Trying To Beat Ibs? Cut Out Cabbage And Honey: It May Have An Indigestible Name… But The Fodmap Food Plan Stops Symptoms In 75 Per Cent Of Cases

Irritable bowel syndrome: is diet the key?


National Institute for Health and Clinical Excellence guidelines suggest that sufferers may also benefit from limiting gas-producing food ingredients, such as resistant starch (found in some processed and reheated food) and sorbitol (a sweetener found commonly in sugar-free chewing gums). But as Sasha Watkins, a spokeswoman for the British Dietetic Association, explains: Treatment for IBS sufferers is often limited, which is why the emerging success of the low-FODMAP diet an approach that helps patients discover the precise foods that trigger their symptoms is excellent news. TRIAL AND ERROR Developed by a team at Monash University in Melbourne, Australia, the low-FODMAP diet has been shown to work in a placebo-controlled trial, and is more effective than all other previous dietary treatments for IBS. It has also been successfully adapted in the UK by researchers at Kings College, London, and implemented at Guys and St Thomas NHS Foundation Trust in London. Peter Irving, consultant gastroenterologist at Guys and St Thomas, says: I can now refer IBS patients for dietetic advice with a greater degree of confidence that their quality of life will improve. The precise cause of IBS is unclear, but stress and problems with the immune system or how gut muscles squeeze food through the bowel may play a part HONEY TRAP Patients on the diet go for eight weeks without consuming any FODMAP-rich foods which include honey, wheat, apples, pears and stone fruits (such as plums and peaches), along with the onion family and artichokes. Traditionally windy foods such as cabbage and beans must also be given up, as must polyol sweeteners (such as sorbitol, mannitol and xylitol), which are often added to sugar-free varieties of mint, chocolate and chewing gum. EASY DOES IT After the eight weeks are up during which time the gut is rested and it is expected that symptoms will subside the period of reintroducing the offending FODMAPs, group by group, begins. The aim is for sufferers to discover which fermentable carbohydrates they are most sensitive to, and to identify their individual tolerance level so that they can plan a diet that suits them. For example, to check tolerance to the m, or monosaccharide in the acronym FODMAP, people would start with a teaspoon of honey, which is very rich in the monosaccharide fructose, and build up gradually, says Sasha Watkins. ASK THE EXPERTS Heidi Staudacher, who delivers FODMAPs training to dieticians, says IBS sufferers should not try the plan without medical supervision. Information on the internet or in books is often conflicting or out of date, she says. Advice from a registered dietician with whom patients are likely to need up to three one-hour sessions is crucial for good results, and should be obtained after appropriate assessment by a GP or gastroenterologist. An increasing number of privately registered dieticians are now offering FODMAPs advice costing 55 to 80 for an hour-long session.

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Beat digestive problems with the FODMAP plan

Breakfast can include a protein shake with coconut milk and a non-denatured, grass-fed whey protein or vegan protein such as hemp. One could also do pastured eggs cooked in coconut oil with green veggies, herbs, fresh squeezed lemon and herbs. For lunch these individuals could do a big salad with olive oil and grass-fed cheddar cheese or pastured chicken. For dinner they could do steamed broccoli, a small salad and grass-fed beef or wild-Alaskan salmon or another quality animal protein with olive oil, fresh lemon and herbs. More digestive health strategies It is always a good idea for individuals with digestive issues to use organic bone broth and make soups and stews. The bone broth provides raw materials that help to repair the intestinal lining and does not contain any of the FODMAP sugars. Organ meats are also highly advisable because of their rich nutrient content. Many individuals with digestive disorders find great success using intermittent fasting strategies such as eating one or two meals per day and doing lots of hydration during the non-eating periods. They also remark about the great relief they get from the nagging symptoms when they follow these nutrition principles. Sources for this article include: About the author: Dr. David Jockers owns and operates Exodus Health Center in Kennesaw, Ga. He is a Maximized Living doctor. His expertise is in weight loss, customized nutrition & exercise, & structural corrective chiropractic care. For more information go to To find a Maximized Living doctor near you go to Dr.

