Forty cases of irritable bowel syndrome with complete dietary histories were examined retrospectively. Included were infants and children aged 6 to 42 months, who had diarrhoea at least 4 weeks duration, a normal pattern of growth and no evidence of malabsorption or enteric infections. The majority (92.5%) of these patients had been on high carbohydrate, high protein and low fat diets prior to referral. Ten percent of the patients lost weight as a result of marginal caloric intake subsequent to restrictive dietary advice. In 19 of the 25 patients compliant to dietary recommendations, this modification was associated with the resolution of symptoms. Based on this study and previous others we suggest to carefully gather dietary intake information for all patients fulfilling the usual criteria for irritable bowel syndrome and recommend a therapeutic trial of increased dietary fat and diminished carbohydrates and even proteins intake.
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