Troubled with IBS? Here’s a complete roadmap to the low FODMAP diet

low fodmap plan

FODMAP foods and your body

“Most of the ailments come from the stomach” – an old saying which basically means that if your digestive system is faulty the rest of the body will react adversely. Stomach ache, diarrhea, constipation, excessive gas, bloating, flatulence etc. are all symptoms of dysfunction in our digestive system. The cause for these symptoms could be anything but the most common cause is irritable bowel syndrome (IBS). Though not life-threatening, it can be a daily nuisance and a huge hindrance in a healthy and comfortable lifestyle.

An Australian research team at Monash University has developed the most plausible relief for people suffering from IBS. Department of Gastroenterology at the university has been researching this for 10 years and has come up with a diet plan called Low FODMAP diet, which is rapidly becoming popular. But before we take a deeper look at what is FODMAP diet and how is it effective, let’s understand when to use this diet.

Irritable bowel syndrome

Studies show that 10-15% of adults in the world have this problem. IBS can cause acute abdominal pain along with constipation or diarrhea or a combination of both. IBS is mainly caused because of long term problems in the gastrointestinal functions. Our gut, that is the small and the large intestine, is regulated by the brain. Any kind of stress or disturbance could cause dysfunctions in our gut which in turn can cause IBS. It is rapidly becoming the second most common reason for absenteeism from work.

The exact cause of IBS is still unknown. Some people get it genetically; others can contrive it from an earlier trauma or infection. Since it is also driven by disturbances in our brain as well, it is difficult to pinpoint the actual cause but overall any kind of disturbance in bowel movement (motility & sensation), change in eating habits, stress, gastrointestinal problems or menstrual problems can cause IBS. Sometimes people even forget to address these issues because of their daily occurrence which can aggravate the situation.

Brain-gut axis

low fodmap planBrain-gut axis is two-way communication between the brain and the colonic motility which ensures that our digestive system is functioning properly. Any disruption in this communication can cause IBS. Bacteria in our gut (small and large intestine) or in the bowel are responsible to break down the food we eat. There are infinite numbers of bacteria in our digestive system, especially in our gut. Any change to the number or the composition due to say a bacterial infection could trigger IBS.

IBS diagnosis

Since the exact cause of IBS is still unknown, there is no specific test for irritable bowel syndrome. The physician or the doctor might call for multiple tests.  There are, however, a few diagnostic criteria that are often used to determine IBS

  • Rome criteria: This is a combination of the most common symptoms displayed by a person suffering from IBS. These include abdominal pain and discomfort. This pain should be associated with
    • Number of a person defecates
    • Relief from pain experienced after defecation
    • And the change in discomfort with the change in consistency of stool
  • Manning criteria: These criteria are very similar to that of the Rome criteria, however, it also takes into consideration the amount of mucus in the stool. The more symptoms you have, the greater the likelihood of IBS.

There are a few red flags or alarm signs that the doctor should further check to eliminate them out of the list. These are symptoms of graver problems and the existence of any of these problems should be informed to the physician

  • Any history of colon cancer or celiac disease in the family
  • Whether the symptoms are early onset of another disease due to old age post 50
  • Excessive bleeding with stool
  • Any signs of anemia
  • Excessive weight loss without any explanation.

low fodmap dietIn the absence of any biological marker, the partial process of elimination and taking into consideration the physical symptoms of the patient are the best ways for the doctor to determine IBS. Based on the kind of treatment available, IBS can be divided into three types, which takes into consideration the different symptoms: constipation-predominant, diarrhea-predominant or mixed. Depending on the severity of the conditions the doctor might suggest a few dietary or lifestyle changes:

  • Counseling: As discussed earlier, one of the main causes of IBS is stress. Seeing a professional for the betterment of your mental health can help reduce the symptoms of IBS. Different tools of psychiatry can be used to achieve the same. Hypnosis, cognitive skill building or simple therapy can help a patient suffering from IBS.
  • Probiotics and Antibiotics: The helpful bacteria that are present in the intestinal tracts are called probiotics. Some recent research has revealed that any change in the composition of the bacteria can result in IBS. Also, the doctor might suggest some antibiotics that can get rid of any unwanted bacteria that is affecting bowel functioning.
  • Alternative forms of treatment: Yoga and meditation are tools that are directly linked to physical and mental health. Along with that acupuncture or acupressure are alternative forms of treatment which are considered good for IBS. According to a study done by 10 researchers in Boston in 2010, acupuncture brought 37% improvement in people with IBS compared to 4% improvement in people who were part of a control group.

