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FRUCTOSE MALABSORPTION (FM)
Aug 11, 2008 04:34AM
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Many people with bloating and diarrhea get diagnosis of IBS. But actually they may have frucose malabsorption - FM (or lactose intolerance or celiac disease) in which some fruits, vegetables, sugars and other products rich in fructose or sorbitol can't be tolerated. The problem is impaired absorption of fructose and sorbitol in small intestine. Treatment is with low fructose diet.
http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html
Problematic nutrients in FM are: FRUCTOSE, HFCS, SORBITOL and other POLYOLS (maltitol, mannitol, xylitol) and, only in some individuals FRUCTANS.
Most problematic foods are:
- FRUITS: apples, pears, prunes, peaches, sweet cherry, dates, raisins, mango, papaya.
- FRUIT JUICES, JAMS, COMPOTES.
- HONEY
- SUGARS and SWEETENERS: fructose, High Fructose Corn Syrup (HFCS), sorbitol, xylitol, mannitol, maltitol, raw sugar, brown sugar, molasses, Splenda.
- "LOW CALORIE" FOODS AND DRINKS and "sugar free" chewing gum with added sorbitol or xylitol
- WHEAT (contains fructans)
- VEGETABLES: onions, tomato, Jerusalem artichoke, leeks
Low Fructose Diet Details:
http://www.healthhype.com/low-fructose-diet-in-fructose-malabsorption.html
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Those who have ONLY FM without lactose intolerance, small intestinal bacterial overgrowth, celiac disease or intolerance or allergy to some specific food CAN PROBABLY SAFELY EAT:
1. The first thing when you have FM is to find out if you can tolerate foods with fructans: WHEAT, ONIONS, JERUSALEM ARTICHOKES, LEEKS. Most of affected persons can at least in small amount.
2. BREAD and PASTRIES of any kind - without fructose or HFCS
3. CEREALS, CORNMEAL, OATMEAL and the like - if nonsweetened
4. PASTA
5. MEAT - but there is often fructose in breading and some packaged meat products are sweetened with HFCS
6. FISH - canned fish may be sweetened
7. DAIRY - if nonsweetened
8. EGGS
9. VEGETABLES, except sweet ones like beats, cooked carrots, sweet potatoes, canned prickles, etc.
10. Many persons with FM can safely eat BANANAS, ORANGES, GRAPEFRUIT and LEMONS (low in fructose). Many can also eat all kind of berries.
11. PLAIN or MINERAL WATER (nonsweetened), NONSWEETENED TEA. FRUIT JUICES from above mentioned fruits may be ok. DRY WINE and other NONSWEETENED ALCOHOL in limited amount may be ok, but it can aggravate SIBO so find out by yourself if it triggers symptoms in your case..
Glucose and sucrose - table sugar are not recommended despite the fact that they help in absorption of fructose because they are often not tolerated and may cause small intestinal bacterial overgrowth (SIBO).
http://www.healthhype.com/nutrition-guide-for-fructose-malabsorption.html
Problematic nutrients in FM are: FRUCTOSE, HFCS, SORBITOL and other POLYOLS (maltitol, mannitol, xylitol) and, only in some individuals FRUCTANS.
Most problematic foods are:
- FRUITS: apples, pears, prunes, peaches, sweet cherry, dates, raisins, mango, papaya.
- FRUIT JUICES, JAMS, COMPOTES.
- HONEY
- SUGARS and SWEETENERS: fructose, High Fructose Corn Syrup (HFCS), sorbitol, xylitol, mannitol, maltitol, raw sugar, brown sugar, molasses, Splenda.
- "LOW CALORIE" FOODS AND DRINKS and "sugar free" chewing gum with added sorbitol or xylitol
- WHEAT (contains fructans)
- VEGETABLES: onions, tomato, Jerusalem artichoke, leeks
Low Fructose Diet Details:
http://www.healthhype.com/low-fructose-diet-in-fructose-malabsorption.html
-------------------------------------------------
Those who have ONLY FM without lactose intolerance, small intestinal bacterial overgrowth, celiac disease or intolerance or allergy to some specific food CAN PROBABLY SAFELY EAT:
1. The first thing when you have FM is to find out if you can tolerate foods with fructans: WHEAT, ONIONS, JERUSALEM ARTICHOKES, LEEKS. Most of affected persons can at least in small amount.
