Bigger Meals Can Make IBS Worse (2024)

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Bigger Meals Can Make IBS Worse (1)

Bigger Meals Can Make IBS Worse (2)

Bigger Meals Can Make IBS Worse (3)

By Glenda Bishop, RNutr PhD

2 min read

One of the things that can trigger IBS symptoms is eating big meals. When you eat, your stomach stretches as it begins to fill up with food. As the food gets digested, it moves into your small intestine. But to make room for this new food, the rest of your gastrointestinal tract needs to get moving too. This happens by a normal physiological mechanism called the gastrocolic reflex. The stomach sends nerve signals to the colon, which makes the muscles of the colon start contracting. This then helps the contents of your gastrointestinal tract to move onwards. And when the stimulus is strong enough, it can promote a bowel movement.

The bigger the meal, the stronger the push

When you eat larger meals, even more room is needed in your gastrointestinal tract. So you can end up with a stronger stimulus to your colon to get things moving. But if things don’t actually get moving, particularly if you’re prone to constipation, you can end up with muscle spasms that cause abdominal discomfort and pain.

On top of that, big meals will also cause your abdomen to swell. That’s because as your stomach stretches from the food, it’s going to push outwards since there’s not much spare space in your abdominal cavity. This can create an uncomfortable feeling of bloating and distension in your abdomen. And that’s before even considering the effect of the foods that you’ve eaten and whether they might cause bloating in their own right.

So essentially, bigger meals cause your abdomen to swell because of the amount of food that you’re putting in there. But they also cause the gastrointestinal tract to become more active, which can lead to pain sensations in people with IBS.

Eating smaller meals can prevent this problem

When you eat smaller meals, the stomach doesn’t get as stretched as it does with larger meals. So smaller meals remove one part of the problem… the swelling of the abdomen due to the new food. And since the gastrocolic reflex is stimulated by stretching of the stomach, smaller meals have less chance of stimulating this reflex.

That said, the gastrocolic reflex isn’t only triggered by meal size. Other things can trigger it too, including the gut irritants. This includes things such as caffeine, alcohol and fatty foods. But by choosing smaller meals, you’re less likely to trigger the reflex than if you were eating larger meals.

This is why smaller meals can help IBS

Some people with IBS find that eating more smaller meals, which are more evenly balanced in size, helps to keep their symptoms more stable. So if you find that one or more of your meals are larger than your other meals, you may like to try eating smaller meals more often. One way to do this is to make snacks a little larger so that you can decrease the size of nearby meals. Another option is to eat more for breakfast (since many people eat smaller breakfasts), and in turn downsize your larger meal.

Bigger Meals Can Make IBS Worse (4)

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Bigger Meals Can Make IBS Worse (2024)

FAQs

Bigger Meals Can Make IBS Worse? ›

One of the things that can trigger IBS symptoms is eating big meals. When you eat, your stomach stretches as it begins to fill up with food. As the food gets digested, it moves into your small intestine. But to make room for this new food, the rest of your gastrointestinal tract needs to get moving too.

Can eating a large meal trigger IBS? ›

Diet Triggers for IBS Diarrhea

Food and drinks with chocolate, alcohol, caffeine, fructose, or sorbitol. Carbonated drinks. Large meals. Fried and fatty foods.

Are smaller meals better for IBS? ›

Change the Way You Eat

Some simple changes may help you gain control of your IBS-C symptoms. Eat smaller meals more often. Some people with IBS-C find it helps to eat five or six smaller meals throughout the day, rather than three large ones. Don't skip breakfast.

Does portion size affect IBS? ›

It is not surprising then that how much of a food you eat will affect how likely you are to experience symptoms if you have IBS. This is because people with IBS tend to have what is called a 'dose response' to FODMAPs – meaning that they will only experience symptoms once a certain 'dose' of FODMAPs from food is eaten.

What foods trigger IBS the most? ›

Foods that may make IBS diarrhea worse
  • Fried foods.
  • Fatty foods.
  • Dairy (especially if you are lactose intolerant)
  • Foods containing wheat (if you are gluten-sensitive)
  • Too much fiber (especially from fruit/vegetable skin)
  • Chocolate.
  • Carbonated drinks.
  • Caffeine.
Jun 16, 2022

Is IBS worse on an empty stomach? ›

The researchers suggest that skipping meals may have a negative effect on IBS due to a reduction in the gastro-colonic reflex, which increases gastrointestinal motility and supports digestion. Issues with this reflex may be associated with severe constipation.

Will fasting cure IBS? ›

According to Warren, fasting may not help with irritable bowel syndrome in cases where prolonged fasting results in the consumption of more food portions at the end of the fast. Warren says that, when she works with patients who present with intestinal hypersensitivity, hunger or lack of appetite may be to blame.

Do you poop more or less with IBS? ›

If you have IBS with diarrhea, you will have frequent, loose, watery stools. You may have an urgent need to have a bowel movement, which may be hard to control. If you have IBS with constipation, you will have a hard time passing stool, as well as fewer bowel movements.

Is IBS made worse by not eating? ›

Warren says that in her work with patients who exhibit certain kinds of gut hypersensitivity, hunger sensations or lack of food can be a trigger. She explains that certain IBS symptoms can occur in response to the stomach being empty in these individuals.

What food calms an IBS flare-up? ›

If you have an IBS flare-up, you may want to choose low FODMAP diets instead, such as :
  • quinoa.
  • wheat-free grains, brown rice, and basmati rice.
  • fish and poultry.
  • bananas.
  • berries.
  • grapes.
  • cucumbers.
  • carrots.
May 24, 2023

What is the biggest cause of IBS? ›

The reasons why IBS develops are not clear. It can occur after a bacterial infection or a parasitic infection (giardiasis) of the intestines. This is called postinfectious IBS. There may also be other triggers, including stress.

Is salad ok for IBS? ›

If you can tolerate them raw, leafy greens can be added to smoothies, juices, or salads. But, if you are like most people with IBS, you may find that your body is less reactive if the greens are cooked.

How quickly can food trigger IBS? ›

Patients have long associated IBS symptoms with the ingestion of certain foods. In fact, more than 60% of patients with IBS report the onset or worsening of symptoms after meals (within 15 minutes of eating in 28% of patients and within 3 hours in 93% of patients).

Can eating too fast trigger IBS? ›

Poor eating habits, such as eating while you drive or eating too fast, can trigger IBS symptoms. Schedule time in your day to eat and enjoy your meals without haste or distractions to help your body digest better. Anxiety and stress can trigger IBS symptoms, especially constipation.

Can too much fat trigger IBS? ›

Most people report alcohol, caffeine and fatty foods as their IBS trigger foods.

Can too much fast food cause IBS? ›

Eating fatty foods such as french fries and fast food may make IBS symptoms worse. Fat slows digestion, and that can lead to uncomfortable symptoms such as bloating, nausea, acid reflux, and stomach pain. Minimize or avoid greasy foods like pizza, french fries, fried chicken, and fatty meats.

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