Spastic colitis, also known as irritable bowel syndrome (IBS), is a common gastrointestinal disorder. There are two forms of spastic colitis: diarrhea-predominant and constipation-predominant.

Diarrhea-Predominant Spastic Colitis

Diarrhea-predominant spastic colitis is characterized by recurrent abdominal pain and diarrhea. The diarrhea may be accompanied by urgency, incomplete bowel movements, and mucus in the stool.

Many people with this form of spastic colitis experience symptoms after eating or when experiencing stress. These symptoms may be exacerbated by certain foods, such as fatty or greasy foods, dairy products, caffeine, and alcohol.

Constipation-Predominant Spastic Colitis

Constipation-predominant spastic colitis is characterized by infrequent bowel movements, hard stools, and difficulty passing stools. People with this form of spastic colitis may also experience abdominal discomfort, bloating, and gas.

Symptoms may be exacerbated by a lack of fiber and inadequate hydration. Stress and certain foods, such as dairy products and gluten-containing foods, may also worsen symptoms.

How to Manage Diarrhea-Predominant Spastic Colitis with Diet

People with diarrhea-predominant spastic colitis may benefit from a low-FODMAP diet. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.

These are types of carbohydrates that are poorly digested and may produce excess gas and trigger symptoms in people with spastic colitis. Some low-FODMAP foods include:.

Bananas
Blueberries
Grapes
Kiwi
Pineapple
Carrots
Cucumber
Spinach
Tomatoes
Potatoes
Quinoa
Rice
Gluten-free bread and pasta
Lactose-free milk
Hard cheese

It is important to note that the low-FODMAP diet should be followed under the supervision of a healthcare provider or registered dietitian to ensure adequate nutrition intake.

Additionally, some people with spastic colitis may benefit from probiotics, which are beneficial bacteria that promote gut health and improve symptoms.

How to Manage Constipation-Predominant Spastic Colitis with Diet

People with constipation-predominant spastic colitis may benefit from a high-fiber diet. Fiber adds bulk to stool and helps promote regular bowel movements. Some high-fiber foods include:.

Whole grains
Oats
Brown rice
Fruits
Vegetables
Legumes
Nuts and seeds

It is important to increase fiber intake gradually to avoid bloating and gas. Adequate hydration is also important to prevent constipation.

People with spastic colitis may also benefit from avoiding gluten-containing foods and dairy products, as these may exacerbate symptoms for some individuals.

Other Tips for Managing Spastic Colitis

In addition to dietary changes, there are other lifestyle modifications that can help manage spastic colitis:.

Manage stress with relaxation techniques
Engage in regular physical activity
Avoid smoking
Get enough sleep

When to See a Healthcare Provider

If symptoms of spastic colitis persist or are severe, it is important to consult a healthcare provider. In some cases, medication may be prescribed to manage symptoms.

Healthcare providers may also recommend additional testing to rule out other underlying conditions.