DIETS:

BLAND DIET
BEZOAR AVOIDANCE DIET
CANCER PREVENTATIVE DIET
FOODS AND/OR THINGS THAT TEND TO CAUSE GAS
GERD/WEIGHT REDUCTION DIET
HIGH FIBER DIET
STOOLS FOR OCCULT BLOOD DIET
LOW CHOLESTEROL/LOW TRIGLYCERIDE
LOW FIBER / LOW RESIDUE DIET
MILK FREE DIET

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BLAND DIET
Description: The bland diet omits all foods that are bowel stimulants and are irritating to the gastrointestinal tract.
General Instructions:
1. Eat slowly and chew your food well.
2. Avoid all foods with rough skins, seeds or rough fiber. Avoid fried or highly seasoned foods, black pepper, chili powder, cloves, mustard seed, nutmeg, caffeine, cocoa, coffee, tea and alcohol. Other spices, seasonings and beverages may be tried in moderate amounts.
3. Avoid extremely hot or cold foods and beverages.
4. Avoid any other foods (even if listed as "allowed") that you notice are irritating to you.
Beverages:
Allowed: All except beverages containing caffeine and alcohol (decaffeinated coffee and cold drinks).
Avoid: A
ll caffinated drinks (coffee, tea, coke, chocolate drinks) and alcoholic beverages.
Breads and Cereals:
Allowed: Plain white and wheat bread. Refined cooked cereals such as cream of wheat, cream of rice, farina, oatmeal; refined dry cereals such as puffed wheat and cornflakes. Crisp waffles. Spaghetti, noodles and macaroni. Rice. Saltine, graham, soda or plain crackers.
Avoid: Wh
ole grain cereals, breads and crackers. Breads and cereals with seeds, nuts or raisins.
Deserts:
Allowed: Jello, gelatin, custard, plain pudding. Plain cake, pound cake, sponge cake, angel food cake, cookies, ice cream and sherbert.
Avoid: All rich foods such as pies, pastries, candies, chocolate, any with fruits not allowed, coconut or nuts.
Eggs:
Allowed: Poached, scrambled, soft or hard cooked, baked, creamed, plain omelet or soufflé.
Avoid: Fried.
Fats:
Allowed: Butter, margarine, mayonnaise, cream, mild salad dressings, salad oil, crisp bacon and smooth peanut butter.
Avoid: Spicy, seasoned dressings, nuts, crunchy peanut butter, rich gravies and sauces.
Fruits and Juices:
Allowed: Stewed, peeled peaches, pears, apricots or baked apple without skins. Canned peaches, pears. Royal Anne cherries, Bing cherries. Applesauce. Ripe banana and avocado, and other pureed fruits. All fruit juices.
Avoid: Fruits with coarse skins or seeds. Figs, raisins, pineapple, berries, melon and coconut. Citrus fruits when consumed on an empty stomach. Spiced or pickled fruits.
Meats, Fish and Poultry:
Allowed: Very tender beef, veal, lamb, fresh pork, liver, poultry or fish which has been broiled, roasted or steamed. Crisp bacon.
Avoid: Bologna, luncheon meat, sausage, frankfurters, ham and all pickled, salted and smoked meats. Rich gravies and sauces. Fatty meats and all fried meats, fried fowl or fried fish
Cheese:
Allowed: Plain, mild-flavored, such as American, cottage and cream.
Avoid: Cheese with added spices, nuts or relishes.
Potatoes or Substitutes:
Allowed: Potato, mashed, baked, or broiled without skins. Sweet potato or yams. Rice. Spaghetti, noodles or macaroni.
Avoid: Potato chips. Potato skins.
Soups:
Allowed: Cream soups made with foods permitted. Oyster stew, mildly seasoned.
Avoid: Broth, bouillon, consommé, commercial creamed soups which are highly seasoned. Any soup with a meat broth base.
Sweets:
Allowed: Jelly, sugar, syrup, honey, marshmallows, molasses. Gum drops and fruit flavored hard candy.
Avoid: chewing gum, chocolates, candy made with fruit, coconut, or nuts not allowed. Jam.
Spices:
Allowed: cinnamon, salt, sugar, mace, parsley, paprika and lemon vinegar. Flavorings and extracts.
Avoid: pepper, hot sauce, chili sauce and all other spices.
Vegetables:
Allowed: Cooked tender asparagus tips, beets, carrots, green or waxed beans, mushrooms, pumpkin, green peas, white or sweet potato without skins, spinach, summer or winter squashes. Vegetables may be creamed, scalloped or served in cream soups or gelatin salads, mildly seasoned. Mild-flavored vegetable juices.

