Transitional Diets posted by Robin H

Robin H found this for transitional diets for Pancreatitis
PANCREATITIS MESSAGE BOARD
Posted by cj on December 30, 2005 at 18:53:09:
I just couldn’t get the daily example of diet to space right, so it was just choices off the lists below.

Transitional Diets for Pancreatitis

When you are discharged home from the hospital, you will be starting off with a diet that is easier for your body to tolerate and will not stimulate your pancreas too much.

Gradually, you will be allowed more and more food, and will transition finally to a low-fat regular diet that you can stay on almost indefinitely to minimize pain and abdominal symptoms.

Start off with the clear liquid diet (1), then when you tolerate this without pain, nausea, vomiting or diarrhea, advance to the full liquid diet (2). When you tolerate this, advance to the low-residue low-fat diet (3). Finally, you can graduate to the regular low-fat diet (4).

This transition should be slow to avoid any problems with worsening pain or Pancreatitis symptoms. A rough rule of thumb is to complete the transition from clear liquid to solid, but a low-fat diet, within 1 week. Please remember that the pancreas is more prone to react to fatty (heavy) food and food that stays within the stomach for a long time. Therefore, a liquid diet or a low-fat diet is better tolerated than a solid, regular or high-fat diet.

The following pages will give you some guidance on what to avoid and what to choose during your transition. The last page gives a sample menu for each stage of the diet.

If you have diabetes or are prone to high blood sugars, follow the asterix (*) for extra instructions on how to balance the carbohydrates in your diet.

1. Clear Liquid Diet

The clear liquid diet is used only very short term, for example, 2 to 3 days, for when you are initially starting to eat. This is a very limited diet with only the following items. When you are feeling better, and have minimal abdominal pain, no nausea, vomiting or diarrhea, move on to the Full Liquid Diet (2).Juices*Broth, Clear soups Gelatin (Jell-O),*Sorbet*

Popsicles*, Fruit ices*, 7-up or Sprite*, Sports drinks such as Gatorade*
* if you have diabetes or are prone to high blood sugars, have at least two but not more than three 4-oz portions of these carbohydrate containing clear liquids at each meal. You can have unlimited diet gelatin (diet Jell-O), Diet 7-up or Diet Sprite, or diet fruit ices in addition.

2. Full Liquid Diet

When you are ready to add to the Clear Liquid Diet, add the following items to your diet, and continue to have everything allowed on the Clear Liquid Diet. Make sure you try to eat at least 3 times a day to try to meet your nutritional requirements. You should not follow this diet for more than 2 weeks as it is not fully nutritionally adequate. When you tolerate this diet, move on to the low-residue, low-fat diet.
Milk*Smooth yogurt with no fruit chunks*, Broth soup, Cream soup*, Pudding*, Custard*, Low-fat Ice cream*, Boost or Ensure*, Fruit smoothies*, Rice milk*, Soy milk*

* if you have diabetes or are prone to high blood sugars, have at least two but not more than three 4-oz portions of these carbohydrate containing clear liquids at each meal. You can have unlimited diet gelatin (diet Jell-O), Diet 7-up or Diet Sprite, or diet fruit ices in addition.

3. Low Residue (Low-Fiber), Low-Fat Diet

A low-residue or low-fiber, low-fat diet avoids most foods with a lot of fiber and fat. Try to consume white breads, white rice, and not too many raw fruits or vegetables. Avoid fatty foods. This will allow you to transition to a regular low-fat diet more easily, and minimize pain and other symptoms such as nausea, vomiting and diarrhea. This diet is balanced and can be followed for weeks.

L Foods to AVOID:

Whole grain and whole wheat breads , Rye breads with seeds ,Nuts and seeds , Granola and granola bars , Dried fruit , Coconut , Raw fruits , Raw vegetables
Salads:
Gas-producing vegetables: Broccoli, Brussels sprouts, Cabbage, Cauliflower Sauerkraut, Onions, Vegetables with seeds:, Eggplant. Tomatoes Fried meats , Tough meats , Sausages , Bologna , Peanut butter , Beans , Jams and preserves , Fried potatoes/french fries , Wild or brown rice , Whole wheat pasta , Ice cream , Cream , Butter , Pudding , Coffee , Gravy , Mayonnaise

J Foods to EAT:

White breadSourdough breadEnglish muffins, Pancakes and waffles, Canned fruit (moderation), Crackers, Cream of wheat, Oatmeal, Soft cooked vegetables: Asparagus tip, Carrots, Beets, Green beans, Spinach, Summer squash, Zucchini, Mushrooms, Soft fruits (limit 2 per day): , Melon, peach, banana, or skinless, Tender lean meats, Skinless chicken, Fish, Turkey, ground turkey, Jelly, Honey, Mashed potatoes , Baked potatoes no skin, Boiled potatoes, White rice, noodles, Pasta (not whole wheat), w-fat milk (if tolerated)Lactaid milk, yogurt, Angel food cake, Fruit juices, soy milk, Lite mayonnaise

