Gut Conditions

Living with a gut condition can be challenging. Altered bowel habits, abdominal discomfort, fatigue and generally feeling unwell can affect all aspects of your life.

Working with a gastro dietitian to optimise your gut health can improve your nutrition, wellbeing, and ability to manage your symptoms. I specialise in three main diseases, but if you’re struggling with a condition I don’t mention here, please get in touch to find out what I can do for you.

 

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Coeliac Disease

Coeliac disease (pronounced ‘see-liac’) is a serious illness where the body’s immune system attacks its own tissues when gluten is eaten.

Inflammatory Bowel Disease (IBD)

Crohn’s and Ulcerative Colitis are the two main forms of Inflammatory Bowel Disease (IBD). Inflammatory Bowel Disease (IBD) is not the same as Irritable Bowel Syndrome (IBS).  However, some people with IBD also experience IBS.

Eosinophilic Oesophagitis (EoE)

Eosinophilic Oesophagitis (EoE) is a gut condition where the oesophagus has become inflamed. Symptoms often improve through food allergen management.

Coeliac Disease

What is Coeliac Disease?

In coeliac disease, gluten causes damage to the lining of the gut, meaning that you cannot properly absorb nutrients from food. Symptoms may also affect other parts of the body.  Coeliac disease is not an allergy or food intolerance.

Treatment for coeliac disease is 100% avoidance of gluten for life. Once coeliac disease is confirmed, it’s important to start a gluten free diet. Once gluten has been removed from the diet, the gut will begin to heal, and you will usually start to feel better within a few weeks.

What is the treatment?

How can a gastro dietitian help with Coeliac Disease?

After diagnosis, it is recommended to see a specialist dietitian.  I can support your transition to a gluten free diet and guide you in optimising your nutrition and how to avoid gluten cross contamination.

Following your initial assessment and dietary guidance, NICE guidelines advise you should be reviewed once a year by a specialist gastro dietitian to monitor bloods, nutritional status, and dietary management.

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Inflammatory Bowel Disease

Crohn’s Disease

Crohn’s disease can cause pain, diarrhoea, weight loss and tiredness.  You are likely to have periods of good health, known as remission, and times when your condition is active, known as flare-ups or relapses.

In Colitis parts of the gut become swollen, inflamed, and ulcerated. This can cause diarrhoea, blood in your stool, weight loss, fatigue, and gut pain – and you may have other symptoms too.

Ulcerative Colitis

IBD and diet

Inflammation in IBD can affect how your body digests food, absorbs nutrients, and gets rid of waste. A healthy, balanced diet provides us with beneficial nutrients and specialist dietitian support in IBD can help you optimise nutrition from the food you eat.

How can a gastro dietitian help with Inflammatory Bowel Disease?

You may have been recently diagnosed or living with IBD for some time. As a specialist gastro dietitian, I can help you optimise your nutritional status, which in turn can have a beneficial impact on your physical and mental wellbeing and quality of life.

We can work together to identify the best dietary approach to benefit you and your nutritional status during both flares and remission.

 

Are you ready?

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Eosinophilic Oesophagitis (EoE)

What’s the link with diet?

Food allergens such as milk, soya, wheat, and egg may be involved in the development and worsening of the symptoms of this condition. It is classified as a ‘non IgE mediated allergy’ so allergy tests such as skin prick tests and specific IgE blood tests are often not able to identify the foods causing the EoE.

This condition is diagnosed by taking biopsies of the oesophagus during an endoscopy.

Gastro-oesophageal reflux disease (GORD) can have similar symptoms, so your doctor may prescribe a proton pump inhibitor (PPI) such as omeprazole or lansoprazole first to see if this helps you.

Diagnosis and treatment

Elimination diet

The best way to identify the allergens causing EoE is to take them out of the diet and monitor for improvements. Eliminating foods one at a time does not always work as it is hard to identify the correct food and there may also be more than one offending allergen. It can take up to six weeks to notice an improvement in symptoms.

How can a gastro dietitian help with Eosinophilic Oesophagitis?

Currently the most effective dietary treatment for EoE is the six- food elimination diet (SFED). Depending on your allergy tests and clinical history I may recommend a four-food elimination diet (FFED).

The exclusion would last for six weeks, followed by a reintroduction plan designed to your allergy profile. This is a strict exclusion and reintroduction programme to be followed under the guidance of a specialist gastro dietitian.

Foods are then reintroduced one at a time following a structured and personalised plan. Together we will tailor the order of food reintroduction to suit your individual dietary needs and promote the most helpful outcome.

Are you ready?

Book a complimentary discovery call and let’s get started