Irritable Bowel Syndrome Message Boards

Yes - I follow the FODMAP and EFI together.

Yes - there is scientific proof that foods in FODMAP groups can trigger IBS and other functional GI disorders symptoms. There is no indication that they cause IBS. Not everyone is sensitive to all FODMAP groups although some people are. Only two of the groups, fructose and lactose, can be tested in the lab. Sensitivity to the others has to be determined using dietary elimination. Fructose and lactose sensitivity can be determined that way too.

Most of the scientific details are given the research paper in the second link in my signature.

I think that the FODMAP approach is based on a sound physiological principles on how the GI tract works and it is supported with clinical trials with good results.

Unfortunately most health-care professionals and dietitians that give advice on the FODPMAP diet seem to over look two important sentences in the original research paper (2nd link my signature):

"If adherence was strict, attention may be needed to modify intake of resistant starch and insoluble and soluble fiber. Other dietary triggers such as food chemicals may need to be considered, as should potential factors such as caffeine, fat, meal size and regularity."

Heather's pay particular attention to these issues. Although a bit complicated many of us have learned to blend Heather's EFI diet with the FODMAP approach with good results.

PS - Jordy - you may remember one of my first posts on the board years ago was an answer to your question about apples. I told you about the problems of fructose and a argument began on the board.

Fructose is one of the FODMAP groups. Many individuals with functional bowel disorders such as IBS find foods that have more fructose than glucose in them such as apples, pears and of course high-fructose corn syrup can make thier IBS symptoms worse.

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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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