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Low FODMAP diet as nutritional therapy

In the low FODMAP diet, foods containing fermentable oligosaccharides, disaccharides, monosaccharides and polyols are reduced. Some irritable bowel syndrome sufferers respond to this dietary therapy.


When can a low FODMAP diet be useful?

A low FODMAP diet cannot cure irritable bowel syndrome - but it can be a useful therapy. According to the current guideline , a low FODMAP diet in three phases should be recommended for patients in whom irritable bowel syndrome manifests itself in particular through pain, bloating and diarrhoea.

The three phases of the low FODMAP diet

A low FODMAP diet plan should be divided into three phases. During each of these phases, patients may be advised to keep a food and symptom diary.

Low FODMAP diet requires expert advice

A low FODMAP diet severely restricts the choice of foods and can also have an impact on the intestinal microbiota. Patients should therefore be advisedd by a trained dietitian to find suitable low FODMAP foods and ensure an adequate intake of important nutrients, including fibre.

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Sources

  • Layer P et al. Update S3 guideline irritable bowel syndrome... Z Gastroenterol 2021; 59: 1323-1415.