Dr Rupert Ransford - Dietary Advice

Dietary Advice

High fibre diet

Fibre is necessary for the prevention of constipation. It is found in all plant material, roots, leaves, stalks, fruits, seeds and wholegrain. To stay healthy we need to eat a variety of fibre rich foods each day. Fibre is beneficial because it stimulates the digestive system, prevents constipation, reduces the risk of digestive disorders such as diverticular disease.

High fibre foods include:

Low Residue Diet

A low residue diet is often advised when the bowel is narrowed (strictured) and in some patients with a flare up of their Crohn’s disease. Some other patients with abdominal bloating due to irritable bowel syndrome may benefit from a trial of this diet.

Certain foods may need to be avoided initially, if not well tolerated, and reintroduced when your condition improves. If foods do not affect your condition then continue to eat them. Most meats, including fish, are well tolerated, but some patients require red meat in particular to be minced. Lower fibre foods in general are well tolerated and only avoid high fibre foods that constantly aggravate you. Certain vegetables and fruits are low fibre as follows:

You should avoid:

Wholemeal products, bran and wheat cereals, brown rice, wholewheat pasta, coarse jams with seeds and skin, coarse vegetable soups. Baked, broad, haricot and butter beans, broccoli tops, carrots, leeks, cress, fresh, canned and dried peas, spinach, spring greens, watercress, corn, dried fruits, nuts and coconut.

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DR RUPERT RANSFORD MRCGP MD FRCP
Consultant Gastroenterologist
NUFFIELD HEALTH, HEREFORD HOSPITAL, VENNS LANE, HEREFORD HR1 1DF