Are you struggling to manage your IBS symptoms effectively? In Episode 42 of the Inside Knowledge podcast, I'll share 10 common mistakes that could be worsening your symptoms.
Here's a glimpse of what you'll discover:
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How do you know if you're making your
IBS worse with all your interventions?
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In this episode of the Inside
Knowledge podcast, I'll be sharing
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the top 10 mistakes I see my clients
making, even if you feel like you
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know all the tricks in the book.
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Sometimes you might start taking a
supplement, avoiding a certain food,
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or changing the way you eat, and these
things might seem helpful at first, but
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may actually end up contributing to your
symptoms like bloating, excessive gas,
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reflux, or constipation or diarrhea.
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Not all of these things in this
episode are going to apply to you,
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but you might just find one of these
mistakes and correcting the way
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you're dealing with them is the first
step in getting better digestion.
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Welcome to episode 42
of the Inside Knowledge.
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I'm Anna Mapson, and this episode is
all about helping you if you've got IBS.
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Today I'm going to focus in on
some of the things that people do.
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Unwittingly, that might be making
your symptoms a little bit worse.
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Some of the things might feel obvious,
but actually these are common mistakes.
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And that's why I focused on this
for an episode of the podcast.
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I just wanted to run through some
things which I see again and again,
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even in people who've really feel
like they've got a lot of experience
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in dealing with digestive conditions.
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It's easy to feel overwhelmed by
all the tips out there on social
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media, the blogs, the podcasts.
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There's so many things you could be
doing and you might have already tried
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multiple elimination diets or different
supplements to relieve your symptoms
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if nothing feels like it's working.
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Let's go through these top 10 bad
habits that might be contributing
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and see if any of them apply to you.
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The first mistake could be
that you're eating too fast.
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If you're eating on the go all
the time, eating whilst you're
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distracted, you're less likely
to be ready to digest your food.
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If you can make time to sit at
a table so your body is sitting
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upright, you can chew your food really
well and take some deep breaths to
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calm down before you start eating.
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then you're able to
better digest your food.
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So it might seem a bit obvious, but
if you actually take small bites
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of food and really chew each bite
thoroughly before swallowing, it can
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help you to digest your food better.
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Another thing is eating
whilst you're distracted.
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So either eating whilst you're working at
your desk or whilst you're watching TV.
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This is partly because your brain needs
some time to send the signal from your
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stomach That you've had enough to eat,
we have a couple of different ways of
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registering our fullness and some of it
is the stretch receptors in our stomach,
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just acknowledging that food is in the
stomach and then also we have chemical
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signals coming from the body that are part
of the digestion of proteins and fats.
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telling the brain that we are
getting enough nutrients and we are
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okay to stop eating for this meal.
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If you ignore all of these signals because
you are eating and you haven't even
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noticed for example that you've finished
the meal or you've reached for another
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crisp and oh, they're all gone, this can
easily happen when you're not engaging
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your brain in the process of eating.
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So slowing down to eat will be one
of the first things that you can do.
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The second mistake I see people making
is not sitting on the toilet properly.
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Now you might think how
difficult can it be?!
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But actually we have a whole load of
muscles that have to contract and open
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at the right time to let the poo out.
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One of the things we can do to
make it easier is to sit with our
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feet raised up around about 15
20 centimetres off the ground.
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Just enough so that your hip
are lower than your knees.
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What you want to do is put your body
into a bit more of a squatting position.
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This is a more natural way for you to go.
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This is not just helpful for people
who have constipation, although
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it is the most useful for them.
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However, I also think it's really
helpful for people who have more
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loose stools and diarrhoea type IBS.
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You don't need a particular product,
although there is a product out there
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called the Squatty Potty, but, you can
just use a box, a book, one of those
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little kids plastic steps to help them
reach the sink, anything really that
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just raises your feet off the ground.
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Make sure hips go lower than your
knees and you just lean forward,
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putting your elbows onto your legs.
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And by doing that, you're putting
yourself in a better position
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that's more comfortable and more
physiologically sound for having a poo.
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The third mistake I see people making very
frequently is irregular eating patterns.
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So you're eating big meals or just
going for a long time without any food.