2. BREAD and PASTRIES of any kind - without fructose or HFCS
3. CEREALS, CORNMEAL, OATMEAL and the like - if nonsweetened
4. PASTA
5. MEAT - but there is often fructose in breading and some packaged meat products are sweetened with HFCS
6. FISH - canned fish may be sweetened
7. DAIRY - if nonsweetened
8. EGGS
9. VEGETABLES, except sweet ones like beats, cooked carrots, sweet potatoes, canned prickles, etc.
10. Many persons with FM can safely eat BANANAS, ORANGES, GRAPEFRUIT and LEMONS (low in fructose). Many can also eat all kind of berries.
11. PLAIN or MINERAL WATER (nonsweetened), NONSWEETENED TEA. FRUIT JUICES from above mentioned fruits may be ok. DRY WINE and other NONSWEETENED ALCOHOL in limited amount may be ok, but it can aggravate SIBO so find out by yourself if it triggers symptoms in your case..
Glucose and sucrose - table sugar are not recommended despite the fact that they help in absorption of fructose because they are often not tolerated and may cause small intestinal bacterial overgrowth (SIBO).
i agree in fact u would be surprised how many people get diagnosed with ibs without proper testing the amount of people who were told they have ibs only to be celiac is amazing .all that suffering ,anxiety and it could be simply treated with the proper diet.same as with all the allergies/intolerances like the above .
it goes to show that when given a diagnosis of ibs intolerance testing should be sought also so that proper solutions can be achieved
good info
it goes to show that when given a diagnosis of ibs intolerance testing should be sought also so that proper solutions can be achieved
good info
This is interesting as I have oral allergy syndrom and can't eat any non-citrus tree borne fruit (including all tropicals) and also find myself sensitive to the artificial sweeteners.I'm also allergic to nuts, the parsley family and the mint family. Can still eat tomatoes, onions, honey. For most of these I only get bad stomach aches, but for the fruit, oral mucosal blistering or anaphylaxis.
Meeps, you obviously have some allergies. If you can safely eat honey, you don't have fructose malabsorption, since honey is high in fructose.
boron, I am glad I found your site. I have a really long story which I wont go into detail here. I have been repeatedly misdiagnosed and only from getting online and investigating my symptoms do I now feel I am getting closer to an answer. I have suffered for years with bloating, diarreha and blisters in my mouth from either an apple or a candy bar. The thought and even sometimes the smell of something sweet can make me nauses. I am 52 now and it seems as the years go by the symptoms get worse. I haven't eaten an orange in probably 25 yrs. I kept trying to improve my diet by eating more vegetables and adding a fruit because I was supposed too because it was healthy. I realize now why every diet and attempt has failed, I would get sick trying to be healthy. I don't mind reading every label because I am tired of being sick. Thanks for your info here, if you have any suggestions for proper diet please don't hesitate.
AZMountainGirl,
you can PM if you want.
Can you answer...in this order:
1. What are your current symptoms?
2. Write down your complete medical history in the time line, including family history
3. What tests have you had so far, what were results?
4. What treatment have you received so far (meds, supps, etc), and what was effect
you can PM if you want.
Can you answer...in this order:
1. What are your current symptoms?
2. Write down your complete medical history in the time line, including family history
3. What tests have you had so far, what were results?
4. What treatment have you received so far (meds, supps, etc), and what was effect
Thank you for responding! I will do as you asked, I will need a little time to compile this info. I will send as soon as I can, Thank you so much!
My two year old daughter has been recently diagnosed with Fructose Malabsorption and Milk/Soy Protein Intolerance. Crazy. I had kept her away from fruit and wheat until after she turned one. Then she progressively got sick. She was very colicky when small: I'm guessing from the MSPI.
