Talk:Low-fiber/low-residue diet

message: I'm refraining from editing non-talk wiki pages until I get a few more english degrees. By the way, I almost asked whether this was a stub until I saw the notice hidden at the bottom. Perhaps this should be put into one of those big colored-background alert messages. -Kristan Wifler —The preceding unsigned comment was added by 71.112.51.232 (talk) 09:12, 27 December 2006 (UTC)
thread_title:  Nice stub 

message: The article fails to mention why anyone would want to follow a diet like this? Fundamentisto (talk) 20:41, 2 October 2008 (UTC)
replies: text: I've added back the section that answers this question. That section, along with most of the rest of the article, was removed in this edit, probably by accident. Graham87 11:13, 14 January 2009 (UTC)
thread_title:  Why follow this diet? 

message: You're not supposed to eat whole nuts or crunchy peanut butter on this diet, but it says its OK to eat oils.  Does that mean you can eat smooth     nut butters such as creamy peanut butter, almond butter, cashew butter, filbert butter, etc.?  Keraunos (talk) 14:05, 23 October 2010 (UTC)
thread_title: Nut butters?

message: The supplies included in the life rafts used by the US Navy between 1977 and 1980 included "Low Residue Food" rations. These were very much like (and probably were) jelly candies. They were made with fruit juices and coated with a granular sugar. I do not know the details of how they were to be eaten or how many each sailor was supposed to get.  Low residue rations are used for the obvious reason that life rafts do not have "sanitary facilities" —Preceding unsigned comment added by 75.42.68.208 (talk) 02:44, 13 March 2011 (UTC)
thread_title: Use in Emergency Conditions

message: What are the best fruits, vegetables or source of vitamins on a low residue diet? In my opinion its grapes, its very low in fiber, great source of soft vitamin C and very low in vitamin A.  — Preceding unsigned comment added by Forthesimpleandpureliving (talk • contribs) 07:58, 7 October 2011 (UTC)
thread_title:  Fruits on a Low residue diet 

message: Here are a few citations to use for the Conditions that may require a low residue diet section:
Anusitis & Proctitis:
eMedicine - http://emedicine.medscape.com/article/192910-treatment
Bowel inflammation:
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Medline Plus - http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000200.htm
Bowel stenosis:
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Dana-Farber Cancer Institute - http://www.dana-farber.org/Health-Library/Abdominal-Adhesions-and-Low-Density-Diets.aspx
Chemotherapy:
University of Pittsburgh Medical Center (UPMC) - http://www.upmc.com/patients-visitors/education/nutrition/Pages/low-residue-low-fiber-diet.aspx
Colonoscopy preparation (low residue diet preparation compared to clear liquid diet prep):
PubMed - http://www.ncbi.nlm.nih.gov/pubmed/?term=low+residue+diet+colonoscopy
Crohn's Disease:
Mayo Clinic - http://www.mayoclinic.org/diseases-conditions/crohns-disease/basics/treatment/con-20032061
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Medline Plus - http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000200.htm
NYU Langone Medical Center - http://www.med.nyu.edu/content?ChunkIID=199396
Diverticulitis:
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Medline Plus - http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000200.htm
PubMed - Low residue diet NOT needed..."Low-residue diet in diverticular disease: putting an end to a myth." (abstract) - http://www.ncbi.nlm.nih.gov/pubmed/21447765?dopt=Abstract
Inflammatory bowel disease (IBD primarily includes ulcerative colitis and Crohn's disease):
Mayo Clinic - http://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/basics/lifestyle-home-remedies/con-20034908
Mayo Clinic - http://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/basics/treatment/con-20034908
Radiation therapy:
National Cancer Institute of the National Institutes of Health (USA) - http://www.cancer.gov/cancertopics/pdq/supportivecare/gastrointestinalcomplications/HealthProfessional/page6
University of Pittsburgh Medical Center (UPMC) - http://www.upmc.com/patients-visitors/education/nutrition/Pages/low-residue-low-fiber-diet.aspx
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Dana-Farber Cancer Institute - http://www.dana-farber.org/Health-Library/Abdominal-Adhesions-and-Low-Density-Diets.aspx
NYU Langone Medical Center - http://www.med.nyu.edu/content?ChunkIID=199396
Surgery of abdomen or GI tract:
University of Pittsburgh Medical Center (UPMC) - http://www.upmc.com/patients-visitors/education/nutrition/Pages/low-residue-low-fiber-diet.aspx
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Medline Plus - http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000200.htm
Surgery preparation:
Hospital for Special Surgery - http://www.hss.edu/conditions_your-diet-preparing-for-surgery.asp#.VCoqbxZRUek
Ulcerative colitis:
Mayo Clinic - http://www.mayoclinic.org/diseases-conditions/ulcerative-colitis/basics/lifestyle-home-remedies/con-20043763
Northwestern University Hospital - http://www.nmh.org/ccurl/84/948/lowfiber-diet07.pdf
Medline Plus - http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000200.htm
NYU Langone Medical Center - http://www.med.nyu.edu/content?ChunkIID=199396
[Gastroparesis requires more than a simple low-residue diet. It also requires three stages with more foods introduced at each stage. - http://www.digestivediseaseny.com/nutrition/gastroparesis/]
[Low-residue eating was apparently a historical situation during the Apollo era, according to Space.com, not an on-going practice? - http://www.space.com/22597-space-poop-astronaut-toilet-explained.html]
Thank you (I haven't figured out adding citations yet), Wordreader (talk) 04:32, 30 September 2014 (UTC)
replies: text: Thanks; see Help:Referencing for beginners forhelp with adding citations. Also see the guidelines on reliable sources for medical articles; the links to medical websites are okay, but journal article refs are preferred. Graham87 15:17, 30 September 2014 (UTC)
replies: text: Thank you for the links. WP:MEDRS: "Medical and scientific organizations" and "Other sources" seems to cover a batch of these sources and consider them as reliable (like Medline Plus, eMedicine, and Mayo Clinic). If Mayo Clinic is reliable, then am I correct in thinking that other well respected university and medical centers would be, too, like Dana-Farber Cancer Institute? I find PubMed problematic as so often articles provide only an abstract (sometimes less), requiring a subscription or article purchase to read the whole thing. Thank you, Wordreader (talk) 02:34, 4 October 2014 (UTC)
replies: text: Yes, that is correct. Graham87 03:37, 4 October 2014 (UTC)
thread_title:  Citations found 

