Eating for Gastroparesis: Food Chart

[Pages:2]Eating for Gastroparesis: Food Chart

Important Notes

This list is not exhaustive or comprehensive. There are certainly other foods that can be incorporated into a GP-friendly diet. Specific dietary tolerances vary dramatically from person to person. Careful experimentation within the guidelines we've

discussed is the key to finding the optimal diet for you. Dietary modifications are a tool for managing and reducing the symptoms of gastroparesis. However, it is not the only tool. For

most people, there is a point at which further restricting the diet does not yield additional symptom relief. Over-restriction can lead to malnutrition and vitamin/mineral deficiencies. Continue working on the other areas of your management plan and choose nutrient-rich foods GP-friendly foods as much as possible. No studies have been conducted to determine which specific foods alleviate or exacerbate symptoms in patients with gastroparesis. The recommendations below are based on my 10 Guidelines of Eating for Gastroparesis. I've taken into account fat content, fiber content, nutrient value, as well as overall digestion and gut health. High-FODMAP foods may exacerbate symptoms of bloating, pain, gas, and bowel disturbances in people with functional GI disorders like gastroparesis. For that reason, all GP-friendly but high-FODMAP foods are listed in the middle column. Remember that eating a food that is not considered "GP-friendly" may increase the gastric emptying time of a particular meal and therefore exacerbate symptoms but it WILL NOT increase the severity of GP overall. It's okay to experiment!

Fruits Veggies Grains3

Typically well-tolerated (low-fat/low-fiber; low-FODMAP)

Pulp-free juices and smoothies (using tolerated fruits1); bananas, honeydew, cantaloupe: raw or blended

Pulp-free juices and smoothie (using tolerated veggies2); white potatoes (no skin) and carrots: baked, roasted, boiled, steamed; spinach: blended or well-cooked

Cream of brown rice; cream of buckwheat

Often well-tolerated (*=low- FODMAP)

Pumpkin; apples, pears, peaches: cooked or blended; mango, papaya, pineapple: raw or blended: seedless watermelon; strawberries* or blueberries*: blended in high-powered blender only Well-cooked and/or pureed: cauliflower, kale*, beets, sweet potatoes (1/2 cup*), mushrooms, turnips*, parsnips*, squash (1/4 cup*); avocados (1/4 max.); peas; strained tomato sauce; roasted red peppers*; scallions (green part only)*

Quinoa flakes*; quinoa, buckwheat, millet*4; gluten-free oats (1/2 cup cooked*), 100% spelt bread*; white rice*; white or brown rice bread; lowfiber cereal5; brown rice pasta; quinoa pasta; baked potato chips and glutenfree crackers, cookies, and pretzels6

Do not follow the Eating for GP Guidelines (but may be tolerated by some GPers) All other raw fruits; canned fruits with skins; coconut; dried fruit; cherries; raspberries; blackberries; persimmons; figs; grapefruit; oranges

All other raw veggies (unless juiced or blended); broccoli, corn, whole tomatoes, green beans, cabbage, sauerkraut, artichokes, Brussels sprouts, raw/whole lettuce and other greens, bell peppers, onions Wheat germ; granola; bran; whole wheat/high-fiber breads, cereals, and baked goods; highfat desserts like cakes and pies; wheat-based bread, crackers, cookies, cereals, pasta, baked goods, etc.

1 For more info: see GP Friendly Juicing & Blending Bonus Class 2 For more info: see GP Friendly Juicing & Blending Bonus Class 3 Refined grains are often a primary source of empty foods in a GP-friendly diet. Reduce consumption of processed, packaged food. 4 Approximately 2 grams of fiber per ? cup cooked (1/4 cup dry = 1 cup cooked). 5 Cereals should not contain any nuts, seeds, dried fruit, or whole oats. Cereals made of "whole grain flour" are GP-friendly, so long as the fiber content is low (i.e. less than 3 grams per serving). 6 While GP-friendly, these do not provide any nutritional value and should be limited in favor of more nutrient-dense options.

