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Nutrition (Expert Forum)
balanced diet
Answered by
Renee Radenberg - Child Nutrition, Nutrition
This forum is for questions and support regarding heart issues such as: Acne and food, Allergies to food, Balanced Menus, Diabetes, Eating Disorders, Healthy Snacks, Hypo and Hyperglycemia , Nutrition, Over-eating, Weight Loss.
To help the Registered Dietitian evaluate your nutritional status, please state your weight (in kg or lbs.), height, and age if you are under 18 years in the content of your question.
To help the Registered Dietitian evaluate your nutritional status, please state your weight (in kg or lbs.), height, and age if you are under 18 years in the content of your question.
balanced diet
by jose59, Apr 22, 2008 04:23PM
My 13 year old daughter, 93 lbs, has just been confirmed to be suffering from GERD, and is also lactose and fructose intolerant. I would like to have some suggestions on daily menus, balanced diet, which gives her the right nutrtion, especially calcium, which she needs now. Also some assistance on the types of foods which work together well to allow her body to absorb the calcium. What kinds of foods should not be consumed together etc..
Thanks for your help.
Jose
Thanks for your help.
Jose
Doctor's Answer
by Renee Radenberg, Apr 23, 2008 08:48PM
, Apr 23, 2008 08:48PM
To: jose59
With GERD there is a two-fold method to help decrease irritation and pain, which are eating behaviors and food.
Eating behaviors:
• Smaller, frequency meals 5-6 times a day helps keeps the stomach acid and pressure much more even than 3 large meals daily.
• Eat slowly, not too quickly. Putting your fork down between bites would help to slow down your rate of eating.
• Sit up while eating and remain sitting or standing 45-60 minutes after eating
• Stop eating any foods 2-3 hours before you go to bed
• Chewing Gum help neutralizes the stomach acid from the production of saliva and teenagers love to chew gum
Food:
• Avoid high fat foods (fatty, greasy, fried foods) because they stay in the stomach longer
• Avoid spicy food
• Certain types of food cause issues and avoid them – Chocolate, Peppermint, Caffeinated drinks (coffee, tea, soda), and Alcohol
• Drink lukewarm water after a meal to help flush out the stomach acid
• Try not to consume any foods or beverages that cause discomfort
Your daughter needs appropriately 1500 calories per day to maintain her weight and to grow. You stated she is lactose and fructose intolerant. For her lactose intolerant she can have lactaid milk, lactaid ice cream (read the label to make sure there is no fruit or fructose in the ice cream). Some people can tolerate regular cheese and plain yogurt or she can take lactaid pills (it is lactase enzyme needed to break down lactose) so she can consume them. You can try Soy milk, soy yogurt (plain) as dairy substitutes and is a rich source of calcium. Dark green vegetables and beans are a good source of calcium, too. You need to eat calcium source foods with meals to absorb the best. For the fructose intolerant and menu planning, I suggest you go see a Registered Dietitian who can be explain to you how to read labels, look for hidden fructose in products, and get a menu you can utilize based on medical needs and the foods your daughter likes. Hope this helped you.
Eating behaviors:
• Smaller, frequency meals 5-6 times a day helps keeps the stomach acid and pressure much more even than 3 large meals daily.
• Eat slowly, not too quickly. Putting your fork down between bites would help to slow down your rate of eating.
• Sit up while eating and remain sitting or standing 45-60 minutes after eating
• Stop eating any foods 2-3 hours before you go to bed
• Chewing Gum help neutralizes the stomach acid from the production of saliva and teenagers love to chew gum
Food:
• Avoid high fat foods (fatty, greasy, fried foods) because they stay in the stomach longer
• Avoid spicy food
• Certain types of food cause issues and avoid them – Chocolate, Peppermint, Caffeinated drinks (coffee, tea, soda), and Alcohol
• Drink lukewarm water after a meal to help flush out the stomach acid
• Try not to consume any foods or beverages that cause discomfort
Your daughter needs appropriately 1500 calories per day to maintain her weight and to grow. You stated she is lactose and fructose intolerant. For her lactose intolerant she can have lactaid milk, lactaid ice cream (read the label to make sure there is no fruit or fructose in the ice cream). Some people can tolerate regular cheese and plain yogurt or she can take lactaid pills (it is lactase enzyme needed to break down lactose) so she can consume them. You can try Soy milk, soy yogurt (plain) as dairy substitutes and is a rich source of calcium. Dark green vegetables and beans are a good source of calcium, too. You need to eat calcium source foods with meals to absorb the best. For the fructose intolerant and menu planning, I suggest you go see a Registered Dietitian who can be explain to you how to read labels, look for hidden fructose in products, and get a menu you can utilize based on medical needs and the foods your daughter likes. Hope this helped you.
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