fructose malabsorption diet
#317856 - 11/02/07 06:33 PM
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FLK
Reged: 11/01/07
Posts: 19
Loc: USA
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Does anyone currently follow a low fructose diet for fructose malabsorption? I have been researching it online, but I can't find what is safe to eat. I read the article about the short chain carbohydrates. The only fruit that seems ok is bananas. I wanted to try that in addition to this, and see how that works for me because I really think that I have a problem with digesting carbohydrates. I just don't know what to eat.
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I am a fructose malabsorber. Here are a couple of links that contain dietary information that I use.
Malabsorption of Fructose and Other Short-chain Carbohydrates
Fructose Malabsorption and Symptoms of Irritable Bowel Syndrome: Guidelines for Effective Dietary Management
Dietary fructose and GI symptoms: A review
The best list of fruits to eat are the ones listed under favourable foods in Table 2 of the second reference. However, you have to be careful of stone fruits that contain sorbitol. I eat bananas, kiwi and some berries. These articles are quite technical. If you have any question please ask and I will try to answer your questions.
Good Luck 
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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Thank you. This helps a lot. I just have a question about the wheat. Do you still consume any wheat products? I know it says that you can eat rye or gluten free bread, but is that something that you have to do all of the time? I'm just worried about not consuming enough fiber or protein. And which vegetables do you eat normally? I don't like a lot of vegetables anyway, but I still want to be healthy. I looked at some of your past posts about fructose malabsorption, so I found the sites where you can see all of the nutritional info, which also helped a lot. Do you eat lettuce or spinach? One more question: What do you think about tomato sauce or diced tomatoes? I would only get the organic brand, so it wouldn't have any extra sugar added, but there is this stew that I like, and tomato sauce and paste are the main ingredients.
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In one of the recent papers they recommend restricting fructans consumption to about 10-20 grams/day. A 65 gram slice of white bread contains about 2 grams. I try to keep my total fructan intake near the lower end of the range. I ~seem~ to be ok I eat some wheat and I don't worry about gluten.
I don't eat spinach or lettuce. My vegetable consumption is strictly limited well boiled vegetables.
I make my own from tomato sauce from using pure tomato paste (Hunts or Almer's), olive oil, red wine, chicken stock, salt and basil. I add about 1 tsp dextrose (glucose) for each 1-2 tbs of tomatoe paste to balance the excess fructose. I have Bison meatballs in tomato sauce on linguine about once every 10 days or so. Needless to say on those days I limit my fructan intake from other wheat sources.
If you have access to a university library you might try to get a copy of the reference below. It contains accurate amounts of excess fructose and fructans for 100 or so common Australian fruits and vegetables.
Reference
Muir, J. G., S. J. Shepherd, O. Rosella, R. Rose, J. S. Barrett, and P. R. Gibson, 2007: Fructan and Free Fructose Content of Common Australian Vegetables and Fruit. J. Agric. Food Chem., 55, 6619-6627.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
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Thank you. That helps a lot. I think this is going to be hard, but I know I'll feel better if I follow it. My friends all ordered pizza yesterday, and I had to eat rice. The pizza looked so good, but I didn't feel sick later, and I know I would have if I had any pizza. I have one more question for you. When I was looking at the symptoms of fructose malabsorption, it said that fuzzy head was one of the symptoms. They didn't give a description of what fuzzy head was. Did you have that symptom? If you did, what did it feel like to you? I often feel like I'm dizzy or there is a lot of pressure in my head. I also have a lot of trouble concentrating. I could never figure out what it was from, and I wonder if that is what it is. I even went to the ENT specialist, and found out my ears are okay. I will be so happy if this resolves that because that is hard to live with too.
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how long should it take to feel better if you follow this diet? im not sure if its my problem but i tested positive for sibo and i'm thinking this diet may help...
where do you get the glucose to add to things?
also.. are there any cereals that are ok to eat? what about fake milk's?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS 
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also.. are potatoes and sweet potatoes ok? is this something a dietician would know about? i think i may need some help
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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one more question..... for now
what alcohols are ok?
i saw wine on a no-no list... but are all wines out?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Sweet potatoes are fine and peeled white potatoes in moderation are fine.
