Bland diet

BLAND DIET

1. BLAND DIET Presented By: MANOJ MANDAL P.C Bsc. Nsg 1 st Year(MIBE GSN)

2. WHAT IS A BLAND DIET? Bland diets a  diet  consisting of foods that are generally soft, low in  dietary fiber ,  cooked  rather than  raw , and not  spicy . Fried  and  fatty  foods, strong  cheeses ,  whole grains (rich in fiber), and the medications  aspirin  and  ibuprofen  are also avoided while on this diet. Such a diet is called  bland  because it is soothing to the  digestive tract  (it minimizes irritation of tissues). It can also be bland in the  sense  of "lacking  flavor ", but it does not always have to be so; nonirritating food can be appetizing food, depending on preparation and individual preferences.

3. PURPOSE The foods included are limited to non-stimulating, non-irritating and mildly seasoned products. This diet should be individualized according to your appetite and food tolerance. With time and recovery, you may be able to expand this diet to you tolerances. The bland or soft diet is designed to decrease peristalsis and avoid irritation of the gastrointestinal tract.

4. Nutrients Modified All nutrients are available on the Bland Diet. Texture is modified by offering items that are easily digested, moderately low in roughage and very mildly seasoned products. Tender foods are used such as cooked vegetables, canned fruits, and refined breads and cereals. Fried foods and highly seasoned foods, pepper, caffeinated beverages and alcohol may cause distress and, therefore, are eliminated. Free from stimulants of stomach and intestine.

5. INDICATIONS Stomach or intestinal surgery Ulcers Diseases Heart burn Nausea and Vomiting GERD Gas and Flatulence Gastritis Dyspepsia Treatment of hiatus hernia

6. A bland diet is designed primarily to help patients recover from gastrointestinal conditions or other medical circumstances in which improved digestion would be essential. It is not especially effective as a long-term  weight loss diet , although  portion sizes  are strictly controlled. Many people find a bland diet to be very difficult to maintain, although some find the use of acceptable spice alternatives does make it easier. Most patients slowly return to a more normal diet once their medical issues have been resolved.

7. Dietary Guidelines and Food List Eat three regular meals a day without snacks since all food stimulates acid output. Eat foods slowly, chew well and avoid stomach distention with large quantities of food. Use milk sparingly because it stimulates gastric acid secretion. Use salt and very mild seasonings. Avoid heavy spices such as chili peppers, black pepper, chilis powder and highly seasoned foods. Dietary fiber may be added since there is no evidence that dietary is harmful.

8. Choose whole grain, enriched, or refined breads and cereals. Avoid large amounts of unprocessed bran. Cook by baking, boiling, broiling, roasting, stewing, microwaving or creaming. Avoid frying. Avoid caffeinated beverages, coffee and tea products because of the caffeine, theobromine, and tannins. Citric acid juices may be irritating to some individuals. Avoid aspirin, non steroidal anti-inflammatory drugs, alcohol and smoking.

9. FOOD GROUP SERVINGS DAILY FOODS INCLUDED FOODS EXCLUDED Milk, Yogurt and Cheese 2 - 3 Servings Skim, low fat, or whole milk, buttermilk, mild drinks such as pasteurized eggnogs, milkshakes, chocolate mild, cocoa, evaporated or condensed milk, non-fat dry milk solids, yogurt with allowed fruits, cottage cheese, soft mild American or mild cheeses. Strong cheeses, any food not tolerated

10. Meat, Poultry, Fish, Dry Beans, Eggs and Nuts 2 - 3 Servings Baked, boiled, broiled, roasted, stewed, micro waved or creamed meat and fish, very tender chicken, turkey, veal, beef, lamb, lean pork, all fish (no bones), smooth peanut butter, soft prepared meat alternates, finely ground nuts, tofu, (soy cheese), eggs and style except fried, egg substitutes. Any though, stringy highly seasoned or fried meat, fish, or poultry, hot digs, cold cuts, sausages, ham, corned beef, chunky peanut butter dry beans and peas, baked beans, fried eggs, raw eggs

11. Bread, Cereal, Rice and Pasta 6 -11 Servings Refined whole wheat bread, enriched white bread, rye bread without seeds, plain rolls and crackers (saltine or graham) refined cereals (cooked or dry) hot breads as tolerated, rice, spaghetti (plain, no spicy sauce), macaroni, noodles, pasta Coarse, whole grains, highly seasoned snack crackers, any containing seeds, nuts or dried fruits, highly seasoned rice and pasta

