{
  "abstract": "Diarrhoea is an extremely common symptom present in many gastrointestinal conditions including disorders of gut–brain interaction, coeliac disease, non-coeliac gluten sensitivity, bile acid diarrhoea, pancreatic insufficiency, diverticulitis, radiation enteritis and inflammatory bowel disease (IBD). Diarrhoea related to IBD will not be considered here. However, the manuscript focuses on a range of dietary treatments for the remaining conditions, including interventions that involve restriction of nutrients (eg, low-fat diet) or other food components (eg, gluten-free diet); whole diet interventions (eg, low FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols) diet); or that involve supplementation (eg, probiotics). The quality of scientific evidence for these interventions across different diarrhoeal conditions varies, and although supplements and whole diet interventions are generally supported by clinical trial evidence, there remain many gaps in evidence which are needed to be filled to strengthen dietary management strategies in clinical guidelines, particularly for conditions such as radiation enteritis. Dietitians with expertise in gastroenterology can add considerable value in the treatment pathway for patients with diarrhoea, enhancing the effectiveness of dietary intervention, monitoring for nutritional adequacy, optimising overall diet quality and empowering patients to self-manage their diet considering the important influence of interindividual psychosocial and cultural factors. Diet is a fundamental treatment in most diarrhoeal conditions, and this manuscript reviews the evidence for the use of specific dietary interventions for these conditions and also provides practical advice for non-dietetic clinicians relating to dietary assessment, identification of dietary triggers and advice on when to refer to the dietitian.",
  "authors": [
    {
      "affiliations": [
        "School of Translational Medicine, Monash University, Melbourne, Victoria, Australia"
      ],
      "name": "Heidi M Staudacher"
    },
    {
      "affiliations": [
        "Nutrition and Dietetics, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK"
      ],
      "name": "Cristian Costas-Batlle"
    },
    {
      "affiliations": [
        "Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK"
      ],
      "name": "Mary Phillips"
    },
    {
      "affiliations": [
        "Royal Brisbane and Women’s Hospital, Herston, Queensland, Australia"
      ],
      "name": "Sarah Andersen"
    },
    {
      "affiliations": [
        "Nuffield Health The Manor Hospital Oxford, Oxford, UK"
      ],
      "name": "Yvonne McKenzie"
    },
    {
      "affiliations": [
        "Dept of Nutritional Sciences, King’s College London, London, UK"
      ],
      "name": "Miranda CE Lomer"
    }
  ],
  "title": "Dietary modifications in patients with non-inflammatory bowel disease diarrhoea: a summary of the evidence and practical considerations",
  "uid": "ceef9213-a9dc-5f72-8e95-94cc165eceda"
}