Patient guide · Diet

The low-FODMAP diet, with local foods

FODMAPs are certain sugars in everyday foods that ferment in the gut and can trigger bloating, wind, cramps and irregular bowels — especially in IBS. Done properly and for a limited time, a low-FODMAP diet helps most people find their personal triggers. Here it is in foods you actually eat.

How it works — three phases

  1. Elimination (2–6 weeks): cut high-FODMAP foods to calm symptoms.
  2. Reintroduction: add foods back one at a time to find which ones upset you.
  3. Personalisation: keep only the restrictions you truly need — most people can eat far more than they feared.
This is a tool, not a life sentence

Low-FODMAP is a temporary way to find your triggers, not a permanent diet. Ideally do it with a dietitian, and don't stay in the strict elimination phase for months.

What to eat, limit, and avoid

Enjoy freely

  • Rice & oats
  • Potato, carrot, palak, tomato, cucumber, baingan
  • Ripe banana, orange, grapes, melon
  • Eggs, chicken, fish, meat
  • Firm tofu, hard cheese
  • Lactose-free milk
  • Garlic-infused oil

Limit / small amounts

  • Whole-wheat roti (small portions)
  • A little dahi
  • Sweet corn
  • Avocado
  • A few cashews
  • 1–2 dried dates

Avoid (high-FODMAP)

  • Lots of wheat — naan, paratha, white bread
  • Piyaz (onion) & lehsun (garlic)
  • Daal, chana, rajma, lobia
  • Milk, lassi, large dahi
  • Mango, apple, watermelon, honey
  • Gobi (cauliflower), mushrooms
  • Mithai & sweet drinks

Practical local tips

  • For onion/garlic flavour without the FODMAPs, cook with garlic-infused oil — fry the garlic, then remove the pieces; the flavour stays, the FODMAPs don't.
  • The green tops of spring onion (hara piyaz leaves) are low-FODMAP — use them for flavour.
  • Hing (asafoetida) gives an onion-like flavour, but note it's usually mixed with wheat flour, so it isn't gluten-free.
  • The Monash University FODMAP Diet app is the most reliable food guide — worth downloading.
These are not IBS — see a doctor

Blood in the stool, unintended weight loss, fever, waking at night with pain or diarrhoea, anaemia, or a family history of bowel cancer or IBD all need proper assessment.

Frequently asked questions

Is this the same as gluten-free?

Not quite. It lowers wheat because of a FODMAP called fructan, not gluten. Some people feel better mainly because they're eating less wheat.

How long until I feel better?

Many people notice a clear improvement within 2–4 weeks of the elimination phase.

Do I avoid these foods forever?

No — the whole point is to reintroduce foods and keep only the few you genuinely react to.

Struggling with bloating and unpredictable bowels?

A tailored plan makes a real difference.

This guide provides general dietary information only and does not replace personal medical or dietitian advice. If you have red-flag symptoms, please seek a consultation. For emergencies, contact Shifa International Hospital or your nearest emergency department.