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Low-FODMAP diet on postprandial distress syndrome type of functional dyspepsia with mixed type of irritable bowel syndrome patient: A case report.

Narra J
August 1, 2024
Anastasia K Djatioetomo et al. (5 authors)
Case ReportsJournal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of a low-FODMAP diet as a therapeutic approach for functional dyspepsia with IBS mixed type.

Results Summary

The low-FODMAP diet, combined with initial pharmacological therapy, significantly improved IBS symptoms within two weeks, leading to discontinuation of medication and resolution of complaints.

Population

A 37-year-old female with functional dyspepsia subtype postprandial distress syndrome and IBS mixed type.

Effective Dosage

Not specified

Duration

2 weeks

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
low-FODMAP diet
increase
IBS symptoms
patient with functional dyspepsia subtype postprandial distress syndrome with IBS mixed type
-
could improve
#1
low-FODMAP diet
decrease
IBS-SSS assessment scores
patient with functional dyspepsia subtype postprandial distress syndrome with IBS mixed type
-
decreased
#2
low-FODMAP diet
decrease
IB-SSS assessment
patient with functional dyspepsia subtype postprandial distress syndrome with IBS mixed type
-
markedly decreased
#3
Abstract

Functional dyspepsia is a complex collection of symptoms from the gastroduodenal, while irritable bowel syndrome (IBS) is a disease that chronically weakens gastrointestinal. The occurrences of both of these diseases are common; however, the new approach therapy introducing the low-FODMAP diet (low fructose, oligosaccharides, disaccharides, monosaccharides, and polyols) is rarely discussed. The aim of this case report was to present a case of functional dyspepsia with IBS mixed type treated with a low-FODMAP diet. A female 37 years old reported complaints of heartburn worsening over the last seven months. Based on IBS-symptom severity scale (IBS-SSS) assessment, the patient had 75% scale on belly pain and 50% abdominal distention, which interfered the daily activity significantly. The patient was diagnosed with functional dyspepsia subtype postprandial distress syndrome with IBS mixed type. In addition, the low-FODMAP diet was started immediately, together with pharmacological therapy (oral omeprazole and domperidone), and followed up each week. On the first week of evaluation, the patient was feeling much better as IBS-SSS assessment scores decreased, and the pharmacological therapy was stopped. On the second week of evaluation, the patient had no more complaints with IB-SSS assessment markedly decreased. This case highlights that low-FODMAP diet could be a new approach therapy for IBS that could improve the IBS symptoms.

Medical Subject Headings (MeSH)
HumansIrritable Bowel SyndromeFemaleDyspepsiaAdultPostprandial PeriodDiet, Carbohydrate-RestrictedFODMAP Diet
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality60/10
Research Impact Scores
APT Score0.05
Weight Score2.06
Normalized Score0.66
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