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Diet Guidelines
Colitis, Post dysenteric states and Irritable Colon
Rheumatism
Gout
Constipation
Cholecystitis and Cholelithiasis
Diabetic Diet
Peptic Ulcer Diet
Colitis, Post dysenteric states and Irritable Colon (Low Residue)
General
A very smooth non-irritating and nutritious diet containing foods which
reduce the amount of faecal residue and not cause excessive fermentation.
All tough and fibrous foods should be excluded and fruits and vegetable
pureed from pips, seed and skin. Highly flavoured and condiments which
act as irritants should also be avoided.
Foods to be avoided
Fried and fatty foods, Highly seasoned foods such as curies, sausages,
rissoles and highly seasoned gravies, stews and sauces. Mustard, pepper,
spices, vinegar, pickles, chutney, mayonnaise and salad dressing. Strong
cheeses. Highly seasoned soups, e.g., mulligatawny and unstrained vegetable
soups. Twice cooked and canned meats, whole grain bread, biscuits and ordinary
crispbreads. Bran cereals. Hot fresh bread and fancy biscuits, e.g. with
coconut. All raw vegetables and coarse vegetables, e.g. cabbage and onions.
Coarse fruit fibres, pips, skin, and all unripe fruits. Fruit cakes, pies,
pastries and dried fruits. Nuts, jams with seeds or skin. Alcohol. Strong
tea or coffee.
Foods allowed
Eggs (not fried). Sieved vegetable or cream soups. Roast lean meat.
Grilled tender meat, kidneys, bacon, lean ham. Boiled or steamed fish,
smoked haddock, rabbit or pultry. Crab, lobster, prawns and salmon. Creamed
tripe, rabbit or poultry. Potatoes (not fried). Macaroni, rice, spaghetti
or vermicelli, tomato puree or simmered mince steak. Vegetables – chokoes,
asparagus tips. Mashed pumpkin, beetroot and young carrots. Puree beans,
and flavoured milk and milk puddings. Marmite and Vegemite. Honey, plain
chocolate, barley sugar, salt.
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Rheumatism
General
While there is no specific diet required for this condition, it is
important to regulate the diet of the individual patient as to maintain
him in the best possible nutritive condition. A marked clinical improvement
is often associated with a better state of nutrition. Excess weight should
be avoided and plenty of fresh foods included to supply the necessary vitamins
and minerals.
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Hypertension
General
The diet should be easily digestible with adequate protein and any
tendency to overweight must be checked. Highly seasoned foods and large
meals before bedtime should be avoided.
Avoid the following
Alcoholic drinks. Strong tea and coffee. Excess salt, pickles and highly
spiced foods. Strong cheese and any foods known to disagree.
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Gout
General
Diet to contain a liberal intake of milk, fruit and vegetables (except
those listed below “to be avoided”). Meat and fish should only be taken
in the quantities listed. Ample fluid is to be taken between meals. Any
tendency to overweight should be avoided, and hence sugars and starchy
foods reasonably restricted and adjusted according to individual requirements.
Since it is believed that fat is liable to hinder the excretion of uric
acid, do not used cream or fried foods.
Foods to be avoided
Rich and highly seasoned foods, meat extracts, meat soups and gravies.
Sweetbreads, liver, heart and kidneys. Fish roe, herrings, salmon, sardines,
whitebait, anchovies and scallops. Spinach, asparagus, strawberries and
rhubarb. Yeast. Alcohol. Wholegrain products.
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Constipation
General
This is a diet containing a large proportion of food which provides
bulk and roughage (or indigestible residues) to stimulate the movement
of intestines. Fresh and dried fruits, vegetable and salads, whole grain,
cereal, honey, and treacle may all be used liberally. Plenty of fluids,
such as fruit juices and water, should be taken each day. Plenty of exercise
and regular habits will also help with the success of this diet.
