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Kirsten Jackson Consultant BSc Hons PG Cert RD

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Post Infectious IBS – How To Manage

by Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert Leave a Comment

Post infectious IBS is a common type of IBS which typically starts after having some sort of gut infection.

The exact cause of IBS is frustratingly not known in many cases as there is no real clear change in structure or biochemistry that can be measured in IBS sufferers [1]. 

We are now getting to know more about the possible links and potential causes – which is explained in more detail in this post: “What are the Signs and Symptoms and Causes of IBS”.

If you’re wondering if your IBS symptoms have started after a nasty bug or food poisoning, then you could be right, and you could have post-infectious IBS [2]. 

In this article I will explain what post-infectious IBS is and how it can be treated, to help you take the first step in taking control over your symptoms.

post infectious IBS

Table of Contents

  • What is post infectious IBS?
  • What are the symptoms of post infectious IBS?
  • What causes symptoms in PI-IBS?
  • How common is post-infectious IBS?
  • How is post-infectious IBS treated?
  • Summary

What is post infectious IBS?

Post infectious IBS is characterised as new IBS symptoms, as classified by the Rome V criteria, that start following infectious gastroenteritis [3]. 

Infectious gastroenteritis is inflammation of the gut that can lead to vomiting and diarrhoea. It is often caused by bacteria, viruses or parasites, such as food poisoning. This is one of the strongest known risk factors for IBS development [3]. 

You may think back to when your IBS symptoms started and remember having a nasty stomach bug beforehand. This may be responsible for the gut symptoms that you still suffer from now!

What are the symptoms of post infectious IBS?

It may not come as a surprise to you that mixed type symptoms are the most common in post infectious IBS. This means that your symptoms include both constipation and looser stools [4].

The next most common type of symptoms is diarrhoea predominant [4].

What causes symptoms in PI-IBS?

We do not really know exactly how these symptoms come about. We do however know that the following changes may take place in the gut after the infection [2]:

  • Low grade inflammation of the lining of the gut
  • Increased size of mast cells
  • Changes in immune cells of the lining of the gut and/or peripheral circulation
  • Changes in the gut microbiome 
  • Increased gut permeability 
  • Gut motility and visceral hypersensitivity 

These changes can disturb the gut-brain axis, possibly causing your IBS symptoms. 

How common is post-infectious IBS?

The current research into how common post infectious IBS is quite poor and further research is needed. This is tricky to capture and results can be flawed – you may not even recall your episode of gastroenteritis!

One systematic review and meta-analysis found that more than 1in 10 people with infectious gastroenteritis developed IBS later on. Whilst, gastroenteritis increased the risk of developing IBS by more than 4 times [5].

You have more risk of developing post infectious IBS if [4, 6]:

  • You are female
  • You suffer with anxiety or depression
  • Your symptoms during gastroenteritis included abdominal pain, bloody stool and >7 days of diarrhoea
  • You had certain types of infections
  • Within 12 months of your gastroenteritis episode 
  • You took antibiotics to treat your gastroenteritis 

How is post-infectious IBS treated?

There are currently no guidelines or recommendations on the treatment of PI-IBS [3].  This does not mean that there aren’t strategies that may help you in managing your symptoms. 

The strategies to manage post infectious IBS are therefore the same as the management strategies for IBS and should be guided by your symptoms and which type of IBS you fall under. 

For example, if you suffer with symptoms that fall under the IBS-D category, the strategies to reduce the severity of your symptoms will be the same as for IBS-D management [7].

It is important to remember that IBS is multifactorial. This makes it hard to know which management strategy will work for you and being guided by a Dietitian can help you with this process to discover the right method for you.

Your post infectious IBS symptoms can reduce over time and can eventually resolve completely. Some research has shown that less than half of participant’s symptoms resolve within 6 years [6].

Summary

Post infectious IBS is characterised by IBS symptoms following infectious gastroenteritis. Infectious gastroenteritis is one of the strongest risk factors for IBS, increasing your risk by 4 times.

Your symptoms are a result of changes that take place in the gut, such as inflammation and changes in the gut microbiota. This is due to disturbance of your gut-brain axis. 

There is no widely accepted treatment for post infectious IBS and your case is individual. As it is not a one size fits all, there is not always a straightforward answer.

Your management will be guided by the type of IBS symptoms you suffer from. Working closely with a Dietitian can help you discover what strategies are best suited to you and your gut symptoms.

