FODMAPS. Finally Help achieved with diet. PART I

Dear UC & Crohns' sufferers.


I am writing this as in the last couple of weeks my condition has greatly improved.

How it all started
about 1.5 years ago I attended a Symposium at the Hilton Hotel in Sydney Australia where a very famous dietician presented. See was speaking about FODMAPs (group of short chain carbohydrates that are poorly absorbed.) I immediately identified with this as she listed a group of foods which I knew that I could not tolerate.


Down the track 1.5 years
I had a phone consultation with a dietician involved with this research. I had given her a copy of a food diary I had been keeping for 3 weeks. She said that I should eliminate some more foods and that my condition would probably improve about 75% and that I could most likely reduce the use of some of my medications after some improvement. I was asked to stop eating onions, green beans, zucchinis, honey dew and apples amongst other foods. I was eating all of these foods almost everyday believing that they very safe and not affecting my condition.


Four weeks down the track
My condition has improved greatly. My constipation I had been suffering for the past 13 years has completely disappeared. The bloody mucous I had been passing almost daily has vanished. Almost all of the bleeding has also gone.



Please give this diet a go. I know it has turned my condition around. The hospital doing the research is the Box Hill Hospital, located in Melbourne Australa.  Here is a link to information regarding the diet written by the dietitican involved with the research. 

http://www.healthsystem.virginia.edu/internet/digestive-health/nutrition/BarrettArticle.pdf


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More in next post

Post Edited By Moderator (Red_34) : 5/7/2010 5:29:39 AM (GMT-6)

What Are The Safe Foods?

SUITABLE alternatives to honey:
· Jam, marmalade
· vegemite, marmite, promite, Aussie Mite, Mighty Mite, Vege Spread
· peanut butter
· maple syrup, treacle, golden syrup, rice syrup

Fruits that are SUITABLE:
· Berries: blackberry, blueberry, boysenberry, cranberry, raspberry, strawberries
· Citrus: cumquat, lemon, grapefruit, lime, orange, tangelo
· Melons: cantaloupe
· Other: banana, jackfruit, kiwifruit, grapes, passionfruit, pineapple, rhubarb, tamarillo, tomato, avocado, guava, pawpaw, lychee, persimmon
· N.B the quantity of these is important. No more than the size of a small orange at a time. Separate each serve by ~2 hours.

Vegetables that are SUITABLE:

· Alfalfa
· Bamboo shoots
· Beanshoot
· Beetroot
· Bok Choy
· Broccoli
· Capsicum
· Carrot
· Cauliflower
· Celery
· Chilli
· Chive
· Corn
· Cucumber
· Eggplant
· Fennel
· Kohlrabi
· Lettuce
· Olive
· Parsnip
· Peas
· Potato
· Pumpkin
· Marrow
· Mushroom
· Silverbeet
· Snow Peas
· Spinach
· Squash
· Swede
· Sweet Potato
· Sweet Corn
· Taro
· Turnip
· Waterchestnut
· Watercress


SUITABLE alternatives to Ecco, Caro and Dandelion Tea:
· Enjoy tea, coffee (regular and decaffeinated), tea infusions, herbal teas, hot water
Note: Caffeine can be a gastric irritant. You may want to minimise your coffee intake to <2 cups per day if you suspect caffeine contributes to your symptoms.

SUITABLE alternatives to Onion:
· Onion is a MAJOR problem, even when eaten in small amounts
· Check commercially prepared products eg. sauces, soups, canned flavoured tuna
· Consider Asafoetida powder (Indian spice markets) for onion flavour
· Use other herbs and spices to flavour food.
· Garlic is usually tolerated in small amounts (minimise if symptoms persist)
· You may be able to cook with (but not eat) onion:
o Cut onion into large strips for easy removal
o Cut onion into large chunks in stir fries, but leave behind on plate
o Use whole onions in gravies of casseroles and remove prior to serving
o In soups, place onions in muslin bag/stocking while cooking, then remove.

Understanding wheat fructan restriction:
· Wheat-based products are only a problem when WHEAT IS THE MAIN INGREDIENT, e.g. bread, pasta, breakfast cereals, etc,
· Where wheat is an ingredient in only small amounts (eg. biscuit crumbs on the chocolate coating of an icecream) it is NOT a problem.
· There are many wheat ingredients that are safe, as they do not contain fructans. These include:
o wheat starch, wheat thickeners
o wheat maltodextrin, wheat dextrin
o wheat dextrose
o wheat glucose, wheat glucose syrup, and
o wheat colour caramel.

Wheat Free / Gluten Free? There is a difference:
w People who are gluten free cannot have any traces of wheat, rye, oats and barley
w The diet for fructose malabsorption is only low wheat so you can eat rye, oats, barley and small amounts of wheat or wheat ingredients.
w Gluten free products are wheat free, so they are suitable for fructose malabsorption, but you still need to be aware of fructose ingredients such as onion, honey and fruit.

More in next post

Do you have links you can use instead of cutting and pasting the entire text? This is getting a little lenghty. Thanks!

Hi Tabitha,

Sorry, I do not have links. This is an exact copy of an diet that was emailed to my by the dietitian. I have been sitting here all morning trying to copy and paste the diet for everyone. Only want to help others.