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When you've got IBS and you eat big
meals that are high in protein fats or
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calories it can cause a slow digestion
and this may add to your bloating
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and discomfort and abdominal pain.
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People with IBS may find fasting or
really long gaps between meals can also
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cause cramping or like colicky pains.
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So if you leave too long between
meals, you're more likely
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to overeat at the next meal.
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Also, if you eat a lot of Fibre at
one go, like a large salad and lots of
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vegetables, or you try to eat three
normal sized meals in a restricted
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feeding window of eight hours, you
will not have very long to digest your
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meal before the next meal comes around.
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So most of the research about fasting
is on a 16 8 pattern or longer.
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without food.
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So you're fasting for 16 hours
eating in an eight hour window.
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This is great for some people.
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It does work okay.
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But when you've got IBS, if you're
trying to eat your five vegetables
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a day, at least 50 grams of protein
in just eight hours, you may find it.
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Puts pressure on your digestion.
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The other thing I see people doing is
not just fasting, but eating erratically.
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So some days you'll have breakfast,
and you'll eat lunch and dinner.
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Some days you're skipping breakfast,
but then you're snacking all day.
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And your body loves routine.
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It loves to be boring, even though
you might think it's boring.
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Your body is happiest when it's
doing things in a set routine.
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The fourth mistake is drinking
alcohol and not understanding
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the impact that that can have.
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Now I'm not someone who will say you
shouldn't be drinking at all but what I
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want you to do is understand the impact
on your gut of alcohol and it's not just
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as you're drinking it or the next day.
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Alcohol can bring on symptoms of IBS.
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Most people know that as you're getting
A bit of a hangover, you might also
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get loose stools, a bit bloated,
gassy and also increased anxiety.
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Alcohol is a diuretic, it causes
a bit of dehydration and that can
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sometimes irritate your stomach.
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But also, alcohol itself just
irritates the lining of our gut and
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our intestines and that can add to your
sensitivity and pain as well as gas.
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So if you do drink, just try not to
go overboard and obviously try to pick
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drinks that are not your triggers.
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So some people it will be the fizziness
of things and they get on better
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with something like wine or ale.
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Other people may find that they get on
better with spirits and a mixer and the
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bubbles aren't such an issue and it's more
the fermented drinks like beer and wine.
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Some of them are higher FODMAPs,
for example, like rum, cider.
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White wine and red wine.
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These can all be high in FODMAPs
and can add to your symptoms.
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However, generally, alcohol, we
all know, is not that good for us.
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But if you're going to do it, then
what I mentioned is what I want to
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think about is how long it takes you to
recover from the bloating, from the gas.
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It's not just the next day.
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I do find with my clients that
they drastically underestimate
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the impact of a big night out.
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on their digestion.
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So if you're someone who has a
night out every weekend or you're
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frequently drinking, try to think
about the impact that that might
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be having on your IBS symptoms.
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The fifth mistake is ignoring
the urge to poo when you need to.
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This can contribute to IBS, because if
you don't listen to your body, you don't
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go when you need to, you may find that
over time, your body loses sensitivity
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to these signals, your nervous system
is telling you that you need to go
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and release waste from your body.
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And even if you're not at home in
your normal toilet, You should go to
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try and do it if you're at school,
if you're at work, wherever there's a
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toilet that's nearby, because if you're
holding it in, you may be contributing
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to future issues with pelvic floor
dysfunction, and that is partly down
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to your nervous system not recognizing
the messages and just not allowing the
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processes to happen in the right moment.
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I've had quite a lot of clients who don't
want to go at work or cannot bear to go
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in a public space if there's not cubicle
toilets., and I really do understand
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some of the challenges with this.
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You're worried about the noise, you're
worried about the smell and generally
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just feel anxious about having a poo
because sometimes it can take a long time.
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It can feel scary as well.
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If you take a little bag of things around
with you including some, maybe some air
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freshener or smells that you can release
into the toilet that can help, sometimes
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flushing to reduce the noise, like there's
all kinds of things but don't ignore
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the urge to go when you need to go.
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The sixth mistake I see is people
who are inadvertently increasing the
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amount of air that they are swallowing.
