Low fodmap diet

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Hi I have diverticulosis never had a flare as such. Had colonoscopy last year told diverticular right down left side and into sigmoid colon. One benign polyp. The reason for the scope was constipation and blood in stools. The surgeon said bleeding was from either diverticular or internal hemmeroids also found at the time. I was diagnosed with ibs around 8 years ago but never had any tests. I wonder now if I still have ibs or whether I have both IBS and diverticular disease. A few months back on the advice of my gp I started the low fod map for ibs and also saw a fodmap trained dietitian. My symptoms of bloating and pain improved a lot so I thought cutting out certain foods had helped. I am now at the stage of reintroducing the foods I had avoided. I have tried onion and not sure if I am reacting. Stress and over eating under stress are big triggers for me. Sorry but I have gone on too much what I really wanted to ask is what foods cause flares so I can compare them with high fodmap ones. The low fod map diets seems to work better for ibs d and I have had to adjust my diet so as to avoid constipation which is my problem. I also take fybogel satchets mostly once a day by at times twice a day and ground flaxseed on porridge. Can I also ask the advice if you are having a flare to go on a low fibre diet and possibly liquid diet for 24 hours. Would that not make constipation worse and could you still take fybogel. I get so worried about not eating enough fibre to avoid constipation and do not always succeed. I am nearly 71. Thanks for reading this.

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  • Posted

    Hi libralady,

    I have started low fodmap on my own since IBS and diverticular disease can have similiar symptoms.

    Yes you should do liquids for 48hours and then go to a low fibre diet wich you can do low fodmap. I do see foods that are ok on low fodmap that are not good for me but everyone is different. It is possible that onions started an attack but you will have to figure that out for yourself by cutting them out forever or when you feel better trying them again. Miralax can be used if you get constipated and your doctor agrees with it. I would really book an apointment with your doctor to get checked out and see what he/she recommends. I hope this helps.

    Julie (also a libra lady 😊wink

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    • Posted

      Thank you so much for replying.  Feeling much better today no pain so hopefully just a small hiccup from the onion.  Unfortunately I have other health problems also playing up at the moment.  I have Osteo arthritis and have  pain in the neck and shoulders which cause headaches as well.  

      Going back to IBS and DD  as mentioned I have had to add ground flaxseed to my porridge and tweek the diet to avoid constipation.  I am trying to get an appointment with the gp mainly about shoulder and neck as I can't take any nsaids or even the cream I have to reply on heat and paracetamol and exercises. I have gastritis as well so dare not risk taking them although they would probably help.  It does get you down.  All the gp's  have been away on holiday.  my Gp is back tomorrow so should be able to get an appointment if I ring early.  The low fod map diet although good is sometimes difficult when cooking for husband as well. Not sure what to do about reintroducing high fodmap now.  I am not lactose or gluten intolerant and find I can eat around 3 slices of bread a day with no problem.  Which ones did you introduces back first can I ask.  I have only omitted the dreaded onion and garlic, and a handful of high fodmap fruit and veg.  I have something similar to miralax for emergency but generally enough water and extra dose of fybogel work well for me.  

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    • Posted

      I have had ibs for some time. It wasnt too bad, small flare ups, always controlled. Now just had diverticulitis in middle,of a uti, flagyl dealt with it.  Went privately to dietitian and on fodmap.  It has helped but i am having difficulty reinstating stage.  I am better if i just stick to no dairy, nomgluten, no fats.  I also take warfarin so diet also restricted. I have anxiety and depression and thr anti deps have all made me feel worse so i am left with valium for anxiety.  Anyone else get depressed with diverticulitis etc.
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    • Posted

      Hello Thanks for your reply. Another Libra Lady we must be a sensitive lot.

      Your Ibs sounds a lot like me, only mild flare ups quite manageable and no real dietary restrictions back then.  I am lucky not to have had a DD flare up.  What happened to me was after a stressful move to live 200 miles away close to daughter and family.  I suffered badly from anxiety and stress for sometime before moving house but after the move it really escalated and as a consequence suffered badly for many months with awful bloating and constipation with blood in stools which ended up with what I thought was a urine infection with blood in urine.  Was given 3 day course of antibiotics by emergency doctor and fybogel from my gp.  I was booked in for colonoscopy a few weeks later and as you know result was nothing sinister diagnosis of DD and small hemmeroids.  I think myself that this was all caused by stress and anxiety so yes I do think it is connected both causing it and keeping it going.  I had some counselling and eventually started to feel a bit better.  Am 90% better now but realise I will always be a worryer and have a tendency to anxiety.  We have now been here just over 2 years and I still don't really know f I have settled completely.  To move away in your late 60s is not like being in your 20s.  I have left a  town I was born in and left good neighbours and friends behind.  What makes it worse is that I have 2 other children who both lived around an hour from my old home.  So I have just sort of changed things round now nearer to one and further away from the other two not helped by a falling out between my children which mean 2 don't speak to the other one.  This is part of the anxiety and stress I am sure.  I would do all you can to try and get anxiety under control.  Having a DD flare and being in pain is stressful in itself but I do know I feel better if I don't let things get on top of me.  I am not sure where you live or even if you are in the uk but  got the counselling on the NHS and did not have to wait long and it was local.

      With regard to reintroducing I am not sure what to advise you.  I sometimes wonder once you leave things out and feel better maybe you should just stick with what you know is safe although I know it might mean for some that they miss out on healthy foods they could eat if they tried.  

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    • Posted

      Meant to say  I had counselling on the NHS local as well and did not have to wait long which I was surprised at.  I don't know where you live or even if it is in the UK but you could ask if you think it might help or you could go privately maybe quicker.  I did not want to take any medication mainly because of possible side effects and interactions with the medication I already take for other health problems.  Do keep in touch and let us know how you go.

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