THERAPEUTIC DIETS
THERAPEUTIC DIETS
- Acute renal disease: protein-restricted, high-calorie, fluid-
controlled, Na and K controlled.
- Addison’s disease: high sodium, low potassium.
- ADHD and bipolar: high-calorie and provide finger foods.
- Anemia: high protein/iron/vitamins.
- Atherosclerosis: low saturated fats.
- Burns: high protein, high caloric,Vitamin C.
- Cancer: high-calorie, high-protein.
- Celiac disease: gluten-free (no BROW: wheat, oats, rye,
barley).
- Cholecystitis/Cholelithiasis: low fat liquids, powder
supplements high in protein/carb into skim milk; avoid fried
foods, pork, cheese, alcohol.
- After surgery may need low fat diet for several weeks.
- Low fat, high carb/protein.
- Chronic renal disease: protein-restricted, low-sodium, fluid-
restricted, potassium-restricted, phosphorus-restricted.
- Cirrhosis (stable): normal protein.
- Cirrhosis with hepatic insufficiency: restrict protein, fluids,
and sodium.
- Constipation: high-fiber, increased fluids.
- COPD: soft, high-calorie, low-carbohydrate, high-fat, small
frequent feedings.
- Cushing’s disease: low sodium, high potassium.
- Cystic fibrosis: increase in fluids; pancreatic enzyme
replacement before or with meals; high protein, high calorie in
advanced stages.
- Diarrhea: liquid, low-fiber, regular, fluid and electrolyte
replacement.
- Diverticular disease: high-fiber, avoid seeds.
- Dumping syndrome (rapid passage of food: diaphoresis,
diarrhea, hypotension): restrict fluids w/ meals, drink 1h
before or 1h after; eat in recumbent position, lie down 20-30
min after eating; small frequent meals; low-carb/low-fiber.
- Gallbladder disease: low-fat, calorie-restricted.
- Gastritis: low-fiber, bland diet.
- Gout: low purine (no fish and organ meats).
- Hepatitis: regular, high-calorie, high-protein.
- Hepatobiliary: low-fat, high protein, vitamins.
- Hirschsprung's disease: low fiber, high calorie/protein before
surgery.
- Hypertension, heart failure, CAD: low-sodium, calorie-
restricted, fat-controlled.
- Kidney stones: increased fluid intake, calcium-controlled,
low-oxalate.
- Meniere’s: low sodium, avoid caffeine, nicotine and alcohol.
- Nephrotic syndrome: sodium-restricted, high-calorie, high-
protein, potassium-restricted.
- Obesity/Overweight: calorie-restricted, high-fiber .
- Ostomy: high calorie/protein/carb; low residue before
surgery.
- Ileostomy: low residue diet, no meats, corn, nuts.
- Colostomy: diet not restricted after 6 weeks.
- Pancreatitis: low-fat, regular, small frequent feedings; tube
feeding or total parenteral nutrition.
- Peptic ulcer: bland diet.
-Pernicious anemia: Vitamin B12.
- IM B12 shot (25-100 g), followed by 500-1000 g shot
every 1-2 months or cyanocobalamin nasal spray.
- Phenylketonuria (PKU): special milk substitutes for infants,
low protein for children.
- Pheochromocytoma: increase calories, vitamins and minerals
intake; avoid coffee, tea, cola, tyramine foods.
- Sickle cell anemia: increase fluids to maintain hydration since
sickling increases when patients become dehydrated.
- Stroke: mechanical soft, regular, or tube-feeding.
- Underweight: high-calorie, high protein.
- Ulcerative colitis & Crohn’s disease: high protein/calorie; low
fat/fiber.
- Ulcers: 3 meals/day, avoid Tº extremes, avoid
caffeine/alcohol/milk&cream.
- Postoperative: Vit B12 parenteral for life and iron
supplements.
- Vomiting: fluid and electrolyte replacement.
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