From Daily Disruption to Digestive Freedom: Puneet’s Journey to IBS Relief Through Nutrition by Deepika Chalasani, best Online Nutritionist in Hyderabad, India

Name: Puneet

Age: 38 years

Location: Hyderabad

Case History: Puneet has been suffering from irritable bowel syndrome (IBS) for nearly a decade, a condition that began during his time in the United States. The onset of IBS coincided with irregular food timings and prolonged work-related stress, both of which progressively aggravated his digestive issues. He began experiencing fluctuating abdominal pain and unpredictable, untimely bowel movements, which significantly impacted his daily productivity and quality of life. The uncertainty around when symptoms would strike forced him to meticulously plan his days, often limiting his mobility and social engagements. This constant “fear of the unknown” not only heightened his stress levels but also created a vicious cycle that further worsened his IBS.

Over time, Puneet’s condition became increasingly difficult to manage, particularly during the COVID-19 pandemic, which took a significant toll on his overall health and well-being. Although he consulted several medical specialists, he found little relief. It was only after we suggested a series of tests—including Vitamin B12—that a critical issue was uncovered. Surprisingly, none of his healthcare providers had previously considered checking his B12 levels. His frustration grew when test results revealed a severe Vitamin B12 deficiency, a problem commonly linked to malabsorption in individuals with IBS. During a dietary recall, it became evident that Puneet was unsure about which foods were beneficial and which ones he should avoid to manage his condition. This lack of nutritional guidance, coupled with ongoing stress and dietary confusion, continued to worsen his IBS symptoms, leaving him both physically depleted and emotionally overwhelmed.

Approach by the best Nutritionist, and Dietician in Hyderabad, Telangana, India Deepika Chalasani

Given the severity of Puneet’s Vitamin B12 deficiency and its potential link to his compromised digestive health, we advised him to seek immediate medical intervention to address the deficiency. Simultaneously, we initiated a carefully curated dietary plan designed to support his IBS condition. Initially, we provided him with a limited list of well-tolerated, low-FODMAP foods items we were confident would not trigger his gastrointestinal symptoms. This conservative approach helped establish a safe dietary baseline while allowing his digestive system a chance to stabilize.

As his tolerance improved, we gradually expanded his food options in a structured, step-by-step manner, enabling him to identify potential dietary triggers with more clarity and confidence. Special attention was given to incorporating natural sources of Vitamin B12, such as fortified cereals, dairy products, lean meat and certain fish, in order to support gut health and promote nutrient absorption areas often compromised in individuals with IBS.

To further enhance his digestive resilience, we strategically introduced both prebiotics and probiotics into his daily routine such as kefir, weak buttermilk, hemp milk, raw banana powder. These were selected not only to help balance the gut microbiota but also to support bowel regularity, reduce bloating, and improve overall gastrointestinal comfort. The meal plans were thoughtfully crafted to align with his personal food preferences and lifestyle, ensuring they were both palatable and easy to prepare at home minimizing stress while maximizing adherence. This holistic, individualized approach aimed to restore a sense of control over his condition and support his journey toward long-term symptom management and improved quality of life.

Results: At the beginning of the program, Puneet experienced frequent and unpredictable bowel movements up to 4 to 5 times a day and lacked awareness of the foods that were triggering his symptoms. However, after consistently following the tailored dietary plan for just a few weeks, he saw a significant improvement: his bowel movements reduced to just twice a day, both occurring predictably before breakfast. This regularity allowed him to plan his day with much more ease and confidence, minimizing disruptions to his routine.

With increased stability in his symptoms, Puneet began to re-engage socially, attending events without the constant worry of sudden IBS flare-ups. He also gained a clearer understanding of his individual trigger foods such as deep fried chicken starters with colouring, and, encouragingly, he is now able to tolerate several items such as bell peppers and most food except for a few triggers that he previously had to avoid. Alongside improved digestion, he reported a noticeable increase in energy levels, complete relief from bloating, and an overall sense of lightness after meals.

One of the most positive milestones was his recent international trip, which he enjoyed fully without any digestive disturbances or unexpected symptoms something he hadn’t experienced in years. The reduction in anxiety, combined with more predictable digestion, has led to a marked improvement in his overall well-being and work productivity. For the first time in nearly a decade, Puneet feels in charge of his IBS, and this renewed sense of empowerment has brought tremendous ease and relief into his daily life.

Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach, and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, the best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email at deepika.chalasani@gmail.com or Mobile at +91 9381525943