Diarrhea in adults: what to eat and what foods to avoid? Consider nutrition for diarrhea in older people Effective treatment of diarrhea

Diarrhea (diarrhea) is a functional disorder of the intestines, which is accompanied by increased peristalsis, passage (movement) of food masses, as a result of which liquid, nutrients and salts do not have time to be fully absorbed into the blood. Read the article about how to help your intestines.

Krivoguz Igor Mikhailovich

Articles written

This condition is manifested by frequent and liquid stools. To improve the functioning of the intestines, it is necessary to reduce the load on it as much as possible and ensure that the body is replenished with salts and water, for which a special diet is used for diarrhea.

Causes and consequences of diarrhea

The main mechanism for the development of diarrhea is a violation of the absorption of water, mineral salts and nutrients from the intestinal lumen into the blood. There are several main reasons development of diarrhea, which include:

• Intestinal infections (pathogenic E. coli, salmonella, enteroviruses, shigella) - enters the intestines with food, colonizes its mucous membrane and causes inflammation in it. The intestine reacts to this by increasing peristalsis (specific movements of the walls that push food masses into the lower sections of the intestine), the reverse transition of fluid and salts from the tissues into the intestinal lumen.
• Food poisoning – diarrhea is caused by bacterial toxins that enter the body along with poor quality food. Especially often, such toxins accumulate in confectionery products containing cream.
• Functional disorder gastrointestinal tract– develops due to a violation of the intestinal innervation by the vegetative nervous system(occurs with prolonged stress) or irregular nutrition, with the predominant consumption of refined high-calorie foods.
• Eating foods high in mineral salts, which, according to the law of osmosis, cause fluid to pass from the blood and body tissues back to the intestines.

Impaired absorption of salts and fluids from the intestines leads to the development of dehydration (dehydration) of the body. This condition is fraught with the development of a number of consequences:

• Disorders of the cardiovascular system and arrhythmia (irregular heartbeat).
• Functional disorders of the central nervous system.
• Kidney failure due to decreased blood volume.
• Deterioration of blood flow in tissues with a decrease in their nutrition (trophism).
• Development of seizures.

Dehydration during diarrhea and its consequences develop especially quickly in children, the elderly and weakened people. Regardless of the cause, the main pathogenetic measure (impact on the main mechanism of development of diarrhea) is a special diet for diarrhea. Its goal is to reduce the severity of the inflammatory process in the intestines and restore the water-salt balance in the body.

Principles of diet for diarrhea

• The frequency of meals is at least 5 times a day, in small portions, which will make it possible to reduce the functional load on the inflamed intestines.
• Food should not lead to mechanical irritation of the mucous membrane of the stomach and intestines, which are very sensitive during diarrhea. To do this, dishes must be steamed or boiled in water, and immediately before use they must be crushed (semi-liquid or pureed).
• Elimination of chemical irritation of organ walls digestive system– fried, smoked and spiced foods are prohibited.
• The food temperature should be as gentle as possible, the best option its temperature will be within 30-35º C.

A diet for diarrhea that follows the principles of nutrition has a physiological effect and allows you to speed up the process of restoring the functional activity of the intestine.

Video from the doctor-coordinator of the Bookimed patient support center

Diet for diarrhea: foods you can and cannot eat

Rational and physiological nutrition for diarrhea is possible with the help of a special diet, which includes a list of foods to eat for diarrhea:

• Dried white bread, crackers without sugar and raisins, dried.
• Lean meats (chicken, veal, rabbit) and fish. It is best to cook pureed dishes: cutlets, soufflé, meatballs.
• Soups made from lean meat broth, with boiled cereals or vegetables.
• Porridge from well-cooked cereals (buckwheat, rice, oatmeal) in water or with the addition of a small amount (1/3) of low-fat milk.
• Pasta, better vermicelli, but not every day.
• Well-boiled or stewed vegetables, it is advisable to cook them without peeling. Potatoes can be cooked in their jackets.
• From fruits - baked ripe apples or pears, bananas.
• Boiled chicken egg, preferably soft-boiled or in the form of a steam omelet.
• As for dairy products, you can eat low-fat cottage cheese; and milk or butter can be added to porridge during cooking.
• Drinks include green and black tea, dried fruit compote, jelly, still water.

Nutrition for diarrhea in adults has an effect already on the next day from the onset of diarrhea.