Article written by Beth Wilson (Registered Dietitian with specialist interest in gastroenterology) and reviewed by Kirsten Jackson Consultant IBS Dietitian

Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

Filed Under: Treatments, Testing and Diagnosis Tagged With: food poisoning, gut bug, post infectious IBS

About Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

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I would love to know - how does your work impact y I would love to know - how does your work impact your gut health?👇👇​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😥 We spend a lot our lives at work and if you have IBS, this routine can be quite stressful. You may feel frustrated at the difficulties you face trying to thrive in the workplace and you may lack energy to achieve your absolute best. ​​​​​​​​
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😊  Instead of accepting that work needs be this anxiety triggering thing in your life - adopt the Take Control approach of making small, sustainable changes over time like 10 minutes of meditation per day or going for a walk in your lunch break. Small changes over time add up to = big results!​​​​​​​​
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Do you suffer from IBS-C? Comment below 👇 ​​​​​​​​​​​​​​​​
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😪 Constipation is a common symptom of IBS (IBS-C). Some of the symptoms include straining on the toilet, loose or hard stools, and abdominal pain (these are just a few!😪) Constipation can leave my clients feeling bloated, fatigued, suffering from lack of appetite and overall totally fed up!! ​​​​​​​​​​​​​​​​
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🎉 If you're tired of spending what feels like an eternity on the toilet, help is available. All of these tips are part of The Take Control 2.0 process, and can help you to manage your bloating and fatigue - allowing you to achieve ultimate symptom control!​​​​​​​​
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😬 Do you have a food intolerance? Comment below 😬 Do you have a food intolerance? Comment below.

😳 Despite the multiple tests out there claiming to diagnose food intolerances, you can't actually test for an intolerance 😅. This means many people are wasting 💰💰 and following restrictive diets unnecessarily.

🙏 If you have symptoms of an intolerance then 1/ go to your GP to have some routine tests to ensure the symptoms aren't coming from other conditions and then if these all come back negative adopt our Take Control approach of using the scientifically backed low FODMAP diet approach to identify your actual intolerances with a registered dietitian support.

🙋🏼‍♀️❓ DM me your questions or comment below!

🤔 Also, did you grab my FREE  guide yet? The IBS morning routine - link in the bio.

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Can you relate? Comment below 👇 ​​​​​ Can you relate? Comment below 👇 ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😓 IBS feels like a continuous emotional rollercoaster. Yes there are physical IBS symptoms, but there are also many unseen struggles of IBS including social anxiety and loneliness. This can leave us feeling exhausted and not knowing where to turn to next. ​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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😊️ Instead of going through this alone, adopt the Take Control approach of community..​this could look like taking a step to reach out to a loved one that will you trust or joining an online group of other people with IBS who 'get it'. Doing this will make you feel seen when your IBS takes you for a ride. 
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🥳 Fed up of trying everything you can but nothing​​​​​​​​​​​​​​​​ seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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👀 New feature in @insider 🥕🥗🍝 How to 👀 New feature in @insider

🥕🥗🍝 How to make tweaks to a traditional American diet to make it more Mediterranean.

🙏 The Mediterranean diet is the best diet for overall health and wellness. BUT you don't have to make huge changes to your current diet. This is pretty unsustainable and not needed. Instead, just make small swaps.

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Share this post to raise awareness! 🙏​​​​​​​​​​​​​​​​
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Having IBS can really take a toll on your mental​​​​​​​​​​​​​​​​
health. There is a higher prevalence of mental health related symptoms and disorders in IBS compared to those without IBS😔. ​​​​​​​​​​​​​​​​
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The good news is that there are multiple treatments​​​​​​​​​​​​​​​​
including medications, CBT, clinical hypnotherapy and​​​​​​​​ mindfulness that have been shown to be of benefit to​​​​​​​​ those with IBS! The Take Control Approach 2.0  focuses on every aspect of lifestyle - including mindfulness and meditation!​​​​​​​​
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For anyone struggling out there with either gastrointestinal symptoms or psychological symptoms check in with a health professional. Whether it be your regular psychologist, dietitian or doctor, there is support available for you. ​​​​​​​​​​​​​​​​
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😢 The question I often get asked by many of my 😢 The question I often get asked by many of my clients is ‘where do I start’. Misinformation about IBS is rampant on social media and can often leave us feeling confused and overwhelmed about what is actually best to help manage our IBS and where we should start making changes.​​​​​​​​​​​​​​​​
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🙌 In the Take Control Approach 2.0 focuses on research proven advice around the 4 pillars of IBS management - sleep, movement, nutrition and diet. By following research based advice that you can trust, you can start to see improvements and feel like you again. ​​​​​​​​
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😬 Anyone relate? 💩 Many people I talkt to a 😬 Anyone relate?

