Can A Gluten Free Diet Help IBS?

And how is that different from a low-fodmap diet?

Hi again Fodmappers

I've noticed that there seems to be a lot of confusion surrounding gluten and whether going gluten-free can help reduce the symptoms of IBS, so that's what I want to talk about today. I also want to look at why you need to avoid wheat, barley and rye as part of a low-fodmap diet, and, finally, why some gluten-free products are not suitable for a low-fodmap diet. But first lets look at the difference between gluten and FODMAPs.

Gluten vs FODMAPs

Gluten is a protein (or more accurately a combination of two proteins) found in grains, particularly so in wheat but also in rye and barley, and it is this which gives dough it's stretchy quality. If you have bought flour for baking bread you will probably have bought a 'strong flour' as this type contains more gluten than the flour you might use for cakes or biscuits as bread making needs the elasticity that gluten provides. It's gluten that is a factor in coeliac disease.

Approximately 1 in 100 people in the U.K have coeliac disease. 'Coeliac disease is not a food allergy or intolerance, it is an autoimmune disease. In coeliac disease, eating gluten causes the lining of the small intestine to become damaged.' (1) People who have coeliac disease need to avoid ingesting even the smallest amount of gluten as to do so can cause further damage to the lining of the gut.

Fodmaps, on the other hand, are a group of carbohydrates found, not only in grains, but also in fruit, vegetables, nuts, pulses and dairy produce. 'Current research strongly suggests that this group of carbohydrates contributes to IBS...' (2)

IBS is much more common than coeliac disease, affecting between 1 in 4 and 1 in 10 people at any given time. (3) Though it is a chronic condition, it is a functional disorder. That is to say, the problem is in the way the gut functions, rather than in any damage to the gut itself.

Though wheat, barley and rye contain gluten they are also high-fodmap, and this seems to be where the confusion arises.

If you have IBS you may have discovered that you feel better if you eat gluten free products rather than wheat-based breads, biscuits, cakes, pastas and cereals. However, this is likely to be because, by choosing gluten free, you are also removing high-fodmap grains (such as wheat, rye and barley) from your diet.

A Gluten Free Caution

But if you have IBS, you do not need to avoid gluten, you need to avoid fodmaps. In fact fodmappers need to be careful when choosing 'gluten-free' as these products are designed for people with coeliac disease not IBS. Just because they are gluten-free doesn't mean they are necessarily low-fodmap. Remember fodmaps are found in more than just grains, and gluten-free products may also contain soya flour, apple fibre or inulin (from chicory) all of which are high-fodmap.

So the short answer to the question, 'can a gluten free diet help IBS?', is yes. But it has nothing to do with gluten. I hope that's cleared things up a bit?

'Til next time Fodmappers - Stay Fabulous. x

1. https://www.coeliac.org.uk/coeliac-disease/myths-about-coeliac-disease/
2. http://www.med.monash.edu/cecs/gastro/fodmap/
3. http://www.aboutibs.org/site/what-is-ibs/facts/

Why Keeping A Food Diary Didn't Help My IBS ..

And How You Can Make It Work For You.

Hi Fodmappers - How are you?

I have a couple of questions for you. Do you keep a food diary? And how useful are you finding it?

When I was diagnosed with IBS (and this was pre-fodmap) my G.P suggested I keep a food diary as I felt sure that my symptoms were, at least, aggravated by certain foods. And as this made perfect sense, I did just that. I still have it as it doubles up as my recipe book but looking back it's scary to see what I was eating!

But as careful as I was in recording everything I ate, as well as keeping notes on the events of the day in case stress was a factor, I couldn't make head or tail of what was making me ill. I had already cut out coffee and orange juice at that point as I had noticed that those were definitely a trigger for me but I wasn't getting any further in pin-pointing which other foods were a problem for me. Does that sound familiar?

When I discovered FODMAPs I realised why this was. I was going about this the wrong way round!

Let me give you an example of a meal from just one of my old diary entries. It was one of our favourites - Vegetarian Spaghetti Bolognaise.

The ingredients we would use were onions, garlic, red peppers, soya mince, passata, herbs and, of course, spaghetti. Nothing complicated there really, just a typical vegetarian meal, but if i'd known then what i know now! OMG!

In case you are still new to the low-fodmap diet, let me take you through that list.

