicing techniques like yoga, meditation, and deep breathing exercises. This can help keep cortisol levels balanced. Get Regular Exercise: Physical activity promotes healthy digestion and hormone regulation. Think about probiotics: Probiotic supplements or foods like yogurt and kefir can help keep your gut healthy. However not maybe ideal if your gut health is not Limit Processed Foods and Sugar: These can disrupt gut health and contribute to hormonal imbalances. Fixing gut symptoms can help you eat more foods without issues. This can improve your hormonal health. Conclusion Wow, the intricate connection between women’s hormones and gut health is absolutely fascinating! The deep intertwining of these two vital aspects of our well-being is incredible. Understanding and addressing this powerful relationship can help women improve their health and quality of life. Isn’t that amazing? Gillian Killiner RD says it’s important to balance hormones and take care of your gut. This can be done through diet, lifestyle changes, and stress management. These factors are crucial for overall well-being. If you want to learn how to manage your hormones and gut health, it’s important to talk to a professional Dietitian. Gillian Killiner RD specialises in gut health and has won awards. She can provide you with the guidance you need.
Exploring the Zoe App Program the Pros and Cons
Exploring the Zoe App Program – the pros and cons In the era of digital health, the ZOE App Program, co-founded by Tim Spector, has emerged as a prominent player in personalized nutrition. With nearly cult-like status among its 130,000 subscribers, this nutrition service offers a tailored approach to optimizing health through its innovative app-based platform. In this comprehensive review Abby Olu-Sholanke one of our specialist Associate Dietitians, delves into the intricacies of the ZOE Programme, its product offerings, effectiveness, pros and cons, and compare it with the services provided by specialist dietitians. What exactly is Zoe? Zoe analyses your blood and faecal samples to provide insights about your gut microbiome, such as the diversity of gut and bowel bacteria and your ability to digest fats and sugars. Zoe App sounds interesting – what Next? The ZOE membership: There are three membership tiers, which automatically renew unless you request a cancellation. You have to buy the test and the monthly membership as a package they are not available to purchase seperately. The Membership categories are: £24.99 per month for a 12-month membership, plus £299.99 for testing. Membership paid in one payment of £299.88, billed when you can see your ZOE Scores in the app = £599 £39.99 per month for a four-month membership, plus £299.99 for testing. Membership paid in one payment of £159.96, billed when you can see your ZOE Scores in the app =£439 £59.99 per month for a rolling monthly membership, plus £299.99 for testing = £899. What’s in the Zoe App Kit? The ZOE test kit: Gut health kit: A kit to collect a stool sample at home, to send off for analysis. The stool is examined to see the diversity of the gut microbiome – essentially the good and not so good microbes living in the stools. This is linked with health issues such as digestive system, immune response and mental health. Blood fat test: A small sample of blood collected via finger prick is sent for blood fat analysis. This measures how quickly fat is cleared from the blood after a meal. This is a risk factor indicator of developing heart disease and chronic inflammation. Blood sugar sensor: A round yellow disk that the user sticks to their arm and wears for 14 days. There is a tiny needle that measures the glucose from the fluid beneath the skin. This allows the app to gain real-time insights of how blood sugar levels fluctuate, per food eaten. Breakfast and lunch cookies to be consumed on a specific test day – these test out the blood sugar and blood fat results, as well as measuring the speed of users’ digestion and gastric emptying. (the diagram below illustrates the process and used from the zoe website) Zoe Cookies?? So what are these cookies?? As we can see from the Zoe kit content, cookies are consumed…. According to the information on their website, the test cookies were specifically designed by scientists to enable users to test their biological responses. The purpose of the cookies is to challenge the metabolism with high doses of fat and sugar over 6 hours. To be able to package the necessary amounts of nutrients in the challenge in a standardised way, they used cookies. Breakfast Test Cookie Ingredients: White chocolate chips (cocoa butter, cane sugar, tapioca starch, rice syrup solids, rice maltodextrin, organic vanilla and salt) Flour blend (brown rice