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Intestaid sponsored IBS and Diet survey

 IBS AND DIET STUDY


 1. The following statements are either true or false in relation to IBS (For each statement please circle one answer only) 

Eating regular meals is important  TRUE  FALSE  
Skipping meals is good for IBS  TRUE FALSE
Eating late at night is good for IBS  TRUE FALSE 
Taking time when eating meals is important TRUE  FALSE
Sitting down to eat and chewing food well is not important    TRUE   FALSE 
Making time to relax can help to relieve symptoms  TRUE  FALSE 
Regular exercise is important TRUE FALSE 

2. Do you or have you ever kept a food and symptom diary? (Please circle one answer only)                                                                      

                         YES                             NO 

3. Do you ever make any changes to your diet, based on any of the following?
(Please circle one answer only) 

Current symptoms           Past symptoms Both                 Never make changes

 4. Thinking about your daily living do you do any of the following:
(Please circle either yes or no for each question) 


Eat regular meals  YES  NO 
Skip meals or eat late at night   YES  NO 
Do you take your time when eating meals  YES   NO 
Sit down to eat and chew your food well   YES  NO 
Take regular exercise   YES  NO 
Make time to relax  YES  NO 

5. Do you understand the term ‘resistant starches’?
(Please circle one answer only)


                             YES                             NO 

6.  For symptoms of wind and bloating with IBS, what do you think the current advice is?
(Please tick as many boxes as apply)

Only have 3 portions of fruit a day     Try using oats and / or linseeds  
Limit to 1 small glass of fruit juice a day   Cut down intake of resistant starches  

 

7.             Which of the following is a portion of fruit / vegetables?

(Please tick as many boxes as apply) 

1 apple or 1 banana or 1 orange      3 heaped tablespoons of raw, cooked, frozen or tinned vegetables  
2 plums   A desert bowl of salad  
1 raspberry yoghurt   1 heaped tablespoon of dried fruit  

 

8.    Which of the following foods are resistant starches?

(Please tick as many boxes as apply)

 

Pulses, whole grains     Part-baked and reheated breads e.g. garlic bread, pizza base  
Undercooked or reheated potato   Processed food such as potato or pasta salad, manufactured biscuits and cakes  

Dried pasta

   Muesli that contains bran  

Sweetcorn

   Ready meals containing pasta or potato, e.g. lasagne, shepherds pie  

Oven chips, crisps, potato waffles, fried rice

   Green bananas  

 

9.   For symptoms of diarrhoea with IBS, what do you think the current advice is:

(Please tick as many boxes as apply)

 

Drink at least 8 cups a day of water or non-caffeinated drinks (e.g herbal teas or sugar-free squash)     Eat low fat versions of foods  
Limit the intake of alcohol (2 units a day)   Try ‘probiotic’ products such as yoghurt  

Only have caffeinated drinks (e.g. tea, coffee or cola) up to 3 cups a day

   Limit the intake of foods such as ready meals, part baked breads, processed food, reheated potato  

Limit the intake of wholegrain breads, bran, cereals, nuts and seeds

   Avoid foods that are high in fat, such as chips, fast foods  
Avoid sugar-free sweets   Limit the intake of fizzy drinks  

 

10.  For symptoms of constipation with IBS, what do you think the current advice is:

(Please tick as many boxes as apply) 

Adjust fibre intake accordingly     Try oats and linseeds  
Increase the intake of fibre gradually   Have 8 cups of non-caffeinated fluid a day  

Introduce wholegrains into the diet along with fruit and vegetables

   Consider using a probiotic product  

  

11.  How likely would you be to do any of the following to help with your IBS:

(For each statement please circle one answer only)

 

Eat regular meals   Very likely Likely  Unlikely  Extremely unlikely 
Skip meals  Very likely     Likely  Unlikely  Extremely unlikely 
Eat late at night  Very likely     Likely  Unlikely  Extremely unlikely
Take your time when eating meals  Very likely     Likely  Unlikely  Extremely unlikely  
Sit down to eat and chew your food well   Very likely     Likely  Unlikely  Extremely unlikely  
Take regular exercise                  Very likely     Likely  Unlikely  Extremely unlikely  
Make time to relax                     Very likely   Likely  Unlikely   Extremely unlikely  

                             

 

12.  If a probiotic product is trialled the recommended length of time to take the product is: (Please circle one answer only)

 

1 week                   2 weeks                       3 weeks                       4 weeks +

 

13.  Treatments for my IBS have included or could include changing my lifestyle in relation to:  (Please tick as many boxes as apply)

Treating my IBS by eating small meals     Avoiding carbohydrates  
Avoiding fatty foods   Avoiding caffeine  

Treat my IBS with low fat foods

   Avoiding alcohol  

Treat my IBS with higher fibre foods

   Treat IBS with a lower intake of carbohydrates  
Avoiding milk products   Avoiding high protein (e.g. meats)  
Taking more exercise   Other dietary change (please say)   

 

14.  Treatments for my IBS have included or could include taking medications / nutritional supplements (other than IntestAid®IB): 

(Please tick as many boxes as apply) 

Fibre e.g. benefibre, fybogel     Nutritional supplements e.g. glutamine  
Anti-diarrhoea e.g. loperamide   Herbals e.g. Aloe, peppermint oil  

Antispasmodics e.g. Mebeverine, hyosine butylbromide

   Probiotic supplements e.g. Diarsafe  

Laxatives e.g.  Senacot

   Functional foods e.g. probiotic drinks  

                                        

15.  How likely are you to avoid any of the following foods?

(For each statement please circle one answer only)

 

Offal e.g. liver, tripe, kidney  Very likely  Likely  Unlikely  Extremely unlikely 
Oily fish e.g. sardines, mackerel   Very likely     Likely   Unlikely  Extremely unlikely  
Yeast extracts e.g. marmite         Very likely     Likely  Unlikely Extremely unlikely  
Beans, Pulses e.g. soya               Very likely     Likely  Unlikely  Extremely unlikely   
Lean meats e.g. chicken              Very likely     Likely  Unlikely  Extremely unlikely   

                                                                              

16.  What is your age? ____________

 

17.  How long have you been living with IBS? (years / months) ________________

 

19. Are you:                 Male               Female 

 

20. Have you used the Internet for information in relation to your IBS?   Yes     No      

 

21. Have you ever previously seen a dietitian for IBS?                           Yes      No

 

22. Have you seen a dietitian for IBS in the last 6 months?                    Yes     No 

If you experience any problems, please contact us by email on info@ibshealthcare.co.uk or alternatively by telephone on 01928 799079