The history of low FODMAP diet in Japan began more than 20 years ago.
In 1994, professor Mikio Inoue of Fukuoka University in Japan wrote as follows.
Gas production in the large intestine: As a factor of gas evolution in
the large intestine, fermentation by intestinal microbial flora of
carbohydrates not absorbed in the small intestine is important. Hydrogen,
carbon dioxide gas and methane gas are generated by fermentation. Such a mechanism is gas
evolution due to the promotion of small
intestinal transit, and it can be used for people with digestive
absorption disorder, intake of milk (lactose) in lactase deficiency, various
vegetable foods (in particular, indigestible oligosaccharides and
polysaccharides Pulp, including many), and also caused by ingestion of
lactulose. The occurrence of gas symptoms in IBS is not only an increase in
intestinal gas, but also an obstacle to passage of gas in the intestines due to
convulsion of the large intestine and an increase in susceptibility to dilation
of the large intestine and an increase in internal pressure are important, even
the same amount of gas as normal can cause symptoms in IBS. The occurrence of
gas symptoms in IBS is not only an increase in intestinal gas, but also an obstacle
to passage of gas in the intestines due to convulsion of the large intestine
and an increase in susceptibility to dilation of the large intestine and an
increase in internal pressure are important, even the same amount of gas as
normal can cause symptoms in IBS.Treatment of gas symptoms should avoid
fermentable foods such as beans. Also, lactose intolerant people should avoid
milk.
(In Nihon-Rinsho, 1994)
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