From Discomfort to Delight: Diet's Impact on IBS-D
Journal Title: Journal of Clinical Medical Research - Year 2023, Vol 4, Issue 3
Abstract
Introduction: IBS-D is a common gastrointestinal illness that causes lower abdominal discomfort, bloating, changed bowel patterns and poor quality of life. Despite no physical or biochemical problems, IBS-D is debilitating. Objectives: This review examined the effects of low-FODMAP, gluten-free, lactose-free and fructose-free diets on IBS-D symptoms. We also examined how these diets affected gut microbiota composition and their mechanisms of action. Methods: A comprehensive literature review was conducted, utilizing databases such as PubMed and Google Scholar. MeSH terms and keywords related to IBS-D, dietary management, gut microbiota and specific dietary approaches were employed in the search. The inclusion criteria were studies published between January 1, 2008 and September 1, 2023, to ensure the inclusion of recent and relevant research. Selected studies were critically reviewed for their findings on the effects of dietary interventions on IBS-D symptoms and the gut microbiota. Results: Several dietary strategies, including the gluten-free diet, fructose-free diet, lactose-free diet and low-FODMAP diet have demonstrated promise in alleviating IBS-D symptoms, particularly diarrhea, bloating and abdominal pain. These diets have shown varying degrees of success, with some individuals experiencing significant symptom improvement. Furthermore, alterations in gut microbiota composition have been observed in response to dietary modifications, although the exact mechanisms remain to be fully elucidated. Conclusion: This review suggests dietary changes may improve IBS-D symptoms and the gut microbiome. However, the intricacy of dietary impacts on IBS-D requires further investigation to determine their effectiveness and gut microbiota impact. Individualized diets may help IBS-D patients relieve symptoms and improve gut health. Dietary suggestions for IBS-D treatment need more study.
Authors and Affiliations
Syed Mahmood Shahidul Islam1*, Md Shanzid Hasan2, Sadia Afrin3, Marzia Feruz Snigdha4, Mehrab Binte Mushfique5, Abu Saleh6, Kashfia Tasnuva5, Jannatul Mawa7, Maswood Meraj Khan7, Mezbah Uddin8, Nikolaos Syrmos9, Md Rezwan Ahmed Mahedi3,10
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