Posted 29 September 2012 - 12:58 PM
Fodmaps is considered an "elimination" diet. The idea is to start out very strict for at a certain period of time, and see it if helps. If the answer seems to be yes, then very slowly add back into your diet one new food at a time. The foods on the fodmaps lists are really just guidelines, based on a scientific principal, numbers of test subjects and responses of those suffering various forms of IBS or gut irritation; as you suggest, everyone is different and ultimately will come up with a very personalized diet that works best for them.Some people might find that all dairy products are irritating. Others might find all that the culprit is wheat or gluten. Others might find both are problematic. The idea is to give your body a chance to adjust to the least offensive diet you can imagine for whatever your condition. The more restrictive and careful the diet you start with, the best chance of finding out what your trigger foods are in the shortest amount of time. Just make sure to start with a diet that is balanced, so you get protein, some carbs, and some fruits and veggies etc as per the fodmaps list.Here's what I started with: no red meat, no dairy, no wheat, no beans or legumes and generally low fat. Eggs in moderation. Only fruits and veggies on the low fodmaps scale, and nothing that seemed questionable. In a week I felt a lot better, so I had a piece of white bread toast. Several hours later I had terrible diarrhea. Okay, so back to no wheat, and no more diarrhea. I don't know if this means I should stay away from wheat for the rest of my life or whether I should be on a gluten-free diet, but the next time I try wheat will be with only a few bites at a time and not yet--it's only been two weeks since I've been on a strict fodmaps diet. I wish there was a magic bullet, but I'm thinking no. Oh, and I also eat small meals and snacks, rather than three large meals a day. And I chew my food like a lunatic to break it down and to stop me from eating too much too fast. Since you have IBS-C you may want to look carefully into the various types of fibre available on the diet. You probably need a reasonable amount of fibre, but it's possible that one type is better for your system than another or there's a supplement that will work for you. It's a science experiment. I have PI IBS-D, so your needs will not be the same.