Having real trouble finding a good Pediatric GI. I am concerned about whether her FM is Primary or Secondary and I want her to able to grow up healthy! It is so hard to watch her be sick.
She is extremely sensitive...she eats only oats, rice, broccoli tops(no stems), oranges, bananas, chicken, pork, unsweetened almond milk, millet, and a few nuts/seeds.
Having real trouble finding a good Pediatric GI. I am concerned about whether her FM is Primary or Secondary and I want her to able to grow up healthy! It is so hard to watch her be sick.
She is extremely sensitive...she eats only oats, rice, broccoli tops(no stems), oranges, bananas, chicken, pork, unsweetened almond milk, millet, and a few nuts/seeds.
I am currently following the FODMAPS (fructose malabsorption) diet due to long history of digestive issues. I am only one week into the diet...but as of day two, six months of daily diarrhea suddenly stopped and has not returned. I am hoping this lasts and that I have finally found my answer to years of stomach and bowel problems.
Last year I found that I could not eat apples without an emergency run to the bathroom. Then, it was grapes. I thought fruit in general had become a problem for me, but grapefruit and oranges did not cause the same reaction. I figured it was some kind of acid reflux issue, but it was odd that I would not get reflux from acidic fruits. In January I had severe chest pains and thought something was happening with my heart...was diagnosed with heartburn. Not really surprising, but I wasn't going to take any chances. Had an endoscopy/colonoscopy. Gastritis was discovered, but nothing else. Was put on Prilosec, Protonix, Nexium - results minimal. Heartburn went away, but still running to the bathroom everyday.
5-6 months later, after eliminating one food at a time, I googled "can't eat apples" and came across dietary fructose intolerance. The symptoms and foods matched up nearly perfectly. It was starting to make sense that when I ate a breakfast of 2 dollar pancakes (which have corn syrup), cinnamon/sugar, and Aunt Jemima syrup, that I would get a complete energy dump - fatigue so bad I could barely move, and then I would be sick all day. It was as if my system shut down in order to deal with the fructose load. Mangos nearly incurred vomiting. I thought I couldn't tolerate soda because of the bubbles, but it's just as likely to be the high fructose corn syrup. Even canned corn, which has corn syrup and sugar added, gives me indigestion for hours. I'm also finding that certain amounts of wheat cause some mild problems. Add to that the fact that I already have lactose intolerance. So, one meal load of fructose, lactose, and wheat can set me back days.
I am learning to balance my proportion of fructose to glucose now, or just not eat it at all. And limit my intake of lactose and wheat - so as not to overload my system with too much intolerable food. This is a very strange diet, but it seems to be working. I stopped taking the Nexium 3 days ago and the heartburn has not returned, nor has the diarrhea (I tried going off the Nexium in the past, but it had only made the heartburn return). I'm praying that this is the solution and I no longer have to put myself through any more trials.
Good luck to anyone who is having similar problems.
Last year I found that I could not eat apples without an emergency run to the bathroom. Then, it was grapes. I thought fruit in general had become a problem for me, but grapefruit and oranges did not cause the same reaction. I figured it was some kind of acid reflux issue, but it was odd that I would not get reflux from acidic fruits. In January I had severe chest pains and thought something was happening with my heart...was diagnosed with heartburn. Not really surprising, but I wasn't going to take any chances. Had an endoscopy/colonoscopy. Gastritis was discovered, but nothing else. Was put on Prilosec, Protonix, Nexium - results minimal. Heartburn went away, but still running to the bathroom everyday.
5-6 months later, after eliminating one food at a time, I googled "can't eat apples" and came across dietary fructose intolerance. The symptoms and foods matched up nearly perfectly. It was starting to make sense that when I ate a breakfast of 2 dollar pancakes (which have corn syrup), cinnamon/sugar, and Aunt Jemima syrup, that I would get a complete energy dump - fatigue so bad I could barely move, and then I would be sick all day. It was as if my system shut down in order to deal with the fructose load. Mangos nearly incurred vomiting. I thought I couldn't tolerate soda because of the bubbles, but it's just as likely to be the high fructose corn syrup. Even canned corn, which has corn syrup and sugar added, gives me indigestion for hours. I'm also finding that certain amounts of wheat cause some mild problems. Add to that the fact that I already have lactose intolerance. So, one meal load of fructose, lactose, and wheat can set me back days.