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The precise cause of IBS is unclear, but stress and problems with the immune system or how gut muscles squeeze food through the bowel may play a part

The DASH diet wins Best Diets Overall, while Weight Watchers continues to hold the No. 1 spot for Best Weight-Loss Diets. The Mediterranean Diet, which received attention in 2013 for boosting heart health, claimed the No. 1 spot among Plant-Based Diets and the No. 3 spot among Best Diets Overall, behind DASH and the TLC Diet. The Vegetarian (No. 11) and Vegan diets (No. 18) both fell in the middle of the pack among all diets, while the Paleo diet the most Google-searched plan of 2013 tied for last place with the Dukan diet. New in 2014, U.S. News ranked three additional diets the Acid-Alkaline Diet, the Spark Solution Diet and the Fast Diet and added extensive profiles of two popular diets for digestive health the Gluten-Free Diet and the Low FODMAP Diet. “Best Diets 2014 is designed to help consumers identify a diet that suits their specific needs, whether they are trying to lose weight, control a chronic disease or achieve a healthier lifestyle overall,” said Angela Haupt, health & wellness editor for U.S. News. “We assembled top experts and developed the tools and rankings to provide a resource for the thousands of Americans struggling to maintain a healthy weight and lifestyle.” U.S.

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DASH diet wins Best Diets Overall, while Weight Watchers continues to hold No. 1 spot for Best Weight-Loss Diets

Because the diet does restrict many foods, the researchers are looking further into it to ensure it is nutritionally adequate. We believe it is because there are so many alternative safe foods which can replace the others,” Gibson adds. Secondly, there is a theory that the low FODMAP diet may result in fewer prebiotics, which are short-chain carbohydrates, being in the gut. These are believed to stimulate the good bacteria in the bowel and suppress the bad. “They are supposed to be good for calcium absorption, and for preventing bowel cancer,” explains Gibson. “We are trying to determine whether we are changing the conditions in the large bowel which might be less favourable for bowel cancer and things like that. So far, we have seen no evidence for this” Grimm says while this is an important point to consider, for those people with serious IBS symptoms they need to weigh up possible risks with the chance that they could improve their quality of life. “If people are severely disabled and are missing a lot of work or whatever … I think that the theoretical risk is outweighed by the inconvenience and suffering and the potential to improve on that,” says Grimm. Meanwhile, it is very important for everyone on the diet to ensure they are seeking replacement foods for those being taken out. Wheat is restricted on the diet, so it is vital you find substitutes because cereals and grains provide fibre, vitamins and are an important source of energy.

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Low Fodmaps Diet Recipe Collection On

(the one with over 200 ratings) It’s a keeper! admin replied at 12:12pm Mon 25th July, 2011 Hi ginger33, that’s great! You can post your recipe directly to this club by following these steps: 1. Make sure you are a member of the club and logged in 2. From taste kitchen members dashboard, click on My clubs. You will be taken to a list of clubs you belong to. 3. Click on Manage Club button under the “Fructose Friendly low FODMAP recipes”. 4. Click on the Recipes tab 5. Click on Create new recipe. 6. Fill in the recipe detail form.

