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Diet therapy
deals with the modification in existing diet pattern of
the sick person so as to meet the correct requirement of all
the nutritions. Its main purposes are 1) to maintain a well
balanced nutritional diet, 2) to correct deficiencies which
may have caused the sickness, 3) to afford rest to the whole
body & 4) to help body metabolise the nutrients.
Diet Therapy
is not a remedy or cure for the sickness or disease but is
a measure to make more effective the medical or surgical treatment.
Diet Therapy
begins with the normal diet with some changes such as addition
of more nutrients and those nutrients which are deficient in the
body probably leading to the sickness, and omission of those nutrients
which are less important for the body.
Normal Diet may be modified (1) to provide change
in consistency as in fluid and soft diets, (2) to change the energy
requirements, (3) to wipe out the deficiency of nutrients, if
any, in the diet, (4) to increase the intake of dietary fibre
and (5) to make the digestion easy.
CLEAR-FLUID DIET:
Whenever an acute illness or surgery produces a marked intolerance
for food as may be evident by nausea, vomiting, anorexia and diarrhoea,
it is advisable to restrict the intake of food. In such cases
the diet is made up of clear liquids that leave no residue, and
it is non gas forming and non irritating. This diet is entirely
inadequate from a nutritional stand point since it is deficient
in protein, minerals, vitamins and calories. It should not be
continued for more that 24 to 48 hours. The amount of fluid is
usually restricted to 30 to 60 ml. per hour.
FULL FLUID DIET:
This diet is used following any operation, in acute gastritis,
acute infections. In this diet, foods which are liquid or which
readily become liquid on reaching the stomach are given. This
diet may be made entirely adequate and may be used over an extended
time without fear of deficiencies developing, provided it is carefully
planned.
SOFT DIET:
This is one of the most frequently used routine diets, many
hospital patients are placed on this diet until a diagnosis is
made. The soft diet is made up of simple, easily digested food
and contains no harsh fibre and no rich or highly seasoned food.
It is nutritionally adequate when planed on the basis of normal
diet. Patients with dental problems are given soft diet. It is
often modified further for certain pathologic conditions.
Peptic Ulcer:
In this type of sickness, the normal diet should be modified to
include skim milk, boiled egg, steamed fish, rice, rice flakes,
puffed rice, well cooked cereal, green leafy vegetables, custards
etc all in moderation. Simultaneously few of the foods should
be excluded and avoided from the normal diet such as strong tea,
coffee, cola beverages, gravies, pickles, spices, curries, fried
foods, heavy sweets, unripe fruits, raw vegetables (salad) etc.
Obesity: Obesity
may increase the incidence of heart attack. Obesity is a physical
condition wherein body’s fat percentage is more than 30 percent.
Excess body fat puts pressure on heart and its performance. It
results in imbalance between the body mass and strength of heart
muscles. Deposits of fat in the myocardium decrease the efficiency
of heart and also abdominal fat interferes with movements of the
diaphragm and free action of the heart. It is necessary to reduce
the excess fat through well planned exercise program and diet
program. The obese persons should be put in a vegetarian diet.
The advantage of a vegetarian diet is that it is low in calories,
fat and cholesterol. It is also high in dietary fibre which helps
in binding and excretion of cholesterol. Following foods should
be excluded from the diet of obese persons – ghee, butter, cream,
egg yolk, animal fats, cheese, sweets, fried foods, and excess
salt. Diet should be modified to include leafy vegetable, salad,
egg whites, skim milk, vegetables, and fruits. Small amounts of
food at frequent intervals are preferable to avoid strain on heart.
Hypertension:
Hypertension or elevation of the blood pressure above normal
is a symptom which accompanies many cardio vascular and renal
diseases. A low calorie, low fat, low sodium diet with normal
protein intake is advisable.
Typhoid: Typhoid
is an infectious disease with an acute fever of short duration.
The disease begins in the small intestine and eventually reaches
the blood stream. The disease is characterized by a continued
and high inflammation of the intestine and formation of intestinal
ulcers. At first clear fluid diet is given followed by full fluid
and soft diet is suggested. On liquid diets the patient may not
meet high calorie and high protein requirements and as such the
moment patient shows some improvements, soft diet can be given.
Because of the intestinal inflammation, great care must be exercised
to eliminate all irritating fibres and spices in the diet. AVOID-
butter, ghee, vegetable oils, irritating fibrous foods, chillies
and spices, rich pastries, fried foods, heavy puddings and cream
soups. INCLUDE:- fruit juices with glucose, coconut water, milk,
milkshakes, thin dal, eggs, baked fish, cottage cheese, cereals,
steamed vegetable soups etc.
Tuberculosis:
Tuberculosis is an infectious disease caused by the bacillus mycobacterium
tuberculosis. It affects the lungs most often but may also be
localized in other organs, such as the lymph nodes or kidneys.
It is often accompanied by wasting of tissues, exhaustion, cough
and fever. A high calorie, high protein, high vitamins and minerals,
high fluid soft diet is recommended.
Underweight:
Being under body weight than the normal is not a sickness of disease
but it my lead to any sickness due to less muscles in the body
thereby making the body weak. Modified diet should include enough
carbohydrates and protein given every three hours. Since digestion
may become a problem with modified diet, it is also recommended
to do regular physical exercise (preferably weight training).
Jaundice: Jaundice
is caused due to damage of liver by Hepatitis A virus. In such
case avoid pulses, beans, meat, fish, chicken, egg, soups, ghee,
butter, oils, bakery products, dried fruits, nuts, spices, papad,
chutney, alcoholic beverages, fried preparations, whole milk,
cream etc. Foods that should be included in the diet are cereal,
bread, rice, skimmed milk, fruit, fruit juices, sugar, jaggery,
honey etc. |