121 Dietitian

An IBS Flare? How to manage symptoms

how to manage ibs flare up

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.

Constipation Relief

Diverticular Disease

5 Evidence-Based Constipation Home Remedies by a Registered Dietitian Constipation is a common issue that affects one in five people following a Western diet. If you have ever suffered with this you will know how unpleasant the feeling is. Maybe you are currently suffering with ongoing constipation and are in need of some guidance, so please read on. I’m Gillian Killiner, a registered dietitian with 26 years of experience in helping thousands of individuals with their dietary and health needs. In this blog post, I share five evidence-based tips to assist with constipation. But first, let’s define constipation. What is Constipation? Constipation occurs when you haven’t had a bowel movement for more than three times in a week. You can assess your bowel movements by using a stool chart to evaluate consistency and type. Typically, constipated stools are hard, small lumps, or pebble-like Type 1 and 2. What is a normal bowel movement frequency as defined by the NHS? “It is normal to pass a stool everyday up to every 3 days; stools should be soft and easy to pass. You should not need to strain to pass a stool. Some people pass a stool once a day and some twice these are both normal.” So what factors in a Western diet contribute to constipation? Dietary Factors 1. Hydration for Constipation is Key One of the first and most crucial tips for relieving constipation is to stay adequately hydrated. Many people underestimate the importance of drinking enough fluids. It’s easy to forget to drink when we switch off our thirst receptors. To combat this, keep a drink, such as a glass or bottle of water, with you throughout the day. Aim for 1.5 litres minimum. You can also include herbal teas and coffee, but limit them to no more than four cups a day, and avoid making them overly strong. Excessive caffeine can contribute to dehydration, which worsens constipation. 2. Load Up on Fruits and Vegetables Consuming an ample amount of fruits and vegetables is another essential strategy for relieving constipation. Begin your day with a breakfast rich in vegetables or add fruits to your cereal. Incorporate fruits and vegetables into your meals and snacks as much as possible. Variety and color in your diet are key. These foods provide essential antioxidants, vitamins, minerals, and fibre, all of which promote healthy bowel movements. Don’t forget to consider the fibre content in your diet, which can come from sources like nuts, seeds, beans, pulses, and high-fiber grains. Aim for an average of 30 grams of fiber daily to keep your bowels moving smoothly. 3. Dried Fruits as a Natural Solution Dried fruits like prunes, dates, and raisins can also be valuable additions to your diet when dealing with constipation. They are rich in fiber and natural sugars, which can help stimulate bowel movements. Including these dried fruits in your diet can be a tasty and effective way to alleviate constipation, just keep to small portions. Lifestyle Factors 4. Embrace Exercise for Constipation Exercise plays a vital role in maintaining regular bowel movements. It helps reduce transit time, meaning food moves through your digestive system more quickly. This faster gut transit leads to improved bowel regularity. Additionally, exercise promotes the growth of beneficial gut bacteria, strengthening abdominal muscles, and overall gastrointestinal health. Aim for regular physical activity to reap these benefits. 5. Listen to Your Body Lastly, don’t ignore your body’s signals when it’s time to go to the toilet. Often, the morning after breakfast is the most opportune time to have a bowel movement. However, due to our busy lives and schedules, we sometimes ignore these cues. It’s essential not to hold onto stool if you feel the urge to go. Ignoring these signals can have negative long-term consequences. If you find yourself straining during bowel movements, consider changing your sitting position on the toilet. Squatting, for example, can create a more natural alignment for easier passage of stool. Constipation Conclusion Constipation is a common issue, but it can be effectively managed with evidence-based strategies. These five tips, including staying hydrated, consuming ample fruits and vegetables, incorporating dried fruits, embracing exercise, and listening to your body, can make a significant difference in your digestive health. Remember that there are numerous dietary, lifestyle, and supplement options available to alleviate constipation. The tips mentioned here provide a solid starting point. There are many more additional strategies out there so do get in touch if you are struggling. Often we see patients with alternating constipation and diarrhoea, which is so hard to live with. Not being able to predict how your day will go and fearful of your bowels not working smoothly can really impact on your quality of life. Our GUT Health programme is the best programme which can fix you in 6 weeks or less. Do check out my other blogs and my videos on my YouTube channel covering various aspects of diet and health, so don’t forget to like, subscribe, and share my content. Until next time, take care! If you want to book your programme TODAY we would love to help you. You can book a 121 Dietitian Programme today by clicking on the link below If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Do visit our YouTube Channel for more on keeping your health optimal. If you are interested in how I overcame my Thyroid Autoimmune Condition do check out the About section below Before you go please check out our 121 Dietitian Shop created specifically for optimising your health. Gillian x

