Low Fibre/Low Residue Diet

1 PATIENT INFORMATIONLow Fibre/ Low Residue DietWhy follow a low Fibre/Low Residue diet ?A low Fibre/Low Residue diet is recommended when people need to avoid foods thatmay irritate an inflamed bowel or obstruct narrowed parts of the is a low Fibre/Low Residue diet ?A low Fibre/Low Residue diet is made up of foods that are easily digested andabsorbed leaving a minimal Residue in the long do I need to follow this diet for?This diet is usually temporary but can sometimes be longer term depending on yourcondition and following this Chew foods slowly and thoroughly Ensure that they are soft and well cooked Avoid tough or stringy foods Avoid skins, pips and seeds Avoid raw or hard vegetables Avoid tough, fibrous, gristly meat Include as wide variety of suitable foods as possible Aim for five portions of fruit and vegetables from the ALLOWED FOODS listeach day Some people may tolerate smooth.

2 Blended fruits and vegetables such assmoothies or soup Contact your doctor, nurse or dietitian if you are unintentionally losing weightWorking with you, for youALLOWED FOODSFOODS TO AVOIDV egetablesAll vegetables mustbe well skins andseeds where potato, sweetpotato, butternut squashRoot vegetables such ascarrots, parsnip, swede,turnipPeeled cucumber, skinned &deseeded tomatoes andpeppers, avocado,cauliflower & broccoli florets(no stalks)Peeled marrow, aubergine, chopped and well-cooked onionPotato skins, celery, sweetcorn, raw vegetables,French, green or runnerbeans, mange tout, radish,artichokes, fennel, leeks,peas, mushrooms,asparagusGreen leafy vegetables forexample cabbage, kale,Cavelo Nero, Brusselsprouts, spinachColeslawChunky soupsALLOWED FOODSFOODS TO AVOIDF ruitAll fruit should be softand ripe with skins,pips and seedsremovedBanana, tinned peaches,tinned pears, tinnedmandarins, lychee, stewedapple, soft and de-skinnedpears, peaches, nectarines,fruit juicesDried fruit.

3 Fresh fruit withpeel or seeds such as kiwifruit, unripe banana,strawberries, blackberries,blueberries, rhubarb,pineapple, prunes,pomegranate, passion fruit,fibrous FOODSFOODS TO AVOIDB read, grains andfloursBreakfast cerealsCrackers andsnacksWhite flour, white bread,white bagels, potato cakes,crumpets, pikelets, Englishmuffins,white rice, pasta, rice or eggnoodles, cous cous, polenta,ground rice, semolina,tapioca, sago arrowroot,custard powder, cornflourRice Krispies , cornflakes,puffed wheat, puffed oats,milled oat products such asReady Brek or instantporridge sachetsPlain crackers such ascream crackers, waterbiscuits Cornish wafers, Ritz crackers, crisps,puffed maize or corn snacksWholemeal or granaryflours and breads, ryebread, seeded bread,brown rice, wild rice, blackrice, wholemeal noodleswhole-wheat pasta, wheatgerm, quinoa, any otherwholegrainsBranflakes , wheat flakes,Allbran , Weetabix ,Shredded Wheat , muesli,whole porridge oats, bran,granola, Shreddies ,Cheerios Seeded or whole graincrackers such as Ryvita ,Krackerwheat.

