Irritable Bowel Syndrome (IBS) Nutritionists and Dietitians in Fishers, IN

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Photo of Valerie Lynn Polley, Nutritionist/Dietitian, RDN, CDN
Valerie Lynn Polley
Nutritionist/Dietitian, RDN, CDN
Zionsville, IN 46077
Managing gastrointestinal and autoimmune issues can be overwhelming. I see clients with a variety of GI and autoimmune issues, but I don't take a one size fits all approach. I start with what has been found to help most individuals with specific GI/autoimmune issues, then make changes from there. I work in collaboration with my clients to develop a plan that works to help with symptom management. Majority of my clients are frustrated with the length of their struggle, so I am available for questions, concerns and overall support.
Managing gastrointestinal and autoimmune issues can be overwhelming. I see clients with a variety of GI and autoimmune issues, but I don't take a one size fits all approach. I start with what has been found to help most individuals with specific GI/autoimmune issues, then make changes from there. I work in collaboration with my clients to develop a plan that works to help with symptom management. Majority of my clients are frustrated with the length of their struggle, so I am available for questions, concerns and overall support.
(317) 342-1281 View (317) 342-1281
Photo of Natalie Meltzer, Nutritionist/Dietitian, RD
Natalie Meltzer
Nutritionist/Dietitian, RD
Online Only
My ideal clients are individuals managing GI disorders, chronic diseases, or age-related health concerns who want practical, personalized nutrition support. They often feel unsure how to apply nutrition advice in real life and are looking for realistic strategies that fit their needs. I provide individualized, evidence-based care rooted in a “food as medicine” approach. By understanding each client’s goals, we build practical habits and use nutrition to support symptom management, overall health, and long-term well-being.
My ideal clients are individuals managing GI disorders, chronic diseases, or age-related health concerns who want practical, personalized nutrition support. They often feel unsure how to apply nutrition advice in real life and are looking for realistic strategies that fit their needs. I provide individualized, evidence-based care rooted in a “food as medicine” approach. By understanding each client’s goals, we build practical habits and use nutrition to support symptom management, overall health, and long-term well-being.
(708) 419-2485 View (708) 419-2485
Photo of Yuhan Huang - Indiana Nutrition Group, Nutritionist/Dietitian, MS, RDN
Indiana Nutrition Group
Nutritionist/Dietitian, MS, RDN
Serves Area
Yuhan is a Registered Dietitian who specializes in working with adults dealing with Eating Disorders, Disordered Eating, Digestive Conditions (including IBS and Low FODMAP).
Yuhan's specialties include clients with a history of Eating Disorders, Disordered Eating, and Digestive Conditions (such as IBS and Low FODMAP). She also has expertise in women's health conditions like PCOS and endometriosis. Her areas of expertise extend to general healthy eating, intuitive eating, addressing body image issues, and promoting heart health.
Yuhan is a Registered Dietitian who specializes in working with adults dealing with Eating Disorders, Disordered Eating, Digestive Conditions (including IBS and Low FODMAP).
Yuhan's specialties include clients with a history of Eating Disorders, Disordered Eating, and Digestive Conditions (such as IBS and Low FODMAP). She also has expertise in women's health conditions like PCOS and endometriosis. Her areas of expertise extend to general healthy eating, intuitive eating, addressing body image issues, and promoting heart health.
(812) 458-2121 View (812) 458-2121
Photo of Caroline Kern, Nutritionist/Dietitian, MS, RDN, CLT
Caroline Kern
Nutritionist/Dietitian, MS, RDN, CLT
1 Endorsed
Serves Area
Due to personal struggles with migraines and IBS, I understand what it is like to not have answers.
Are you struggling with tummy troubles? Chronic constipation, diarrhea, abdominal pain? You've seen a gastroenterologist and been told that everything is "normal." Have you been told you have fibromyalgia but not experienced any relief? Is your child an extreme picky eater, and you feel you may pull your hair out trying to get them to eat? Have you or a loved one been placed on a feeding tube with no direction on how to manage outside of the hospital? No help with optimizing nutrition status and getting the best nourishment?
Due to personal struggles with migraines and IBS, I understand what it is like to not have answers.
