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Pediatric Bone Marrow Transplant: A Guide for Families
Low Fiber, Low Residue Diet
Geri Quinn, RN, MSN and Janine Petitgout, RN, MA
Peer Review Status: Internally Peer Reviewed
Description
The low fiber, low residue diet provides food that will result in a reduced amount
of fecal material in the lower bowel, and produce only a moderate amount of intestinal
residue. This diet is designed for the patient receiving radiation therapy on
or near the intestines or for the patient with partial bowel obstruction.
The following suggestions are made for each of the four food groups. Tender
meat or meat made tender in the cooking process is used to decrease the amount
of connective tissue. Nuts and legumes should be avoided. Refined breads and
cereals which contain little fiber are recommended, but some patients will be
able to tolerate whole grains. It is suggested that patients choose two fruits
and two vegetables, thus meeting the basic four recommendations for this food
group. Paring fruits and vegetables will reduce the fiber content. Fruits and
vegetables which have traditionally been well tolerated are noted.
Adequacy
This diet meets the Recommended Dietary Allowances for all nutrients except
iron for women of childbearing age.
| Foods Allowed and Foods to Avoid |
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Food Group
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Foods Allowed
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Foods to Avoid
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Beverages
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Milk and mild drinks (no more than one pint daily including that used
in cooking), carbonated beverages, non-dairy creamer
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Milk in excess of one pint
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Breads
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Enriched white and light rye breads or rolls, saltine crackers, melba
toast, rusk, zwieback
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Bread or crackers containing whole grain flour, bran or seeds.
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Cereals
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Cooked refined wheat, corn or rice cereal; cooked oatmeal; prepared cereals
made from corn, rice or oats
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Whole grain cereals
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Desserts
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Candies, cakes, gelatin, pie, ice cream, pudding, sherbet (all made from
mild allowed)
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All products containing coconut, seeds, nuts, tough skins, or other foods
not tolerated
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Eggs
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Any
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None
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Fats
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Butter, margarine, vegetable oils, lard, cream or half-and-half (no more
than 1/2 cup daily), crisp bacon, mild salad dressings
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None
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Fruits
Fruit Juices
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Choose two or more servings from the low and moderate group
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Those not tolerated.
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Meat, Fish, Poultry, Cheese
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Tender beef, chicken, fish, lamb, liver, port, ham, turkey, veal; cottage
cheese, cream cheese mild natural or processed cheese
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Unless tolerated: spicy meats and strong cheeses
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Potatoes or Substitutes
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Hominy, macaroni, noodles, polished rise, spaghetti
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Brown or wild rice
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Soups
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Cream soups (made from milk allowance), broth-based soups made from foods
tolerated
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All others
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Sugar, Sweets
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Candy, fruit butter, honey, jelly, molasses, sugar, syrup (all used in
moderation)
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Unless tolerated: candy containing fruits or nuts, jam or marmalade containing
fruit seeds or skins
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Vegetables, Vegetable Juices (including potatoes)
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Choose two or more servings from the low and moderate groups
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Legumes, dried beans and peas, or other vegetables not tolerated
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Miscellaneous
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Catsup, gravy, smooth peanut butter, mild spices, vinegar, white sauce
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Unless tolerated: chili sauce, coconut, horseradish, nuts, olives, pickles,
popcorn, relish
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