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Dietary Mgt for IBS (The low FODMAP diet (Polyols (Sugar alcohols…

- - - - Symptom relief
      - What dietary components distends the lumen?
        
        Those that cause fermentation
        
        Those that cause osmotic load
- - - - Problem fruits contain more fructose than glucose
      - Fruits in balance w glucose (or excess glucose) are suitable
      - Fructose as FODMAP when:
        
        Fructose in excess of glucose o.5g/100g
        
        3g in ave serving of food
  - - - Only a FODMAP if lactase deficient/insufficient
  - - - Mannitol
      - Sorbitol
      - Zylitol
      - Maltitol isomalt
    - - Artificial sweeteners
      - Naturally occurring in some fruits
        
        Pears
        
        Some stone fruits
        
        Apples
  - - - Common sources
        
        Leeks, artichokes, chicory
        
        Onions, spring onions, garlic, shallots
        
        Wheat, rye
      - 0.2g/serving
      - Fructose units w glucose end
    - - Common sources
        
        Lentils
        
        Chickpeas
        
        Legumes
- - - - Yes - move to challenge phase
        
        Introduce FODMAP group one at a time to find tolerance limits
      - No - review and trouble shoot diet