The FODMAP Diet

Before we get started, I would like to acknowledge that I am not a doctor and medical professionals know what they are doing so you should talk to one! This guide is not a substitution for medical treatment.

Watch the video version here

Why FODMAP?

In my case, it was because my gut shut down. I could get food in and out, but I didn’t get any nutrients from the things going in. We figured this out because I was super lethargic and my joints were dislocating and every time I tried to eat anything my body responded with convulsing shakes. (also a lot of diarrhea) Not cute. Do not recommend. We think this was caused by a combo of a medication suppressing my appetite, bad food choices, and extreme stress (chronic anxiety/panic attacks messes with your gut unfortunately). That recovery took about ?3 months.

The other times this happened were caused by increased anxiety and consuming far too many of my triggers. And I notice because my joints get super wacky and I suddenly don’t feel full anymore. Also migraine increase. I can usually recover from it within 2-3 weeks. Also with these recoveries I don’t cut out gluten cause gluten-free Sydney is cranky Sydney and nobody likes that.

Either way, I’m glad I know what my gut doesn’t like. I mean, I miss quesadillas. Also being unable to eat garlic and onions and having italo-american relatives is a serious issue. I am lucky to have not been disowned /j.

Okay, enough of that. Let’s get started!

What is FODMAP?

The FODMAP diet (technically the “low FODMAP” diet) is a diet low in a specific short chain carbohydrates (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols) that require extra water to digest. Translation - irritable bowels aren’t fans of these things because they’re harder to digest. Your body may be chill with all of them except one or two, or it could be not a fan at all. For me, some of these things I will probably never be able to add them back into my diet. But many people find just one trigger and otherwise eat quite normally after the bowels heal so do not despair!

Step 1: The Strict Diet

This is the sad bit because it’s super restrictive. Also it usually lasts the most long-term because you have to wait for your bowels to heal (you can usually tell when this happens because you suddenly feel good again - no more cramping, appetite returns, normal poops, no longer starving/dizzy/lethargic, etc.). And, in general, it’s good practice to make sure you’re feeling normal for about a week before you add anything back in.

Also this list can be scary to look at - I promise it’s actually not too bad! I will put my favorite meals and snacks and such after we go through all the parts. Never fear!

Here’s the general list of the No’s - (this is the full list - https://www.ibsdiets.org/fodmap-diet/fodmap-food-list/)

(You should also check out the Monash FODMAP app - it’s $7 but it’s a super great tool made by the people who created this diet. It includes recipes, quantities, and you can make a food diary too. I highly recommend!)

  • gluten

  • onions & garlic

  • lactose

  • beans

  • asparagus, cauliflower, celery, peas

  • apples, blueberries, cherries, watermelon, mango, pomegranate, grapefruit, any pitted fruit (peach, pear, etc.)

  • pistachios, cashews 

  • pesto 

  • fruit juices/teas

Here’s the general list of the Yes’s - (this is the full list - https://www.ibsdiets.org/fodmap-diet/fodmap-food-list/)

  • rice-based things (also cheerios are okay!)

  • corn

  • sourdough and corn bread

  • all meats

  • soy things

  • almond milk/oat milk

  • eggs 

  • broccoli, carrots, cucumber, green beans, kale, squash, spinach, tomatoes, lettuce, peppers

  • potatoes

  • ginger 

  • bananas, cantaloupe, clementines, grapes, honeydew, kiwi, oranges, pineapples, raspberries, strawberries

  • almonds, macadamia nuts, peanuts, pecans, pine nuts, walnuts

  • all seeds

  • quinoa 

And here’s the general timeline (based on my/my friends’ experiences) -

  • cramps should stop in about a week

  • appetite should start to come back in 2 weeks or so

  • once all cramps have stopped, poops are normal (I will just keep talking about poop I hope you’re chill with that), and you start to feel hungry and normal again for about a week or so, onto step 2! This’ll probably take 3-4 weeks. Or more - don’t rush it!

