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IBS and a low-fodmap dietA group of poorly digested carbohydrates (FODMAPs) could well be responsible for triggering the symptoms of irritable bowel syndrome. FODMAPS have a cumulative effect on GI symptoms, so people with IBS may be able to tolerate small amounts of them and experience symptoms only when they’ve consumed enough to surpass their FODMAP threshold. Traditionally, IBS symptoms have been managed through the use of medications; however, many patients find that medications don’t alleviate their symptoms or restore their quality of life. FODMAP is an acronym for “fermentable oligosaccharides, disaccharides, monosaccharides and polyols.” FODMAPs are sugars in our diet that are poorly digested and absorbed in patients with IBS. Patients with IBS can work with their doctor and a dietitian to complete a FODMAP diet challenge. Following a FODMAP diet can help relieve the symptoms IBS patients experience and improve their overall quality of life.
For the tech savvy,В The Monash University Low FODMAP dietВ appВ lists different foods and their FODMAP content in a very user-friendly layout ($9.99). In the past few years, research has begun to shine a light on a newВ dietaryВ management for IBS.

Eating certain FODMAPs or eating too many FODMAPs in a day can trigger symptoms, such as abdominal pain, diarrhea, bloating, cramping or constipation, in IBS patients. This can be done either by following a diet low in the high-FODMAP foods or by doing an elimination challenge where a patient will follow a strict FODMAP-free diet for about 6 weeks. A number of studies have shown that the majority of patients with IBS who try a low-FODMAP diet experience a significant lessening of symptoms. Gluten- free products, though often low in FODMAPs, are not uniformly safe— many contain honey, pear juice, onions or garlic for flavoring. These symptoms can be severe and affect quality of life as people with IBS may find it hard to travel, attend social events, eat out or be any place where they may not have immediate access to a restroom. After this time, one FODMAP food or food group is introduced at a time to see if any symptoms are triggered. IBS is not a disease in which structural or tissue abnormality occurs, but a functional disorder defined by its symptoms.
So, for example, if a FODMAP ingredient is listed last, the amount is likely to be quite small.

The foods that are found to be the biggest offenders remain eliminated from the diet – the goal is to have the least amount of dietary restrictions as possible while experiencing complete relief from IBS symptoms. Most patients with IBS, however, report that their symptoms seem to be related to the foods they eat.
In recent years, attention has been focused on diets that reduce the intake of poorly absorbed complex carbohydrates, called FODMAPs. Research studies have shown that a low-FODMAP diet helps the majority of patients with IBS.

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