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DIETARY MANAGEMENT FOR DIARRHOEA

Objectives
Dietary modifications
Sample diet plan
To remember
 
Tuesday, 08 June 2010
Written by : DoctorNDTV Team
 
Objectives
Objectives
  • To meet the nutritional requirements
  • To replenish water and electrolyte losses
  • To provide extra nutrients to compensate for losses

Dietary modifications
Dietary modificationsEnergy: Energy requirements are increased 10-20% to meet the losses as well as to overcome weakness.

Protein: Protein intake needs to be increased as much as 50%.

Carbohydrates: Carbohydrate intake should be increased to meet the increased energy requirement but at the same time fibre needs to be restricted.

Fats: Fats are not completely digested in case of diarrhoea, and therefore their intake needs to be restricted. Fats in the form of butter and whole milk may be given as they are easily digested.

Minerals: Foods high in iron and calcium should be given during diarrhoea, as the absorption of theses mineral gets lowered. Other minerals salts such as sodium and potassium are lost in high amounts. To replenish this loss, oral rehydration therapy is a simple, inexpensive and effective treatment. It is used to prevent or treat the dehydration that results due to diarrhoea and should be started as soon as the child passes even one loose stool, regardless of the cause. This solution consists of a mixture of salt and sugar in water. It should be given as frequently as possible, or at least one glass for every stool passed.
Other fluids, which may be given, are coconut water, weak tea, whey water, buttermilk and dal soup.

Fibre and residue: Diet should be low in fibre and residue.
Food groupsHigh fibre foods (to be avoided)Low fibre foods
CerealsWhole cereals like whole wheat, dalia, whole wheat flourRefined cereals like rice, bread, maida, suji, noodles, macaroni etc
Milk and milk products-
Milk and milk products
PulsesWhole dals and dals with huskWashed dals
Meat, fish and poultry-
Eggs, chicken, fish
VegetablesVegetables like peas, beans, lotus stem etc.Vegetables like potato, lauki etc.
FruitsFruits like apple, cherries, pears, peaches, plums, guava etc.Fruit juices and fruits like banana and papaya
Fats
-
Fats



High residue (to be avoided)Low residue foods
MilkClear soups
Milk based beveragesCurd and paneer
Strongly flavoured cheesesMild cheese
Whole grain cereals and their productsMaida and its products like bread, noodles, macaroni etc.
Raw fruits and vegetablesPureed vegetables and fruits
Nuts, pickles etc.Chicken and fish

Sample diet plan
Sample diet plan
Meal
Menu
BreakfastSuji kheer / milk
Boiled egg
Bread and butter
Mid morning
Fruit juice e.g. Orange juice(fresh)
Lunch
Moong dal khichri
Curd
Mid afternoon
Custard with banana
Evening tea
Lemonade
Paneer sandwich / idli / suji upma / bread poha / chiwra poha
Dinner
Soup e.g. Dal soup, tomato and chicken soup
With soup sticks or bread
Boiled or grilled potatoes
Boiled rice
Curd / potato raita
Bedtime
Sewian kheer / rice kheer / phirni
To remember
To remember
  • Diet should be soft, bland (less spices), low in fibre, residue and fat.
  • Patient should drink plenty of fluids and eat at frequent intervals.
  • It is advised to break the plan to 6-8 meals in a day, as the patient may not be able to eat very large meal at one time.
  • Foods to be avoided: whole cereals and pulses, raw vegetables and fruits, fried foods, nuts and spicy foods.
  • Foods allowed: washed dals and refined cereals, well cooked vegetables, fruits like banana and papaya, milk products such as curd and paneer, boiled egg, chicken and fish.

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