Causes of SIBO

Q: 1. Should I be on a low-FODMAP diet and do FODMAPs trigger SIBO?

A: While a low-FODMAP diet (LFD) has been clinically proven to treat IBS and its related symptoms, such a diet has shown to also be helpful for those suffering from SIBO.  Indeed, by reducing foods high in FODMAPs, there is a good chance that you mayimprove in your digestive health and alleviate gut symptoms.

Q: 2. What are FODMAPs?

A: FODMAP is an acronym for Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols.  This diet restricts a large range of carbohydrates that can be fermented by the bacteria that are inhabiting your gut, especially, in this case, the small intestine.

Q: 3. Where can these sugars be found?

 A: These FODMAP sugars can be found in many foods, such as:

• Fructose, a simple monosaccharide sugar that is commonly found in most fruit, some nike revolution 7 vegetables and sweetness such as honey, agave nectar and Sweetadin.

• Lactose,  a disaccharide sugar, that is found primarily in dairy products.

• Oligosaccharides such as Fructans, which are found in gluten products as well as  fruits, certain vegetables such as onions and probiotics.

• Galacto-oliigosaccharides, primarily found in legumes, and

• Polyols, which are sugar alcohols, such as sorbitol and mannitol that is often used a alternative sweeteners.

Q: 4. What foods that contain FODMAPS should I avoid or reduce?

A: The following foods can contain FODMAPS:

• Beans

• wheat

• Barley

• Rye

• and other grains

• Sweetened cereals

• Ice-cream

• Sweetened and flavoured yogurt,

• Anything that contain high-fructose corn syrup

• Honey

• Agave nectar

• Garlic

• Onion

• Sausages

• Peas,

• Dried fruits

• Butternut squash

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• Cakes and cookies

• Dairy products high in lactose

• and more

Q: 5. Do I stay on this diet for a long time, because I have seen on the SIBO forums that sufferers are on a low FODMAP diet for years?

A: When the low FODMAP diet was devised, it was only intended to be used for a few months during the gut healing phase.  But as you rightly point out, people are on this diet for many years.  This is not a good thing and can make matters worse in the long run.  Many prebiotics (food for your microbiome) are FODMAPs, and are therefor necessary to ensure the health and survival of your healthy microbiome.  You are therefore risking the health of your gut and the microbiome by staying on this food plan for too long.  Indeed prebiotics are now considered more essential than supplemental probiotics (live bacteria that can help increase numbers of your healthy microbiome population and protect the gut from bacteria that can be harmful). 

Q: 6. Is the FODMAP diet the only one that can help reduce my SIBO symptoms?

A:  There are now several diets  other than the LFD that can you can choose from to help alleviate SIBO symptoms and assist in your recovery.  These diets are the Specific Carbohydrate Diet (SCD), the Gut and Psychology Syndrome Diet (Gaps Diet),  or a combination of these diets such as SIBO Specific Food Guide (SCD + LFD, see below) and it’s variant the SIBO Bi-Phasic Diet.  The established prevention diets include all the above plus the Cedars-Sinai Diet.  Another popular diet is the  The Fast Track Diet.

It is vital that you don’t go down this path alone and have a practitioner experienced in this condition, guide you through it and help you choose the right foods to start you on the path of recovery.

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