Lifestyle

How-to stop stomach pain with diet?

wSTOMACH - Host and Care Medical Journal

Suffering from stomach pain? If every meal fills you with fear of the stomach pains, the bloating and the unpleasant time in the bathroom that will follow, you might want to try the food map method. The diet removes some delicious things from the menu, but will help you stop suffering. So what is allowed and what is not allowed to eat?

Food Map (FODMAP) is a diet that aims to relieve the symptoms of those suffering from irritable bowel or stomach pain and endometriosis by giving up high-carbohydrate foods that weigh on the stomach.

The name of the diet is an acronym for the types of problematic carbohydrates. Remove from the menu foods that contain them, and then add them one by one and check how the excitement is.

Not recommended for stomach pain: foods rich in gluten and lactose, some fruits and vegetables, as well as silane and honey. 

Recommended to avoid stomach pain: foods low in gluten and lactose, for example buckwheat flour and low-lactose milk, and some fruits and vegetables.

Do you dream of pizza , but know that after two triangles you will find yourself writhing in pain? Do you daydream about milkshakes, but every sip is mixed with the dread of the stomach aches that will come a little later? You may have irritable bowel syndrome (IBS) or in its more refined and more recent name: sensitive bowel .

Such is: stomach pain. This is a common chronic disorder. How common? The most common today in the digestive system. It is usually diagnosed after ruling out other symptoms, and its symptoms are very varied and are experienced to different degrees of intensity by different people: there are people for whom irritable bowel or stomach pain is a constant nightmare in life, and there are those who manage to live with it – even though it is not the most comfortable. But in neither case is the situation particularly pleasant. 

Symptoms include abdominal pain, bloating , gas , constipation or diarrhea (or both alternately). Many times the symptoms come some time after the meal. The connection to food is not accidental. Two thirds of those who suffer from it report a connection between what goes into their mouth and the onset of symptoms.

How are you treated? There are all kinds of ways to make it easier, and in the last decade an approach has developed that is directly related to what you eat. It is called food map, (FODMAP), acronyms for types of carbohydrates that can cause the stomach to react with pain.

It was invented in Australia, and from there it continued all over the world, and with its help they identified and diagnosed several nutritional factors that may irritate and challenge the digestive system in people with irritable bowels or stomach pain.

Your bacteria are working too hard for stomach pain

The FODMAP diet is an elimination method, that is, a method in which “suspicious” foods are removed from the menu , especially those that contain certain carbohydrates (eg fructose, lactose, sorbitol, etc.) and check if the situation improves.

What have carbohydrates done to us? Some of them are not absorbed properly. On the other hand, they are well digested by our bacteria in the intestines. These break them down and use them to grow and prosper.

The bacteria do this by fermenting the carbohydrates, and in this process gases, methane and hydrogen are formed. We do not feel the decomposition process, but we do feel the accumulation of gases and the disruption in the frequency of bowel movements (which manifests itself in increased bowel movements or constipation)…

We all have good bacteria in our digestive system. In fact, we have bacteria that live with us in symbiosis everywhere in the body: in the gut, on the skin, in the eyes. This whole system of bacteria is called microbiota. Research shows that the bacteria that live with us play a central role in strengthening the body, and we derive a lot of benefit from their existence. Many of these bacteria live in our intestines.

The problem begins with those who are diagnosed with IBS, irritable bowel syndrome, when the body is only able to absorb a small portion of the carbohydrates, so too much of them reaches the bacteria. This creates an imbalance: the bacteria get too much food and work too much, and their increased activity causes much more bloating, gas, discomfort and abdominal pain.

Carbohydrates also often cause large amounts of water to enter the intestines – another explanation for the feeling of fullness and bloating. A lot of water intake helps many people to evacuate in a better way, and this is one of the reasons why it is recommended to consume respectable amounts of fiber, but in some IBS patients they can actually cause diarrhea.

Does someone diagnosed with irritable bowel need to limit the amount of dietary fiber? Yes, mainly because foods rich in fiber sometimes also have a lot of food from scratch.

Stop Stomach Pain

Bye bye croissant with chocolate for stomach pain

The types of carbohydrates that are avoided at the beginning of the process are: fructose (fruit sugar), lactose (milk sugar), fructans (found in wheat, garlic, onions), galactans (found in legumes), polyols (often used in the artificial sweetener industry and naturally present in foods such as avocados and plums).

