How To Deal with IBS-D (Try these 4 strategies in this order!) IBS Health Coaching and FODMAP Diet Recipes | Calm Belly Kitchen (2024)

This video blog is part 2 in my series on how to deal with IBS symptoms, especially if you're experiencing Irritable Bowel Syndrome with Diarrhea (IBS-D). The low-FODMAP Diet is your first line of defense and often makes a big difference to those with diarrhea as their main IBS symptom.

But sometimes other strategies - along with modifying the FODMAP Diet to work with YOUR body - are needed.

In this video, I'll cover 4 strategies to consider if chronic diarrhea is wearing you down. Keep in mind that I'm discussing symptoms caused by IBS. If you have other health issues that factor in, other strategies may be needed.

Check out the rest of the series:

[Want to learn more about the FODMAP Diet and why it's so effective for IBS? Check out this blog post next!]

Now onto part 2...

How To Deal with IBS-D (Try these 4 strategies in this order!)

Watch the video to go deep on this topic, or keep reading to get the main points.

Just the key points:

First thing's first: Calm Belly Kitchen is an educational resource and doesn't replace personalized medical advice. Check with a doctor before starting any new dietary treatment or supplement.

4 Strategies To Deal with IBS-D

#1 Ace the Low-FODMAP Diet

For many people with IBS, avoiding their FODMAP trigger foods is enough to significantly reduce diarrhea and the urgency and panic that can go with it. If you're eliminating FODMAPs and still having frequent loose bowel movements, take a closer look at your meals:

  • Read ingredient labels to make sure no FODMAPs in prepared foods or processed items are sneaking into your diet

  • Regularly check the Monash app to know you're eating low-FODMAP serving sizes of fruit and veg

  • Get a low-FODMAP cookbook - I hear the CBK cookbook is pretty great! :)

#2 Look at your fiber Intake

It's not typical to go overboard on fiber when you're eating a low-FODMAP diet. But if you're very prone to diarrhea, it may help to reduce your intake of fiber-filled fresh produce and grains.

Here are some examples of how you might modify your daily diet:

  • If you're eating brown rice, switch to white

  • Have oatmeal every other morning instead of everyday

  • Try eating one serving of fruit in the morning instead of several servings throughout the day

#3 Focus on soluble fiber

Quick review:

  • Insoluble fiber adds bulk and pushes stool through the bowels. It's found in fruit and vegetable skins and whole grains

  • Soluble fiber helps stool form properly and move consistently through the bowels, rather than going to the extremes of diarrhea or constipation. It's found in fruit, veg, legumes, grains, nuts and seeds.

Most foods contain both types, and that's okay. You don't need to completely avoid insoluble fiber. However, a supplement like Heather's Acacia fiber is purely soluble and might be the extra help your system needs.

#4 Consider the Specific Carbohydrate Diet

If you avoid your high-FODMAP trigger foods and have a handle on your fiber intake but still experience diarrhea regularly, look into the Specific Carbohydrate Diet (SCD).

Put very simply, it's a more restrictive version of the FODMAP Diet. But like FODMAP, you don't stay in elimination mode forever! The SCD was developed to treat a variety of digestive disorders - including chronic diarrhea - by taking away all sources of fermentable carbohydrates, as well as foods that are part of the modern diet (i.e. grains) and anything artificial or processed (similar to the philosophy behind the paleo diet).

The SCD is also sometimes used to treat SIBO, often in combination with low-FODMAP or other diets. To learn more about the SCD, check out the website from the creators of the diet.

Bonus Tip: Chronic diarrhea is a major cause of dehydration, which saps your energy and makes your digestive system work harder - leading to more symptoms. Drink plenty of water to replenish your body.

Chronic diarrhea can mess with your quality of life, but you don't have to be stuck suffering forever! Look at your current diet, try the tips above, and see a doctor to explore other treatments if you need more help.

If you deal with diarrhea as your main IBS symptom, what strategies or tips have you help you? Share in the comments!

Want a step-by-step guide to FODMAP? Click to learn more about our ebooks!

How To Deal with IBS-D (Try these 4 strategies in this order!) IBS Health Coaching and FODMAP Diet Recipes | Calm Belly Kitchen (2024)

FAQs

What are the coping strategies for IBS? ›

Some ways of coping are: taking time to relax; relaxation tapes; yoga; aromatherapy; massage or exercise (gently). Can herbal drinks help? Some people find that herbal drinks such as peppermint or camomile help.

How do you control diarrhea with IBS? ›

Over-the-counter medications, such as loperamide (Imodium A-D), can help control diarrhea. Your provider might also prescribe a bile acid binder, such as cholestyramine (Prevalite), colestipol (Colestid) or colesevelam (Welchol). Bile acid binders can cause bloating. Anticholinergic medications.

