Modified Fiber Diet
The goals of this diet are to minimize frequency of stool and increase stool consistency. Water soluble fiber is typically found in fruits. Pectin is an example of a water soluble fiber which is present in various fruits including apples. Water soluble fibers delay emptying of the stomach and delay movement of food and digestive juices through the intestine. When these fibers reach the colon, or ileal pouch, they are easily fermented by bacteria. The bacterial fermentation of fiber leads to the production of short chain fatty acids: butyrate, propionate and acetate. These fatty acids promote absorption of water and salts by the intestine, thereby decrease increase the consistency of stool, i.e. less watery. This explains the rationale for the BRAT diet used in babies with diarrhea: Banana, Apple (sauce), Rice, and Toast.
Water insoluble fibers are typically found in vegetables, grains, and legumes. One example of water insoluble fiber is cellulose (paper). Foods high in cellulosic fibers, such as bran, have some of the opposite effects on the intestine: they speed up transit and are poorly fermented by bacteria. Thus, these fibers produce bulk in stool which is of help for constipation. Fiber differs according to its plant source. The role of in-soluble fiber is to produce rapid transit through the intestine and increase bulk.
The following is a list of "fiber foods" to help guide your selections In addition to these foods you should be eating protein foods. These include: meat, fish, fowl, eggs, and cheese (as tolerated). If any of these do not agree with you keep a record and try them at a later date. It may just not be time to foods such as dairy products into your diet. Remember to drink plenty of fluids. You should consume 6 to 10 8-ounce glasses of water daily.
After removal of the large intestine (colon) and or a significant part of the small intestine, especially the ileum, there are food that are better tolerated than others.
Foods best tolerated
apples (peeled, cooked/baked
canned apricots
banana
Kananaä banana flakes
grapefruit (pink/ white)(peeled)
oranges (peeled)
canned pears
watermelon
cooked carrots
asparagus tips/cooked
canned whole asparagus spears
green beans
beets (cut and canned)
white potatoes (baked/boiled)
pumpkin
sweet potatoes/ yams
acorn squash
oatmeal (well-cooked/hot)
ginger snaps
sugar cookies
pasta
converted rice
avocado
catsup/ketchup
cream of mushroom soup
creamy peanut butter
agar
guar
mucilages
seaweed
pectin
flaxseeds
locust-bean gum
psyllium
orange/citrus fiber
Foods not recommended immediately after surgery
raw fruits and vegetables
salad
celery
coconut
corn
cucumbers
dried fruit
lettuce
salad greens
mushrooms
nuts
olives
pickles
pineapple
fruits with seeds
popped corn
seeds (sunflower,etc.)
onions
green peppers (red/yellow/purple/all!!!)
coleslaw
cabbage
radishes
Chinese vegetables(bamboo shoots/water
chestnuts/bean sprouts/etc.)
tomatoes
grapes(all varieties)
brown rice
foods with whole seeds or kernels
whole grain breads