Foods for diarrhea that should be excluded from the diet:

• Black or gray bread.
• Fatty meats (pork, duck) and broths cooked on their basis.
• Dairy products: milk, cream.
• Fresh and canned vegetables.
• Any sour fruits and vegetables.
• Spices and seasonings.
• Sausage, smoked or canned goods, pickled foods or pickles.
• Mushrooms.
• Sweets and confectionery.
• Legumes.
• Coffee, black tea, carbonated drinks, concentrated fruit or berry juice, alcohol.

All these products increase intestinal motility, have an irritating effect on the mucous membrane and increase the load on the digestive system.

Features of nutrition for diarrhea in a child

The diet for diarrhea in children has certain features associated with the more rapid development of dehydration and the functioning of the digestive system. At the same time, it is very important not only what to feed the child with diarrhea, but also how many times. Therefore, it is necessary to take into account the following features:

• Reducing the amount of food, increasing its intake up to 7 times a day.
• If the baby is breastfed, it is important not to give it up during diarrhea, since mother's milk ensures the entry of all ingredients into the body and provides a protective effect on the intestines.
• The diet for diarrhea in a child over 1.5 years old should contain a large amount of liquid (non-carbonated mineral water, dried fruit compote), porridge should be boiled as much as possible, vegetables should be chopped.
• As the severity of symptoms decreases, nutrition for diarrhea in children can be expanded by adding lean meat, fish, and low-fat cottage cheese.

A video lecture by Dr. Komarovsky about intestinal infections in children will be very helpful here:

Diet menu for diarrhea

Below is a diet menu for diarrhea for several days. You can create such a menu yourself based on the list of permitted products and taking into account the basics of nutrition.

When should you see a doctor for diarrhea?

If diarrhea develops, you should consult a doctor in the following cases:

• Lack of effect from diet and self-treatment for 3 days.
• Loose stools more than 10 times a day in a child under one year old, in weakened or elderly people - there is a risk of developing severe dehydration with consequences.
• Significant intoxication of the body with general weakness and an increase in body temperature up to 39º C, which lasts 2 days or more.
• Intense vomiting, which makes it impossible to ingest medications and food.
• Changes in stool such as darkening (bleeding), mucus, or streaks of blood.
• The appearance of acute abdominal pain (indicates the possible development of appendicitis).
• The development of symptoms of dehydration - wrinkled skin, decreased amount of urine output, kidney odor from the mouth, impaired consciousness, convulsions.

To improve the effectiveness of the diet for diarrhea, you need to follow some useful recommendations and tips:

• Taking intestinal sorbents - medications that bind and remove toxins from the intestines (Enterosgel, Sorbex), they must be taken an hour before meals, at least 3 times a day.
• Liquid, especially in children, is best taken in small quantities (10-15 ml), but often - every 15 minutes.
• Worth giving up medicines, inhibiting intestinal motility (Loperamide), since together with peristalsis they reduce the removal of toxins from the intestines.

It must be remembered that diarrhea is a protective reaction of the body aimed at ridding the intestines of toxins and bacteria. A diet for diarrhea in adults and children will help the intestines quickly get rid of toxins, reduce inflammation and restore fluid, mineral salts and nutrients.

Krivoguz Igor Mikhailovich

Master of Medicine, family doctor, Sumy

Treatment of diarrhea is impossible without following a diet. The purpose of dietary restrictions is to reduce the load on the digestive organs and strengthen the stool. There are mechanical and chemical factors that cause intestinal irritation.

During illness, you should not eat foods that cause diarrhea. A diet for diarrhea in an adult helps eliminate the consequences of dysfunction of the digestive system.

Despite all the restrictions, the diet for diarrhea must cover the energy needs of the body. A sick person's menu may contain dishes containing proteins, fats and carbohydrates.

However, the amount of fat and carbohydrates should be minimal. Severe diarrhea can lead to dehydration. If you have indigestion, a person should drink at least 2 liters of fluid per day.

Fermentation in the intestines only aggravates the patient's condition. The principles of a diet for diarrhea in an adult are that your menu should not contain products with a choleretic effect.

To reduce the burden on the digestive system, it is necessary to wipe food before eating. If you have diarrhea, you should not eat fried foods flavored with a lot of seasonings. Spicy foods will irritate the intestinal walls and lead to increased bowel movements.

Why should you not give up foods that are rich in calcium when you have diarrhea?