Are you struggling with tummy troubles? Chronic constipation, diarrhea, abdominal pain? You've seen a gastroenterologist and been told that everything is "normal." Have you been told you have fibromyalgia but not experienced any relief? Is your child an extreme picky eater, and you feel you may pull your hair out trying to get them to eat? Have you or a loved one been placed on a feeding tube with no direction on how to manage outside of the hospital? No help with optimizing nutrition status and getting the best nourishment?
(903) 459-4545 View (903) 459-4545
Photo of Ashley Walls, Nutritionist/Dietitian, RD, RDN, LDN
Ashley Walls
Nutritionist/Dietitian, RD, RDN, LDN
3 Endorsed
Online Only
Ashley Walls specializes in working with clients interested in general healthy eating, and conditions including Eating Disorders, Disordered Eating, Celiac, Crohn's, IBS, Intuitive Eating, Weight Management and more.
Specialties include working with clients that need assistance with Irritable Bowel Syndrome ( IBS), Low FODMAP diet, GERD, Eating Disorders, Pre-diabetes, Diabetes, Heart conditions, High Blood Pressure, Cholesterol, Celiac, Crohn’s, Ulcerative Colitis, Intuitive Eating, Underweight Nutrition, Weight Management, Malnutrition, Sports Nutrition
Ashley Walls specializes in working with clients interested in general healthy eating, and conditions including Eating Disorders, Disordered Eating, Celiac, Crohn's, IBS, Intuitive Eating, Weight Management and more.
Specialties include working with clients that need assistance with Irritable Bowel Syndrome ( IBS), Low FODMAP diet, GERD, Eating Disorders, Pre-diabetes, Diabetes, Heart conditions, High Blood Pressure, Cholesterol, Celiac, Crohn’s, Ulcerative Colitis, Intuitive Eating, Underweight Nutrition, Weight Management, Malnutrition, Sports Nutrition
(312) 262-7112 View (312) 262-7112
Photo of Julie Moreschi, Nutritionist/Dietitian, MS, RDN, LDN
Julie Moreschi
Nutritionist/Dietitian, MS, RDN, LDN
Serves Area
Julie’s ideal clients are individuals seeking personalized support for weight management, chronic disease prevention, digestive health, and overall wellness. Many come to her wanting practical guidance that fits their lifestyle and health goals. As a client-centered Registered Dietitian, Julie provides evidence-based nutrition care, individualized meal planning, and ongoing support to help clients build healthier habits and achieve lasting results.
Julie’s ideal clients are individuals seeking personalized support for weight management, chronic disease prevention, digestive health, and overall wellness. Many come to her wanting practical guidance that fits their lifestyle and health goals. As a client-centered Registered Dietitian, Julie provides evidence-based nutrition care, individualized meal planning, and ongoing support to help clients build healthier habits and achieve lasting results.
(773) 786-9787 View (773) 786-9787
Photo of Christi Kargl, Nutritionist/Dietitian, MS, RD, CDCES
Christi Kargl
Nutritionist/Dietitian, MS, RD, CDCES
Online Only
Christi (she/her) is a registered dietitian, a Certified Diabetes Care and Education Specialist (CDCES), and a Lifestyle Coach for the Diabetes Prevention Program. She studied dietetics and dance at Michigan State University and completed a master’s degree in applied nutrition at Russell Sage College. She helps clients with a variety of health concerns and specializes in diabetes, metabolic disorders, mental health conditions, digestion issues and weight concerns. Christi is LGBTQ+ ally with years of experience providing inclusive care.
Christi (she/her) is a registered dietitian, a Certified Diabetes Care and Education Specialist (CDCES), and a Lifestyle Coach for the Diabetes Prevention Program. She studied dietetics and dance at Michigan State University and completed a master’s degree in applied nutrition at Russell Sage College. She helps clients with a variety of health concerns and specializes in diabetes, metabolic disorders, mental health conditions, digestion issues and weight concerns. Christi is LGBTQ+ ally with years of experience providing inclusive care.
(312) 584-2745 View (312) 584-2745
Photo of Daneris Morales, Nutritionist/Dietitian, MS, RD, RDN, LD, LDN
Daneris Morales
Nutritionist/Dietitian, MS, RD, RDN, LD, LDN
Online Only
My ideal clients are individuals seeking to heal their relationship with food, body, and self through intuitive eating and personalized nutrition support. They often feel disconnected, stuck in dieting cycles, or overwhelmed by food rules, and want a more compassionate, sustainable approach. I help them reconnect with their body’s needs through 1:1, individualized guidance that is supportive and deeply personalized. Together, we focus on behavior change, self-trust, and developing a healthier, more peaceful relationship with food and eating.
