Gastroenterologist Lebedeva: Does bread make you swell? It's not the gluten, it's the fructans

Gastroenterologist Dilyara Lebedeva explained why some people “feel like a ball” after eating bread. According to the doctor, the cause is not gluten.

— Many of us experience unpleasant symptoms after eating bread and immediately blame it on gluten. But if you don't have a gluten allergy or celiac disease, the culprit may be a completely different component: fructans— the doctor wrote on her blog.

Fructans are long molecules that consist of pieces of fructose and glucose. There are especially many of them in rye and wheat flour, as well as in whole grain flour.

Not only bread is rich in fructans. There are many of them in legumes, cabbage, onions and garlic. They take a long time to break down and are slowly absorbed, which leads to bloating, heaviness and even diarrhea. People with irritable bowel syndrome are especially susceptible to this.

The doctor advises an elimination diet, that is, you need to gradually eliminate foods from the diet and observe changes in your health.

More about irritable bowel syndrome (IBS).

It is a chronic a functional disorder of the digestive system that is characterized by pain, bloating, changes in intestinal activity (diarrhea or constipation) and abdominal discomfort. IBS is a diagnosis of exclusion, meaning other diseases must be excluded before making this diagnosis.

The causes of IBS are not fully understood, but it is thought to be influenced by a variety of factors, including changes in intestinal motility, intestinal sensitivity, inflammation, food intolerance, stress and psychological factors.

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Important! Information is provided for reference purposes. Ask a specialist about contraindications and side effects and under no circumstances self-medicate. At the first signs of illness, consult a doctor.

Dilyara Lebedeva Dilyara Lebedeva Medicine, gastroenterologist