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HomeDiet & Nutrition

Gastroparesis Diet for Delayed Stomach Emptying

Diet & Nutrition

March 15, 2023 by

Gastroparesis Diet PDF

PURPOSE

 Gastroparesis is the medical term for delayed stomach emptying. During the process of digestion, the stomach must contract to empty itself of food and liquid. Normally, it contracts about three times a minute. This empties the stomach within 90-120 minutes after eating. If contractions are sluggish or less frequent, stomach emptying is delayed. This results in bothersome and sometimes serious symptoms, as well as malnutrition, because food is not being digested properly.

 Gastroparesis may be caused by various conditions such as diabetes mellitus, certain disorders of the nervous system, or certain drugs. Often however, no cause can be found although a viral is suspected in some. Usually, the physician prescribes medication to stimulate the stomach to contract. The purpose of the Gastroparesis Diet is to reduce symptoms and maintain fluids and nutrition. There are three steps to the diet: 

  • STEP 1 DIET: Consists of liquids, which usually leave the stomach quickly by gravity alone. Liquids prevent dehydration and keep the body supplied with vital salts and minerals. 
  • STEP 2 DIET: Provides additional calories by adding a small amount of dietary fat – less than 40g each day. For patients with Gastroparesis, fatty foods and oils should be restricted because they delay stomach emptying. However, patients at the Step 2 level are usually able to tolerate this amount. 
  • STEP 3 DIET: Designed for long-term maintenance. Fat is limited to 50g per day, and fibrous foods are restricted because many plant fibers cannot be digested. 

NUTRITION 

The Step 1 Gastroparesis Diet is inadequate in all nutrients except sodium and potassium. It should not be continued for more than three days without additional nutritional support. Step 2 and Step 3 Gastroparesis Diets may be adequate in Vitamins A and C, and the mineral Iron. A multi-vitamin supplement is usually prescribed. 

SPECIAL CONSIDERATIONS

1. Diets must be tailored to the individual patient. This is because the degree of Gastroparesis may range from severe and long-standing to mild and easily corrected. Patients may also have various medical conditions to be considered. For example, diabetes patients with Gastroparesis are allowed sugar-containing liquids on the Step 1 Diet, because that is their only source of carbohydrate. On the Step 2 and Step 3 Diets, these patients should avoid concentrated sweets. These are noted with an asterisk (*) on the food lists. 

