Only people who stopped all fiber felt less stomach pain—those who just cut back or kept eating fiber still had the same pain after six months.
Scientific Claim
In adults with idiopathic constipation, abdominal pain improves only in those who completely eliminate dietary fiber, while those who reduce or maintain fiber intake show no significant change in pain levels.
Original Statement
“Symptoms of abdominal pain only improved in patients who stopped fiber completely while those who continued on a high fiber diet or reduced fiber diet did not show any improvement (Table 2).”
Evidence Quality Assessment
Claim Status
overstated
Study Design Support
Design cannot support claim
Appropriate Language Strength
association
Can only show association/correlation
Assessment Explanation
The study design cannot establish causation or explain why only complete elimination helped. The association is valid, but the language implies a threshold effect that may be confounded.
Evidence from Studies
Supporting (0)
Contradicting (1)
The study found that both cutting out fiber completely and just eating less fiber helped people feel better — not just those who cut it out entirely, so the claim that only total elimination works is wrong.