Analysing the detailed daily food and symptom diary is much more than identifying triggers, important as that is. Nor just amount of fibre, important as that is. Every food group, within the food groups. For example Dr Michael Mosley advises
“At least seven portions a day of veg and fruit, made up mainly of veg … Variety is important for gut health, so try to eat 20 to 30 different varieties a week.” (p.191)
From my last post “… properly balanced and very varied, anti-inflammatory wholefood diet. Ideally we would get a variety of different fibres and other prebiotics from just such a diet ….. They may be ineffective or partially effective if the underlying diet is off. …. dietetics and nutrition to analyse the balance, variety and composition of their patients’ diets.”
Physical activity and formal exercise overlap but are NOT synonymous. Being physically active when you are in discomfort or pain is absolutely a challenge. Swimming, aqua aerobics, slow walking, stretching, tai chi, hot yoga, gentle gardening, gentle dance, routines intended for the elderly even though you are not!
Any amount, any pace/ intensity, different temperatures, just moving as gently as you need to, little and regularly all day. The human body evolved to move: research shows it is essential for health completely independent of fitness.