My patients often wonder if they can even have alcohol, since the low FODMAP diet already limits grains like barley, rye, and wheat. Luckily, you CAN have a drink or two and still be compliant. In fact, there are lots of great low FODMAP alcohols to choose from across wine, beer, seltzer, and spirits.
The IBS Network notes low-FODMAP alcoholic drinks include: beer (although carbonation and gluten may be an issue for some) red or white wine (although sugar may be an issue for some) whiskey.
Which spirits are low FODMAP? According to Monash, gin, vodka, whisky, tequila, and brandy are low FODMAP in servings of 1 shot (30 ml) per sitting.
Go for: Low-FODMAP Alcohols
Wine (red, rosé and white), beer, vodka, whiskey, sparkling wine (champagne, cava…) are all low in FODMAPs. A note on sparkling wine: any drink with bubbles should be consumed sparingly given that the ingestion of air can produce symptoms, especially bloating.
Monash University (1) has looked at alcohol that is both low fodmap and high fodmap, to give you a better idea of what alcoholic beverage might not trigger symptoms. Some low fodmap alcoholic drinks include: Beer (suggests a gluten-free beer) Red, white or sparkling wine.
Distilled spirits: Brandy, rum, and tequila are naturally gluten-free. Chopin and Tito's vodkas, Cold River Gin or Schramm Organic Gin, and Queen Jennie Whiskey are gluten-free. Liqueurs: Chartreuse, Cointreau, Disaronno, Grand Marnier, Hennessy, Kahlúa, Sambuca, and Martini are gluten-free.
Coffee is low FODMAP, but caffeine can be an irritant for many people, those with IBS and even those without, hence the confusion. Coffee contains caffeine, which is a gut irritant,so although it may be low FODMAP, there are still other issues to address.
According to the pH level, gin, tequila, and non-grain vodkas are the lowest acidity options; choosing drinks made with these alcohols will be best on your stomach. You'll be best served by a drink made with a light juice like apple, pear, or cranberry, but sometimes you just really want that kick of citrus.
Whiskey is a Digestion Aid
Drinking whiskey after a large, delicious meal (at State Fare?) can help ease an upset stomach. The high proof whiskey stimulates the stomach's enzymes, which help to break down food. This benefit makes whiskey an excellent part of your next happy hour.
Fructose is among those key FODMAPs to avoid, which means wines that are high in residual sugar, like Port and other dessert or even off-dry wines, may be irritants for IBS sufferers. "[Dry] wines are generally a good choice for patients with IBS, as most are low in FODMAPs," Dr.
Coffee, sodas, and energy drinks that contain caffeine can be triggers for people with IBS. If you need an energy boost or pick-me-up, consider eating a small snack or going for a quick walk instead.
All alcohol is gluten free with the exception of normal, barley based beer. This means anything from bourbon to tequila, sparkling wines, spirits, port, sherry and even cider, is suitable for someone following a gluten free diet (in moderation of course).
Fermented Alcohols That Are Not Considered Gluten-Free
Beer and other malted beverages (ale, porter, stout) Sake/rice wine made with barley malt. Flavored hard cider containing malt. Flavored hard lemonade containing malt. Flavored wine coolers containing malt or hydrolyzed wheat protein.
What alcohol can be included on a gluten free diet? Cider, wine, sherry, spirits, port and liqueurs are gluten free. Even when a cereal that contains gluten is used as an ingredient, all spirits are distilled during the manufacturing process and this process removes any trace of gluten.
Alcohol has been shown to irritate the gut, which can lead to a flare-up of IBS symptoms. If alcohol is one of your triggers, you may notice increased cramping or bloating after consuming even a small amount. You also may notice diarrhea or constipation if you're especially sensitive to alcohol.
Dark chocolate is low FODMAP in serving sizes of 30g, and chocolate truffles are one of the most direct ways to enjoy it in a confection. The ingredients are simply lactose-free heavy cream, chocolate, and cocoa (the whiskey is optional), making for a indulgent but IBS-friendly, low FODMAP dessert.
Wine: Most wines including red, white, dry, sparkling, and sweet wines are low in FODMAPs if consumed in one glass (150ml) serves. The fructose content is acceptably low at this serving size. Fortified wines such as sherry and port contain excess fructose and are not low FODMAP.
While it won't cause IBS, drinking carbonated water may lead to bloating and gas, which can lead to IBS flare-ups if you're sensitive to carbonated beverages.
In large amounts, alcohol and its metabolites can overwhelm the gastrointestinal tract (GI) and liver and lead to damage both within the GI and in other organs. Specifically, alcohol and its metabolites promote intestinal inflammation through multiple pathways.
Most probiotics used in IBS treatment fall under two main groups: Lactobacillus and Bifidobacterium. These probiotics are thought to assist the digestive system. Among other functions, they may strengthen the intestinal barrier, assist the immune system in removing harmful bacteria, and break down nutrients.