Low FODMAP Diet


What is a FODMAP?

FODMAP is an abbreviation for Fermentable Oligo‐, Di‐ and Mono‐saccharides and Polyols. For a good reason, you might see why we shorten it to FODMAP! In other words, these are short-chain carbohydrates and sugar alcohols.  If they are poorly digested, they can ferment in the large intestine. Fermentation can draw out water and produce carbon dioxide, hydrogen, and even methane gas which can cause the intestine to expand. Unfortunately, some people may find themselves with pain, bloating, gas, and other symptoms.

FODMAPs

  • Fructose: Is a sugar that is found mostly in fruits and vegetables.
  • Lactose: Is a sugar that is found in dairy foods such as yogurt or milk.
  • Fructans: Are like fructose and can be found in vegetables and grains.
  • Galactans: Are primarily found in legumes.
  • Polyols: Are more commonly known as sugar alcohols, found in artificial sweeteners and gum. You can find them on an ingredient list as xylitol, sorbitol, maltitol and mannitol.

Who should follow a low FODMAP diet?  

After eating certain foods, the body may be having some discomfort in the digestive tract. This diet can be useful for people with Irritable Bowel Syndrome (IBS), some autoimmune diseases such as rheumatoid arthritis, multiple sclerosis or eczema. Nutrition professionals may use a low-FODMAP diet to alleviate symptoms such as bloating, gas, diarrhea, cramps, or constipation related to digestion.  

How to follow a low FODMAP diet

First and foremost, the FODMAP diet is not meant to be followed long term. It is a highly restrictive diet that is followed for several weeks. During this time, food is reintroduced to see what foods are producing symptoms.

First, meet with a dietitian or medical professional to discuss what you are feeling. During your visit, if the dietitian thinks the low-FODMAP is good for you, then you can take these steps along with their help. Then, you may need to eliminate all FODMAPs from the diet for 4-8 weeks. This will give the body time to heal from the foods that may be causing issues. After that, each FODMAP is introduced back into the diet, one at a time. For example, fructose foods can be started back into the diet. Then, if there are no symptoms, another FODMAP can be tried after one week. This will help identify foods that are triggering the symptoms and then can be eliminated.

For more information on the FODMAP diet, follow this link from Harvard Medical School. For one-on-one counseling about the FODMAP diet, follow this link. 

References

Gibson P, Shepherd S. Evidence‐based dietary management of functional gastrointestinal symptoms: The FODMAP approach. 2010; 25(2): 252-258. https://doi.org/10.1111/j.1440-1746.2009.06149.x

Leech J. Diet vs Disease. Low FODMAP Diet: The D.I.Y Beginner’s Guide. https://www.dietvsdisease.org/diy-low-fodmap-diet/#What_Are_FODMAPs.  Last updated March 2018. Accessed March 20th, 2018.

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