Nutrition and Dietetic Service Low Fibre, Low Residue Dietary Advice
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Nutrition and Dietetic Service Low Fibre, Low Residue Dietary Advice
Introduction
What is a low fibre low residue diet?
A low residue diet limits the amount of fibre and residue in your diet.
What is fibre?
Fibre is found in food that come from plants e.g. fruits, vegetables and grains. It increases your
stool mass and helps to maintain regular bowel function.
Why do I need to follow a low fibre low residue diet?
Reducing the amount of fibre in your diet may help to ‘rest’ your bowels and improve symptoms
of diarrhoea, pain, bloating and cramping.
This diet may also be recommended before and after some surgical procedures and for those with
overactive stomas.
Vitamins and minerals
You may need to take a multi-vitamin and mineral supplement in addition to your diet. Ask your
dietitian about this.
The following table gives you some guidelines of what is suitable or not for people on a low
residue diet.
Foods in italic contain large quantities of fat, see last page of this booklet for further details.
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www.qegateshead.nhs.ukFood Groups Foods allowed Foods to avoid
Meat, poultry and meat Any tender meat, roasted, Tough, coarse, or dry meat, e.g.
products stewed, grilled e.g. chicken packet, dry meat, meat dishes
ham, tinned meat, meat pastes, containing high fibre foods, e.g.
pate, offal, sausages, beef, peas, beans, lentils, seeds, nuts,
lamb, mince, liver. onions, mushrooms.
Fish and fish products Any fresh, frozen, tinned, fish Fish containing vegetable or
cakes or fingers. beans.
Fried fish.
Oily fish.
Tinned fish in brine. Tinned fish
in oil.
Eggs Boiled, poached, or fried. Egg dishes containing
vegetables or beans.
Milk and milk products Fresh, long-life, semi-skimmed, Milk shakes which contain
skimmed or full-fat milk, whole fruits,
evaporated, powdered milk, (E.g. strawberries, bananas),
plain or flavoured yoghurts yoghurts which contain grains,
(full-fat, diet or low fat). fruit pieces or pips. Cheeses
Cheeses, which contain fruits, nuts or
E.g. cream, Cheddar, Cheshire, vegetables, e.g. cottage cheese
Gloucester, cottage. with pineapple, onions, chives
Cheese spread. or nuts.
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www.qegateshead.nhs.ukFood Groups Foods Allowed Foods to Avoid
Cereals and cereal Breads and cereals made from refined Any cereals or bread that
products flourse.g. white bread, white muffins, contain the following:
white baguette, white bagel, croissants, Wholegrain, granary, bran,
Rice Krispies, Cornflakes, Sugar Puffs, soft grain, wheat germ (e.g.
Ricicles, Frosties, Special K, Coco Pops, Mighty White, Hovis, Hi-Bran,
white flour, cornflour. Any biscuits brown muffins). Any biscuits
made from white flour e.g. rich tea, made from wholemeal flour or
ginger snaps, shortcake, cream crackers, fruit/nuts e.g. Hobnobs,
water biscuits, porridge oats and Ritz. Digestives, Fig Rolls, Shortcake
Chocolate rich tea. Penguin chocolate. with raisins, Flapjacks,
Oatcakes, Teacakes, scones
with raisins, Ryvita,
Wholemeal Bran Crispbread
and crackers. All wholegrain
cereals, e.g. Branflakes,
Weetabix, Shredded Wheat,
Porridge, Muesli and other
cereals containing nuts, seeds
and fruits.
Vegetables Vegetable Juices (pulp free), lettuce. All other vegetables including
The following cooked vegetables: raw and salad, popcorn and
Squash, green beans, spinach, pumpkin, sweetcorn.
aubergine, potatoes without skin,
asparagus, beetroot, and carrots.
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www.qegateshead.nhs.ukFood Groups Foods Allowed Foods to Avoid
Fruits Canned or cooked fruits - Raw fruits other than those
apricots or grapes (without skins listed, dried fruits, fruit with
or seeds). The following fresh rough skins or seeds - raw
fruit (without skin, seeds or apples, dates, figs, fresh
pips), banana, orange, grapefruit grapes, plums, prunes and
segments (without membrane), raisins.
pureed (strained) fruits, fruit
juice (without bits).
Potatoes May be taken without skin in any Skins on jacket potatoes,
form, e.g., mashed, boiled, boiled potatoes with skins.
potato waffle, crisps, chips.