Studies show that limiting these carbohydrates reduces symptoms, especially those related to diarrhea and bloating. A positive change was also observed in about half of the patients who ate according to this method.

So what do you eat to stop stomach pain?

Cereals and pastries:  baked goods based on buckwheat flour (breads and pitas), buckwheat, rice of all colors (crisps, crackers and rice noodles), corn (mameliga, polenta), quinoa of all colors, tapioca, sorghum, millet, potato and quark. 

Please note:  it is not the gluten that you are avoiding, but the fiber that is in the gluten-rich carbohydrates. In other words, the method does not require you to avoid gluten but to minimize the fiber found in the grains that contain it. Therefore, for example, you can eat products made from spelled flour.

Protein foods: meat, fish, eggs, hard tofu and tempeh. Low- lactose dairy products such as hard cheeses (cottage, salty, yellow, cream cheese, mozzarella, butter) and low-lactose milk. Milk substitutes (rice/almond drink).

Legumes: 3 tablespoons of sprouted and cooked mash beans, 1/4 cup of cooked legume, 1/2 cup of red beans.

Vegetables: Chinese sprouts (mash), alfalfa sprouts, carrots, endive, ginger, green beans, lettuce, chard, pak choi, Japanese pumpkin, red pepper, spinach, tomatoes, cucumber, zucchini, basil, cilantro, parsley , marjoram, mint, lemon, oregano, seaweed, eggplant, fennel, kale.

In a small amount (a quarter of a cup): leek leaves and green onion (the green part), radish. 

Fruits:  hard banana, cranberry (one tablespoon), melon, kiwi, lemon, tangerine and orange, papaya, sabers, pineapple, passion fruit, strawberries, carambola, raspberry, guava, pitaya (also known as dragon fruit and dragon fruit).

Fruit juices:  theoretically you can drink up to half a glass a day, but in practice this is not recommended because the amount of fruit sugar (fructose) is too large in all types of fruit. In short: it is better to avoid.

Fats: olive oil, canola, olives, macadamia, peanuts, walnuts, pine nuts, pecans, butters from these nuts, flax, chia, sesame and tahini, pumpkin and sunflower seeds. Mayonnaise and mustard. Almonds and hazelnuts – allowed in moderate amounts, up to 10 units per day.

Sweeteners: sugar, maple, sucralose.

Sweets: Fur dark chocolate, waffles and cookies without gluten and without sugar substitutes, popcorn, gluten-free corn and peanut snacks such as bamba, sugar-based fruit jam.

And what else: soy sauce, vinegar, brewer’s yeast.

Please note :  there are other foods that can be eaten in smaller quantities. Since these are different quantities, they cannot be listed here. It is recommended to consult with a nutritionist who specializes in irritable bowel syndrome or stomach pain, and it is highly recommended to download one of the apps that list the amounts of pods from scratch in the various foods.

And what don’t you eat for stomach pain?

Cereals and pastries: wheat, barley and rye, pasta, couscous, flakes, noodles.

Protein foods: dairy products rich in lactose – milk, yogurt, sour cream, ice creams, milk powders, condensed milk, soft cheeses – ricotta, mascarpone, soy milk and soy products other than tofu.

Legumes in large quantities.

Vegetables: artichoke, asparagus, beet, broccoli, cauliflower, cabbage, Brussels sprouts, garlic, onion, green pepper, mushrooms, porcini, chestnut squash.

Fruits: apple, pear, peach, plum, plum, watermelon, apricot, guava, cherries, lychee, dried fruits (dates, figs and apricots), goji breeze, pomegranate.

Fats: pistachios, avocado , cashews.

Sweeteners: silane, honey, agave, sorbitol, mannitol, isomalate, maltitol, xylitol.

Sweets: milk chocolate, jams based on fruit concentrates (they are often written “jams without added sugar”), snacks based on corn syrup, dried fruits, fruit juices – up to half a glass a day, beyond that the amount of fruit sugar (fructose) is large too in all kinds of fruits.

And what else: coffee substitutes based on chicory and barley, inulin, miso, tomato concentrate – in large quantities the fructose content is high.

Don’t eat all of these forever?

