FIBER-RESTRICTED

    SAMPLE MENUS
                     Fiber-Restricted Sample Menus 
                     Some types of cancer and cancer treatments may cause stomach discomfort and diarrhea. Your doctor may recommend that you 
                     follow a fiber-restricted diet (also referred to as low-residue or low-fiber). A fiber-restricted diet reduces the amount and frequency of 
                     bowel movements, therefore reducing irritation to your digestive tract. Your healthcare team may also recommend a fiber-restricted 
                     diet if you have a colostomy or ileostomy, or recent intestinal surgery. 
                     Suggestions for a fiber-restricted diet are listed below. When reading nutrition labels on packaged foods, look for foods that contain 
                     fewer than 2 grams of dietary fiber per serving. Ask for a referral to a registered dietitian (RD) to help you find out how much fiber 
                     you should be consuming. 
                     AVOID:                                                               EAT: 
                     ✕ Raw, undercooked fruits and vegetables                             ✓Canned or well-cooked fruits and vegetables 
                     ✕ Fruits and vegetables with seeds, skins, or hulls                  ✓Low-fat milk (if lactose intolerant, choose lactose-free)* 
                     ✕ Cooked greens or spinach                                           ✓Yogurt without added granola, fruit, nuts, or seeds* 
                     ✕ Peas and corn                                                      ✓Soy milk, rice milk, or almond milk* 
                     ✕ Berries                                                            ✓Sherbet* 
                     ✕ Dried fruits                                                       ✓Tender, well-cooked meat, poultry, pork, or fish 
                     ✕ Juices with pulp                                                   ✓Eggs 
                     ✕ Prune juice                                                        ✓Smooth nut butters 
                     ✕ Tough meats with gristle                                           ✓Tofu 
                     ✕ Fried meat, poultry, or fish                                        ✓White bread, pasta, or rice 
                     ✕ Sushi                                                              ✓Cream of Wheat 
                     ✕ Dried beans, peas, or lentils                                      ✓Grits 
                     ✕ Sausage, bacon, or hot dogs                                        ✓Cold and hot cereals made from refined white flour 
                     ✕ Chunky nut butters                                                 ✓Pancakes and waffles made with refined white flour 
                     ✕ Whole grains such as whole wheat bread, brown rice,                ✓Oils, butter, cream cheese, margarine, mayonnaise 
                          quinoa, barley, oatmeal, and popcorn 
                                                                                          *Although milk does not contain fiber, it can leave indigestible 
                     You may also want to avoid these gas-forming vegetables:             food in your intestines, leading to diarrhea and discomfort. If 
                     beets, broccoli, Brussels sprouts, cabbage, lima beans,              you can tolerate milk, limit milk products to no more than 2 cups 
                     mushrooms, okra, onions, parsnips, peppers, and potato skins.        per day. If you are lactose intolerant, try using lactose-free 
                                                                                          products.
                     WHAT ABOUT DESSERT? 
                     Choose desserts without whole grains, seeds, nuts, raisins, or coconut. Desserts can be high in sugar, which can cause diarrhea to 
                     worsen. Limit yourself to small portions of these treats. Some examples include sugar cookies, popsicles, angel food cake, Italian ice, 
                     and gelatin. 
                     Below are three sample meal plans for following a fiber-restricted diet (each with about 2,000 calories). For a meal plan to meet your 
                     specific needs and food habits, ask your healthcare team for a referral to an RD who works with cancer survivors. If you struggle with 
                     your food choices or don’t have enough energy, an RD can help you develop a healthy meal plan. 
                       Fiber-Restricted Sample Menu: Day 1
                                   MEAL                                SUGGESTED ITEMS                                               NOTES
                         BREAKFAST                          1 scrambled egg with                                    Look for bread with fewer than 2 grams 
                                                            1 oz. mild cheddar cheese                               dietary fiber per serving. Use jelly instead 
                         Fiber 2 grams                                                                              of jam or preserves. 
