rice milk
#364754 - 05/15/11 08:03 AM
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just wondering am on a fructose's free diet and helping a lot
i have just started have acid reflux not a lot but enough i have burning when i eat even a raspberry
just wondering if rice milk was fructose's free or Alpo unsweetened milk was safe i no soya can cause gas but a unsure if rice milk will cause more constipation thank you for posting
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Re: rice milk
#364755 - 05/15/11 08:47 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Hi IBSHolly
Presumably you fructose malabsorption and not herditary fructose intolerance. The later is a serious genetic disease which requires the elimination of all foods contain fructose. The former only requires removing foods that contain more fructose than glucose such as honey, apples, pears, high fructose corn syrup, etc. You can read more about fructose malabsorption in the first link in my signature.
If you have fructose malabsorption then rice milk should not be a problem.
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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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White rice is not problematic because of fructose. White rice milk might cause constipation if you have FM or not.
Like said, in FM, it is a low-fructose diet, not necessary fructose-free diet, recommended. The amount of fructose someone can tolerate varies a lot from person to person. Search for "nutrition guide in fructose malabsorption" to find foods to try and to avoid.
Besides fructose, polyols (sorbitol, xylitol, maltitol...) used as sweeteners, fructans in wheat and onions, fructooligosaccharides (FOS) and HFCS are often problematic in FM.
I've interviewed several people with FM ad quite some cannot tolerate sucrose, despite its gluctose:fructose ratio 1:1.
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I don't have IBS.
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Re: rice milk
#364763 - 05/16/11 05:19 AM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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You might not be able to put much significance to self-reported problems with sucrose since the physiology of fructose malabsorption does not support the notion that sucrose can be much of a problem for individuals with FM. You can review the physiology of fructose and sucrose malabsorption in the reference below The authors say that "sucrose malabsorption is associated with sucraseisomaltase deficiency, a very rare congenital condition. It will not be considered any further in this review."
BTW - there are a few errors in the Nutrition Guide for Fructose Malabsorption. For example, there is no excess fructose in distilled vinegar, nuts, chick peas, etc which are in the try in moderation column. It looks like the author has mixed up some of the FODMAP stuff with soley FM problems.
Reference
Gibson, P. R., Newham, E., Barrett, J. S., Shepard, S. J. & Muir, J. G. Review article: fructose malabsorption and the bigger picture . Alimentary Pharmacology & Therapeutics 25, 349-363 (2007).
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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 the author of the mentioned article.
1. About SUCROSE in fructose malabsorption:
It is true that glucose helps in absorption of fructose, but this facilitation is limited, so large amounts of sucrose are not recommended in FM.
"Fructose, even when delivered...as sucrose, can induce symptoms of IBS in some people."
In the linked article below, drinks sweetened with sucrose are listed under problematic foods.
Source: article written by a leading fructose malabsorption researcher Susan Shepherd:
http://sacfs.asn.au/download/SueShepherd_sarticle.pdf
2. In FM, problematic nutrients, besides fructose and sucrose, include: HFCS, polyols (xylitol, maltitol...), fructooligosaccharides (FOS) or oligofructose, and inulin. In a "low-fructose" diet, excluding or limiting all of those nutrients is recommended, which makes a low-fructose diet very close to a low-FODMAP diet (Ref: the same link above).
It seems I have mistakenly added galacto-oligosaccharides (in chickpeas, lentils and other legumes), and there is not enough evidence to support exclusion of nuts (except coconuts) and vinegar in a low-fructose diet. I'm not the owner of the site where my article is, so I'll see what I can do.
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I don't have IBS.
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Re: rice milk
#364769 - 05/16/11 01:07 PM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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Ah - ha - It nice to know who wrote that article. It is a pleasure to meet you. Glad to hear you will try to fix some of deficiencies. It would be helpful to those of us with FM.
If you check the second reference in my signature by Gibson and Shepherd which is a more recent article they say "Thus, fructose malabsorption manifests when free fructose (i.e. in excess of glucose) is in the lumen. This is the reason why fructose supplied in the form of sucrose is only malabsorbed if sucrase activity is diminished." In addition they say that foods with > 3 g per fructose per serving are termed a 'high fructose load' and possibly at-risk of inducing symptoms. They go on to say that the concept of a 'high fructose load' has not been evaluated in terms of its importance in the success of the FODMAP diet. I believe so far the clinical research has not supported the supposition about sucrose.
