The Impact of Fasting on Irritable Bowel Syndrome .. Between Benefits and Risks

With the holy month of Ramadan approaching, many people wonder about the effects of fasting on patients with Irritable Bowel Syndrome (IBS) and whether fasting helps improve symptoms or worsens them. While some patients experience relief during fasting, doctors emphasize the importance of maintaining regular meal schedules, as skipping meals may exacerbate symptoms for some individuals.

Studies have shown that the impact of fasting on IBS varies from person to person, depending on the type and severity of the condition. IBS is a chronic digestive disorder that causes abdominal cramps, bloating, gas, and changes in bowel habits, which can vary in intensity and effect from one patient to another.

In some cases, fasting can help reduce symptoms, especially if food intake is a trigger for colon irritation. Periods of food abstinence allow the digestive system to rest, which may reduce cramps and bloating. However, on the other hand, consuming large amounts of food in one sitting after long hours of fasting can worsen symptoms for some patients.

Fasting has several benefits for digestive health, as it enhances the activity of the migrating motor complex, which helps cleanse the intestines of indigestible waste, reducing the accumulation of harmful bacteria that may irritate the colon. Additionally, fasting has an anti-inflammatory effect, helping to reduce oxidative stress, which negatively affects digestive cells and may lead to improved health conditions for some patients.

However, fasting can also pose risks for IBS sufferers, such as prolonged hunger, which may trigger symptoms, or insufficient intake of fiber and probiotics, which are essential for gut health. Some patients may need medication to alleviate symptoms, such as antispasmodics for cramps, anti-diarrheal or laxative medications as needed, and digestive system relaxants.

To prevent symptom aggravation during fasting, it is advised to avoid foods containing artificial sweeteners like sorbitol, reduce the consumption of carbonated drinks and coffee, eat slowly, and drink enough water. Additionally, engaging in physical activities and relaxation techniques such as meditation and yoga can help reduce stress, which is a common trigger for IBS flare-ups.

Although there is no definitive cure for IBS, maintaining a balanced diet and avoiding triggers can help manage symptoms and improve quality of life, whether during Ramadan or throughout the year.