Food intolerance and the irritable bowel syndrome.
Open accessAbstract
Two hundred patients (156 women) with the irritable bowel syndrome were treated with dietary exclusion for three weeks. Of the 189 who completed this study, 91 (48.2%) showed symptomatic improvement. Subsequent challenge with individual foods showed that 73 of these 91 responders were able to identify one or more food intolerances and 72 remained well on a modified diet during the follow up period (mean (SD), 14.7 (7.98) months). Of the 98 patients who showed no symptomatic improvement after three weeks of strict exclusion only three were symptomatically well at follow up (mean (SD), 12.48 (8.09 months). There was no close correlation between response and symptom complex. There was a wide range of food intolerance. The majority (50%) identified two to five foods which upset them (range 1-14). The foods most commonly incriminated were dairy products (40.7%) and grains (39.4%).
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The evidence to support widespread use of FODMAP reduction in patients with IBS is limited and comes mainly from one research group.
“However, so far the evidence to support widespread use of FODMAP reduction in patients with IBS is limited and comes mainly from one research group.”
From Intestinal microbiota in functional bowel disorders: a Rome foundation report (2013) · cites this paper as [258]
Reducing intake of fibre or FODMAPs is one of the simplest and safest ways of altering gut microbiota, which can lead to improvement in bloating and diarrhoea, an effect which may last for years.
“Reducing intake of fibre256 or FODMAPs257 is one of the simplest and safest ways of altering gut microbiota, which can lead to improvement in bloating and diarrhoea, an effect which may last for years.258”
From Intestinal microbiota in functional bowel disorders: a Rome foundation report (2013) · cites this paper as [258]
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- Authors
- Nanda, R., James, R., Smith, H., Dudley, C. R., & Jewell, D. P.
- ORCID
- Nanda, R
- Venue
- Gut
- Publisher
- BMJ
- Published
- 1989-08
- Volume
- 30
- Issue
- 8
- Pages
- 1099-1104
- ISSN
- 0017-5749 (ISSN-L)
- 1468-3288
- PMC
- PMC1434180
- OpenAlex
- W2091843672
- Cited by
- 307
- References
- 26
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 8 · 2017: 6 · 2016: 11 · 2015: 9 · 2014: 13 · 2013: 20 · 2012: 10
- FWCI
- 10.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gut (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- irritable bowel syndrome, food intolerance, elimination diet, food challenge, dairy products, grain, symptom improvement
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Colonic Diseases, Functional, Female, Follow-Up Studies, Food Hypersensitivity, Humans, Male, Middle Aged
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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