How Long do FODMAPs Take to Trigger IBS Symptoms? (2024)

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How Long do FODMAPs Take to Trigger IBS Symptoms? (1)

So you’ve just had breakfast and 30 minutes later you’re in the bathroom. You haven’t eaten anything since dinner last night, so it must have been breakfast, right?

Actually, you may be surprised, in the case of FODMAPs it is more likely to be what you ate for lunch or dinner yesterday that has sent you running to the bathroom.

What happens when we eat FODMAPs?

When we eat, food passes from the mouth down the esophagus to the stomach. In the stomach, food is mixed and broken down before being slowly released into the small intestine. Enzymes in the small intestine continue to break food down to single molecules so that it can be absorbed across the wall of the small intestine into the bloodstream. Any part of food that isn't broken down or absorbed in the small intestine will continue its path down the digestive tract and pass into the colon for elimination.

There are two processes that can occur during this progression that may trigger symptoms of IBS, including bloating, cramping, wind, constipation or diarrhea or both:

  1. Certain FODMAPs are highly osmotic and readily draw water into the small and large bowel. This can affect how fast the bowel moves, and cause diarrhea.
  2. When FODMAPs reach the large bowel or colon, they are fermented by the bacteria that naturally live there and just like when beer is fermented, this process creates gas and bubbles, resulting in abdominal distention, bloating and cramping.

FODMAP reactions occur in the colon, at the very end of the digestive tract. From the beginning to end (the mouth to the anus) the average adult digestive tract is about 9 meters long. On average this means it takes about 6-24 hours from the time food is eaten until it reaches the colon where FODMAPs are fermented, resulting in IBS type symptoms.

How long does it take for FODMAPs to trigger symptoms?

This is known in medical terms as the “gastro-colic reflex”. At any point in time, most people have about 24 hours or more worth of food in their digestive system. The reason symptoms can occur soon after eating is that when we chew, the gastro-colic reflex is triggered. This reflex tells the gut that more food is coming and it needs to move things along and make room. This then pushes food, that is sitting in the small bowel from an earlier meal, into the colon triggering symptoms fairly soon after a meal.

How long do symptoms last?

How long symptoms last is variable, from a few hours to a day or so. Many people also find that after a gut upset, it can take a few days to a week to feel normal again.

Final Thoughts

Since reactions occur several hours after eating a problem food, it can be difficult to pinpoint triggers. If you are having trouble, a food and symptom diary and a trip to a FODMAP trained dietitian can help to identify patterns.

Quick Quiz

When we eat, what reflex is triggered in our digestive system?

How Long do FODMAPs Take to Trigger IBS Symptoms? (3)

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How Long do FODMAPs Take to Trigger IBS Symptoms? (2024)

FAQs

How Long do FODMAPs Take to Trigger IBS Symptoms? ›

It is well known that dietary FODMAPs can trigger gut symptoms in people with IBS. However, as FODMAPs have their effects mostly in the small and large intestine, it usually takes at least 4 hours after eating a high FODMAP meal for FODMAP-related symptoms to occur (see blog on timing of symptoms here).

How long after eating high FODMAPs do symptoms appear? ›

It can take anywhere between 4-24 hours after eating for a reaction to begin. The answer to exactly how soon a reaction will occur can be different for each of us. The timing of FODMAP reactions are influenced to some degree by things such as; when you last ate.

How quickly can IBS be triggered? ›

On average this means it takes about 6-24 hours from the time food is eaten until it reaches the colon where FODMAPs are fermented, resulting in IBS type symptoms.

How long does it take for FODMAP diet to work for IBS? ›

Some people may see results within 2-3 weeks, while others may need to stick with it for several months before feeling better. While there are many benefits to a low FODMAP diet, it is important to consult with a doctor or dietitian before starting one.

How long does it take for IBS to flare up? ›

Generally, a flare up of irritable bowel syndrome can last from a few hours to several days. However, it is not uncommon for some people to experience symptoms for weeks or even longer. Factors such as stress, diet, medication, and lifestyle can all contribute to the length and severity of an IBS flare up.

How long does a FODMAP flare up last? ›

During an irritable bowel syndrome (IBS) flare-up (sometimes referred to as an “IBS attack”) you may experience more gut symptoms, such as stomach cramps, bloating, diarrhea, and constipation. An IBS flare-up can last anywhere from a few hours to a few months.

