healthy living The FODMAP Diet for
Irritable Bowel Syndrome
What are FODMAPs? Meet the Family
They are short chain Lactose (Milk sugar) carbohydrates that may not be Lactose intolerance occurs due absorbed properly by people to the reduced or absent with IBS. This may cause lactase enzyme needed to diarrhea, pain, gas or bloating. digest lactose.
The acronym stands for: Avoid lactose-rich foods such as ice cream, milk, Fermentable condensed milk, and most Oligosaccharides (fructans, soft cheeses (cottage galactans) cheese)
Disaccharides (lactose) Choose low-lactose Monosaccharides (fructose) cheeses (Swiss, Parmesan, Polyols (sugar alcohols) Gouda, Colby, Cheddar, Monterey Jack), lactose- free milk, lactose-free cottage cheese and rice Why are foods milk.
containing FODMAPs Fructose (Fruit sugar) “trouble foods” for Incomplete absorption of peoples with IBS? fructose in the small intestine can be fermented in the colon The short chain carbohydrates leading to abdominal bloating. may not be absorbed properly in people with IBS (although Avoid honey, agave, foods people without IBS may also containing high fructose corn experience similar symptoms, syrup (soda, barbeque sauce these side effects are not as and some cereals), apples, strong). These malabsorbed pears, mangoes, sweet carbohydrates remain cherries, watermelon, and undigested in the colon, where papaya. the gut bacteria happily ferment it.
Health Education Department/Point West - Sacramento
healthy living The FODMAP Diet for Irritable Bowel Syndrome
For more information and to Fructans The FODMAPs personalize your diet, contact a Chains of fructose with one Approach registered dietitian. glucose molecule on the end. FODMAPs should be Additional resources Avoid wheat (white bread, considered as a possible pasta, pastries, and cookies), • Connect to our Web site at contributing factor in kp.org to access health and onions, and artichokes. Inulin abdominal symptoms. Their drug encyclopedias, interactive and fructo-oligosaccharide amount should be limited but programs, health classes, and sources of fructans are added does not need to be more. to many foods to increase their completely climinated. • Check your Kaiser Permanente fiber content. Although it Healthwise Handbook. encourages the growth of 1. First, eliminate FODMAPs • Contact your Kaiser Permanente friendly gut bacteria, they may foods as much as possible Health Education Center or Department for health Information, not be well tolerated by people from the diet for 6-8 weeks. programs, and other resources. with IBS. • With a Kaiser Permanente 2. After 6 weeks, foods that Healthphone Directory, you can will less likely cause pick messages to hear on Kaiser Galactans symptoms may be Permanente Healthphone (1- introduced back into the 800-332-7563, TTY, 1-800-777- Chains of galactose molecules 9059). Request a Directory from diet (diet challenge – one your Health Education Center or with one fructose molecule on type of food every fourth Department or download a copy the end. day. at kp.org (Search “Healthphone”). Avoid legumes (soy, beans, For example, on the first chickpeas, black-eyed peas, day of the seventh week, a and lentils), broccoli, cabbage piece of food low in lactose Scarlasta, Kate. “The FODMAPs and brussel sprouts. (like yogurt) may be tried. Approach – Minimize Consumption of If after 72 hours there are Fermentable Carbs to Manage Functional Gut Disorder Symptoms.” no symptoms, other dairy Today’s Dietitian Magazine. Aug. 2010. products can be tried, and Web. 15 Oct. 2010. Polyols (sugar alcohols: waited 72 hours again.
This information is not intended to diagnose health problems or to take the place of medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.