What foods can you eat with IBS D? ›

Foods to try with IBS-D
FoodExamples
Whole grain cerealsporridge oats, quinoa flakes, brown rice, rice bran, sourdough spelt bread, and gluten-free multigrain bread
Vegetablescarrots, green beans, sweet potatoes, corn, cabbage, cassava, and eggplant
Legumeslentils, chickpeas, broad beans, peas, and soybeans
1 more row
Jul 19, 2023

What food calms an IBS flare-up? ›

Foods to include during an IBS-D flare
  • Lean protein. Include lean meats, eggs, and fish to ensure adequate protein intake during an IBS flare. ...
  • Fruits. Berries and other fruits with seeds are harder to digest. ...
  • Vegetables. Fresh vegetables are a mainstay in a balanced diet. ...
  • Grains. ...
  • Dairy.

What calms irritable bowel syndrome? ›

People whose main IBS symptom is cramping often use anti-cramping medications. These medications are meant to relieve the pain by relaxing the muscles of the intestine. Research suggests that four anti-cramping medications may help: butylscopolamine, cimetropium, pinaverium and otilonium.

How to deal with an IBS problem? ›

Don't
  1. do not delay or skip meals.
  2. do not eat too quickly.
  3. do not eat lots of fatty, spicy or processed foods.
  4. do not eat more than 3 portions of fresh fruit a day (a portion is 80g)
  5. do not drink more than 3 cups of tea or coffee a day.
  6. do not drink lots of alcohol or fizzy drinks.

What 12 foods stop diarrhea? ›

What are some foods that are recommended to eat when you have diarrhea? The list includes simple foods like oatmeal, bananas, plain rice, applesauce, boiled potatoes, toast, plain crackers, pretzels, and baked chicken without skin or fat.

What is the first line treatment for IBS-D? ›

First-line drug therapy includes antispasmodics and peppermint oil for the treatment of abdominal pain. Loperamide and laxatives can be tried for the treatment of diarrhoea or constipation, respectively, although evidence for their efficacy is limited.

What are the worst foods for IBS with diarrhea? ›

Foods that may make IBS diarrhea worse
  • Fried foods.
  • Fatty foods.
  • Dairy (especially if you are lactose intolerant)
  • Foods containing wheat (if you are gluten-sensitive)
  • Too much fiber (especially from fruit/vegetable skin)
  • Chocolate.
  • Carbonated drinks.
  • Caffeine.
Jun 16, 2022

Is peanut butter OK to eat with IBS-D? ›

Peanut butter is considered low FODMAP when eaten in moderation. Medical experts often recommend low FODMAP for people with IBS. A tablespoon of peanut butter can be a suitable snack for IBS.

Can you eat bananas with IBS-D? ›

It turns out some very healthy foods like apples, pears and dried fruits are naturally high in fructose, which when ingested, can trigger some of the same side effects as undigested lactose. Fruits lower in fructose, such as berries, citrus and bananas, may be a better choice for people with IBS.

Does drinking lots of water help with IBS-D? ›

Drinking around two liters of water daily can lessen the symptoms associated with IBS, such as bloating, abdominal pain, constipation, and diarrhea. Water is essential for digestion and toxin removal so it's no wonder that staying hydrated is the key to managing IBS.

Are potatoes ok for IBS? ›

Baked and Boiled Potatoes

Some people with IBS find cooked potatoes are easy to digest, which is good news because baked or boiled potatoes are a natural source of nutrients like potassium. Depending on how well a person with IBS tolerates fiber, the skin of the potato may need to be removed before it's cooked.

What should I drink when my IBS flares up? ›

Take a look at all of the beverages on the thumbs up list.
  • Low-FODMAP Fruit Juices. ...
  • Low-FODMAP Vegetable Juices. ...
  • Decaffeinated Coffee, Decaf Tea, or Weak Caffeinated Tea. ...
  • Herbal Tea. ...
  • Dairy-Free Milk.
Aug 9, 2023

Is tuna good for IBS? ›

Tuna, mackerel, and salmon are some of the many types of fish that contain high amounts of omega-3 fatty acids. Omega-3s are great for your heart health and reduce inflammation linked to IBS. Add more fatty fish to your diet.

What are the behavioral strategies for irritable bowel syndrome? ›

Strategies such as relaxation training and hypnosis can improve gut-to-brain func- tioning, whereas techniques such as CBT can improve brain-to-gut communication.

How to make IBS manageable? ›

Dietary Changes. Bloating, abdominal pain and diarrhea may respond to dietary modification. For example, caffeine or fatty foods stimulate colonic contractions, so someone with IBS and diarrhea might have improvement by reducing their daily intake of caffeinated beverages and rich foods.

How do you mentally deal with IBS? ›

Reduce stress

Pain is also an emotional experience, so relaxation techniques, mindfulness, and stress reduction techniques may help improve quality of life for people with uncomfortable symptoms of IBS.

How do you calm an IBS episode? ›

There are many things you can do to manage IBS symptoms. Heat, tea, relaxation, keeping track of symptoms, and eating a low-FODMAP diet can all help.

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