Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

Irritable Bowel Syndrome.

What is it? How to treat it?

We all have gastrointestinal disturbances, some of them can be mild, and other ones may feel terrible to the point that your quality of life becomes affected. Characterized by abdominal pain and a noticeable modification in bowel habits, irritable bowel syndrome (IBD) is the most common gastrointestinal tract disorder. Irritable bowel syndrome’s prevalence is estimated to be around 12-22%. Patients suffering from IBS are not only affected by gastrointestinal symptoms. Psychological disorders like anxiety and depression commonly follow this disease.

The main disturbances associated with IBS are abdominal pain, bloating, and constipation. Regularly IBS is commonly reported in women and often diagnosed in patients less than 50 years of age.

But what is exactly what happens? The truth is that this syndrome is not fully understood, especially considering that the symptoms and triggers vary in great amounts between patients. In summary, it is believed that the combination of low-grade inflammation, visceral hypersensitivity, motility changes, the microbiome, in addition to food components, are in the midst of the root cause of this illness. Furthermore, the chronic inflammation that accompanies IBS can result in the opening or rupture of tight junctions between the enterocytes, promoting the translocation of proteins or pathogens across the GI lumen.

Strictly talking about food-induced disturbances, a specific type of carbohydrates, labeled fermentable carbohydrates, is identified as IBS’s main trigger. These fermentable carbohydrates are commonly found in foods like dairy products, wheat, and fructose, beans cabbage. Furthermore, the treatment avoids these foods and limits others, like coffee, fatty foods, and alcohol. This type of diet is called FODMAP, fermentable oligo-, di-, and monosaccharides, and polyols.

The implementation of diet consists of an elimination period (4-8 weeks) of food triggers, always supervised and recommended by an experienced healthcare giver. Secondly, the reintroduction phase consists of evaluating signs and symptoms observed during the elimination phase and the consideration of introducing different foods, one at time. Lastly, the maintenance phase depends mostly on what foods were tolerated and which foods should be avoided.

Patients suffering from IBS that consume FODMAP containing food may go through the following process:

1.- In the small bowel, the consumed short-chain carbohydrates, which are osmotically active, increase the water content, therefore exacerbating intestinal transit.

2.- In the colon, these carbohydrates are rapidly fermented, and this process amplifies the gas production, causing distention.

Fermentable Short-chain carbohydrates
Oligosaccharides Wheat, onion, garlic, pulses, and legumes.
Disaccharides Lactose, dairy products
Monosaccharides Fig, honey, fructose.
And And
Polyols Stoned fruit, cauliflower, and xylitol are commonly found in sugar-free gum.

Accordingly, the benefits of a low FODMAP diet are reported in numerous research studies. Patients have reported a 68% improvement in gastrointestinal symptoms like abdominal pain and overall improvements in their quality of life. This treatment’s mechanism relies on reducing pro-inflammatory markers such as (ILs) IL-6 and IL-8. Subsequently, it should be mentioned that the FODMAP diet is considered a restrictive diet, and part of those restrictions include oligosaccharides, which could affect the microbiota profile. Hence the lower number of bifidobacteria and Faecalibacterium prausnitzii, in addition to the dairy exclusion, associated with low calcium intake.

So, what can I eat if I am following a low FODMAP diet?
Dairy Butter

Cheeses: cottage, feta, mozzarella, swiss

Lactose-free milk



Nuts and Seeds Brazil nuts

Chia seeds

Flax seeds



Pecan halves

Pumpkin seeds


Fats and Oils Almond oil

Avocado oil


Coconut milk



Sesame oil

Walnut oil

Vegetables Carrots



Green beans




Fruits Blueberries







Sweetener Glucose

Maple syrup


Animal protein does not contain carbohydrates. Legumes have moderate to high FODMAP.

In conclusion, a low FODMAP diet is the most common treatment to control IBS’s adverse symptoms. Nevertheless, since it is a restrictive, challenge-based diet, the importance of following the advice of an experienced physician is necessary. It is essential to keep in mind that a balanced, varied, and sufficient diet plays a key role in health maintenance.

Weaver, Kristen Ronn et al. “Irritable Bowel Syndrome.” The American journal of nursing vol. 117,6 (2017): 48-55. doi:10.1097/01.NAJ.0000520253.57459.01


Drisko, Jeanne, et al. “Treating irritable bowel syndrome with a food elimination diet followed by food challenge and probiotics.” Journal of the American College of Nutrition 25.6 (2006): 514-522.

Rej, A., et al. “The role of diet in irritable bowel syndrome: implications for dietary advice.” Journal of internal medicine 286.5 (2019): 490-502.

Hayes P, Corish C, O’Mahony E, Quigley EM. A dietary survey of patients with irritable bowel syndrome. J Hum Nutr Diet 2014; 27(Suppl 2): 36– 47.

Tuck, Caroline J., et al. “Food intolerances.” Nutrients 11.7 (2019): 1684.

Institute of Functional Medicine.” Overview of the Low-FODMAP Diet.” IFM (2020)

PUSH-as-Rx ®™ Beyond Rehabilitation For All - No Matter The Age

Functional Rehabilitation El Paso Chiropractor
Injury & Functional Fitness Rehabiliation Center: Taking Functional Recovery To A New Level - No Matter Age or Impairment.

Again,  We Welcome You 👊🏻.

Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal, and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises, and advanced agility treatment options. We have teamed up with the cities premier doctors, therapists and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless


6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
Phone: (915) 412-6677
Email: Send Email
Web: www.DrAlexJimenez.com

Clinic Location 2

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone: (915) 850-0900
Email: Send Email
Web: www.ElPasoBackClinic.com

Clinic Location 3

Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
Phone: (915) 850-0900
Email: Send Email
Web: www.ChiropracticScientist.com

Push As Rx Crossfit & Rehab

Address: 6440 Gateway East, Building B
El Paso, TX 79905
Phone: (915) 412-6677
Email: Send Email
Web: www.PushAsRx.com

Push 24/7

Address: 1700 E Cliff Dr
El Paso, TX 79902
Phone: (915) 412-6677
Email: Send Email
Web: www.PushAsRx.com

EVENTS REGISTRATION:  Live Events & Webinars – Sign Up Today ❗️

Additional Online Links & Resources (Available 24/7)

  1. Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment
  2. Online Physical Injury / Accident Intake Form: https://bit.ly/Fill-Out-Your-Online-History
  3. Online Functional Medicine Assessment: https://bit.ly/functionmed


The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900 Read More…

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*

email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

Online History 24/7
Book Online Chiropractor
English EN Spanish ES