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BEZOAR AVOIDANCE DIET
Description: This diet is used when the stomach is having trouble digesting food
Avoid the following:
Oranges, Persimmons, Coconut, Berries, Green Beans
Figs, Apples, Saurkraut, Brussell Sprouts, Potato Peelings,
Maalox, Vitamin C, Oral Iron

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CANCER PREVENTATIVE DIET

1. Diet high in fiber (brown bread, whole wheat, bran cereal)
2. Diet low in red meat (avoid burnt meat & marinate prior to cooking.
3. Have fruits/vegetables daily (at least five of either daily).
4. Vitamin Supplements - E, A, C, Selenium, Zinc, Beta Carotene
5. Calcium Supplement with Vitamin D
6. Take a baby aspirin daily.
7. Omega 3 Fish Oil is cardiac preventative.

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FOODS AND/OR THINGS THAT TEND TO CAUSE GAS
Description: This diet list gives foods that cause many people to have increased gas and bloating.
Vegetables:
Beans Peas Corn
Potatoes Lentils Cabbage
Soybeans Shallots Sauerkraut
Onions Avocado Scallions
Leeks Radishes Turnips
Sweet Potatoes Bell Peppers Cucumbers
Brussel Sprouts Cauliflower Broccoli
Rutabagas Carrots Celery
Eggplant
Beverages:
Carbonated drinks - Cokes, Beer, 7-UP, etc.
Low calorie or diet drinks containing Sorbitol
Juices - pear, grape, orange, grapefruit, tomato
Coffee
Milk and milk products
Fruit:
Raw apples Pears Apricots
Prunes Raisins Bananas
Melon - watermelon, cantaloupe, honeydew
Breads, Cereals, Eggs:
Popovers, Beaten egg whites, Wheat flour, Bran, Wheat Germ
MISCELLANEOUS
Pretzels, Souffles, Nuts,
Sucking on hard candy, Chocolate, Piminento
OTHER FACTORS TO BE CONSIDERED:
1. Eat slowly and chew your food well before swallowing.
2. Drink liquids either before or after meals, not with, to avoid swallowing air.
3. If you do drink a carbonated beverage (soft drink), pour it out of the bottle/can into a glass and let most of the air bubbles escape before sipping.

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GERD/WEIGHT REDUCTION DIET

Purpose: This diet is used for patient's who have problems with reflux and need to lose weight to help control symptoms.

ALL LISTINGS = ONE SERVING
The number of servings allowed in a day are determined by the amount of calories needed.

1200 calorie diet: 5 breads daily, 2 fruits daily, 4 meats daily, 2 milks daily, 3 fats daily, and 3 vegetables daily


1500 calorie diet: 7 breads daily, 3 fruits daily, 5 meats daily, 2 milks daily, 3 fats daily, and 3 vegetables daily


1800 calorie diet: 9 breads daily, 4 fruits daily, 6 meats daily, 2 milks daily, 4 fats daily, and 3 vegetables daily


MEATS
1 oz lean beef.
1 oz chicken or turkey, without skin
1 oz lean pork
1oz veal
1 oz fish (fresh or frozen)
¼ cup tuna or salmon, canned
1 oz lamb
2 oz shellfish
1 egg
3 egg whites
¼ cup egg substitute
1 oz diet cheese
2 tbsp Parmesan cheese
1 oz lean luncheon meat (95 % fat free)

AVOID: Fried meats, fried chicken, fried fish or seafood. Also avoid spicy sausages, frankfurters, bacon, liver.

