How Does Lettuce Affect IBS Symptoms? - Healthline

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HealthlineSubscribeInflammatory Bowel DiseaseNutritionEvidence BasedDoes Lettuce Worsen Symptoms of Irritable Bowel Syndrome?

Medically reviewed by Amy Richter, MS, RD — Written by Alina Petre, MS, RD (NL) on July 30, 2021

Lettuce & IBS
FODMAP status
Other trigger foods
Alternatives
Bottom line

If you often get cramps, abdominal pain, bloating, or gas after eating, you may be experiencing a digestive condition known as irritable bowel syndrome (IBS).

IBS affects 3.8–9.2% of people worldwide and may also cause other unpleasant digestive issues like constipation or diarrhea — though the frequency and intensity of your symptoms may vary week to week and differ from those of others with this condition (1).

You may have also noticed that certain foods can lead to symptoms. However, trigger foods may be difficult to identify.

This article reviews whether lettuce causes or relieves IBS symptoms.

fresh salad with sliced radishes — Cameron Whitman/Stocksy United

Lettuce’s effects on IBS

Lettuce contains fiber, which is a common trigger for many people with IBS.

Fiber is either soluble or insoluble based on whether it dissolves in water. Soluble fibers can be further divided into (2):

Viscous or nonviscous: based on whether they form a gel in your gut
Fermentable or nonfermentable: based on whether your gut bacteria can break them down
Short- or long-chain: based on the length of their chemical structure

Historically, diets rich in soluble fiber and low in insoluble fiber were thought to best manage IBS (3).

However, this recommendation is now considered outdated because it doesn’t consider the fact that most plants contain both soluble and insoluble fiber. Moreover, it fails to take into account that various soluble fibers tend to affect IBS differently.

For instance, fermentable soluble fibers, such as inulin and beta glucan, may worsen IBS symptoms. On the other hand, nonfermentable soluble fibers like psyllium may relieve symptoms (3, 4).

Lettuce contains less than 1 gram of fiber per cup (49 grams), the majority of which is insoluble. This is significantly less fiber than the amount found in the same volume of most other vegetables.

The amount of insoluble fiber you can tolerate varies from one person to another.

That said, this small amount of fiber is unlikely to trigger symptoms in most people with IBS. In fact, due to its low fiber content, lettuce may be a good option for people with this condition who have trouble tolerating fiber-rich vegetables.

SUMMARY
Lettuce contains a very small amount of fiber, most of which is insoluble. This type of fiber may trigger or worsen IBS symptoms in some people, though the very small amount in lettuce is unlikely to do so.

Is lettuce a FODMAP food?

Fermentable oligo-, di-, mono-saccharides, and polyols (FODMAPs) are short-chain, soluble, and highly fermentable fibers.

When digested, FODMAPs release gas into your gut more quickly than it can be absorbed into your blood for elimination through your lungs (3).

This imbalance is thought to cause the pain, discomfort, bloating, and gas so often experienced with IBS (2, 3).

Research suggests that a low FODMAP diet may provide relief from IBS symptoms (3, 5).

Lettuce is made up almost exclusively of insoluble fiber. Therefore, it’s considered a low FODMAP food — and a good alternative to high FODMAP vegetables, such as artichokes, cabbage, broccoli, beets, Brussels sprouts, and asparagus (3).

SUMMARY
High FODMAP foods may trigger or worsen IBS symptoms. Lettuce contains negligible amounts of soluble fiber, so it’s regarded as a low FODMAP food.

Foods that may cause digestive upset

Foods generally thought to trigger or worsen symptoms in people with IBS include (3, 5):

High fat foods: fried foods, fatty meats, full fat dairy, eggs, avocados, nuts, and seeds
Caffeine-rich items: coffee, tea, chocolate, and energy drinks
Spicy foods: hot peppers, garlic, hot sauce, salsa, and meals made with large quantities of spices
Dairy: milk, cheese, yogurt, and ice cream
FODMAP-rich foods: legumes, honey, sweeteners, dairy, wheat, rye, barley, and some fruits and vegetables

Keep in mind that people with IBS may react to these foods differently. While a certain food may be a sure trigger for one person, the same food may be of little concern to another.

Keeping a food journal may help you identify which foods trigger your IBS symptoms so that you can replace them with suitable alternatives. This is best done with the guidance of a registered dietitian (RD) to ensure that your diet continues to meet your nutritional needs.

SUMMARY
Spicy foods, as well as those rich in fat, caffeine, dairy, or FODMAPs, are the most likely triggers of IBS symptoms. Keeping a food journal may help you track which ones affect you most.

Lettuce alternatives and replacement salad toppings

You may find that lettuce happens to trigger your IBS symptoms despite its low fiber content.

If so, you can try replacing it with other low FODMAP vegetables and leafy greens.

For instance, spinach, arugula, kale, and Swiss chard make great substitutes for lettuce when making a salad. You can top this salad with low FODMAP veggies like bok choy, bean sprouts, red bell peppers, carrots, chives, cucumber, eggplant, green beans, or tomatoes.

SUMMARY
If you suspect lettuce may trigger your IBS symptoms, try replacing it with other low FODMAP veggies like kale, bean sprouts, or cucumber.

The bottom line

Lettuce is a low FODMAP vegetable that’s also very low in fiber.

As such, it’s unlikely to trigger or worsen your IBS symptoms. In fact, it may even ease your symptoms due to its low FODMAP content.

That said, trigger foods are highly individual and may affect certain people differently. If you suspect that lettuce causes your symptoms, simply replace it with other low FODMAP greens like spinach, arugula, kale, or Swiss chard.

Just one thing

Try this today: If you have IBS, lettuce is generally safe to eat. Try eating it as a side or adding it to your salads or sandwiches. Brighter-colored lettuces are more nutritious, so pick red, green, Boston, or romaine over iceberg lettuce whenever possible.

How we reviewed this article:

History

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Evidence Based

This article is based on scientific evidence, written by experts and fact checked by experts.

Our team of licensed nutritionists and dietitians strive to be objective, unbiased, honest and to present both sides of the argument.

This article contains scientific references. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers.

Medically reviewed by Amy Richter, MS, RD — Written by Alina Petre, MS, RD (NL) on July 30, 2021

How Does Lettuce Affect IBS Symptoms? - Healthline

Lettuce’s effects on IBS

Is lettuce a FODMAP food?

Foods that may cause digestive upset

Lettuce alternatives and replacement salad toppings

The bottom line

Just one thing

How we reviewed this article:

Evidence Based

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