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IBS? Could be the FODMAPs

As a result, in otherwise healthy people, you can probably narrow down the list of likely dietary triggers to exclude protein foods like eggs, meat, fish, and chicken, and low-carb fats like oils and most nuts. That leaves a shorter list of likely suspects, which can be eliminated from the diet temporarily and then re-introduced systematically to determine which, if any, are responsible for digestive intolerance. They include: Fructose, a sugar that is found in fruit juices and their concentrates, sodas, sports drinks, some yogurts, and natural sweeteners like honey and agave. In a subset of the populationwhich some experts believe may include up to 30 percent of whitesthe capacity of designated transporters that carry free fructose from the gut into the intestinal cells may be limited. In such cases, concentrated doses of fructose can result in some malabsorption. Fortunately, there is a non-invasive breath test that can diagnose this condition, and patients who are not fructose intolerant need not avoid fructose on their low-FODMAP diet. Lactose, the primary sugar found in milk and dairy-based foods. As people age, many experience a decrease in the production of the enzyme required to digest lactosecalled lactase. The result is lactose intolerance, which causes gas, cramping, and diarrhea , when more lactose is eaten than one can comfortably digest. As is the case with fructose intolerance, there is also a breath test that can diagnose lactose intolerance. Sugar alcohols like sorbitol, which are found naturally in stone fruits and pears, but also appear in sugar-free or diet foods and drinks, and mannitol, found in vegetables like mushrooms and snow peas. Other examples of sugar alcohols include xylitol (in sugar-free gum, mints, and candy), erythritol, and generally any other sweetener ending with an “ol.” Sugar alcohols taste sweet but are not well-absorbed, which accounts for their caloric advantage over regular sugar. Unfortunately, this poor digestibility can be a double-edged sword for some. Fructans, a type of carbohydrate naturally found in onions, garlic, artichokes, and wheat.

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Fodmap: A Relief for a Right Pain in the Arse

And before anybody judges me, I was not caught short not wanting to use a public toilet, I had already been in the public toilet thought it was all over, attempted to get home and, then, was met with an onslaught that I could not control. Trust me, it has happened more than once, and each time I was devastated, mortified and I cried for hours. Why am I telling you all this? Well because I am not alone in suffering this way. There are over 250,000 sufferers of Inflammatory Bowel Disease in the UK, with the most common conditions being Crohns and Ulcerative Colitis. And with at least 1 in 10 people suffering symptoms of IBS – Irritable Bowel Syndrome – severe enough to visit a GP. Alongside, my own family experiences six individuals, varying symptoms and problems, and counting. With all this information I know I am not alone. The worst thing is unless they are your close friends and family, nobody sees your symptoms or the daily pain you are in. And if you are like me you become very good at covering it up and getting on with your every day life, I had tailored my life to cope. If I had a pound the amount of times people told me I ‘looked great, had I lost weight?’ after a particularly bad bout of not being able to get off the toilet and not really eating, I would be writing this in some very fancy designer shoes right now – sadly I have on fluffy slipper socks. But this is not a tale of woe. I have been introduced to something that has changed my life drastically for the better.

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Irritable Bowel Syndrome: A Low Fodmap Diet For Symptom Relief

Symptoms can range from mild to severe and it is common for symptoms to be present often or get worse for a few weeks and then decrease for a while. The discomfort of IBS can usually be relieved by a bowel movement. It is important that you work closely with your doctor in order to rule out more serious causes for your symptoms before IBS is diagnosed. IBS can be a lifelong condition and symptoms can be debilitating for many by reducing their ability to work, travel and attend social events. Recently, high FODMAP foods have been investigated to possibly be the cause of symptom development. FODMAP stands for fermentable, oligosaccharides, disaccharides, monosaccharides and polyols. These are short-chained carbohydrates that are poorly absorbed in the small intestines causing discomfort and bloating. This occurs because FODMAPs are osmotically active; this means they pull water into the intestinal tract and as large amounts of FODMAPs are fermented in the gut, symptoms can develop in people sensitive to these effects, such as those with IBS. There are five categories of high FODMAP foods to include the following: Fructose: Fruits, honey, high fructose corn syrup Lactose: Dairy foods Galactans: Lentils, legumes Polyols: Sweeteners containing sorbitol, mannitol, xylitol, maltitol and stone fruits There has been some success in relieving symptoms of IBS in people that limit some of these foods. However, a low FODMAP diet can be difficult to follow low in fiber and limiting in some essential nutrients. Michigan State University Extension recommends you work with a registered dietitian in order to help customize a diet plan that works best for you. Most dietitians will recommend eliminating high FODMAP foods for four to six weeks, but you will usually see symptom improvement within one to two weeks. As you work with your registered dietitian, high FODMAP foods will be slowly reintroduced separately, in order to pinpoint offending foods.

