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

How do you treat IBS D? ›

Based on your symptoms, medications may be recommended, including:
  1. Fiber supplements. Taking a supplement such as psyllium (Metamucil) with fluids may help control constipation.
  2. Laxatives. ...
  3. Anti-diarrheal medications. ...
  4. Anticholinergic medications. ...
  5. Tricyclic antidepressants. ...
  6. SSRI antidepressants. ...
  7. Pain medications.
May 12, 2023

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

How to calm IBS flare up diarrhea? ›

Some OTC medications may help calm IBS flare-ups. Bismuth subsalicylate (Pepto-Bismol, Kaopectate) and loperamide (Imodium and Dioraleze): These are antidiarrheal medications and can help relieve your diarrhea and other symptoms like heartburn and stomach upset.

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

Water intake might be associated with improvement of IBS through affecting GI function. Water intake might improve constipation among IBS-C patients. In addition, drinking water is a common suggestion for IBS-D patients to prevent diarrhea-induced dehydration.

Is IBS-D a disability? ›

The SSA, which provides disability benefits, does not consider IBS a disability. However, a person with the condition could still qualify for SSA benefits if they can prove they cannot perform meaningful work. For those who can work, employers must provide reasonable accommodations under the ADA.

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 is the number one trigger for IBS? ›

Anything high in fat content like fatty meats, cold cuts, fried foods or foods cooked heavily in oil. Dairy, especially cheese can cause trouble for many people with IBS. Beverages in general pose a problem due to carbonation, sugar content or caffeine. Alcohol is also a common trigger and should be avoided or limited.

What is the fastest way to cure IBS diarrhea? ›

6 Ways to Manage IBS Diarrhea
  1. Take fiber. Fiber pill supplements or a powder mixture that contains psyllium (like Metamucil) can help some people with IBS control their diarrhea. ...
  2. Take an antidiarrheal. ...
  3. Avoid trigger foods. ...
  4. Manage stress. ...
  5. Try therapy. ...
  6. Ask your doctor about medications and supplements.
Apr 23, 2023

Are bananas good for IBS? ›

Unripe bananas are low in FODMAPS and therefore a better choice for people with IBS — although they're not as sweet or soft as ripe bananas. However, as bananas ripen, they accumulate a type of FODMAP called oligofructans. Therefore, ripe bananas are considered a high FODMAP food (6, 7 ).

What is the root cause of IBS-D? ›

The exact cause of IBS isn't known. Factors that appear to play a role include: Muscle contractions in the intestine. The walls of the intestines are lined with layers of muscle that contract as they move food through your digestive tract.

How long does an IBS-D flare up last? ›

An IBS flare up can last anywhere from a few hours to months. Some things that may cause a flare up are stress, anxiety, depression, and post-traumatic stress syndrome. Eating “trigger” foods or FODMAPs (foods that are poorly digested by the gut) can also cause IBS flare ups.

What is the best over the counter medicine for IBS-D? ›

Loperamide. Loperamide (Imodium A-D) is an OTC medication that can ease diarrhea symptoms in people with IBS-D, IBS-M, and IBS-U. Loperamide stops the intestines from contracting, which increases the time between stooling. In clinical studies, people who took loperamide had fewer, more well-formed stools.

What are the new treatments for IBS with diarrhea? ›

For patients with diarrhea-predominant IBS, treatment options include the synthetic peripheral μ-opioid receptor agonist loperamide, antispasmodic agents, antidepressants, serotonin 5-HT3 antagonists, and the gut-specific antibiotic rifaximin. Ongoing research is evaluating the use of probiotics.

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