I doubt if your dietician will know about this. The information is very new. Printed out the articles and also give her the references to the Australian data I gave earlier in this thread. Give her a couple of weeks to read the information and see what she says.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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Generally speaking alcohol consumption is not advisable for IBSers. However, I sometimes have a small glass of homemade red or white wine with supper. I don't drink store wines because of the sulphites. In particular, I stay away from fortified wines which can contain excess fructose.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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homemade wine? how do you do that?
how do you know if its fortified?
i know alcohol isnt safe but sometimes it doesnt bother me...
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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oh and what about non-alcoholic beverages? i am guessing sitting down to a glass of fresh squeezed oj is out of the case... as is milk and coffee and a nice chai latte but water could get rather boring.. what about crystal light or something?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I am not sure about the fuzzy head notion. This idea appears to have propagated on the Web from the Wiki discussion about fructose malabsorption. The only thing I have found in the research literature are a couple if papers that show that fructose malabsorption appears to promote the onset of depression and depression can result in a fuzzy head, difficulty concentrating and dizziness.
I know what you mean about pizza and rice. I have been in many situations where friends and colleagues order wonderful meals and I order a grilled chicken breast and rice. However, not having to deal with the subsequent pain, etc makes life much easier
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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The Role of Food & Dietary Intervention in IBS
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I buy 22 liter pails of grape juice. I open the pail and stir the juice, I put a small hole in the lid, I replace the lid and insert an air lock in the hole. I let the juice ferment at room temperature for 3 weeks. Next I place the pail in a cool place (50-60 F) for 6-8 months and then bottle and drink The difficult part is waiting until the wine is ready
Wine that is fortified usually has a note on the label indicating that it is fortified. Port, sherry maderia, etc are usually fortified. If it tastes sweet then it is likely fortified
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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Many non-alcholic beverages contain HFCS - you have to read the label I drink sparkling water (i.e. carbonated water). Be careful of crystal light - it can contain sucralose and/or aspartame.
Sorry - no OJ, milk, coffee or tea. Also, my general rule of thumb is that if I cannot see the label to read what the ingredients are I don't eat or drink the food. This helps me stay way from foods that give me problems.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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what about white wines?
i'd like to try this... what do you plug up the whole with? any specific brand you use?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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how many grams of sugar is ok for an item to be eaten.. i love love love trader joes turkey jerky but they add sugar. For a 1oz serving there is 5 grams of sugar. It has 0 grams of fat and 6 grams of carbs. 11 grams of protein. I'm thinking that is probably too high ? The ingredients are turkey, sugar, water, soy sauce, apple cider vinegar, salt, flavorings, paprika, natural smoke flavoring and caramel color. I know soy sauce has wheat but is it really enough to make you sick? I know with celiacs it is, but what about for this diet?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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White wine oxidizes quickly. You have to let is sit in a carboy instead of in the pail.
I fill the hole with the air-lock stuck in a rubber plug with a hole in it. Here is a picture. If you go to any wine or beer making store they can give you the information. However, be careful they may try to sell you all kinds of other neat things too
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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It is the soybeans in soy sauce they give me problems not the wheat I think it is reasonable to consume a 3-4 tablespoons of white or brown sugar each day with little effect. However, you will have to figure out your own limit. A tablespoon of sugar weighs about 12 grams.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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ok so the turkey jerky might be ok... i'll try it after a week or so and see what happens.. how long should it take for symptoms to go away? right now i'm eating steel cut oatmeal and i added a tiny bit of brown sugar... for lunch i plan on grilled chicken and rice... dinner.. still up in the air...
any coldcuts ok?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Quote:
I am a fructose malabsorber. Here are a couple of links that contain dietary information that I use.
Malabsorption of Fructose and Other Short-chain Carbohydrates
Fructose Malabsorption and Symptoms of Irritable Bowel Syndrome: Guidelines for Effective Dietary Management
Dietary fructose and GI symptoms: A review
The best list of fruits to eat the ones listed under favourable foods in Table 2 of the second reference. However, you have to be careful of stone fruit that contains sorbitol. I eat bananas, kiwi and some berries. These articles are quite technical. If you have any question please ask and I will try to answer your questions.
