geoffrey modest medical blogs

A recent study found that a Mediterranean diet was superior to the traditional diet in the treatment of patients with irritable bowel syndrome, IBS  (see irritable bowel Mediterannean  Diet helps AnnIntMed2025 in dropbox or doi:10.7326/ANNALS-25-01519)   Details : -- 139 persons from across the United Kingdom aged 18 to 65 with IBS per the Rome IV diagnostic criteria were enrolled after having received a score of at least 75 on the IBS Symptom Severity Scale (IBS-SSS)     -- participants were enrolled into 2 groups         -- traditional IBS diet (TDA), a sensible eating habit to avoid excess fatty foods, spicy foods, processed foods, caffeine, fizzy drinks, and alcohol (all of which can be triggers to IBS)         -- Mediterranean diet, with principal components being rich in fruit, vegetables, pulses (dried edible seeds of legume plants such as beans, lentils, and peas), whole grains, nuts...

nongluten G Geoff A. Modest, M.D.     Reply all | Mon 10/28/2013, 1:54 PM Geoff A. Modest, M.D. You forwarded this message on 12/2/2015 7:15 PM It is not uncommon to see patients who have typical symptoms of celiac disease who seem to respond to a gluten-free diet but have negative workup for celiac disease. These patients are said to have nonceliac gluten sensitivity (NCGS), which is characterized by irritable bowel-type symptoms after the ingestion of gluten, improvement after gluten withdrawal from the diet, and negative celiac serologies/biopsies. they can have both intestinal sx (diarrhea, abd discomfort/pain, bloating, flatulence) and extra-abdominal ones (headache, lethargy, poor concentration, ataxia, oral ulceration). Additionally (and previously unknown to me), there are some food items which can also cause these...