Tag Archives: IBS dietitian

SHOULD I GO LOW FODMAP?

Currently, many people are being sent straight to the low FODMAP diet and it is being suggested they start on this diet by themselves. This diet has a big health halo about it and is being seen as a miracle cure. Now whilst this is an evidenced based approach and totally can work for many people, there is more to this than meets the eye. In reality there is never a miracle cure and this is a complex diet that really needs dietetic support or a lot of support from a health care professional who understands it. This diet is very restrictive leading to large changes in the foods you eat, many people follow the first elimination stage and do not progress to the reintroduction stage leaving them with limited food options. The Fodmap diet can be suggested too early on, as there are a number of simpler strategies to try first, which may make all the difference.

Firstly, what is the this Fodmap thing? FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols. This essentially creates a diet low in allergens and common triggers, with foods being introduced back to the diet slowly to assess their role in triggering a flare up. People often report these foods as common triggers:

  • Dairy
  • Onion
  • Garlic
  • Caffeine 
  • Fatty foods
  • Certain fruit and vegetables
  • Lentils, beans and pulses

So cutting out all these foods gives your digestive system a rest, but it also leaves you with large gaps in your nutrition. Being on this diet also affects your gut bacteria and could after your fibre intake. So it’s key not to stay on it for longer than you need to. This is why working with a specialist is important, someone to help you plan what you can eat, find a balanced way of eating and ensure you only stay on the elimination stage for as less a time as possible.

You know how sometimes in life we have the tendency to jump into the deep end before seeing what other options there are?Whilst these strategies may not help everyone they are worth trying first.

  1. CHEW WELL – Slow down your eating and chew thoroughly. It helps your body digest.
  2. SMALLER MEALS – Having smaller meals means there is less for the body to digest. Do make sure you eat more frequently so you still meet your nutritional needs.
  3. REDUCE YOUR STRESS – Easier said than done but find things that help you destress. Reading, mindfulness, colouring, a bath. Whatever works for you!
  4. FIBRE – Try reducing your fibre or increasing it! It depends on your symptoms. If you have bloating and pain then decreasing insoluble fibre (beans, pulses, seeds, root veggies and brassicas) can help and slowly increasing soluble fibre (certain fruit and veggies, pats, pectin) can help. This has to be balanced with your fluid intake.
  5. MOVE MORE – Moderate exercise can also help symptoms.
  6. WATCH YOUR DRINKS – Reduce caffeine and alcohol.
  7. BREATHE BETTER – deep breathing can make a world of difference to our bodies and minds. 10 minutes a day can really help.

Whilst I appreciate it is not always easy to get access to a dietitian who is trained in the low Fodmap method it is worth trying these initial strategies first

Priya is trained in the low Fodmap diet and can work with you on a 1-1 private basis in person or via video call. This requires a minimum of 2 consultations.

Book a Consultation

Priya provides one to one consultations from her home consultation rooms in Southampton or online using video calls or phone consultations. See below for the types of issues Priya can help with. Skype/Zoom video calls provide a more flexible way to see Priya face to face but from the comfort of your own home. The software for this is free to use. The majority of Priya’s work is done this way as she works with clients all over the country and internationally too. She also offers dietary analysis via email where a thorough analysis is conducted on your food diary and a report emailed back to you.

As everyone is different and needs differing levels of support Priya does not have a set way of working. However she does work from a non-diet and intuitive eating background. This is based on the concepts that diets do not lead to long term change and that it is better to focus on changing health behaviours rather than just diet and a weight focus.  Retuning your body to listen to its hunger and fullness cues, learning to respect your body and listen to its needs can be a longer route but leads to lasting changes for life.

A initial consultation lasts up to 1 hour and includes an in-depth review of your current and previous diet and food related problems plus your weight and medical history. From this information Priya will give education, advice and help you set goals that are realistic and achievable. All advice is individualised and tailor-made for you. You will receive an email summarising the agreed goals set  along with any agreed information. This may include a meal plan, worksheets or educational literature.

Follow-up sessions can be booked and last for up to 30 minutes. The number of sessions you will need will totally depend on your needs. 

Prices: £95 for an initial consultation and £65 for follow ups.

Package: £260 for 1 x initial consultation and 3 x follow up sessions.

Email dietary analysis with report £65

Eating Disorders:

Priya is renown for her expertise in this subject and the majority of her clients will have an eating disorder. She takes a holistic approach, not just looking at nutrition in isolation but helps clients to look at the wider issues too. Many of Priya’s clients have worked with the NHS and need further support or have not met the criteria for NHS input. If you do not think you have an eating disorder but know your approach to food is not as it should be, then get in touch. Working as part of a team of specialists Priya can recommend a therapist for you to work with or can liase and work with your current therapy team as well as your GP. She works with the Wings Eating Disorders Unit in Romsey and also as part of the Marchwood Priory team. If you need help getting your eating back on track Priya is here to help with education, meal planning, practical help, support and an understanding ear.

Weaning Consultations

One of Priya’s specialist and much loved areas – book a weaning consultation for advice, recipes, top tips and support to help you get your baby off to a wonderful start with food. Having weaned 3 children herself Priya has first hand experience as well as the evidence case and the research to support her advice. If you are struggling with fussy eating Priya can also help with this. Family meal planning and suppoprt can also be supported.

IBS:

Priya can help with advice and support for those with IBS, this includes the low FODMAP diet which is a specialist diet that should be followed under dietetic supervision.

Other consultations topics Priya can help with include:  Chronic Fatigue, Learning Disabilities, Family Meals,  Anaemia, Osteoporosis, brain injury and achieving a healthy balanced diet. If you have another dietary issues please do contact Priya to discuss. If Priya is not able to help she can help point you to someone who can.

Some private medical insurance companies cover dietetic consultations, please check with your insurer. Priya is registered with AXA, AVIVA, WPA, BUPA, Exeter Family, Allianz and Pru Health.

Testimonial:

“The support Priya provided to help me gain weight and overcome an eating disorder was above and beyond what I would expect from a dietician. We met regularly and she never failed to surprise me with creative and interesting ideas to introduce variety into my diet and ensure that the weight gain process was as exciting and smooth as it could be. She encouraged me to face my eating disorder head on and used her incredibly extensive and detailed knowledge on nutrition to challenge disordered thinking. Her holistic approach has been so integral to my recovery that I cannot thank her more! I’d recommend working with Priya to anyone, as her caring, enthusiastic and creative approach is something you don’t find easily.”