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BLAND DIET NUTRITION & DIET THERAPY Lorilla, Angela Mae G. Lorilla, Charlene Ann G. Manalo, Andrei Marnelli D.

Bland Diet

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Page 1: Bland Diet

BLAND DIETNUTRITION & DIET THERAPY

Lorilla, Angela Mae G.Lorilla, Charlene Ann G.

Manalo, Andrei Marnelli D.

Page 2: Bland Diet

BLAND DIET I∞ Sippy’s diet∞ 3 oz. evaporated milk/hour

TER = 1360 kCalCHON = 64 gFats = 80 g

CHO = 96 g

BLAND DIET II∞ Continuation of Bland Diet II∞ 6 oz. evaporated milk every 4 hrs∞ Cream soup, strained sereals, soft cooked egg,

crackers TER = 1500 kCalCHON = 80 gFats = 75 gCHO = 132 g

Kinds

Page 3: Bland Diet

KindsBLAND DIET III∞ Semi–solid diet∞ 3 small meals, in-between feedingsTER = 1900 kCalCHON= 82 gFats = 73 gCHO = 220 g

BLAND DIET IV∞ Soft–bland diet∞ Adequate in all nutrients, to be used for an indefinite

period∞ 3 meals, in-between feedings

TER = 2200 kCalCHON = 88 gFats = 95 gCHO = 260 g

Page 4: Bland Diet

BLAND DIET V∞ So – call full bland diet

∞ Adequate in all nutrients∞ Food are limited to those which are mechanically and

chemically non-irritating∞ 3 small meals, in-between feedings

TER = 2200 kCalCHON = 88 gFats = 95 gCHO = 260 g

Kinds

Page 5: Bland Diet

Definition∞reduces gastric acidity and motility

∞resembles a soft diet—

∞ food served are smooth in consistency with a minimum of fiber and connective tissue.

∞restricts the use of spices, condiments, meat extractives, coffee, carbonated beverages and alcohol

Page 6: Bland Diet

Importance∞,GFUEGFIW,KRTBQHGTO

Page 7: Bland Diet

Composition∞GHRHSFQDaf5u

Page 8: Bland Diet

Indications∞gastric and duodenal ulcer∞gastritis∞esophageal, gastric, duodenal and

pancreatic surgery∞hiatus hernia∞heartburn∞nausea & vomiting

Page 9: Bland Diet

GuidelinesALLOWED∞milk, dairy products (low-fat only)∞cooked, canned, frozen vegetables∞fruit and vegetable juices∞cooked or canned fruit with the skin

and seeds removed (applesauce, canned peaches, fruit cocktail)

∞breads, crackers, pasta made with refined white flour

Page 10: Bland Diet

ALLOWED∞refined hot cereals (oatmeal, cream of

wheat)∞lean, tender meat (poultry, whitefish,

shellfish) that are steamed, baked, or grilled with no added fat

∞creamy peanut butter∞pudding,custard∞tofu∞soup, especially broth∞weak tea

Guidelines

Page 11: Bland Diet

NOT ALLOWED∞fatty dairy foods (whipped cream, high-fat

ice cream)∞strong cheeses (bleu, roquefort)∞raw vegetables∞gassy vegetables (broccoli, cabbage,

cauliflower, cucumber, green peppers, corn, sweet potato)

∞fresh berries, fresh fruits∞dried fruit∞whole-grain/bran cereals, whole-grain

bread, crackers, pasta

Guidelines

Page 12: Bland Diet

NOT ALLOWED∞pickles, sauerkraut and the like∞spices (hot pepper, garlic)∞food with large amts of sugar/honey∞seeds, nuts∞highly seasoned, cured, smoked meats

and fish∞fried food∞medicine that contains aspirin or

ibuprofen (advil, motrin)

Guidelines

Page 13: Bland Diet

DIET TIPS∞eat small meals, and eat more often

during the day.∞chew your food slowly, and chew it well.∞stop cigarette smoking, if you smoke.∞do not eat within 2 hours of when you

go to bed.∞stop eating foods that are not on the

"do not" list if you don’t feel well after eating them.

∞drink fluids slowly.

Guidelines

Page 14: Bland Diet

Sample Meal PlanTIME BLAND – II BLAND - III BLAND - IV BLAND - V

6:00 AM

3/4 cup evaporated milk

BREAKFAS

T

1/2 cup strained oatmeal with 1/2 cup evaporated milk, SBE – 2

1/2 cup strained oatmeal with 1/2 cup evaporated milk, SBE - 1, toast - 1, butter -1 tsp

1/2 cup strained oatmeal with 1/2 cup evaporated milk,SBE - 2, toast - 2, butter - 1 tsp

1/2 cup oatmeal with 1/2 cup evaporated milk,SBE - 2, sliced bread, butter - 1 tsp,fruit

10:00 AM

3/4 cup evaporated milk

3/4 cup evaporated milk,crackers-3

1/2 cup evaporated milk,crackers-3,butter-1 tsp

1/2 cup evaporated milk,crackers - 3,butter - 1 tsp

Page 15: Bland Diet

Sample Meal PlanTIME BLAND - II BLAND - III BLAND - IV BLAND - V

LUNCH

1 cup cream soup;SBE - 2,crackers - 3

1 cup strained soup;SBE - 1,1/2 cup lugaw,custard – 1/2 cup

1 cup strained soup,1/2 cup lugaw,tender meat – 2 oz.,pureed vegetables,fruit - 1

1 cup strained soup,1/2 cup rice,tender meat – 2 oz.,1/2 cup vegetables,fruit - 1

2:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk,toast - 1

1/2 cup evaporated milk,toast – 2,butter – 1 tsp

1/2 cup evaporated milk,toast – 3,butter – 1 tsp

Page 16: Bland Diet

TIME BLAND - II BLAND - III BLAND - IV BLAND - V

SUPPER

1 cup cream soup,SBE – 2,1 medium mashed potato

1 cup strained soup,SBE – 1,1/2 cup lugaw,1/3 cup jollo

1 cup strained soup,1/2 cup lugaw,tender meat – 2 oz.,1/2 cup vegetables,fruit – 1 pc

1 cup strained soup,1/2 cup rice,tender meat – 2 oz.,1/2 cup vegetables,fruit – 1 pc

6:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk,toast – 1 pc

1/2 cup evaporated milk,crackers – 3 pcs,butter – 1 tsp

1/2 cup evaporated milk,sliced bread - 2,butter - 1 tsp

10:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk,crackers – 3 pcs

1/2 cup evaporated milk,crackers – 3 pcs

1/2 cup evaporated milk,toast – 2 pcs,butter – 1 tsp

Sample Meal Plan

Page 17: Bland Diet

Actual Food Sample

BREAKFAS

T

Fruit JuiceCereal with MilkMeat / Meat SubstituteBread-MargarineBeverage

∞ 4 Seasons juice∞ Oatmeal (strained), low-fat milk∞ Soft cooked egg∞ Toast (buttered)∞ Low-fat milk

LUNCH

SoupMeat / Meat SubstituteVegetableFruit JuiceDessertBread-MargarineBeverage

∞ Cream soup (strained)∞ Grilled chicken breast∞ Buttered corn and carrots∞ 4 Seasons juice∞ Vanilla ice cream∞ Toast (buttered)∞ Water

DINNER

JuiceMeat/Meat SubstituteVegetableDessertBread-MargarineBeverage

∞ Fruit cocktail∞ Baked mussel∞ Asparagus sprouts∞ ---∞ ---∞ Water