Flowers It doesn't make the underlying condition worse if I pick the right fruit and veggies. When I said it was a nightmare, I meant it's been complicated and a lot of reading up etc, and that I miss being able to eat freely, as I love fruits and vegetables, not that it aggravated the condition. I'm not stupid.
Why do I take the trouble? Erm, vitamins and minerals? I feel better if I managing to eat a reasonable amount of fresh produce, it's just a tricky balancing act. I was worried about the long-term health implications of a diet that contained almost no fruits or vegetables. Vitamin pills are often housed in some form of cellulose, which definitely aggravates the IBS. In any case, I'm not totally convinced that vitamins in pill form as beneficial as nutrients from whole foods- things like freshness, bioavailability, dependence on the availability of other nutrients to help absorption etc, plus also elements or benefits that aren't wholly understood yet (e.g. There is some evidence that vit D is important for more than bone development, calcium supplementation is bad for cardio vascular health).
I have tried just eating chicken and white rice or baked potatoes, and it's ok, still do it for a couple of days but I do prefer managing to eat a bit of fresh stuff. Like carrots, cucumber, pineapple, olives, celeriac, blueberries, raspberries, strawberries, chard, salsify, rocket, parsley, aubergines, courgettes.
It makes life less boring food wise, and my health/energy/general health are better. My doctor also told me "well done" for taking the trouble to find to way to ensure that I eat more fruits and veggies and with more variety than most people without IBS do.
I have also found that introducing new, previously problematic foods infrequently, in tiny amounts, alongside courses of probiotics does increase my tolerance. This gives me a margin of error that is really useful in avoiding flares.
My approach is that I am still a whole person, not just one condition. So I need to address all my health needs, not just manage one condition whilst being terrified to live.
There is also a lot of evidence that post-infectious IBS does clear up in most people after 6+ years, and that the likelihood of being in the lucky half is linked to overall health. I reckon that not having scurvy etc will likely stand in my favour on that front!