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Low-Fiber/Low-Residue Diet by Maria Adams, MS, MPH, RD

What is a Low-Fiber/Low-Residue Diet?

A low-fiber/low-residue diet limits the amount of dietary fiber and residue-providing food in your diet. Dietary fiber is a type of carbohydrate found in plants that cannot be digested. Residue is the undigested part of food that makes up stool. Limiting dietary fiber and residue reduces the amount of food that passes through the large intestine.

Why Should I Follow a Low-Fiber/Low-Residue Diet?

This diet may be recommended if you have gastrointestinal distress or discomfort, or if your gastrointestinal system needs to rest. Conditions that may require a low-fiber/low-residue diet include ulcerative colitis and Crohn’s disease . It may also be prescribed as a transitional diet following certain types of surgery and if you are undergoing radiation therapy to the abdomen.

Low-Fiber/Low-Residue Diet Basics

Fiber is found in plant-based foods such as fruits, vegetables, grains, and legumes. While you can still eat some foods with fiber on this diet, high-fiber foods need to be limited. Ask your doctor or registered dietitian about how many grams of fiber you can have per day.

To decrease residue, you will need to limit your intake of fiber-containing foods, milk and milk products, and caffeine. The standard low-residue diet allows 2 cups of milk or milk products per day. Though, you may need to avoid milk if you are lactose intolerant .

Because this diet restricts many nutrient-rich foods, it may not meet all of your vitamin and mineral requirements. Talk to your doctor or registered dietitian about whether you would benefit from a vitamin supplement.

Eating Guide for a Low-Fiber/Low-Residue Diet

Food Group	Foods Recommended	Foods to Avoid
Grains	Refined breads, crackers, cereals, pancakes, and waffles (with less than 0.5 grams fiber per serving) Pasta (eg, macaroni, noodles, spaghetti) White rice	Whole grain breads and crackers (eg, whole-wheat, pumpernickel, rye, cornbread) Whole grain pancakes and waffles Whole grain cereals (eg, bran, oatmeal, granola) Breads and cereals with seeds, nuts, or dried fruits Whole grain pasta Brown or rice
Vegetables	Well-cooked and canned vegetables without skin or seeds Lettuce Vegetable juice without pulp or seeds	Raw vegetables Cooked peas, winter squash, broccoli, Brussels sprouts, cabbage, onions, cauliflower, baked beans, and corn Vegetable sauces (eg, tomato sauce) Vegetable skins (eg, potato skin
Fruits	Canned or cooked fruit with skin (except canned pineapple) Applesauce Ripe bananas Ripe cantaloupe and honeydew melon Fruit juices without pulp	Raw fruit Dried fruit Prune juice Canned pineapple
Milk	Milk Yogurt Cheese, cottage cheese Ice cream Soy, almond, and rice milk Lactose-free milk Note: Limit milk and milk products to no more than 2 cups per day.	Milk products with fruit, seeds, or nuts More than 2 cups of milk or milk products per day Milk and milk products if you are lactose intolerant Milk products with dried fruit, seeds, or nuts
Meats and Beans	Well-cooked or tender beef, lamb, ham, pork, poultry, fish, shellfish, and organ meats Eggs Smooth nut butters	Tough meats Meat with seeds (eg, salami) Dried beans or peas Seeds and nuts
Oils	Oil Mayonnaise Salad dressings without seeds	Salad dressings with seeds
Fats and Sweets	Butter, margarine Plain cakes, cookies, and pies made with allowed fruits and no nuts Ice cream and frozen yogurt (within 2 cup allowance) Plain sherbet and fruit ice Plain hard candy	Candy, cakes, cookies, etc, made with whole grains, seeds, nuts, coconut, or dried fruit
Other	Strained soups Plain gravy Jelly, honey, syrup Plain candy Salt, pepper, and herbs Ketchup Carbonated beverages	Marmalade, jam, or preserves Popcorn Pickles Coconut Coffee Tea

Suggestions

When shopping for food, read food labels.
- Look for products made with “refined” flour.
- Avoid products that say “whole grain” on the packaging.
- Avoid foods with the word “whole” at the beginning of the ingredient list (eg, whole wheat flour).
Remove skins of fruits and vegetables before cooking.
Limit intake of fatty foods as these can increase residue.
Work with a dietitian to create a meal plan for you.

RESOURCES:

American Dietetic Association http://www.eatright.org/
Nutrition.gov http://www.nutrition.org/

CANADIAN RESOURCES:

Dietitians of Canada http://www.dietitians.ca/
Crohn's and Colitis Foundation of Canada http://www.ccfc.ca/English/index.html/

References:

Low fiber diet. University of Virginia Health System website. Available at: http://www.healthsystem.virginia.edu/internet/digestive-health/nutrition/low_fiber_diet.pdf . Accessed May 6, 2007.
Low residue/low fiber diet. University of Pittsburgh Medical Center website. Available at: http://patienteducation.upmc.com/Pdf/LowResLowFiber.pdf . Accessed May 6, 2007.
Nutrition care manual. American Dietetic Association website. Available at: http://www.nutritioncaremanual.org . Accessed January 3, 2010.
What is a low fiber, low residue diet? Greenwich Hospital website. Available at: http://www.greenhosp.org/pe_pdf/diet_lowfiber.pdf . Accessed May 6, 2007.

Last reviewed March 2013 by Dianne Scheinberg Rishikof MS, RD, LDN

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