b'CASE STUDYSTRATEGIES TO MANAGE EXERCISE INDUCED GI SYMPTOMS The management of GI symptoms in athletes isDIETARY & SYMPTOMS ASSESSMENTcritical to enable them to perform at their best.Monitor the type (upper or lower), timing (onset and The information in this section provides someprogression) and severity of GI symptoms using a advice for the assessment of and potentialstandard, validated questionnaire 32intervention for an athlete who presents withAssess quantity and quality of overall diet, lead in diet and GI symptoms that only arise during training/ race nutritioncompetition when intensity and/or volume isFibre: total fibre load and type (fermentability, solubility)high. It is important to recognise that clinicalFood form: solid or liquid, concentrationassessments and interventions may be requiredGastric irritants: including caffeine and medicationsif symptoms are not deemed to be the directPossible food intolerances: including FODMAPs, dairy result of exercise 31 . or glutenPlanned vs nutritional actual intakeA combined food, training and symptom diary can be complemented to get an understanding of bowel movements and symptoms in relation to food intake and training.15'