Good Luck
in the 2nd article as everything else ive seen, i only see tables with what you cannot eat.. not what you can.. is there a list of things that can be eaten?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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what do sulphites do? and why do we need to avoid them?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Quote:
Sweet potatoes are fine and peeled white potatoes in moderation are fine.
this really confuses me... sweet potatoes are sweet... i dont see why they would be ok... aren't they high in sugar?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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""instead of starting a new one. It gets too confusing. I will answer you questions in a thread that had already been started.""
"
are eggs ok???
i need to go to the grocery store and i have no freakin clue about what i can and cannot buy...
i have steel cut oats, i know i can buy chicken, potatoes and sweet potatoes, bananas and rice... what the hell else?"
please help!! i am hungry and need to eat something!!
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Pud, if it is not on Heather's do not eat list and it is not listed in one of the tables then you should be able eat it. However, that does not mean these foods are safe for you. Only you can know the anwer to that question.
Start by buying and reading OR re-reading Heather's books and the general information on her web site . It appears from some of the questions you are asking that you haven't grasp tbe basic EFI diet yet. Egg whites are on Heather's ok list but egg yolks are not.
Good Luck
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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everytime i look at an article or read a book i just get more and more confused! i just can't seem to concentrate on it no matter how hard i try! i am hungry and don't know how much more rice i can eat!
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I posted this website yesterday: http://john.toebes.com/diet.htm
This gives you a lot of what you can eat, but it is for fructose intolerance, which is a lot more serious than fructose malabsorption. I also don't know how accurate it is, and you still have to compare it to what Heather has already listed on this website and in her book. Also, I think that people with fructose intolerance can't have any fructose, which includes all fruit, but people with fructose malabsorption can still have bananas, berries, and kiwis. I printed the list out, and hung it on my fridge, and I went through and highlighted the things that are also okay on Heather's diet, and I also cut all of the charts out of the other articles that Syl posted earlier. You have to look at the comparison of the fructose and glucose content of the foods to see which ones have greater or equal to glucose, and those are the ones you can eat. You have to do a lot of cross referencing. I also made a list of the foods that I can eat and a list of what I can't eat, and I wrote it on a dry erase board, so it is on my fridge and all in one place, so I don't have to look through a lot of sheets to find what I can eat. Also, I would recommend getting organic or natural foods if it is in your budget because processed foods contain a lot of preservatives and chemicals that our bodies weren't made to digest. That could contribute to some of the problems also. For example, the turkey probably has a lot of stuff in it that is really hard on your body. I hope this helps a little. 
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I was wondering how you cook your potatoes. Tonight I used 1/2 tsp olive oil, and some spices. I also like mashed potatoes, but I don't think my body will digest gravy very well and that is how I like them. I am just looking for some other ideas so I don't have to eat the same thing every day. Also, do you eat mushrooms and avocado? I just sauteed the mushrooms, but I just ate the avocado plain because I wasn't really sure what to do with it. Let me know if you have any ideas. Thanks. I followed the fructose malabsorption diet today, and I can already tell the difference. Everything wasn't perfect, but I will try to see if I ate something that I shouldn't have. I started writing everything down and how I feel after I eat it. Thank you for all of the information and the articles.
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I make potatoes a variety of ways. My favorite is mashed potatoes. I mash them with a hand mixer and I add about 1/2 tablespoon of olive oil. If the potatoes need a little moisture I add a small amount of water. I like gravy too and some times I make gravy from the chicken drippings. However, I remove all of the fat first. The thing I like is to finely slice some Golden Yukon potatoes and lightly fry them in a small amount of olive oil. After they are browned on both sides a bit I cover them and let the steam finish the cooking. Boiled peeled potatoes with a bit of olive oil is nice too.
Contary to what Heather has published on the web site mushrooms are high in IF. They give me problems. Similarly avocado gives me D, not sure why, but I don't eat them. It could be the fat content.
