IBS – Page 7 – Clinical Alimentary

Puff pastry topped with creamy courgette and walnut salad – Low Fodmap

Autumn days are really setting in now and we are entering my favourite time of year with lots of squashes and root vegetables to roast – great for sensitive digestive tracts. As we are entering the cooler days of the year I have decided to try a different approach to a salad – this might be a little unconventional but it was filling, tasty and a little more substantial than the usual salad fare. I have used very pretty fennel flowers as decoration, which strictly speaking are not fodmap tested – but you can get away with a small amount of fennel bulb (49g) a few flowers sprinkled on a salad shouldn’t be too much of a problem. We are lucky in Todmorden, we have incredible edible and lot’s of fennel in flower beds for anyone to harvest.

You can used bought gluten free pastry – but do be aware that some are based on chickpea or pulse flour, which is not suitable for a low fodmap diet. Tips for using gluten free pastry is to roll it between cling film to prevent sticking.

Ingredients

1 packet of gluten free pastry mix

2 courgettes

4 tablespoons of lactose free mascarpone cheese

100g red cabbage

2 handfuls of walnuts

1 egg

seasoning

Fennel fronds (2-3 should be adequate.)

1-2 fennel flower heads (not an essential ingredient)

Method

Roll out the pastry

Beat the egg with a fork and brush the pastry with beaten egg – this will improve the colour.

Cook in the oven using the manufacturers directions – mine is a little dark at one end! It might be useful to turn it whilst cooking to get an even bake.

Cool.

Wash and spiralize the courgettes – (you can also buy them pre-prepared at many supermarket outlets to save a additional step in the method.) Mix in the lactose free mascarpone and season.

Finely chop the red cabbage, fennel fronds and roughly chop the walnuts and add all the ingredients to the pastry base – serve with mixed green salad leaves.

Decorate with fennel flowers (not an essential item)

Serves 4-6

Lactose free mascarpone was purchased from Tesco and the ready roll puff pastry was made by Genius (gluten free and dairy free.)

September 10, 2017

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Lamb Kofta on gluten free flat bread – low fodmap

I am at the moment experimenting with Greek and Middle Eastern dishes and modifying them to suit a low fodmap diet. I was surprised how well these flat breads turned out – although they are better when served slightly warmed. Enjoy…..

Ingredients

Kofta

400g lamb mince

small sprig of rosemary

1 teaspoon of Lebanese seven spice

1 teaspoon of garlic infused oil

seasoning

Flatbread

250g white gluten free bread flour

seasoning

1/4 teaspoon xanthan gum

1 egg

3 tablespoons lactose free yoghurt

70 mls of water

Method

Kofta

Chop the rosemary finely

Add the mince to a bowl and add the rest of the ingredients and mix well

Weigh into 50g portion sizes and shape into sausages.

Fry in spray oil for 15 minutes (or until cooked through thinner sausages cook faster)

Makes eight

Flatbread

Add the flour to a bowl and weigh in the xanthan gum

Mix well and add seasoning

Add the liquid ingredients and bring the dough together

Weigh into 6 separate balls

Roll out and trim into a circle shape

Fry with spray oil

Serve with feta cheese, a drizzle of olive oil, thyme and a tablespoon of pomegranate seeds per serving – if you are following a fodmap modified diet and can tolerate GOS (galacto-oligosaccharides) you could a tablespoon of hummus to each flatbread. If not you can use my recipe for Tzatziki and turn this into a Greek dish here https://clinicalalimentary.blog/2017/08/08/tzatziki-low-fodmap/

August 20, 2017

Jules_GastroRD2 Comments

Tzatziki – low fodmap

Over 2000 years ago Socrates stated “All disease begins in the gut”. Clearly not – but most symptoms of IBS start in the gut and having a dip made with lactose free Greek yoghurt will help keep it calm and symptom free if you have lactose intolerance! Tzatziki is so refreshing and great for long hot summer days and a suitable accompaniment to barbecue meats and fish. So make this easy recipe and enjoy! You could also make this dish suitable for a low fibre diet (if your dietitian has advised it) by peeling and removing the seeds from the cucumber before preparing the dip.

Ingredients

150 g Lactose free Greek yogurt (I purchased it from Tesco)

1/2 cucumber

1 tablespoon lemon juice

seasoning

Method

Cut the cucumber in half and grate one half

Squeeze out all the juice

Chop the other half of cucumber into small cubes

Squeeze a lemon and add a tablespoon of juice to the yoghurt

Then add the cucumber and mix well

Serves 2 as a starter or dip with gluten free Pitta bread.