My ideal clients are individuals seeking to heal their relationship with food, body, and self through intuitive eating and personalized nutrition support. They often feel disconnected, stuck in dieting cycles, or overwhelmed by food rules, and want a more compassionate, sustainable approach. I help them reconnect with their body’s needs through 1:1, individualized guidance that is supportive and deeply personalized. Together, we focus on behavior change, self-trust, and developing a healthier, more peaceful relationship with food and eating.
(708) 381-1690 View (708) 381-1690
Photo of Nicole Burkhalter, Nutritionist/Dietitian, RDN, CD, LD
Nicole Burkhalter
Nutritionist/Dietitian, RDN, CD, LD
Online Only
Hi, I'm Nicole! Owner of EmpowRD LLC, and a registered dietitian with a passion for empowering individuals to achieve their health goals, I am dedicated to providing personalized nutrition counseling tailored to your unique needs. My approach is rooted in evidence-based practices, ensuring that you receive the most current and effective guidance on your journey to better health. Whether you're seeking to manage a specific health condition, or simply adopt a healthier lifestyle, I am here to work side by side with you to offer compassionate support and practical solutions.
Hi, I'm Nicole! Owner of EmpowRD LLC, and a registered dietitian with a passion for empowering individuals to achieve their health goals, I am dedicated to providing personalized nutrition counseling tailored to your unique needs. My approach is rooted in evidence-based practices, ensuring that you receive the most current and effective guidance on your journey to better health. Whether you're seeking to manage a specific health condition, or simply adopt a healthier lifestyle, I am here to work side by side with you to offer compassionate support and practical solutions.
(219) 327-8011 View (219) 327-8011
Photo of Adrienne DePaul, Nutritionist/Dietitian, MS, RD, RDN, LDN
Adrienne DePaul
Nutritionist/Dietitian, MS, RD, RDN, LDN
4 Endorsed
Serves Area
Specialities include working with clients that currently have PCOS, Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, Cardiovascular Disease, Kidney Disease, Weight Management, Hormonal Imbalances, Thyroid Issues, Low Fodmap, Disordered Eating, High Blood Pressure, IBD, IBS, GI Conditions, Infertility Nutrition.
I am a Registered Dietitian Nutritionist who practices out of Health Loft helping clients whom have PCOS, interests in Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, or Weight Management. I help clients to craft personalized, attainable, and sustainable dietary and lifestyle changes that support their health. By collaboratively designing small, impactful steps that preserve quality of life and promote personal choice, I help my clients achieve their goals from better blood sugar control to increased energy.
Specialities include working with clients that currently have PCOS, Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, Cardiovascular Disease, Kidney Disease, Weight Management, Hormonal Imbalances, Thyroid Issues, Low Fodmap, Disordered Eating, High Blood Pressure, IBD, IBS, GI Conditions, Infertility Nutrition.
I am a Registered Dietitian Nutritionist who practices out of Health Loft helping clients whom have PCOS, interests in Pre/PostPartum nutrition, Gestational Diabetes, Diabetes, or Weight Management. I help clients to craft personalized, attainable, and sustainable dietary and lifestyle changes that support their health. By collaboratively designing small, impactful steps that preserve quality of life and promote personal choice, I help my clients achieve their goals from better blood sugar control to increased energy.
(312) 517-2296 View (312) 517-2296
Photo of Alexis Pinto, Nutritionist/Dietitian, MS, RDN, LDN
Alexis Pinto
Nutritionist/Dietitian, MS, RDN, LDN
1 Endorsed
Online Only
Alexis is a Registered Dietitian passionate about functional nutrition and helping individuals build a healthy, trusting relationship with food. She believes that while food is emotional, social, and environmental, it is also a powerful tool for disease prevention and management. Her holistic, non-diet approach blends functional nutrition with evidence-based practices to address underlying factors impacting health. Alexis focuses on sustainable behavior change, honoring each client’s unique biology, lifestyle, and goals—while creating a supportive, judgment-free space for healing and growth.