flour, sweet rice flour, tapioca starch, cornstarch, potato starch, stabiliser (xanthan gum)) Palm oil Brown sugar Chickpea flour Tapioca starch Tapioca syrup Less than 2% of: water, vanilla bean extractives, salt Lunch Test Cookie Ingredients: Flour blend (brown rice flour, sweet rice flour, tapioca starch, cornstarch, potato starch, stabiliser (xanthan gum)) Brown sugar Chickpea flour Tapioca starch Less than 2% of: water tapioca syrup vanilla bean extractives salt Colour: FD&C Blue #1 (Brilliant Blue FCF) Raising agent: Baking powder (sodium acid pyrophosphate, sodium bicarbonate, cornstarch, monocalcium phosphate)) Allergens in Zoe cookies -free from Gluten Milk Egg Fish and shellfish Peanut and tree nut Soy Wheat Made in a facility handles the following : not suitable Tree Nuts Peanuts Wheat Eggs Zoe App Diet Test Day When it comes to eating the cookies on test day, testers need to fast the morning of the test – that means nothing to eat or drink, except water, black tea or coffee. The specific breakfast cookies need to be eaten within 15 minutes, and then a four hour fast follows, before consuming the lunch cookies. This can have implications for people who are on medications or diabetic. Effectiveness According to reviews on the ZOE website, users said they feel the changes in their energy levels after around 4 weeks. A statistic on the website states 84% of users feel healthier after 12 weeks. Another article in Forbes, says 70 percent of ZOE members report having more energy. Good Food website states that there is so much information on the ZOE app as well as useful tricks to optimise what you eat, that you’re bound to gain tips that you can stick to in the long term. Interestingly when you look at the stats for changing your diet to healthier choices this outcome is not unique to ZOE diet and achievable with guidance from a Dietitian. The Pros and Cons of ZOE app Pros ZOE is based on advice around monitoring blood sugar, blood fat and gut health. Provides helpful tips on minimising bad foods and useful tricks you can stick to long term. Contains a kit that has a blood sugar monitor, blood fat test, stool sample test and some food to test your gut transit time in the comfort of your home. The programme prides itself on helping users make healthy food choices and knowing how certain foods can impact their blood sugars and gut health. The ZOE app produces a score from 0-100, based on food choices. The program offers several articles and information of healthy eating It is a novel way of testing
Gut Health Test UK
Gut Health Tests in the UK: A Comprehensive Guide As a specialist gut dietitian, I’ve witnessed firsthand the pitfalls of gimmick gut health tests promising cures for your digestive complaints. I caution against these dangerous and expensive tests that promise cures for digestive problems. The key is getting accurate evidence-based gut testing. In this blog, I invite you to better understand why investing in accurate gut testing is paramount. Avoid the one-size-fits-all solutions and embrace a tailored approach rooted in scientific expertise. Join me as we pave the way towards optimal digestive health, steering clear of gimmicks and prioritizing precision in pursuit of vitality and well-being. Your gut plays a crucial role in your overall health and well-being for several reasons: Digestion and Nutrient Absorption: The gut breaks down the food you eat, extracting essential nutrients that your body needs to function properly [1]. Immune Function: A significant portion of your immune system resides in your gut. A healthy gut microbiome helps protect against harmful pathogens and supports immune responses [4]. Mental Health: The gut-brain axis connects your gut and brain, influencing mood and mental health. A healthy gut microbiome can contribute to reduced stress and improved mental well-being [6]. Inflammation Regulation: An imbalance in gut bacteria can lead to inflammation, which is linked to various chronic diseases such as diabetes, heart disease, and autoimmune disorders [3]. Whole Body Health: Gut health impacts various bodily functions beyond digestion, including metabolism, hormone regulation, and even skin health [2]. Your gut, often referred to as the body’s “second brain,” harbours a complex ecosystem of microorganisms crucial for digestion, immunity, and even mental health. Imbalances in this delicate microbial community can lead to a myriad of health issues. Ranging from digestive disorders to autoimmune conditions and beyond. By undergoing gut health testing, individuals gain valuable insights into the composition and functionality of their gut microbiota. Gut health tests will be empowering you to make informed decisions regarding diet, lifestyle, and