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Irritable Bowel Syndrome

Leopoldo Arosemena, a second year gastroenterology fellow on Tuesday, September 24, 2013. Dr. Moshiree sees patients diagnosed with Irritable Bowel Syndrome and offers the treatments available. AL DIAZ / MIAMI HERALD STAFF It took June Meyer seven different gastroenterologist visits, numerous diets, medications, alternative treatments and 20 years to finally find an effective method that alleviated her symptoms of irritable bowel syndrome. Nothing worked for the 50-year-old clinical mental health counselor, who spent all day sitting down seeing couples and trying not to complain about her stomachaches which would start around 1 p.m. because she didnt want to play the victim. Irritable bowel syndrome, also known as IBS, impacted every aspect of her life: her career, her sexuality, her self-esteem and her self-identity. It really inhibited my ability to feel good while I was working, almost to the point where I was ready to give up my practice so I could do something where I wasnt sitting all day, she said. IBS the most common gastrointestinal disorder is caused by changes in the gastrointestinal tract, which affects bowel movements. Symptoms include abdominal pain, an alteration of bowel movements, diarrhea, constipation and bloating. Currently, there are no tests available to diagnose IBS, which is why it is considered a symptom-based diagnosed disorder. According to the National Digestive Diseases Information Clearinghouse, 10 to 15 percent of the population is affected by IBS, and less than one-third of people seek care for their symptoms.

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Irritable bowel syndrome can be treated

Associate Professor of Medicine Baha Moshiree, M.D., M.S.  director of the motility program at the University of Miami Miller School of Medicine talks with Dr. Leopoldo Arosemena, a second year gastroenterology fellow on Tuesday, September 24, 2013.  
Dr. Moshiree sees patients diagnosed with Irritable Bowel Syndrome and offers the treatments available.

A newer medication approved only for constipation-predominant IBS is tegaserod (Zelnorm). Its action involves stimulating the colon to contract to promote regular bowel movements and reduce bloating. For patients suffering from frequent and severe pain that impairs their daily functioning, a physician may prescribe an antidepressant such as amitriptyline or nortriptyline. These drugs work by increasing the release of neurotransmitters in the brain, thereby preventing the transmission of pain and reducing pain perception. Although doctors note that IBS is a disorder of colon motility and sensation, psychological and behavioral treatments represent important supplemental therapy for patients with IBS, regardless of the severity of the condition. Simple forms of relaxation or exercise (e.g., baths, golf, tennis, and rest periods) may reduce tension and enable the patient to feel more in control. This is important, because many patients with IBS come to the physician already with a feeling of loss of control over their lives. Insight or cognitive psychotherapy, hypnotherapy, biofeedback or other structured relaxation techniques are examples of behavioral treatments that may be considered in selected patients. Questions Are there any signs or symptoms that may indicate another disorder? Are you going to prescribe any medications? What are the side effects of the medications? Are biofeedback techniques or hypnotherapy successful in treating irritable bowel syndrome ?

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New Drug Could Ease Pain In Common Bowel Disease

