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BLAND DIETNUTRITION & DIET THERAPY
Lorilla, Angela Mae G.Lorilla, Charlene Ann G.
Manalo, Andrei Marnelli D.
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
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
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
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
Importance∞,GFUEGFIW,KRTBQHGTO
Composition∞GHRHSFQDaf5u
Indications∞gastric and duodenal ulcer∞gastritis∞esophageal, gastric, duodenal and
pancreatic surgery∞hiatus hernia∞heartburn∞nausea & vomiting
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
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
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
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
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
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
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
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
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