Good luck with the diet
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
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I added a little vanilla rice milk to the steel cut oatmeal.. i know it has sugar in it.. 12 g... however the oatmeal by itself is way too bland... is this ok?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Mushrooms have a mix of IF and SF, so if eaten carefully with a good SF base, they should be fine. Shiitakes and creminis are especially good for you, and I've found cooking with creminis give the dish a meatier flavor, which is nice.
Yep, avocado is high in fat -- how do you usually eat it? I usually have 1/8 - 1/4 of an avocado in a sandwich or taco without any problems.
I think both of these foods are important to include in your diet, if you can do so safely.
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"Mushrooms have a mix of IF and SF, so if eaten carefully with a good SF base, they should be fine. Shiitakes and creminis are especially good for you, and I've found cooking with creminis give the dish a meatier flavor, which is nice."
so sauteeying (sp?) mushrooms in some pam and serving it over white rice should be good. right?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Yes, I've never had a problem with them, and rice is a good, bland base. Usually, I cook my mushrooms in some fat free or low-fat vegetable broth -- it gives them some extra flavor. I've also cooked shiitakes in a teriyaki sauce (recipe from the index), but I'm not sure if the ingredients in the sauce are things you're currently avoiding due to fructose malabsorption.
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Originally IBS-D for a million years!
Then IBS-A, Now a transformed slightly C
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what veggies are ok? i see info about fruits... but i seem to be missing info about veggies... which veggies are OK?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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You're right that list seems so restrictive. For people with fructose malabsorbtion or intolerance, what are the usual symptoms? I have my IBS pretty much under control...it's the gas/bloat that I'm still "cause" searching!
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Originally IBS-D for a million years!
Then IBS-A, Now a transformed slightly C
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peanuts?
#318226 - 11/08/07 10:57 AM
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Pud
Reged: 06/20/07
Posts: 256
Loc: Long Island
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are peanuts safe?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I am surrounded by food all day long. I have been giving candy out to my patients basically all day looooong. What can be eaten in place of a snickers bar? I am dying for some chocolate!!
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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That's when you have to steel yourself and remember that the Snickers will make you sick. I'm not familiar with the fructose malabsorption diet, but think of what a Snickers bar is - it sure isn't *food* - it's sugar and bad fats and junk. Remember that what you're choosing to put into your body is *good* for your body, feeds your body and gives it what it needs. A Snickers may feel good in your mouth, but that's nothing compared to the damage it does everywhere else. Eventually you'll get in the mindset of this, and food that does good things to your body will be delicious, and food that's bad for you won't. It takes time, but keep your goals in mind. Take a few deep breaths, and remember what you really want, which is to not be sick. I bet you want that more than chocolate. And if not, if really truly not? Then you make the choice.
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jaime
ibs-a (mostly d) // vegetarian
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ive been following the diet as closely as i know how since monday and the past 2 or 3 days i've had 3... today no gas... but D.... any idea whats going on?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I didn't get D, but I was kinda C and D. I assumed it was because I wasn't eating enough fiber. I bought spinach today, and ate it, and it went down okay so far. I thought I was okay yesterday, and I have also been following it since Monday, but my stomach started making noises, which was part of my problem before. I don't know if fruc. mal. is my problem. Maybe it is just that some of the fruits bother me. I wish I could find out what it is, so I can just eliminate it from my diet. I am getting so frustrated, and I don't even want to eat anymore. I actually felt okay after dinner tonight though, but I am afraid that I will feel sick again tomorrow. I bought lactaid milk because I thought that it might be the soy milk causing the problems, and the lactaid didn't seem to bother me when I had it for dinner. So you aren't having any luck with the diet either? What have you been eating?