How peppermint may cool that irritable bowel syndrome

Tweet AsianScientist (Oct. 31, 2013) Australian researchers have identified the mechanism of pain relief of a new drug for treating irritable bowel syndrome with constipation (IBS-C). Linaclotide is a recently approved drug for the treatment of chronic abdominal pain and constipation in adult IBS-C patients. IBS is a potentially debilitating condition with abdominal pain, bloating, diarrhea and/or constipation. It affects up to 15 percent of western populations, costing millions of dollars annually in lost productivity and health care in Australia alone. Approximately one third of IBS patients are diagnosed as having IBS-C. IBS affects many people, particularly women, on a daily basis and has a significant impact on their quality of life. Abdominal pain is often the most troubling symptom to IBS patients and has been the most difficult symptom to treat, said study leader Dr. Stuart Brierley. The drug is effective in relieving abdominal pain associated with IBS-C and is already available and registered for use by IBS-C patients in the USA and Europe. It is yet to go through the regulatory process in Australia, he said. The research is a collaboration between the Nerve-Gut Research Laboratory at the University of Adelaide, Ironwood Pharmaceuticals Inc, and the developers of Linaclotide. Pre-clinical studies showed that Linaclotide inhibits pain nerve endings in the intestine through a novel physiological pathway localized to the gastrointestinal tract. Brierley collaborated with Ironwood to further investigate how Linaclotide acts within the gastrointestinal tract to reduce abdominal pain. It had been shown to increase the secretion of fluids into the intestine and improve transit through the gastrointestinal tract.

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Cooling, soothing peppermint. Image Credit: Mikereichold, Wikimedia Commons. If youve spent your days feeling like youve inflated a blimp in your lower intestine, hiding from colleagues because of the terrifying sounds emanating from your colon, or hovering over a toilet in the wee hours, then you know of the malady of which I write . And you know that a feeling of inflammation is part of it. Pain is complicated, especially pain thats not supposed to be there. Your body perceives irritating or dangerous transgressions against it via pathways involving proteins that signal, Hey, youve got something unfortunate going on here! Youd better do something! Sometimes, though, these pain proteins forget to quit signaling. When that happens, the body gets these help! signals even when theres not anything wrong. In IBS, nerves may be permanently agitated, possibly set off originally by a bout of gasteroenteritis, or stomach flu. As if it werent enough to live through all that hurling, a permanent effect can be these permanently on signals that your intestines are inflamed. But cooling chemicals like peppermint or the appropriately named icilin may ease this overreaction and turn off those signals. According to Brierley and colleagues, these hyperactive pain proteins are present in the bowel and can respond to these chemicals, possibly explaining how peppermint helps cool the discomfort of IBS.

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How Peppermint Helps To Relieve Irritable Bowel Syndrome

“Our research shows that peppermint acts through a specific anti-pain channel called TRPM8 to reduce pain sensing fibres, particularly those activated by mustard and chilli. This is potentially the first step in determining a new type of mainstream clinical treatment for Irritable Bowel Syndrome (IBS),” he says. IBS is a gastrointestinal disorder, causing abdominal pain, bloating, diarrhea and/or constipation. It affects about 20% of Australians and costs millions of dollars each year in lost productivity, work absenteeism and health care. “This is a debilitating condition and affects many people on a daily basis, particularly women who are twice as likely to experience Irritable Bowel Syndrome,” Dr Brierley says. “Some people find their symptoms appear after consuming fatty and spicy foods, coffee and alcohol, but it is more complex than that. There appears to be a definite link between IBS and a former bout of gastroenteritis, which leaves nerve pain fibres in a heightened state, altering mechanisms in the gut wall and resulting in ongoing pain.” Dr Brierley says the recent floods in Queensland and Victoria could result in a spike of gastroenteritis cases in Australia due to the contamination of some water supplies in affected regions. He said case studies in Europe and Canada showed that many people who contracted gastroenteritis from contaminated water supplies went on to experience IBS symptoms that persisted for at least eight years. There is no cure for IBS and it often comes and goes over a person’s lifetime. Apart from gastroenteritis and food intolerance, IBS can be brought on by food poisoning, stress, a reaction to antibiotics, and in some cases is genetic. Dr Brierley is one of 25 researchers who work at the University of Adelaide’s Nerve-Gut Research Laboratory, hoping to find cures and treatments for a range of intestinal diseases.

