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Modified Fibre

DC-313

Section 3: Therapeutic Diets

Compendium Definition

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Note:
– This diet is appropriate for those who have undergone ostomy surgery (for 6-8 weeks following surgery), for those at risk of bowel obstruction, for individuals experiencing loose stools, and for individuals who are post-op and requiring a low-residue diet.
– Cooking, chopping or blending does not change the fibre content, but peeling and removing the seeds lowers fibre content

Vegetables

Allowed

  • Well cooked vegetables without skins or seeds: carrots (peeled), potatoes, parsnips, squash, beets, broccoli tips, cauliflower, asparagus tips, eggplant, pumpkin, rutabagas, turnip, tomato sauce, tomato paste, sweet potatoes/yams, green or yellow beans, all vegetables juices
  • Canned vegetables: all except corn or mushrooms
  • Raw vegetables: tomatoes (skin and seeds removed), cucumbers (skin and seeds removed)

NOT allowed:

  • All raw vegetables and stringy vegetables such as: celery, brussels sprouts, peppers, cabbage, sauerkraut, corn, cucumber, mushrooms, onions, peas, radish, spinach, swiss chard, salads (includes kale, lettuce), potatoes with skin, zucchini

Fruit

Allowed

  • Soft, ripe or frozen fruit with skins and seeds removed: apple, pear, applesauce, apricots, watermelon, peaches, nectarines, mango, papaya, ripe banana
  • Canned fruit: pears, peaches, mandarin oranges, apricots
  • Fruit juice: all pulp-free juices except prune

NOT allowed:

  • dried fruits, berries, cherries, kiwi, apple with skin, orange, grapefruit, grapes, pineapple, rhubarb
  • non-ripe or non-soft cantaloupe, honeydew melon
  • high fibre fruit spreads
  • prune juice

Salads

Allowed

  • Potato salad, macaroni salad made with allowed ingredients, pickled beets, jello salad made with allowed ingredients

NOT allowed:

  • All other salads (e.g. coleslaw, etc)

Grain Products

Allowed

  • Cereals: Cream of Wheat®, cream of rice, oatmeal, Cornflakes®, Cheerios®, puffed rice, Rice Krispies®, Special K®, other cold breakfast cereal with less than 2 g of fibre per serving
  • Breads: white bagels, buns, biscuits, English muffins, waffles, pancakes, pita or flour tortilla; white or oatmeal bread, light rye
  • Other: white rice, white pasta, chow mein noodles, rice noodles, couscous (cooked soft)

NOT allowed:

  • Cereals: Red River® oatmeal, oat bran, bran cereals (All-Bran®, bran flakes), shredded wheat cereals, Just Right®, puffed wheat, granola
  • Breads: any bread product made with 100% whole grain flour, bran, nuts, seeds, dried fruits, pumpernickel, dark rye
  • Other: wheat bran, barley, whole wheat pasta, fibre-enriched white pasta, brown rice, wild rice, popcorn, millet, quinoa, other whole grains

Milk & Alternatives

Allowed

  • All plain dairy products (milk, yogurt, cheese) unless bothered by lactose
  • Plant-based alternatives (soy beverage)

NOT allowed:

  • Any dairy product containing berries, seeds or nuts

*If having problems with lactose, refer to ‘Lactose Free Diet’

Note: skim milk powder should not be provided to individuals having problems with lactose

Meat & Alternatives

Allowed

  • all meat, poultry, fish; eggs, tofu, well pureed hummus, smooth peanut butter, almond butter

*Limit nut butters to 1 tbsp per serving

NOT allowed:

  • legumes (lentils, beans, peas, soybeans), nuts and seeds, chunky peanut or nut butters, processed meats with casings or skins, meat and alternatives with high fibre breading

Soups

Allowed

  • soups with allowed ingredients

NOT allowed:

  • soups with ingredients not allowed

Oils & Fats

Limit fat intake to 2 – 3 Tbsp. per day

Allowed

  • all oils, butter, margarine, salad dressings except those with ingredients not allowed

NOT allowed:

  • those with ingredients not allowed

Desserts & Sweets

Allowed

  • plain cake or cookies, sherbet, Jell-O®, frozen yogurt, ice milk or ice cream, pudding, custard, hard candy, marshmallow

NOT allowed:

  • desserts made with ingredients not allowed (whole-grain flour, bran, nuts, seeds, coconut, high fibre fruit, dried fruit)

Fluids

Allowed

  • Coffee, tea, soft drinks, pulp-free juices (except for prune juice)
  • Oral nutritional supplements without fibre (Boost Fruit Beverage, Ensure Plus)

NOT allowed:

  • Fluids with high-fibre ingredients added (e.g. smoothie with berries), prune juice
  • Oral nutritional supplements containing fibre
  • For post-op ileostomy: carbonated beverages, alcoholic beverages

Miscellaneous

Allowed

  • ketchup, mustard, barbeque sauce, gravy, jelly, ground powdered spices
  • chips, pretzels, cheezies®

NOT allowed:

  • jam or marmalade, relish, olives, pickles, coconut, whole spices
  • corn chips

References:

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