💩 Many people I talkt to are trying to manage their IBS through restriction. The irony being that even with avoiding multiple foods, they still have symptoms.

🙏 Whilst you may have some food intolerances, it shouldn't be multiple. A restrictive diet will worsen your gut health. Instead of avoiding multiple foods and Still having symptoms adopt the Take Control approach of following the low FODMAP diet to identify specific food triggers and tolerance levels.

❤️ Don't forget to download your free IBS morning routine -  link in bio.

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📰Check out my interview contributions in @cosmo 📰Check out my interview contributions in @cosmopolitanuk

🧅🍹🍎 Whilst this article points out 10 common IBS triggers, it's important to note that everyone will have different tolerance levels and there is no 1 cookie cutter diet for people with IBS.

🙏 To find out your intolerances it is important to work through the low FODMAP process which will give you specific answers.

👀 Read the full article https://www.cosmopolitan.com/uk/body/diet-nutrition/a13057878/foods-to-avoid-ibs/

#theibsdietitian #irritablebowelsyndrome #takecontrol
Late to the Avatar bandwagon 😅. Have you tried Late to the Avatar bandwagon 😅.

Have you tried the new Lensa app? What did you think?
CAN YOU RELATE? COMMENT BELOW ⬇️​​​​​​​​
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👉Anyone else feel like they just can't catch a break from IBS for just one minute? IBS is a debilitating condition that can impact so many aspects of your life, the big and the small things - they can all be a struggle when you have IBS!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
👍 But what if you could fully understand your IBS so you were able to identify your triggers AND improve your gut health so it was less sensitive? This would allow you to get on with tasks big or small without feeling overwhelmed. The Take Control 2.0 approach allows you to look at all aspects of your life to give you back control of your life!​​​​​​​​
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🎉 🎉 I am giving away a FREE IBS morning routine guide which you can download via the link in my bio. ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​​​​​​​​​
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Can you add anymore? Comment below👇 ​​​​​​​​​​​​​​​​
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😪 When following a low FODMAP diet, consuming enough fibre may be challenging as often high fibre foods are restricted. However, eating enough fibre is essential for helping bulk and soften stools! ​​​​​​​​​​​​​​​​
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🤩 Life should not have to be this challenging! ​​​​​​​​Using the Take Control 2.0 approach can allow you to discover foods and drinks which you can tolerate to improve your fibre intake - which is so important for gut health!​​​​​​​​
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🥳 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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📰 Check out my feature in @insider 🙋🏼‍ 📰 Check out my feature in @insider

🙋🏼‍♀️ I am a huge advocate of the Mediterranean diet because it is repeatedly shown to be the best option for our health regardless of what is studied. AND especially in gut health.

💩 Including wholegrain, oily fish, plenty of veggies, fruits, nuts and olive oil is easy with a few tweaks to any diet!

✅ Swap your white carbs to brown
✅ Add 2 portions of fish per week - one should be oily like mackerel or salmon
✅ Eat the rainbow with fruit and veg
✅ Snack on nuts
✅ Switch your oil to olive oil