2. On all the diets, liquids and food should be eaten in small, frequent meals. This helps maintain nutrition.

STEP 1 FOOD GROUPS
GroupRecommendAvoid
Milk & Milk ProductsNoneAll
VegetablesNoneAll
FruitsNoneAll
Breads & GrainsPlain saltine crackersAll others
Meat & Meat SubstitutesNoneAll
Fats & OilsNoneAll
BeveragesGatorade and soft drinks (sipped slowly throughout the day)All others
SoupsFat-free consommé and bouillonAll others
SAMPLE MENU STEP 1
Breakfast 
• Gatorade, ½ cup
• Ginger Ale, ½ cup 
• Bouillon, ¾ cup
• Saltine Crackers, 6 
Lunch
• Gatorade, ½ cup
• Coke, ½ cup
• Bouillon, ¾ cup
• Saltine Crackers, 6
Dinner
• Gatorade, ½ cup 
• Sprite, ½ cup
• Bouillon, ¾ cup 
• Saltine Crackers, 6
This Sample Diet Provides the Following
Calories790Fat9g
Protein11gSodium3531mg
Carbohydrates156gPotassium244mg
STEP 2 FOOD GROUPS
GroupRecommendAvoid
Milk & Milk ProductsSkim milk, products made with skim milk, low-fat milk, low-fat yogurt, low-fat cheesesWhole milk products, creams (sour, light, heavy, whipping), half & half
SoupsFat-free consommé and bouillon, soups made from skim milk and fat-free broths containing pasta or noodles and vegetables are allowedSoups made with cream, whole milk, or broths containing fat
Breads & GrainsBreads and cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackersOatmeal, whole grain rice, cereal and bread
Meat & Meat SubstitutesEggs, peanut butter (maximum 2 tbsp/day)Beef, poultry, fish, pork products, dried beans, peas and lentils
VegetablesVegetable juice (tomato, V-8), well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summer squash, strained tomato sauce, yams)All raw vegetables, cooked vegetables with skins, beans (green, wax, lima), broccoli, brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini
FruitsApple juice, cranberry juice, grape juice, pineapple juice, prune juice, canned fruits without skins (applesauce, peaches, pears)Citrus juices, all fresh and dried fruits, canned fruits with skins (apricots, cherries, blueberries, fruit cocktail, oranges, grapefruit, pineapple, plums, persimmons)
Fats & OilsAny type of fat, but only in small amountsNone
Sweets & Desserts*Hard candies, caramels, puddings and custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrupsHigh-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves
BeveragesGatorade*, soft drinks*, (sipped slowly throughout the day)All others, except allowed juices
*Concentrated sweets
SAMPLE MENU STEP 2
Breakfast 
• Skim Milk, ½ cup 
• Poached Egg, 1 
• White Toast, 1 slice
• Apple Juice, ½ cup
Lunch 
• Mozzarella Cheese, 2 oz
• Saltine Crackers, 6
• Chicken Noodle Soup, ¾ cup
• Gatorade, ½ cup 
Dinner
•Peanut Butter, 1 tbsp
• Saltine Crackers, 6
• Vanilla Pudding, ½ cup •
Grape Juice, ½ cup 
Morning Snack 
• Ginger Ale, ½ cup
• Canned Pears, ½ cup
Afternoon Snack
• Skim Milk, ½ cup
• Cornflakes, ½ cup 
• Sugar, 2 tsp
Evening Snack
• Frozen Yogurt, ½ cup 
• Saltine Crackers, 6 
STEP 3 FOOD GROUPS
GroupRecommendAvoid
Milk & Milk ProductsSkim milk, products made with skim milk, low-fat milk, low-fat yogurt, low-fat cheesesWhole milk products, creams (sour, light, heavy, whipping), half & half
SoupsFat-free consommé and bouillon, soups made from skim milk and fat-free broths containing pasta or noodles and vegetables are allowedSoups made with cream, whole milk, or broths containing fat
Breads & GrainsBreads and cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackersOatmeal, whole grain rice, cereal and bread
Meat & Meat SubstitutesEggs, peanut butter (maximum 2 tbsp/day), poultry, fish, lean ground beefFibrous meats (steaks, roasts, chops), dried beans, peas and lentils
VegetablesVegetable juice (tomato, V-8), well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summer squash, strained tomato sauce, yams)All raw vegetables, cooked vegetables with skins, beans (green, wax, lima), broccoli, brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini
FruitsFruit juices, canned fruits without skins (applesauce, peaches, pears)All fresh and dried fruits, canned fruits with skins (apricots, cherries, blueberries, fruit cocktail, oranges, grapefruit, pineapple, plums, persimmons)
Fats & OilsAny type of fat, but only in small amountsNone
Sweets & Desserts*Hard candies, caramels, puddings, and custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrupsHigh-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves
BeveragesGatorade*, soft drinks*, (sipped slowly throughout the day), coffee, tea, water (note: noncaloric beverages should be limited if patient cannot maintain adequate caloric intake)All others, except allowed juices
*Concentrated sweets
SAMPLE MENU STEP 3
Breakfast 
• Skim Milk, ½ cup 
• Cream of Wheat, ½ cup
• Sugar, 2 tsp
• Orange Juice, ½ cup
• White Toast, 1 slice 
• Margarine, 1 tsp
• Jelly, 1 tbsp
Lunch
• Tuna Fish, 2 oz
• Low-fat Mayonnaise, 2 tbsp 
• White Bread, 2 slices
• Canned Peaches, ½ cup 
• Gatorade, ½ cup
Dinner 
• Baked Chicken, 2 oz 
• White Rice, ½ cup
• Cooked Beets, ½ cup 
• Dinner Roll, 1
• Skim Milk, ½ cup
• Margarine, 2 tsp
Morning Snack
• Low-fat Yogurt, ½ cup
• Sprite, ½ cup 
Afternoon Snack
• Chocolate Pudding, ½ cup
• Ginger Ale, ½ cup 
Evening Snack 
• Ice Milk, ½ cup 
• Pretzels, 2 
This Sample Diet Provides the Following
Calories1822Fat42g
Protein75gSodium2334mg
Carbohydrates286gPotassium2467mg