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Cholecystitis and Cholelithiasis
General
In order to improve the condition of your gall bladder it is necessary
to avoid in your diet certain foods which are known to have a harmful effect
on it. Such foods are those rich in fat and cholesterol which you should
be careful to avoid and are included in the list below. Meals should be
small in quantity, and ample water should be taken between them. It is
also important to check any tendency towards being overweight and it this
exists, then you should restrict foods high in carbohydrates.
Foods to be avoided
All fried foods and foods cooked in fat. Fats and oils such as cooking
margarine, lard, suet, olive oil, salad oil, cod-liver oil and copha. Butter
and margarine in excess of allowance. Egg yolks (more than 3 per week),
cream milk, whole full cream, evaporated or condensed.
Cheese, except for skimmed milk cottage cheese. Mayonnaise salad dressings.
Cream and fatty soups, sauces, gravies and broths. Rich and highly seasoned
foods. Made up meat dishes, casseroles, sausages, duck, liver, kidney,
heart, sweetbreads and tripe. Fish fried, canned in oil (sardines, anchovies,
etc) and fish roe. Avocado, pears and olives. Vegetables fried or baked
or served with a fatty sauce - celery, onion, leeks, garlic, cucumber,
green and red peppers, radishes and turnips. Cakes, pastry, pies preparations.
Coconut, lemon butter, nuts and peanut butter. Ice cream, scones, puddings
and sweet biscuits. Chocolate, cocoa and malted milk, strong tea and coffee.
Beer and alcohol, and any foods which is known to disagree.
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Diabetic Diet (consult your nutritionist)
General
Diet adequate in all respects for maintenance, restricted in carbohydrates
content but containing sufficient to prevent development of acidosis. Foods
where starch is reduced and the amount of carbohydrate is known and standardised.
Sugar should be taken with care
Foods to be avoided
The total amount of carbohydrate which may be taken daily is fixed
by the doctor and this fixed allowance must never be exceeded. The chief
carbohydrates foods are sugar, bread, biscuits, flour, jam, dried fruits,
some sweet fruits, potatoes and other root vegetables. Glucose and sugar
being practically pure carbohydrates are forbidden as are foods rich in
sugar or starch, not listed in this dietary, such as sweets, pastries,
cakes, sauces and gravies thickened with flour. The amount of fruit and
vegetables which may be taken but this depends on the carbohydrates content.
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Dyspepsia (Indigestion or carbohydrate dyspepsia)
General
To relieve the discomfort of indigestion it is advisable to follow
these simple rules for healthy eating. Meals should be unhurried, small
in quantity, chewed thoroughly and taken at regular intervals. Do not drink
more than allowed in diet with your meals but take ample fluid between
them. Smoking and drinking alcohol on an empty stomach will tend to aggravate
the symptoms. If you suffer discomfort with wind, do not try to “bring
it up” as this will cause you to swallow more air and so cause more distention.
Certain foods are irritating to the stomach and bowels and some tend to
produce gases during digestion – these are listed below and you should
try to avoid them.
Foods to be avoided
All fried foods. Rich, highly seasoned and twice-cooked or tough meats.
Sausages. Vinegar, pickles, chutney, mayonnaise, horseradish, mustards,
spices, curry and pepper. Gravies and soups, particularly those rich in
meat extracts. Smoked and fried fish, fatty fish, sardines and anchovies.
Strong cheeses. New bread and scones. Hot, buttered toast. Wholemeal bread,
biscuits and cereals. Pastry and rich heavy puddings. Rich cakes. Raw vegetables,
brussels sprouts, cabbage, leeks, onion, cucumber, radishes, turnips, haricot
beans. Raw, unripe and dried fruits. Pips, skin and peel of all fruits
(also in jams). Melon and pineapple. Alcohol, strong tea and coffee. Very
acid and very cold foods. Any foods which is known to disagree.
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Peptic Ulcer Diet (Strict)
General
Feeds are given at two-hourly intervals throughout the day and at night,
if awake. Water may be taken between the feeds as desired, but should be
taken in small amounts at a time. Milk feeds should be taken during the
night if awake. Milk mixture is made up with 2 pints milk and 8 oz. single
cream.
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