💩💩 What could you do this week to make your diet more in line with the Mediterranean diet? comment below 👇
DO YOU MOVE FOR YOUR GUT HEALTH? Comment below 👇​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
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🥵 We get told that the more intense we exercise, the better. But exercising intensely can trigger our IBS, making us feel confused about the best way to stay healthy and control our symptoms. ​​​​​​​​
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🤔 In reality, people like to over complicate exercise. This is why we use the term 'movement' in the Take Control method. Avoid the confusion and keep it simple by going for a daily 30 min gentle walk and you will see the benefits!​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​
🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
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#ibs #walking #movement #irritablebowelsyndrome #ibsexpert #ibs diet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealthiskey #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth
🤔 Can you relate to any of these comments? Let 🤔 Can you relate to any of these comments? Let me know below 👇 ​​​​​​​​
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😔 When you have IBS, you may feel that how you come across appears rude at times. IBS impacts every area of your life and you can feel you are constantly having to cover it up. Over time, this style of 'coping' can leave you feeling pretty isolated.​​​​​​​​
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🙏 Instead of treading water with your symptoms, use research proven methods such as the low FODMAP diet process and mindfulness (part of the Take Control approach) to move forward with your symptoms and regain confidence in yourself and your social life!​​​​​​​​
⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​
🎉 🎉 I am giving away a FREE IBS morning routine guide which you can download via the link in my bio.​​​​​​​​
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#ibs #ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #chronichealth
⏩ Do you suffer from bloating? Comment below 👇​​​​​​​​
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🤰 Bloating is a common symptom for those suffering with uncontrolled IBS. Having bloating which is unpredictable and there everyday will make you feel tired, impact your relationship with your body and give you real anxiety about eating food.​​​​​​​​
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⏩ Instead of suffering with unpredictable bloating try the Take Control 2.0 approach of using the low FODMAP diet to identify your dietary triggers. By doing this, you can avoid foods which cause you bloating and start to feel more confident in your body.​​​​​​​​
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🎉 Would you like to start the day in a way which would benefit your gut? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​
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#ibsbloattips #ibsbloat #ibs #ibsdiet #ibsmanagement #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree #gutinstinct #healthygut #ibsd #ibsmanagement #ibssymptomrelief #ibshelp
WHAT WOULD YOU ADD? Comment below 👇 ​​​​​​​​​​​​​​​​
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😣 IBS is a condition that others cannot see. As humans, we struggle to understand or truly believe in things that we can't touch, hold or see. As a result, IBS sufferers often feel quite alone.⠀⠀⠀⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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😇 IBS is estimated to affect 5-10% of the worldwide population - so you really aren’t alone! Follow the Take Control process of finding a community to support you - there are lots of online forums where you can chat and share your worries with other people who completely understand. ​​​​​​​​
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning routine guide! Link in bio.⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #mumlife #dubaimom #constipation #chronicpain #chronicallyunwell #women'shealth #ibswishes
⁉️ Have you heard of these symptoms before?

😳 Both of these symptoms can be caused by a few things and one of them is bowel cancer. But we don't know based on symptoms alone so please go and get checked.

🩸Blood can appear on a toilet tissue, in the toilet bowl or it can look like part or all of your stool is black.

⚖️ Unexplained weight loss means that you have lost weight despite eating adequate calories and not really changing your exercise routine. It can be common in IBS to lose weight but this is due to eating less food and so it is explainable.

🙏🙏 If you have either of these symptoms please see your doctor to get checked, don't take the chance.

#bowelcancer #cancer #theibsdietitian
😭 Can you relate? Comment below👇👇​​​​​​​​​​​​​​​​​​
😫 Suffering from IBS can be difficult and burdensome especially when trying to go about your daily life. IBS is a condition that cannot be seen which makes it even more difficult for others to understand and can often feel very isolating😢. 

👉 Instead of keeping this condition to yourself, adopt the Take Control principle of community and get support from people who also have this condition. You can do this by opening up to friends (1 in 10 people have this!) or joining  online FB groups - this way you won't feel so alone in your fight! 
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​

#ibs diet #ibsbehindthescene ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #dubaidietitian #londondietitian #dubailife #dairyfree #prebiotics
🤔 WHICH ONES DID YOU KNOW? Comment below 👇 ​​​​​​​​​​​​​​​​
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😞 IBS is a very complex disorder to navigate by yourself. It’s more than just altering your diet, a lot of factors are at play with your IBS. Trying to work out what triggers your IBS is an absolute mind field.​​​​​​​​​​​​​​​​
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Adopting the Take Control Method, where the 4 pillars of IBS relief are all addressed (diet, movement, mental health and sleep), has helped so many of my clients to achieve that ultimate symptom relief because it considers EVERYTHING, not just what you out in your mouth.​​​​​​​​​​​​​​​​
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🎉 🎉 Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide - link in bio.​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​
#ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #lowfodmapdiet #bloating #irritablebowelsyndrome #fodmapfree  #gutinstinct #healthygut #ibsd #ibd #tea #5steps #chronichealth #multifactorial. #chronicallyunwell #endo #ibstype #ibstyping #ibsc
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