FATS
1 tsp margarine
1 tsp mayonnaise
1 tsp oil: corn, olive, safflower, sunflower, and canola
1 tbsp salad dressing, regular
2 tbsp salad dressing, low-fat
1 tbsp diet margarine or mayonnaise
1/8 avocado

AVOID: Butter, cream, cream cheese, bacon drippings, and peanut butter.


FRUITS
1 small apple, kiwi, pear, nectarine, peach
½ medium banana
¾ cup blackberries, blueberries
1/3 cantaloupe
12 large raw cherries
15 small grapes
1/8 medium honeydew melon
2 plums
1 ¼ cup strawberries or watermelon
½ cup canned unsweetened fruit, except pineapple
½ cup juice: apple, grape, white grape, prune

AVOID: all citrus fruits (fresh, frozen, or canned) or juices, such as orange, grapefruit, and pineapple.

VEGETABLES
½ cup cooked vegetables
1 cup raw vegetables
Starchy vegetables are counted as bread and are listed under the "Bread and Starch" list.
Some vegetables are great to snack on. They are listed under the "Free Food" list.

AVOID: Fresh or cooked tomatoes, tomato juice, and all tomato products.

DAIRY
1 cup skim, 1%, or 2% milk
8 oz yogurt: plain, nonfat, or low-fat
½ cup evaporated skim milk

AVOID: Whole milk, cream

BREADS AND STARCHES
½ bagel
1 slice bread: white, wheat, rye, French
2 slices reduced calorie bread, any type
½ English muffin
½ hamburger or hot dog bun
1 reduced calorie hamburger or hot dog bun
½ pita
1 small dinner roll
1 tortilla

½ cup bran flakes
½ cup cooked oatmeal, grits or cream of wheat
3 tbsp grape nuts
¾ cup ready to eat cereal: Special K, Corn Flakes, Cheerios, etc
1 ½ cup puffed rice or wheat

8 animal crackers
3 graham crackers, 2 ½ inch square
3 cups plain air popped popcorn
¾ oz pretzels
6 saltine crackers
6 vanilla wafers

1/3 cup cooked beans, peas or lentils
½ cup cooked pasta
½ cup cooked rice

½ cup corn
½ cup lima beans
1 small plain baked potato
½ cup mashed potatoes
1/3 cup sweet potatoes, plain
1 cup winter squash

CONDIMENTS
Salt, herbs, small amounts of plain mustard are well tolerated.

AVOID: ketchup, hot sauces, taco sauce, spicy mustard, black and red pepper.

BEVERAGES
Water
Herbal, caffeine free tea
Sugar free drink mixes, except lemonade or orangeade
Caffeine free, sugar free soft drinks, in moderation
Decaffeinated coffee, in moderation
Non fat bouillon or broth

FREE FOODS
Sugar free jello
1-2 tbsp sugar free pancake syrup
1-2 tbsp sugar free jam or jelly
2 tbsp fat free whipped topping
Sweet and Low, Equal, and Splenda sweeteners
1-cup raw veggies: celery, cucumbers, carrots, zuchinni, broccoli, mushrooms, and lettuce

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HIGH FIBER DIET
Intended Use:
The high fiber diet may be used in the treatment of constipation, diverticular disease, hemorrhoids, spastic colon, irritable bowel, colon cancer and obesity. The purpose of the diet is to increase the fiber content that increases the frequency and volume of stools while increasing transit time. This promotes more frequent bowel movements and results in softer stools.

Adequacy:
This diet can meet the requirements of the Recommended Dietary Allowances (1980 revision) for the healthy adult.

General Information:
Follow a regular diet except use high fiber foods (whole grain breads and cereals, fresh fruits and vegetables), and decrease refined foods such as white bread, rolls, refined cereals and pasta.

Individual needs and food tolerances should be considered.

Drink six (6) to eight (8) cups of water daily.

