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Friday, January 10, 2014

The Gastroparesis Diet & Recipe Help/Ideas

Gastroparesis Diet for Delayed Stomach Emptying Link found: http://gicare.com/diets/gastroparesis-diet/

Author: Frank W. Jackson, M.D.


Below is a published paper by Dr. Jackson explaining the Gastroparesis diet. I know it's a *huge* change to make, especially since you could eat almost anything before GP. But, following the GP diet will help avoid those severe spasms and pain if you can stick to the diet.




Purpose

Gastroparesis is the medical term for delayed stomach emptying. During the process of digestion, the stomach must contract to empty itself of food and liquid. Normally, it contracts about three times a minute. This empties the stomach within 90-120 minutes after eating. If contractions are sluggish or less frequent, stomach emptying is delayed. This results in bothersome and sometimes serious symptoms, as well as malnutrition, because food is not being digested properly.

Gastroparesis may be caused by various conditions such as diabetes mellitus, certain disorders of the nervous system, or certain drugs. Often however, no cause can be found although a viral infection is suspected in some. Usually, the physician prescribes medication to stimulate the stomach to contract. The purpose of the gastroparesis diet is to reduce symptoms and maintain adequate fluids and nutrition. There are three steps to the diet.

STEP 1 DIET consists of liquids, which usually leave the stomach quickly by gravity alone. Liquids prevent dehydration and keep the body supplied with vital salts and minerals.

STEP 2 DIET provides additional calories by adding a small amount of dietary fat — less than 40 gm each day. For patients with gastroparesis, fatty foods and oils should be restricted, because they delay stomach emptying. However, patients at the Step 2 level are usually able to tolerate this amount.

STEP 3 DIET is designed for long-term maintenance. Fat is limited to 50 gm per day, and fibrous foods are restricted, because many plant fibers cannot be digested.



Nutrition Facts

The STEP 1 Gastroparesis Diet is inadequate in all nutrients except sodium and potassium. It should not be continued for more than three days without additional nutritional support. STEP 2 and STEP 3 Gastroparesis Diets may be inadequate in Vitamins A and C, and the mineral iron. A multivitamin supplement is usually prescribed.


Special Considerations

Diets must be tailored to the individual patient. This is because the degree of gastroparesis may range from severe and long-standing to mild and easily corrected. Patients may also have various medical conditions to be considered. For example, diabetes patients with gastroparesis are allowed sugar-containing liquids on the Step 1 diet, because that is their only source of carbohydrate. On the Step 2 and Step 3 diets, these patients should avoid concentrated sweets. These are noted with an asterisk (*) on the food lists.





On all of the diets, liquids and food should be eaten in small, frequent meals. This helps to maintain nutrition.




Step 1 Food Groups


The Following are Acceptable:

Milk & milk products: Avoid All

Vegetables: Avoid All

Fruits: Avoid All

Breads & grains: only allowed plain saltine crackers, avoid all others

Meat or meat substitutes: Avoid All

Fats & oils: Avoid All

Beverages: Gatorade and soft drinks (sipped slowly throughout the day) and avoid all others

Soups: fat-free consommé and bouillon and avoid all others


Sample Menu Step 1

Breakfast
Gatorade 1/2 cup
ginger ale 1/2 cup
bouillon 3/4 cup
saltine crackers 6


Lunch
Gatorade 1/2 cup
Coke 1/2 cup
bouillon 3/4 cup
saltine crackers 6


Dinner
Gatorade 1/2 cup
Sprite 1/2 cup
bouillon 3/4 cup
saltine crackers 6

This Sample Diet Provides the Following:

Calories 790 Fat 9 gm
Protein 11 gm Sodium 3531 mg
Carbohydrates 156 gm Potassium 244 mg


Step 2 Food Groups

The Following are Acceptable:

Milk & milk products skim milk, products made with skim milk, low-fat yogurt, low-fat cheeses whole milk products, creams (sour, light, heavy, whipping), half & half,

Soups fat-free consommé & bouillon, soups made from skim milk, & fat-free broths containing pasta or noodles and allowed vegetables soups made with cream, whole milk, or broths containing fat,

Bread & grains breads & cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackers oatmeal; whole grain rice, cereal, bread

Meat & meat substitutes eggs, peanut butter (maximum 2 Tbsp/day) beef; poultry; fish; pork products; dried beans, pea, & lentils

