What are FODMAPs? Is the FODMAP diet right for you? These answers and more can be found in our FAQ section!
1. What does FODMAP stand for?
F –FERMENTABLE – Fermentation: The process in which bacteria breakdown undigested carbohydrate to produce hydrogen and methane and carbon dioxide gases
O -OLIGOSACCHARIDES – Fructans and Galacto-oligosaccharides (ex. Wheat, Rye, Barley, Onions, Garlic, Legumes)
D -DISACCHARIDES – Lactose (ex. Milk, Yoghurt, Ice-Cream)
M -MONOSACCHARIDES – Fructose (ex. Honey, Watermelon, Apples, Pears)
P -POLYOLS– Sorbitol, Mannitol, Maltitol, Xylitol (ex. Apples, Apricots, Cauliflower, Breath Mints)
2. What happens when FODMAPs are malabsorbed by the small intestine?
When we eat these FODMAP sugars and they are not completely absorbed in the small intestine, the sugars continue to move through to the large intestine where a large colony of bacteria is present. This bacteria then begins to ferment the malabsorbed sugar, producing hydrogen, methane and carbon dioxide gases. The production of this gas can result in uncomfortable gastrointestinal symptoms including: bloating, stomach pain, stomach noises, flatulence, constipation and diarrhoea.
3. What are low FODMAP and high FODMAP diet foods?
Food Group HIGH FODMAP Foods LOW FODMAP Foods Vegetables Asparagus, artichokes, onions(all), leek, garlic, sugar snap peas, beetroot, Savoy cabbage, cauliflower, celery, sweet corn, mushrooms Alfalfa, bean sprouts, green beans, bok choy, capsicum, carrot, fresh herbs, choy sum, cucumber, lettuce, rocket, tomato, zucchini. Fruit Apples, apricots, figs, pears, mango, pears, watermelon, nectarines, peaches, plums Banana, blueberries, strawberries, cherries, kiwi, orange, mandarin, grapes, melon Grains Rye, wheat-containing breads, wheat-based cereals with dried fruit, wheat pasta, barley Gluten-free bread and sourdough spelt bread, rice bubbles, oats, gluten-free pasta, rice, quinoa Meat and Alternatives Legumes/pulses, cashews, pistachios Meats, fish, chicken, Tofu, tempeh, almonds (<10 nuts), pumpkin seeds Dairy Cow’s milk, yoghurt, soft cheese cream, custard, ice cream Lactose-free milk, lactose-free yoghurts, hard cheese
4. Is this a life-time diet?
No the low FODMAP diet is not a life-time diet. You will follow a strict low FODMAP diet for 2-6 weeks and review your progress with a dietitian. The dietitian will then work with you to adapt your diet to your tolerance level by doing FODMAP food challenges. Recent research has also shown that following a strict low FODMAP diet in the long term can reduce levels of certain beneficial bacteria in the gut. As such FODMAPs are important to bowel health and intake up to tolerance level should be encouraged.
5. What happens if I cheat on the diet?
The main aim of a low FODMAP diet is to achieve good symptom control. Occasional intake of FODMAPs may not induce symptoms when the overall load of FODMAPs is reduced. If you do experience gastrointestinal symptoms, return to a strict low FODMAP diet and symptoms should improve within 1–3 days.
6. Do I need a referral?
No. You do not require a referral to see a dietitian.
7. Can I claim anything back on Medicare?
Medicare rebates are available for patients with chronic conditions and complex care needs who have a ‘Enhanced Primary Care (EPC)’ program referral from their GP.
8. Do you offer Skype consults?
Yes. We do offer Skype consults with the same pricing as our regular in clinic consults. Skype consults are also available after hours.