Cited by 307Gastrointestinal motility and disordersGut microbiota and healthInfant Health and Development

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Food intolerance and the irritable bowel syndrome.

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Nanda, R, James, R, Smith, H, Dudley, C R, Jewell, D P·1989·Gut

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Abstract

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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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
DOI: 10.1136/gut.30.8.1099
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 › Medicine › Pediatrics, Perinatology and Child Health › 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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