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\usepackage{multicol}           % Allows multicols in tables
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\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{Michellephillips02}
\pdfinfo{
  /Title (ibs.pdf)
  /Creator (Cheatography)
  /Author (Michellephillips02)
  /Subject (IBS Cheat Sheet)
}

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% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
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% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{IBS Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Michellephillips02} via \textcolor{DarkBackground}{\uline{cheatography.com/214485/cs/46700/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Michellephillips02 \\
  \uline{cheatography.com/michellephillips02} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 9th July, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{What is it?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\emph{Common, unknown direct cause. Suspected: muscle in the digestive tract = changes in speed, strength and coordination of digestive enzymes. Visceral hypersensitivity. Altered intestinal microbiota.}}} \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Other factors: {\bf{restrictive diets, stress/anxiety}}, genetics, environmental interactions.} \tn 
% Row Count 6 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{IBS-C}} = more type 1-2} \tn 
% Row Count 7 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{IBS-D}} = more type 6-7} \tn 
% Row Count 8 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{{\bf{IBS-M}} = Alternating diarrhoea and constipation} \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Common in EDs and pt w/ anxiety}}} \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Diagnosis}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Recurrent abdominal pain (≥1 day/week, in 3/12), with an onset ≥ 6/12} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Abdominal pain is classified as 2 of these: pain related to defecation, change in stool frequency, change in stool form or appearance} \tn 
% Row Count 5 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Strategies}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Peppermint tea, or peppermint oil capsules (menthol acts as an antispasmodic). Can have with or after meals. {\emph{Mintec - 0.2mL (180mg)}}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{↑ soluble fibre} \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Limit alcohol \& caffeine} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Probiotics and prebiotics for general gut health} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Limiting the obvious, 'big' fodmaps first} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Low FODMAP flavour additives}}: fresh chives, Dijon mustard, vinegar, citrus juice, fresh herbs, soy sauce, spices, ginger, capers, olives} \tn 
% Row Count 10 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{MI to remain flexible and encourage after challenges} \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Creating a calm, relaxed eating environment} \tn 
% Row Count 13 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{MONASH app \& cookbook} \tn 
% Row Count 14 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Facebook groups for social support} \tn 
% Row Count 15 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{S/S}}  \tn
% Row 0
\SetRowColor{LightBackground}
Abdo pain & Bloating \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Abdo distention & Diarrhoea \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Constipation & Excess gas \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
Worsening symptoms with stress or menstruation & Urgency or straining during bowel movements \tn 
% Row Count 6 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Sensation of incomplete evacuation} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Guidelines \& References}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Brian et al. ACG clinical guideline: management of irritable bowel syndrome. (2021)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{McKenzie et al. British Dietetic Association systematic review and evidence-based practice guidelines for dietary management of IBS (2016 update).} \tn 
% Row Count 5 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.54287 cm} x{3.43413 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{FODMAPs}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\emph{temporary diet to relieve S/S \& find triggers. Series of challenges to eliminate a few high FODMAP sources.}}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\emph{Fermentable}} & In the L.I. 6 CHO that are considered FODMAPS \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
{\emph{Oligosaccharides}} & {\bf{Fructans (FOS)}} - garlic, onion, leek, wheat/rye/barley, dried apricots, peaches, watermelon, banana (ripe)   {\bf{Galactooligosaccharides (GOS)}} - beans, green peas, pistachios, cashews, soy milk, oat milk \tn 
% Row Count 13 (+ 8)
% Row 3
\SetRowColor{white}
{\emph{Disaccharides}} & {\bf{Lactose}} - cows milk, condensed milk, yoghurt, custard, evaporsted milk, ice-cream \tn 
% Row Count 17 (+ 4)
% Row 4
\SetRowColor{LightBackground}
{\emph{Monosaccharides}} & {\bf{Fructose}} - artichoke, snow peas, apples, figs, dried fruit, mango, pears, watermelon, honey, most juices \tn 
% Row Count 21 (+ 4)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{{\emph{And}}} \tn 
% Row Count 22 (+ 1)
% Row 6
\SetRowColor{LightBackground}
