Table 4 Summary of recommendations for the dietary treatment of irritable bowel syndrome
InterventionQuality ofBenefit/Strength of
1. Take a careful dietaryVery lowNet benefitQualified
history to identify potential
causes of symptoms
2. Assess dietary fibre intakeLowNet benefitQualified
and consider recommending
an increase or decrease
3. Trial of exclusion of wheatLowTrade-offsQualified
bran or lactose
4. Consider systematic modific-LowTrade-offsQualified
ation of diet to identify