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Try keeping your SF high, your IF low and you fat intake low.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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oatmeal for breakfast
banana for snack
rice and chicken for lunch
half of an orange for a snack
rice and chicken or turkey for dinner last night i had some squash and mushrooms with it.. but just a few because i have no idea if they are safe
and a few chunks of pineapple or a few blueberries for desert
what are some good sources of SF that are fructose-diet-friendly?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Heather gives a list of SF foods generally suitable for IBSers. I don't eat the applesauce, mango, papayas, soy, mushrooms, rutabagas or turnips either because the IF or the excess fructose give me problems. Also I can eat some varities of pumpkin and squash while other varieties contain too much excess fructose or IF for me. Generally speaking acorn squash seems to be okay while spaghetti squash is a problem. Finally, I limit my consumption of wheat based products such as pasta, bread, crackers, buns, etc to less than the equivalent of 4 slices of bread per day. You may find you have to reduce it even further.
While berries and pineapple are on the okay list of fruits for fructose malabsorbers, I find that I have to be very careful how I eat them because alone they contain more IF than SF. Eaten alone they give me serious discomfort. I can tolerate a tablespoon or two of berries with my oatmeal but anymore and I begin to feel discomfort the next day.
I hope this helps
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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I'm sorry...I'm trying to make sense of all of this since I never really analyzed my diet in this direction before. My only problematic symtom currently is gas. On occassion I think it might be b/c I have not had a bm that day but for the most part I am "regular." I'm suspecting WW products too but it is so hard to tell b/c the gas comes at such varying times. Two days ago for example I had a turkey burger (made myself) with some onions in it. No surprise that the next day I had major gas but then the irony is that after I ate dinner which was Chinese food...white rice and steamed chicken with veggies (mostly very soft broccoli), the gas went away! And no gas today either as a residual! What do you make of that?? 
I did not have any fruit yesterday but today I had whole grain cereal and two slices of cantaloupe (not at the same time) and I only had minimal gas this afternoon. Wouldn't more be expected? I have eaten applesauce with and without HFCS without a problem (unless it's possible that it came more that 24 hours later)but I could eat a skinless apple or a bite of peanut butter and have gas almost immediately. Any light anyone could shed would be appreciated. I am so frustrated that perhaps I am looking toward fructose and/or wheat/gluten b/c I want an answer to know what to eliminate when in reality maybe it is just the plain IBS being temperamental??? Also, does anyone get gassy from NOT EATING? I wonder too if that sometimes happens to me later afternoon when I have forgotten to have a snack??  Thanks.
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Originally IBS-D for a million years!
Then IBS-A, Now a transformed slightly C
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I am the same way! I just want it to be something so it isn't everything, and I do get gas when I don't eat anything too. Gas is my main problem, but I also think it is from when I haven't gone to the bathroom, which makes me think that I may be IBS-C. The apple with peanut butter could also be caused by the peanut butter if you are okay with eating applesauce, since that is also peeled apples. I recenlty read that some nuts can act like laxatives, which could also cause gas, since it would be causing spasms. I searched on it after I felt sick after eating pistachios. I decided that I am just going to make a list of the foods that I can eat because I haven't really felt any better after following the fructose malabsorption diet. By WW, do you mean weight watchers or whole wheat? If it is weight watchers that may be because since they are lower fat, etc., they have some other chemicals added in to make them taste good, which is most likely something that your body isn't meant to digest. I am also wondering if I can't handle wheat. I had the blood test for celiacs and it was negative, so I guess I don't have that, but I wonder if it is wheat. I am going to try eating wheat after a while of avoiding it, which I'm not right now. Well, let me know how everything works for you.
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A good description of the symptoms are given in the articles given in this message.
The typical symptoms of fructose sensitivity are the same as any functional gut disorder. These disorders have been classified into entities such as "irritable bowel syndrome" (IBS), "functional diarrhea," "functional bloating," and "functional dyspepsia" according to the symptom complex. While the definition of such syndromes is useful in the design of clinical trials, they are somewhat artificial as their overlap is considerable and they are all believed to involve similar mechanisms of visceral hypersensitivity and disorders of the gut-brain axis. Functional gut disorder symptoms include such things as bloating, abdominal distension, discomfort, pain, and altered bowel habits.
Studies in which fructose loads are given to people with fructose malabsorption induce gas, bloating, abdominal discomfort, nausea, and disturbed bowel function much more readily in subjects with IBS than in those without it.
