Irritable Bowel Syndrome
Dietetic Gut Clinic
Once you have been diagnosed with Irritable Bowel Syndrome, your GP or Gastroenterologist may advise you to see a Gastrointestinal Dietitian at the Dietetic Gut Clinic. Management of Irritable Bowel Syndrome is one of the services our team has been offering to patients in Perth since the launch of our Gut Clinic in Nedlands and Murdoch.
IBS Diet Perth
What is Irritable Bowel Syndrome?
Irritable Bowel Syndrome (or IBS) is a gastrointestinal disorder of the gut-brain interaction characterized by symptoms of recurrent abdominal pain associated with altered bowel habit (constipation, diarrhhoea or both) in the absence of organic disease.
While the exact cause of IBS remains unknown, it has been proposed that disturbances in the intestinal nerves that affect motility and perception of intestinal stretching may result in symptoms. Causes of these disturbances may depend on the interaction of several factors including genetics, psychosocial factors (e.g. anxiety, depression), and post-inflammatory changes after a gastrointestinal infection (e.g. gastroenteritis).
How is IBS diagnosed?
IBS is diagnosed by a doctor, after the exclusion of other conditions and cause of symptoms.
Diagnosis of IBS is symptom-based using the Rome IV criteria.
ROME IV Criteria
Recurrent abdominal pain on average at least one day a week in the last three months associated with two or more of the following:
related to defecation
associated with a change in a frequency of stool
associated with a change in form (consistency) of stool.
Symptoms must have started at least six months ago.
IBS Diet Murdoch and Nedlands
How can a Dietitian help?
Diet plays a key role in the management of IBS. Some interventions that may be considered in the management of IBS can include: Change in dietary habits, modified fibre diet, reduction of gut irritants, consideration of prebiotics and probiotics, incorporation of digestive enzymes as well as application of Specialised Elimination Diet (Low FODMAP diet).
FODMAP Diet Perth
Low FODMAP Diet for IBS
The low FODMAP diet is an evidence based dietary strategy to successfully manage IBS. FODMAP is an acronym for Fermentable Oligo-, Di, Mono-saccharides And Polyols. It is considered to be a second-line dietary strategy after assessment and management of dietary and lifestyle factors that may contribute to symptoms.
The low FODMAP diet involves collective restriction of a group of short-chain carbohydrates that have been shown to increase small intestinal water volume and be rapidly fermented in the large intestine, leading to increased gas (e.g. hydrogen) production and gastrointestinal symptoms (i.e. pain, bloating, distension, flatulence, nausea and altered bowel motility).
The low FODMAPs diet is a dietitian-taught program to ensure nutritional intake adequacy despite food restrictions. The long-term restriction of FODMAPs is not recommended. Structured reintroduction of FODMAPs is recommended after two to six weeks to identify which FODMAPs you are sensitive to, your level of tolerance to each individual high FODMAP foods, and optimise food variety and self-management long term.
Dietetic Gut Clinic
Why Dietetic Gut Clinic for IBS?
The Dietetic Gut Clinic is a Perth based private practice with special focus on diet and gastrointestinal health and disease. We believe that IBS is best managed by gastrointestinal dietitian with an interest in that field.
At Dietetic Gut Clinic our mission is to empower and support our patients, to take charge of their digestive condition and health in order to optimise their quality of life.
We have clinics both north and south of the river which means that we are able to accommodate patients across the Perth metropolitan area, in addition to also providing Telehealth services.
Our Specialised IBS to Gut Health Program, is a Comprehensive personalised program, designed by our Gut Health Dietitian which includes specialised IBS content, meal plan and recipes designed to optimise symptom control whilst supercharging your Gut Health.
You may be eligible for a Medicare rebate for your dietary consultation. In order to receive a Medicare rebate, you must obtain a care plan from your GP. Medicare rebates can be processed in our office at the time of your consultation. Out of pocket expenses apply for dietitian consultations.