March 15, 2023 by

Gallbladder Diet

Breakfast
Fruit: All but Avocado 
Cereal: Any 
Egg: Egg white allowed ONLY 
Beverage: Light tea or coffee or skim milk

Lunch 
Soup: No creamy or fatty soups 
Vegetable: Cooked vegetables only, such as carrots, string beans, peas, beets, spinach. The following vegetables MUST NOT BE EATEN either cooked or uncooked: cucumbers, corn, radishes, sauerkraut, onions 
Beverage: Light tea, skim milk 

Dinner 

Meat: 1 serving of any lean meat, chicken, or turkey. No fried or fatty meats allowed. Meat may be cooked, broiled or baked. No stews or gravies permitted. No duck or goose allowed. 
Fish: Nothing fried. No canned fish, such as salmon, tuna, etc., except water packed. Vegetables: Cooked vegetables as described for lunch ONLY 
Salad: Lettuce and tomato salad WITHOUT DRESSING 
Cheese: Skim milk or cottage cheese 
Beverage: Light tea, skim milk Dessert: Choice of fruits, jell-o or gelatin dessert (without cream), angel food cake

EAT SMALL OR MODERATE MEALS!!! 


THE FOLLOWING FOODS MUST BE AVOIDED 

All fried and fatty foods No eggs, except egg whites 

No fatty soup

No butter allowed 

No canned fish in oil 

No gravies allowed 

No condiments or dressings, such as mayonnaise or russian dressing 

Avoid the following: Asparagus, corn, cucumbers, green peppers, radishes, cabbage, sauerkraut, onions, garlic

March 15, 2023 by

Diverticulosis is characterized by the formation of pockets in the lining of the large intestine. 

Diverticulitis is the acute stage of diverticulosis when the pockets are infected and inflamed. 

With the presence of Diverticulosis, it is best to follow a high fiber diet. This keeps pressure on the wall of the large intestine and prevents the accumulation of excess bacteria. Increase fiber gradually in your diet, as a sudden increase may cause increased formation of gas. 

If Diverticulitis does occur, it is best to switch to a low fiber diet during the acute infection period. After the infection is gone, gradually switch back to a high fiber diet.

Diverticulosis/Diverticulitis Diet Prep
RECOMMENDED FOODS FOR DIVERTICULOSIS
Food GroupDaily AmountHigh Fiber Foods
Fresh Fruit2 or more servingsApples (with skin), oranges, grapefruits, bananas, peaches, pears, plums, cherries, apricots and grapes
Breads and Cereal4 or more servingsWhole grain bread (100% whole wheat, bran, or pumpernickel), dry or cooked cereals (made from whole wheat, bran, oats, unprocessed wheat bran or oat bran), whole grain crackers, bran muffins, brown rice
Vegetables2 or more servingsBroccoli, brussels sprouts, peas, cabbage, carrots, celery, green beans, potatoes, zucchini, tomatoes (without seeds), onions and baked beans Avoid Popcorn!
RECOMMENDED FOODS FOR DIVERTICULITIS
Food GroupDaily AmountLow Fiber Foods
Fresh Fruit2 or more servingsFruit juice, fruit drinks pureed fruit, cooked fruit (without skin)
Breads and Cereal4 or more servingsWhite bread, french bread, farina, cream of wheat or rice, melba toast, saltines, corn flakes, rice krispies, puffed rice, white rice and pasta
Vegetables2 or more servingsVegetable juice, lettuce, winter squash, tomato sauce, mashed or cooked vegetables or potato
Miscellaneous: All dairy products, meat, poultry, fish, eggs, broth, cream soup