supplementation In recent years, the demand for gut health testing has surged, prompting an expansion in the availability of testing services across the UK. From specialised laboratories to online testing kits, individuals now have various options to explore their gut health status conveniently. Healthcare practitioners, including functional medicine doctors and nutritionists, increasingly incorporate gut health testing into their diagnostic protocols, facilitating personalised treatment approaches for patients. But are they all legit and do you get the answers you need to improve your unpleasant symptoms? Types of Gut Health Tests Allergy Testing: Skin Prick Testing (SPT): This common allergy test can detect immediate allergic reactions to multiple substances at once, helping identify triggers for allergic diseases. So what can be checked? SPT is a reliable method for diagnosing IgE-mediated allergic diseases like asthma, urticaria, and food allergies. It confirms sensitization and aids in diagnosing type I allergies. SPT is minimally invasive, affordable, and provides immediate results. When performed by trained professionals, it’s reproducible. Since Helmtraud Ebruster’s first publication in 1959, SPT has been a primary tool for detecting type I hypersensitivity reactions. However, variations in interpretation and extracts used globally make comparing results challenging. Gut Microbiome Testing Commercial gut microbiome testing involves analyzing faecal samples to provide insights into the composition of an individual’s gut microbiota. While these tests are readily available, their reliability and clinical significance remain subjects of debate. Members of the British Society of Gastroenterology’s Gut Microbiota for Health Expert Panel offers the following guidance on microbiome testing, emphasizing several key points: Reliability Concerns: The accuracy and consistency of results from commercial tests may vary due to differences in methodologies and interpretation [3]. Clinical Significance: The clinical relevance of microbiome testing in guiding treatment decisions or predicting health outcomes is not yet fully established. Further research is needed to elucidate the practical implications of microbiome analysis [5]. Professional Guidance: Consulting healthcare professionals, especially gastroenterologists and dietitians, are recommended to interpret microbiome test results accurately and determine their clinical relevance [2][4]. Limitations: Some commercial tests oversimplify microbiome profiles by categorizing bacteria as “good” or “bad,” which may not accurately reflect their role in health and disease [5]. So what does this mean? Commercial gut microbiome testing can offer insights into gut health, however at this stage its reliability, clinical significance, and interpretation require careful consideration and benefits from professional guidance for accurate assessment and application in clinical practice. It is also costly. Electrodermal testing (also known as VEGA testing) and applied kinesiology The method of holding two metal sticks or balls for intolerance testing is often associated with practices like electrodermal testing (also known as VEGA testing) and applied kinesiology. I have seen so many patients who have tried this method with no change in symptoms. I have talked about this before as I get super disappointed for them as they are often sicker and thinner from the list of foods they are avoiding with no success. Looking at the evidence these methods do not have a robust scientific basis and are not validated for the diagnosis of food allergies or intolerances. In electrodermal testing, the patient is connected to electrodes, creating an electrical circuit with glass vials of test substances (potential allergens) connected to the circuit, and skin impedance is measured. There is no evidence to validate the use of this technique for food allergy diagnosis, and it does not accurately detect respiratory allergy. Applied kinesiology involves the patient holding a vial containing the test food in one hand while the contralateral arm is extended. Weakness in this arm is taken as a marker for sensitivity to the food being tested. However, there is no evidence for diagnostic accuracy or effectiveness for any condition with this method. What test should you choose? For accurate diagnosis of food allergies or intolerances, it is recommended to undergo detailed clinical assessment by a qualified healthcare professional with expertise in allergy. This may include validated investigations such as specific IgE testing, skin prick testing, and oral food challenge testing or eliminations. It’s crucial to rely on scientifically
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