WTF… What The FODMAPs!?
My doctor told me to eliminate FODMAPs, now what!?
Does this sound familiar? FODMAP stands for Fermentable Oligo- Di- Mono- saccharides And Polyols… don’t worry, there will NOT be a quiz. Basically, the small breakdown sugars in some foods (FODMAPs) are poorly absorbed, or not absorbed at all.
They are:
- Fructans
- Galacto-oligosaccharides (GOS for short)
- Fructose
- Mannitol
- Sorbitol, and
- Lactose
FODMAPs sit in the large intestine attracting water and literally fermenting in the gut, causing:
- Diarrhea, constipation, or both
- Gas & bloating
- Abdominal pain & distension
The 3 Phases of the low-FODMAP diet are:
- Elimination of all FODMAPs. Staying on a strict low-FODMAP diet for 2-4 weeks allows you and your IBS Dietitian to decide whether or not this is making a significant difference in your symptoms. If it is, move on to step 2.
- Reintroduction of FODMAPs. Symptoms are usually not triggered by all of the FODMAPs. Normally, someone is affected by one or two. In order to figure out which FODMAPs you are uniquely sensitive to, we have to reintroduce the FODMAP groups one-by-one without changing our low-FODMAP diet in the background. This acts as our control. We increase the amount of the FODMAP over three days, by having a small, medium, and large portion respectively, and monitor symptoms.
- Once we have discovered which food triggers are unique to you, you and your IBS Dietitian will tailor your diet for the long-term. This might include having unrestricted portions of the FODMAPs that weren’t a trigger for you, and limiting those that were triggers to small portions, or avoiding them altogether, depending on your body’s reaction.
Throughout this whole process, YOU determine whether or not the symptoms are acceptable for you and your lifestyle, or not. This elimination diet may seem daunting at first. But, I promise that it will empower you to take control of your digestive issue, and take back your life.
Let’s get started!
- 10 Ways to get Enough Fibre on the Low-FODMAP Diet
- Challenging FODMAP Reintroduction
- Phase 2: FODMAP Reintroduction
- The Low-FODMAP Diet Made Simple
- Phase 1: FODMAP Elimination