March 15, 2023 by

Colonoscopy Prep

YOU MAY HAVE ONLY THE FOLLOWING: 

Water 

Seltzer

Apple Juice 

White Grape Juice 

Sprite 

Ginger Ale 

Bouillon or Clear Broth 

Gatorade (NOT RED) 

Italian Ice (NOT RED) 

Plain Jello (NOT RED) 

Black Coffee or Tea (NO MILK OR CREAMER) 

Gum (DAY BEFORE PROCEDURE ONLY) 

THE FOLLOWING ALSO APPLIES: 

YOU MAY NOT HAVE ANY SOLID FOOD 

NO ALCOHOL 

NO LEMONADE

NO MILK OR MILK PRODUCTS

December 19, 2022 by

 This diet provides fluids that leaves little residue and are easily absorbed with minimal digestive activity. This diet is adequate in all essential nutrients and is recommended only if clear liquids are temporarily needed. No red or purple liquids should be consumed! 

Clear Liquid Diet
Food GroupFoods AllowedFoods to Avoid
Milk & Beverages No bright red or dark purple liquidsCoffee, tea (decaffeinated or regular), carbonated beverages, fruit flavored drinksMilk, milk drinks
Meats & Meat substitutesNONEALL
VegetablesNONEALL
Fruits & Fruit juicesStrained fruit juices: apple, white grape, lemonade, Gatorade, crystal light, soda, water, ice teaAll fruit and fruit juices with unstrained fruit
Grains & StarchesNONEALL
Soups (no noodles, rice, veggies, meat)Clear broth, consomméAll others
DessertsClear flavored gelatin, popsicles, Italian ices (no bright reds or dark purple flavors)All others
TreatsNONEALL
MiscellaneousSugar, honey, syrup, clear hard candy, saltAll others

October 27, 2022 by

Purpose: The bland or soft diet is designed to decrease peristalsis and avoid irritation of the gastrointestinal tract.

Use: It is appropriate for people with peptic ulcer disease, chronic gastritis, reflux esophagitis or dyspepsia. It may also be used in the treatment of hiatal hernia.

A Bland Diet is a diet consisting of foods that are generally soft, low in dietary fiber, cooked rather than raw, and not spicy. Fried and fatty foods, strong cheeses, whole grains (rich in fiber) are also avoided on this diet.

Bland Diet

BREAKFAST

Any cooked cereal or dry cereal. Milk, cream, butter, margarine, eggs. Clear jelly, honey, maple syrup. White or light rye bread or toast. Pancakes or waffles. Decaffeinated coffee, weak tea, or cocoa

LUNCH/DINNER

Soups: Chicken soup, Cream soups made with milk 

Meats: All kinds except those which are tough or spiced

Fish: Any type except fried 

Fowl: Any type except fried 

Vegetables: Carrots, peas, spinach, string beans, asparagus, beets, and squash (all cooked or canned). Potatoes, rice, noodles, macaroni. Spaghetti with plain tomato sauce, made from canned tomato soup and grated cheese.
NO FRESH VEGETABLES. NO SALAD 

Fruit: Apples, apricots, peaches, pears, cherries (all cooked or canned, no skins or seeds). Ripe banana, avocado. NO ORANGES, GRAPEFRUIT, LEMONS, OR TOMATOES 

Juice: Apple, grape, nectar.
NO CITRUS (orange, grapefruit, tomato) 

Eggs: Not fried 

Cheese: Cream cheese, cottage cheese, mild white, Swiss, American, Muenster 

Dessert: Jell-o, custard, pudding, ice cream, plain cookies, cakes without nuts or Fruit

Spices: Paprika, cinnamon, thyme, allspice, sage, salt, parsley.

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