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Aug 21, 2015

Gluten-Free Diet for Ileostomy - Does it Help with IBS?

This topic explores whether a gluten-free diet might help ease IBS-like symptoms for someone living with an ileostomy. The person is curious about the potential benefits of cutting out gluten, especially since they've heard about a possible connection between wheat and IBS. Here are some insights and advice from others who have shared their experiences:

1. Many people with ileostomies or colostomies have found significant relief from symptoms like gas, bloating, abdominal pain, headaches, fatigue, and general discomfort after eliminating wheat and gluten from their diets. Some even feel that making this change earlier might have prevented the need for ostomy surgery.

2. However, not everyone experiences benefits. At least one person tried a strict gluten-free diet for several weeks without noticing any improvement in their abdominal distension, highlighting that results can vary from person to person.

3. Before making dietary changes, it's recommended to get tested for celiac disease and wheat sensitivity, especially if you have conditions like CUC, Crohn’s, IBS, or an ostomy. These tests can include blood work and checks for protein status and anemia. If diagnosed with celiac disease, avoiding gluten is crucial. For those with wheat/gluten sensitivity, small amounts might be tolerated, similar to lactose intolerance.

4. When transitioning to a gluten-free diet, some people notice symptom relief within 4 to 6 weeks, but full gut healing can take up to a year. It's important to stick to the diet, as occasional "cheat" days can cause setbacks and delay recovery.

5. Living gluten-free can be challenging, as it is often more restrictive and expensive. Many gluten-free substitutes may not be as nutritious or tasty.

6. An alternative dietary approach is the low-FODMAP diet, which limits various fermentable carbohydrates, including wheat. This diet has helped some people with IBS-like symptoms, including one person who was able to regain normal function and return to work.

7. Working with a dietitian or naturopath can be beneficial. They can help make the transition smoother, ensure you get the necessary nutrients, and tailor the plan to your individual needs.

8. For those managing an ostomy, reducing wheat and gluten has helped some people decrease gas production, which can be an important benefit.
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