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A low fiber or low residue diet limits the consumption of dietary fiber, oftentimes by placing restrictions on foods found to have high amounts, including certain fruits, vegetables, dairy, and whole-grain products. This diet reduces stool size and frequency, particularly helping those suffering from flare-ups caused by Inflammatory Bowel Disease as it relieves the intestines from working as hard.

Low Fiber-Low Residue Diet (4-10 Grams Fiber)

Dietary fiber is the undigestible 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 may also be used for a period of time after a colostomy or ileostomy is performed.

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 multivitamin 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.

Group Recommend Avoid
Milk & milk products (2 or more cups daily) all milk products Low Residue Diet only 2 cups daily of all milk products
Vegetables (2 servings daily) 1 serving = 1/2 cup 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; tomato sauce and paste vegetable juices with pulp, raw vegetables, cooked vegetables not on Recommend list
Fruits (2-3 servings daily) 1 serving = 1/2 cup fruit-juices without pulp, canned fruit except pineapple, ripe bananas, melons, peeled and cooked apples, orange and grapefruit without the membrane 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) bread and cereals mode from refined flours, pasta, white rice, saltines, tapioca whole-grain breads, cereals, rice, pasta; bran cereal; oatmeal
Meat & meat substitutes (5 to 6 oz daily) meat, poultry, eggs, seafood, cottage cheese, other mildly flavored cheeses chunky peanut butter, nuts, seeds, dried beans, dried peas, tough gristly meats, hot dogs, sausage, sardines, fried meats, strongly flavored cheeses
Fats & oils all oils, margarine, butter coconut, fats used for deep frying
Sweets & desserts (servings depend on caloric needs) all not on avoid list desserts containing nuts, coconut, raisins, seeds
Miscellaneous all not on avoid list popcorn, pickles, horseradish, relish

Discrimination is Against the Law

Allied Digestive Health (“ADH”) complies with applicable Federal Civil Rights Laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ADH does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

ADH and its affiliated practices and departments:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats)
    • Provides free language services to people whose primary language is not English, such as:
      • Qualified interpreters
      • Information written in other languages

If you need these services, contact:

Beverly Coleman, Chief Human Resources Officer and Privacy Officer and Civil Rights Coordinator
Allied Digestive Health
Monmouth Corporate Park 1
187 Highway 36, Suite 230
West Long Branch, New Jersey 07764
compliance@hcompliance.com
844-932-6675

If you believe that ADH or its affiliates has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with Beverly Coleman at the contact information above. You can file a grievance in person or by mail, fax, or email.

If you need help filing a grievance, you may also contact the Privacy Officer, Beverly Coleman, at the contact information listed above for assistance.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at: https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf or by mail or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue SW Room 509F
HHH Building Washington, DC 20201
1-800-868-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Or you can file a Civil Rights complaint with the New Jersey Division on Civil Rights at the following locations:

Northern Regional Office

31 Clinton Street, 3rd Floor
Newark, NJ 07102
973-648-2700
Fax: 973-648-4405

Central Regional Office

140 East Front Street: 6th Floor
PO Box 090
Trenton, NJ 08625
609-292-4605
Fax: 609-984-3812

Southern Regional Office
5 Executive Campus, Suite 107
Cherry Hill, NJ 08034
856-486-4080
Fax: 856-486-2255

South Shore Regional Office
1325 Boardwalk, 1st Floor
Tennessee Ave & Boardwalk
Atlantic City, NJ 08401
609-441-3100

LANGUAGE ASSISTANCE SERVICES are available to you at ADH free of charge. To obtain services, call 844-932-6675.

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Eff:  June 7, 2022

Gastroesophageal Reflux Disease Diet (GERD)

Symptoms associated with acid reflux or GERD can be caused by a number of factors, including certain foods that may cause the lower esophageal muscle to relax, causing GERD. A diet designed to prevent or reduce acid reflux is usually easy to follow. The basic food groups of cereals, vegetables, fruits, dairy products, and meats can be eaten with only a few limitations.

The following recommendations may be helpful in reducing symptoms:

  • Stop using tobacco in all forms. Nicotine weakens still lower esophageal muscle.
  • Avoid chewing gum and hard candy. They increase the amount of swallowed air which, in turn, leads to belching and reflux.
  • Do not lie down immediately after eating. Avoid late evening snacks or large meals.
  • Avoid tight-fitting clothing and bending over after eating.
  • Eat small, frequent portions of food and snacks if needed.
  • Lose weight if overweight. Obesity leads to increased reflux.
  • Elevate the head of the bed 6 to 8 inches to prevent reflux while sleeping. Extra pillows, by themselves, are not very helpful.

The following foods aggravate acid reflux and should be avoided:

  • fatty or fried foods
  • whole milk
  • chocolates
  • oils
  • peppermint and spearmint creamed foods or soups
  • most fast foods

The following foods irritate an inflamed lower esophagus and may need to be limited or avoided:

  • citrus fruit and juices
  • alcohol
  • caffeinated beverages such as coffee, tea, and soft drinks.