12. Vegetable 3 - 5 Servings Mashed, boiled, creamed or baked white or sweet potato, all cooked or canned vegetables* and vegetable juices, chopped lettuce as tolerated *These vegetables may be included or omitted, depending on tolerance: broccoli, Brussels sprouts, cabbage, cauliflower, corn, dried beans and peas, green pepper, onions, rutabagas, sauerkraut, turnips Highly seasoned potatoes, fried potatoes, potato chips, all cooked vegetables not tolerated, use raw vegetables with caution, avoid fried vegetables

13. Fruits 2 - 4 Servings As tolerated, all fresh, canned and frozen fruits or fruit juices Any fruit not tolerated, any with seeds or tough skins, uncooked dried Fruits Fats and Oils Use Sparingly Margarine, reduced calorie margarine, butter, mayonnaise, mildly seasoned regular or low calorie salad dressing, oil, shortening cream, sour cream, cream cheese, drained crisp bacon, cream gravy, cream sauce, Avocado Gravies made with meat fats, salt pork, fat back, highly seasoned salad dressings or those with seeds

14. Sweets and Desserts Use Sparingly Sugar, syrup, honey, jelly, seedless jam, molasses, nonnutritive sweeteners, hard candies, plain chocolate candies, marshmallows, all desserts made with allowed foods: cakes, cookies, pies, pudding, custard, ice cream, sherbet, gelatin dessert Jams, marmalades, all sweets and desserts containing nuts, coconut or fruit not allowed, fried pastries such as doughnuts

15. Miscellaneous As desired Salt, mild spices, herbs, flavorings, mildly flavored gravies and sauces, olives, caffeine- fsree soft drinks Strongly flavored seasonings and condiments such as barbecue sauce, chili pepper, chili sauce, garlic, black pepper, horseradish, coconut, nuts, pickles, popcorn. Use catsup, mustard, vainer, lemon and lime juice with caution, alcoholic beverages, coffee, tea, caffeine beverages.

16. SAMPLE DAILY MENU PLAN BREAKFAST FOOD ITEMS AMOUNT (g) PROTEIN (g) CHO (g) FAT (g) CALORIES (kcals) 1. Orange Juice 200g 1.4g 21.8g 0.4g 96.4 kcals 2. Noodles 50g 3.8g 39g Nil 171.2 kcals 3. Scrambled eggs 55g 7g Nil 7g 91 kcals 4. Cow’s milk 250ml 8g 11.5g 10.3g 170.7 kcals 5. Brown bread 2 piece(30g) 2.7g 15g Nil 70 kcals Total 5 items 335g 250ml 22.9g 87.3g 17.7g 599.3 kcals

17. SAMPLE DAILY MENU PLAN LUNCH FOOD ITEMS AMOUNT (g) PROTEIN (g) CHO (g) FAT (g) CALORIES (kcals) 1. Roasted mutton 100g 18.5g Nil 13.3g 193.7 kcals 2. White rice 50g 3.2g 39.1g 0.2g 171 kcals 3. Dal 50g 12.2 30g 0.6g 174.2 kcals 4. Cow’s milk 150ml 4.8g 6.9g 6.18g 102.42 kcals 5. Bananas 1 pieces(100g) 1.2g 27.2g 0.3g 116.3 6. Salad 100g - - - - Total 6 items 400g 150ml 39.9g 103.2g 20.58 757.62 kcals

18. SAMPLE DAILY MENU PLAN DINNER FOOD ITEMS AMOUNT (g) PROTEIN (g) CHO (g) FAT (g) CALORIES (kcals) 1. Chapattis 3 (100g) 12.1g 71.2g 1.5g 346.7 kcals 2. Boiled fish 100g 16.6g 4.4g 1.4g 96.6 kcals 3. Potatoes 100g 1.6g 22.5g 0.1 97.3 kcals 4. Curd 200g 6.2g 6.0g 8.0g 120.8 kcals 5. Cooked vegetables 100g 1.8g 5.1g 0.8g 34.8 kcals 6. Grapes juice 100g 0.5g 16.5g 0.3g 70.7 kcals Total 6 items 700g 38.8g 125.7g 12.1g 766.9 kcals

19. SUMMARY It's also known as a "soft diet," for the soft foods that go with it. With lightly spiced, and low fiber foods, a bland diet may also be helpful if you have had stomach or intestinal surgery. The bland or soft diet is designed to decrease peristalsis and avoid irritation of the gastrointestinal tract. It's appropriate for people with peptic ulcer disease, chronic gastritis, reflux esophagitis or dyspepsia. It may also be used in the treatment of hiatus hernia.

20. Avoid greasy foods, especially fatty meats. Eliminate deep fried foods as well. Do not consume alcohol on a bland diet. Most bland diets emphasize soft foods over fibrous ones. This aids in digestion. Total caloric intake through sample daily menu for a day is 2123.82 calories i.e. an average intake of 707.94 calories for each meal thrice a day. Caloric intake depends on individual and the type of work performed and can be adjusted accordingly.