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Evelyne Bourdua-Roy agrees. "It is super common," she says. "Most patients have given up hope of getting treatment, it seems. But when they go on a low-carb diet, most see an improvement within two weeks or less, she says. In addition to most of Dr. Bourdua-Roy’s patients having improvement or complete disappearance of their IBS symptoms, she has experienced it herself. "I’ve had a complete resolution of bloating, pain and excessive gas."5 I have, too. I now consider my mild IBS completely cured on the ketogenic diet. In my very first post for Diet Doctor, I described how going low carb resolved not only my prediabetes but resulted in barely a grumble from my sometimes grumpy gut. Like Atkins-Reeves, it seems the diet has even reset my underlying intestinal tolerance. Trigger foods that used to bother me, like runny eggs or raw spinach, don’t give me trouble anymore. Could restricting carbohydrates be the key to your happier gut? Read on for more information about what is known, and not known, about IBS in general - and when carbohydrate restriction might be just the solution to tame your tumultuous tummy.

Dr. Bourdua-Roy says that silence is very common among her patients. "Most of my new patients don’t even mention it. The key defining symptoms of IBS are recurrent abdominal bloating, pain, diarrhea and/or constipation. Excessive flatulence, cramping, heartburn, nausea, vomiting, exhaustion, sweating, shivering, anal itching, and sudden incontinence can be part of the not-so-pretty picture, too.9 A few serious medical conditions can have symptoms similar to IBS: celiac disease, inflammatory bowel disease (Crohn’s and ulcerative colitis), and certain types of cancer, especially colon or ovarian cancer. The key factor that distinguishes IBS from other gastrointestinal issues is that diagnostic tests can’t find anything wrong. This is why it’s often called a "functional" disorder, meaning it is based on symptoms after other causes have been ruled out.11 The takeaway: If IBS is causing a lot of distress, especially if symptoms are new, have a doctor rule out other more serious health issues first. But if IBS is the eventual diagnosis, you’re not alone.

And a low-carb, Supraketo Keto Pills high-fat diet may very well help. Chronic stress is known to contribute to and worsen the disease.13 And anxiety and depression are often natural responses to a condition that can cause fear of public embarrassment or undermine quality of life - especially when the symptoms are dismissed as psychological by doctors.14 Research, however, is now pointing to a variety of subtle changes that each may underlie the development of IBS. Research, however, is now pointing to a variety of subtle changes that may underlie the development of IBS. The takeaway: While stress can make IBS worse, it is not all in your head. Impaired immune function, genetic predisposition, and physiological changes that haven’t been captured by diagnostic tests may be at play. In recent years the low-FODMAP diet has been getting a lot of research attention for its ability to improve IBS symptoms.16 FODMAP is an acronym for fermentable oligosaccharides, disaccharides, monosaccharides and polyols. That unwieldy name describes types of short-chain carbohydrates found in many fruits, vegetables, legumes, grains, dairy products, Supraketo.org and some processed foods.

What FODMAPs have in common is that they tend to ferment in the small intestine, Supraketo Keto causing gas and bloating. They are also poorly absorbed by the gut wall and cause fluid to remain in the intestinal space, which can lead to diarrhea in those with IBS-D.17 FODMAPs include fructose and fructans found in many fruits, vegetables and wheat products; lactose, a sugar found in milk and some dairy products; galactooligosaccharides (GOSs) found in beans and lentils; and sugar alcohols (polyols) such as the sweeteners sorbitol, xylitol and mannitol.18 In recent years, following a low-FODMAP diet - under the guidance of a registered dietitian - has gained acceptance as a first-line therapy for IBS.19Patients first eliminate all FODMAPs in their diet and then slowly reintroduce them to see which ones they can tolerate. However, along with acknowledging low FODMAPs as an option, most specialists still also recommend more traditional advice for IBS: small meals, regular food intake and avoidance of coffee and fat.20 No carbs equals no fermentation equals no IBS.

Dr. Ted Naiman notes that the general very low-carb diet is easier. "No carbs equals no fermentation equals no IBS. It is simple and it works great."21 The takeaway: Ample evidence now exists that short-chain carbohydrates called FODMAPs can cause problems in people with IBS, but the intricacies of the diet are challenging. A low-carb diet is a simpler way to eliminate many of the common FODMAPs. In 2009 a team at the University of North Carolina that included Dr. Eric Westman examined a diet containing less than 20 grams of carbs a day for IBS. During the study, 13 people with diarrhea-predominant IBS (IBS-D) started with a standard American diet for two weeks, then switched to a very low-carb diet for four weeks. At the end of the study 10 participants (77%) had significantly less abdominal pain and diarrhea, along with improved quality of life.22 "A very low-carb diet, or LCHF, is basically a low-FODMAP diet with even fewer carbs," said Dr Westman.