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Emu Oil As An Alternative Treatment For Irritable Bowel Disease, Study

Enter your email address * 1 comments View Comments Photo: Getty Images How about a nice cup of peppermint tea? Do you remember your mother or grandmother offering that simple remedy whenever you complained of a mild stomachache? Over the generations, more and more Americans have caught on to peppermint as a provider of relief. Even those with more serious stomach conditions, such as irritable bowel syndrome, have turned to peppermint. And recently, scientists have figured out exactly why peppermint works. A study out of Australia that will soon be reported in the journal Pain explained that peppermint activates an anti-pain channel in the colon. Even in cases of inflammation in the gastrointestinal tract, peppermint contributes to pain relief, according to Dr. Stuart Brierley from the University of Adelaide. This Article Vote Saved My Life In a University news release Brierley added, Our research shows that peppermint acts through a specific anti-pain channel called TRPM8 to reduce pain-sensing fibers, particularly those activated by mustard and chili.” Among the triggers for irritable bowel syndrome are fatty and spicy foods, coffee and alcohol, but Brierley said the connection between what we consume and the onset of pain is complex. He said he is encouraged by the possibility of using peppermint to find a mainstream clinical treatment for IBS, given that it can be such a debilitating condition. The Australian study also looked at whether an IBS patient who at some point has had gastroenteritis can have nerve pain fibers that are heightened, or more susceptible to discomfort. On his website, Dr. Andrew Weil, a longtime practitioner of alternative medicine, said that peppermint often doesnt get its due as a remedy for gastrointestinal complaints because its so familiar and commonplace. Yet in alternative medicine, irritable bowel patients often take enteric-coated capsules of peppermint oil. And peppermint tea is useful for the upper gastrointestinal tract and for relief of heartburn, indigestion and nausea, the site suggested. Irritable bowel syndrome is one of the most common forms of inflammatory bowel disease. 1

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Why Peppermint Eases Irritable Bowel Syndrome

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Tweet AsianScientist (Apr. 22, 2013) Emu oil may be useful for the treatment of common bowel diseases in addition to the intestinal damage caused by cancer chemotherapy, according to a new study. Used by Australian indigenous populations as a skin wound treatment, and anecdotally regarded as useful in reducing bowel inflammation, research at the University of Adelaide has not only supported emu oils anti-inflammatory properties, but shown that it can also help to repair damage to the bowel. Laboratory experiments by Physiology Ph.D. candidate Suzanne Mashtoub Abimosleh have shown that emu oil accelerates the repair process, following disease-causing injury, by stimulating growth of the intestinal crypts. The crypts are the part of the intestine that produces the villi which absorb the food, and longer crypts and villi allow for better absorption of food. Disorders of the gastrointestinal tract, such as the inflammatory bowel diseases and chemotherapy-induced mucositis, are associated with malabsorption of food together with inflammation and ulceration of the bowel lining (mucosa), said Abimosleh. The variable responsiveness of treatments to these diseases shows the need to broaden approaches, to reduce inflammation, prevent damage and promote healing. In the study, emu oil treatment produced greater elongation of intestinal crypts, indicating enhanced recovery and repair, and reduced the severity of damage in intestines affected with ulcerative colitis. The treatment was also shown to significantly decrease acute intestinal inflammatory activity in non-steroidal anti-inflammatory drug (NSAID)-induced gastrointestinal disease and in chemotherapy-damaged intestines. The symptoms of mucositis which include painful ulcers throughout the gastrointestinal tract are experienced by 40-60 percent of all cancer patients undergoing chemotherapy worldwide and currently there are no effective treatment options, said Abimosleh. The researchers hope to take the treatment into clinical trials, possibly initially with patients suffering from conditions such as irritable bowel syndrome.

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Beating Ibs – Could The Fodmap Diet Be The Answer?