The basics of a low- FODMAP diet

low fodmapFODMAP diet or low- FODMAP diet is the latest and popular answer to IBS. Three researchers, out of which two are associated with Monash University in Australia, restudied the effects of the low-FODMAP diet in 2017. According to the study, 50%-86% of the people benefitted out of the study that can be clinically proven. International Foundation for Gastrointestinal Disorder, which is an NGO in the US, also promotes FODMAP diets as a solution to IBS symptoms.

What is FODMAP?

It’s an acronym for different kinds of insoluble carbohydrates (short-chain carbohydrates) that if controlled in our diet can help reduce the discomfort and pain experienced due to IBS. FODMAP stands for  Fermentable Oligosaccharides Disaccharides Monosaccharides And Polyols. Different kinds of short-chain carbs that are present in the food we eat are

  • Lactose: Lactose though considered as simple sugar has two units of sugar. It needs lactase, an enzyme to break it down to a monosaccharide (one unit of sugar). Genetically a lot of people have a lack of lactase in their body (a majority of Asians and Native Americans) in which case lactose is not absorbed in the small intestine making it a FODMAP.
  • Oligosaccharides: These are complex sugar polymers which can’t be broken down and are insoluble in the human body because we do not have the required enzymes. They remain intact creating problems for individuals with sensitive bowels.
  • Polyols: Sorbitol and mannitol are the two most common polyols in our diet. These are sugar alcohols which get absorbed in across the intestinal barrier but this process is a slow drawn one. Sorbitol is often used in “sugar-free” products because it burns slowly releasing fewer calories.

Effects of FODMAP on IBS

low fodmap foodsOne thing is common between people who have IBS and people who don’t. We all have almost equal amounts of FODMAP in our system. It only affects people with IBS more. FODMAP creates an osmosis effect in our small and large intestine secreting a lot of fluids. The microbes near the colon try to break the fermented carbohydrates generating a lot of gas. The extra fluid and the gas create tremendous pressure from the inside causing abdominal pain and discomfort. This can induce a forward movement in the bowel leading to diarrhea but it could have a completely opposite effect causing constipation as well.

How to follow the low-FODMAP diet

This diet has two phases. Basically, the logic behind this is to eliminate the FODMAP or low-absorbent carbohydrates that affect the person’s digestive system the most.

Phase 1: During phase 1, all foods which are high on FODMAP are eliminated from the diet. This phase lasts for 3-8 weeks only because FODMAPs are beneficial for gut health.

low fodmap cheeseThis is not like food allergies that FODMAPs need to be completely removed from the diet. It needs to be restricted from the diet for a limited period of time so that the system can stabilize. A lot of people get results in the first few weeks, however, some people need to complete all 8 weeks to see any substantial result.

Phase 2: After the 8 weeks of restriction, FODMAPs are slowly added back to the diet to determine something called a Threshold Level.

The slow introduction of FODMAP carbohydrates can help us in determining how much FODMAP one patient can tolerate and which food items are aggravating the symptoms more than others.

This helps in determining the threshold level for the patient which helps in shaping the diet that the person needs to follow.

What should be eliminated?

Food items high on FODMAPs are:

Wheat, onion, and garlic

low fodmap dishesWell, for most Asians these three ingredients are essential for every meal. However, it seems a small sacrifice to give up these ingredients to get relief from the discomfort and daily trouble IBS causes. As far as the amount of FODMAP is concerned, wheat is one of the lowest amongst the three mentioned here but because it is consumed in such large quantities it is considered high on FODMAP.

Both garlic and onions are a highly concentrated source of fructans which is a FODMAP. It is very difficult to cut these two ingredients out of a diet as they are mostly present in every recipe as the flavoring agent. Even canned or preserved foods might have garlic and onion as an ingredient. Someone who is strictly on a low-FODMAP diet needs to check every label and make sure that these ingredients are not there in their diet.

Alternatives to wheat, onion, and garlic: Brown rice, buckwheat, maize, millet, oats, polenta, quinoa, and tapioca. Garlic can be substituted with flavoring agents are chives, chili, fenugreek, ginger, lemongrass, mustard seeds, saffron, and turmeric.