5 Reasons to Eat your Green Vegetables!

“Eat your Greens” How many people are fed up hearing this in their lives!!  Green vegetables are notoriously disliked by all age groups and this makes me sad, but I completely understand why. The data I gather from advising thousands of people gives me expert insight.  And as you probably guessed, the largest percentage of dislikes stems from being forced to eat these as a child. Definitely, bland, boring over-cooked bitter vegetables do not appeal and should not be on the menu at any age! Green vegetables and especially green leafy vegetables are full of important health-improving benefits which we need to be serving daily – cooked nice. 5 Health Benefits of eating Green vegetables Green vegetables assist in feeding your good gut microbiome – essential for multiple benefits, especially if you have dysbiosis, irritable bowel syndrome, autoimmune conditions and much more. Green vegetables can assist your blood sugar levels – the nutrients are involved in numerous actions with the help of fibre, Vitamin C, magnesium, Vitamin K. If you are Diabetic, pre-diabetic or have metabolic syndrome it’s time for a rethink. Bones – Green vegetables are excellent providers of non-dairy calcium and vitamin K, boron, manganese all essential for strong and flexible bones. Check out my YouTube video on Osteoporosis  Green vegetables can assist in weight loss – we know from studies that obesity is linked to diabetes, heart disease, high blood pressure and cancer. Eating good quality nutrients from your food is the key to long-term weight loss success and keeping healthy. Green vegetables provide a plethora of nutrients with fibre, phytochemicals, vitamins and minerals while providing very low amounts of energy. You can learn more by watching my weight loss for life series. Green vegetables for wrinkles. Vitamin E is an antioxidant we know protects skin cells from free radical damage from the environment and the sun. Folate is a vital nutrient for DNA repair and new cell growth. Green leafy vegetables are rich in these and beta-carotene which is a super antioxidant known to renew and repair the skin. Is it OK to eat fruit instead of vegetables? Fruits are amazing for multiple nutrients but should not take the place of vegetables. They should be consumed in moderation. Fruits contain natural sugars that if eaten to excess may derail your nutrient balance. What should I eat if I don’t like greens? Thankfully it is easy to re-establish or start to like eating greens!  As a Dietitian I teach people how to be able to add 3-4 of these each day into their diets. It takes a little time and some great recipes but improving the gut bacteria allows for the brain and gut to work together and this is where the magic happens! What green vegetables are good for weight loss? All green and colourful vegetables are important for weight loss. Some green choices can include Spinach, Kale, Rocket/Arugula, Lettuce, Bok Choi, Pak Choy, Broccoli, Sprout, Asparagus, green peppers, Cucumber, cabbage, and watercress. What green vegetables can I eat every day? All! The more the merrier as long as you are getting sufficient good quality proteins, fats and carbohydrates. Should you eat green vegetables every day? Absolutely. If you take a blood thinner warfarin it is really important not to stop eating these if they are part of your normal diet. We know warfarin works best when the level of vitamin K in your body stays the same. So if you typically eat leafy greens, you can continue to eat your usual serving. Is drinking your greens the same as eating them? Blitzing vegetables is a useful way to add in greens just make sure you use the whole vegetable, stalks etc as this is the fibre-rich part. Powdered greens have been big business in recent years. If you have the money to spend on them they may assist you if needing more nutrients. But be mindful they do contain many add-ins that you may find change your gut bacteria. If these probiotics are not right for you or the amount of added fat-soluble vitamins are high, these may be stored in excess in the body if not required – not really what you want.  In my professional opinion, sporting or highly active people are the ones who may find these helpful. And finally greens from top to bottom! Green vegetables for eyes Green leafy vegetables can assist with preventing age-related macular degeneration and cataracts. The human body cannot make lutein or zeaxanthin; they must be consumed. Spinach, kale and broccoli are leafy green vegetables rich in both lutein and zeaxanthin and vitamin C.  These antioxidants act as a natural sunscreen for your eyes and they protect your eyes from harmful UV rays. Green Vegetables for Constipation Constipation- Green vegetables are essential as part of a healthy dietary intake each day as the expandable fibre absorbs water as it passes through the bowel and triggers a regular bowel motion relieving possible constipation. The softening action of the insoluble fibre decreases pressure inside the intestinal tract and may help diverticular disease/diverticulitis. Check out my YouTube Video on Constipation. So if you are still keen and green and … Need help optimising your foods or are unsure of how to change your eating habits? please contact us. We would love to help you or your family and friends with any nutrition-related queries big or small. In the meantime do please check out our 121Dietitian Shop for specially selected choices created for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner  Check out our tailored dietary programmes Gillian x [instagram-feed]