{\emph{Polyols}} & {\bf{Sorbitol}} - apples, apricots, plums, peaches, artificial sweeteners ({\bf{mannitol}} (mushrooms, snow peas, watermelon), {\bf{xylitol, isomalt, erythritol}}) - {\emph{Attract water into the bowel - diarrhoea common}} \tn 
% Row Count 30 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Phases}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{1. Low FODMAP}} (2-6 weeks) & Full elimination low FODMAP diet. \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
{\bf{2. Reintroduction}} (8-12 weeks) & IF symptoms improve, reintroduce each FODMAP group one at a time - {\emph{challenges}}. Have one FODMAP everyday for 3 days in a row. \tn 
% Row Count 8 (+ 6)
% Row 2
\SetRowColor{LightBackground}
{\bf{3. Personalisation}} (long-term) & Use Step 2 to identify which FODMAPS are tolerated \& which to avoid. \tn 
% Row Count 12 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.4931 cm} x{3.4839 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Low FODMAP foods}}  \tn
% Row 0
\SetRowColor{LightBackground}
Vegetables & Eggplant, green beans, bok choy, green capsicum, carrot, cucumber, lettuce, potato, bean shoots, zucchini \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
Fruits & Rock melon, kiwi fruit, mandarin, orange, pineapple, strawberries, dried cranberries \tn 
% Row Count 7 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Dairy \& alt & Almond milk, brie/camembert, feta, hard cheeses, lactose-free milk, soy milk (from soy protein) \tn 
% Row Count 11 (+ 4)
% Row 3
\SetRowColor{white}
Protein & Eggs, firm tofu, plain meats/seafood, tempeh, lentils, chickpeas \tn 
% Row Count 14 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Breads/cereal} & GF corn flakes, oats, quinoa, rice, corn pasta, rice cakes, sourdough spelt bread, wheat/rye/barley free breads \tn 
% Row Count 18 (+ 4)
% Row 5
\SetRowColor{white}
Sweeteners & Dark chocolate, maple syrup, rice malt, normal sugar \tn 
% Row Count 20 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Nuts/Seeds & Macadamia, peanuts, pumpkin seeds, walnuts \tn 
% Row Count 22 (+ 2)
% Row 7
\SetRowColor{white}
Flavour enhancers & garlic infused oil, chives, green tips spring onion, Dijon mustard, vinegar, citrus juice, fresh herbs, soy sauce, spices, ginger, capers, olives \tn 
% Row Count 28 (+ 6)
% Row 8
\SetRowColor{LightBackground}
IN LOW QUANTITIES & broccoli (head only), beetroot, corn, cabbage, cauliflower, celery, peas, sweet potato, pumpkin, tomato, avo, dates, lychee \tn 
% Row Count 33 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{NERVA}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{6-week program of gut-directed hypnotherapy (GDH) to help people manage symptoms} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Daily 15-minute audio hypnotherapy sessions} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Includes breathing exercises, educational content, and a flare-up toolkit} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Improvements in abdo pain, symptom severity, anxiety and overall mental wellbeing} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Similar results to low FODMAP} \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Around \$150-\$300 (depending on plans)} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.38896 cm} x{2.58804 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Red flags}}  \tn
% Row 0
\SetRowColor{LightBackground}
Unexplained weight loss & family hx of bowel cancer \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
age onset 50+ years & fever \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
rectal bleeding & recurrent vomiting \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{3.03597 cm} x{1.94103 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Consider}}  \tn
% Row 0
\SetRowColor{LightBackground}
stress/anxiety - work? home life? & disorder eating patterns \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
coeliac testing & pregnancy \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
medications/supplements (antibiotics?) & alcohol consumption \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{3.08574 cm} x{1.89126 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Example PESS}}  \tn
% Row 0
\SetRowColor{LightBackground}
Altered GI function (bloating) (NC-1.4) & Inadequate energy intake \tn 
% Row Count 2 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Example low FODMAP meals}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Lemon/herb grilled chicken/fish with roast veg (carrot, potato, capsicum, zucchini, eggplant)  \& quinoa} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Grilled Fish/Chicken Tacos (GF wraps) w/ lime juice, shredded lettuce, grated carrot, cucumber} \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Omelette/frittata - zucchini, spinach, feta, chives, herbs, broccoli} \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Stir-Fry with Rice (green beans, bok choy, carrot, green capsicum)} \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Fried rice - corn, carrot, green capsicum, spring onion, egg} \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Homemade Pizza (GF base): green capsicum, cheese, tomato paste, grilled chicken} \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Rice paper rolls - cucumber, capsicum, herbs, prawns} \tn 
% Row Count 15 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{Snacks}}: Carmens nut or fruit free muesli bar, corn chips, LF Yoghurt, hard-boiled eggs, rice cakes w/ peanut butter, hard cheese, rice crackers, corn/rice cruskits, plain popcorn, pretzels, dark choc, zucchini slice} \tn 
% Row Count 20 (+ 5)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}