Indigestion leads to constant loss of minerals. Calcium deficiency has a negative impact on the functioning of various organs.

A large amount of this element is contained in potatoes boiled in their jackets. You can replenish your calcium supply with. Doctors advise eating 2 bananas per day if you have diarrhea. A diet for diarrhea will help cope with pathologies of the digestive system.

You should not give up salt, as it retains moisture in the body. Salty soups are especially useful for loose stools.

1. Rusks will help strengthen stool during watery diarrhea. Instead of store-bought crackers, you can use oven-dried white bread crusts.
2. Porridge cooked in water will help you cope with diarrhea. However, milk and butter cannot be added to them. The mucus contained in the porridge envelops the intestinal walls. It protects mucous membranes from irritating components and harmful bacteria. This improves the patient's condition. With regular consumption of such products, the intestinal microflora is restored.
3. If your condition improves, you can include boiled fish and meat in your diet.
4. Vegetables can only be eaten boiled.
5. Hard-boiled eggs have fastening properties.
6. You can stop diarrhea with jelly prepared with the addition of blueberries. Instead of blueberries, you can use any berries with strengthening properties.
7. The diet should include fermented milk products. The main purpose of the diet for diarrhea is to normalize the microflora. This will help cope with dysbiosis.

Constant visits to the toilet lead to intense fluid loss. To restore the water-salt balance, you need to drink at least 2 liters of liquid.

Strong tea

You can prevent symptoms of dehydration. Tanning components will help strengthen loose stools.

Juices should be treated with great care. Store-bought drinks contain more than just sugar. Various additives negatively affect the digestive organs. They can cause increased diarrhea.

To compensate for the lack of fluid, you can drink Apple juice. Carbonated drinks will not help you get rid of constant thirst. You need to give up kvass, as it contains too much sugar. Fermentation can cause severe discomfort. The patient’s intestines begin to produce gases. After drinking kvass, many people feel their stomach swell and the urge to empty their bowels becomes more frequent.

To combat dehydration, you can prepare a drink using the following recipe:

1. Add a teaspoon of salt and honey to a glass of boiled water.
2. Add a quarter teaspoon of baking soda to the solution.

This drink should be drunk throughout the day instead of tea.

A sign of colitis is inflammation of the intestinal walls. It is necessary to relieve the digestive system as much as possible. The patient is recommended to eat 6 times a day. A diet for diarrhea will allow you to get rid of the main cause of the disease. Portions should not be too large.

The following foods can be included in the diet of a person suffering from colitis:

1. Vegetable puree can be made not only from potatoes. You can use carrots for this purpose. If you follow the principles of a diet for diarrhea, you can achieve positive results.
2. Fermented milk products will help cope with diarrhea.
3. Meat dishes should be boiled in water or steamed.

Nutrition for chronic diarrhea

Diarrhea is not a disease. This symptom only indicates pathologies that disrupt the functioning of the digestive system. The diet for chronic diarrhea depends on the cause of the disease.

It is allowed to eat fruits with an astringent effect. These include pear and quince. To prevent your body from experiencing a lack of vitamins, you can add blueberries and bird cherry to your diet. These berries have an astringent effect and will help cope with loose diarrhea.

During illness, the body needs a constant supply of protein. The list of foods allowed for colitis can include steamed meatballs and cutlets. You can use crackers as a substitute.

Menu for chronic diarrhea

Divide your daily diet into 6 meals:

1. For your first breakfast, prepare a slimy porridge of rice or oats. As a drink, you can drink strong tea.
2. The second breakfast consists of crackers, which can be washed down with compote.
3. For lunch you can eat liquid soup and steamed cutlets. As a dessert, jelly with the addition of berries with astringent properties is suitable.
4. During your afternoon snack, drink a decoction of rose hips with drying.
5. For dinner, you can make a steamed omelet. Instead of tea, you can use dried fruit compote.
6. During the second dinner, you can eat a small portion of low-fat cottage cheese.

Diet after diarrhea will help you avoid digestive upset.

Nutrition for dysbiosis

A sign of dysbiosis is a violation of the intestinal microflora. The human body lacks beneficial bacteria involved in the process of digestion of food. The content of bile acids in the intestines increases, and diarrhea begins.

If you have dysbacteriosis, you need to exclude from the menu foods that stimulate bile production. These include fatty, spicy and too salty dishes.

The list of products prohibited for dysbacteriosis includes:

• peas and beans;
• mushroom dishes;
• fresh bread;
• raw vegetables and fruits.

