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What Grains to Avoid on Fodmap Diet?

4 min read

According to Monash University, the pioneer in FODMAP research, a low FODMAP diet can significantly reduce symptoms in up to 75% of people with Irritable Bowel Syndrome (IBS). A key step is understanding what grains to avoid on FODMAP diet to manage digestive distress effectively. This guide will detail the specific grains to eliminate and which ones are safe to consume during the initial restriction phase.

Quick Summary

The FODMAP diet is a three-step process designed to manage IBS symptoms by limiting specific fermentable carbohydrates. This article identifies high-FODMAP grains like wheat, rye, and barley, explaining why they can cause digestive discomfort, and offers numerous low-FODMAP alternatives to support better gut health.

Key Points

  • High-FODMAP Grains to Avoid: Wheat, rye, and barley are the primary high-FODMAP grains to eliminate due to their high fructan content.

  • Low-FODMAP Grain Alternatives: Safe alternatives include rice, quinoa, oats (in moderation), buckwheat, millet, and corn-based products.

  • Fructans vs. Gluten: The low-FODMAP diet restricts fructans (carbohydrates), not necessarily gluten (a protein). Many people sensitive to gluten-containing grains are actually reacting to the fructans.

  • Sourdough Exception: Spelt sourdough bread is low in fructans due to the fermentation process, making it a safe option in small portions.

  • Portion Control is Key: Even low-FODMAP grains can cause symptoms if consumed in large quantities, so always follow recommended serving sizes.

  • Three-Phase Process: The low-FODMAP diet is a temporary elimination diet followed by a reintroduction phase and a personalization phase.

  • Consult a Professional: Working with a dietitian can help you personalize your diet and ensure you are meeting your nutritional needs while managing symptoms.

In This Article

Understanding the Link Between Grains and FODMAPs

FODMAPs are fermentable oligo-, di-, and mono-saccharides, and polyols—short-chain carbohydrates that are poorly absorbed in the small intestine. For sensitive individuals, especially those with IBS, this poor absorption can lead to gas, bloating, cramping, and other digestive issues as gut bacteria ferment these sugars. The main FODMAPs found in many grains are fructans and galacto-oligosaccharides (GOS), which fall under the 'O' category in FODMAP. Grains and cereals are major sources of fructans in the Western diet, and identifying and limiting high-fructan varieties is crucial for managing symptoms.

The Difference Between High-FODMAP and Gluten-Free

It is a common misconception that a low-FODMAP diet is simply gluten-free. While many high-FODMAP grains like wheat, rye, and barley also contain gluten, the triggers are different. Gluten is a protein, whereas fructans are carbohydrates. Some gluten-free grains may still contain high levels of other FODMAPs, and some grains with gluten, like certain sourdoughs, can be low in fructans due to fermentation. For individuals who react specifically to fructans, a gluten-free diet is not necessarily the answer, and focusing on the FODMAP content is key. Studies have shown that for many with IBS, fructans rather than gluten are the primary culprits for symptoms.

A Comprehensive List of Grains to Avoid

When following the elimination phase of the low-FODMAP diet, it is important to be vigilant about avoiding the following grains and products made from them:

  • Wheat: This is one of the most common high-FODMAP grains due to its high fructan content and prevalence in modern diets. Avoid wheat-based bread, pasta, couscous, most cereals, and baked goods.
  • Rye: Contains even higher levels of fructans than wheat, and should be strictly avoided. This includes rye bread, rye crispbreads, and cereals.
  • Barley: Another significant source of fructans, found in pearl barley, barley flakes, and some mueslis.
  • Spelt: While some sourdough spelt is low-FODMAP, spelt flour and flakes are generally high in fructans and should be avoided.
  • Other high-FODMAP grains: This list includes less common grains and pseudograins that are high in fructans or GOS, such as amaranth (puffed is okay, but flour should be limited), freekeh, and kamut.

Low-FODMAP Alternatives for Your Diet

Luckily, there are many delicious and nutritious low-FODMAP grain options available. These are safe to eat in typical serving sizes during the elimination phase:

  • Rice: Brown, white, and basmati rice are all safe choices.
  • Oats: Plain oats, in appropriate servings (often 1/2 cup), are a great breakfast option.
  • Quinoa: A protein-rich grain that is a fantastic substitute for couscous or rice.
  • Corn: Corn tortillas, polenta, and popcorn are low-FODMAP.
  • Buckwheat: Used as a flour or in kernels, buckwheat is safe for the diet.
  • Millet: A nutritious, gluten-free option.
  • Sourdough Spelt Bread: The fermentation process reduces the fructan content, making it low-FODMAP in specific portion sizes (typically two slices).
  • Teff: A naturally gluten-free grain that is a great source of fiber.