Vegetables vegetable juice (tomato, V-8); well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summer squash, strained tomato sauce, yams) all raw vegetables; cooked vegetables with skins; beans (green, wax, lima), broccoli, Brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini

Fruits apple juice, cranberry juice, grape juice, pineapple, prune juice, canned fruits without skins (applesauce, peaches, pears) citrus juices, all fresh and dried fruits, canned fruits with skins (apricots, cherries, blueberries, fruit cocktail, oranges, grapefruit, pineapple, plums, persimmons)

Fats & oils any type of fat, but only in small amounts none

Sweets & desserts* hard candies, caramels, puddings & custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrups high-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves

Beverages Gatorade*, soft drinks* (sipped slowly throughout the day) all others, except allowed juices
*Concentrated sweets


Sample Menu Step 2

Breakfast
skim milk 1/2 cup
poached egg 1
white toast slice
apple juice 1/2 cup


Lunch
mozzarella cheese
2 oz
saltine crackers 6
chicken noodle soup 3/4 cup
Gatorade 1/2 cup


Dinner
peanut butter 1 Tbsp
saltine crackers 6
vanilla pudding
1/2 cup
grape juice 1/2 cup


Morning Snack
ginger ale 1/2 cup
canned pears 1/2 cup


Afternoon Snack
skim milk 1/2 cup
cornflakes 1/2 cup
sugar 2 tsp

Evening Snack
frozen yogurt 1/2 cup
saltine crackers 6

This Sample Diet Provides the Following
Calories 1343 Fat 35 gm
Protein 52 gm Sodium 2639 mg
Carbohydrates 206 gm Potassium 1411 mg



Step 3 Food Groups


The Following are Acceptable:

Milk & milk products skim milk, products made with skim milk, low-fat yogurt, low-fat cheeses whole milk products, creams (sour, light, heavy, whipping), half & half

Soups fat-free consommé & bouillon, soups made from skim milk, & fat-free broths containing pasta or noodles and allowed vegetables soups made with cream, whole milk, or broths containing fat

Fruits fruit juices, canned fruits without skins (applesauce, peaches, pears) all fresh & dried fruits, canned fruits with skins (apricots, cherries, plums, blueberries, fruit cocktail, oranges, grapefruit, pineapple, persimmons)
Meat & meat substitutes eggs, peanut butter (2 Tbsp/day), poultry, fish, lean ground beef fibrous meats (steaks, roasts, chops), dried beans, peas, lentils

Fats & oils any type of fat, but only in small amounts none

Breads & grains breads & cereals, cream of wheat, pasta, white rice, egg noodles, low-fat crackers oatmeal; whole grain rice, cereal, bread

Vegetables vegetable juices (tomato V-8), well-cooked vegetables without skins (acorn squash, beets, carrots, mushrooms, potatoes, spinach, summers quash, strained tomato sauce, yams) all raw vegetables; cooked vegetables with skins: beans (green, wax, lima), broccoli, Brussels sprouts, cabbage, cauliflower, celery, corn, eggplant, onions, peas, peppers, pea pods, sauerkraut, turnips, water chestnuts, zucchini

Sweets & desserts* hard candies, caramels, puddings & custards made from skim milk, frozen yogurt, fruit ice, gelatin, ice milk, jelly, honey, syrups high-fat desserts (cakes, pies, cookies, pastries, ice cream), fruit preserves

Beverages Gatorade*, soft drinks* (sipped slowly throughout the day), coffee, tea, water (note: non-caloric beverages should be limited if patient cannot maintain adequate caloric intake) all others, except allowed juices
*Concentrated sweets



Sample Menu Step 3


Breakfast
skim milk 1/2 cup
cream of wheat 1/2 cup
sugar 2 tsp
orange juice 1/2 cup
white toast 1 slice
margarine 1 tsp
jelly 1 Tbsp


Lunch
tuna fish 2 oz
low-fat mayonnaise 2 Tbsp
white bread 2 slices
canned peaches 1/2 cup
Gatorade 1/2 cup


Dinner
baked chicken 2 oz
white rice 1/2 cup
cooked beets 1/2 cup
dinner roll 1
skim milk 1/2 cup
margarine 2 tsp


Morning Snack
low-fat yogurt
1/2 cup
Sprite 1/2 cup



Afternoon Snack
chocolate pudding
1/2 cup
gingerale 1/2 cup


Evening Snack
ice milk 1/2 cup
pretzels 2

This Sample Diet Provides the Following:
Calories 1822 Fat 42 gm
Protein 75 gm Sodium 2234 mg
Carbohydrates 286 gm Potassium