Features of diet in older people

In adulthood, you need to adhere to a more gentle diet. Sometimes diarrhea is accompanied by vomiting. In this case, you will have to give up solid food.

The diet of an elderly person should include liquid soups and vegetable purees.

Foods that are useful for diarrhea include baked potatoes, rice porridge and boiled meat. Diarrhea often begins after completing the course.

To improve the functioning of the digestive system, fermented milk products should be present in the daily diet.

During illness, it is forbidden to eat fried meat, smoked meats and canned foods. Dried fruit compote, tea, and still mineral water will help replenish the lack of fluid in the body.

When deciding the question: how to treat diarrhea in elderly people at home or in a hospital, regardless of the cause of the disease, you need to know that at an early stage the body of an elderly person needs fluid, so drinking plenty of fluids is indicated first of all. You should drink a lot and often at least every few hours a day - this is necessary for a speedy recovery.

Its fundamental factors:

• on the first day with diarrhea.
• Subsequently, eat food that is easily digestible and does not ferment (this can create a new attack of diarrhea).
• The main diet is porridge and pureed dishes.
• Replace bread with crackers or biscuits.
• Baked apples will be beneficial for the esophagus.
• Meat appears on the menu list only after several days and only in boiled or steamed form.
• Soup for patients is prepared based on vegetables or lean meat (chicken or turkey).
• The following drinks are allowed: jelly, compotes, tea.
• Natural-based yoghurts, which contain active bifidobacteria, are useful for diarrhea. This yogurt can be easily prepared from EM-Kurunga.
• The following should be excluded from the diet during diarrhea for the elderly: raw vegetables, fruits and milk, spices, fried and fatty foods.
• Cottage cheese and kefir can be drunk in small portions as you recover.

How to treat diarrhea at home

Concerning traditional medicine, then there will always be a lot of suitable recipes here. Do not forget that traditional medicine does not provide a one hundred percent guarantee of a quick and comfortable recovery. Always consider this factor when choosing traditional medicine, including the treatment of constipation.

Traditional recipes for diarrhea

Rice water is prescribed in combination with treatment. To prepare rice water at home you need: pour one and a half teaspoons of rice into half a liter of water and simmer everything over low heat for half an hour or forty minutes. Directions for use: a quarter glass of the whole rice mixture several times a day, taking breaks of several hours.

Vodka with salt, according to folk recipe compilers, can combat diarrhea. For one-time use you will need a glass of vodka and salt; the amount of salt may vary depending on personal preferences and wishes. The solution can be washed down with warm water.

Oak bark. You can prepare a decoction from it. To prepare one glass of oak bark decoction you will need: one tablespoon of dry bark, pour a glass of hot water, leave and strain the entire mixture. Drink 1-2 teaspoons as a medicine, the dosage interval is several hours. You need to drink 250 grams of decoction per day. The diarrhea should begin to subside much faster.

People often take activated carbon (it has almost no side effects, the pills are not addictive). When taking the tablet, you should take it with plenty of water.

A better product compared to activated carbon is the Litovit series with zeolite. This is a sorbent that has no side effects, does not take away beneficial substances from food, and effectively cleanses the body of toxins. To normalize stool and its consistency, the best solution is Litovit-S. It contains bifido and lactobacilli, bran and zeolite.

More folk recipes for diarrhea can be seen in the video.

- an important stage of treatment that will help normalize intestinal function as a whole.

In this case, the correct menu is no less important than taking medications prescribed by a specialist. The diet will help restore water balance in the body and improve the functioning of the gastrointestinal tract.

Therapist: Azalia Solntseva ✓ Article checked by doctor

How to alleviate the condition:

• drink 8 to 10 glasses of water daily;
• drink at least 1 glass of liquid each time you have a bowel movement;
• eat often and in small portions throughout the day, instead of 3 times;
• Consume some salty foods, such as crackers, soup, and sports drinks;
• Eat some foods high in potassium, such as bananas, peeled potatoes, and drink fruit juices.

