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
• low FODMAP diet leads to profound changes in intestinal flora, the duration & clinical relevance are unknown

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 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

More general terms

• diet

Additional terms

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