FODMAPs


 

Another dietary approach for symptoms such as excessive wind, bloating and diarrhoea is to limit fermentable sugars in the diet. The term FODMAPS has been coined: Fermentable Oligosaccharides, Disaccharides, Monosaccharides AND Polyols.

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You are advised to see a Specialist doctor initially to ensure there is no underlying disease that can be treated. If this has been ruled out, an investigation to find possible dietary triggers for your symptoms could be undertaken.

Saccharide is another word for sugar. This range of sugars are found in a variety of different foods. If some of these sugars are poorly absorbed in the gut, they draw fluid into the bowel which can lead to diarrhoea. The undigested sugar may also be fermented by bowel bacteria which increases the gas produced and can lead to bloating and wind problems.1 FODMAPs irritable bowel syndrome food intolerances

A dietary investigation can be done to see if you are sensitive to some of these different types of sugars. The Low FODMAPs diet booklets from Monash University will be used to help investigate this. Foods containing the relevant sugars will be removed from the diet for several weeks to see if there is improvement to symptoms. If symptoms improve, foods needs to be eaten from each of the sugar groups to test which ones bring back reactions and which ones do not. Foods containing sugars that did not cause reactions can then go back to the diet. Again the outcome of this food investigation is not to totally avoid all FODMAPS, but rather to limit quantities of only the foods in the diet which are found to cause a problem.

DIET OVERLAP WITH FOOD CHEMICAL ELIMINATION DIET
It is of course impossible to alter the FODMAPs sugar content of the diet without affecting the food chemical content and visa versa……..you can’t alter the FODMAPs foods without also decreasing the food chemical load. It may be possible that combined theories work best in some people.