Irritable Bowel Syndrome

Are you frustrated with your medical team and their lack of solutions?

Do you feel like a crazy pill popper from taking so many supplements?

Are you beginning to wonder if you’ll ever be free of IBS?

You deserve to work with someone who knows IBS inside and out.

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Common IBS Symptoms
  • Diarrhea

  • Constipation

  • (Possibly both diarrhea and constipation)

  • Abdominal/stomach bloating

  • Abdominal/stomach pain

  • Abdominal cramping

  • Nausea

  • Indigestion

You may have all of these symptoms or only a few.

Common causes of IBS

  • Small Intestinal Bacterial Overgrowth (SIBO)

  • Food Poisoning (“Post-Infectious IBS”)​

  • Leaky gut syndrome

  • Dysbiosis

  • Food sensitivities (gluten, dairy, soy)

  • Inflammation of the intestines

Usually, people have more than one thing from this list, as some of them cause the other (SIBO causing intestinal inflammation and leaky gut, for example).

Diet and IBS

I rarely recommend the most popular IBS diets. All of the following diets can be used to manage IBS symptoms, but should not be used for more than a couple of weeks.

Diets that can help IBS (and that I have worked with) include:

  • Low FODMAP diet

  • Specific Carbohydrate Diet (SCD)

  • The Bi-phasic Diet

  • Combination FODMAP/SCD (recommended by Allison Siebecker, ND)

Curing and Helping IBS

IBS often responds very well to dietary changes, herbal medicine, supplements, vitamins, and life coaching. I feel very lucky to be able to help people with this condition every day at my office in Chapel Hill.

Post Infectious IBS

Causes of Post Infectious IBS

Post-Infectious IBS arises after food poisoning or acute gastroenteritis. The progression happens in one of two ways. Some people feel like they recover from the acute illness and then develop IBS down the road, while many feel like they never fully recover from the acute insult.

This type of IBS requires special treatment compared to other types of IBS. This is largely due to the autoimmune nature of the condition.

Diagnostic Testing for Post Infectious IBS

The following tests all test for the same thing, but I strongly prefer and recommend IBS-Smart.

  • IBS-Smart
  • IBSDetex (Quest Diagnostics)
  • IBSChek (Commonwealth Labs)
  • Irritable Bowel/SIBO Screen (Cyrex Labs)
  • IBSSure (Vibrant America)

Over the last ten years I have had the pleasure of helping hundreds of people with IBS and SIBO.

Explore my Youtube page Triangle Holistic Gut Health for
videos on IBS, SIBO, leaky gut, candida, and more.

It was an honor and privilege to be interviewed for the IBS and SIBO SOS Summit in 2018

Dr. DiNezza is the most educated practitioner I have ever met. She was the third doctor to see me for severe digestive issues that began last year. After studying the extensive questionnaire I filled out, she ordered tests the other two doctors did not think to order. She discovered a number of things wrong and began addressing them naturally immediately. I started to see improvement right away. Throughout the past several months she has monitored my progress and made adjustments with my supplements whenever necessary, or if we saw a plateau in my progress as well as when a flare up occurred. Healing naturally can sometimes be a long journey, but I feel Dr. DiNezza is always there to listen and work to find the pieces of the puzzle. I trust her immensely.

Stacy Z

Dr. D changed my life! I had struggled for years with food issues with no answers from multiple doctors (despite surgeries and medications). Dr D. has the most thorough intake process I’ve ever seen and she said in our first meeting that we would keep pushing together until we had answers and solutions. Thanks to her knowledge and expertise, I feel better than I have in years and know that I have someone to support me long-term with my autoimmune and GI issues.

