Low FODMAP Diet for IBS: A Simple Explanation

Do you frequently struggle with bloating, gas, abdominal pain, nausea, or irregular bowel movements, and have been told there’s not much you can do? There’s hope! The Low FODMAP Diet has been shown to relieve symptoms for up to 70% of people with IBS (Irritable Bowel Syndrome). Here’s a straightforward explanation of what this diet is all about.

 

What actually are FODMAPS?

FODMAPs are a group of carbohydrates found in many common, healthy foods. While most people digest these carbohydrates without issues, some individuals with IBS have trouble breaking them down. This can lead to these carbohydrates passing undigested into the large intestine, where gut bacteria ferment them and produce gas, causing discomfort.

FODMAPs include:

  • Fermentable: Carbohydrates that bacteria ferment in the gut.
  • Oligosaccharides: Found in foods like artichokes, garlic, onions, leeks, shallots, wheat, rye, and barley.
  • Disaccharides: Includes lactose found in milk, ice cream, yogurt, ricotta, and cottage cheese.
  • Monosaccharides: High-fructose foods like apples, mangoes, watermelon, and honey.
  • Polyols: Artificial sweeteners like mannitol, xylitol, and maltitol.

 

How might you react to FODMAPS if you have IBS?

For individuals with IBS, FODMAPs that aren’t absorbed in the small intestine travel to the large intestine, where they can cause two main issues:

  1. Gas Production: The bacteria in the large intestine ferment these carbohydrates, producing gas as a byproduct. This can lead to frequent gas or bloating when consuming high-FODMAP foods like legumes.
  2. Water Retention: FODMAPs can attract water into the large intestine, potentially causing diarrhea, constipation, bloating, or distention.

Low FODMAP diet: what is it and what are the benefits?

The Low FODMAP Diet involves reducing high-FODMAP foods and replacing them with other healthy options. It has been scientifically validated to help manage IBS symptoms. The diet is implemented in three phases:

  1. Phase 1: Exclusion
    Eliminate all high-FODMAP foods from your diet for 4-6 weeks. Keep a symptom diary to track any improvements.
  2. Phase 2: Reintroduction
    Gradually reintroduce high-FODMAP foods one at a time to identify which ones trigger your symptoms. This helps determine your tolerance levels for different FODMAP groups (e.g., fructans and lactose).
  3. Final Phase: Personalization
    Resume eating the FODMAPs that don’t cause symptoms and avoid those that do. You might find that you can tolerate small amounts of some problem foods, so it’s about finding your personal threshold.

The Low FODMAP Diet isn’t about eliminating all FODMAPs permanently but finding which ones cause issues and managing them. It’s not a lifetime diet but a way to identify problem foods and tailor your diet accordingly.

For a list of high and low FODMAP foods, click here.

 

Should everyone avoid FODMAPS?

Not at all. FODMAPs are nutritious and beneficial for those who don’t have sensitivity to them. Only a small percentage of people with IBS need to follow a low-FODMAP approach. While the diet is gaining popularity, it’s not a weight-loss diet and should be used specifically for managing IBS symptoms.

 

Bottom line

If you have IBS or other gut issues, trying a low-FODMAP diet might help you find relief. By swapping high-FODMAP foods for lower ones, you could see significant improvements in your symptoms.

 

  • Click here for more articles written by our team of dietitians

 

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