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This can happen with chewing gum, drinking
a lot of fizzy drinks and eating Whilst
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you're talking and eating whilst you're
distracted, which is why the first
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mistake was about slow eating, chewing
your food really well and all of that.
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Now, when we're chewing gum we can
quite easily swallow a lot of air that
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can add to IBS, so try not to do that.
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Also, some chewing gums have got
xylitol in them, which is a high FODMAP
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sweetener and you might also find
that that is irritating your digestion
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as you're You know, digesting some
of that xylitol with fizzy drinks,
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obviously, like the carbonation is
adding small bubbles of gas into your
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stomach that has to come out somehow.
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So it's either going to come up as
belching or it's going to go down and
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come out as flatulence, the carbonation
just adding to that gas build up.
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And if you're someone who really
suffers with hypersensitivity and
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really noticing every small painful
passage of gas through your intestines.
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Then you're just going
to be making that worse.
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The seventh mistake that I see is people
not knowing how to breathe correctly.
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Again, a little bit like not
sitting on the toilet correctly.
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You might think, oh, well, I've
managed so far throughout my life,
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breathing away, not a problem.
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And, of course, you are breathing.
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You're breathing okay.
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But, what people are doing less and
less, These days is good diaphragmatic
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deep breathing and Some of the benefits
of this is that it helps to relax you
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so deals with stress and anxiety and
learning how to breathe correctly Really
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can help get oxygen around your body it
can help to reduce feelings of anxiety
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because as we're engaging in a slow and
out breath, like the exhalation that's
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longer than the inhalation, we're engaging
the parasympathetic nervous system.
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That is your nervous system that
helps you feel relaxed, helps you feel
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calm, and that is kind of soothing
your digestive system . So we want
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to try to reduce symptoms of stress.
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I could have said in this mistake,
just don't be as stressed or deal
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with your stress, but actually
that's not very helpful and I
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also know it's not very realistic.
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What you can do is deal with some
of the symptoms of stress which are
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holding yourself tight, feeling very
anxious and like Withdrawn and kind
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of just holding everything tense.
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So if you're physically, consciously
relaxing your body through
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deepened breaths, that does have a
positive impact on your digestion.
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We know stress and anxiety affects your
digestion, and over time that can lead
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to more and more IBS type symptoms.
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It doesn't mean the IBS is in your
head, it just means that it can be
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triggered by feelings of anxiety.
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There's physiological changes,
there's chemical changes when
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we're highly stressed and anxious.
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And these do have an impact on your
ability to digest your food and typical
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IBS symptoms such as bloating, pain,
erratic bowel habits, and let's
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come on to the last three mistakes.
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at number eight is fiber.
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Now I haven't said not enough fiber
or too much fiber because you need
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to find the right amount for you.
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Some people feel better with a little
bit less fiber and I have actually
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had a few clients who were so into
trying to do well and trying to eat
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healthily that they were actually
overeating with IBS in terms of fiber.
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And this was negatively
impacting their digestion.
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However, most people need
to eat a bit more fiber.
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Fiber is probably something
that you've reduced down because
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it can trigger your symptoms.
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It doesn't mean that this is bad for you.
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And this is where working with a trained
nutrition professional is probably
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the best way to increase your diet
diversity and increase your fiber.
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Because you want to find fiber that
is not going to set off your bloating.
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The bloating is sometimes down
to bacterial fermentation.
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Some of that can be happening in the
small intestine which is SIBO, Small
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Intestine Bacterial Overgrowth, where
you've got too many bacteria in your small
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intestine doing a good job, they're doing
the right job, they're fermenting fibre,
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but they shouldn't be doing it there,
they should be in your large intestine,
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or they should be not there at all.
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Now, you are aiming for around 30 grams
of fibre a day, That is the correct sort
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of target to aim for, however, most people
are around 18 grams on average in the UK.
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And so the best way to do it is
just to really gradually increase
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your intake small amounts every day.
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Just try to increase your
fiber by a little bit more
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than you were eating yesterday.
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It could be like one gram,
two grams of fiber a day.
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It doesn't have to be much, but what
we're trying to do is gently, over
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time, build it up so that you are
getting somewhere near that target.
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The ninth mistake I see people making
frequently is eating very late at night.