In summary, symptoms from a variety of functional gut disorders can overlap significantly. The only way to determine if fructose sensitivity is part of your IBS functional gut disorder complex is to eliminate high fructose foods and other short chained carbohydrates sorbitol and lactose from your diet for a few weeks and see if your symptoms improve. If they do then you have another tool to manage your IBS. If they don't then you move on to trying other management approaches.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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The diet
#318305 - 11/10/07 05:46 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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If you have been eating wheat without limiting or eliminating it while trying the fructose malabsorption diet then you have not been following the diet properly.
Wheat contains fructans which are molecules made up of chains of fructose molecules linked together. All mammals including humans are incapable of digesting these molecules. They pass through to the large bowel where the bacteria in the bowel ferment them. They can cause gas, bloating and altered bowel habits. For example, soluble fiber supplements that contain inulin or FOS which are fructans are known to cause problems for many IBS suffers. Heather talks about inulin on this web page
It appears that while some people may not be sensitive to the excess fructose in fruits they may have problems with the fructans in wheats and vegetables like artichokes, asparagus, onions and garlic. You have to follow the diet closely in order to determine if you truely are fructose sensitive.
By the way - nuts are high in IF and like many high IF foods they can cause gas, bloating and act as a laxative. If you are going to eat nuts then it is wise to grind them up fine and eat them sparingly with a good SF base.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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Re: The diet
#318310 - 11/10/07 07:36 AM
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FLK
Reged: 11/01/07
Posts: 19
Loc: USA
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I haven't been eating wheat, and I have been following the diet according to all of the charts and articles that you posted. I just meant that since the wheat is also eliminated from my diet, that that could also be my problem. I think that maybe it hasn't made me feel better yet because of the nuts or maybe I haven't given it enough time. Thank you for the advice on the nuts. I will try that. I think that I probably ate too many anyway.
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what do you all (fructose observant people) eat for breakfast? i have been eating steel cut oatmeal all week and i'm pretty sick of it. i made a bunch of it in a crockpot and put it in small tupperware containers. I add a little bit of brown sugar so it doesn't has such a bland taste but I'm sick of it. And the consitancy, i guess of refridgerating and reheating is enough to make me gag! Any other breakfast ideas?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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cereal with almond milk, homemade bread, bagels and toffuti, egg white omlets, bread with penut butter,
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Abby-IBS-C, Lactose Intolerant, fructose sensitive
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I meant whole wheat by WW. I don't mean to confuse anyone by discussing wheat, gluten, and fructose in the same thread. I'm just reaching at the moment for the culprit of my gas/bloat which may in turn just be the plain IBS. But it's certainly worth a try avoiding each of these at a time in a trial few weeks since many people say they've had success. Hope you find an answer too. (And by the way, my g gets worse of course if I haven't had a bm but the weird thing is the empty stomach. I was shopping today and I was fine up until about 4PM when I realized I hadn't eaten.  )
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Originally IBS-D for a million years!
Then IBS-A, Now a transformed slightly C
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Thanks Syl. The interesting thing is that when I was stabalizing, I didn't have all this gas/bloat. I think some of it was in part b/c each time I got d, I would empty my system and feel good for awhile before it built up again. I was also following the diet and having no "outright whole wheat" but I'm sure there were things as on the lists in the links you gave me that I had. I did eat fruits, but primarily smoothies with bananas and berries in them. I could swear I ate cantaloupe back then though too . Anyhow, my point is that in Feb., I started taking lexapro which swung me to the C side and I'm trying to recall if it's since then that the gas worsened or was it b/c I got more stable and started to add more wheat and fructose into my diet. I guess it's silly to try and backtrack though. I am still a little confused about how to follow the diet appropriately (it seems less clear-cut than Heather's) but I'm going to give it a whirl by starting at square one. Thanks for all your help. You really know your stuff!
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Originally IBS-D for a million years!
Then IBS-A, Now a transformed slightly C
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cereal? bread? bagel? aren't those no-no's?
what kind of cereal is safe?
and almond milk has sugar, no?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Blue Diamond just came out with an almond milk that has NO SUGAR. Also I use cream of rice (made with just water) when I am really having trouble.