Don’t despair. You will give up these foods for 6 weeks, and then start to gradually put them back into the menu, one by one. If after a few days the side effects do not return – you can conclude that this food does not bother you and integrate it back into the menu. This stage can be very confusing and stressful, so it is recommended to consult a nutritionist who specializes in irritable bowel or stomach pain.

Is it hard for you to last for 6 weeks? Are you unable to give up all foods at once? Ask your family doctor for a referral to a nutritionist who specializes in gastroenterology. She will help you to do the process in an orderly manner and suitable for your regular menu and lifestyle.

And some important points stomach pain diet

It may very well be that it is not only what you eat but how much. Even after you have successfully combined some of the foods, it may be that if you eat a lot of them at once, say orange lentils, peach and yogurt in the same day, you will feel unwell. This way you can conclude that a large amount is not good for you. Do not overload your stomach, eat a little of the “suspicious” foods every time.

There is actually something comforting about that. You will not be forced to avoid foods that taste good to you but oppress you forever. You can occasionally eat something that digests less well, as long as you don’t cross the threshold. What is the threshold? How much is too much for you? You will find out with trial and error.

In the same breath it is important to note that people who suffer from irritable bowel are different from each other. There are those for whom legumes do not make a mess in their stomachs, but white flour causes a lot of trouble; And there are those for whom dairy products go well, but the fruits are oppressive, and there are countless other such examples. The solution is to listen to your stomach and your physical reactions after eating.

You may also find that what affects your eating the most is the time of the meal. Maybe you should eat a very small meal in the evening, and eat the main thing in the morning and noon?

And maybe it’s your mood that affects your digestive system – try to see if there is a connection between your emotions and the state of your digestive system. Mood, busyness and stress often affect the functioning of the digestive system, and in some people the effect is more significant than in others.

And a little tip about constipation:

Make sure you drink enough water and that you consume enough fibrous foods low in food map such as quark and strawberries. Follow the other basic instructions such as chewing well, eating slowly and drinking plenty of fluids.

Also be sure to read the food labels and avoid the prohibited foods, especially snacks and industrial food rich in fructose syrup, for example sugar-free jams.

It is important to verify and rule out other factors that affect the digestive system. Pay attention if you drink enough or alternatively drink a lot of alcohol and caffeine, eat disorderedly or do not chew properly. seriously.

Is it “just” irritable bowel or stomach pain?

As mentioned, a diagnosis of irritable bowel syndrome or stomach pain is given after ruling out other health conditions, so it is important to contact a doctor or a gastro doctor who will talk to you, examine you and, if necessary, refer you for additional tests. And remember, mental state also affects the state of the stomach. If you suffer from stress or anxiety, you deserve to feel good, treat them too.

You should follow the basic guidelines: eat small amounts spread out throughout the day and minimize heavy food: fat and meat, fried foods and hard-to-digest fiber.

You should also consider complementary medicineCombining complementary treatments in your attempts to lose weight can help maintain a balanced lifestyle, increase metabolism and inject renewed energy into the cells.

Recommended meals for happy stomachs

Breakfast:
water-based oatmeal, with brown sugar, hard banana and cinnamon.
Or
apple rice flakes with almond milk, strawberries or melon and a handful of chopped walnuts.
And if you want a sandwich:
2 slices of buckwheat bread with tahini and green cucumber.
Or
spelled flour pita with Bulgarian cheese and tomato.

Lunch:
vegetable soup: 1/4 leek, fennel, cherry tomatoes, carrot, zucchini, cilantro with chicken and buckwheat noodles.
Or
stir-fried tofu with green beans, carrots and rice noodles.
Or
quinoa salad, zucchini and eggplant antipasti with lettuce and sunflower seeds in pesto sauce.

Dinner:
fresh tomato and zucchini stew with rice and tahini.
Or
potatoes, peppers and fish baked in the oven in olive oil with herbs.
Or
an omelet, a slice of yellow cheese, 2 slices of spelled bread and a salad that includes tomato, cucumber, carrot, lettuce and cilantro.

Snacks:
sweet/salty rice crispies.
or
dark chocolate, 70% cocoa.
Or
an orange or hard banana with a handful of walnuts and pecans.

or 

Energy balls that contain cocoa, oats, tahini and maple.

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