FODMAP Diet

Despite achieving remission in terms of blood and d on Imuran, I've been really bloated for about a year now. My gastroenterologist referred me to a dietician who specializes in FODMAP. But after being on it for about 3 weeks my situation seems to have got worse. More bloating and gas (really uncomfortable)

I've been really strict with the diet, just eating rice, poultry, fish, ripe bananas, steamed carrots and parsnips and potatoes but it just gets worse. Wondering if anyone else has had these problems with FODMAP? Not sure if I should stick with it for a bit more or change it up.

Cheers

I'm surprised you're eating ripe bananas. How many are you having? They're just awful for me.

I had good luck learning what really causes my symptoms with the FODMAP elimination diet.

I've done fodmaps on my patients, it's tricky sometimes. Are you avoiding lactose and excess fructose as well? So is what you listed all that you have been eating??

Are you constipated? Sometimes just resolving the constipation can relieve the bloating. If you are then cut back on the rice, you can have potatoes as a starch. Maybe take 2-3 dried apricots (make sure organic with no preservatives) before bed and drink plenty lf water 35-45 ml/kg/day: to get your bowels moving if you are constipated.

Another potential cause of bloating is food chemical sensitivity: however the foods you mentioned are also low food chemical, assuming all your meat and poultry is cooked from fresh and you don't let sit in the fridge for too long (before or after cooking).

Also, you need to give ot atleast 6-8 weeks for the diet to work.

Maybe if the above doesn't work for you then investigate SIBO. There are two tests, i'll post the wbsite later, one is LBT and the other GBT: you need to do both.

Most GIs treat SIBO empirically, without the tests.

If thats all you are eating then these are low food chemical anyway, as well as low fodmaps, so if you haven't improved in 6-8 weeks then your problem isn't fodmaps or food chemical sensitvity.

I'd say try probiotics and if that doesn't help after 3-4 weeks then your issue is most likely SIBO. Unless you still have some inflammation left?