What does a FODMAP reaction feel like? ›

FODMAP foods contain sugars and polyols known to cause GI symptoms, like gas and diarrhea. They may be poorly absorbed in the GI tract and begin to ferment in the intestines. This is especially true for people with IBS and other GI disorders.

What is the most common FODMAP intolerance? ›

FODMAPs. Irritable bowel syndrome is a common disorder that affects the large intestine, or colon, and causes abdominal pain, bloating, and diarrhea. This disorder is not life-threatening, but it can be uncomfortable, and it can interfere with the quality of your life and wreak havoc on your gastrointestinal tract.

What is the biggest symptom of IBS? ›

The most common symptoms of IBS are: abdominal (stomach) pain and cramping, which may be relieved by moving your bowels. a change in your bowel habits – such as diarrhoea, constipation or sometimes both. bloating and swelling of your stomach.

Does IBS happen right after eating? ›

The main symptoms of IBS are: stomach pain or cramps – usually worse after eating and better after doing a poo. bloating – your tummy may feel uncomfortably full and swollen. diarrhoea – you may have watery poo and sometimes need to poo suddenly.

How long does it take for FODMAPs to affect you? ›

It is well known that dietary FODMAPs can trigger gut symptoms in people with IBS. However, as FODMAPs have their effects mostly in the small and large intestine, it usually takes at least 4 hours after eating a high FODMAP meal for FODMAP-related symptoms to occur (see blog on timing of symptoms here).

Can a low FODMAP diet make IBS worse? ›

It involves reducing foods with high amounts of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols, which can make IBS symptoms worse. Studies have shown that a low FODMAP diet can offer symptom relief for 70 percent of people with IBS, showing improvements in pain, diarrhea, and bloating.

What happens if you stay on the low FODMAP diet too long? ›

If you skip these foods for too long, you may starve helpful bacteria colonies and cultivate unhealthy bacteria. Over time, if you follow only strict low FODMAP eating, you might notice yourself getting more tired, having more headaches, constipation, muscular weakness, or getting sick more easily.

What are the four stages of IBS? ›

There are four subcategories of IBS, each with equal prevalence:
  • Mostly diarrhea and abdominal discomfort (IBS-D).
  • Mostly constipation and abdominal discomfort (IBS-C).
  • Alternating loose stools and constipation with abdominal discomfort (IBS-mixed).
  • Undefined subtype (IBS-U) — symptoms vary.

How do you soothe an IBS flare up? ›

IBS pain is difficult to stop instantly, but things like OTC pain medication, a heating pad, gentle abdominal massage, deep breathing, yoga, and peppermint oil may help symptoms resolve more quickly.

How long does an IBS episode usually last? ›

An IBS flare up can last anywhere from a few hours to months. Some things that may cause a flare up are stress, anxiety, depression, and post-traumatic stress syndrome. Eating “trigger” foods or FODMAPs (foods that are poorly digested by the gut) can also cause IBS flare ups.

What to do if you accidentally eat high FODMAP? ›

You don't need to restart the low FODMAP diet if you eat a high FODMAP food. Instead focus on removing the high FODMAP food and choosing low FODMAP options instead. Once your symptoms have been settled for 1 to 2 weeks you can start the reintroduction phase of the low FODMAP diet.

What are the symptoms for some people after eating FODMAPs? ›

Symptoms include:
  • Cramping.
  • Diarrhea.
  • Constipation.
  • Stomach bloating.
  • Gas and flatulence.

What happens when you eat a high fodmap food? ›

Many people are able to eat high-FODMAP foods without issue. But for other people, high-FODMAP foods cause gastrointestinal symptoms such as abdominal pain, gas, and bloating.

What to do after eating high FODMAP? ›

Stomach pain and cramping
  1. Use a hot water bottle/wheat bag to assist with pain.
  2. Eat small, light meals/snacks every 2-3 hours rather than 3 large meals.
  3. Avoid alcohol, caffeine, high-fat foods and spicy foods.
  4. Try a light walk if able.
  5. Consider an OTC medication such as antispasmodics such as Flordis Iberogast.
Aug 10, 2022

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