Onions = High Fodmap
Garlic = High Fodmap
Red Peppers = Low
Soya =  High Fodmap
Tomatoes = Low
Herbs = Low
Spaghetti (Wheat) = High Fodmap

Looking at that, it really is no surprise I was unwell!

One of the problems with a food diary is that you need to list all the ingredients of everything you eat separately. And that includes the ingredients of shop bought products. You soon learn this, if you haven't already, as even foods which appear to be fodmap friendly (such as gluten free breads) can contain high fodmap ingredients like soya flour. But without knowing about fodmaps, unravelling the ingredients and the symptoms is pretty near impossible. Or at least I found it so.

As soon as I learned about the low-fodmap diet it just made so much sense. Rather than looking for a needle in a haystack (which is what I felt I was doing) you cut out ALL likely trigger foods and reintroduce them a few weeks later, one at a time, to see which ones cause the problems. It's so simple and so logical! This is when keeping a food diary comes into it's own. You can do just what I was failing to do, you can pinpoint EXACTLY what is upsetting you. And you can see how much better you can feel.

One of my first low-fodmap entries read;

"Felt pretty good most of the day, though a little bloating (very little) after lunch and evening meal. Both times this was short lived (less than an hour) and no pain!"

I'd been in a lot of pain prior to starting my low-fodmap journey, and though I think I was reluctant to get my hopes up at that point, that entry showed me there might just be light at the end of the tunnel. The bloating lessened soon after.

As for the bolognaise - I'm sure I've mentioned before that cutting out high-fodmap foods isn't about depriving yourself, it's about replacing them with low-fodmap alternatives such as spring onion greens instead of onions, garlic infused oil instead of garlic and opting for wheat free pasta. We do just that and we use diced aubergine instead of soya mince for that bolognaise texture. (See how I've just sneaked in another yummy recipe for you?) I'm also really enjoying discovering new pastas. Who knew there were so many out there?!

So if a food diary isn't working for you, maybe consider going about it the other way around?

'Til next time Fodmappers - Stay Fabulous! x

Buckwheat - The Wheat You Can Eat

 

Don't panic Fodmappers! If you haven't already discovered Buckwheat I have a surprise in store for you. Buckwheat isn't wheat - which means you can eat it as part of a low-FODMAP diet.

Buckwheat is something which is called a 'pseudocereal' (1) because, though it isn't a grass (which wheat is) it can be used in much the same way as grains which are. Buckwheat flour can be made into bread, pastry or pancakes (though when making pancakes remember to use a lactose-free milk) or bought as pasta or noodles. The grains can be toasted and then cooked in twice the volume of water (one cup of grains to two cups or water) to make a nice and nutty change from rice. Alternatively they can be sprouted in just a few days and added to salads, breads or breakfast cereals.

Sprouting Buckwheat couldn't be easier. Of all the grains I've sprouted over the years, this is definitely one of the quickest to grow. I use the Bio-Snacky jar but you could also use an ordinary large jar and a piece of muslin. Simply put a couple of tablespoons of grains into the jar, rinse well, soak for about 30 mins and then strain. Rinse and strain twice daily until the grains develop little tails - which in warm weather might be as quickly as 2 days.

Alternatively you could just use a sieve, like this guy does here. Take it away chef!

If you're still not convinced you might be interested to know that Buckwheat is incredibly good for you! (2) It is high in zinc, copper, potassium and manganese and also high in protein. Protein can be a bit of a challenge for vegetarian and vegan fodmappers as many of the usual sources (such as lentils, chick peas, soya and tvp) are high-fodmap and therefore to be avoided. Buckwheat can replace some of the lost protein. It is also a good source of soluble fibre.

As you can see from the sneaky peek into my kitchen above, I've rather taken to Buckwheat. You might even notice that the label on the taller jar reads 'Buckwheat - Yum'. To be honest, unless it's toasted it doesn't have a strong taste at all, which means it will pretty much go with anything you fancy. Right now I fancy cake. I found this recipe on 'A Clean Bake'. Mmmm - Buckwheat cup-cakes. Got to try that.

'Til next time Fodmappers. 

1. http://en.wikipedia.org/wiki/Pseudocereal

2. http://nutritiondata.self.com/facts/cereal-grains-and-pasta/5681/2