Nutrition Counselling for IBS

A new diet helps patients with irritable bowel syndrome (IBS) lose weight and feel better.

The FODMAPS Diet is a carbohydrate- restricted diet for patients diagnosed with IBS and other digestive conditions, like Crohn’s Disease or ulcerative colitis, for which traditional therapies have not been successful.

The FODMAPS diet is carefully structured to identify food substances that may be causing digestive problems. First, patients are given a Symptom Rating Checklist and asked to rate their symptoms for one week. Then, the patient starts the diet, beginning with the “elimination” of foods with lactose, fructose, fructans, polyols and galactans for two weeks..

Within those two weeks, patients will be able to tell if they are FODMAPS sensitive and if their symptoms will improve with this change in diet. We provide guidelines for therapy to our patients and review their progress and symptoms.

If the patient’s symptoms do improve, we then go into a “challenge” phase, adding each FODMAPS group back into the diet one at a time. Along the way, our team of nutritionists follows the patient’s progress on a regular basis. This phase lasts six weeks, and allows us to determine which carbohydrate group is a trigger for the digestive symptoms.

In general, our gastroenterologists work closely with our nutritionists to improve symptoms related to patients’ digestive disorders. One of the most common topics involves losing weight. In fact, about 99% of patients want a nutritionist to provide weight loss instruction. Weight loss is also a vital aspect of a treatment plan for other conditions like fatty liver, high cholesterol, hypertension and diabetes.

When patients are ready, we provide education and recommendations to make a “healthy lifestyle change,” rather than “how to diet.” Of course, the ultimate success of this approach depends on the patient’s commitment to make the change – but we are here to help them succeed in that goal.

Gluten-Free Corner

Gluten-free dining can be enjoyable, healthy and nutritious. More restaurants and food companies are becoming in tune with the special dietary needs of the Celiac Disease population. Here, you will see a list of some restaurants that provide a “gluten-free” menu; be sure to let your server know that you have a food allergy to wheat, barley, rye and malt. Also included is a healthy gluten-free grocery list.

There are several resources out there to further guide your dietary needs, including the highly-recommended book “Gluten-Free Diet” by Shelley Case, RD.

Enjoy and healthy dining!

Gluten-Free Friendly Restaurants

Here is a list of restaurant in the Miami area that have a gluten-free menu:

  •        Romano’s Macaroni Grill – various locations
  •        BJ’s Brewhouse – The Falls Shopping Center
  •        P.F. Chang’s – various locations
  •        Fleming’s – Coral Gables
  •        California Pizza Kitchen – Coral Gables
  •        Yard House – Coral Gables
  •        Outback Steakhouse – various locations
  •        Carino’s – Doral
  •        Chipotle – various locations
  •        Carrabba’s – various locations
  •        YogurtLand – South Miami
  •        Naked Pizza – Coral Gables
  •        Rosa Mexicano – Brickell
  •        Crave – Coral Gables
  •        Pizza Fusion – Miami Beach
  •        Thrive – Miami Beach

Gluten-Free Grocery List


  •        corn tortillas
  •        rice crackers
  •        gluten-free cereal
  •        buckwheat
  •        quinoa
  •        rice
  •        flax


  •        vegetables
  •        fruits
  •        gluten-free ice cream or sherbet
  •        gluten-free waffles
  •        gluten-free frozen dinners/pizza


  •        fish/shellfish
  •        hot dogs
  •        canned tuna
  •        tofu
  •        poultry
  •        lunch meat
  •        beef


  •        vegetables
  •        fruits
  •        Beans
  •        gluten-free soup
  •        apple sauce
  •        pasta sauce
  •        canned milk
  •        nut butters
  •        jam honey


  •        coffee/tea
  •        gluten-free beer
  •        juice
  •        water


  •        milk
  •        whipped cream
  •        cheese
  •        sour cream
  •        butter/margarine
  •        eggs
  •        yogurt
  •        gluten-free pudding


  •        rice cakes
  •        rice or soy crackers
  •        sunflower seeds
  •        popcorn
  •        dried fruit
  •        corn chips
  •        Jell-O

Condiments and Baking

  •        white or red wine vinegar
  •        shortening
  •        olive, canola, or vegetable oil
  •        salad dressing
  •        spices
  •        cornstarch/meal
  •        gluten-free flour
  •        cocoa
  •        syrup
  •        xanthan gum


  •        fruits
  •        vegetables
  •        herbs