W12-L2: Food Intolerance Flashcards

1
Q

What is Food Intolerance?

A
  • Involve the digestive system
  • Limited ability or inability to digest or absorb certain foods or their components.
  • Symptoms appear within hours to days - nausea, bloating, abdominal pain, gas, and diarrhea
  • Much harder to identify (except in the case of celiac disease and lactose intolerance)
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2
Q

What are Food Tolerance Test Kits?

A
  • Offer service: Naturopaths (86%), Acupuncturists (68%), homeopaths (60%), chiropractors (33%)
  • Based on detection of IgG antibodies (immunoglobulin released by B Cells)
  • IgG likely to be present as a natural response to eating that food
  • Actually appears to be related to food tolerance NOT intolerance
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3
Q

What are Concerns about increased popularity of at home tests?

A
  1. Lack of scientific support *
  2. Expensive: approx. $350 – 450 per test
  3. Poor counseling can lead to food avoidance & fear about eating

  • Canadian Society of Allergy and Clinical Immunology, the American Academy of Allergy Asthma and Immunology, the Australasian Society of Clinical Immunology & Allergy, and the European Academy of Allergy and Clinical Immunology
  • “these tests are not reliable and should not be recommended as a single diagnosis tool” Health Canada
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4
Q

What are Food Intolerance Treatments?

4

A
  1. History: eliminate true food allergy, referral to gastroenterologist
  2. Eliminate common triggers – onion, garlic, coffee, excessive spice, chewing gum, carbonated drinks
  3. Work on eating behaviors – pace, chewing, recognizing fullness, hydration, fibre
  4. Low FODMAP diet
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5
Q

What are FODMAPs?

A

collection of short-chain carbohydrates that aren’t absorbed
properly in the gut, which can trigger symptoms in people with intolerance

Fermentable
Oligosaccharides
Disaccharides
Monosaccharides
Polyols

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6
Q

What are Oligosaccharides?

A

Subgroup

  • Fructans & Galactans

Found in:

  • Wheat, rye, onions, garlic and legumes/pulses
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7
Q

What are Disccharides?

A

Subgroup:

  • Lactose

Found in:

  • Dairy products like milk, soft cheeses and yogurts
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8
Q

What are Monosaccharides?

A

Subgroup:

  • Fructose

Found In:

  • Honey, apples & high fructose corn syrups
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9
Q

What are Polyols?

A

Subgroup:

  • Sorbitol & Mannitol

Found In:

  • Fruit and vegetables. Used as artificial sweeteners
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10
Q

What Food are Suitable for a low-fodmap diet?

A
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11
Q

Eliminate Foods containg foodmaps:

A
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12
Q

What is a Low Fodmaps diet?

A
  1. Remove high FODMAP foods from the diet for three to
    eight weeks to see if symptoms improve.
  2. Add these same foods back into your diet one category at
    a time to see which foods are tolerated and which foods
    trigger symptoms.
  3. Overall goal is to add as many foods as tolerated in amounts that will not trigger symptoms
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13
Q

SUMMARY

A
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