Dietary strategies in the diagnosis and treatment of patients with food intolerance

O.A. Martynchuk, T.O. Kriuchko


The most effective way of correcting adverse reactions to food is to completely eliminate the trigger product. The diagnostic capabilities available in the arsenal of modern physician’s are still insufficient, since only certain types of food intolerance can be determined with a high degree of certainty. As a gold standard for the diagnosis and treatment of such reactions, we continue to use various types of dietary interventions. The article examines in detail the diagnostic capabilities of the elimination diet and the controlled diet. As an additional, pathogenetically substantiated direction of therapeutic effect in food intolerance, dysbiosis of the intestine is considered, in the treatment of which adults and children successfully use self-eliminating antagonists of pathogenic bacterial flora. One of the representatives of this group of drugs is Biosporin containing spore-forming bacteria Bacillus subtilis and Bacillus licheniformis.


food intolerance; restrictive diets; intestinal dysbiosis; self-eliminating antagonists of pathogenic bacterial flora; Biosporin


Atkinson W, Sheldon TA, Shaath N, Whorwell PJ. Food elimination based on IgG antibodies in irritable bowel syndrome: a randomised controlled trial. Gut. 2004 Oct;53(10):1459-64. doi: 10.1136/gut.2003.037697.

Aziz I, Sanders DS. Emerging concepts: from coeliac disease to non-coeliac gluten sensitivity. Proc Nutr Soc. 2012 Nov;71(4):576-80. doi: 10.1017/S002966511200081X.

Aziz I, Sanders DS. The irritable bowel syndrome-celiac disease connection. Gastrointest Endosc Clin N Am. 2012 Oct;22(4):623-37. doi: 10.1016/j.giec.2012.07.009.

Brostoff J, Challacombe SJ. Food allergy and intolerance. 2nd ed. London: Saunders; 2002. 977 p.

Fisher HR, du Toit G, Lack G. Specific oral tolerance induction in food allergic children: is oral desensitisation more effective than allergen avoidance? A meta-analysis of published RCTs. Arch Dis Child. 2011 Mar;96(3):259-64. doi: 10.1136/adc.2009.172460.

Latulippe ME, Skoog SM. Fructose malabsorption and intolerance: effects of fructose with and without simultaneous glucose ingestion. Crit Rev Food Sci Nutr. 2011 Aug;51(7):583-92. doi: 10.1080/10408398.2011.566646.

Lomer MC, Parkes GC, Sanderson JD. Review article: lactose intolerance in clinical practice–myths and realities. Aliment Pharmacol Ther. 2008 Jan 15;27(2):93-103. doi: 10.1111/j.1365-2036.2007.03557.x

Centre for Clinical Practice at NICE (UK). Food Allergy in Children and Young People: Diagnosis and Assessment of Food Allergy in Children and Young People in Primary Care and Community Settings. London: National Institute for Health and Clinical Excellence (UK); 2011 Feb. (NICE Clinical Guidelines, No. 116.)

Papadopoulou A, Koletzko S, Heuschkel R, et al. Management guidelines of eosinophilic esophagitis in childhood. J Pediatr Gastroenterol Nutr. 2014 Jan;58(1):107-18. doi: 10.1097/MPG.0b013e3182a80be1.

Turnbull JL, Adams HN, Gorard DA. Review article: the diagnosis and management of food allergy and food intolerances. Aliment Pharmacol Ther. 2015 Jan;41(1):3-25. doi: 10.1111/apt.12984.

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