According to LiveStrong, the link is HERE: http://www.livestrong.com/article/408015-foods-you-can-eat-when-you-have-gastroparesis/#ixzz2PjiAmh3D

"Gastroparesis is a condition in which food is delayed in emptying from your stomach into your small intestine. According to a 2008 article in "The Medscape Journal of Medicine," 4 percent of the United States population experiences symptoms of gastroparesis, which include nausea, vomiting, abdominal pain and bloating, weight loss, acid reflux and early satiety. Uncontrolled blood sugar with diabetes is often the cause of gastroparesis but intestinal surgery, Parkinson's disease, multiple sclerosis and other unknown causes contribute to the development of this condition. Treatment involves medication to stimulate stomach emptying and a diet that helps manage gastroparesis symptoms.


Meal Patterns

With slow stomach emptying, the amount of food you eat during a meal can trigger gastroparesis symptoms if you are not careful. Eat a balanced diet, broken down into six small meals throughout the day. Sitting up at meals and walking between meals will also help with digestion and increase your appetite for the next meal. If weight loss or maintenance is a concern, be sure you are eating enough or consider adding additional small meals during the day.


Low-Fat Foods

The amount of fat in your meals can further delay stomach emptying. Low-fat meals are recommended for better tolerance. Meat is a good source of protein, but can be high in fat. Choose lean cuts and remove any visible fat during meal preparation. Poultry, lean ground beef, fish and eggs are good diet choices. Milk, yogurt and cheese are rich in protein, calcium and vitamin D, but can also be high in fat. Pick low-fat versions for easier digestion. Added butter, margarine, sour cream, oils and salad dressings can contribute a lot of fat to your diet. Use this group sparingly and instead flavor foods with natural herbs and seasonings.


Dietary Fiber

While fiber is important for bowel health, a high fiber diet may exacerbate gastroparesis symptoms. Low fiber foods are better tolerated. Stick with white bread, rice and pasta. Read cereal labels and choose low fiber versions. Fruits and vegetables can be included in your diet, but stick with low fiber choices such as applesauce, canned peaches, tangerines, skinned potatoes, zucchini, lettuce and celery. Once your gastroparesis symptoms improve, you may incorporate more fiber foods in your diet with caution. Start with very small amounts to determine if you are able to tolerate any of these foods.


Carbohydrates and Concentrated Sweets

Managing your blood sugar level and being aware of the carbohydrates in your diet is important if diabetes is the cause of your gastroparesis. Carbohydrate sources include breads and grains, fruit and fruit juices, dairy, vegetables, sweets and desserts and some beverages. Be consistent with the amount of carbohydrates you are eating and the timing of your meals. Reading labels is helpful to identify the serving size and carbohydrate amount in your foods. Avoid a lot of sweets and desserts with added sugar and fat like cake, cookies and brownies. Instead choose low-fat cake or pudding which can help control your intake of sugar and fat."


For any more guidance or help with the diet, please visit: http://attachment.fbsbx.com/file_download.php?id=166937710179851&eid=ASvAlblP21aLoXUqJ0hQVstmFw63qF94GOkRyL2X9KHhmNmV4mee_We3Q421G85FG14&inline=1&ext=1389409563&hash=ASvp6Agd3yDl4V3r


If you are traveling with Gastroparesis, please refer to below:






Low Residue Diet
Credit: Tracey J.







Recipe Ideas and Help on Pinterest

I have a board on Pinterest that my GP friends and I post GP friendly recipes to. Please check it out. As always, be careful because some people can tolerate things better than others. You know your body better than anyone else and what you can tolerate and what you cannot. Please keep that in mind when browsing recipes. However, there are lots of "GP friendly" recipes on our board that will give you some ideas about what to make for yourself. Changing your diet can be tough, especially when most of us don't feel like eating most of the time. However, my GI recently told me to try and eat small meals as often as I can, because it gives your gut a work out, so that your gut will move things through. If you are interested in helping pin Gastroparesis Friendly Recipes to the collaborative board, leave me a comment and I'll contact you. Having help really does help me and it helps others.

For recipe ideas and help, please visit my Pinterest Board at: http://www.pinterest.com/chikensrule/gastroparesis-friendly-recipes/