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Support Clients with IBS_Final

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>> Hello again. In this lecture, we're going to talk about how you can help support clients with IBS through diet and lifestyle from within your scope of practice as a Health Coach. We'll focus on one particular diet that many clients have found helpful from managing IBS symptoms, the low FODMAP diet. We'll also briefly talk about herbs and lifestyle modifications that can support clients who struggle with IBS. Are you ready to jump right in? IBS can be the result of a variety of root causes, but generally, it involves some kind of imbalance or disruption in the microbiome that can be traced back to some combination of antibiotic use, infections, poor diet, and stress. It maybe difficult to determine exactly how and when a case of IBS was first triggered. As most likely, it was a growing issue and something at sometime was finally the tipping point that brought on the syndrome. Therefore, there is no straightforward solution either. But there are things you can do to help your clients find some relief. In addition to providing a loving space and validation, the best way you can support clients with IBS is to help them modify their diet in a way that can help manage and elevate symptoms by avoiding triggers. IBS puts the gut into a state of hypersensitivity. So removing any foods or beverages that a client is sensitive to or intolerant of can help bring relief. Remember, as a Health Coach, you cannot claim to treat a client's IBS. So be sure to be straightforward in explaining what you can and cannot do, so that your client's expectations are aligned with what you have to offer. The most commonly recommended diet for IBS is the low FODMAP diet, which evolved from the specific carbohydrate diet and the GAPS diet. FODMAP is an acronym that stands for fermentable, oligosaccharides, disaccharides, monosaccharides, and polyols. Don't worry, you don't have to memorize or even say that. Foods to be avoided on this diet include fructose which is found in fruits, honey, and high-fructose corn syrup, lactose which is found in full fat dairy products like, milk, cheese, and ice cream, fructans which include wheat, rye, onions, garlic, artichokes, ripe bananas, and cereals, galactans which are found in beans and legumes, and polyols which are sweeteners that end in OL like, mannitol, sorbitol, and xylitol. Polyols are also found in stone fruits like cherries, peaches, plums, and avocados. The low FODMAP diet can be confusing and intimidating to clients due to the long list of foods to avoid. Fortunately, many resources on this diet have been released with charted guidelines, recipes, and tips. A quick Google search brings up many of these, but to make things easy for both, you and your clients, we've included a list of food guidelines for the low FODMAP diet as a handout in this module as well as a printable version you can share with your clients located in the done for you folder of your business tool kit. One thing that's easy to remember about this diet is that all FODMAP foods are some form of carbohydrate, but keep in mind, not all carbs are FODMAPs. On this diet, foods are categorized as low, medium, or high FODMAP. The aim is to eat mostly low FODMAP foods with allowances for the occasional moderate FODMAP foods, but avoiding high FODMAP foods all together. Note that for healthy individuals, fiber is recommended to feed gut bacteria, but this diet restricts complex or fermentable carbohydrates in order to prevent the fermentation process that happens when the gut bacteria digest food. For people with IBS, this process creates unwanted metabolites and symptoms. Until the underlying digestive dysfunctions that cause a client's IBS can be addressed with the help of a functional medicine practitioner, this diet can be an effective method for managing symptoms. Clients interested in trying out the FODMAP diet will need to understand that they'll have to cutout sugar and dairy. They'll need to avoid fructose including fruit, honey, corn syrup, and agave. While honey is allowed on the GAPS diet and the specific carbohydrate diet, the low FODMAP diet recognizes that fructose can be a problem for people with IBS. In fact, there's been research around fructose intolerance as a contributor to IBS. Fructose is a sugar found in fruit and some vegetables. In some cases, the fructose isn't absorbed in the small intestine where it should be and instead, it makes its way into the large intestine where it's fermented by bacteria causing digestive disturbances like gas and bloating. Those with fructose mal-absorption will likely do well on a low FODMAP diet. Fructose mal-absorption can be assessed with a breath test, but you can also just experiment by seeing if your clients do better when they take a break from fruit. You can recommend that your client avoid eating fruit for two weeks and see if this makes a difference in their IBS symptoms. Encourage them to keep a food diary to tune into changes and how they feel and let your clients know that they won't need to give up fruit forever. Fruit is the healthy part of many people's diets as a source of vitamins, minerals, and fiber so avoiding it is only temporary. Artificial sweeteners which contain sugar alcohols will also need to be eliminated. Sugar alcohols are known to cause digestive distress. They're commonly found in sugar-free products. This diet also requires abstinence from lactose and all dairy. Foods that contain fructans which are garlic, onions, and wheat are also to be avoided. Legumes which include any beans like chickpeas, black beans, and lentils also should be avoided. As you can see, this diet severely limits someone's food choices. For some clients, it may be worth the sacrifice as the low FODMAP diet has shown great success for many people in alleviating IBS symptoms, such as, cramping, bloating, gas, diarrhea, and constipation. This diet will be successful if the issues the person is experiencing are caused by food. Otherwise, if food is not aggravating their IBS, they won't benefit too much. However, this diet is hard to keep up with long-term. Results tend to only lasts while the person is on the diet and the symptoms may come back when a person goes off the diet if the underlying isn't also addressed. The other drawback is that because this diet is full of non-fermentable foods, the stomach isn't being put through the full digestive process which can weaken the system and starve out the gut microbiome. In our opinion, the low FODMAP