Spicy or acidic foods may not be tolerated by some individuals and may need to be avoided.

Reflux Diet

Foods that contribute to gas production

Legumes

Most beans, especially dried beans and peas, baked beans, soybeans, lima beans

Milk, milk products

Milk, ice cream, and cheese

Vegetables

Cabbage, broccoli, Brussel sprouts, cauliflower, cucumbers, sauerkraut, kohlrabi, asparagus

Root Vegetables

Potatoes, rutabaga, turnips, radishes, onions

Fruits

Prunes, apricots, apples, raisins, bananas

Fatty Foods

Pan-fried or deep-fried foods, fatty meats, rich cream sauces and gravies, pastries (white fatty foods are not carbohydrates, they too can contribute to intestinal gas)

Liquids

Carbonated beverages, certain medications

As part of a regular healthy diet, it is recommended that of the total calories eaten, no more than 30% should come from fat. However, certain diseases and medical conditions can make it difficult for the body to tolerate even that much fat, and a low-fat diet may be recommended.

Following a low-fat diet can be helpful for many different diseases such as gallbladder disease, delayed stomach emptying (gastroparesis), diarrhea, and fatty liver disease.

In general, it is advised that all visible fat be trimmed from meats. All foods, including meat and fish, should be baked, steamed, or broiled rather than fried.

Group Recommend Avoid
Sweets & Desserts (servings depend on caloric needs) Sherbet made with skim milk, non-fat frozen yogurt, fruit ice, gelatin, angel food cake, vanilla wafers, ginger snaps, graham crackers, meringues, puddings made with skim milk, tapioca, fat-free cakes and cookies, fruit whips made with gelatin or egg whites, hard candy, jelly beans, jams, marmalades, maple syrup Ice cream, pastries, cakes, cookies, pies, doughnuts, pudding made with whole milk, cream puffs, turnovers, chocolate
Fats & Oils (3 servings daily, each listed is one serving) Avocado 2 Tbsp or 1/8 medium, margarine 1 tsp, diet margarine 2 tsp, salad dressing 1 tbsp, diet salad dressing 2 Tbsp, vegetable oils 1 tsp, nuts (raw or dry roasted): almonds 6, peanuts 20 small or 10 large, whole walnuts 2, whole pistachios 18, sesame seeds 1 tbsp, sunflower seeds 1 Tbsp, saturated fats: bacon 1 strip, butter 1 tsp, dried coconut 2 Tbsp, cream cheese 1 Tbsp, sour cream 2 Tbsp, other fats: olive oil 1 tsp, peanut oil 1 tsp, large olives 10, peanut butter 2 tsp Any fat in excess
Milk & milk products (2 or more servings daily) Skim milk, evaporated skim milk, skim buttermilk, nonfat sour cream, yogurt made with skim milk (3 gms fat or less/oz, maximum of 3 oz/day), fat-free cheeses, low-fat cottage cheese, part-skim mozzarella cheese, part skim or skim ricotta cheese Whole milk, cream, sour cream, non-dairy creamers, whole milk cheese, cheese spreads
Bread & grains (4 or more servings daily) Whole grain and enriched breads, cold cereal, whole grain cereals (except granola), saltines, soda crackers, low-fat snack crackers, rice cakes, unbuttered popcorn, low-fat muffins, plain pasta, barley, oatmeal, home-made pancakes without fat, French toast made with egg substitute and skim milk Breads containing egg, cheese, or made with fat, biscuits, sweet rolls, pancakes, French toast, doughnuts., waffles, fritters, muffins, granola type cereals, snack crackers, potato chips, packaged stuffing, fried rice, chow mein noodles
Vegetable (3 or more servings daily) All vegetables (steamed, raw, boiled, or baked (without added fat) Fried vegetables or those in ice cream, cheese, butter sauces, dips
Fruits (2 or more servings daily) All other fruits Avocado
Meat & meat substiture (5 to 6 oz daily) Poultry (without skin), veal, lean ground beef trimmed of fat (USDA good or choice cuts of round sirloin, flank, and tenderloin), fresh, canned, cured, or boiled ham, Canadian bacon, lean port (tenderloin, chops, cutlet), fish (fresh, frozen, canned in water), eggs (boiled, scrambled without added fat), luncheon meat at least 95% fat free Any fried, fatty, or heavily marbled meat, fish, or poultry, beef (USDA prime cuts, ribs, ground beef, corned beef), pork (spareribs, ham hocks), fish (canned in oil), eggs (fried in butter, oil, or margarine), luncheon meat less than 95% fat free
Beverages (4 to 6 cups or more daily) Decaffeinated or regular coffee or tea, cocoa made with skim milk, fruit juices, soft drinks, water Beverages made with high fat dairy products
Soups Fat-free broths, consommés, bouillon, soups made with fat-free broth, skim milk, evaporated skim milk Cream soups, soups with added oils or meat fats, soups made from stocks containing meat fat

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