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low FODMAP diet

Indications: - FODMAP-sensitive irritable bowel syndrome Management: - low FODMAP diet leads to clinical response in 50%-80% of patients with IBS-D, in particular with improvements in bloating, flatulence, & diarrhea [4] - low FODMAP diet leads to profound changes in intestinal flora, the duration & clinical relevance are unknown [4] - low FODMAP foods [8,9] - eggs, firm tofu, tempeh, meat, poultry & seafood (marinated with lemon juice & olive oil, black pepper or Italian herbs) - certain cheese: brie, cheddar, feta, hard cheeses, lactose-free dairy - almonds & almond milk, soy milk made from soy protein, walnuts, peanuts, pumpkin seeds, macadamia nuts - grains: rice quinoa, oats, corn, sourdough spelt bread - vegetables: eggplant, potatoes, tomatoes, cucumbers, zucchini, green beans, bok choy, bell pepper, carrots, lettuce - fruits: grapes, oranges, strawberries, blueberries, pineapple, cantaloupe, kiwifruit, mandarin - dark chocolate, maple syryp, sucrose Notes: - FODMAPs in - wheat, rye, & legumes onions, garlic, which are rich in oligosaccharides (fructans) - brussel spouts, asparagus - dairy products rich in lactose - milk, condensed milk, evaporated milk, cheese, yogurt, ice cream, custard - fruits & vegetables with high fructose content - apples, mango, pear, watermelon, asparagus, arichokes, fruit juices, dried fruit, high-fructose corn syrup, honey - fruits, vegetables, & artificial sweeteners high in mannitol or sorbitol - polyols: apples, apricots, lychee, pears, peaches, plums, cauliflower, mushrooms, snow peas - galatans: chickpeas, legumes, lentils, pistachio, cashews - a low FODMAP diet is a low gluten diet, but not a gluten-free diet

Related

FODMAP (Fermentable, Oligo-, Di-, Monosaccharides, & Polyols) irritable bowel syndrome (IBS)

General

diet

References

  1. Biesiekierski JR et al. No effects of gluten in patients with self-reported non-celiac gluten sensitivity after dietary reduction of fermentable, poorly absorbed, short-chain carbohydrates. Gastroenterology 2013 Aug; 145:320 PMID: 23648697
  2. Halmos EP1, Power VA2, Shepherd SJ2, Gibson PR3, Muir JG3 A Diet Low in FODMAPs Reduces Symptoms of Irritable Bowel Syndrome. Gastroenterology. 2014 Jan;146(1):67-75.e5. PMID: 24076059
  3. Eswaran SL et al. A randomized controlled trial comparing the low FODMAP diet vs. modified NICE guidelines in US adults with IBS-D. Am J Gastroenterol 2016 Dec; 111:1824 PMID: 27725652
  4. Staudacher HM, Whelan K. The low FODMAP diet: recent advances in understanding its mechanisms and efficacy in IBS. Gut. 2017 Aug;66(8):1517-1527. Epub 2017 Jun 7. Review. PMID: 28592442
  5. Medical Knowledge Self Assessment Program (MKSAP) 18, American College of Physicians, Philadelphia 2018
  6. The Low FODMAP Diet Stanford Hospital and Clinics http://stanfordhospital.org/digestivehealth/nutrition/DH-Low-FODMAP-Diet-Handout.pdf
  7. Zegarac JP The Low-FODMAP Diet for IBS: What You Need to Know. Medscape - Aug 23, 2019. https://www.medscape.com/viewarticle/917069
  8. Galon Veloso J FODMAP Diet: What You Need to Know Johns Hopkins Medicine. Health https://www.hopkinsmedicine.org/health/wellness-and-prevention/fodmap-diet-what-you-need-to-know
  9. Cleveland Clinic Low FODMAP diet https://my.clevelandclinic.org/health/treatments/22466-low-fodmap-diet
  10. FODMAP everyday https://www.fodmapeveryday.com/