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Advice for managing your diet with a stricture

Patient information A-Z

If you have a narrowing or stricture in your small bowel you can have symptoms of bloating, feeling sick, poor appetite or pain. You can help these symptoms by changing your diet to avoid foods difficult to digest and choosing foods that pass through the narrowing more easily.

Dietary fibre and residue are the parts of food which are not fully digested but continue to pass down the gut, through the small intestine, and into the large bowel. A strict low fibre diet is mostly not required, but indigestible foods containing large amounts or ‘lumps’ of fibre that pass through the intestine unchanged should be avoided.

Taking your time to eat and chewing food thoroughly may also help. Foods are usually best tolerated if they are well cooked, chopped finely, soft or pureed.

The following list indicates foods you can eat and those that should be avoided:

Food
type
Foods
you can eat
Foods
to avoid
Fruits Foods
you can eat
Any canned fruit which does not contain pips
such as mandarins, peaches, pears, grapefruit
 
Fruit juices
 
Any stewed, peeled fruit
 
Ripe bananas, peeled pears and apples
Foods
to avoid
All other fresh, uncooked fruit
Dried fruit
Vegetables Foods
you can eat
Potatoes (without skins), boiled or mashed
 
Soft varieties of
crisps such as Skips, Wotsits, Quavers
 
Vegetable juices
 
Canned tomatoes (without pips)
Small portions of boiled,
well cooked vegetables (without skins, pips or stalks) for example marrow,
pumpkin, cauliflower, broccoli, parsnip, swede, turnip, carrot, aubergine and
courgette.
 
Lettuce or cucumber (no skin or seeds)
Foods
to avoid
Crispy roast potatoes
Hard crispy bits of chips
Standard potato crisps
 
All other vegetables not listed
Any raw or undercooked vegetables
 
Salad vegetables and pickles
 
Avoid all
types of pulses for example baked beans, chickpeas, lentils, kidney beans
Bread, cereals,
grains and baked products
Foods
you can eat
White bread, white
flour products (including biscuits/cakes/scones)
 
Wholemeal bread/brown bread and flour
products (if you suffer from diarrhoea/loose stools, wholemeal products are
best avoided)
 
Cornflakes, Rice Krispies,
Ready Brek, porridge,
Weetabix
 
White rice or pasta
 
Couscous
Foods
to avoid
Any bread or flour products containing
grains, seeds, dried fruit, or granary bread, fruit scones
 
Wholegrain cereals for example  Allbran, Branflakes, Shredded Wheat
 
Any cereal containing fruit or nuts for
example muesli, granola, fruit and fibre
 
Brown or wild rice, wholemeal pasta
Dairy products Foods
you can eat
Milk and other dairy products except (see ‘foods to avoid’ opposite)
Foods
to avoid
Cottage cheese containing vegetable pieces
 
Muesli yogurts
 
Ice cream containing nuts or dried fruit
Fried eggs
Meat, fish, poultry and alternatives Foods
you can eat
Minced tender meat,
poultry without skin
 
Well cooked tender
meat for example in casseroles
 
Fish without bones
or skin
Skinless sausage
 
Sausage rolls (made
with white flour)
Eggs – boiled,
poached, scrambled, omelette
 
Tofu, Quorn
Foods
to avoid
Course, large, or
fibrous pieces of meat
Meat skin and
gristle
 
Fish bones and skin
such as canned salmon, sardines
Desserts and puddings Foods
you can eat
Any dessert or
pudding except (see ‘foods to avoid’
opposite)
Foods
to avoid
Desserts, puddings
or pies containing dried fruit, fruit peel or nuts such as mince pies, fruit
cake
Jams, preserves and spreading fats Foods
you can eat
Seedless or jelly
jams
 
Rindless marmalade
 
Honey
 
Lemon curd
 
Sugar
 
Butter, margarine, Oil
Foods
to avoid
Coarse, thick,
medium or thin cut marmalade
 
Jam with pips or
seeds
Nuts Foods
you can eat
None, except smooth peanut butter
Foods
to avoid
Avoid all whole nuts or nut pieces
Drinks Foods
you can eat
Tea, coffee, mineral or tap water, squash,
fizzy drinks, hot chocolate, malted drinks, fruit smoothies
Foods
to avoid
None
Miscellaneous Foods
you can eat
Salt, pepper,
herbs, boiled sweets, chocolate (no fruit or nuts), tomato purée, all sauces
and flavourings
Foods
to avoid
Pickle and chutney

If you have lost weight or are not managing to eat well please contact your doctor, nurse or dietitian.

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