Table 2.
Encouraged Habits and Behaviors | Limited Intake | Other Considerations |
---|---|---|
Eating regular meals and limiting the volume/amount of food per meal | The intake of fat, spicy foods, and sorbitol (an artificial sweetener found in diabetic/ slimming/sugar-free drinks and sweets) should be minimized in patients with diarrhea-predominant IBS or mixed IBS. | If increasing the fiber intake is advised, the option should be for soluble instead of insoluble fiber, as insoluble fiber is discouraged for patients with IBS. |
Eating slowly and chewing thoroughly | Daily fruit intake should be limited to 3 portions. | Although adding probiotics is safe in patients with IBS, they do not seem to provide benefit regarding symptom control and, therefore, are not recommended. |
No long gaps between meals or skipping meals | The intake of coffee, tea, alcohol, and carbonated beverages should be reduced. |
IBS, irritable bowel syndrome.