August 8, 2017

Jules_GastroRD4 Comments

Lime chicken salad – low fodmap

I am on Holiday this week and I have not picked a good one for the weather unfortunately. I decided to being some colour into my evening meal and brighten my day. So here it is a nice crunchy salad. The tortilla chips add a bit of different texture and I hope you enjoy it as much as I did.

Ingredients

3 carrots (I used rainbow but you can use any kind you like)

3 baby courgettes

2 small bags of M&S tortilla chips (wheat free)

3 tablespoons of lactose free Greek yogurt

1 teaspoon of Lebanese 7 Spice (Arribica)

Grated rind of 1 lime

2 chicken beasts (cooked)

oregano

Seasoning

Method

Slice the carrots two different ways

Slice the chicken breasts

Add the spice to the yogurt and mix well

Combine the ingredients on a dish

Serves 2

August 8, 2017

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Sausage and watercress conchiglie pasta – gluten free and low fodmap

This dish is really easy to make and can be incorporated into your low fodmap recipes for working week nights, plus you don’t need to use fresh herbs – dried are just as good but maybe use a little less as the flavour is more concentrated in dried herbs. I don’t eat sausages often, and I do find gluten free ones generally have a higher level of meat so you tend to get what you pay for. Pricking and grilling them does remove some of the fat but they are still relatively high in fat – although 1 1/4 sausages for each serving is not too much! Check the sausages are gluten free but also free of onion – sometimes local butchers are the best option to buy.

Ingredients

300g of dried gluten free pasta

1 pack of watercress

6 gluten free sausages

1 sprig of fresh rosemary

2 sprigs of fresh oregano

drizzle of oil

Seasoning

2.5cm block of grated parmesan

fresh oregano flowers to decorate

Method

Prick the sausages with a fork and grill for 15 minutes till cooked

Put a pan of water to boil add a small amount of seasoning and add the dried pasta

In a pan add a small drizzle of oil and add the herbs and fry to release the flavour, then add the watercress and heat till wilted

Slice the sausage, drain the pasta

Add all the ingredients to the pasta and stir well

Serve

Add a sprinkle of parmesan to each dish

Decorate

Serves 4 with a green salad!

July 23, 2017

Jules_GastroRDLeave a comment

Aubergine stuffed with lamb and pine nuts

This recipe is another Ottolenghi recipe which I have modified to make it low fodmap and is quite simply delicious the original version can be found in his Jerusalem recipe book. It was very easy to modify really- just don’t add any onion to the recipe! Cinnamon is low fodmap and one of my favourite spices. It does take time to prepare so it is probably a recipe for a Sunday evening meal – slow food and great for fodmaper’s with IBS. Serve with wholegrain rice for a complimentary starchy carbohydrate.

Ingredients

4 aubergines

6 tablespoons of oil

11/2 teaspoons of ground cumin

11/2 teaspoons sweet paprika

1 tablespoon of ground cinnamon

500g mince lean lamb

50g pine nuts

20g flat leafed parsley

2 teaspoons tomato puree

3 teaspoons of sugar

150 ml water

1 teaspoon of tamarind

4 cinnamon sticks

1 tablespoon of lemon juice

seasoning

Method

Slice the aubergine length-ways and place skin side down in a roasting tin. Brush with 1 tablespoon of oil and season. Cook at 220 degrees C, gas mark 7 for about 20 minutes.

Whilst the aubergines are cooking make the sauce. Add the remaining olive oil to a pan and add half the dry spices and cook for 2 minutes to release the flavour of the spices. Add the lamb, pine nuts, parsley, 1 teaspoon of the tomato purée, 1 teaspoon of sugar and seasoning. Cook for about 10 minutes till the meat is browned.

Place the remaining spices in a bowl and add water, lemon juice, tamarind, remaining sugar, 1 teaspoon of tomato purée, cinnamon sticks and season well. Remove the aubergines from the oven and top each with a quarter of the mince. Pour the sauce into the bottom of the roasting tin. Place the dish back in the oven cover with foil or a lid, reduce the temperature to 195 degrees C or gas mark 5 and cook for another one and a half hours. Serve with a sprinkling of chopped parsley.

Serves 4