Consult your physician regarding foods such as caffeine containing beverages and prunes due to laxative effect.


HIGH FIBER

Breads: Whole Wheat, Cornbread (coarse ground meal), Graham Crackers

Cereals: All Bran (100%), Shredded Wheat, Oatmeal, Brown Rice, Whole Wheat Cereal

Vegetables:
Asparagus, Broccoli, Brussel Sprouts, Carrots, Cabbage, Turnips, Cauliflower, Celery, Okra, Corn, Onions, Eggplant, Squash, Lettuce, Tomatoes, Greens (all varieties), Green Beans, Dried Beans, Peas, Potato (with skin), Spinach


Miscellaneous: Popcorn, Nuts, Seeds (sunflower, sesame, poppy)

Fruits: Dried Fruits, Apples (with peel), Oranges, Grapefruit, Pears, Pineapple, Peanut Butter (crunchy), Banana, Peaches, Figs, Prunes, Strawberries, All Berries

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STOOLS FOR OCCULT BLOOD DIET

Purpose: This diet is used when collecting stool samples to check for blood. The items on this diet may cause stools to be falsely positive for blood. Please follow this diet as instructed if you are collecting stool samples.

Please follow this diet for 2 (two) days before collecting stool specimens and continue it until you have collected all the stool specimens. Start collecting the stool on the 3rd (third) day. Each specimen should be from 3 (three) separate bowel movements.

1. Do Not eat red meats, turnips, radishes or horseradish because these foods may cause a false positive result. Small amounts of chicken, turkey and tuna fish may be eaten because they will not interfere with test results.

2. Do Not take any iron supplements. Examples: Fergon, Feasol, Ferrancee HP.

3. Do Not take any aspirin or products containing aspirin (check the labels), anti-inflammatory products (Motrin, Advil, Feldene, etc.) because these may cause stomach irritation and/or bleeding.

4. Do Not take Vitamin C or any multivitamin containing Vitamin C because it could cause a false-negative result.

5. Eat plenty of vegetables (especially lettuce, spinach and corn), fruits (especially apples, prunes, and grapes) and a bran-containing cereal or bread. If any of these foods cause you problems, just eat the ones you can tolerate.

6. Do Not collect specimens if you have active Hemorrhoidal or menstrual bleeding.

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LOW CHOLESTEROL/LOW TRIGLYCERIDE
DIET GUIDELINES

Foods to Use-

Meats, Fish:
Choose lean meats (chicken, turkey, veal, and non-fatty cuts of beef with excess fat trimmed; one serving = 3oz. of cooked meat). Also, fresh or frozen fish, canned fish packed in water, and shellfish (lobster, crabs, shrimp, oysters). Limit use to no more than one serving of one of these per week. Shellfish are high in cholesterol but low in saturated fat and should be used sparingly. Meats and fish should be broiled (pan or oven) or baked on a rack.

Eggs:
Egg substitutes and egg whites (use freely). Egg yolks (limit two per week).

Fruits:
Eat three servings of fresh fruit per day (1 serving = ½ cup). Be sure to have at least one citrus fruit daily. Frozen or canned fruit with no sugar or syrup added may be used.

Vegetables:
Most vegetables are not limited. One dark green (string beans, escarole) or one deep yellow (squash) vegetable is recommended daily. Cauliflower, broccoli, and celery, as well as potato skins, are recommended for their fiber content. (Fiber is associated with cholesterol reduction). It is preferable to steam vegetables, but they may be boiled, strained, or braised with polyunsaturated vegetable oil (see below).

Beans
Dried peas or beans (1 serving = ½ cup) may be used as a bread substitute.

Nuts
Almonds, walnuts and peanuts may be used sparingly ( 1 serving = 1 tablespoonful). Use pumpkin, sesame or sunflower seeds.

Breads
One roll or one slice of whole-grain or enriched bread . Grains may be used, or three soda crackers or four pieces of melba toast as a substitute. Spaghetti, rice or noodles (1/2 cup) or ½ large ear of corn may be used as a bread substitute. In preparing these foods, do not use butter or shortening; use soft margarine. Also use egg and sugar substitutes. Choose high-fiber grains, such as oats and whole wheat.