                                                            2 slices white toast with 2 tsp. butter and 2 tsp. 
                                                            grape jelly                                             Try decaffeinated beverages.
                                                            4 oz. cranberry juice 
                                                            8 oz. tea
                         MORNING SNACK                      6 saltine crackers                                      Use smooth instead of crunchy nut 
                                                            1 Tbsp. peanut butter                                   butters.
                         Fiber 1 gram
                                                            8 oz. water
                         LUNCH                              grilled chicken sandwich with 3 oz. grilled             If lactose intolerant, look for lactose-free 
                                                            chicken, 1 oz. Swiss cheese                             cheese. Use buns made with white flour 
                         Fiber 6 grams                      1 tsp. mustard, and 1 hamburger bun                     and no sesame seeds or berries. 
                                                            1 cup chicken and rice soup                             Eat well-cooked vegetables without 
                                                                                                                    seeds or peels.
                                                            1/2 cup well-cooked zucchini 
                                                            1/2 cup canned pears 
                                                            8 oz. water
                         AFTERNOON SNACK                    1 small bagel                                           Choose plain bagels without fruit or nuts.
                                                            1 Tbsp. cream cheese 
                         Fiber 2 grams
                                                            8 oz. herbal tea
                         DINNER                             4 oz. baked salmon                                      Remove strings from green beans. 
                                                            1/2 cup well-cooked green beans                         Healthy people need 8-10 glasses of fluid 
                         Fiber 3 grams                                                                              daily. If you have diarrhea, you may need 
                                                            3/4 cup Ginger Rice*                                    more fluid.
                                                            white dinner roll with 1 tsp. butter 
                                                            8 oz. iced tea
                         BEDTIME SNACK                      6 oz. sorbet                                            Use sorbet without fruits.
                                                            8 oz. water
                       * Denotes a PearlPoint recipe.
                       Fiber-Restricted Sample Menu: Day 2
                                    MEAL                                SUGGESTED ITEMS                                               NOTES
                         BREAKFAST                          1 cup puffed rice cereal with 4 oz. low-fat milk         Use grains made from refined, white flour. 
                                                            1/2 English muffin with 1 Tbsp. smooth peanut             If lactose intolerant, look for a lactose-
                         Fiber 5 grams                      butter                                                  free milk, like soy or almond milk. 
                                                            3/4 cup cottage cheese with 1/2 cup canned              Choose canned fruit without peels.
                                                            peaches 
                                                            8 oz. coffee
                         MORNING SNACK                      6 vanilla wafers with 
                                                            1 Tbsp. almond butter 
                         Fiber 1 gram
                                                            8 oz. strained lemonade
                         LUNCH                              one 3.5 inch x 3 inch slice meat lasagna                For lasagna, use sauce made from 
                                                            1 small piece French bread                              peeled, seedless tomatoes. Try a ripe 
                         Fiber 5 grams                                                                              banana, baked peeled apples, or melon 
                                                            1 tsp. butter                                           in place of applesauce.
                                                            1/2 cup applesauce 
                                                            8 oz. iced tea
                         AFTERNOON SNACK                    6 oz. yogurt                                            Use creamy yogurt with live and active 
                                                            8 oz. water                                             cultures and without berries and nuts.
                         DINNER                             3 oz. pork loin                                         Choose meats that are tender and well-
                                                            1/2 cup glazed carrots                                  cooked but not fried. For variety, try 
                         Fiber 3 grams                                                                              vegetable juice that is strained with no 
                                                            1/2 cup mashed potatoes, no skins                       pulp.
                                                            1 small dinner roll 
                                                            1 tsp. butter 
                                                            4 oz. apple juice 
                                                            8 oz. water
                         BEDTIME SNACK                      2 small sugar cookies                                   Try an assortment of plain cookies 
                                                            8 oz. herbal tea                                        without nuts or fruit.