Clinical Review  |   January 2020
Food Sensitivity Testing and Elimination Diets in the Management of Irritable Bowel Syndrome
Author Notes
  • From the Department of Internal Medicine (Dr Smith); the Division of Gastroenterology and Hepatology (Dr Foxx-Orenstein); Library Services (Ms Marks); and the Division of Internal Medicine, Medallion Program (Dr Agrwal) at Mayo Clinic Arizona in Scottsdale. 
  • Financial Disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to Neera Agrwal, MD, Division of Hospital Internal Medicine, Mayo Clinic Arizona, 13400 E Shea Blvd, Scottsdale AZ 85259-5452. Email: agrwal.neera@mayo.edu
     
Article Information
Gastroenterology
Clinical Review   |   January 2020
Food Sensitivity Testing and Elimination Diets in the Management of Irritable Bowel Syndrome
The Journal of the American Osteopathic Association, January 2020, Vol. 120, 19-23. doi:https://doi.org/10.7556/jaoa.2020.008
The Journal of the American Osteopathic Association, January 2020, Vol. 120, 19-23. doi:https://doi.org/10.7556/jaoa.2020.008
Abstract

The nonpharmacologic management of irritable bowel syndrome focuses on dietary modification through the concept of food sensitivity or intolerance. Currently, testing for food allergies is not recommended in the absence of a clinical history consistent with an immunoglobulin E–mediated reaction. Objective means of determining food sensitivity, such as individualized diets, are being studied, but testing for food sensitivity is limited to certain food groups. Diets such as the low-FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet may provide benefit.

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