diet serves best as a good reboot during times of flare-ups. Clients who are interested in trying out this diet can be advised to try the low FODMAP diet for six weeks and then add foods back in slowly and individually, keeping track of any triggers. In general, if a client's IBS symptoms are severe, it's safest to eat foods that are easy to digest and can be absorbed earlier on in the digestive process. Fermentable fiber can be a painful trigger. Raw foods can also be hard on a gut with IBS due to their fiber and the amount of work the digestive process must do to break raw food down. The idea is to cut down on the amount of work the intestines have to do since they're already irritated. With IBS, there is often a breakdown in digestive enzymes. So recommend that your clients eat foods in their most digestible form. If a client is limiting fiber due to IBS symptoms, they can try and introduce it again slowly. Ultimately, it's ideal to increase fiber intake back up to 30 to 35 grams a day, but only if this can be tolerated. This must be done slowly over the course of a few months. In the beginning, you can recommend clients start with herbal fibers that are gentle, such as, marshmallow root and slippery elm. These fibers can also help soothe the intestinal lining. They can be purchased as supplements or made in a tea. Other natural herbal supplements that can be helpful include chamomile, licorice, and catnip. These are antispasmodic, which means they may help relax intestinal cramping from IBS. These can all be taken either in tincture or tea form. Some of my clients have also had good results drinking aloe vera juice to help soothe their irritated gut. However, we only recommend aloe as a short-term remedy as it can also be a laxative. If consuming fresh aloe juice, clients should not use the aloe rind, only the pulp. Supplements and their effect can really vary from person to person. This is something to keep in mind with clients that are testing the waters with herbs and supplements. As a Health Coach, it's incredibly useful to be aware of the possible advantages and disadvantages of different diets, herbs, and supplements so that your clients can make informed decisions and be on the lookout for any unwanted side effects. If a client's main issue around their IBS is inflammation, turmeric and boswellia can help. Turmeric has shown to be protective in any inflammatory condition. Boswellia is an Ayurvedic herb that's also neuroprotective and anti-inflammatory. So what else can help your clients with IBS? Vitamins and minerals. Vitamins A, B, and C as well as zinc can help with the deficiencies that often occur as a result of IBS. So make sure your clients are taking a good multivitamin every day. The other things that clients with IBS will want to avoid are allergens, toxins, caffeine, and alcohol. These can all be irritating and potential triggers for IBS. In fact, when a client with IBS is looking to find relief from their symptoms, the first place to start is by cutting out caffeine followed by drinks that contain fructose or artificial sweeteners. Coffee, soda, and juice can be really hard for many clients to give up. So remember to support them through the process and show a compassion for their struggle. The good news is that if their symptoms improve, you may have helped them find an easy way to manage their discomforts. If not, IBS sufferers should next eliminate alcohol, lactose, legumes, and any other foods that maybe irritating the system. Again, fiber can be either helpful or harmful depending on the person. Your clients maybe desperate for relief and searching for a quick fix, but to set them up for success, encourage them to go slowly and eliminate things one at a time so they don't get overwhelmed and give up. Help them to do this by making only one or two recommendations per session. Remind them that their IBS did not develop overnight, so it's not going to go away over just one or two sessions. Also remind them that many of these modifications are not meant to be permanent. One of the things that's appealing about the low FODMAP diet is that unlike other healing diets, such as, GAPS and the specific carbohydrate diet. It is not meant to be followed for a long time. It's a temporary solution that gives the body a rest from inflammation and symptoms that zap energy, giving the body a chance to rebuild. Now that we've talked about what to crowd out, let's talk about what to add in. The nervous system in your gut has a large impact on your gut population and your microbes have a large impact on your gut nervous system. Both influence the entire autonomic nervous system. Therefore, like in any ecosystem, harmony is key. Meditation and stress reduction techniques, such as, Tai chi, yoga, and breathing exercises that calm the nervous system can really help with IBS. Just because we've debunked the myth that IBS isn't all in your head doesn't mean that getting your head in a good space can't help. There's constant communication between the gut and the brain and the stomach and the gut can be stressed, too. Meditation and calming practices can help both brains. You can help your clients carve out time for meditation and stress relief, and incorporate these activities into their daily routines. To recap, while it takes a licensed health care practitioner to help a person get to the root cause and cure their IBS, there is much that you can do as a Health Coach to support clients with IBS and help them manage their symptoms through diet and lifestyle. Though restrictive and not suitable for the long-term, the FODMAP diet has been successful in improving or alleviating many people's symptoms of IBS while giving their body a break from inflammation and a chance to rebuild. Other recommendations for avoiding triggers that bring on IBS symptoms include eliminating alcohol, caffeine, toxins, allergens while also incorporating vitamins and herbal supplements as well as stress reduction activities into a client's daily routine. Have you ever worked with a client who was on the FODMAP diet or maybe you have some experience with it yourself? If so, what was it like? Stop by the Facebook group and let us know. Thank you for watching and goodbye for now.

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Duration: 12 minutes and 49 seconds
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Language: English
License: Dotsub - Standard License
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Views: 5
Posted by: ninaz on Mar 22, 2018

Support Clients with IBS_Final

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