FODMAPs IBS Diarrhea 2012 Gastroenterology
<p>Jun 26, 2018 10:40 PM
FODMAPS story is real (lectin story is v. unsubstantiated.)</p>
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May 27, 2013 09:20 PM</p>
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2012 paper in Therap Advances in Gastroenter open access review.</p>
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by Jacqueline Barrett and Peter Gibson</p>
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The low-FODMAP diet...</p>
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avoid poorly absorbed, short-chain carbs (<b>lactose, fructose, sorbitol</b>!!)</p>
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but these sugars are not the only answer.</p>
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but also fructans GOS = galacto-oligosaccharids</p>
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and sugar polyols: sorbitol, mannitol (<b>artif sweeteners</b>) my chewing gums!!!</p>
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confirmed in RCTS double blind!!!</p>
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74% of pts has sx improve.</p>
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low-FODMAP reduces fermentation and gas...</p>
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other possib factos: altered microbiota.</p>
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some pts with IBS may have SIBO with fermented carbs also
might have predom of methane producers...</p>
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<b>see Table one</b>: get rid of wheat, onions, artichokes,
<b>legumes = beans, peas!!!</b>
milk
, <b>APPLES</b>, PEARS
<b>gums sugar-free gums...</b>
mushrooms!!</p>
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(Might also <b>cause chronic rhinitis</b>!!!)</p>
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eliminate salicyclates found in fruits, veg, nuts, coffee, smoked fish!!!!
fruits,</p>
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CONCLUSION: emerging evidence for FOOD INTOL in IBS.</p>
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low FODMAP => improvment in 74% of pts.</p>
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caffeine and fats may play a role in inducing IBS.</p>
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<b>should be the FIRST DIET MANIP in pts with IBS</b> !!!</p>
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Australian food diet restrictions: get rid of peas, beans, eggs, fish, seafood, nuts.</p>
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amines: canned/ smoked fish, nuts, seeds, some fruits and veg.</p>
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