A Low FODMAP Diet: Help for IBS

“Many people with IBS just aren’t aware that with a little help, they can often find simple dietary solutions to ease their symptoms.” Though packed with nutrients, broccoli can cause problems for IBS patients [REX] What is FODMAP? Standing for the rather complicated Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols, FODMAP foods contain types of carbohydrate and sugars that are not successfully broken down and absorbed by the small intestine. This means they are badly digested and arrive in the large intestine, where they act as a food source for bacteria, soak up water and produce gas, leading to pain, bloating, diarrhoea and/or constipation – classic IBS symptoms. The idea of removing FODMAP foods is to take away these carbs and sugars that your body has trouble digesting, and it’s been found to make a difference in 70 per cent of cases. [Stretches to improve digestion] FODMAP foods Fruits: Apples, apricots, avocados, blackberries, cherries, concentrated fruit juices, dates, dried fruits, figs, lychees, mango, nectarines, peaches, pears, plums, prunes, tinned fruit in natural juices, watermelon. Alternative fruits: Banana, bilberries, blackcurrants, blueberries, cantaloupe/honeydew melon, cranberries, grapefruit, kiwi fruit, oranges, pineapple, strawberries, raspberries. Vegetables: Asparagus, beetroot, broccoli, brussel sprouts, cabbage, cauliflower, garlic, mushroom, onion, leeks, sweetcorn. Alternative vegetables: Carrots, celery, cucumber, lettuce, peas, peppers, olives, spinach, tomatoes, courgettes, parsnips, squashes, sweet potato. Pulses: Lentils, chickpeas, beans (including baked beans, kidney beans and soya beans) Cereals: Wheat, bulgar wheat, rye, barley Alternative cereals: Rice, oats, millet, polenta or quinoa. FODMAPs are found in many foods so get expert help before you cut them out [REX] Others to avoid: Milk products (switch to lactose free or avoid entirely, particularly if you have an intolerance show up in testing), sweeteners such as fructose, high fructose corn syrup, honey, xylitol, sorbitol, mannitol – instead try small amounts of sugar, golden or maple syrup. Saccharin and aspartame can also be tolerated. “Because everyone reacts to foods differently it may take time to align this new diet to your needs,” says Dr Hart. “There will be a period of trial and error and there will be foods you can reintroduce without any problems.

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Beating IBS with the low-fodmap diet

FODMAPs are carbohydrates such as fructose, lactose, sorbitol, and fructans that arent absorbed well in the small intestine. As a result, gut bacteria ferment the substances, which cause gas, bloating, abdominal pain, and diarrhea. Fructose is found in certain fruits and in foods containing high fructose corn syrup such as soda; lactose is found in dairy products; sorbitol is an artificial sweetener in diet soda and juices; and fructans are found in some fruits, vegetables such as onions, and wheat. Experts dont believe certain foods cause IBS, but rather that foods high in FODMAPs may trigger symptoms when you have IBS. A Low FODMAP Diet: What the Science Says The first clinical trial on FODMAPs was published in 2006 by Australian researchers. They put 62 people with IBS who were fructose intolerant on a low FODMAP diet for an average of 14 months and found that 74 percent of participants saw an improvement in abdominal symptoms. More recent studies have had similar results. One published in 2013 in the International Journal of Clinical Practice followed 90 people with IBS as they ate a low FODMAP diet. Most participants saw improvement in abdominal pain, bloating, flatulence, and diarrhea. The concept isnt all that new, however. Doctors have known for a long time that patients who avoided almost all carbohydrates those who went on a high-protein Atkins diet, for instance would see a significant reduction in symptoms in the short-term, said Pankaj Jay Pasricha, MD, chair of the American Gastroenterological Associations Neurogastroenterology and Motility Section and director of the Center for Neurogastroenterology at Johns Hopkins University School of Medicine in Baltimore.

