BLAND DIET

NUTRITION & DIET THERAPY

Lorilla, Angela Mae G. Lorilla, Charlene Ann G. Manalo, Andrei Marnelli D.

Kinds
BLAND DIET I
Sippys diet 3 oz. evaporated milk/hour TER = 1360 kCal CHON = 64 g Fats = 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 kCal CHON = 80 g Fats = 75 g CHO = 132 g

Kinds
BLAND DIET III
Semisolid diet 3 small meals, TER = CHON = Fats = CHO =

in-between feedings 1900 kCal 82 g 73 g 220 g

BLAND DIET IV
Softbland diet Adequate in all nutrients, to be used for an indefinite period 3 meals, in-between feedings TER = 2200 kCal CHON = 88 g Fats = 95 g CHO = 260 g

Kinds
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 kCal CHON = 88 g Fats = 95 g CHO = 260 g

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
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Composition
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Indications
gastric and duodenal ulcer gastritis esophageal, gastric, duodenal and pancreatic surgery hiatus hernia heartburn nausea & vomiting

Guidelines
ALLOWED
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

Guidelines
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 dont feel well after eating them. drink fluids slowly.

Sample Meal Plan

TIME 6:00 AM BLAND II 3/4 cup evaporated milk 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 BLAND - III BLAND - IV BLAND - V BREAKFAST

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 Plan

TIME LUNCH BLAND - II 1 cup cream soup; SBE - 2, crackers - 3 BLAND - III 1 cup strained soup; SBE - 1, 1/2 cup lugaw, custard 1/2 cup BLAND - IV 1 cup strained soup, 1/2 cup lugaw, tender meat 2 oz., pureed vegetables, fruit - 1 1/2 cup evaporated milk, toast 2, butter 1 tsp BLAND - V 1 cup strained soup, 1/2 cup rice, tender meat 2 oz., 1/2 cup vegetables, fruit - 1 1/2 cup evaporated milk, toast 3, butter 1 tsp

2:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk, toast - 1

Sample Meal Plan

TIME SUPPER BLAND - II 1 cup cream soup, SBE 2, 1 medium mashed potato BLAND - III 1 cup strained soup, SBE 1, 1/2 cup lugaw, 1/3 cup jollo BLAND - IV 1 cup strained soup, 1/2 cup lugaw, tender meat 2 oz., 1/2 cup vegetables, fruit 1 pc 1/2 cup evaporated milk, crackers 3 pcs, butter 1 tsp 1/2 cup evaporated milk, crackers 3 pcs BLAND - V 1 cup strained soup, 1/2 cup rice, tender meat 2 oz., 1/2 cup vegetables, fruit 1 pc 1/2 cup evaporated milk, sliced bread - 2, butter - 1 tsp 1/2 cup evaporated milk, toast 2 pcs, butter 1 tsp

6:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk, toast 1 pc

10:00 PM

3/4 cup evaporated milk

3/4 cup evaporated milk, crackers 3 pcs

Actual Food Sample

BREAKFAST
Fruit Juice Cereal with Milk Meat / Meat Substitute Bread-Margarine Beverage Soup Meat / Meat Substitute Vegetable Fruit Juice Dessert Bread-Margarine Beverage Juice Meat/Meat Substitute Vegetable Dessert Bread-Margarine Beverage 4 Seasons juice Oatmeal (strained), low-fat milk Soft cooked egg Toast (buttered) Low-fat milk Cream soup (strained) Grilled chicken breast Buttered corn and carrots 4 Seasons juice Vanilla ice cream Toast (buttered) Water Fruit cocktail Baked mussel Asparagus sprouts -- -- Water

LUNCH

DINNER