Fruits and Vegetables

Most fruits as expected are high on FODMAP due to the presence of oligosaccharide fructans. Some fruits, however, contain carbohydrates in the form of glucose which is essential as it gives direct energy to our body. Even then, when consumed in high quantities, it can harm sensitive people. So people on a low FODMAP diet should be very cautious of what fruits they are consuming and in what quantities.

Fruits that are OK to be consumed: Bananas, blueberries, kiwi, limes, mandarins, oranges, papaya, pineapple, rhubarb, and strawberries.

Fruits that should not be consumed: Apples, apricots, cherries, figs, mangoes, nectarines, peaches, pears, plums and watermelon.

Vegetables, on the other hand, are good for health so all we need to do is replace a few with high levels of FODMAP.

High-FODMAP vegetables include Asparagus, Brussels sprouts, cauliflower, chicory leaves, bitter gourd, leeks, mushrooms and snow peas.

Low-FODMAP vegetables include Bean sprouts, capsicum, carrot, eggplant, kale, tomato, spinach, and zucchini.

Dairy and Meat

All dairy products are high on lactose which is also infamous for causing intestinal problems. If at all someone is really fond of dairy then they will need to stick to cheddar cheese, cream, feta cheese, lactose-free milk, and Parmesan cheese. Meats that can be a part of the low FODMAP diet are Beef, chicken, eggs, fish, lamb, pork and prawns.

Low-FODMAP Meal Plan

BreakfastGluten-free or spelt toast with spread (sucrose sweetened, not with fructose)
Cereal (e.g. oats, Corn Flakes, Rice Krispies)
Tea or coffee (if you have lactose malabsorption, use lactose-free milk)
Serving of suitable fruitPoached eggs and spinach
LunchGluten-free or spelt sandwich with fillings (e.g meat, salad, cheese)
Frittata
Homemade soup with low FODMAP vegetables
Green salad with dressing (olive oil, lemon juice) with tunaRoast pumpkin, goats cheese & quinoa salad
DinnerMeat or fish with low FODMAP vegetables or salad
Baked fish with middle eastern vegetable quinoa
Roast chicken with rosemary infused vegetables and brown rice
Gluten free pizza base topped with cherry tomatoes, basil, goats cheese, ham and pineapple
Snacks & SweetsServing of suitable fruit
Yogurt (if you have lactose malabsorption, use lactose-free yogurt)
Rice cakes with feta
Gluten-free biscuitsBerry crumble

This meal plan has been sketched out by the International Foundation for Gastrointestinal Disorders.

SIBO: Small Intestinal Bacterial Overgrowth

SIBO is a stomach disorder similar to IBS though it can be cured with antibiotics. Diet restrictions are advised for this disorder as well and low FODMAP diet is proving to be more effective than anything followed before.

Bacterial overgrowth is an infestation of the small intestine by bacteria which usually grow in the colon region. When these bacteria come in contact with the food in small intestine it starts breaking it down too soon creating gas and causing a lot of digestive problems like diarrhea, stomach pain, and malnutrition (in long term).

It is absolutely essential to determine that you have IBS or consult a professional dietician before you go on such a strict regimen of diet because low FODMAP diet restricts some essential ingredients needed in our body. The time periods suggested should strictly be followed otherwise there could be adverse effects like weakness, fatigue and overall degradation of health which is counter-productive.


TL;DR?

Fodmap diet infographic

 

Display this infographic on your website

 

 

 