4 PopcornALLOWED FOODSFOODS TO AVOIDB iscuits and bakedproductsPlain biscuits such as RichTea , bourbon, custardcream, ginger nutsPlain cakes, plain scones,pastry made with white flour, baked goods orbiscuits containing driedfruit/nuts such as Digestive,fruit shortcake, flapjack,cereal bars, garibaldi, fruitcake, fruit FOODSFOODS TO AVOIDNuts, seeds, beansand pulsesSmooth nut butters such aspeanut, cashew, almondNuts, seeds, coconut,peas, lentils, beans suchas baked beans, kidneyNon-dairy nut drinks such asalmond, cashew, coconut,hazelnut drinkbeans, butter beans,chickpeasALLOWED FOODSFOODS TOAVOIDD airy products andnon-dairyalternativesMilk, cheese, cream, butter,cr me fraiche, smoothyoghurt, custard, ricepudding, milk puddings,mousse, ice-creamNon-dairy alternatives suchas soya, oat, almond,cashew, hazelnut drink, soyadessertsAny dairy productscontaining fruit, nuts,seeds or cereals such asyoghurts with added wholegrains or granolaALLOWED FOODSFOODS TO AVOIDMeat, fish, poultryand alternativesMeat should be tenderand not stringy, toughor gristlyAll tender meat.

5 Poultry andfishTofu, eggs, soya minceTinned fish with bonessuch as sardinesQuorn ALLOWED FOODSFOODS TO AVOIDO ther foodsJam or marmalade withoutpieces of peel or fruit, honey,syrup, lemon curd, boiledsweets, chocolate,mayonnaise, salad cream,vinegar, gravy, soya sauce,Marmite , stock and stockcubes, passata, smoothsauces, for example cheesesauce, white sauce, tomatoketchup, smooth mustard,pepper, salt, spices, herbsJam or marmalade withpeel or pieces of fruit,chocolate with dried fruitand/or nuts, chutney,pickle, of fibre/ Residue foodsYour dietitian or doctor will guide you on how and when to re-introduce fibre/residueinto your that you should reintroduce fibre gradually back into your diet .

6 The aimis to identify a level of fibre that you can foods that you have not been able to manage having more fibre in your diet you may need to increase your fluid intake. Aimfor 8-10 cups of fluid a introducing new foods, include one at a time, in small amounts (one third ofyour normal portion).Week 1 Try replacing white bread with wholemeal 2 Try a higher fibre breakfast cereal such as Weetabix, ShreddedWheat or Bran 3 Try fruit and vegetables from the avoid list (not dried fruit).Five portions of fruit and vegetables (not including potatoes) arerecommended long term for a healthy 4 Try eating the skins on fruit and vegetables such as apples, pearsor 5If you are still symptom free, try including any of the other foodsfrom the original avoid list, including dried a food causes any symptoms of discomfort, exclude it from your diet , but you cantry it again at a later date.

7 Some people will tolerate Residue better than with your team if you are people need medication to prevent constipation whilst on a low fibre/residuediet. You may find that as dietary sources of fibre are re-introduced you can reduceor even stop these MenuBreakfast Cornflakes/Rice Krispies and sliced ripe banana with milk or non-dairyalternative Ready break with stewed apple and cinnamon Plain yoghurt with tinned peaches Scrambled egg with smoked salmon and avocado on white toast White bread or toast with butter/spread and smooth peanut butter or jam orMarmiteMeal ideas Cottage pie with cauliflower florets Grilled salmon with boiled potatoes and roasted butternut

8 Squash Tofu with sweet and sour sauce and noodles or rice with carrots Pasta with pesto, broccoli florets and prawns Jacket potato (without skin) with tuna mayo and peeled cucumber and peeledand de-seeded tomato Cheese on toast Chicken casserole made with potatoes, carrots and parsnips Beef stew (meat must be tender) with dumplings and swede Baked white fish with cheese sauce and mashed potatoes, cauliflower andbroccoli florets Frittata made with potatoes, onion (finely chop and cook prior to use) andcheesePuddings Stewed apple or pear with custard Rice pudding with stewed plums (no skins) Cheese and crackers with ripe pear Yoghurt with ripe bananaGiven by _____Contact Number _____Produced by the department of Nutrition and Dietetics, Torbay hospitalFurther copies are available from the intranet (Nutrition and Dietetics website) reviewed: November 2018 For further assistance or to receive this information in a different format, pleasecontact the department which created this and Dietetics/ Date