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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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To clarify: that article is about "functional gastrointestinal symptoms", which may be or not related to fructose malabsorption. The term "functional" disorder in medicine is used when no underlying organic/biochemical disorder can be identified. From what I understand now about FM, this is a distinct disorder (deficiency of fructose-transporting protein GLUT-5) and not a functional disorder (IBS). In the article, they try to cover the diet for both.
Despite the explanation about sucrose, they still recommend in the same article:
"Limitation of dietary fructose load (in the form of free fructose or sucrose) at any one meal;"
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I don't have IBS.
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Re: rice milk
#364772 - 05/17/11 04:49 AM
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Syl
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Yes - FM is not a functional disorders since fructose malabsorption is a physical problem in the GLUT transport system. However, FM and other FODMAPs can exacerbate functional GI disorders such as IBS. One of their recent studies suggested that 50% or more of all IBS subtypes have FM. Gibson and Shepherd original work was on FM only then they expanded it to include other short chained carbs in the FODMAP approach for managing functional GI disorders.
Notice that unlike the other papers where for example they specified the amount of fructose load at < 3 gram/serving in this paper they relaxed this statement and simply said "limitation of ..." with no amount specified and no information in the body of the text about limiting sucrose. Even in their orginal paper on FM they said that malabsorption of fructose when consumed as sucrose or equimolar fructose/glucose in large amounts occured in a minority of patients using the breath test. You might also find the reference below of interest on too.
Fortunately, while I am very sensitive to small amounts of excess fructose I have no problems with sucrose 
Reference
Rumessen, J. J. & Gudmand-Hoyer, E. Absorption capacity of fructose in healthy adults. Comparison with sucrose and its constituent monosaccharides. Gut 27, 1161-1168 (1986)
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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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'However, FM and other FODMAPs can exacerbate functional GI disorders such as IBS.'
So can FODMAP sensitivity in people with IBS be only inorganic?
if say fructose never caused problems when you were younger (and as we'd discussed earlier that apart from lactose intolerance other FODMAP woes are not likely to appear out of the blue as one ages?). In other words, if FODMAPs now exacerbate someone's IBS only, so if IBS is 'cured' with hypnosis, FODMAP sensitivity could also disappear?
Lactose is to be eliminated for me for ever, don't care to be honest, but I do get a lot of bloating from fructans, but still not sure whether it was a problem before IBS, ie it should not be an organic problem then if it doesn't usually increase with age... (unless IBS itself can create an organic problem?)
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now: stable through EFI+FODMAP dieting (no lactose/no fructose/some fructans and some polyols)
before: IBS-D(pseudo-diarrhoea), bloating, often unbearable pain esp from too much fat: Apr 2007- Dec 2010
FODMAPs: http://www.todaysdietitian.com/newarchives/072710p30.shtml
[I've tried VSL#3 -> I could tolerate v good amounts of IF (even with less SF), it worked great (but overall I find it too expensive)]
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Re: rice milk
#364794 - 05/18/11 04:23 PM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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I have not found anything from an authoritative source that can completely answer your questions. However, Prof. Whorwell at Manchester and others are beginning to address such issues using brain imaging techniques. He discusses some rudimentary thoughts in the paper referenced below. Here are my thoughts.
Lactose & fructose are FODMAPs. Lactose intolerance and fructose malabsorption have known organic causes. Hypnosis will not cure either.
A characteristic of IBS is hypersensitivity to GI stimuli. FODMAPs can produce stimuli that exacerbate IBS symptoms e.g. gas. Hypnosis can help desensitize one's sensitivity to GI stimuli. Depending on the degree of sensitivity one has to FODMAP or other GI stimuli it may be possible for you to become less sensitive and hence less bothered. This does not mean the underlying organic processes involved with FODMAPs or any other GI stimuli are gone. You have modified your perception and other physiological processes.
Reference
Whorwell, P. J. Hypnotherapy for irritable bowel syndrome: The response of colonic and noncolonic symptoms . Journal of Psychosomatic Research 64, 621-623 (2008)
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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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