Fats and Oils All oils, margarine and butter in Lard, dripping.
moderation.
Puddings Milk puddings (tapioca, sago, Cakes or puddings containing
rice), sponge puddings, cakes dried fruit, nuts or wholemeal
made with white flour and flour, e.g., mince pies,
without dried fruit and nuts, e.g. teacakes, trifle, fruit cake, malt
sandwich cakes, Swiss roll, loaf, fruit scones.
cream, clear jam, lemon curd,
iced and plain cake. Cheese
scones, doughnuts, Yorkshire
puddings, custard, blancmange,
jelly, meringue, ice-cream free
from nuts or fruit.
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www.qegateshead.nhs.ukFood Groups Foods allowed Foods to Avoid
Confectionery E.g. boiled sweets, chocolate, Any sweets or chocolates
toffee, fudge, fruit gums, containing nuts or dried fruits,
mints. e.g. Snickers, Picnic, nougat,
Topic, Bounty.
Miscellaneous Butter, margarine, cream, Pickles, horseradish, relish, jam
mayonnaise, shortening, jam or marmalade with pips or skin.
and marmalade (free from Crunchy peanut butter.
pips and skin), cheese spread
free from vegetables,
chocolate spread.
Beverages Any supplement drinks that Soups containing pieces of
have been prescribed, clear vegetables. This should be
soup (no bits), Bovril, Oxo, sieved to remove any skin or
Pop, Squash (no pulp), fruit seeds.
and vegetable juice (no pulp),
Soda water, Lucozade, tea,
herbal tea, coffee, green tea.
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www.qegateshead.nhs.ukExample Meal Plan
Breakfast
White toast with butter/margarine and egg/honey/Marmite
Or
Plain Cornflakes/Rice Krispies with milk/sugar to taste
Lunch
Clear soup
White bread sandwich with lean tender meat/fish/egg
Jelly/sorbet/small portion ice cream/milk pudding/sponge pudding
Evening Meal
Lean meat/fish/chicken
Boiled/mashed potato or white pasta/white rice
Suitable vegetables, e.g. well-cooked green beans/carrots
Clear fluid drink
Mid-Meal Snacks
Clear fluid drink
Pulp-free yoghurt
Suitable biscuits/white toast/cheese and cream crackers
Canned fruit/ripe banana/melon
Useful Tips
Gastrointestinal Irritants
The following can irritate the gut;
Spices/herbs
Alcohol
Caffeine
If you find that these cause symptoms you may wish to avoid the above.
High fat foods
Some individuals, for example those with active Crohns, may find fatty foods cause abdominal
cramp/pain/diarrhoea. Therefore, avoid eating these foods in large quantities or avoid them
completely e.g. fried foods, pizzas, pastries/pies and full fat cheeses.
Fluid
To avoid constipation and to stay hydrated, drink plenty of fluids unless advised otherwise.
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www.qegateshead.nhs.ukFood and symptoms diary
It may be helpful to keep a record of the foods you eat and any symptoms you might have. This
can help to identify whether there is any other dietary cause to your symptoms.
References
Crohns and colitis UK (2017) Food and IBD: Your Guide [online]. [Accessed 7August 2018]
available from:
Food Standards Agency (2002) McCance and Widdowson’s the composition of Foods:
Summary Edition (6th Edition). Great Britain. Royal society of chemistry.
Thomas, B and Bishop, J (2007) Manual of dietetics practice. 4th Ed. Kent. Blackwell
Publishing.
Contact details
Gateshead Health NHS Foundation Trust
Nutrition and Dietetic Service
Queen Elizabeth Hospital
Sheriff Hill
Gateshead
NE9 6SX
Tel: 0191 445 2074
Your Dietitian is: ……………………………………………………………………………..
Data Protection
Any personal information is kept confidential. There may be occasions where your information
needs to be shared with other care professionals to ensure you receive the best care possible.
In order to assist us to improve the services available, your information may be used for clinical
audit, research, teaching and anonymised for National NHS Reviews and Statistics.
Further information is available via Gateshead Health NHS Foundation Trust website or by
contacting the Data Protection Officer by telephone on 0191 445 8418 or by email
ghnt.ig.team@nhs.net.
This leaflet can be made available in other languages and formats upon request
NoIL703 Version: 1 First Published: 04/2019 Review Date: 04/2021
Author: Robyn Collery
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