Elimination Diets for Food Reactions

2019 ◽  
pp. 101-122
Author(s):  
Jane Varney ◽  
Chu K Yao ◽  
Jane G. Muir ◽  
Peter R. Gibson
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Professionals ◽  
Symptom Control ◽  
Threshold Level ◽  
Food Composition ◽  
Irritable Bowel ◽  
User Friendly ◽  
Restrictive Diet

An abundance of diet therapies are proposed to treat chronic intestinal disorders such as the irritable bowel syndrome (IBS) and eosinophilic esophagitis (EoE). These commonly either eliminate or restrict specific foods and/or food components, based on the principle that even trace amounts induce an immune reaction (e.g., elimination diets for EoE), or, in the case of restrictive diets, that individuals have a threshold level of tolerance below which symptom control will be induced. The low-FODMAP (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet for IBS is one example of a restrictive diet based on sound rationale, robust efficacy data, comprehensive food composition information that is publicly available in a user-friendly form, and, increasingly, longitudinal data to demonstrate the long-term benefits. To optimize patient outcomes, health care professionals must be aware of the risks, benefits, and clinical indications for the use of diet therapies proposed to treat chronic intestinal disorders.

scholarly journals Prevalence Of Irritable Bowel Syndrome, Celiac Disease And Their Manifestations Among Muhimbili University Of Health And Allied Sciences Staff And Students: A Cross Sectional Study

2020 ◽  
Author(s):  
Adam Miraj Gembe
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Celiac Disease ◽  
Medical Students ◽  
Health Care Professionals ◽  
Tissue Transglutaminase ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Irritable Bowel

Abstract Background: Global prevalence of irritable bowel syndrome is high among medical students and health care professionals with significant morbidity. Similarly, the prevalence of celiac disease in irritable bowel syndrome is higher than the general population. These conditions impair quality of life and contribute to social-economic burden. In Tanzania, little is known about irritable bowel syndrome and celiac disease among medical students and health care professionals. Methods: A cross sectional study was conducted to MUHAS and Mloganzila Academic Medical Center (MAMC) staff and students who fulfilled the online shared Rome IV criteria of irritable bowel syndrome from August to November 2018. A structured questionnaire was used to collect socio-demographic data, anthropometric measurements and clinical manifestations. Blood samples for full blood picture, liver enzymes and Erythrocyte Sedimentation Rate were taken. Celiac disease was tested using anti-tissue transglutaminase antibody test. Qualitative and quantitative data were summarized using frequency distribution tables. Chi-square and fishers exact test were used to study comparison between groups. Logistic regression was used to study associations. Data was analyzed using SPSS version 20.0 and a P value of ≤0.05 was considered significant.Results: Out of 1,321 participants, 192 (14.5%) had irritable bowel syndrome in which 77 (40.1%) were males and 115 (59.9%) were females. Among the 192 participants with irritable bowel syndrome, 3 (1.6%) were positive for celiac disease, 2 (66.7%) were females and 1 (33.3%) was a male. Of the 3 patients with CD, 2 had elevated ALAT and 1 had anaemia. Age (AOR 2.53, 95% C.I 1.57-4.09), sex (AOR 1.67, 95% C.I 1.16-2.41), marital status (AOR 4.95 C.I 2.07-11.82), alcohol intake (AOR 2.47, 95% C.I 1.16-5.23), year of study (AOR 8.49, 95% C.I 5.71-12.64) and sleep duration (AOR 2.24, 95% C.I 1.23-4.06) were found to be independently associated with IBS. Conclusion: Prevalence of IBS and its associated factors in our study population was similar to findings from studies done elsewhere. Also, our study revealed a low prevalence of celiac disease among IBS participants.

scholarly journals Long-term irritable bowel syndrome symptom control with reintroduction of selected FODMAPs

2017 ◽  
Vol 23 (25) ◽  
pp. 4632 ◽  
Author(s):  
Ruth M Harvie ◽  
Alexandra W Chisholm ◽  
Jordan E Bisanz ◽  
Jeremy P Burton ◽  
Peter Herbison ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Symptom Control ◽  
Irritable Bowel Syndrome Symptom ◽  
Syndrome Symptom ◽  
Irritable Bowel

Mo2035 Acute Salmonella Gastroenteritis Occurring Early in Life but Not in Adulthood Is a Risk Factor for Post-Infectious Irritable Bowel Syndrome (PI-IBS) in the Long Term

2013 ◽  
Vol 144 (5) ◽  
pp. S-724 ◽  
Author(s):  
Cesare Cremon ◽  
Francesca Pallotti ◽  
Antonio M. Morselli-Labate ◽  
Alexandro Paccapelo ◽  
Lara Bellacosa ◽  
...  
Keyword(s):  
Irritable Bowel Syndrome ◽  
Risk Factor ◽  
Irritable Bowel ◽  
Post Infectious

scholarly journals Irritable Bowel Syndrome: Methods, Mechanisms, and Pathophysiology. Neural and neuro-immune mechanisms of visceral hypersensitivity in irritable bowel syndrome

