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Dietary Treatments for Irritable Bowel Syndrome

Image of a bowel held by a person in the kitchen

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A study published in the Natural Medicine Journal compared three different treatment modalities for managing irritable bowel syndrome (IBS): a low-FODMAP diet (restricting the consumption of specific carbohydrates that are poorly absorbed in the small intestines) combined with traditional dietary guidance for IBS (LFTD group); a low-carbohydrate, high-protein, high-fat and fiber-optimized diet (low-carb group); and pharmacological intervention targeting IBS symptoms such as abdominal pain, constipation or diarrhea (drug group).

The study enrolled 294 adults with moderate-to-severe IBS that were randomly assigned to one of the three treatment options for a four-week period. Those in the diet groups received nutritional counseling and support to adhere to their assigned diet. The participants’ IBS symptoms were assessed before, during and after the four-week intervention period.

At the end of the intervention period, all three groups reported improvements; however, the LFTD and low-carb groups exhibited more significant reductions in IBS symptom severity from the baseline compared to the drug group. These findings suggest that dietary modifications should be a primary treatment approach for IBS patients, with the low-carb diet being preferable for patients experiencing constipation and for patients that find the low-FODMAP diet difficult to follow.

Tick Talk

Spring officially sprung on March 21. We have turned our clocks ahead. We are looking forward to warm winds, sunny skies and the smell of fresh cut grass. The daffodils and tulips have recently bloomed and we are just starting with the yard work that comes with the warmer weather.  Sadly, another season has started ramping up.  Tick season.

•             The best form of protection is prevention. Educating oneself about tick activity and how our behaviors overlap with tick habitats is the first step.

•             According to the NJ DOH, in 2022 Hunterdon County led the state with a Lyme disease incidence rate of 426 cases per 100,000 people. The fact is ticks spend approximately 90% of their lives not on a host but aggressively searching for one, molting to their next stage or over-wintering. This is why a tick remediation program should be implemented on school grounds where NJ DOH deems high risk for tick exposure and subsequent attachment to human hosts.

•             Governor Murphy has signed a bill that mandates tick education in NJ public schools. See this for the details.  Tick education must now be incorporated into K-12 school curriculum. See link:

https://www.nj.gov/education/broadcasts/2023/sept/27/TicksandTick-BorneIllnessEducation.pdf

•             May is a great month to remind the public that tick activity is in full swing. In New Jersey, there are many tickborne diseases that affect residents, including Anaplasmosis, Babesiosis, Ehrlichiosis, Lyme disease, Powassan, and Spotted Fever Group Rickettsiosis.

•             For years, the focus has mainly been about protecting ourselves from Lyme disease. But other tick-borne diseases are on the rise in Central Jersey. An increase of incidence of Babesia and Anaplasma are sidelining people too. These two pathogens are scary because they effect our blood cells. Babesia affects the red blood cells and Anaplasma effects the white blood cells.

•             Ticks can be infected with more than one pathogen. When you contract Lyme it is possible to contract more than just that one disease. This is called a co-infection. It is super important to pay attention to your symptoms. See link.

https://twp.freehold.nj.us/480/Disease-Co-Infection

A good resource from the State:

https://www.nj.gov/health/cd/topics/tickborne.shtml

 

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