
Low-FODMAP Sour Cream & Noodle Casserole. Beef, cheese, noodles, and tomato sauce, all together in 30 minutes! IBS-friendly and gluten-free.
An easy casserole, made in about 30 minutes. Cheesy, beefy, full of flavors and textures. Your whole family will love this one.
When I saw this recipe in one of my old cookbooks, I knew it was a keeper. Growing up, I would often stir cottage cheese into macaroni, sprinkled with some black pepper. I love that texture, and tang of flavor.
This dinner makes it even better with the savory flavors of tomato and ground beef.

You will note the use of infused oil to add the flavor of garlic to this recipe. This is a FODMAP-friendly trick I enjoy with many recipes, and often with my gluten-free pastas. I toss the cooked pasta with infused oil, to add flavor, as well as keep the gluten-free noodles from sticking together. Infused oils should be one of your pantry staples (my Low-FODMAP Recipe Swaps & Substitutions blog shares other great tips for recipe modifications). Since FODMAPs are not dissolved in an oil base, these are a perfect way to add flavor and richness to a recipe and keep your tummy happy.
For other amazing beef recipes- check out Dr. Rachel’s Best Low-FODMAP Beef Recipes; Gluten-free.
You may also love my:
- Ultimate Low-FODMAP Chicken Parmesan/Parmigiano
- Low-FODMAP One-Skillet 30-Minute Chicken Cacciatore
- Low-FODMAP Old-Fashioned 30-Minute Beef Stroganoff
- Low-FODMAP 30-Minute Creamy Tuscan Chicken; Gluten-free
- Classic Low-FODMAP Italian Meatballs Recipe; Gluten-free
- The BEST Low-FODMAP 30-Minute Skillet Lasagna; Gluten-free
Or over 600 more low-FODMAP recipes on the blog. IBS Friendly!
Be healthy and happy,
Rachel Pauls, MD

Low-FODMAP 30-Minute Sour Cream Noodle Bake; Gluten-free
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Low-FODMAP Sour Cream & Noodle Casserole. Beef, cheese, noodles, and tomato sauce, all together in 30 minutes! IBS-friendly and gluten-free.
- Author: Dr. Rachel Pauls
- Prep Time: 5 minutes
- Cook Time: 25-30 minutes
- Total Time: 30-35 minutes
- Yield: 8 servings 1x
- Category: Entree, Dinner
- Method: Cooking
- Cuisine: American
- Diet: Gluten Free
Ingredients
- Baking spray
- 1 & 1/2 pounds (24 ounces) lean ground beef or ground chuck
- 9 ounces uncooked low-FODMAP gluten-free egg noodles, or macaroni*
- 1 tablespoon garlic-infused olive oil*
- One 15-ounce can tomato sauce*
- 2 tablespoons tomato paste
- 1/2 teaspoon kosher salt, plus to taste
- 1/2 freshly ground black pepper; divided, plus to taste
- 1 teaspoon low-FODMAP Italian Seasoning*
- 1/2 cup lactose-free sour cream*
- 1 and 1/4 cups lactose-free cottage cheese
- 5 scallions, green tips only, chopped*
- 1 & 1/4 cups grated sharp cheddar cheese*
Instructions
- Preheat the oven to 375°F, spray your baking dish with baking spray
- In a large skillet, brown the beef, or chuck, until no longer pink, breaking into pieces as it cooks
- While this cooks, set up a pot with water for your noodles, and cook to al-dente according to your package instructions (my egg noodles took 10 minutes)
- Strain pasta when cooked, and toss with 1 tablespoon of garlic-infused oil so the noodles don’t stick
- Drain the beef grease from the skillet if desired (careful with this part), then add the tomato sauce, tomato paste, salt, 1/4 teaspoon of pepper, and Italian seasoning
- Stir, then simmer while you prepare the other ingredients
- In a medium bowl, combine the lactose-free sour cream, and cottage cheese
- Add 1/4 teaspoon of pepper, then add this sour cream mixture to the cooked noodles
- Stir in the scallion tips
- In a baking dish, spread half the noodles (I use a rectangular 7 by 11, but oval casseroles will also work)
- Top with half of the meat mixture, then sprinkle half of the grated cheddar over this
- Repeat again with the noodles, meat, then a final layer of cheese
- Bake for 15-20 minutes, or until all the cheese is melted
- Serve with a delicious Classic Low-FODMAP Tossed Salad with Low-FODMAP Italian Vinaigrette, or Low-FODMAP Maple Egg Bread Recipe
Notes
- Although this recipe has not been lab tested, a single serving should be low-FODMAP based on the ingredients (using available FODMAP data at time of posting)
- Select a tomato sauce without added onion and garlic, 4 ounces is one low-FODMAP serving
- Select an Italian seasoning without onion or garlic powder, or use a combination of rosemary, oregano, and thyme
- Garlic infused oil contains flavor but not FODMAPs! See my whole post on garlic subs here
- I like Barilla gluten-free macaroni products and Jovial egg noodles. For more ideas, see my Low-FODMAP Grocery Shopping List. For this recipe, the Jovial egg tagliatelle were great, they come in a 9 ounce box.
- The green tip of the scallion is low-FODMAP, avoid the bulb
- Cheese is naturally low in FODMAPs, you can consume up to 500g cheddar per FODMAP Friendly
- Select lactose-free sour cream and cottage cheese if you are sensitive to lactose FODMAP