Step 2: Fruits & Veggies

I do this first because a) I really like fruit and b) it’s the hardest of all the things to remember what you can and can’t have. I usually add back about one or two a day because you can tell pretty quickly when one is a Fat No. Welch’s fruit snacks are also welcome at this stage (I highly recommend putting them in the freezer - it is a sensory experience like no other)

Once all the fruits and veggies are back and you’re feeling grand (for about a week), onto step 3!

Step 3: Gluten

I like to add this one back in next because gluten-free diets actually tend to make people more cranky! Like this is a real science thing! The first time I was on this diet I was angry all the time and my dad subtly emailed me a scientific article about it. (I am assuming that was his quiet way of telling me I was being a monster)

Anyway, don’t eat an entire loaf of bread in one sitting. Stick to one or two glutens a day (i.e. one meal, one snack) until you figure out your tolerance. It’s good to be slow and steady. And if things go super wonky, back to step 2 you go. And if you feel good for about a week or so, onto step 4!

Step 4: Beans! (also Pesto)

This is the last not-lactose not-majorly FODMAP thing left so it is logically next. I cannot speak to the pesto situation since I don’t like it, but I had one friend who lived off of pesto and was devastated that she couldn’t have it. And, thus, I designate a pesto step.

Anyway, do this one carefully cause lots of beans = poop explosions. You know what I’m talking about. Avoid at all costs.

Give it a week-ish (or the “I’m so tired of this Ugh” 4 days you tell yourself is a week)

Step 5: Lactose

I haven’t really been able to add this one back in yet. Which is unfortunate. BUT - if you’re not able to add it back in and you have a very extreme love for mac and cheese as I do, Lactaid pills are super great and work wonders. I try to stick to 1 a day just to make sure issues don’t happen, but they’re a lifesaver. Also Lactaid milk in box mac and cheese is high key better and creamier than regular cow milk.

Step 6: Onions & Garlic

I do not know anyone who has gone through this process and been perfectly okay with eating these two things afterwards. If that is the case for you, no worries! I like to cook using onion powder and garlic powder. And it’s honestly fairly easy to avoid onions. I’m at a point where if there is garlic on a steak I will be fine and if there is a small bit of onion in something I will have some diarrhea but be okay. Accidents happen! But a little bit of onion a few meals in a row definitely adds up and you won’t feel good. Just remember that, no matter how much you love pad thai, eating things that destroy your gut is Not A Good Idea.

Moving Forward:

You did it! I’m so proud! Not only do you now know what your triggers are and can avoid them, but you also know your body better than you did before which is also a plus. Good work my dude

Ultimate Food Guide

I say ultimate but also I eat like a stereotypical autistic person/traditional toddler. But it’s fine.

MEALS - note: protein + carb = feeling better & more full

  • eggs cooked in any way you feel

  • cheerios in lactaid/almond/oat/soy milk

  • GF pasta (best is the Barilla Spaghetti) with tomato sauce (most Ragu sauces are only onion powder - check labels)

  • ...put a bunch of vegetables and some rice noodles in a pot and call it dinner?

I don’t have a lot of things here because, generally, chicken or beef + rice + a vegetable is kinda all I ate. And all I currently eat. So… yeah that’s a good meal

If you google “low FODMAP recipes” there are tons of blogs and such with many an option for you to choose from!

SNACKS

  • a bag of dry Kix cereal (dry cereal bags are kind of incredible)

  • some nuts

  • a fruit - banana, cantaloupe, clementine, grapes, honeydew, kiwi, an orange, pineapple, raspberries, strawberries

  • Popcorn (Skinny Pop brand)

  • Tortilla chips (Tostitos)

  • Gluten free pretzels

  • Plain potato chips (in moderation)

  • Peanut butter

  • Sourdough bread

  • Popsicles (Outshine strawberry)

  • Nature’s Promise gf “oreos” are also super good