Laura C

Dr Dinezza is absolutely the best. I had been having GI issues and recurring chest pain / inflammation for several years and had seen countless doctors, specialists and alternative medicine professionals to no avail until I saw Dr. Dinezza. As a result, I was very skeptical (but hopeful) based on all my prior bad experiences with healthcare professionals and the frustration of never knowing the underlying causes. She treated me for leaky gut, SIBO, gut dysbiosis, dismotility and IBS. This was all likely caused by the prescription NSAIDs I was on for the inflammation combined with being an undiagnosed celiac who ate a mostly gluten free diet but was getting small exposures from cross contamination at restaurants, etc and also explains my sensitivity to dairy as well. Basically, my gut and GI tract were in very, very bad shape. Long story short, she fixed me up in a period of mere weeks. She is methodical, research based, incredibly smart and experienced and the supplements and herbal treatments she prescribes are absolutely top quality. Her goal is not to keep you as a patient but to fix you up so you don’t need to come back. I wouldn’t hesitate to recommend her for anything she claims to know about and have experience treating, particularly GI health which of course affects health throughout the entire body. I’ve already recommended her to friends and family for various health concerns and will continue to do so to anyone who will listen. Bottom line, if you’re still reading this review it’s for a good reason and you need to see her asap!

Matt S

Dr. DiNezza is personable, knowledgeable and really helped me. I have had digestive issues for most of my life. With careful testing, and thorough holistic treatment, I am able to manage my leaky gut. Dr. Dinezza discovered problems with my digestion that no other doctor could determine. After spending thousands on prescriptions, doctor appointments and useless tests, I came to Dr. D. in a lot of pain and at my wits end. The natural supplements, treatments and total holistic over view of my problems have made me feel like a new person! Thank you Dr. Dinezza for your help and wonderful care!

Julie P

Dr. DiNezza is the first practitioner I’ve worked with that makes me feel truly heard and runs the right tests to uncover root causes and coexisting conditions. I appreciate so greatly that she feels more like a partner in health and solving health mysteries rather than just giving a medication and walking away. I know that I can always text or reach out to her any time for answers to my questions even between appointments, and having that access has made me feel so much less alone in this journey, especially during these extra stressful times. While I know my journey isn’t over, I have hope that she’s helping me finally put together the puzzle pieces on how to feel better and stay better and I’m already tolerating more foods than I have in years.

Steph D

I feel so fortunate to have found Dr. DiNezza. After years of inexplicable symptoms, referrals to multiple specialists and prescriptions that seemed to do more harm than good, she was the first practitioner to do thorough lab testing and get to the root causes of my issues. These were standard lab tests covered by my insurance that no one thought to test for! She is very skilled at listening and asking the right questions, interpreting and explaining the data, and devising a treatment plan. She is also able to provide insight and an opinion on any supplement or treatment alternative I throw at her. My health has improved dramatically under her care.

Sheila M

Dr. DiNezza helped me regain my health and life back! For years I have been plagued with stomach issues and through her consultations and blood tests she was able to narrow down my issues. We suspected gluten, but through blood tests she was specifically able to pin it down to a few other things. Many gluten free flours and breads contain ingredients that I was sensitive to and now I know what they are! There is life without all the breads and pastas. I haven’t felt this good in years! Thank you, Dr. Nicole!

Barb G

Dr. DiNezza hit “the nail on the head” with all of the stomach issues I have been having for years!  Just in our first conversation, she thought it was SIBO and she was correct.  After testing and getting the right combination of supplements, I began to feel better within weeks.  Now after 2 months, my stomach feels better than it has in years.  Not only is she knowledgeable, she is so personable and I always enjoyed our time together.  I highly recommend her.

Suzanne S

Dr. DiNezza has been an invaluable resource to me. When I started seeing her, I was suffering from fatigue, body aches, headaches, digestive issues, anxiety, and depression, among other ailments. Over time, Dr. DiNezza helped me to figure out what was going on with my body (SIBO and histamine intolerance, among many other things) and to find solutions that brought my health back. I am so much better now, and whenever I do have a setback, I know that I can contact her and she will help me identify a solution. She is friendly, compassionate, and knowledgeable. Highly recommend.

Kara S

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