Cereals
Use ½ cup of hot cereal or ¾ cup of cold cereal per day. Add a
sugar substitute if desired, with 99% fat-free or skim milk.

Milk Products
Always use 99% fat-free or skim milk, dairy products such as low-fat cheeses (farmer's, uncreamed, diet, cottage), low-fat yogurt, and powdered skim milk.

Fats, Oils Use soft (not stick) margarine; vegetable oils that are high in polyunsaturated fats (such as safflower, sunflower, soybean, corn, and cottonseed). Always refrigerate meat drippings to harden the fat and remove it before preparing gravies.

Desserts
Limit to two servings per day; substitute each serving for a bread/cereals serving: ice milk, water sherbet (1/4 cup); unflavored gelatin or gelatin flavored with sugar substitute (1/3 cup); pudding prepared with skim milk (1/2 cup); egg white soufflés; unbuttered popcorn (1 ½ cups). Substitute carob for chocolate.

Beverages
Fresh fruit juices (limit 4 oz. per day); black coffee, plain or herbal teas; soft drinks with sugar substitutes; club soda, preferable salt-free; cocoa made with skim milk or nonfat dried milk and water (sugar substitute added if desired); clear broth. Alcohol: limit two servings per day.

Miscellaneous
You may use the following freely: vinegar, spices, herbs, nonfat bouillon, mustard, Worcestershire sauce, soy sauce, flavoring essence.


Foods To Avoid-


Meats,Fish
Marbled beef, pork, bacon, sausage, and other pork products; fatty fowl (duck, goose); skin and fat of turkey and chicken; processed meats; luncheon meats (salami, bologna); frankfurters and fast-food hamburgers (they're loaded with fat); organ meats (kidneys, liver); canned fish packed in oil.

Eggs
Limit egg yolks to two per week.

Fruits
Coconuts (rich in saturated fats).

Vegetables
Avoid avocados. Starchy vegetables (potatoes, corn, lima beans, dried peas, beans) may be used only if substitutes for a serving of bread or cereal. (Baked potato skin, however, is desirable for its fiber content.)

Beans
Commercial baked beans with sugar and/or pork added.

Nuts
Avoid nuts. Limit peanuts and walnuts to one tablespoonful per day.

Breads
Any baked goods with shortening and/or sugar. Commercial mixes with
Grains dried eggs and whole milk. Avoid sweet rolls, doughnuts, breakfast pastries (Danish), and sweetened packaged cereals (the added sugar converts readily to triglycerides).

Milk Products
Whole milk and whole- milk packaged goods; cream; ice cream; whole-milk puddings, yogurt, or cheeses; nondairy cream substitutes.

Fats,Oils:
Butter, lard, animal fats, bacon drippings, gravies, cream sauces, as well as palm and coconut oils. All these are high in saturated fats. Examine labels on "cholesterol-free" products for "hydrogenated fats". (These are oils that have been hardened into solids and in the process have become saturated.)

Desserts:
Fried snack foods like potato chips; chocolate; candies in general; jams,
Snacks jellies, syrups; whole-milk puddings; ice cream and milk sherbets; hydrogenated peanut butter.

Beverages:
Sugared fruit juices and soft drinks; cocoa made with whole milk and/or sugar. When using alcohol (1 oz. liquor, 5 oz. beer, or 2 ½ oz. dry table wine per serving), one serving must be substituted for one bread or cereal serving (limit, two servings of alcohol per day).

Special Notes:
1. Remember that even nonlimited foods should be used in moderation.

2. While on a cholesterol-lowering diet, be sure to avoid animal fats and marbled meats.

3. While on a triglyceride-lowering diet, be sure to avoid sweets and to
control the amount of carbohydrates you eat (starchy foods such as
flour, bread, potatoes).