Alexis is a Registered Dietitian passionate about functional nutrition and helping individuals build a healthy, trusting relationship with food. She believes that while food is emotional, social, and environmental, it is also a powerful tool for disease prevention and management. Her holistic, non-diet approach blends functional nutrition with evidence-based practices to address underlying factors impacting health. Alexis focuses on sustainable behavior change, honoring each client’s unique biology, lifestyle, and goals—while creating a supportive, judgment-free space for healing and growth.
(220) 234-1014 View (220) 234-1014
Photo of Samantha Smith-Bowman, Nutritionist/Dietitian, RD
Samantha Smith-Bowman
Nutritionist/Dietitian, RD
3 Endorsed
Serves Area
Hello! My name is Samantha Smith-Bowman, and I’m an experienced dietitian focused on the mental health aspects of nutrition. If you know nutrition matters but aren’t sure how to change your habits—or you’ve tried before and nothing seems to stick—you’re not alone. Many plans don’t match how your brain works. Together, we’ll build an individualized approach with small, sustainable steps to support your goals, whether that’s diabetes management, improved labs, disordered eating behaviors, or other medical needs.
Hello! My name is Samantha Smith-Bowman, and I’m an experienced dietitian focused on the mental health aspects of nutrition. If you know nutrition matters but aren’t sure how to change your habits—or you’ve tried before and nothing seems to stick—you’re not alone. Many plans don’t match how your brain works. Together, we’ll build an individualized approach with small, sustainable steps to support your goals, whether that’s diabetes management, improved labs, disordered eating behaviors, or other medical needs.
(503) 476-9782 View (503) 476-9782
Photo of Elizabeth Dunne, Nutritionist/Dietitian, MS, RDN, LD
Elizabeth Dunne
Nutritionist/Dietitian, MS, RDN, LD
4 Endorsed
Serves Area
Elizabeth is a Registered Dietitian with over six years of experience helping individuals make healthier choices and achieve their goals. Using intuitive eating principles and a compassionate, client-centered approach, she tailors evidence-based plans to meet each person’s needs. Specializing in wellness, diabetes, and heart health, Elizabeth empowers clients with the tools and support they need to make lasting changes. Her compassionate counseling ensures that clients feel heard, confident, and motivated on their journey to improved health and well-being.
Elizabeth is a Registered Dietitian with over six years of experience helping individuals make healthier choices and achieve their goals. Using intuitive eating principles and a compassionate, client-centered approach, she tailors evidence-based plans to meet each person’s needs. Specializing in wellness, diabetes, and heart health, Elizabeth empowers clients with the tools and support they need to make lasting changes. Her compassionate counseling ensures that clients feel heard, confident, and motivated on their journey to improved health and well-being.
(901) 499-2720 View (901) 499-2720
Photo of Nicole Ortiz, Nutritionist/Dietitian, RDN, LD, MCN
Nicole Ortiz
Nutritionist/Dietitian, RDN, LD, MCN
Online Only
My ideal clients are individuals seeking support for disordered eating, eating disorders, gastrointestinal health, diabetes, and overall wellness. They often feel overwhelmed by nutrition information or stuck in restrictive patterns and want a more balanced, sustainable approach. I provide evidence-based, bilingual (English and Spanish) care that is practical and personalized. Together, we focus on building realistic habits, improving health, and creating long-term change in a supportive, non-judgmental space.
My ideal clients are individuals seeking support for disordered eating, eating disorders, gastrointestinal health, diabetes, and overall wellness. They often feel overwhelmed by nutrition information or stuck in restrictive patterns and want a more balanced, sustainable approach. I provide evidence-based, bilingual (English and Spanish) care that is practical and personalized. Together, we focus on building realistic habits, improving health, and creating long-term change in a supportive, non-judgmental space.
(708) 377-9487 View (708) 377-9487
Photo of Jessica Vandergriff, Nutritionist/Dietitian, MS, RD, RDN, LD, LDN
Jessica Vandergriff
Nutritionist/Dietitian, MS, RD, RDN, LD, LDN
Serves Area
Jessica’s ideal clients are individuals seeking support with diabetes management, heart health, healthy aging, and overall wellness. Many come to her feeling overwhelmed, stuck, or unsure how to improve their health in a sustainable way. Using an integrative, functional medicine approach, Jessica helps clients understand how food choices affect how they feel, identify possible root causes, and build a realistic plan that supports lasting progress.
