IBS – FODMAP APPROACH

IBS can completely affect day to day life. Pain, bloating, nausea, constipation or diarrhoea can plague both social and work situations.

I can help you work out what foods you need to avoid by using a structured approached of elimination and the FODMAP diet approach. There can be many reasons behind IBS, most commonly a high sensitivity to the various sugars in food (see below) which suit a FODMAP approach to elimination. However, there are other causes including parasite infection, hormonal imbalances and celiac disease – to name just a few.

In a detailed consultation we can establish the most likely causes, develop a detailed dietary plan and over a period of weeks we will reinstate a healthier relationship with your digestion!

A FODMAP diet is a specific elimination approach where there it is thought to be a high sensitivity to the various and common sugars found in many foods. Certain sugars found in foods are poorly absorbed in the small intestine and move along into the large intestine without being appropriately digested, where they react with healthy and unhealthy bacteria and ferment to produce unwanted gas which stretches the sensitive bowel causing bloating, wind and pain.

FODMAPs act like a sponge in the large intestine, where they draw and hold excess fluid which can lead to bloating, wind, loud and volatile digestive noises, loose stool and (depending on which kind of gas is produced) constipation.

So, what are FODMAPS? The catchy acronym stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols, which are more commonly known as carbohydrates. These can be further divided into five groups called fructans, galacto-oligosaccharides, lactose, excess fructose and polyols.

DON’T panic – I won’t trouble you with understanding the various FODMAP groups! What I do is translate these into food groups, starting with the most common offenders and we work to identify the culprits. Significant progress can be made in just a few weeks.

“I had such bad IBS which was taking over my life – I had been given vague dietary advice by the doctor and was really struggling to understand what I could and couldn’t eat to get better. Carol was incredibly helpful and made it all very easy to understand, giving me detailed guidance which I was easily able to follow. The FODMAP diet plan she put me on was not restrictive or difficult but it really helped me to understand what I was sensitive to and has enabled me to eat without worrying. I really couldn’t recommend her enough….”

Hannah, Hove