September 12, 2020
Bruce and I had a bit of scare, we had been very afraid that the colon cancer had came back. He was having the same symptoms that he had had when they discovered he had stage 3 colon cancer 16 years ago.
To our great relief, his colonoscopy came back clean! So, what was causing his symptoms?
The doctor felt it could be a something that he was eating and put Bruce on a low FODMAP diet. FODMAP = Fermentable Oligo-Di-Monosaccharides and Poloyols Yep, even though I minored in chemistry in college I had to look that up. The following information is from the Stanford Hospital & Clinics, Stanford Medical Center, Digestive Health Center Nutrition Services, Kate Scarlata & Monash University Low FODMAP App amd USDA Nutrient Databank.
FODMAP are sugars (carbohydrates) that are found in foods. FODMAPs in the diet are:
- Fructose (fruits, honey, high fructose corn syrup)
- Lactose (dairy)
- Fructans – aka insulin (wheat, onion, garlic)
- Galactans (beans, lentils, legumes, soy)
- Polyols (stone fruits such as avocado, apricots, cherries, nectarines, peaches, plums, sweeteners containing sorbitol, mannitol, xylitol, maltitol)
FODMAPs pull water into the intestinal track and may not be digested or absorbed well, which may cause them to be fermented upon by bacteria in the intestinal track when eaten in excess.
In case you were wondering, the symptoms are gas, bloating, cramping and/or diarrhea. Bruce had horrible cramping and all the above symptoms before his diagnosis of colon cancer and he said this was as bad.
So, what can he eat for the next six weeks before he can start adding foods back into his diet?
|Food Group||Food to Eat||Foods to Avoid|
|Meats, Poultry, Fish, Eggs||Beef, chicken, canned tuna, eggs, egg whites, fish, lamb, pork, shellfish, turkey, cold cuts||Foods made with high FODMAP fruit sauces or with high fructose corn syrup|
|Dairy||Lactose free dairy, small amounts of cream cheese, half and half, hard cheeses (cheddar, Colby, Parmesan, Swiss), mozzarella, sherbet, butter||Buttermilk, chocolate milk, cottage cheese, ice cream, creamy/cheesy sauces, milk from cow, sheep, or goat, sweetened condensed milk, evaporated milk, soft cheeses (Brie, ricotta), sour cream, whipped cream, yogurt|
|Meat and dairy alternatives||Almond milk, rice milk, rice milk ice cream, nuts, nut butters, seeds||Cashews, chickpeas, coconut milk*, coconut cream*, beans, black eyed peas, hummus, lentils, pistachios, soy products (Note: some sources say that canned chickpeas* and lentils* that have been rinsed are okay.)|
|Grains||Wheat free grains/wheat free flours, gluten free bagels and breads, gluten free hot/cold cereals (corn flakes, cheerios, cream of rice, grits, oats) gluten free crackers, noodles, pastas, pancakes, pretzels, and waffles, quinoa, rice, tapioca, corn tortillas||Chicory root, insulin, grains with high fructose corn syrup, wheat, flours, foods made with wheat, einkorn, emmer, kaput, spelt, durum flour, farina, graham, semolina, flour tortillas, rye|
|Fruits||Bananas, berries, cantaloupe, dragon fruit, grapes, grapefruit, honeydew, kiwi, kumquat, lemon, lime, mandarin, orange, passion fruit, pineapple, rhubarb, tangerine||Avocado*, apples, applesauce, apricots, dates, canned fruit, cherries, dried fruit, figs, guava, lychees, mango, nectarines, pears, papaya, peaches, plums, prunes, persimmon, watermelon|
|Vegetables||Arugula, bamboo shoots, bell peppers, bock choy, cucumbers, carrots, celery, sweet corn*, eggplant, lettuce, parsnips, potato, radish, spinach, swiss Chard, squash (butternut, winter), yams, sweet potato, tomatoes, turnips, water chestnut, zucchini||Artichokes, asparagus, beets, leeks, broccoli, brussels sprouts, cabbage, cauliflower, fennel, garlic, green beans, mushrooms, okra, onions, peas, snow peas, sugar peas, summer squash|
|Desserts||Any made with allowed foods, dark chocolate||Any made with high fructose corn syrup or made with foods to avoid, milk chocolate|
|Beverages||Low FODMAP fruit or vegetables juices limited to 1/2 a cup at a time, coffee, tea, limit wine and beer to drink a day||Any with high fructose corn syrup, high FODMAP fruit or vegetable juices, fortified wines (sherry, port), rum|
|Most spices and herbs, homemade broth, butter, chives, flaxseed, garlic flavored oil, garlic powder, olives, margarine, mayonnaise, onion powder, olive oil, pepper, salt, sugar, maple syrup without high fructose corn syrup, mustard, low FODMAP salad dressings, soy sauce, marinara sauce (small amounts), vinegar, balsamic vinegar||High fructose corn syrup, agave, chutneys, coconut*, garlic, honey, James, jellies, molasses, onions, pickle, relish, high FODMAP fruit/vegetable sauces, salad dressings made with high FODMAPs food, artificial sweeteners: sorbitol, mannitol, isomalt, xylitol (cough drops, gums, mints)|
*The sources disagree if these foods should be avoided or not.