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Can FODMAPs help

SIBO? GERD? NCGS? IBD?

Can a low FODMAP diet help these conditions?

There are a great many nutrition-related digestive problems, including inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, small intestinal bacterial overgrowth, and gastroesophageal reflux disease. Will a low-FODMAP diet help any of them? Your own doctor and dietitian can help you decide if the FODMAP approach is right for you. If you have any of these conditions, your FODMAP-elimination and challenge process will probably need for 1 last update 29 May 2020 to be customized for you by a qualified dietitian.There are a great many nutrition-related digestive problems, including inflammatory bowel disease, celiac disease, non-celiac gluten sensitivity, small intestinal bacterial overgrowth, and gastroesophageal reflux disease. Will a low-FODMAP diet help any of them? Your own doctor and dietitian can help you decide if the FODMAP approach is right for you. If you have any of these conditions, your FODMAP-elimination and challenge process will probably need to be customized for you by a qualified dietitian.

Inflammatory bowel disease (IBD): It appears unlikely that a low-FODMAP diet is capable of inducing or maintaining remission in patients with Crohn''s or ulcerative colitis in remission are still symptomatic, IBS and FODMAPs could be to blame. During an flare-up of IBD, it stands to reason that one should limit foods that might cause osmotic diarrhea on top of the IBD symptoms. For example, it doesn''t exist yet, but antibiotic treatment shows the most promise. It seems likely that a diet low in rapidly fermentable carbohydrates, such as a low-FODMAP diet, would discourage relapse of SIBO after antibiotic treatment. However, there have been no scientific experiments yet to prove whether this or any other diet is best for people with SIBO.

Gastroesophageal reflux disease (GERD): GERD is a very common condition; a great many people with IBS also have GERD. FODMAPs exert their direct effect in the lower part of the gastrointestinal tract, and FODMAP studies have not looked at GERD symptoms, such as heartburn, directly. Still, many people do report fewer GERD symptoms on the FODMAP-elimination diet. With less excess gas and fluid distending the intestines, perhaps there is less upward pressure on the stomach to encourage reflux. Or perhaps the extra attention to healthy food choices and smaller portions during the low-FODMAP diet reduces reflux.

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“IBS: Free at Last” is not aimed at those with severe bowel disease, but I can tell you it is well worth reading this book and trying the FODMAP diet anyway. For years my husband has suffered the ghastly symptoms of severe ulcerative colitis, unable to work out why some foods this week set it off when they were fine last week. In desperation, we tried the FODMAP diet as set out in this book and the results have been amazing. My husband’s horrid symptoms disappeared within 4 days of starting the elimination diet. He has been continually free of the horrid symptoms for two months now and feels terrific - like a man 20 years younger, he says. I have noticed a huge change in his outlook on life - he is much more confident and cheerful. A recent colonoscopy confirmed that he still has severe Ulcerative Colitis, and we knew the FODMAP diet would not cure him of that. But the FODMAP diet has given us a good solid basis from which to control the symptoms. Patsy, I can’t thank you enough. This diet has changed our lives.
— Amazon reader review of IBS—Free at Last! (now titled The IBS Elimination Diet and Cookbook), January 1, 2013