A client with irritable bowel syndrome is being prepared for discharge. Which of the following meal plans should the nurse give the client?
A. Low fiber, low-fat
B. High fiber, low-fat
C. Low fiber, high-fat
D. High-fiber, high-fat
Correct Answer: B. High-fiber, low-fat
The client with irritable bowel syndrome needs to be on a diet that contains at least 25 grams of fiber per day. Fatty foods are to be avoided because they may precipitate symptoms. Fiber adds bulk to stools, which helps aid in movement. The average adult should eat 20 to 35 grams of fiber per day. While this seems simple enough, the National Institute of Diabetes and Digestive and Kidney Diseases estimates that most people only eat 5 to 14 grams per day.
Option A: Fiber-rich foods, such as fruits, vegetables, and whole grains, are nutritious and help prevent constipation. However, if you experience bloating from increased fiber intake, try focusing solely on soluble fiber found in fruits and vegetables instead of grains.
Option C: High-fat foods are generally low in fiber, which can be problematic for IBS-related constipation. According to the Cleveland Clinic, fatty foods are particularly bad for people with mixed IBS, which is characterized by a combination of constipation and diarrhea. Embarking on a low-fat diet is good for your heart and may improve uncomfortable bowel symptoms.
Option D: Chronic consumption of high-fat foods is a known contributor to a variety of health issues, such as obesity. However, it can be especially hard on those with IBS by worsening symptoms. Instead of eating fried foods and animal fats, focus on lean meats, fruits, vegetables, grains, and low-fat dairy products.
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