The diet and menu for diarrhea in adults consists of the following principles:

1. You can eat baked or fried beef, pork, chicken, fish or turkey. Cooked eggs can also be used as food. Use only skim milk, cheese or yogurt.
2. If your diarrhea is very severe, you may need to stop eating or drinking dairy products for several days.
3. Eat baked goods made from refined white flour, pasta, white rice and cereals such as semolina, wheat, barley, oatmeal and corn. You can also eat pancakes and waffles made with white wheat or corn flour. But don't add too much honey or sugar.
4. You should eat vegetables, including carrots, green beans, mushrooms, beets, asparagus, zucchini and pumpkin. It is best to consume vegetables after cooking. Potatoes are best used baked.

Foods and drinks that are best avoided and excluded from the diet if an adult has diarrhea:

1. You should avoid eating fried and fatty foods.
2. Avoid fruits and vegetables, they can cause gas. Example: broccoli and peppers, beans and peas, berries and prunes, chickpeas, green leafy vegetables and corn.
3. Avoid caffeine, alcohol and carbonated drinks.
4. Limit or eliminate milk and other dairy products if they worsen bowel symptoms or cause flatulence and bloating.

Medlineplus.gov

Menu for seniors

Nutritional principles for diarrhea in older people include avoiding the consumption of solid and fermented milk products, replenishing water and electrolytes, using pectin and probiotics.

Other helpful foods or drinks for treating diarrhea may include liquid gelatin, clear broth, weak tea with honey, carrot juice, boiled potatoes, bananas, rice, applesauce, and toast.

www.livestrong.com

Nutrition for diarrhea in children

Children with diarrhea may be less energetic, have dry eyes or a dry, sticky mouth. Infants' diapers stay dry longer than usual.

Give your baby plenty of fluids for the first 4-6 hours. At first, 2 tablespoons of liquid every 30-60 minutes. You can use an over-the-counter drink such as Pedialyte or Infalyte, which does not need to be diluted. Another suitable liquid may be given.

When your child is already eating regular food, you should start by eating the following foods:

• bananas;
• chicken meat;
• crackers;
• pasta;
• rice

The following must be excluded from the menu:

• Apple juice;
• dairy products;
• fried food;
• concentrated fruit juice.

Medlineplus.gov

We eat for IBS - irritable bowel syndrome with diarrhea

Diet and lifestyle changes are important to reduce the frequency and severity of symptoms of the syndrome.

The first thing your doctor can suggest is keeping a food diary. This will help you figure out which foods are causing your symptoms.

Limit foods that contain ingredients that may stimulate the bowel and cause IBS:

• caffeine;
• alcohol;
• dairy products;
• fatty foods;
• foods high in sugar;
• artificial sweeteners (sorbitol and xylitol);
• Some vegetables (cabbage and legumes).

Other recommendations for irritable bowel syndrome:

1. Drink plenty of water and avoid carbonated drinks, which can cause bloating and discomfort.
2. Eat small, slow meals to help reduce cramping and diarrhea.
3. Eat low-fat, high-carbohydrate meals such as pasta, rice and whole grain bread.
4. Probiotic supplements may help relieve other symptoms, including abdominal pain, bloating, and bowel dysfunction.

How to improve your diet after diarrhea

No one can live on a strict BREATH diet (bananas, rice, applesauce and toast), at some point you will need to expand your diet.

It is not necessary to follow a three meals a day regimen. If you feel hungry, then you can start eating. Let's look at a sample menu.

Breakfast and diet after diarrhea in adults:

• rice flakes;
• eggs (cooked with a minimum amount of oil);
• oatmeal or other hot cooked cereals;
• regular, low-fat yogurt;
• rice cakes.

• canned fish;
• chicken bouillon;
• chicken noodle soup;
• chicken breast;
• crackers;
• pasta;
• egg white sandwich (chicken or turkey);
• vegetable soup.

• potatoes (baked, mashed or steamed);
• lean meat (chicken, turkey);
• vegetable stew.

www.verywell.com

What to eat if you feel upset after taking antibiotics

Antibiotics are usually prescribed to fight bacterial infections, but you may experience diarrhea like by-effect antibiotics. The drugs work by killing or reducing the growth of certain bacteria that make people sick.

However, they can also kill good or beneficial bacteria in the intestinal system, which can upset the delicate balance in your gut. Normal intestinal flora is disrupted and this can lead to diarrhea.

Any antibiotic can give you diarrhea, but broad-spectrum antibiotics are more likely to do so, such as clindamycin, some types of penicillin, and cephalosporins.

If you are taking an antibiotic, consider changing your diet for just a few days. Eliminate foods that commonly cause diarrhea, such as dairy products, fatty foods, spicy foods, and high-fiber foods such as whole grain breads, cereals, and beans.