High-FODMAP vs. Low-FODMAP Grains Comparison

High-FODMAP Grain (Avoid) Low-FODMAP Alternative (Safe) Key FODMAP Component(s)
Wheat (bread, pasta) Rice (brown, white) Fructans
Rye (bread, crackers) Oats (plain, rolled) Fructans
Barley (pearl, flakes) Quinoa (grain, flakes) Fructans, GOS
Spelt Flour (most types) Buckwheat (flour, groats) Fructans
Couscous (wheat-based) Millet (grain, flour) Fructans
Kamut Sourdough Spelt (bread) Fructans
Amaranth Flour Teff Fructans

The Importance of Monash University Certification

When shopping for packaged low-FODMAP foods, always look for products certified by Monash University. The Monash FODMAP app provides the most up-to-date and reliable information on specific serving sizes and food listings, helping you navigate the diet effectively. It is important to note that even a low-FODMAP grain could trigger symptoms if consumed in excessive quantities, so portion control is always important. The ultimate goal of the diet is to identify your personal triggers and tolerance levels during the reintroduction phase.

Planning Your Low-FODMAP Grain Intake

After the initial elimination phase, you can begin the reintroduction phase, where you test different FODMAP groups one at a time. This helps you determine your personal tolerance to grains like wheat, rye, and barley. For some, a small portion of a high-FODMAP grain might be well-tolerated, while others may need to avoid it completely. Working with a registered dietitian can provide personalized guidance throughout this process, helping you transition to a personalized, long-term diet that minimizes symptoms without unnecessary food restrictions. This balanced approach is crucial for both managing IBS and ensuring you maintain a varied, nutritious diet.

Conclusion

Understanding which grains to avoid on a low-FODMAP diet is a fundamental step in managing IBS and other digestive issues. The key takeaway is to reduce or eliminate high-fructan grains like wheat, rye, and barley, and to replace them with safe, low-FODMAP alternatives such as rice, quinoa, and oats. While many high-FODMAP grains also contain gluten, the intolerance is often to the fructan carbohydrate rather than the gluten protein. Following the guidance of reliable resources like the Monash FODMAP app and working with a dietitian will ensure you successfully navigate the different phases of the diet and find a sustainable eating pattern that minimizes symptoms and promotes overall gut health.

Where to find more information

For the latest verified information and certified low-FODMAP products, consult the official Monash University FODMAP app, which is regularly updated with new food data. Monash FODMAP

Frequently Asked Questions

Grains are primarily restricted because many common ones, like wheat, rye, and barley, are high in fructans, which are a type of fermentable carbohydrate known to trigger IBS symptoms in sensitive individuals.

Plain, rolled oats are generally considered low-FODMAP in typical serving sizes (e.g., ½ cup). However, some processed oat products or large quantities could become high-FODMAP, so it is best to check the Monash FODMAP app for specific portion guidance.

No, the FODMAP diet is not the same as a gluten-free diet. While many high-FODMAP grains contain gluten, the diet targets fermentable carbohydrates (like fructans) rather than the gluten protein itself. This is why some gluten-containing products, like certain sourdoughs, can be low-FODMAP.

The long fermentation process used to make traditional sourdough bread helps to break down the fructans in the flour, significantly reducing the FODMAP content. This makes it a suitable alternative for many people on a low-FODMAP diet, provided it is consumed within recommended serving sizes.

Excellent low-FODMAP flour options include rice flour, buckwheat flour, millet flour, and cornmeal. Many gluten-free flour blends are also low in FODMAPs, but it is important to check the ingredients for other high-FODMAP additives.

The strict elimination phase of the diet typically lasts for 2 to 6 weeks. After this, you will reintroduce different FODMAP groups, including grains, to test your personal tolerance. The goal is to return to the least restrictive diet possible while managing symptoms.

Some individuals may tolerate small amounts of certain high-FODMAP grains without symptoms. However, during the elimination phase, it's best to avoid them completely. During the reintroduction and personalization phases, you can test your tolerance levels to find what works for you.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.