Imagine this: you’re sitting at Café Jubilee in Valletta, tucking into a delicious pastizzi, when suddenly, your stomach churns. You’ve experienced this before, and you know it’s your Irritable Bowel Syndrome (IBS) acting up. So, you decide to cut out carbs, then dairy, then gluten. But is this the right approach?

IBS is a common condition affecting the large intestine, causing symptoms like stomach cramps, bloating, diarrhoea, and constipation. It’s not fully understood, but stress, diet, and hormones can trigger it. In Malta, around 10% of people suffer from IBS, according to local gastroenterologists.

While it might seem logical to cut out foods that trigger symptoms, it’s not that simple. Dr. Joseph Borg, a Maltese gastroenterologist, explains, “Foods affect IBS differently from person to person. What triggers symptoms in one person might not in another.”

cutting out foods without professional guidance can lead to nutrient deficiencies. For instance, eliminating dairy could result in low calcium levels, increasing the risk of osteoporosis. Plus, restrictive diets can cause stress, which can exacerbate IBS symptoms.

Instead of blanket food cuts, consider keeping a food diary. Note down what you eat and when you experience symptoms. Over time, you might spot patterns. For example, you might find that spicy foods or large meals trigger your symptoms.

Dr. Borg recommends the low FODMAP diet, developed in Australia. It involves eliminating high FODMAP foods (like wheat, lactose, and some fruits and vegetables) for a few weeks, then reintroducing them one at a time to identify triggers.

Food isn’t the only factor. Regular exercise, stress management, and a healthy sleep routine can help manage IBS. Consider joining a local yoga class in Msida or trying out mindfulness apps like Headspace or Calm.

Medications like antispasmodics, antidepressants, and laxatives can also help. Always consult your doctor before starting any new treatment.

IBS is complex, and there’s no one-size-fits-all solution. Instead of cutting out foods willy-nilly, take a personalised approach. Keep a food diary, consider the low FODMAP diet, and explore lifestyle changes. Remember, it’s a journey of discovery, and it’s okay to seek professional help along the way.

As Dr. Borg puts it, “IBS is a very personal condition. What works for one person might not for another. The key is to find what works for you.”