Eating for Gastroparesis: Food Chart

Fish, Poultry, Meat & Alternatives7

Nuts, Seeds & Legumes

Dairy & Alternatives9

Protein Powder13

Fats14

Beverages

Typically well-tolerated (low-fat/ low-fiber; low-

FODMAP) White/ flakey fishes

Smooth almond butter (less than 2 Tbsp)

Light coconut milk, rice milk

olive oil; coconut oil; ghee; red palm oil; palm oil shortening; grapeseed oil; sesame oil Water; herbal teas; chicken, beef, and veggie broths15; all others listed above in this column

Often well-tolerated (*=low- FODMAP)

Whole eggs*; egg whites*; turkey*, chicken*; lean pork*; ham*; lean ground beef*; bison; salmon*, shrimp*, scallops*, tuna*; tofu; turkey bacon or turkey sausage; venison* and other wild game* Creamy peanut butter8*; PB2*; Smooth cashew butter; higher-fat nut butters in moderation: macadamia nut, walnut, and pecan butter (1-2 tbsp)* Almond milk, quinoa milk*, oat milk, flax milk*, kefir (plain); low-fat hard cheeses*; Parmesan cheese*

PlantFusion; Vega Sport; egg white protein powder; Whey protein powder (low-lactose); brown rice protein powder Butter; lard; tallow

Does not follow the Eating for GP Guidelines (but may be tolerated by

some GPers) Tough, fibrous or fatty meats (steaks, roasts, chops); fried meats; pork bacon or sausage; veggie burgers

Whole nuts, seeds (including chia and flax), all beans, lentils

Soy milk10; skim or 2% milk; regular or Greek yogurt; full-fat dairy products11; full-fat coconut milk; dairy-based pudding, frozen yogurt, or low-fat ice cream12; part-skim ricotta or cottage cheese Soy, hemp, and bean-based protein powders; anything with sugar alcohols (ends in "-ol"), inulin, or more than 3 grams fiber per serving. Partially hydrogenated oils and transfat (avoid completely)

Coffee or tea16; vitamin-infused water without corn syrup, sugar alcohols, or artificial sweeteners

Alcohol; soda17; drinks with artificial sweeteners

7 Meats should be purchased organic whenever possible to avoid consumption of hormones, GMO grains, and antibiotics. 8 Approximately 2 tablespoons per day (8 grams of fat per tablespoon). 9 All dairy products should be purchased organic whenever possible to avoid added hormones and antibiotics. 10 Processed soy products can be difficult to digest and may cause stomach and/or bowel upset for some people. 11 If full-fat dairy is well-tolerated, it should not be limited if weight loss is a concern and there are no dairy/FODMAP issues. 12 While GP-friendly, these do not provide any nutritional value and should be limited in favor of more nutrient-dense options. 13 I've yet to find a protein powder that works well for all GPers. Experimentation is the only way to find which one works for you. 14 In moderation, almost any fat can be considered GP-friendly. Most oils contain about 14 grams of fat per tablespoon, so use sparingly for cooking to flavor and add a little healthy fat. Butter contains about 11 grams of per tablespoon. 15Preferably homemade, which is easy and inexpensive to make. Store-bought broths are essentially water, salt, and flavoring. They do not contain any of the healing minerals or gelatin found in homemade broths. They often contain MSG, which is potentially harmful and high-FODMAP ingredients like onions and garlic, which may exacerbate symptoms. 16 Coffee and tea, both regular and decaffeinated, contain tannins which can irritate the digestive tract and exacerbate symptoms for some people. Caffeine stimulates the "fight or flight" response, releasing cortisol. This may exacerbate adrenal fatigue. Some find that one cup of caffeinated coffee per day produces no negative effects. 17 While technically GP-friendly, these do not provide any nutritional value and should be limited in favor of more nutrient-dense options. Soda may also exacerbate bloating, gas, GERD, and airway reflux.

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download