Irritable Bowel Syndrome (IBS) is a chronic intestinal motility disorder which can affect up to 11% of the population. Symptoms may include bloating, wind, abdominal pain, nausea, reflux & alteration in bowel habits.
It can be difficult for most people to work out which particular foods are contributing to their symptoms, without the help of an experienced food intolerance dietitian.
Louise specialises in IBS, functional gut disorders, coeliac disease & anti-inflammatory nutrition. She also has a special interest in the link between the food we eat, our gut bacteria & chronic medical conditions.
Louise is the only Monash FODMAP-accredited dietary specialist between Newcastle & the QLD border, having completed extensive training through Monash University regarding the treatment & diagnosis of IBS, as well as implementation of the low FODMAP diet. She has also attended numerous IBS seminars & courses & can provide the most up-to-date information.
What does our IBS program include?
- Diagnosis of IBS
- Other conditions that need to be ruled out
- Is the low FODMAP diet the best option - for YOU?
- Step by step instructions regarding successful implementation of the 6 week baseline diet
- Avoiding common mistakes,that may prevent the diet from working for you
- Ensuring nutritional adequacy
- Advice regarding non-dietary factors that can aggravate your symptoms
- Meal & snack ideas
- Advice on how to decipher food labels
- Getting flavour & variety into your diet
- Food challenges to identify which particular foods are problematic
- How to liberalize your diet as much as possible, while still keeping your symptoms under control
- Low FODMAP (certified) products
Additional information on IBS & gastrointestinal conditions:
We provide evidence-based advice regarding:
- Functional gut disorders
- FODMAP sensitivity
- Anti-inflammatory nutrition
- Gut bacteria & dysbiosis
- Pre-biotic foods & probiotics
- Small intestinal bacterial overgrowth (SIBO)
- Lactose intolerance
- Coeliac disease / gluten-free
- Sensitivity to salicylates, amines, glutamates & food additives
- Reflux / GORD
- Diverticular disease
- Ulcerative colitis & Crohn's disease
Low FODMAP diet:
Studies indicate that up to 75% of people with IBS can be helped by following a low FODMAP diet – if carried out under the guidance of an experienced Accredited Practising Dietitian (as stipulated by Monash University & the researchers & Dietitians who developed the low FODMAP diet).
FODMAPs are a group of dietary sugars that can be poorly absorbed in the small intestine, & fermented by bacteria to produce gastrointestinal symptoms in some people.
Unfortunately there is a lot of misinformation about the low FODMAP diet on the internet & amongst the general public, which means that it is common for people to follow a diet that is either unnecessarily restrictive or which reduces the wrong foods. In this situation, the problem foods may not be identified & symptoms may not fully resolve. We have seen many people who were given a handout on the low FODMAP diet by their doctor or other well-meaning person, or who obtained information via the internet but did not achieve the desired improvement in their symptoms due to making some simple errors. In addition, people may be unaware that the way a food is cooked or processed may affect the FODMAP content.
The baseline low FODMAP diet should be trialled for 2-6 weeks, followed by review with one of our Dietitians, who will then provide advice regarding specific food "challenges". This is necessary in order to understand which types of foods (& how much), to reintroduce into your diet. It is essential to gradually reintroduce as much variety into your diet as possible after completion of the baseline low FODMAP diet. This is because we now know that just 3-4 weeks on the low FODMAP diet can result in changes to gut bacteria which may impact on future gut health.
It is absolutely essential to see a Dietitian who specializes in IBS, & not merely a Dietitian or Nutritionist who sees people with IBS a few times a week. Louise is Coffs Harbour's most experienced Dietitian & Nutritionist specializing in IBS. She has had great results with the low FODMAP diet & has found that the best outcomes are obtained when people see her for an initial nutrition consultation, followed by regular review. This provides the opportunity to look into all the lifestyle & environmental factors that come into play & to ensure that diet is as balanced & varied as possible.
RPAH Elimination Diet / Failsafe Diet:
Allergies & food intolerances are very different. Allergies involve reactions to the unique protein components of a specific food & can be detected via blood tests, whereas food intolerances involve reactions to specific chemicals that are common to many different foods. Skin tests & blood tests are not accurate methods of detecting food intolerances.
Natural chemicals that are present in many healthy foods, as well as the artificial chemicals used in food additives, can be a problem for people with food sensitivities. The substances most likely to upset food-sensitive individuals are salicylates, amines & glutamate.
Attempting to eliminate foods or food chemicals one at a time can often produce misleading results. The only accurate method for determining food intolerances to natural & added food chemicals is via the RPAH Elimination Diet / Failsafe Diet which is carried out for 2-6 weeks, followed by specific food “challenges” to identify which chemicals are responsible for producing symptoms.
This is a restrictive diet, & anyone following it will benefit from carrying out the diet & subsequent “challenges” under the support & guidance of an Accredited Practising Dietitian with experience in the area.
Some symptoms that may be attributed to food intolerances:
- Stomach / bowel irritation
- Headaches / migraine
- Fatigue / aches / pains
- Mouth ulcers
- Sinus congestion
- Eczema / itchy rashes
- Nappy rash in babies
- Irritable behaviour
Are you worried that your diet may be lacking in valuable nutrients while you or your family are following the low FODMAP diet or the Elimination Diet? Why not ask about our computerised dietary analysis.
3 easy steps:
- We will email our food diary template so that you can send us a 3 day food diary.
- You will be offered the option of either transferring payment of $55 to Coffs Coast Nutrition, or paying via credit card.
What do we provide?
We use the latest Australian-based software which provides access a data base of more than 20,000 commercial food products plus 15,000 generic Australian foods.
We will supply details regarding your intake of more than 20 essential vitamins & minerals, as well as protein, carbohydrate, sugars, starch, fibre, fat (saturated, polyunsaturated, monounsaturated), sodium & calories / kJ.
We can also supply information regarding the salicylate, amine & glutamate content of your diet if you are following the Failsafe Diet or the RPAH elimination diet.
The information from your dietary analysis will be compared to your individualized requirements & you will receive information regarding which specific nutrients are lacking in your diet, & easy changes you can make to improve your intake.