Jessica’s ideal clients are individuals seeking support with diabetes management, heart health, healthy aging, and overall wellness. Many come to her feeling overwhelmed, stuck, or unsure how to improve their health in a sustainable way. Using an integrative, functional medicine approach, Jessica helps clients understand how food choices affect how they feel, identify possible root causes, and build a realistic plan that supports lasting progress.
(312) 872-4780 View (312) 872-4780
Photo of Ayah Muhsen, Nutritionist/Dietitian, MS, RD, LDN
Ayah Muhsen
Nutritionist/Dietitian, MS, RD, LDN
Serves Area
My ideal clients are individuals who want to build a more balanced, peaceful, and sustainable relationship with food. Many come to me feeling tired of dieting, confused by nutrition advice, or stuck in patterns that do not feel supportive. As a Registered Dietitian, I use a non-diet, intuitive eating approach to provide realistic, evidence-based guidance that helps clients feel more confident, nourished, and at ease with their choices.
My ideal clients are individuals who want to build a more balanced, peaceful, and sustainable relationship with food. Many come to me feeling tired of dieting, confused by nutrition advice, or stuck in patterns that do not feel supportive. As a Registered Dietitian, I use a non-diet, intuitive eating approach to provide realistic, evidence-based guidance that helps clients feel more confident, nourished, and at ease with their choices.
(773) 985-4270 View (773) 985-4270
Photo of Lynsey Ricci, Nutritionist/Dietitian, MS, RDN
Lynsey Ricci
Nutritionist/Dietitian, MS, RDN
Online Only
My ideal clients are individuals seeking compassionate support for eating disorders, disordered eating, emotional eating, binge eating, and overall health concerns such as diabetes, GI health, cardiovascular health, and weight management. Many feel overwhelmed, disconnected from food, or stuck in unhealthy patterns and want sustainable, long-term change. I provide individualized, evidence-based care using intuitive eating, mindfulness, and the Plate-by-Plate approach to help clients build healthier relationships with food, improve well-being, and create realistic habits that support lasting success.
My ideal clients are individuals seeking compassionate support for eating disorders, disordered eating, emotional eating, binge eating, and overall health concerns such as diabetes, GI health, cardiovascular health, and weight management. Many feel overwhelmed, disconnected from food, or stuck in unhealthy patterns and want sustainable, long-term change. I provide individualized, evidence-based care using intuitive eating, mindfulness, and the Plate-by-Plate approach to help clients build healthier relationships with food, improve well-being, and create realistic habits that support lasting success.
(708) 412-6861 View (708) 412-6861
Photo of Kelly Bay, Nutritionist/Dietitian, MS, RDN, LDN, CNS, DC
Kelly Bay
Nutritionist/Dietitian, MS, RDN, LDN, CNS, DC
Online Only
My ideal clients are individuals experiencing complex, chronic health concerns such as gut issues, hormone imbalance, autoimmune conditions, thyroid dysfunction, food sensitivities, and low energy or poor sleep. They often feel frustrated by vague symptoms or inconclusive conventional testing and want deeper answers. I use a functional, whole-body approach with in-depth assessment and diagnostic testing to identify root causes. Together, we use personalized nutrition, lifestyle strategies, and education to improve symptoms and restore confidence in their health.
My ideal clients are individuals experiencing complex, chronic health concerns such as gut issues, hormone imbalance, autoimmune conditions, thyroid dysfunction, food sensitivities, and low energy or poor sleep. They often feel frustrated by vague symptoms or inconclusive conventional testing and want deeper answers. I use a functional, whole-body approach with in-depth assessment and diagnostic testing to identify root causes. Together, we use personalized nutrition, lifestyle strategies, and education to improve symptoms and restore confidence in their health.
(708) 938-3273 View (708) 938-3273
Photo of Lakin McCormick, Nutritionist/Dietitian, RDN, LDN
Lakin McCormick
Nutritionist/Dietitian, RDN, LDN
Online Only
I love working with individuals navigating eating disorder recovery who are looking for a supportive, nonjudgmental approach to nutrition. I have a special passion for working with neurodivergent clients and I thoughtfully adapt care to honor each person’s unique needs. My approach is weight-inclusive and trauma-informed, with a focus on helping clients feel safer with food, reduce overwhelm, and build a more flexible, sustainable relationship with eating.