4. Low-Fat Diet

A low fat diet is the recommended diet to follow almost indefinitely when you have Pancreatitis. Try to follow a low-fat diet consistently, eating no more than 50 grams of fat per day. A low-fat diet is a balanced, healthy way to eat
L Foods to AVOID:
Croissants , Donuts, muffins , Nuts and nut butters , Granola and granola bars Cakes, cookies , Oily crackers (e.g. Ritz) , Bacon and eggs , Cream soups , Salad dressings , Croutons , Bacon bits , Sour cream , Sesame and other seeds , Fried meats , Fatty meats , Sausages , Cheeseburger , Bologna, hot dogs , Peanut butter Cheese , Mayonnaise , Fried potatoes/french fries , Scalloped potatoes , Pasta with cream sauce , Ice cream, Cream , Fried noodles, Pudding , Pound cake, cakes with icing , Cookies

J Foods to EAT:

White or wheat bread, Sourdough bread, rye bread, English muffins, pancakes, waffles, Corn flakes, rice crispies, cereal bars, Fresh fruit, dried fruit, juices, Dry crackers, e.g. soda, graham, water, Cream of wheat, oatmeal, , Vegetable soups, broth based soups , Salads, vegetables, fat-free dressings, Vinegars, Garbanzo beans, Plain yogurt, nonfat sour cream, Pretzels, Skinless chicken , Lean meats, Ham, roast beef, roast turkey slices, Turkey burger, no cheese, “Smart Dogs” and other soy products, Turkey, ground turkey, Jams and Jelly, Mustard, ketchup, lite mayo, Mashed potatoes with no butter, Baked potatoes, boiled potato, Pasta with tomato based sauce, Sorbet, sherbet, low-fat frozen yogurt, Low-fat desserts , Noodles in soup, Nonfat or low-fat milk or yogurt, Angel food cake, All fruits


FREQUENTLY ASKED QUESTIONS ON PANCREATITIS DIET

1. What kind of diet do I have to follow for life?

The kind of diet that is best for someone with chronic Pancreatitis is a diet that is low in fat, low in sugar, and moderate in protein. That means, most of your diet will consist of fruits and vegetables, lean meats, skinless chicken and turkey, fish, potatoes, rice and pasta, and low-fat dairy products and soy. This is similar to the diet recommended for patients with heart disease, so you can look in bookstores for cookbooks for heart-healthy diets, and you can choose items on restaurant menus that are intended for heart-healthy diets.

2. Can I follow a low-carbohydrate, Atkins-type diet if I have Pancreatitis and want to lose weight?

A low-carbohydrate, Atkins-type diet will probably have too much meat and fat for a person with Pancreatitis to follow. However, it is important for a person with Pancreatitis to eat enough protein. The best is to be moderate in your protein intake and try to avoid fatty meats and fatty food preparation techniques such as frying and sautéing.
In general, it is not advised to follow an Atkins-type diet if you have Pancreatitis. If you wish to lose weight, cut down on foods with a lot of calories, such a juices, sweets, baked goods, heavy sauces, and reduce your portion sizes of rice, bread, pasta, and potatoes. Don’t cut them out entirely, as they are low-fat foods. Eat more vegetables. Make sure you eat breakfast (this actually helps with weight loss). Make sure you do some exercise daily or every other day for at least 30 minutes. It can be walking or any activity you enjoy and can do consistently.

3. How much protein do I need per day?

Most adults need about 6 oz of fish, chicken, turkey, or lean meat every day. You can divide this into 3 oz at lunch and 3 oz at dinner, or 2 oz at lunch and 4 oz at dinner. A 3 oz portion is the size of a deck of cards. A 4 oz portion is about the size of a woman’s palm. A slice of turkey or chicken is about 1 oz, so a sandwich with 2 slices is about 2 oz of protein food.
Eating enough protein is important. Don’t cut out all protein foods.

4. What if I’m vegetarian?

If you are vegetarian, you need to obtain your protein from beans, soy products, eggs, and dairy products. Try not to use cheese and nuts for protein, as they come with a lot of fat also. Instead, purchase a low-fat vegetarian cookbook and make items such as bean chili, tofu stir-fries (with a minimum of vegetable oil), and other such vegetarian recipes. Low-fat milk, eggs, yogurt and cottage cheese are also acceptable sources of protein.

5. What are some things I can snack on?

Low-fat snacks include fresh fruit, fruited yogurt, low-fat crackers, cereal and milk, liteJell-O, toast and jam, or bagel.

6. Should I avoid sugar?

If you have high blood sugars, you may need to be on a diabetic diet. It is best, then, to avoid sugar as much as possible, but also be aware of your portion sizes for starchy foods such as rice, potato, pasta, bread, cereal, and noodles. Keep your portions sizes to ½ to 1 cup per meal, and only have one of these starchy items per meal. Eat more vegetables instead.

If you don’t currently have high blood sugars, you can have some foods with sugar, and use small amounts of sugar in foods and beverages, but be moderate. The reason for this is that the pancreas is responsible for making insulin, the hormone that helps the body utilize sugar, so if your pancreas is stressed, it may be stressed further if you constantly eat a high sugar diet. Use sugar and sweets in moderation.