Four questions to know whether to follow these eating trends that are the buzz when you suffer from irritable bowel syndrome.
Should we take probiotics?
Studies have observed a beneficial effect of certain strains of probiotics on irritable bowel symptoms, but not in all patients nor with the same results.
Better to choose food supplements containing the strains in question (Ibsium, from Lesaffre; Bion, Trancit; Lactibiane Référence, from Pileje; Probiopur, from Nutrixeal).
And if you don’t see any improvement within two months, there’s no point in persevering.
Is organic better?
If we do not know, Dr Jacqueline Warnet, hepato-gastroenterologist, has an opinion on the question, if only for fruits and vegetables:
“How do you want the intestine to function well if it is subjected to the aggression of fertilizers and pesticides, which are known to be unhealthy?” “
Given the harm that antibiotics cause to the flora, the idea of favoring organic meat does not seem foolish either. Professor Laurent Peyrin-Biroulet, hepato-gastroenterologist, qualifies this reasoning: “To judge, it would be necessary to show that this additional exposure, via the consumption of meat, worsens the disease or modifies the flora, which has not yet been done. ”
The gluten-free diet, ideal for the stomach?
This has only been shown in the event of proven celiac disease. Without having this gluten intolerance, some of those who have had the experience of not consuming it say they are relieved. “It’s true,” says Florence Foucaut, dietician nutritionist, “but it may also be due to the fact that, in addition to bread, they exclude pastries, cakes, pizzas, and other products rich in gluten, but also in fat. , very irritating to the intestine … ”
Another explanation put forward by Professor Peyrin-Biroulet: “In irritable bowel syndrome, a placebo effect is not excluded because we realize that sometimes it is enough to tell patients to remove a particular category of food so that, already, they feel better. ”
An Iranian study published in June 2015, however, showed an improvement in symptoms in 83.8% of the “placebo gluten” group, against 25.7% of the “true gluten” group. But rather than excluding it, we can first of all make sure that it is not a problem of dose, because sometimes it is enough to reduce its consumption of products rich in gluten (pasta, classic bread , pizzas, quiches, cakes, beer …) to soothe his intestines.
“It doesn’t cost a thing to try a gluten-free month,” adds Dr. Warnet. The intestine knows how to make the difference. “
Vegetarian, less intestinal worries?
A meatless diet would be associated with a decreased risk of constipation and colorecta cancerthe. Logical when we know that animal fats, at least in excess, have a bad reputation, unlike fibers, whose vegetarian diet is very rich, which have a recognized protective effect.
No studies, however, concerning irritable bowel syndrome. But, since vegetarians are supposed to meet their protein needs with grains and legumes, which are very high in insoluble fiber, it is not certain that this diet is suitable for people with functional colopathy.