Understanding Post-Infectious IBS

Causes, symptoms and management strategies for Post-Infectious IBS (PI-IBS)

Understanding Post-Infectious IBS

Guest blog by Marilia Chamon, Registered Nutritional Therapist & IBS Expert, founder of Gutfulness Nutrition

Irritable Bowel Syndrome (IBS) affects up to 15% of the global population, manifesting as a mix of uncomfortable digestive symptoms such as abdominal pain, bloating, and altered bowel habits. A specific subtype of this condition, known as Post-Infectious IBS (PI-IBS), emerges after an acute gastrointestinal infection. This condition develops in approximately 10% of individuals following a bout of gastroenteritis, which can be triggered by pathogens like viruses, bacteria, or parasites.

Why Does PI-IBS Happen?

The exact mechanisms behind PI-IBS are complex and multifaceted. During an
infection, the gut experiences significant inflammation and disruption to its normal microbial balance.

During an infection, the gut experiences significant inflammation

This disruption can alter gut motility, increase intestinal permeability, and heighten sensitivity to certain foods and substances, including FODMAPs.

How Does PI-IBS Happen?

Following the resolution of the initial infection, the gut may fail to return to its
pre-infection state. This dysregulation can lead to chronic symptoms characteristic of IBS, such as abdominal pain, bloating, diarrhea, and/or constipation. The heightened sensitivity and altered motility patterns contribute to the persistence of symptoms long after the infection has cleared.

“The heightened sensitivity and altered motility patterns contribute to the persistence of symptoms long after the infection has cleared.”

Symptoms and Long-Term Consequences of PI-IBS

The symptoms of PI-IBS mirror those of typical IBS but are often more severe initially and may fluctuate in intensity over time. Long-term consequences can include reduced quality of life, dietary restrictions, and psychological distress due to the unpredictable nature of symptoms.

The Connection Between IBS and FODMAPs

FODMAPs are a group of short-chain carbohydrates and sugar alcohols found in
various foods, including onions, garlic, wheat, and dairy. In sensitive individuals,
FODMAPs are poorly absorbed in the small intestine and subsequently fermented by bacteria in the colon, leading to the production of gas and attracting water into the colon, which can cause the intestines to stretch and result in discomfort and bloating.

FODMAPs are poorly absorbed in the small intestine and subsequently fermented by bacteria in the colon

Managing FODMAP intake is a recognized approach for alleviating IBS symptoms. By reducing the overall dietary load of these carbohydrates, many individuals experience significant relief from their symptoms.

How FODZYME Can Help FODMAP Intolerance

FODZYME is a digestive enzyme blend designed to target and break down FODMAPs in foods. By enhancing the breakdown of specific components like those found in garlic, onions, and wheat, FODZYME can reduce the volume of unabsorbed carbohydrates reaching the colon. This process helps in promoting tolerance to FODMAPs and mitigating sensitivities that often trigger symptoms in individuals with digestive symptoms.


While FODZYME is not a treatment for IBS, its role in supporting the digestive process and promoting smoother digestion can be particularly beneficial for those seeking relief. By efficiently processing FODMAPs, the digestive enzymes aid in reducing potential discomfort and improving overall digestive health.

“Incorporating FODZYME as part of a broader, tailored dietary strategy can help individuals manage their symptoms more effectively, allowing them to enjoy a wider variety of foods."

Incorporating FODZYME as part of a broader, tailored dietary strategy can help
individuals manage their symptoms more effectively, allowing them to enjoy a wider variety of foods with less apprehension about digestive upset. As always, it is important to discuss any new supplement with a healthcare provider.

About Marilia

Marilia Chamon is a London-based gut health specialist and registered nutritional therapist, she is the founder of Gutfulness Nutrition. Marilia has undergone extensive training on the pathophysiology of IBS in addition to completing the Monash University 'Low FODMAP Diet for IBS' training course for health professionals. She is a SIBO Approved Practitioner and certified in applying functional medicine in clinical practice from the world renowned Institute For Functional Medicine.

Marilia specialises in gut health as a result of her own health journey, having struggled with unexplained digestive symptoms for nearly a decade, following an episode of food poisoning.

Connect with Marilia via Instagram @gutfulnessnutrition

Reference

Zhang T, Ma X, Tian W, et al. Global Research Trends in Irritable Bowel Syndrome: A Bibliometric and Visualized Study. Front Med (Lausanne). 2022;9:922063. Published 2022 Jun 27. doi:10.3389/fmed.2022.922063