2012 ◽  
Vol 302 (10) ◽  
pp. G1085-G1098 ◽  
Author(s):  
Bin Feng ◽  
Jun Ho La ◽  
Erica S. Schwartz ◽  
G. F. Gebhart
Keyword(s):  
Irritable Bowel Syndrome ◽  
Chronic Conditions ◽  
Mononuclear Phagocytes ◽  
Mechanical Stimuli ◽  
Considerable Evidence ◽  
Long Term Changes ◽  
Painful Bladder ◽  
Irritable Bowel ◽  
Afferent Innervation

Irritable bowel syndrome (IBS) is characterized as functional because a pathobiological cause is not readily apparent. Considerable evidence, however, documents that sensitizing proinflammatory and lipotoxic lipids, mast cells and their products, tryptases, enteroendocrine cells, and mononuclear phagocytes and their receptors are increased in tissues of IBS patients with colorectal hypersensitivity. It is also clear from recordings in animals of the colorectal afferent innervation that afferents exhibit long-term changes in models of persistent colorectal hypersensitivity. Such changes in afferent excitability and responses to mechanical stimuli are consistent with relief of discomfort and pain in IBS patients, including relief of referred abdominal hypersensitivity, upon intra-rectal instillation of local anesthetic. In the aggregate, these experimental outcomes establish the importance of afferent drive in IBS, consistent with a larger literature with respect to other chronic conditions in which pain is a principal complaint (e.g., neuropathic pain, painful bladder syndrome, fibromyalgia). Accordingly, colorectal afferents and the environment in which these receptive endings reside constitute the focus of this review. That environment includes understudied and incompletely understood contributions from immune-competent cells resident in and recruited into the colorectum. We close this review by highlighting deficiencies in existing knowledge and identifying several areas for further investigation, resolution of which we anticipate would significantly advance our understanding of neural and neuro-immune contributions to IBS pain and hypersensitivity.

Sport Concussion Education and Prevention

2012 ◽  
Vol 6 (3) ◽  
pp. 293-301 ◽  
Author(s):  
Charles H. Tator
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Educational Strategies ◽  
Short Term ◽  
Sports Organizations ◽  
Sport Concussion ◽  
Data Collection Program ◽  
Collection Program ◽  
Concussion Education

There has been a remarkable increase in the past 10 years in the awareness of concussion in the sports and recreation communities. Just as sport participants, their families, coaches, trainers, and sports organizations now know more about concussions, health care professionals are also better prepared to diagnose and manage concussions. As has been stated in the formal articles in this special issue on sport-related concussion, education about concussion is one of the most important aspects of concussion prevention, with the others being data collection, program evaluation, improved engineering, and introduction and enforcement of rules. Unfortunately, the incidence of concussion appears to be rising in many sports and thus, additional sports-specific strategies are required to reduce the incidence, short-term effects, and long term consequences of concussion. Enhanced educational strategies are required to ensure that individual participants, sports organizations, and health care professionals recognize concussions and manage them proficiently according to internationally recognized guidelines. Therefore, this paper serves as a “brief report” on a few important aspects of concussion education and prevention.

scholarly journals Making the Transition to Insulin Therapy: The Experiences of Samoan People with Type 2 Diabetes in New Zealand

2021 ◽  
Author(s):  
◽  
Sera Tapu-Ta'ala
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
New Zealand ◽  
Insulin Therapy ◽  
Health Care Professionals ◽  
Pacific People ◽  
Qualitative Descriptive

<p>Background Pacific people are dying younger compared to other New Zealanders because of complications resulting from uncontrolled type 2 diabetes mellitus. Good diabetes control is achievable with early use of insulin because of its effectiveness, and proven long term benefits to quality of life. An understanding of how Samoan people with type 2 diabetes make their transition to insulin therapy will assist in understanding how insulin is perceived, which will inform health care professionals in their work with those diagnosed with diabetes. Aim of Research The aim of the research is to explore and describe how Samoan people with type 2 diabetes in New Zealand made the transition to insulin therapy for better glycaemic control. Design The Fonofale Model was used as the theoretical framework, from which to understand Samoan peoples' experiences. This research used a qualitative descriptive methodology. In-depth interviews were used to gather the stories of four Samoan participants over the age of 18 years diagnosed with type 2 diabetes. The data was analysed using thematic analysis. Findings Three major themes emerged from the analysis of the participants' stories. These were: living with diabetes, making the transition to insulin therapy and realisation. The findings led to the creation of the Ia Malu model, which describes the experiences of the participants in this study. Conclusion This study confirmed that there are immense challenges and struggles encountered by people with diabetes. Their adjustment to the illness as well as making the transition to using insulin takes time. As a result of this, it is fundamental for nurses/health care professionals to understand that this is the reality for these people, and they must therefore provide time for people to adjust.</p>

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