Online consultation · Pakistan
Online dietitian for IBS, acidity, bloating and gut problems
Gut problems such as IBS, acidity, bloating and constipation often improve with a carefully structured diet. A dietitian works stepwise: rule out danger signs with your doctor, find your trigger foods through a guided plan rather than guessing, then rebuild the widest diet you can tolerate with Pakistani food.
Who this consultation is for
- You have IBS, or long-term bloating, gas, stomach cramps or irregular stools.
- You have frequent acidity, heartburn or reflux.
- You have constipation, or loose stools, that keep coming back.
- You feel unwell after milk, wheat, beans or certain foods and want to find out why.
- You have celiac disease, Crohn's, ulcerative colitis or a fatty liver and need help eating well.
- You have been told to follow a low FODMAP diet and want proper guidance.
What your dietitian looks at
A good plan starts with questions, not a template. In your first consultation the dietitian goes through:
Your symptoms
Pain, bloating, gas, stool pattern, timing after meals, and how long and how severe each is.
Warning signs
Blood in stool, weight loss, night symptoms, anaemia or a family history of bowel disease; these need a doctor before diet.
Your diagnosis and tests
Endoscopy, colonoscopy, stool tests, celiac blood tests, ultrasound and any diagnosis your doctor has made.
Food and symptom diary
What you eat, when and how you feel, to spot patterns instead of guessing from internet lists.
Medicines and supplements
Antacids, PPIs, laxatives, antibiotics, probiotics and herbal products.
Stress, sleep and routine
Gut symptoms often track stress and meal irregularity, so these are part of the plan.
What your plan includes
A stepwise diet plan
For IBS, first basic changes (regular meals, fibre type, fluids, caffeine). Only if needed, a structured low FODMAP trial.
Low FODMAP, done properly
Three phases: a short restriction (2 to 6 weeks), a reintroduction of one food group at a time, and a personalised long-term diet. It is not meant to be followed forever.
Acidity and reflux plan
Meal size and timing, trigger foods that are actually yours, weight and sleeping position, with reduced chai and spicy or fried food only where it helps you.
Constipation and loose stool plan
The right type and amount of fibre (isabgol, daal, sabzi, fruit), fluids and routine for your pattern.
Celiac and intolerance guidance
A gluten-free or lactose-reduced plan with Pakistani food, label reading, and enough calcium, iron and fibre.
Follow-up and review
Symptom reviews and changes to the plan, and a clear route back to your gastroenterologist if symptoms change.
What diet can and cannot do
- Diet is a core treatment for IBS and reflux, and helps in celiac disease and inflammatory bowel disease. It does not replace medicines or tests.
- Do not remove gluten before celiac testing. If you stop gluten first, the blood tests and biopsy can come back falsely normal.
- Food intolerance tests sold online (IgG panels) are not reliable. Real trigger foods are found through a diary and a structured plan.
- The low FODMAP diet is a short diagnostic tool, not a lifelong diet. Staying on it long term can harm gut bacteria and nutrition.
- Probiotics and "gut cleanse" products have limited evidence and are not needed for most people.
The three phases of a low FODMAP diet
| Phase | What happens | Duration |
|---|---|---|
| 1. Restriction | High FODMAP foods are removed to see whether symptoms settle | 2 to 6 weeks |
| 2. Reintroduction | Food groups are brought back one at a time, in small tests, to find your triggers | 6 to 8 weeks |
| 3. Personalisation | You eat everything except your own triggers, in amounts you tolerate | Long term |
Many people stop at phase 1 because they feel better, and then stay on a restricted diet for years. This is a mistake: the goal is to widen your diet, not narrow it. A dietitian keeps you moving through all three phases.
Keep these ready for your consultation
- A 3 to 7 day diary of food, drinks and symptoms, with times, if you can.
- Any reports: endoscopy, colonoscopy, ultrasound, stool tests, celiac blood tests, haemoglobin.
- Your medicine and supplement list, including antacids, PPIs and laxatives.
- How long you have had symptoms and what has already helped or made things worse.
- Whether anyone in the family has bowel disease, celiac disease or bowel cancer.
Do not worry if you do not have all of them. You can start without reports, and send them later when the dietitian asks.
See a doctor first if
- There is blood in your stool, or black stools.
- You are losing weight without trying, or you have unexplained anaemia.
- You have severe pain, repeated vomiting, trouble swallowing, or fever with diarrhoea.
- Symptoms wake you at night, or began after age 50.
- You have a family history of bowel cancer, celiac disease or inflammatory bowel disease.
Diet works alongside medical treatment and never replaces it. Do not stop or change any medicine because of a diet plan.
Gut health: common questions
What should I eat if I have IBS?
Start with regular meals, enough water, less coffee and chai, and a steady amount of fibre. If bloating and cramps continue, a short low FODMAP trial guided by a dietitian often helps. It identifies which foods trigger you so you can eat widely again.
What is a low FODMAP diet?
FODMAPs are types of carbohydrate (in wheat, onion, garlic, some fruit, milk and beans) that ferment in the gut. A low FODMAP diet removes them for a few weeks, then reintroduces them one by one to find your personal triggers. It is not meant to be permanent.
How do I reduce acidity without stopping everything I love?
Eat smaller meals, avoid lying down for 2 to 3 hours after eating, reduce late-night heavy food, and cut the specific triggers you notice. Weight loss if overweight is the most effective diet step. Strong, long-term acidity or reflux should be checked by a doctor.
Do I have celiac disease if wheat makes me bloated?
Not necessarily; many people are sensitive to wheat for other reasons. Celiac disease needs blood tests and sometimes a biopsy, done while you are still eating gluten. Do not cut gluten before testing.
Which fibre is best for constipation?
A mix works best: isabgol (psyllium) husk, daal, sabzi, fruit with skin, and whole-wheat roti, together with enough water. Increase slowly to avoid gas and bloating.
Can stress cause stomach problems?
Yes. The gut and brain are closely linked, and stress, poor sleep and skipped meals commonly worsen IBS and acidity. Regular meals, sleep and walking are part of the treatment.
Free guides while you decide
General information from our diet plans. They are a starting point; your own plan is set for your body.
Related services
Start with one message
Tell us your goal on WhatsApp. We reply with the next step, the fee and a time that suits you.
Sources
- NHS. Irritable bowel syndrome (IBS): treatment and diet
- Monash University. The Low FODMAP Diet: three phases
- Rubio-Tapia A et al. ACG Guidelines Update: Diagnosis and Management of Celiac Disease. Am J Gastroenterol, 2023
- Katz PO et al. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am J Gastroenterol, 2022
- World Gastroenterology Organisation. Global Guidelines: Irritable bowel syndrome