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And this could be either because you're
going to the gym in the evenings,
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or you're waiting for your partner
to get home from work, or maybe you
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don't finish work till 8 o'clock
and then you've got to cook and do
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all of that stuff when you get back.
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If you're eating late at night, however,
it could be contributing to a worse
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quality of sleep, symptoms such as acid
reflux and regurgitation or bloating.
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So if you're in the habit of eating
late at night, it may be affecting
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your body's ability to digest the
food and that is because When we're
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eating late at night, we've probably
got more food still in our stomach
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that is not gone down into the small
intestine by the time you go to lie down.
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So allowing around three hours before
bed is the best way to help prevent
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those sort of reflux symptoms.
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So you're sitting upright or you're
walking around after your dinner.
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And then that just allows the food to be
slightly digested before you go lie down.
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The other thing is that your body tends
to be better at dealing with glucose
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earlier in the day and we know that
people throughout the day on average
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Have a worse response to glucose.
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So kind of a higher insulin
resistance over the course of the day.
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And so if you're having a really large
meal really late at night, then your
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tolerance to that in terms of blood
glucose and insulin may be worse
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than when you ate that same meal.
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First thing in the morning, so
also need to think about over time.
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How often are you doing this?
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You know once or twice a week doesn't
really matter But if you're regularly
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eating your largest meal of the
day at 9 o'clock And then you're
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going to bed at 10 or 11 o'clock.
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It's quite late in the day So ideally
we want to front load the energy
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intake or at least try and have more
of your nutrition earlier in the day.
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The way it might be reducing your
sleep quality is just that your
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body's still digesting the food.
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Sometimes people will find if they
eat late at night, they wake up in
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the middle of the night and they're
getting like a blood glucose dip
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first thing in the morning as well.
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This is down to do with your insulin
and also your liver processing as well.
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This is basically meant to
happen, not when you're asleep.
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So just shifting it all forward might
help you get better quality of sleep.
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And we know that sleep also has a bearing
on IBS symptoms, especially things
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like pain, anxiety, and sensitivity.
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And then the final mistake.
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is something you've heard me talk about
a lot if you're a regular listener.
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And that is overly restricting your diet.
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A lack of diversity in your gut microbes
may be causing issues with your digestion.
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This is down to the way our gut microbes
interact with our immune system and help
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to build a good, strong lining of the
gut, like a good mucous layer, a good
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bacterial layer as well that are just
protecting us and keeping up it all intact
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that is better and stronger when we eat
a diversity of fibers, a diversity of
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nutrients that allow us to build a strong
immune system and that strong gut lining.
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The other thing is that if you have
removed a lot of foods from your
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diet, you may be low in certain key
nutrients that are important for
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your overall physiology and health.
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So things like iron, calcium,
zinc, B vitamins, these tend to
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be low in people who have IBS.
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I hope that's given you a few things
to think about in how you might be
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able to improve your IBS symptoms.
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Whether it's just making
some small changes or just
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addressing some of these topics.
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I know living with IBS is very
challenging and it's very hard to
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change your diet and your lifestyle.
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But the good news is that sometimes
making these small steps to manage your
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symptoms, you know, in a healthy way.
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can actually make things more
manageable so you're living with
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IBS but feeling better in yourself.
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If you want to work with me I run a three
month gut reset program where I take
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people on an individual basis through
diet and lifestyle changes that can
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really reduce unpredictable gut symptoms
like bloating, constipation or diarrhea,
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abdominal pain, and excessive gas.
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Follow me on Instagram for
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regular tips and content.
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I'm called goodness me underscore
nutrition on Instagram and you can
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00:19:19,649 --> 00:19:24,219
sign up to my mailing list to get
regular Emails from me each week.
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I send out some tips on how to improve
your digestion Reflections from my gut
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reset program where I share things that
I found worked or Client stories and
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then I also send out one recommendation
per week and that might be a podcast
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00:19:40,594 --> 00:19:45,688
that I've found interesting or a recipe
or an article that you may enjoy.
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I'll put the link in the show
notes if you want to sign up to
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00:19:48,404 --> 00:19:50,534
the Inside Knowledge email list.
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That's it for this week.
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Thanks for getting the Inside Knowledge.
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Better digestion for everyone.