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FODMAPs as Treatment of Abdominal Pain, Gas, Diarrhea


Symptoms of Gastrointestinal disorder include abdominal pain, bloating, wind, reflux, diarrhoea and/or constipation. FODMAPs are a collection of small chain carbohydrates that are poorly absorbable in the body.

Fermentation of FODMAPs in the distal small and proximal large intestine stimulates such conditions in the bowel that lead to releasing gas, boost intestinal permeability, an inclination factor to growth of Crohn's disease.

FODMAPs are a group of poorly absorbed short-chain carbohydrates in the diet because of their osmotic consequences (diffusion of molecules through a semi-permeable membrane until both sides balanced), increase fecal output following colectomy and ileal pouch formation or ileorectal anastomosis (IRA).

Avoid the following FODMAPs for a period of at least 8 weeks. After 8 weeks your dietitian will give advice whether to start any of the FODMAP groups.

What Foods Need to be Limited?

High FRUCTOSE Foods
  • Apples,
  • Carambola,
  • Coconut cream/ coconut milk,
  • Dried fruit (limit safe fruits to 1 tablespoon)
  • Fructose or corn syrup,
  • Fruit juice (even need to limit safe fruits to 1/3 glass of juice),
  • Honey,
  • Honeydew melon,
  • Lychee,
  • Mandarin,
  • Mango,
  • Nashi fruit,
  • Peach,
  • Pears,
  • star fruit,
  • Tinned fruit in natural juice (pear juice),
  • Watermelon

High FRUCTANS Foods

  • Artichokes,
  • Caro drinks,
  • Chicory Ecco,
  • Dandelion Tea,
  • Fructooligo saccharides (FOS) (artificial fibre added to some nutritional supplements)
  • Inulin (artificial fibre added to products, e.g. dairy foods),
  • Leeks,
  • Onion - brown,
  • Rye (in large amounts),
  • Shallots,
  • Spanish,
  • Spring,
  • Wheat (in large amounts),
  • White,
  • Zucchini,

Foods with SORBITOL
  • Apples,
  • Apricots,
  • Artificial sweeteners: Sorbitol,
  • Artificially sweetened gums,
  • Cherries,
  • Isomalt,
  • Lollies,
  • Mannitol,
  • mints,
  • Nectarines,
  • Peaches,
  • Pears,
  • Plums,
  • Xylitol,

High RAFFINOSE Foods
  • Asparagus,
  • Baked beans,
  • Brussel sprouts,
  • Cabbage,
  • Green beans,
  • Legumes - chickpeas,
  • Lentils,
  • Red kidney beans,