I am learning to balance my proportion of fructose to glucose now, or just not eat it at all. And limit my intake of lactose and wheat - so as not to overload my system with too much intolerable food. This is a very strange diet, but it seems to be working. I stopped taking the Nexium 3 days ago and the heartburn has not returned, nor has the diarrhea (I tried going off the Nexium in the past, but it had only made the heartburn return). I'm praying that this is the solution and I no longer have to put myself through any more trials.
Good luck to anyone who is having similar problems.
Great to read your post and know someone else in the same boat! These past 2 years have been hell. One doctor took me off my medication for IBS, and my weight began to drop because it was as though by digestive system was shutting down. Lost 40 lbs. in 18 months or less. Intestines were in a constant spasm, I guess. Pain every day. Then, I had to have a hysterectomy and started drinking a supplement to help me gain weight. Looking back . . . that supplement was loaded with sugars. No wonder I felt so sick.
Now my current dr. finally ordered a breath test for me due to Small Intestine Bacterial Overgrowth. The fructose showed to be elevated. I'm on Xifaxin to kill bacterial and starting to learn about the diet. I'd love to know more about what you eat each day. I can't seem to figure out what to eat. Very hard to get someting "on the run" that doesn't contain bread. I seem to eat a lot of baked potatoes and grilled chicken or fish.
Now my current dr. finally ordered a breath test for me due to Small Intestine Bacterial Overgrowth. The fructose showed to be elevated. I'm on Xifaxin to kill bacterial and starting to learn about the diet. I'd love to know more about what you eat each day. I can't seem to figure out what to eat. Very hard to get someting "on the run" that doesn't contain bread. I seem to eat a lot of baked potatoes and grilled chicken or fish.
Collins4113, you, if you want, may ask doctor if he can prescribe Saccharomyces boulardii probiotic capsules to you for the time you're on the antibiotic. This is just to prevent "antibiotic associated diarrhea" that happens when antibiotic kills most of normal gut bacteria thus allowing harmful Clostridium difficile to overgrow. There's also one Danone yogurt as I know with this probiotic. I haven't found any data of other types of probiotics (like Lactobacillus acidophilus or LGG) that would be efficient in this case.
I've also added a working link to a low-fructose diet in my original post above.
I've also added a working link to a low-fructose diet in my original post above.
Hello all. I have been following a gluten-free diet for about four years. During that time, I have found numerous food items which seem to bother me, and have gotten to the point where I eat steak and potatoes during the week, and stir-fry (to get a few veggies) on the weekend. Doing fairly well. Have suffered from sudden chest pains most of my life. They started when I was about 10, and now I am 57.
In February, I received a book as a birthday present, which had a honey theme underlying the main story. I thought about honey, and how I hadn't had any for a while, so I got some jars of local honey, and started using it in my tea on the weekends. I started getting really bad abdominal pain (just on the weekend) with some chest pain and running to the bathroom a lot. Never even occurred to me that it could be related to eating honey. And I'm a smart woman (well, usually).
So it finally got bad enough I was even considering going to the doctor (which is pretty bad when I consider that). But I did a google on intestinal pain, and started seeing some of the hits coming up as pediatric links to fructose problems. Honey is, of course, heavy on fructose. So now I've been fructose-free for about a month (talk about withdrawal symptoms!). Tried dextrose, but since it is made from corn there is a sulfite problem. Arrggghghgh!
Have found rice syrup to be tolerable, though I am probably overdoing it right now.
Interesting follow-up on fructose: It has been HOT! And a co-worker mentioned going to get some ice cream, which of course I can't do anymore. However, it got me thinking about a small container of Hagen-Dasz that I had in the freezer, having gotten it just before realizing fructose problems. I got really tempted, and went home that evening and ate a VERY small bowl of it. Oh, it was good! Had reactions to it at 6 hours, 12 hours, 24 hours, and now 48 hours. Symptoms were abdominal discomfort, gas, headache, and chest pains.
