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January 1, 1974

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Dr Trowell points out that Africans do not consume cereals or bran but remain free of complaints of constipation and irritable bowel disease.

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Fibre and Irritable Bowels

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Dr Hugh Trowell, another strong advocate of dietary fibre, confirmed this in 1974, saying that 'a serious confusion of thought is produced by referring to the dietary fibre hypothesis as the bran hypothesis, for many Africans do not consume cereal or bran but remain almost free of constipation, irritable bowel syndrome and diverticular disease'.

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Constipation
Hard, dry stools that are difficult to pass. Straining during bowel movements, a feeling of incomplete evacuation, bloating, and abdominal discomfort characterize the symptoms. A complete removal of plants and fiber helps constipation. Too high of a Protein:Fat ratio can also cause it.
IBS
BS stands for irritable bowel syndrome, which is a common disorder that affects the large intestine (colon). It is a chronic condition characterized by a group of symptoms, including abdominal pain or discomfort, bloating, gas, and changes in bowel habits such as diarrhea or constipation, or both. The exact cause of IBS is unknown, but it is believed to involve a combination of factors, including abnormal gastrointestinal motility, heightened sensitivity to certain stimuli, changes in the gut microbiota, and possible genetic and environmental factors. It is considered a functional gastrointestinal disorder, which means there are no structural abnormalities or specific laboratory tests that can definitively diagnose it.
Fiber
Fiber, also known as dietary fiber or roughage, refers to the indigestible portion of plant foods. It is a type of carbohydrate that cannot be broken down by human digestive enzymes. Instead, it passes through the digestive system relatively intact, adding bulk to the stool and aiding in the regularity of bowel movements. It isn't technically classified as an essential nutrient. The term "essential" in nutrition refers to nutrients that the body cannot produce on its own (or cannot produce in sufficient quantities) and therefore must obtain from the diet
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