Beyond FODMAPs: Alternative dietary solutions for chronic diarrhoea

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In print

Nutrition

Beyond FODMAPs: Alternative dietary solutions for chronic diarrhoea

19 July 2023

Leigh O'Brien

Wednesday 19 July 2023, 12:15 AM

Chronic diarrhoea impacts on quality of life, and dietary manipulation may be warranted [Image: Giorgio Trovato on Unsplash]

Dietitian Leigh O’Brien emphasises the need to consider all possible causes of chronic diarrhoea when recommending a solution

Key points, Dietary interventions play a role in the management of many causes of chronic diarrhoea. Clinicians need to consider the benefits and risks of dieta, Pract Green w Pale Yellow

Gastroenterology

References

1. Gatta L, Scarpignato C. Systematic review with meta-analysis: rifaximin is effective and safe for the treatment of small intestine bacterial overgrowth. Aliment Pharmacol Ther 2017;45(5):604–16.

2. Pimentel M, Saad RJ, Long MD, Rao SSC. ACG clinical guideline: Small intestinal bacterial overgrowth. Am J Gastroenterol 2020;115(2):165–78.

3. Arasaradnam RP, Brown S, Forbes A, et al. Guidelines for the investigation of chronic diarrhoea in adults: British Society of Gastroenterology, 3rd edition. Gut 2018;67(8):1380–99.

4. Tuck CJ, Reed DE, Muir JG, Vanner SJ. Implementation of the low FODMAP diet in functional gastrointestinal symptoms: A real-world experience. Neurogastroenterol Motil 2020;32(1):e13730.

How to Treat

+How to treat

For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews

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