Pearl Onions
Allium cepa var. sectivum
High FODMAP
Contains Fructans
Use with Caution
Fresh pearl onions

FODMAP/SIBO Rating

Avoid

Serving Size Consideration: 1 tablespoon, chopped

Safe Serving Size: Not recommended for low FODMAP diet

Active Compounds: Fructans and fructo-oligosaccharides (FOS)

Fermentation Level:
High

Digestive Impact

Why it's problematic: High in fructans which are poorly absorbed in the small intestine

Specific symptoms: Bloating, gas, abdominal pain, and digestive discomfort

Typical reaction time frame: Symptoms typically appear within 30 minutes to 4 hours after consumption

Individual variation: Tolerance levels vary significantly between individuals

Safe Alternatives

Substitution ratio: Use 1 tablespoon of chopped chives or green onion tops per 2-3 pearl onions

Processing Effects

Cooking does not significantly reduce FODMAP content

Freezing maintains FODMAP levels

Dried pearl onions remain high in FODMAPs

Stacking Considerations

Avoid combining with:

  • garlic
  • onion
  • leeks
  • shallots
  • wheat bread

Safe complementary foods: Can be replaced with FODMAP-friendly herbs and spices for flavoring

Reintroduction Guidelines
  1. Wait until symptoms are well-managed on low FODMAP diet
  2. Start with 1/4 pearl onion in a meal
  3. If tolerated, increase to 1/2 pearl onion after 3 days
  4. Monitor symptoms for 24-48 hours after each test

Signs of success: No significant digestive symptoms within 24-48 hours after consumption

Hidden Sources

Common products containing garlic:

  • Stock powders
  • Marinara sauce
  • Salad dressings
  • Frozen meals
  • Seasoning blends

Alternative names: Baby onions, Button onions, White cocktail onions, Pickled onions

Individual Variables

Factors affecting tolerance:

  • Overall gut health
  • Stress levels
  • Portion size consumed
  • Other FODMAPs consumed in the same meal
  • Individual fructan tolerance

Tip: Keep a food diary to track your personal tolerance levels and symptoms