message: I started editing this article to clean up the references after being on a low-fiber diet following abdominal surgery.  I also followed the various recommendations in the original article, including abstaining from chocolate, in addition to those from the diet given with my discharge instructions. Later my doctor was amused that I trusted wikipedia on this (especially with the "medical citatiion needed" right by the restriction on chocolate!) and there was no limit on chocolate in diet actually recommended to me. That diet was in fact from what I now consider to be the most authoritative source, the Academy of Nutrition and Dietetics.
While reading various review articles, I discovered a few important things that motivated me to completely re-write the article:
* There is no one standard diet, although the general ideas are the same in all diets -- basically, soft foods and foods that don't make the intestines work too rapidly (like caffeine does, although a couple of diets allow it).  There's disagreement about which fruits (some allow soft raw fruits, others include no fruits). There's disagreement about vegetables (some allow some raw vegetables, some allow only cooked vegetables, some restrict cooked vegetables as well).
* Low residue diet has been dropped as a term by the main organization for nutrition, the Academy of Nutrition and Dietetics. However, this was recent (about 2013, I think), and hasn't been recognized by some of the hospitals and medical groups, including at least in the diets they publish on-line. I chose to explain the difference in the introduction and explain that the term "low-residue diet" is no longer recommended, while compromising in the title with "Low-fiber/low-residue diet" to make it easier to find. I also used some redirects
*There is a standard diet available from Nutrition Care Manual of the Academy of Nutrition and Dietetics, which is used by some hospitals, and I have a personal copy as part of my discharge instructions, but because of the copyright I'm not sure I can use it. It's a very small part of the manual (1-2 pages), so perhaps it comes under "fair use". But another problem is that the manual is an on-line professional resource, available only through a high-priced subscription, and subject to frequent changes since it's on-line -- so I'm not so sure about referencing it.
*There are no high-quality studies of the effects of the diet, according to all the literature I've looked at,  So even the "reference" diet, if we consider the one in the previously-mentioned Nutrition Care Manual as the "reference diet," cannot be based on high-quality studies. The main reason for citing it is that it is probably the one most frequently used in actual patient care -- although the diets cited here from hospitals and medical groups would also be used in patient care. But the absence of high-quality studies makes weighting the sources difficult.
*A multinational food-service organization has a nutrition manual for use in servicing hospital and containing a low fiber diet. This is the Manual of Clinical Nutrition Management from the COMPASS Group, which includes information from the Institute of Medicine of the National Academy of Sciences (now the Health and Medicine Division), and which cites useful articles at the end of each section. At first I thought I had found the authoritative source, but I now am not sure what to make of it. It had internal contradictions in the diet -- it recommended eating cornbread, and also said to avoid it -- so I felt that it was somewhat carelessly prepared. For that reason, I didn't give it more weight than I gave to anyone else.
I tried to reflect these problems in the section on guidelines, with the consensus, broad-brush items summarized in the table, and the details in variations below.  — Preceding unsigned comment added by Ngriffeth (talk • contribs) 13:28, 5 May 2017 (UTC)
replies: text: Nice work! I only have this article on my watchlist because I had to revert long-standing vandalism on it. Re: the Nutrition Care manual: you can cite an online source that requires subscription by adding "|url-access=subscription" to the citation template, as documented at Template:Cite book#Subscription or registration required, among other places. Graham87 14:14, 5 May 2017 (UTC)
replies: text: Thanks. I've got to get on to other things now -- I'll come back to this later and see what I can fix up. I may meet with the nutritionist at my hospital first to get some feedback from her Ngriffeth (talk) 00:21, 6 May 2017 (UTC)
thread_title: New Version