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
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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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
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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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
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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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
FODMAP Chart & Cheatsheet
The Role of Food & Dietary Intervention in IBS
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