Merry Xmas.
Joan

Hi Joan,

Just in case Tabitha isn't able to post the document, would it be possible to kindly email the entire diet to me? (my email ID is listed on my profile).  Also, in the pdf that I have on the study it mentions the success rate of people on the diet who followed cookbooks that were given to them. Do you know anything about these cookbooks? Thanks for your efforts!

Hi Joan can you email me diet?

Thanks,

Enan

Thanks Joan.  I got your email and replied with the pdf.

From the email that I got from Dr. Gearry on his FODMAPs and IBD study, it is worth noting that he mentioned that the "diet is good for bloating, wind, diarrhoea and abdominal pain, but not inflammatory symptoms like diarrhoea WITH rectal bleeding".

Hi Rio

Thank you for attaching the pdf file. Yes you are right as you mentioned in the private email. This is the same dietitcan that I had the consultation with via phone as I am in Sydney and she is in Melbourne. She is involved in the research. She is very nice and I had an 1 hour consulatation with her.

Although he may have told you that diet is good for bloating, wind, diarrhoea and abdominal pain, but not inflammatory symptoms like diarrhoea WITH rectal bleeding, I can only tell you my experience with the diet. It has stopped most of my bleeding. I now see very little if any blood. Most of the time no blood.

Everyones disease if difference of course. I was already avoiding many of the foods mentioned in the diet. I had been avoiding the foods after many years of trial an error. So I only had to eliminate the few I mentioned above (onions, green beans, zuchinis, watermelon and honeydew to name a few. I do not agree totally with the diet as I know that I am unable to tolerate the allowed fruits. But maybe in time, after further healing, I might be able to tolerate the food. ie. I am uanble to tolerate oranges, lemons and the berries at the moment.

Anyone wishing to follow this diet will most likely have an idea what they can and can't tolerate. I was already avoiding wheat and rye. I know that my body does not tolerate rye. If I eat rye, I would be bleeding in approximately 30minutes.

I also recommend keeping a food diary. That way symptoms can be noted.

Hope this helps. Feel free to ask me any other questions.

Joan

Hi Steph,

I see your from the gold coast. Sorry to hear you are not well. This is the whole diet. I can give you a more friendly version if you give me a email address to post to. I tried to copy the whole diet but this forum would not allow it. I have given it to others here.

I think its better if you do this diet in conjuction with the dietician.

Joan

Hi Lulu,

I don't think its appropriate to mention a persons name on the forum. But yes this is the person who I had the consult with. Also the dietition no longer works at Box HILL hospital. If anyone would like her details I can provide them in a private email.

Lulu, maybe you can provide us with some information as well. Do you have UC or Crohns disease and did this diet help you.

Joan

Post Edited (Jjay) : 12/21/2007 8:11:04 PM (GMT-7)

Thanks for sharing the FODMAPS diet info. I pretty much have pain when I eat anything on the offending foods list and try to avoid them.  I still eat bread and pasta and I've noticed problems the next day especially when I eat whole wheat. Been considering going gluten free so thanks for helping me make up my mind. I needed a little push.

Dave

Hi MoonShadow,

Thank you for you input regarding David Klein's diet.  However, you do no give any details of the diet.  Could you please explain what kind of foods can been eaten and what foods need to be avoided on the diet.  It might benefit others who are troubled with UC or Crohns disease.

Thanks   

 

Jjay – I purposely didn’t give any additional diet information because (in my mind) if someone is interested, they will take whatever information is given and run with it (i.e.) they will do their own research when the time is right for them.

 

In other words, for an oak tree to grow, you need to plant the seed first!

 

From my own past experience, there is nothing worse than to “feel” you are being lectured to.

 

There is no way on earth, that I could explain the concepts and research contained within one book in a couple of paragraphs, so I didn’t bother trying.

 

If you are interested in finding out more, please buy the book or borrow the book from your local library – at least that way you will get the correct and full information from the proper source, instead of hearing it second hand from me.

 

Judilyn – David Klein is indeed a proponent of the raw food diet. I can’t comment on his breast feeding views, as I have never heard or read about them.

 

Personally, I was not inclined to be raw vegan to start with either, but when it comes down to it, I now have NO choice in the matter.

 

My two very favourite food items in the entire universe were chicken and cheese.

 

Unfortunately, when I was diagnosed with UC, I was also diagnosed as lactose intolerant.

 

David Klein says in his book ..........and I QUOTE:

 

"it is apparent to the author that meat (any animal flesh) is the single most causative dietary factor with C&C. The author has never seen or heard of a case of complete and lasting healing of C&C where the person continued to eat meat”.

 

I actually heard about David Klein and his diet over five years ago but at that time I was also a non-believer in the raw vegan approach, so I pretty much ignored his valuable advice.

 

When I was first sick / diagnosed, I pretty much ate what I wanted, when I wanted. However, because of that idiotic decision on my part, until recently I have been suffering because of it. My God, how I wish I had followed his advice, when I first heard about it.

 

You seriously don’t have to “inclined to be a vegan to start with” to follow his advice (although it may help with the transition) but to anyone who has done the rounds and is looking for an alternative to drugs and surgery or to anyone who is “at the end of their tether”, his advice will help you immensely.

 

Anyway as I said, I use to be narrow-minded to his views, but now I know different from personal experience.

 

So all I can do (going on my past views, feelings and experiences) is plant the seed with others.

 

Please read the book whether you buy, borrow, beg or steal it - (yes, that last suggestion was a joke - so please don't sue me if you get caught!)

 

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