Can I Drink Yogurt with Irritable Bowel Syndrome Symptoms? - Gastroenterology and Hepatology

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Could you please provide a specific question regarding irritable bowel syndrome (IBS)?


I would like to ask, I just visited a doctor and was diagnosed with irritable bowel syndrome (IBS), specifically the diarrhea-predominant type.
Can I still drink yogurt? I started practicing drinking yogurt two weeks ago and usually have a bottle after dinner, but I experience abdominal pain and diarrhea the next morning, so I stopped two days ago.
However, I saw in an online Q&A that it is recommended to consume more yogurt for IBS.
What should I do? Additionally, what foods should I avoid? Thank you!

Zipper, 20~29 year old female. Ask Date: 2003/01/03

Dr. Yang Peizhen reply Gastroenterology and Hepatology


Hello! Currently, many yogurt products on the market claim to contain various probiotics that can aid digestion; however, it remains questionable whether they actually have this effect once ingested.
Irritable Bowel Syndrome (IBS) is primarily caused by dysregulation of the enteric nervous system, leading to abnormal motility, and is often significantly related to emotions, stress, and diet.
Therefore, the fundamental approach to addressing this issue includes reducing the intake of sugary and fatty foods, avoiding large amounts of water at once, and managing emotions and stress.
Only after these measures should medication be considered to control symptoms.
Best wishes for health from Dr.
Yang Pei-Chen, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/01/03

More Info


When it comes to managing symptoms of Irritable Bowel Syndrome (IBS), particularly the diarrhea-predominant type (IBS-D), dietary choices can significantly impact your condition. The question of whether you can drink yogurt, especially if you have experienced abdominal pain and diarrhea after consuming it, is a common concern among those with IBS.

Yogurt, particularly those that contain live active cultures (probiotics), can be beneficial for some individuals with IBS. Probiotics are known to help balance gut flora, which can improve digestion and reduce symptoms like bloating and diarrhea. However, the response to yogurt can vary from person to person. Some people with IBS may find that dairy products, including yogurt, can exacerbate their symptoms, especially if they are lactose intolerant. Lactose intolerance is common among individuals with IBS, and consuming dairy can lead to increased gas, bloating, and diarrhea.

Given your experience of abdominal pain and diarrhea after consuming yogurt, it may be wise to approach this cautiously. If you want to reintroduce yogurt into your diet, consider the following recommendations:
1. Choose Lactose-Free Yogurt: If you suspect lactose intolerance, opt for lactose-free yogurt or those made from non-dairy alternatives (like almond, coconut, or soy yogurt). These options can provide the benefits of probiotics without the lactose that may trigger your symptoms.

2. Start Small: If you decide to try yogurt again, start with a small amount to see how your body reacts. Gradually increase the quantity if you do not experience any adverse effects.

3. Monitor Your Symptoms: Keep a food diary to track what you eat and any symptoms that arise. This can help you identify patterns and determine whether yogurt is a trigger for your IBS symptoms.

4. Consider Probiotic Supplements: If yogurt does not work for you, consider taking probiotic supplements specifically designed for IBS. These can help improve gut health without the potential downsides of dairy.

In addition to yogurt, it’s essential to be mindful of other foods that may trigger your IBS symptoms. Common triggers include:
- High-FODMAP Foods: Foods high in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) can exacerbate IBS symptoms. These include certain fruits (like apples and pears), vegetables (like onions and garlic), legumes, and sweeteners (like honey and high-fructose corn syrup).

- Fatty and Fried Foods: High-fat foods can slow digestion and may lead to discomfort and diarrhea.

- Caffeine and Alcohol: Both can stimulate the intestines and may worsen diarrhea.

- Artificial Sweeteners: Sorbitol and mannitol, found in sugar-free products, can cause digestive distress.

- Spicy Foods: These can irritate the gut and lead to increased symptoms.

In summary, while yogurt can be beneficial for some individuals with IBS, it may not be suitable for everyone, especially if you have experienced discomfort after consuming it. It’s crucial to listen to your body and make dietary adjustments based on your personal experiences. If you continue to have difficulties managing your symptoms, consider consulting a dietitian who specializes in gastrointestinal disorders. They can help you create a tailored diet plan that minimizes symptoms while ensuring you receive adequate nutrition.

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