The low FODMAP diet for SIBO
The low FODMAP diet won’t cure SIBO — but it can quiet the bloating, gas, and bowel changes while the real root causes are addressed. Here’s what FODMAPs are, where they hide, and how the two-stage diet works.
SIBO, or small intestinal bacterial overgrowth, is a complex condition that can be alleviated using a combination of treatments including neurological exercises, supplementation, and proper nutrition through the low FODMAP diet. Following the low FODMAP diet helps to promote healing of the GI system by decreasing symptoms caused by excess gas produced by gut bacteria while the root causes of SIBO are being addressed. Some of these symptoms include bloating, burping, constipation, and diarrhea. For more information on SIBO, read this article.
What are FODMAPs?
FODMAPs are short-chain sugars. The smaller, harder-to-absorb ones — especially oligosaccharides and polyols — ferment in the gut, which is what drives symptoms in SIBO.
FODMAP is an acronym for Fermentable Oligo-, Di-, Mono-saccharides and Polyols (sugar alcohols). These short-chain carbohydrates resist digestion and, rather than being absorbed into the bloodstream, they travel through the intestine. There, opportunistic bacteria feed on them for fuel, producing gas and uncomfortable digestive symptoms in sensitive individuals. When there is an overgrowth of bacteria in the small intestine, as in SIBO, the amount of gas produced by the bacteria is increased and GI symptoms are intensified.1
Common FODMAPs
FODMAPs are categorized by the type of sugar they contain.2 Here are the common groups and where they’re found:
| Group | Sugars | Common sources |
|---|---|---|
| Oligosaccharides | Fructans, GOS | Wheat, rye, onion, garlic, legumes |
| Disaccharides | Lactose | Milk, yogurt, soft cheeses |
| Monosaccharides | Fructose (excess) | Apples, pears, mango, honey, high-fructose corn syrup |
| Polyols | Sorbitol, mannitol | Stone fruits, mushrooms, cauliflower, sugar-free gum & sweeteners |
The low FODMAP diet
The low FODMAP diet was originally developed by researchers at Monash University in Melbourne, Australia, in an effort to determine whether eliminating high-FODMAP foods could improve symptoms in patients with IBS.3 The diet is now commonly used to treat SIBO. Monash University also established the first food analysis program to measure the FODMAP content of a wide variety of foods.
The two stages
The low FODMAP diet is divided into two stages: the restriction stage and the reintroduction stage.
It’s important to keep a food log during reintroduction to record any symptoms that occur after a food is added. If GI symptoms do occur with a reintroduced food, it’s best to wait until symptoms are gone before reintroducing another high-FODMAP food.
Common questions
References (3) ▾
- Ong DK, Mitchell SB, Barrett JS, et al. Manipulation of dietary short chain carbohydrates alters the pattern of gas production and genesis of symptoms in irritable bowel syndrome. J Gastroenterol Hepatol. 2010;25(8):1366-1373. https://pubmed.ncbi.nlm.nih.gov/20659225/
- Gibson PR, Shepherd SJ. Evidence-based dietary management of functional gastrointestinal symptoms: the FODMAP approach. J Gastroenterol Hepatol. 2010;25(2):252-258. https://pubmed.ncbi.nlm.nih.gov/20136989/
- Halmos EP, Power VA, Shepherd SJ, Gibson PR, Muir JG. A diet low in FODMAPs reduces symptoms of irritable bowel syndrome. Gastroenterology. 2014;146(1):67-75. https://pubmed.ncbi.nlm.nih.gov/24076059/
We test to confirm SIBO, then pair the low FODMAP diet with supplementation while we address the overgrowth itself — so relief lasts beyond the diet.