4. Buy a good low-fat cookbook, such as the one published by the American Heart Association.

5. Consult your physician if you have any questions.

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Low Fiber/Low Residue Diet

Purpose: Dietary fiber is the indigestible part of plants that maintains the structure of the plant. Dietary fiber includes cellulose, hemicellulose, polysaccharides, pectins, gums, mucilages, and lignins. Although they are chemically unrelated, they all resist digestion by the human body. It is this resistance that makes these fibers important in both the normal functioning and in disorders of the large intestine or colon.

In certain medical conditions, it is important to restrict fiber. These include acute or subacute diverticulitis, and the acute phases of certain inflammatory conditions of the bowel - ulcerative colitis or Crohn's disease. After some types of intestinal surgery, a low fiber, low residue diet may be used as a transition to a regular diet. A low fiber diet is also used for a period of time after a colostomy or ileostomy is performed. This diet is also used after a colonoscopy if your doctor had to remove a polyp from you colon.

Nutrition Facts: Depending upon individual food selection, the Low Fiber, Low Residue Diet is adequate in all nutrients (National Research Council's Recommended Dietary Allowance). If the diet must be strict and followed over a long period of time, the intake of fruits and vegetables may not be adequate; and/or on a low residue diet, there may not be enough calcium included. In these cases, a multi-vitamin supplement or liquid nutritional supplement may be needed.

Special Considerations: If a low fiber or low residue diet results in abdominal cramps or discomfort, notify the dietitian or physician immediately.

FOOD GROUPS

Milk & Milk Products: (2 or more cups daily)
Recommend: all milk products
Avoid: Low Residue Diet only 2 cups daily of all milk products

Vegetables: (3 or more servings daily)
Recommend: lettuce; vegetable juice without pulp; the following cooked vegetables: yellow squash (without seeds), green beans, wax beans, spinach, pumpkin, eggplant, potatoes without skin, asparagus, beets, carrots
Avoid: vegetables juices with pulp, raw vegetables except lettuce, cooked vegetables not on recommended list

Fruits: (2 or more servings daily)
Recommend: fruit-juices without pulp, canned fruit except pineapple, ripe bananas, melons
Avoid: fruit-juices with pulp, canned pineapple, fresh fruit except those on Recommend list, prunes, prune juice, dried fruit, jam, marmalade

Starches - Bread & Grains: (4 or more servings daily)
Recommend: bread and cereals made from refined flours, pasta, white rice
Avoid: whole-grain breads, cereals, rice, pasta; bran cereal; oatmeal

Meat or meat substitutes: (5 to 6 oz. daily)
Recommend: meat, poultry, eggs, seafood
Avoid: chunky peanut butter, nuts, seeds, dried beans, dried peas

Fats and oils: (servings depend on caloric needs)
Recommend: all oils, margarine, butter
Avoid: coconut

Sweets and desserts: (servings depend on caloric needs)
Recommend: all not on Avoid list
Avoid: desserts containing nuts, coconut

Miscellaneous:
Recommend: all not on Avoid list
Avoid: popcorn, pickles, horseradish, relish


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MILK FREE DIET

Avoid milk in ALL forms. If there is any question regarding a prepared food, read the ingredient list on the label. Other name for milk is lactose. People who cannot drink or eat milk products are lacking an enzyme called lactase.

This is a list of foods where milk commonly occurs.

· Custard, ice cream, ice milk, milk pudding & junket.

· Batters, waffles, pancakes, cake, cookies and prepared flours (Bisquick).

· Ordinary bread

· Malted milk, Ovaltine, cocomalt, drinking chocolate, buttermilk, canned or dried milk.

· Milk chocolate candy, chocolate creams, filled candy bars & nougat.

· Cottage cheese & other cheese.

· Cream of rice & macaroni

· Any foods prepared with milk, cheese, & cream such as gravies, cream sauces, fritters, rarebits, timbales, soufflés, au gratin dishes & omelets.

· Powdered milk

· Frankfurters, sausages & wiener schnitzel. (Dried skim milk is used as
a binder)


For more nutrition information, you may visit the following websites:
www.foodallergy.org
www.eatright.org

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