The RD discusses the use of the FODMAP assessment to identify potential trigger foods. Describe the use of this approach for Mrs. Clarke. How might a food diary help her determine which foods she should avoid?

Question

What will be an ideal response?

Answer 1

• Foods such as fruit juices, dried fruits, wheat-based foods, high-fat foods, cruciferous vegetables (broccoli, cauliflower, Brussel sprouts, cabbage, etc.), artificial sweeteners, fructose, and legumes (kidney beans, lentils) would be eliminated as these are examples of foods that increase fermentation in the large intestine, which exacerbates symptoms.
• The FODMAP assessment pinpoints specific food groups that have been shown to increase gas production or fermentation. This is a more specific elimination diet.
• A food diary can help the patient see patterns in food consumption and corresponding symptoms. A patient should note what they eat and when their symptoms are severe or when symptoms occur. This will help distinguish which foods are related to IBS symptoms as the patient will be able to observe any correlations between foods eaten and occurrence of symptoms.