Conditions

IBS (irritable bowel syndrome) and FODMAPs

IBS though not a life threatening condition can make you feel miserable, vulnerable and disabled. In fact it is a major cause of absenteeism.

Symptoms can include all or a few of the following

Abdominal pain, diarrhoea or constipation, tiredness,  bloating, wind, acid reflux, nausea, headaches, fogginess, depression…

For the past ten years or so, the FODMAP diet has become one of the main lines of therapy for IBS  and brought symptoms relief  to thousands of people with over 75% success and giving sufferers their life back. Whilst there is a lot of information out there on FODMAPS, following a diet without the support of an expert can deprive you of essential nutrients which can cause imbalances and further health problems.

 Here at Nourish ALL we will do a thorough assessment of your medical history, nutritional status and diet. We will support you in  freeing you from symptoms but ensuring you have all the vitamins and minerals your body needs and help you use less medication like acid reflux and classic ibs meds.)

Weight management

(At Nourish ALL, we understand that every person is different when it comes to weight loss. We help you find strategies that suit you best to lose weight in a safe way. we listen to your concerns and try to respond to them.

Our ultimate aim is to support you in finding a healthy lifestyle that you can  adopt enabling you to lose weight and keep it off permanently.

How does it work?

We do a thorough assessment of your diet, medical history and body composition.

We analyse the food diaries you provide us with, this can include a computerised analysis too.

We support you make the changes that suit you and your lifestyle best.

We review your progress. This can be weekly or bimonthly. You can also email us 24hrs/7

Some clients request a menu plan. This can be provided but we rather work with you to give you the tools to create simple, nutritious and delicious meals that you can enjoy daily and anchor healthy habits that last.

Heart health: high cholesterol or other blood lipids and high blood pressure.

As a nation we are exposed to an abundance of high calorie foods which can be very high in fats (especially the bad type of it) and carbohydrates. Eating the wrong diet can lead to health problems namely cardiovascular diseases.

Simple changes can make a massive difference in terms of rectifying blood lipids abnormalities and avoiding big problems like heart attacks and stokes.

 Find out more

Inflammatory bowel disease

People suffering from Crohn’s or ulcerative colitis disease need a good dietetic support during relapse and remission. This is to avoid malnutrition and ensure a good nutrition to improve health and wellbeing.

Premenstrual syndrome (PMS)

PMS can affect a woman for as long as two weeks a month. Which means half of the cycle. Symptoms can range from bad cramps, bloating to mood swings, depression and anxiety.

Dietary changes and supplementation can make a big difference in the quality of life and symptom management.

Polycystic ovary syndrome (PCOS)

Unfortunately more and more teenagers are being diagnosed with PCOS. The condition is characterised by irregular period, high blood pressure and high cholesterol and weight gain. Dietetic advice can improve symptoms and prevent the side effects of the condition.

Acne

Though acne is an inflammation of the skin and many people will target it externally, much of the root cause is internal and can be linked to the diet.

We have very good results at treating teenagers who were willing to follow the dietary advice

Fatigue and lethargy

Our body needs the right nutrients to function properly.

At NourishAll we do a holistic assessment to identify the causes of exhaustion in our patients and work with them to restore good energy levels and a better fitness.

Depression and anxiety

More is known now about the effect of our diet on mental health. The interactions of the brain with the gut; also known as the gut brain axis is very much on the limelight and there is more research emerging about how our gut communicates with our brain. Following the right diet can alleviate symptoms of depression and anxiety and restore a feeling of calmness and grounding.

Coeliac disease

If you have been diagnosed with coeliac disease (allergy to gluten, a protein in wheat, barley, rye and oat), it is very important that you see a dietitian to help you eat a healthy and balanced diet whilst avoiding gluten containing foods and products.  Eating these will continue damaging gut lining and result in poor absorption of vital nutrients like iron, calcium… and consequently leads to anaemia (iron deficiency), osteoporosis (fragile bones)…

We will help you identify gluten free products you would like to use and ensure that you have a good  nutritional and health status.