I love working with individuals navigating eating disorder recovery who are looking for a supportive, nonjudgmental approach to nutrition. I have a special passion for working with neurodivergent clients and I thoughtfully adapt care to honor each person’s unique needs. My approach is weight-inclusive and trauma-informed, with a focus on helping clients feel safer with food, reduce overwhelm, and build a more flexible, sustainable relationship with eating.
(502) 563-1920 View (502) 563-1920
Photo of Jamie Schwartz, Nutritionist/Dietitian, RDN, LDN
Jamie Schwartz
Nutritionist/Dietitian, RDN, LDN
5 Endorsed
Serves Area
Jamie is a Registered Dietitian with Health Loft who takes a compassionate approach to nutrition therapy by meeting people where they are in their personal journeys. She helps clients make incremental changes to restore a peaceful relationship with food and their bodies. Jamie understands the harmful nature of diet culture and provides care that is affirming, sustainable, and tailored to each individual’s needs and goals. Her experience allows her to identify distorted beliefs and unhealthy eating patterns and offer thoughtful, evidence-based guidance.
Jamie is a Registered Dietitian with Health Loft who takes a compassionate approach to nutrition therapy by meeting people where they are in their personal journeys. She helps clients make incremental changes to restore a peaceful relationship with food and their bodies. Jamie understands the harmful nature of diet culture and provides care that is affirming, sustainable, and tailored to each individual’s needs and goals. Her experience allows her to identify distorted beliefs and unhealthy eating patterns and offer thoughtful, evidence-based guidance.
(469) 960-5661 View (469) 960-5661
Irritable Bowel Syndrome (IBS) Nutritionists and Dietitians
What is Irritable Bowel Syndrome (IBS)?
Irritable bowel syndrome (IBS) is a general term that refers to a collection of symptoms associated with poor gut mobility and function, including abdominal pain, bloating, gas, and diarrhea. IBS is very common, with some estimates suggesting that as many as 10-15% of adults within the United States have IBS. Although the two conditions sound similar and share many symptoms, such as abdominal pain and diarrhea, IBS differs from irritable bowel diseases (IBDs), such as ulcerative colitis and Crohn's disease. In contrast to IBS which is caused by issues in the functioning of the colon, IBDs are inflammatory conditions caused by overactive immune cells within the intestine. IBDs are much less common than IBS and typically more medically severe, occasionally requiring intensive medical treatment and/or surgery. IBS, in contrast, can usually be managed effectively with lifestyle changes and less intense medical intervention.

What are the subcategories of IBS?
Medical professionals generally identify four main types of IBS: IBS-C (constipation-predominant subtype), IBS-D (diarrhea-predominant subtype), IBS-M (mixed bowel subtype), and IBS-U (undefined subtype). Identifying the predominant type of IBS an individual has can be important for determining the type of treatment that is best for them, such as the lifestyle and dietary changes that may be most appropriate, as well as any medications that may be necessary. However, individuals may also experience multiple subtypes over time, as well as experience cycles of flare-ups and symptom relief.

What causes IBS?
The causes of IBS are not well understood, but symptoms are generally attributed to issues with gut muscle contraction and changes in the gut microbiome, both of which can lead to the characteristic symptoms of IBS. These issues can be caused by a variety of lifestyle factors, such as diet and stress. While lifestyle modifications may not completely cure IBS symptoms, identifying symptom-triggering foods, consuming a balanced diet, and reducing stress have all been shown to greatly reduce symptoms. IBS can also be caused by bacterial or parasitic infections within the intestine, in which case the syndrome is referred to as "post-infectious IBS." In contrast to non-infectious IBS, post-infectious IBS is less chronic in nature and symptoms will often resolve once the infection has subsided.

What foods should I avoid if I have IBS?
Specific foods that may trigger symptoms of IBS can vary person-to-person. However, common foods that may exacerbate symptoms include high-fat foods (such as fatty meats), wheat, dairy products, highly acidic foods (such as citrus), beans, cabbage, milk, and carbonated drinks. Over time, individuals with IBS are often able to identify which foods cause their symptoms to worsen and learn to avoid such foods to manage their symptoms.