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HomeAnswersMedical Gastroenterologydiet planPlease help me with a diet plan for my bloating and IBS.

Can dietary changes help manage IBS and bloating?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 10, 2024
Reviewed AtApril 10, 2024

Patient's Query

Hello doctor,

I was hoping to discuss my diet with a professional. I have a leaky gut, bloating, severe IBS (irritable bowel syndrome), anxiety, specific antibody disorder, and am lactose intolerant. I also have sudden-onset adult asthma with no allergies. Additionally, I experience chronic congestion and cough with phlegm, as well as pain in and behind the ears. Furthermore, I often feel groggy or intoxicated despite not having consumed alcohol in 10 years.

Additionally, I have seen a functional medicine doctor and have received results from a wheat zoomer test showing gluten and wheat sensitivities, a confirmed leaky gut, and a heart test. Furthermore, a nasal swab was done, indicating resistance to antibodies. However, I am unsure of their medical validity. I am currently taking 200mg of Lamotrigine, Cetirizine, Fluticasone, and two other nasal sprays. I am also on Metoprolol for mitral valve prolapse and Citalopram for anxiety.

Please suggest.

Thank you.

Answered by Dr. Ghulam Fareed


Welcome to icliniq.com.

I am reviewing your case history in detail and will get back shortly. Please wait for my detailed response before replying.


Patient's Query

Thank you doctor for the reply,

I forgot to mention my diet. It includes potatoes, hummus, peppers, salmon, ground turkey, steak, water, coffee, AG1 supplements, and egg whites.

Answered by Dr. Ghulam Fareed


Welcome back to icliniq.com.

I have reviewed your history and attached laboratory investigations, including your metabolic profile, antibodies testing, chest X-ray, MRI (magnetic resonance imaging) brain, etc (attachment removed to protect the patients identity). Thank you for mentioning your diet as well.

Regarding your specific concerns:

  1. I acknowledge the presence of severe IBS (irritable bowel syndrome), anxiety, and lactose intolerance. However, I did not find strong evidence of a leaky gut. This could indicate a gut microbiota imbalance (dysbiosis), which is very common and can cause similar issues, especially in patients with IBS.
  2. Your body weight, height, metabolic profile, MRI (magnetic resonance imaging) brain, and chest X-rays are grossly normal, except for minor sinusitis or bronchitis changes on X-rays, which is reassuring.
  3. Headaches and chest X-ray symptoms are likely related to sinusitis and bronchitis. Please look for recent exposure to allergens or changes in weather or environment.
  4. Even pain in the ear or behind it can be due to nasal congestion from sinusitis. Wearing a mask and using the aforementioned medication should help. Otherwise, I would prefer to change anti-allergics.
  5. For wheat allergy, TTG IGA (tissue transglutaminase IgA) levels should be checked specifically to diagnose wheat allergy or celiac disease (endoscopy and biopsy are necessary). Before doing this, one cannot diagnose wheat allergy, so do not compromise your routine diet.
  6. Regarding your syncope episodes in the past, I hope your cardiologist has evaluated your mitral valve prolapse history and beta-blocker medication.
  7. Regarding your IBS, it will improve once your anxiety is better controlled.
  8. Moving towards your diet, I agree with what you are currently consuming. I would like to add regular use of probiotics. Commercially available sachets or capsules would be great, taken once daily. Adding yogurt to your diet (a good source of probiotics) will help reduce bloating and treat dysbiosis.
  9. Gradually reintroduce your routine meals, including wheat. Unnecessary dietary restrictions can lead to macro and micronutrient deficiencies, which would be unhealthy for a young woman like yourself.
  10. Tablet Rifaximin 550 mg after breakfast and dinner for ten days is recommended. This is one of the best medicines to treat bloating and dysbiosis in patients with IBS. Consult a specialist doctor, talk to them, and then take the medication.
  11. There is a need to adjust your anxiety medication. Good mental health is necessary to avoid undue health anxiety and live a healthy life.
  12. We cannot micromanage our gut as humans. Stay relaxed and try to reintroduce your routine meals gradually. Avoid reheated, processed meals and eating out. Try to consume freshly cooked home meals.

Wishing you excellent health.

Kind regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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