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Niki’s Top Strategies to Stop Typical Chronic Diarrhea

March 19, 2013 By Niki Strealy

Over the years, I have compiled a list of strategies to decrease diarrhea. My book goes into detail for each of these strategies, and includes even more!

  1. Determine if you have lactose intolerance. Try a lactose challenge.
  2. Determine if you have fructose intolerance. Fructose is a type of sugar. Cut back on very sweet or rich foods, especially desserts.
  3. Minimize insoluble fiber intake. Try the Easy-to-Digest and Low-Fiber Diet in Appendix C. Soluble fiber is allowed.
  4. Avoid sugar-free gum, candy, and medications that contain the sugar alcohols sorbitol, mannitol, or xylitol.
  5. Cut back or eliminate anything that contains caffeine, including coffee, tea, soda, chocolate, energy drinks, or diet pills. Caffeine makes everything in the intestine move through faster.
  6. Limit intake of acidic, spicy, or high-fat foods, which can aggravate diarrhea.
  7. Limit intake of alcohol-containing beverages. Alcohol has a stimulating effect on the bowel, aggravating diarrhea and causing gas.
  8. Manage your stress through exercise, prayer, yoga, meditation, massage, acupuncture, biofeedback, or hypnotherapy.
  9. Take a probiotic as directed on the bottle for at least three to six months.
  10. Discuss your medications with your physician or pharmacist to determine if any are aggravating diarrhea. Request alternative medications without this side effect.
  11. Try taking loperamide (Imodium®) as directed on the box.
  12. Avoid bulk-forming fiber supplements such as Metamucil® or Citrucel®, which often exacerbate diarrhea.
  13. If you have irritable bowel syndrome or inflammatory bowel disease (IBD), try the FODMAP carbohydrate elimination diet.
  14. Get tested for celiac disease, a digestive disorder that damages the small intestine and interferes with absorption of nutrients from food. Treatment for celiac disease requires a lifelong gluten-free diet. Gluten is found in wheat, rye, and barley.
  15. Consider medical evaluation for food allergies , bile-acid diarrhea, or small intestinal bacterial overgrowth (SIBO).
  16. Take calcium supplements. Most people do not consume enough calcium, and it’s constipating.
  17. If you have been told you are anemic or need more iron, take iron supplements. They are constipating too.

Note: there is now a free downloadable handout with this information on my website!

Filed Under: FODMAPs, The Diarrhea Dietitian book, Tips for Chronic Diarrhea Tagged With: Celiac Disease, Crohn's Disease, FODMAPs, fructose intolerance, IBD, lactose intolerance, medications & diarrhea, polyols, probiotics, sugar alcohols, Ulcerative Colitis

Niki Strealy


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