The effects of FODMAPs diet on transient lower esophageal sphincter relaxation (TLESR), intestinal gas production, and postprandial GERD and other GI symptoms in overlapping IBS-GERD patients. non-constipation irritable bowel syndrome, GERD, rice, wheat, Low FODMAPs, High FODMAPs, intestinal gas, hydrogen, gastrointestinal symptoms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 18-65 years old, 2. non-constipation type IBS patients according to the Rome III criteria, 3. typical GER (troublesome heartburn and/or regurgitation) symptoms, 4. Informed consent
Exclusion criteria
Exclusion criteria: 1. Previous history of abdominal surgery, 2. pregnancy, 3. major psychological disorders, 4. history of allergy to the test meals, 5. Chronic obstructive pulmonary disease (COPD), asthma, 6. Celiac disease, gluten and wheat allergy was excluded by a serologic test (negative serum immunoglobulin A anti-tissue transglutaminase; tTG antibody) and a specific skin prick test for gluten and wheat, 7. Probiotic supplements, prokinetics, laxatives, antibiotics or medications that affect GI functions and symptoms in the preceding 4 weeks prior to the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of TLESR 2 hours after lunch ingestion High resolution esophageal manometry (HRM) catheter | — |
Secondary
| Measure | Time frame |
|---|---|
| Hydrogen and Methane gas concentration, GI symptom scores 8 hours after breakfast ingestion Hydrogen breath test, Visual analog scale | — |
Countries
Thailand
Contacts
Division of Gastroenterology