I had been hoping it was all in my head.
In February, I received a book as a birthday present, which had a honey theme underlying the main story. I thought about honey, and how I hadn't had any for a while, so I got some jars of local honey, and started using it in my tea on the weekends. I started getting really bad abdominal pain (just on the weekend) with some chest pain and running to the bathroom a lot. Never even occurred to me that it could be related to eating honey. And I'm a smart woman (well, usually).
So it finally got bad enough I was even considering going to the doctor (which is pretty bad when I consider that). But I did a google on intestinal pain, and started seeing some of the hits coming up as pediatric links to fructose problems. Honey is, of course, heavy on fructose. So now I've been fructose-free for about a month (talk about withdrawal symptoms!). Tried dextrose, but since it is made from corn there is a sulfite problem. Arrggghghgh!
Have found rice syrup to be tolerable, though I am probably overdoing it right now.
Interesting follow-up on fructose: It has been HOT! And a co-worker mentioned going to get some ice cream, which of course I can't do anymore. However, it got me thinking about a small container of Hagen-Dasz that I had in the freezer, having gotten it just before realizing fructose problems. I got really tempted, and went home that evening and ate a VERY small bowl of it. Oh, it was good! Had reactions to it at 6 hours, 12 hours, 24 hours, and now 48 hours. Symptoms were abdominal discomfort, gas, headache, and chest pains.
I had been hoping it was all in my head.
I have had the NASTY D word for one year in August. The colonoscopy was not showing anything visible so the dr. did a biopsy & it came back that I had a rare form of colitis, called collagen colitis, which a steroid specific for the colon was prescribed. After 4 rounds of 100 capsules the symptoms were not eliviated. I had a fructose & lactose intolerance Hydrogen breath test & I am intolerant to both. The dr. says there is no connection to the colitis & the intolerances. I didn't think that made since, he said they don't know what causes this type of colitis. I'm going to have to see what I can eat that's tolerable.
Any thoughts or is someone else out there like me? Thanks
Any thoughts or is someone else out there like me? Thanks
Salingfreek, if you have both fructose malabsorption and lactose intolerance, avoid foods that contain:
- fructose
- sorbitol
- high fructose corn syrup (HFCS)
- lactose
- fructose
- sorbitol
- high fructose corn syrup (HFCS)
- lactose
I have been suffering with constipation, wind, bloating, indigestion, fatigue and anxiety about these symptoms for 30 years or more.
A so called professional gastroenterologist just said to me that I only have IBS. If you can't go to the toilet, take epsom salts. That was a disaster. And after talking to many doctors about my symptoms over the years and having a colonoscopy that showed I was normal, I finally gave up and lived with the symptoms.
Two months ago, I went to see a dietition. After having the hydrogen tests, I was finally diagnosed with FM and Lactose Intolerance. I was so happy!!! Finally, an answer!!!
I have been following a lactose free and low fructose diet for three weeks now. I don't have constipation and the wind and bloating has decreased considerably. I am still testing the waters with the diet and expect it will take 6 months to sort it all out. Eating out can be a challenge. I have a hand book which helps me when shopping for food.
A so called professional gastroenterologist just said to me that I only have IBS. If you can't go to the toilet, take epsom salts. That was a disaster. And after talking to many doctors about my symptoms over the years and having a colonoscopy that showed I was normal, I finally gave up and lived with the symptoms.
Two months ago, I went to see a dietition. After having the hydrogen tests, I was finally diagnosed with FM and Lactose Intolerance. I was so happy!!! Finally, an answer!!!
I have been following a lactose free and low fructose diet for three weeks now. I don't have constipation and the wind and bloating has decreased considerably. I am still testing the waters with the diet and expect it will take 6 months to sort it all out. Eating out can be a challenge. I have a hand book which helps me when shopping for food.
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