DR. FRISSORA’S DIET FOR THE SENSITIVE STOMACH

1 DR. FRISSORA'S diet FOR THE SENSITIVE STOMACH . What Can I Eat, Doctor? . This is meant to be a general guideline and will vary with each patient. *If you have CELIAC DISEASE or SPRUE, avoid wheat, barley, rye, and their derivatives.*. Usually Tolerated Use Caution Avoid (in moderation). Soluble fiber Citrus & tomato Crude fiber (residue): oatmeal, berries, beets, cooked lentils, diet sugar-free products Eggplant skin, bell peppers, legumes, split pea soup, chickpeas, cucumber skin peas, carrots, yams, peaches, blueberries, Alcohol MSG (pain & diarrhea). strawberries, grits, Cream of Wheat, Grapes papaya, mango, kiwi Large seeds, husks Chocolate (constipating).

2 Organic yogurt [Greek: Total, Stonyfield] Nuts Raw broccoli Fish, shrimp Potato skins Raw cauliflower Rice, pasta, couscous, noodles, pastina Spicy food, curry Cabbage Egg whites Fried foods, fats Cole slaw Lentil soup Carbonated beverages Cold cuts Homemade chicken soup, dumplings High-fructose corn syrup Iceberg lettuce Banana, plantain, polenta Snapple, Gatorade Popcorn Cornflakes, Rice Krispies, Special K Garlic, onions Dairy Chamomile & herbal teas All artificial sweeteners: Caffeine Splenda, Equal, Nectarines, apricots Cheese (bloat) Sweet'N Low Watermelon, honeydew, cantaloupe Lactose diet soda Avocado, olive oil Sugar-free gum & candy Udon noodle soup, Zone bars, Power bars tender, cooked baby spinach Green tea Graham crackers Broccoli and cauliflower (tolerated best in a puree soup).

3 Cooked mashed rutabaga, turnip, parsnip Homemade vegetable soup Waffles, pancakes, mashed potatoes Crackers Low-salt Wheat Thins, rice crackers, unsalted Saltines Baby leaf/red leaf lettuce in small amounts Hints: Stewed, tender meat, Beef Bourguignonne Chew well Small pieces of cooked carrots, celery, zucchini with rice, pasta and couscous Eat 6 small meals a day Use chewable vitamins Drink liquids between meals Eat slowly Take My Advice Dr. Frissora's Plan for Bloat & the SENSITIVE STOMACH . Tips you can use in addition to medications VITAMINS PRENATAL VITAMINS AND IRON. You must consult with your clinician before If you are a healthy man or post-menopausal woman, you taking any supplement or vitamin probably don't need iron.

4 If you do, this is my advice: Bring the bottle or label with you to your I recommend prenatal multivitamins for patients who office visit need iron [menstruating or pregnant women] because Many patients take supplements that they they are rich in other nutrients like B vitamins (for don't need, are expensive, and literally make stress!) and others that help the hair, skin, and nails them sick Stuart prenatal vitamins with DHA or Citracal Prenatal Probiotics contain billions of bacteria DHA help constipation 1 after dinner or before bed and can cause bloat and gas Prenate Elite is the most constipating prenatal Vitamin C can cause esophagitis vitamin take 1 after dinner Senna causes cramping and abdominal pain SloFe is a well-tolerated iron supplement Fiber supplements cause gas Chewable Flintstones vitamins with iron are also well Beware of natural remedies.

5 Some of the tolerated after dinner advertising is false, and some products are con- taminated with substances that can be harmful FOODS THAT ARE GOOD FOR DIARRHEA. Beware of colon cleansers; they contain addic- Banana, white rice, rice crackers, rice milk, tive medicines like natural senna and your white meat chicken colon will never empty on its own Pedialyte for rehydration [NOT Gatorade! High in fructose]. Do not take vitamins first thing in the morning; Isomil DF [binding infant formula with calories]. they can upset your STOMACH Saccharomyces boulardii [Florastor] most effective If you are constipated, Vitamin C 500 mg probiotic for diarrhea, 1 a day 1000 mg with dinner may help.

6 Beware: Vitamin C can cause reflux and esophagitis FOODS THAT ARE GOOD FOR CONSTIPATION. so take only as directed 5 servings a day of foods such as: oatmeal, berries, pears, Olive oil and mineral oil both loosen the stool peaches, plums, papayas, mangoes, kiwis, raisins, prunes, Olive oil is fattening and mineral oil is not. You or prune juice, chickpeas, carrots, celery, snap peas, snow can put either oil in your salad dressing and peas, peas shake it well. 1 to 4 tablespoons with dinner 5 glasses of water or herbal decaffeinated tea each day . will lead to a softer BM in the AM more if you can Avoid foods and supplements that improve diarrhea CALCIUM [above].

7 Recommended daily calcium intake: Menstruating women: 1200 mg THINGS THAT CAUSE BLOAT or GI DISTRESS. Post-menopausal women, no estrogen: 1500 mg Most probiotics cause bloat Post-menopausal women on hormone [Saccharomyces boulardii does not]. replacement therapy: 1000 mg Cheese Also recommended: Vitamin D 400 800 IU daily. All carbonated beverages, beer, soda, and seltzer included Vitamin D requirements may be higher in elder- All artificial sweeteners [Splenda, Equal, Sweet'N Low, ly patients; patients who are not exposed to aspartame, sorbitol, etc]. sunlight; and patients who have osteoporosis. Zone bars, power bars Normal, healthy males: 1000 mg 1200 mg Green tea can cause nausea Calcium seems to be important in regulating Fructose corn syrup body fat and possibly preventing colon cancer.

8 Onions, garlic If you have kidney stones or parathyroid MSG. disease, calcium can be dangerous always ask your doctor before taking calcium or any FOODS IN GENERAL. other supplement Cooked foods always go down easier so if you want to eat a All calcium can cause bloat but the chewable lot of vegetables, homemade soup is best; chew all food as goes down better than tablets well as you can; if you don't have a Crockpot get one . If you are constipated and need calcium, use stewed vegetables and meats go down easier than BBQ, CaMgZn by CVSnatural or PostureD broiled, or fried If you have diarrhea and need calcium, use Oscal If you have reflux and need calcium, suck TUMS.

9 3 4 times a day