FODMAP Diet

What is the FODMAP diet?

The term FODMAP is the acronym that derives from Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols.

In simpler terms, they are a group of short-chain carbohydrates that are fermentable and poorly absorbed in the small intestine. FODMAPs are naturally present in food and in the human diet, and because they are not properly absorbed, they are a food source for the bacteria in the intestinal flora, which can cause discomfort.

So the main goal of the FODMAP diet is to reduce or eliminate these carbohydrate components that are present in your diet.

The FODMAP diet is recommended for people suffering from irritable bowel syndrome, celiac disease, Crohn's disease, or other digestive disorders.

In what foods are FODMAPs present?

We can find FODMAP through different food groups:

Oligosaccharides
- including fructans and galacto-oligosaccharides - some fruits, vegetables and cereals;
Disaccharides
- including lactose - milk and some dairy products;
Monosaccharides
- including fructose - some fruits, vegetables and sweeteners;
Polyols
- including sorbitol, xylitol and mannitol - some fruits, vegetables and additives.

They are rapidly metabolized by bacteria in the intestine(Fermentable).

The FODMAP diet has the following aspects:

General downloads in fodmaps;
Lacto-ovo vegetarian low fodmaps;
Vegan drops in fodmaps;
Low fat low on fodmaps;
Lactose-free low fodmaps.

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What symptoms can FODMAP cause?

People who are intolerant to FODMAPS may have the following symptoms:

Bloating and abdominal distension
Abdominal pain and discomfort
Change in bowel habits
Stool variations
Excessive Flatulence
Bowel sounds
Fatigue

How do FODMAPs cause intestinal symptoms?

Symptoms caused by FODMAPs can occur when:

are poorly absorbed in the small intestine;
the small molecules of FODMAP are consumed in large quantities;
molecules are not absorbed in the small intestine, and that when they reach the colon they metabolize with the bacteria that are present there, producing hydrogen, carbon dioxide, and methane.

The various types of FODMAPs are usually present in one meal, and because they all cause distension when they reach the colon, the effects are cumulative. This means that the intensity of the distension depends on the amount of FODMAPs consumed.

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Frequently Asked Questions

Is the FODMAP Diet effective?

The FODMAP diet is scientifically proven (study results were published in the peer review journal Clinical Gastroenterology and Hepatology by the American Gastroenterology Association).

The FODMAP diet is effective because:

provides all the nutrients it needs;
can help reduce or even eliminate gastrointestinal symptoms in the long term;
is not a cure for irritable bowel syndrome, but it can help in preventing symptoms (NOTE: one in four people with this syndrome may not show improvement with diet, since there may be other factors causing the symptoms).

Reintroducing FODMAPs into the diet. How does it work?

After you have followed the FODMAP diet for two months and have improved your symptoms, you can introduce FODMAPs back into your diet. The introduction of foods with these components is done gradually. That is, one food group is introduced at a time, in order to find out which one or more foods trigger unwanted symptoms. As well as how much you can tolerate. This process is called "food challenge" and can be considered the maintenance phase of the eating plan.

How does the follow-up work?

I offer support for any questions, which may arise after the consultations, via Whatsapp or e-mail. I like to follow my patients closely, especially at the beginning of the treatment. Because, this way, the results are better.