Elimination Diet

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The aspect that needs to be considered in the treatment of IBS, is why the GI tract is inflamed. There is significant evidence behind the theory of an interruption in the brain-gut axis, resulting in inflammation and hyperpermeability of the GI membranes resulting in an oversensitive immune response (Öhman & Simrén, 2010).

The aspect that needs to be considered in the treatment of food intolerance’s, is why the GI tract is inflamed. There is significant evidence behind the theory of an imbalance in the gut micro-flora, resulting in inflammation and hyper-permeability of the GI membranes. This results in an oversensitive immune response (Öhman & Simrén, 2010). That manifests as a food intolerance.

While certain foods may induce the IgE production, the allergic response is more likely due to inflammation, and the oversensitivity of the immune system as a result (Viljoen, Panzer, & Willemse, 2003). Treating the cause of the problem, and reducing the inflammation within the GI should be the primary objective (Nagy et al., 2015).

Natural FoodElimination of allergens does reduce the concentration of IgE production, and thus reduces the allergic reaction from taking place (Arvola & Holmberg-Marttila, 1999). Elimination diets such as the FODMAP diet were designed as a diagnostic tool, and not as a preferred diet (Turco et al., 2018). When people live by these elimination diets, they develop deficiencies (Arvola & Holmberg-Marttila, 1999). Once the cause of the brain-gut dysregulation has been addressed, all food groups should systematically be reintroduced to prevent deficiencies from developing.

Elimination of triggers does reduce the concentration of IgE production, and thus reduces the allergic reaction from taking place (Arvola & Holmberg-Marttila, 1999). However, elimination diets such as the FODMAP diet were designed as a diagnostic tool, and not as a preferred diet (Turco et al., 2018). When people live by these elimination diets, they develop deficiencies (Arvola & Holmberg-Marttila, 1999). The inflammation and balance within the gut micro-flora must be addressed holistically to tackle the cause of the problem. Once the cause of the brain-gut dysregulation has been addressed, all food groups should systematically be reintroduced to prevent deficiencies from developing.

The purpose of holistic medicine is to prevent disease.

Reference List

Arvola, T., & Holmberg-Marttila, D. (1999). Benefits and risks of elimination diets. Annals of medicine, 31(4), 293-298.

Nagy, T., Van Lién, R., Willemsen, G., Proctor, G., Efting, M., Fülöp, M., . . . Bosch, J. A. (2015). A fluid response: Alpha-amylase reactions to acute laboratory stress are related to sample timing and saliva flow rate. Biological psychology, 109, 111-119.

Öhman, L., & Simrén, M. (2010). Pathogenesis of IBS: role of inflammation, immunity and neuroimmune interactions. Nature Reviews Gastroenterology and Hepatology, 7(3), 163.

Turco, R., Salvatore, S., Miele, E., Romano, C., Marseglia, G. L., & Staiano, A. (2018). Does a low FODMAPs diet reduce symptoms of functional abdominal pain disorders? A systematic review in adult and paediatric population, on behalf of Italian Society of Pediatrics. Ital J Pediatr, 44. doi:10.1186/s13052-018-0495-8 Viljoen, M., Panzer, A., & Willemse, N. (2003). Gastro intestinal hyperpermeability: a review. East African medical journal, 80(6), 324-330.

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