Diabetes and prediabetes

Diabetes occurs when the sugar (glucose) in the blood becomes higher than it should be, this is because of a lack or absence or a hormone called insulin.

What is prediabetes? When glucose blood test is  between 7.8 to 11.0 mmol/L.

The most common reason why someone can become prediabetic and diabetic (type2) is because they have become overweight. Losing weight can stop the progression to diabetes and even reverse in some cases type 2 diabetes. A study has shown that 64% of participants who have lost 10Kg or more could stop their medication and were in remission after two years.

Even a 1kg weight loss can lower the risk of getting diabetes by 16%. Regular exercise lowers that  risk by 40%.

Diabetes:

 Unlike most other diseases diabetes is initially painless, silent so some people might not realise they have the disease or might underestimate the consequences of not managing it properly once they know they are prediabetic or have diabetes.  A good management of  diabetes is indicated by HbA1c test, (a test that indicates the average blood sugar (glucose) over the past 2-3 months) of 48mmol/mol (6.5%) or less.

Type 1 diabetics use insulin on a daily basis. The dose of insulin needed will be set with the help of a diabetes nurse but the patient has to make adjustments depending on their starchy foods (carbohydrates) intake.

 It can be quite tricky to work out the insulin needed for your carbohydrate intake we can help you with this.

Care of the elderly: We do work with nursing homes’ catering department to help improve meeting nutrition related CQC criteria. Also we see residents and older people in their own homes. Good nutrition can make a massive difference in keeping our loved ones independent and away from hospitals.

Management of cancer and cancer treatments side effects

Cancer treatment often leaves patients without an appetite and without energy to think, prepare or shop for food. This means that weight loss is common. Research shows that patients who maintain a good weight and nutritional status have a much better recovery and a quality of life.

A part from appetite and energy levels, chemotherapy and radiotherapy can have a range of side effects compromising eating and drinking such as mouth ulcers, nausea and vomiting, change in taste buds, diarrhoea and food intolerances.

We can help you find foods and meals that you can tolerate and give you tips and strategies to keep a normal weight and a good nutritional status.

Own experience with IBS

When I was growing up as a child, it was a must for my mum that I had a glass of milk with breakfast. The milk was delivered by a milkman from a local farm. It was thick and smelly and I didn’t like it but with mum watching, it was impossible to skip it. I remember being seriously nauseous and foggy minded every morning till lunch time. As I also suffered from severe asthma, this problem was seen as minor and was never medically investigated.

However, about fifteen years ago, I started developing more debilitating symptoms that affected me on a daily basis. I had unexplained headaches, fogginess, cramps, bloating  and more frequent diarrhoea/ constipation and also weight loss. At first  I eliminated dairy but still problems were not resolved. I had so far two colonoscopies (this is when a camera is inserted in the colon to look around the colon and take samples), one fibroscopy (when a camera is inserted through the mouth to look at the stomach )and numerous hospital appointments but my symptoms were persistent. As a last resort I was given some antidepressants which I could never take beyond one week or two. It has just made me very depressed. I was also given an appointment with an NHS dietitian but when she saw me; she thought that I was exaggerating and very self restrictive as the number of food I could tolerate is little. The dietitian was so frustrated that she gave me a couple of booklets on FODMAP and showed me to the door. It was the shortest appointment in my life with a health professional. It made me feel like it was my fault I am being restrictive but actually it was what I could tolerate at the time. I was a student dietitian then and I vowed to myself that I will never treat a patient like this when I graduate.

I eliminated gluten from my diet and some FODMAPs. Eliminating both had a massive impact on my mental health and gut symptoms. I finally started feeling grounded and clear minded. Which was a massive relief and improvement in my quality of life.

IBS is very individual. it is different from one person to another,  it is always advisable to talk to a health professional to support you find the triggers and help you eat healthily to ensure there are no nutritional deficiencies.