Related Posts

Trending Topics

anal sex
Anal Sex : Tips from expert on how to be kinky yet safe Whether it irks you or stokes your fantasies, anal sex has always been an intriguing…
diverticulitis diet
Diverticulitis diet: The right way to eat if you suffer from the disease Are you suffering from diverticultis but clueless about your diet ? Read this complete plan…
autoimmune diseases facts
Autoimmune Diseases: Find out if your body is attacking you right now Did you know your body can harm itself? What are autoimmune diseases and why does…
nature health benefits
Green Healing: The amazing health benefits of being in nature You have no idea what sitting in a closed room does to your body and…
Jicama: A fiber-rich tuber for your weight loss goals Pronouced as HEE-kah-ma, Jicama is the "new kid on the block" that has taken the…
hidden benefits walking
9 benefits of walking we bet you didn’t know! Did you know walking can be the miracle pill for eternal youth? Everyone knows walking…
understanding addiction
Addiction explained: An obsession that could cost you your life Is addiction a behavioral disorder? Or is it a chronic disease? How does addiction cause…
liver detox facts
7 liver detox facts and why ignoring these could kill you! Are you taking care of this organ that handles over 500 different vital functions in…
dance health benefits
5 unbelievable effects of dance on your overall health! You enjoy dancing, but did you know what else it does to your body? Dancing…
GM Diet: The fastest way to lose weight or yet another hoax diet? General Motors started this trend of extreme dieting for 7 straight days to ensure its…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you…
Creatine: Is this the right peak athletic-performance supplement for you? Creatine is the amino acid that boosts our energy. Did you know creatine supplements can…
yoga health benefits
How to practice yoga for astounding health benefits Can a 5000-year-old system be the ultimate body healer? Did you know yoga can make…
L-arginine: Your search for the ultimate fitness booster ends here L-arginine is an amino acid necessary for the body to perform various functions.  It is…
Penis pump: Pump your way out of erectile dysfunction One of the options to treat erectile dysfunction is by the use of a penis…
How chlorophyll is more than just a green pigment meant for photosynthesis Cholorphyll - you must know the usual function of this chemical in plants. But did…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of…
Pumpkin Seeds: Why pumpkins are more than just for pies! Pumpkins have been long associated with Halloween carvings and delicious pies. But did you know…
Improve sex life
9 best tips from around the world for better sex life How can the pungent-smelling garlic pack in a punch to your libido? How could something…
low fodmap plan
Troubled with IBS? Here’s a complete roadmap to the low FODMAP diet Leaky & inflammatory gut troubling you? No medicine bringing you relief from the pain? Why…
eating disorder anorexia
Eating Disorders: Lifestyle choice or a psychological condition? Is eating disorder just a harmless bad habit? Or does it represent grim psychological disorders?…
stress depressed anxiety
Are you depressed or just stressed? Know when to see a doctor Why are some people more anxious than others? Is being depressed the same as feeling…
eating myths debunked
8 ‘healthy eating’ myths you believed until now Is a zero-carb diet really healthy for you? Are organic products worth their cost? Did…
green tea benefits
Green Tea: Does it really aid weight loss and reverse aging? A centuries-old concoction of fresh green leaves, green tea holds the secret to healthy weight…
kefir bottle
Kefir: Top reasons why this probiotic drink should be consumed by you Yet another remarkable fermented food, kefir is a much healthier version of yogurt. These chewy…
How can berberine supplements help you live longer and healthier? Berberine is a turmeric look-alike herbal extract that is credited with numerous health benefits ranging…
tips for perfect sleep
Stop hitting the snooze button: 8 proven steps to perfect sleep Are you tired of not getting enough sleep? All your efforts for a sound sleep…
boost immunity tips
Step up your defence: 15 proven tips on how to boost your immunity Want to naturally build up a stronger immunity? Tired of frequent colds and runny nose?You…
ashwagandha brain
Ashwagandha: The best-kept secret of Ayurveda now revealed! Ashwagandha literally means "smell of horse". Don't get bogged down by that one tiny detail…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains…
Grapeseed Oil: Find out how to use this oil without any side-effects Grapes are known for their delicious fresh taste and the fact that they make wine…
hYdroxycut pills
Hydroxycut: How safe are these so-called weight loss supplements? Hydroxycut is a blend of several different ingredients formulated to promote weight loss; powered by…
Chlorella: Therapeutic powers of the billion-year-old algae now within your reach Chlorella - A billion year old nutrient-rich algae that can potentially ward off cancers and…
Top 15 fat burning foods you need to start eating from today! Tired of going to gym everyday but seeing no change in your weight? Try these…
turmeric skin
We bet you didn’t know that turmeric could be this beneficial! Did you know that turmeric, a humble ingredient found in most Indian kitchens could cure…
carrageenan seaweed
Carrageenan: How a simple seaweed extract could better your gut health & immunity Eat more ice cream to prevent cold and flu? –With carrageenan you get one simple…
