Low fibre diet. In the past, the low fibre diet was called the low-residue diet. A low fibre diet contains less than 10 grams of fibre a day.

Transcription

1 Low fibre diet In the past, the low fibre diet was called the low-residue diet. A low fibre diet contains less than 10 grams of fibre a day. Why do I have to follow a low fibre diet? A low fibre diet helps to decrease the amount of bulky material moving through your intestine. You need to follow a low fibre diet: if you have an ileostomy, to prevent a stoma blockage to prevent further blockage of a narrowed bowel other medical reasons Follow this diet for. After this time, ask your doctor and/or ostomy nurse (for ostomy patients) if you can slowly start to introduce new foods into your diet. When you stop following the low fibre diet, have fun by experimenting and trying new foods on a regular basis. Add a small amount of one new food to your diet every 1 to 3 days. Page1 of 6

2 Tips Eat slowly and enjoy your food. Chew your food very well! Chewing is the first step in the digestion process. What are the symptoms of an intestinal blockage? When your bowel is narrowed or your stoma is healing, there is a risk that you may develop an intestinal blockage. It is important that you know the symptoms of an intestinal blockage and what to do if you have these symptoms. The symptoms of an intestinal blockage include: abdominal cramping and bloating nausea and vomiting little or no bowel output If you have a blocked ileostomy you may have: excessive watery output no ostomy output swollen or tender stoma What should I do if I have these symptoms? If you have these symptoms remain calm. Anxiety may cause an intestinal blockage to worsen. Drink plenty of fluids, take a warm relaxing bath and massage your abdomen. If the symptoms have not gone away after 6 hours, then call your doctor, ostomy nurse (for ostomy patients) or go to the emergency department of your hospital. Page 2 of 6

3 Foods to enjoy when eating a low fibre diet In general, you will need to avoid high fibre foods and foods with skins and seeds such as: nuts corn bean sprouts mushrooms popcorn coconut If you are not sure whether a food is safe to eat, then do not have it. Prepare the foods you can eat as described in the chart. Chew your food very well! Milk and Milk Products Meat, Fish, Poultry, and Meat Alternatives Fluid milk and milk beverages Cheese such as cottage cheese, hard cheese, Cheese Whiz, cheese slices, parmesan cheese Cream soups made with recommended ingredients Desserts such as Cool Whip, puddings, yogurt, sherbet, ice cream Meats prepared by baking, broiling, roasting, poaching, and stewing: fish, poultry, lamb, beef, pork, veal, ham, rabbit, organ meats Shrimp, lobster, crab and other shell fish Eggs (all types) Tofu Well pureed hummus Hot dogs without a skin (most commercial brands) Smooth nut spreads such as smooth peanut butter Cheese with seeds Yogurt mixed with fruits with seeds, tough skins or membranes (strawberry, raspberry, blueberry and cherry) Nuts and seeds Beans and lentils Sausages and other processed meats such as bologna with casings or skins European frankfurters and other deli-made wieners Chunky nut spreads such as chunky peanut butter Page 3 of 6

4 Vegetables Well to soft cooked non-stringy vegetables: asparagus (young), beets and beet greens, broccoli, carrots, cauliflower, eggplant (skinless), potato (skinless, white or sweet), parsnips, pumpkin (seedless), rutabagas, squash, turnip, wax beans (canned green or yellow) Tomato paste, skinless and seedless tomato sauce Spaghetti sauce (plain or with ground beef) Vegetable juice (eg. V8 drink) Tomatoes and cucumbers (skinless and seedless) Bottled and roasted red peppers Raw vegetables such as: bean sprouts, broccoli, brussel sprouts, cabbage, carrots, cauliflower, celery, corn, coleslaw, cucumber, fiddleheads, lima beans, mushrooms, onions, okra, parsnips, peas, peppers, radish, sauerkraut, spinach, swiss chard, tomato, tossed salad Chinese vegetables such as bok choy, bamboo shoots Fruits Fruit juices/drinks, baked apple (peeled), applesauce, banana (ripe) Canned fruit such as: apricots, mandarin oranges, peaches, pears Eat these fruits if the skin, seeds and membranes are removed: apple, apricots, cantaloupe, grapefruit, honeydew melon, mango, nectarines, oranges, papayas, peaches, pears, plums, watermelon Fruits with seeds, tough skins, or membranes: apple, apricots, blackberries, blueberries, cherries, cranberries, fruit cocktail, grapes, kiwi fruit, pineapple, raspberries, rhubarb, strawberries Dried fruit: apple, apricots, currants, coconut, dates, figs, prunes, raisins Page 4 of 6

5 Breads and Cereals Any baked goods made from refined flours (white flour) and allowed ingredients: bagels, biscuits, bread, buns, crackers, croissants, muffins (such as banana, apple spice, chocolate), pancakes, rolls, waffles Low-fiber, cooked and prepared cereals such as: Cheerios, Corn Flakes, Cream of Wheat, Oatmeal, Plain Puffs, Rice Krispies, Special K Pasta (fresh or canned) such as: macaroni, spaghetti, couscous, fettuccini White rice and barley (cooked very soft and chewed well) Coarse whole grain breads which contain fruit, nuts or seeds: breads and cereals made with whole grain, bran, cracked wheat or pumpernickel flour Breads, muffins, and cereals containing nuts, seeds, dried fruit, granola mix Whole wheat pastas Brown or wild rice, Quinoa Fats Butter or margarine, shortening, lard, cooking oils, mayonnaise, salad dressing (seedless), sesame butter (tahini) Page 5 of 6

6 Sweets/Snacks Miscellaneous All sugars such as white, brown, icing, maple syrup, corn syrup, molasses, honey Baked goods made with allowed ingredients, eg. donuts, plain cookies, plain cheesecake Chocolate without nuts, cheesies, potato chips, pretzels Caramels, gum drops, jellybeans, hard candy, marshmallows, licorice Seedless jelly and jam Drinks: Mineral waters Carbonated beverages Ovaltine Postum Gatorade Alcohol Coffee, tea Pizza (made with allowed ingredients and a thin crust) Popsicles Mild herbs and spices Condiments: vinegar ketchup mustard BBQ sauce Donuts with raspberry, blueberry, strawberry and cherry filing Pie with fruit filling, cakes with poppy seeds, raisins, chopped nuts, coconut Cookies with nuts or dried fruits Trail mix Jam with seeds or peel (marmalade, strawberry, raspberry, blueberry) Popcorn Condiments: pickles chutney olives Hamilton Health Sciences, 2017 PD /2017 dpc/pted/lowfibrediet-trh.docx dt/september 7, 2017 Page 6 of 6