promised, this column will answer your questions this month.
Hereís a good one:
Barbara, just curious if you ever wrote anything about IBS
and/or the FODMAP diet. Trying to figure my Ďgutí out and
now people have suggested for me to go on this diet. I have
seen doctors and gone through various tests and everything
comes back normal. Some doctors have said I have IBS but offer
no help. So just curious if you have run across anything
to figure out your "gut" can indeed be challenging.
Many things can unsettle our gastrointestinal system,
including stress, anxiety, food intolerances and diseases like
celiac or cancer.
like youíve done the right thing with your doctors to see
what might be causing your distress. A diagnosis of Irritable
Bowel Syndrome (IBS), can still be frustrating, however, since
IBS is not a specific disease but a cluster of symptoms such
as gas, bloating and diarrhea.
than a decade ago, scientists began to test a theory that
certain naturally occurring sugars in food may trigger
digestive problems for some people. They described these
substances as "highly fermentable but poorly absorbed
short-chain carbohydrates and polyols." And to keep
peopleís eyes from glazing over when they discussed this
topic, someone came up with the acronym FODMAP (Fermentable
Oligosaccharides Disaccharides Monosaccharides and Polyols).
to the Academy of Nutrition and Dietetics, these particular
types of carbohydrates may cause excessive gas, bloating and
diarrhea in some susceptible people including those with IBS.
Problem is, these carbs reside in many nutrient-rich foods
such as fruits, vegetables, legumes, lentils and milk.
Avoiding them is difficult and can put you at risk for
nutritional deficiencies. To further complicate matters,
FODMAPís may be the source of some, all, or none of your
point, some medical professionals may suggest you try a low
FODMAP diet ó one that eliminates or cuts back on major
sources of short-chain carbohydrates that tend to
"ferment" in your gut. Registered dietitian
nutritionist and FODMAP expert Carol Ireton-Jones recommends a
two-week trial in which all FODMAP foods are eliminated. If
symptoms are relieved, then she recommends adding back one
food at a time to see which specific ones are the source of
can see, this can be a long and arduous process to find the
foods that might be the culprits and those that are not. And
you certainly donít need to become malnourished while trying
to figure it all out. Thatís why a smart doc will refer you
to a registered dietitian nutritionist (RDN) with expertise in
this area. A good source to find an RDN close to where you
live is at www.eatright.org. Click on "Find an
Expert" tab at the top right of the home page.
those emails and letters coming in!