Activated charcoal: The instant health benefits of this “diamond in the coal mine” How can the pitch black activated charcoal help you whiten your teeth? Or have a…
Garlic health benefits cloves
Garlic: Nature’s white pill as an effective home remedy What are the secrets hidden in these tiny white pills? Find out the immense health…
Maltitol: Things you must know about this artificial sweetener Sugar alcohols are produced by fruits and vegetables. Maltitol is an artificially produced sugar alcohol…
LDL cholesterol level
Lecithin: Learn how you can utilize this fatty acid to improve your cholesterol count Lecithin is primarily a fatty acid found in common foods such as soy and eggs.…
How cooking with CLA safflower oil can help you lose weight? Read and discover more about CLA safflower oil and how it can aid faster fat…
social media adddiction
Your health in the age of Social Media: Why is digital detox a necessity? Did you know that more than 400 million people are dangerously addicted to social media?…
cancer facts
8 hard-hitting truths no one tells you about cancer Did you know that 1.5 million new cases of cancer are reported every year? Can…
acne removal tips
Anatomy of acne: 7 instant steps to kiss those zits goodbye Blackheads, whiteheads, or pimples-call them what you may. Acne is never good news.Did you know…
Hate making breakfast?Fast and healthy breakfast recipes just for you! Tired of snatching a bagel every morning for breakfast during the rush hour? Here are…
Bulletproof coffee recipe
Bulletproof Coffee – Breakfast of champions or yet another health fad? Can this special ketogenic coffee really make your body race as fast as a bullet?
paleo keto diet
Paleo vs. Keto: Which diet plan is best suited for your body goals? Is eating like a caveman the right way to go? Can you really eat fats…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet…
Amaranth: Why is this native Peruvian grain called the “crop of the future”? Full of healthy high proteins and gluten-free, the grain, Amaranth, the tasty and ancient pseudo…
nutritional yeast bread
Nutritional Yeast : How can a fungi culture be good for your body? Nutritional yeast: How a simple culture of fungi can transform your skin, digestion, immunity ,…
MCT oil athletes
MCT Oil : The kind of fats you should be eating MCT oil or Medium Chain Triglycerides is the new buzzword in the fitness industry. What…
canola oil cooking
Canola oil: How safe is it to consume this popular cooking oil? Extracted from rapeseeds, Canola oil derives its name from Canadian Oil. Did you know that…
maltodextrin sugar
Maltodextrin: What are the hidden health benefits of this food additive? Maltodextrin is one of the few food additives that has been relatively deemed safe. Many…
Moringa drink
Moringa: This could be the most nutrient-dense food known to us! Moringa is a lush green tree brimming with over 90 essential nutrients required for a…
black seed oil benefits
Black Seed Oil: What secret benefits could it bestow on your health? Black seeds or nigella seeds are tiny packets of health brimming with amazing benefits. Find…
Fructose: Healthy fruit-product or loaded with toxic calories? Fructose is a sugar derived from fruits and other plant sources. Does this mean that…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are…
lifestyle diseases
The Big 5 lifestyle diseases: How your everyday living might be killing you You'd be shocked to know how unhealthy and potentially fatal your everyday routine could be.…
healthy habits
10 healthy habits: Have a hearty kick-start to the New Year! Do you set goals that are too difficult for you to maintain? Are to struggling…
antibiotic resistance
Antibiotic Resistance: How common diseases become deadly Can a cold kill you? How important is to get a flu shot? Why do…
global warming health
Rising mercury and your health: How Global Warming is damaging your body Don't ignore the rising temperature. Global warming causes more than just heat strokes. It could…
Milk Thistle skin
Milk Thistle: Find possible cures for fatal diseases in these purple blooms Milk thistle is well-known for treating liver conditions. However, did you know that it comes…
castor oil hair
Castor oil : A vitamin-rich oil for shiny locks and healthy bowels Castor oil bestows unlimited benefits, whether you use it for your hair or skin. But…
iron food shellfish
Iron-Rich Foods: Eat these foods to keep fatigue and anemia away! How to ensure a muscles as strong as iron? Eat iron rich foods ! Iron…
Salt dangers
Sodium chloride: The wonders and dangers of the simple table salt Sodium chloride is a salt containing sodium and chlorine ions at a 1:1 ratio. It…
Pomegranate: Why are they called ruby red pearls of health? The shrub Punicagranatum yields a red fruit which is what you normally call pomegranate. The…
gout diet purines
Gout Diet : Get relief from painful joints by eating these foods Are you a victim of this painful condition? Are medications providing only short relief? Find…
Anhedonia: Does the chronic inability to feel joy affect you too? How often do you feel dragged down by an invisible force? Do you feel an…
Amnesia brain
Amnesia: It’s not just a blow on the head that can erase your memory Amnesia, a condition popularized by many a tv shows, is a condition of partial or…
stress adverse effects
Fight, flight, or freeze: 8 ways stress can ruin your body Did you know that stress is in-built in our systems? It helped our ancestors respond…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and…

Related Posts