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IBS-D, Gas & Bloating
Barbara50
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what cereal is ok?
is organic corn flakes ok? organic cornmeal, organic concentrated grape juice and sea salt are the only ingredients and theres only 3 grams of sugar...
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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is heathers fiber fructose malabsorbtion friendly?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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It doesn't matter if the ingredients are organic or not.
Grapes and fruit juices including grape juice are given as having more fructose than glucose in Table 2 of this reference
Pure corn flakes and cornmeal are ok but be careful of the IF content.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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it doesn't matter that it's only 3 grams of sugar??
what cereals are OK? anyone know of any brands or whatnot?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Pure sugar (sucrose i.e white or brown sugar) is okay in moderation.
I eat oatmeal for breakfast everyday so I don't worry or know much about other cereals. However, rice and corn cereals without HFCS or fruit, especially dried fruits and fruit juice concentrates, are safe. With all cereals you have to be careful of how much IF is in them.
Is this diet making a difference to your gas and bloating yet?
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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YES it is! However I do have D, probably because I am not getting enough fiber. I have been eating oatmeal for breakfast, however on the weekend I made egg whites and potatoes. Lunch is usually grilled chiken or turkey and white rice. Same goes for dinner. I've thrown in a sweet potatoe and a few other veggies, however I know I need to add more fiber. I am eating a banana now while I wait for my oatmeal. For lunch I have a gluten free soup from a restaurant that has a gluten free menu. Def less gas and bloating, however I do have D now (which I'd rather deal with)
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I am pleased
#318471 - 11/13/07 06:20 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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to hear that it is making a difference.
Increasing your SF could make a difference to the D. Were you IBS-C, IBS-D or IBS-A before you started the low fructose diet?
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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mostly d... every once in awhile i'd get c... very rare tho... however.. the d itself wasn't a major occurance... when i was younger it was an every day thing... once i hit 19 i was getting the gas and bloating every day and d maybe once or twice a week...
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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I've noticed that many organic products add fructose instead of refined sugar to their products. These would not be ok.
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IBS-A for 20 years with terrible bloating and gas. On the diet since April 2004. Remember this from Heather's information pages:
"You absolutely must eat insoluble fiber foods, and as much as safely possible, but within the IBS dietary guidelines. Treat insoluble fiber foods with suitable caution, and you'll be able to enjoy a wide variety of them, in very healthy quantities, without problem." Please eat IF foods!
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the first couple of days it was D
then for a few days C which right after I went it was D
now I'm C again.. could it be from too much rice? i've been told it's "binding"
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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so white and brown sugar are OK?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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how long should i wait to try other foods? to see if i can tolerate small amounts of wheat or dairy?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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They recommend strickly adhering to the diet for at least 6 weeks before starting to experiment with other foods.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
Evidence-based Dietary Management of Functional GI Symptoms: The FODMAP Approach
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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wow.. 6 weeks seems like forever..
any ideas to spice things up a bit? i'm still very unsure about what is safe..
i've been eating oatmeal for breakfast.. i found a quick cooking one that doesn't have any other ingredints that has a much better consistancy than the steel cut oats..
i usually have a banana for a mid morning snack
for lunch grilled chicken or turkey and rice or chicken rice soup
and for dinner.. the same.. sometimes i substitute a potato or sweet potato for the rice.. however i have been reading conflicting info saying sweet poatoes are a no-no as are all fruits! really adds to the confusion..
i really do feel so much better.. the D and C seem to be hiding their ugly faces and the gas and bloat has been reduced SIGNIFICANTLY!! I haven't eaten any wheat and I am wondering if its too soon to add that in. I think it was you Syl who said 4 slices of bread per day? I would love to have some bread..
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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Re: peanuts?
#334886 - 08/19/08 01:11 PM
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Pud
Reged: 06/20/07
Posts: 256
Loc: Long Island
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can anyone tell me if peanuts are safe?
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Pud
Long Island
IBS-D & SIBO - main symptom GAS
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thanks for this info appreicate it
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