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Fodmaps (Fermentable Oligosaccharides Disaccharides Monosaccharides And Polyols) are carbohydrates (sugars) found in many common foods. When poorly absorbed, these carbs cause symptoms of IBS. In an Australian study, 75% of IBS patients showed improvements in their symptoms on the low-fodmap diet. Chemistry of fodmaps DietDoc recently attended a symposium organised by Nutritional Solutions in Johannesburg, which featured a presentation on “Beyond Belly Aches: The implementation of fodmaps in clinical practice” by Prof Joanne L Slavin, a professor in the Department of Food Science and Nutrition at the University of Minnesota, in the USA. Prof Slavin firstly explained the chemical properties that characterise these carbohydrates. Probably the most relevant characteristic is that all of them get fermented in the large intestine or bowel (colon) because they are incompletely digested and absorbed in the small intestine. These partially digested carbohydrates such as mono-, oligo- and disaccharides, as well as polyols, travel from the small intestine into the bowel where they are fermented by the resident bacteria. Various positive and negative compounds are formed during this bacterial fermentation process. On the one hand, fermentation produces short chain fatty acids with have in recent years been identified as beneficial to health with potentially protective properties relating to prevention of gastrointestinal disorders, cancer and cardiovascular disease (Hijova & Chmelarova, 2007). On the other, possibly more negative side, the fermentation produces considerable quantities of various gases such as hydrogen, carbon dioxide and methane. This is thus, the reason why patients with IBS tend to suffer bloating which increases over the course of the day until some patients complain that they look as if they are nine months pregnant by suppertime. These gases, particularly methane and hydrogen sulfide are also particularly noxious, which is another aspect of IBS that causes great distress. Examples of fodmaps Prof Slavin went on to describe the various compounds that make up the fodmaps family and listed foods that have a high fodmap content: 1) Oligosaccharides a) FOS or Fructans Inulin as found in chicory root and Jerusalem artichokes (the root-version of artichokes) FOS/Inulin are also found in peach, watermelon, Brussels sprouts, fennel, garlic, leek, onion, wheat, rye, barley, legumes, lentils and chickpeas b) GOS or Galacto-oligosaccharides GOS occur in human milk, and nowadays they are also added to infant formulas. The trio of stachyose, raffinose and verbascose are found in legumes (dry cooked or canned beans, peas, lentils or soy products) and are linked to pronounced gas production. Prof Slavin mentioned that research is underway to remove these galacto-oligosaccharides from legumes to make these otherwise healthy and excellent foods more accessible to persons who suffer from IBS and other complaints that are exacerbated by high gas production. 2) Disaccharides a) Lactose Prof Slavin pointed out that lactose (which consists of a glucose and a galactose molecule) is only classified as a fodmap and only causes fermentation if the individual in question suffers from lactose intolerance because he or she does not produce sufficient lactase enzyme in the intestine.

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I shot back up to a size 20 (sigh), I was tired all the time, in pain and grouchy. I had serious sleeping problems. We moved to Texas from San Diego (don’t ask why, ugh) and I only got worse because of the hideous weather here. I just stopped going out. A lot of other stressors like a failed business led me to a therapist and a diagnosis of Bipolar II. I read a book by a wonderful psychiatrist, James Phelps, who suggested a diet free of simple carbs of any kind and plenty of whole grains, plus exercise, because there is anecdotal evidence that metabolic syndrome and lack of exercise are a huge contributing factor to Bipolar symptomology. Within 3 days I was free of mood swings and feeling like a normal human again. I’ve lost 47 pounds since May and my Wii Fit is jumping for joy (grin). BUT..for the first time in my life, I was eating whole grains and my gas, bloating and diarrhea became unbearable a few weeks ago. I didn’t really have any problems for the first couple of months. I also developed a horrible pain in my left lower abdomen..I suspected maybe it was Diverticulitis…back to the doc. Ran blood tests, the usual suspects all came back normal, except for a slightly elevated white count (no fever) and mildly high calcium levels. So ordered even more tests and literally pulled out his medical books in front of me to try to figure out what I might have. He said he suspected Celiac and/or Hyperparathyroidism, so ran tests for both, but he ‘didn’t know’ that I should have been eating a lot of gluten before the tests were run and I wasn’t because I suspected that the whole grains were contributing to my problems.

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