You should also drink water in small sips and avoid caffeine and alcohol. If bowel symptoms associated with antibiotics are severe, your doctor may recommend bed rest and intravenous fluids to replace the loss of electrolytes—sodium, potassium, and chloride.

Probiotics are friendly bacteria or yeasts that are good for your digestive system. A growing body of research suggests that probiotics may help protect against antibiotic-associated diarrhea.

The probiotic Lactobacillus acidophilus, found in some brands of yogurt, helps reduce antibiotic-associated diarrhea in adults. Probiotics are also found in miso and other fermented foods. Probiotic supplements are sold in pharmacies and health food stores in liquid, powder, and capsule forms.

Adjusting your diet may help you avoid or relieve symptoms of diarrhea until you finish your course of antibiotics. Drink water to replenish fluids.

www.everydayhealth.com

We limit the diet for intestinal colitis with diarrhea

Dietary therapy for inflammation of the large intestine with symptoms of stool disorder is similar to nutritional therapy for nonspecific ulcerative colitis.

Its principles are to adequately and safely reduce plant fiber in the daily diet.

The diet includes:

• dairy products;
• grain processing products;
• meat and other proteins;
• fruits;
• vegetables;
• fats and sauces.

www.healthline.com

Effective treatment for diarrhea

Most cases of diarrhea go away within a few days without treatment. If lifestyle changes and home remedies for diarrhea are not effective, your doctor may recommend medications or other treatments.

Treatment with fluid replacement. Your doctor will advise you to replace your fluids and electrolytes. For most adults this means drinking water, juice or broth. If just drinking fluids causes stomach upset or bowel problems, your doctor may recommend replacing fluids through a vein in your arm (intravenously).

Water - good way replace fluids, but it does not contain the salts and electrolytes that are necessary to maintain the electrical potentials that ensure a constant heartbeat and the functioning of all body systems.

You can help maintain electrolyte levels by drinking fruit juices to compensate for potassium losses, and by drinking soups and broths to compensate for sodium losses. Some fruit juices, such as apple juice, may make diarrhea worse.

For children, oral rehydration solutions such as Pedialyte are best to prevent dehydration or replace lost fluids.

If the doctor determines that the antibiotic has caused a disorder in the digestive system, he may reduce the dose of the drug or switch to another medicine.

Treatment of the underlying disease. If your diarrhea is caused by a more serious condition, such as inflammatory bowel disease, then therapy will be aimed at treating the underlying condition. You can contact the right specialist, for example, a gastroenterologist, who can help develop an individual treatment plan.

www.mayoclinic.org

Nutrition for nonspecific ulcerative colitis with diarrhea

For many people with ulcerative colitis, finding the right diet plan is key to eliminating its main symptoms: bowel disorders and pain. If you do not eat certain foods that you think are aggravating your symptoms, pay attention to how you feel.

There are some foods that should definitely be excluded. It is a low fiber food, also known as a waste-free diet. This diet is especially useful when symptoms worsen.

Low-fiber foods are easily digestible, slow down intestinal motility and reduce stool upset. The diet includes a variety of foods that you would normally eat, keeping your fiber intake to around 10-15 grams per day.

The body will still receive required amount proteins and minerals, as well as fluids and salts that it needs. Because chronic diarrhea and rectal bleeding can lead to certain nutrient and mineral deficiencies, your doctor may recommend adding a multivitamin to your diet, depending on individual needs.

Remember that some of these foods may still make your symptoms worse, so you may need to make some adjustments of your own:

1. Dairy products. Up to 2 glasses of milk, cottage cheese, pudding or yogurt per day
2. Corn. Refined white bread, pasta, crackers and dry cereals that contain less than 1/2 gram of fiber per serving.
3. Meat and other proteins. Soft and tender cooked meats such as poultry, eggs, pork and fish; soft peanut and nut butter.
4. Fruits. Fruit juices without pulp. Canned fruits and apples, excluding pineapples. Raw and ripe bananas, melon, watermelon, plums, peaches and apricots.
5. Vegetables. Raw lettuce and cucumbers, zucchini and onions; boiled spinach, pumpkin and seedless zucchini, carrots, eggplants, potatoes, and green and waxy beans.
6. Fats and sauces. Butter and margarine, mayonnaise and vegetable oils, mild sauces (not tomato) and seasonings, and whipped cream.