Irritable Bowel Syndrome (IBS) affects a lot of people with low abdominal discomfort and bloating, diarrhea, and/or constipation.The disease is chronic and relapsing. It is, in part, a result of malabsorbed carbohydrates that are fermented by gut bacteria to produce gas.
FODMAPS (fermentable oligo-saccharides/disaccharides/monosaccharides/and polyols) are believed to be a major cause of bloating and abdominal cramping symptoms in IBS patients. FODMAPS are carbohydrates found in our diets.Many people who perceive that they have Gluten intolerance (celiac disease) in fact have FODMAP intolerance.
FODMAPS include fructose, lactose, fructans (in wheat), galactans, and polyolo sweeteners.
FODMAPS are not absorbed in the small intestine and pass to the large intestine where they get broken down by bacteria in the gut, forming gas.
Galactose (Galactans) are a oligosaccharides that are found in beans
Fructans (Fructose) are present in wheat, rye, barley, onions, and many other vegetables.
A recent study in the journal, Gastroenterology, demonstrated that FODMAPS are the primary cause of abdominal cramping and IBS symptoms, not gluten intolerance. Changing ones diet to avoid FODMAPS helped many patients with IBS symptoms.
How does one change to a diet that is low in FODMAPS? There are apps that have dietary recommendations as well as the following site: www.med.monarch.edu/cecs/gastro/fodmap/
General information: Animal protein is low in FODMAPS
Fats and oils are low in FODMAPS, but remeber that butter, palm and coconut oil are high in saturated fat, so avoid too much of them
Cheeses have lactose, a FODMAP, but hard cheeses, such as brie and camembert or feta cheese are lower in lactose than cream cheese or ricotta cheeses.
Garlic and onions are high in fructans ( a FODMAP), so avoid too much of them. These are frequently added to oil-based sauces and condiments and increase the FODMAP levels.
Some flours have lower amounts of FODMAPS, such as spel or oats, whereas wheat and rye are high.
Fruits have variable amounts of FODMAPS, but drying may concentrate them even more.
A recent study demonstrated the use of Ondansetron, a 5- hydroxytryptamine-3 receptor antagonist, as being effective for irritable bowel symptoms if the person has diarrhea-type symptoms primarily. Ondansetron is an anti-emetic agent and was found to increase stool consistency, decrease urgency and bloating, and decrease the number of bowel movements in patient with diarrhea caused by IBS.
If you are concerned over the glycemic index of the foods that are low in FODMAPS, consult www.glycemicindex.com
So, if you suffer from irritable bowel syndrome, consider consulting a dietician and trying a low FODMAP diet, as opposed to a gluten-free, celiac-type diet. You might not have gluten-intolerance!!
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