Hirschsprung disease: Dietary guidelines to ease stoolingHHirschsprung disease: Dietary guidelines to ease stoolingHirschsprung disease: Dietary guidelines to ease stoolingEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)Large Intestine/ColonLarge intestineNon-drug treatmentCaregivers Adult (19+)NA2014-09-19T04:00:00ZBeth Haliburton, RD;Kimberly Colapinto, RN (EC), MN;Jacob C. Langer, MD7.0000000000000070.0000000000000899.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to ease the symptoms of Hirschsprung disease with a high-fibre, low-sugar diet.</p><p><a href="/Article?contentid=830&language=English">Hirschsprung disease</a> is a condition of the gastrointestinal (GI) tract in which nerve cells, called ganglion cells, have not formed on the inner wall of the bowel. When these cells are missing, stool (poo) does not move properly through the bowel, which can make a child very sick.</p> <p>Hirschsprung disease is normally treated with surgery. However, even after surgery, a child may continue to have issues with stooling.</p> <p>The guidelines below are designed to help you adapt your child's diet and help manage their stool output. They also promote general bowel health. We encourage the entire family to follow a similar diet so that your child with Hirschsprung disease is not singled out.</p> <h2>What is the goal of a special diet for Hirschsprung disease?</h2> <p>A diet for children with Hirschsprung disease can help improve the texture of your child's stool and reduce any gas or bloating. The goal for children with Hirschsprung disease is to have at least one or two soft (peanut butter-like texture) stools every day with as little discomfort as possible. </p><h2>Key points</h2> <ul> <li>A high-fibre, low-sugar diet and regular eating throughout the day can help your child pass stool more easily.</li> <li>Reducing lactose in your child's diet can ease bloating, gas and diarrhea. </li> <li>Always talk to your child's healthcare team before starting your child on any special diet. </li> <li>Keep a record of your child's symptoms as you try different foods so that you can learn what works best for your child. </li> </ul><h2>Dietary guidelines to make stooling easier</h2> <p>Important: Please tell your child's healthcare team if your child is already on a special diet before you follow any of the guidelines below.</p> <h3>Limit concentrated sugars and sugar alternatives</h3> <p>Sugars and sugar alternatives can increase gas and bloating and cause <a href="/Article?contentid=7&language=English">diarrhea</a>.</p> <ul> <li>Avoid sweets and sugary foods such as candies, cookies, soda, juice, sports drinks and syrup.</li> <li>Avoid sugar alternatives such as sucrose (Splenda), sorbitol and manitol.</li> <li>Read the <a href="/Article?contentid=1442&language=English">labels of processed food</a> and choose foods and drinks with less than 10 g of sugar per serving.</li> </ul> <h3>Eat a high-fibre diet</h3> <p><a href="/Article?contentid=964&language=English">Fibre</a> helps to make the stool soft and bulky, which prevents <a href="/Article?contentid=6&language=English">constipation</a>. It also helps to control blood sugar levels.</p> <ul> <li>Introduce fibre slowly, as it may cause <a href="/Article?contentid=822&language=English">gas</a> and bloating at first.</li> <li>Make sure your child is drinking enough fluids. Water is best.</li> <li>Consider adding natural wheat bran or psyllium to your child's food. Some psyllium products can cause choking, however, so make sure your child has no difficulties with swallowing and takes enough fluids.</li> </ul> <h3>Monitor your child's response to dairy products</h3> <p>Milk and milk products contain a sugar called lactose. The body uses an enzyme called lactase to break down this sugar in the intestine. If your child does not produce enough lactase, they may find it difficult to absorb lactose and develop symptoms such as bloating, gas and diarrhea.</p> <ul> <li>Consider reducing your child's intake of lactose to see if it helps to ease their symptoms.</li> <li>Try lactose-free dairy milk or soy drinks.</li> <li>Offer your child yogurt and firmer cheese such as Swiss or cheddar - they might find these easier to tolerate than a glass of plain milk. </li> <li>Limit milk to 500 mL a day once your child is aged over 12 months.</li> </ul> <p>You can find more guidelines in the table below.</p> <table class="akh-table"> <thead> <tr><th>Food group</th><th>Foods that are better tolerated</th><th>Less tolerated foods</th></tr> </thead> <tbody> <tr> <td>Vegetables and fruit</td> <td><ul> <li>All fresh, frozen or canned vegetables</li><li> </li><li>Fresh or frozen fruit (maximum of 1/2 to 1 cup a day)</li> <li>Lower-sugar fruits such as apples, pears and berries</li> <li>Prunes</li> </ul></td> <td><ul> <li>None (vegetables)</li> <li>Dried fruit, canned fruit in syrup, fruit cups, canned pie fillings</li> <li>Fruit juice (all types)</li> </ul></td> </tr> <tr> <td>Grain products</td> <td><ul> <li>Whole grain breads, buns and crackers</li> <li>Whole grain unsweetened pasta</li> <li>Brown rice, quinoa, barley, millet</li> <li>Unsweetened cereals</li> </ul></td> <td><ul> <li>White bread and buns</li> <li>White rice and pasta</li> <li>Donuts, cakes, cookies, sweet rolls, pastries</li> <li>Sweetened cereals</li> </ul></td> </tr> <tr> <td>Milk and alternatives</td> <td><ul> <li>Yogurt, cheese, cottage cheese</li> <li>Lactose-free milk or soy milk (optional)</li> </ul> <p>Everyone tolerates dairy differently - please monitor your child's symptoms.</p></td> <td><ul> <li>Flavoured milk or soy drinks</li> <li>Ice cream, pudding, custard, sugar or honey-sweetened yogurt</li> <li>Almond or rice milk</li> </ul></td> </tr> <tr> <td>Meat and alternatives</td> <td><ul> <li>Any meat, poultry, fish</li> <li>Eggs, tofu, nuts</li> <li>Beans, lentils and chickpeas - small amounts (can sometimes cause bloating)</li> </ul></td> <td><ul> <li>Sweet marinades</li> <li>Glazed meat products</li> </ul></td> </tr> </tbody><thead> <tr><th colspan="3">Other foods</th></tr> </thead> <tbody><tr> <td>Sweet foods</td> <td> </td> <td><ul> <li>Candy, chocolate bars</li> <li>Added sugar or sugar alternatives for cereal, coffee and tea</li> <li>Syrup, jam, honey</li> </ul></td> </tr> <tr> <td>Drinks</td> <td><ul> <li>Water, tea, coffee, diet soda, sugar-free drinks such as Crystal Light and “light” juices</li> </ul></td> <td><ul> <li>Soda, chocolate milk and other flavoured milk or soy drinks</li> <li>Rice or almond milk</li> <li>Drinks containing sorbitol, manitol, xylitol, sucralose (Splenda)</li><li>Sports drinks such as Gatorade or Powerade</li> </ul></td> </tr> </tbody> </table> <h3>Eat regularly</h3> <ul> <li>Have three meals and one or two snacks each day.</li> <li>Aim to eat every three hours. Eating throughout the day will make your child's bowel work throughout the day.</li> </ul>

 

 

Hirschsprung disease: Dietary guidelines to ease stooling1205.00000000000Hirschsprung disease: Dietary guidelines to ease stoolingHirschsprung disease: Dietary guidelines to ease stoolingHEnglishGastrointestinalChild (0-12 years);Teen (13-18 years)Large Intestine/ColonLarge intestineNon-drug treatmentCaregivers Adult (19+)NA2014-09-19T04:00:00ZBeth Haliburton, RD;Kimberly Colapinto, RN (EC), MN;Jacob C. Langer, MD7.0000000000000070.0000000000000899.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how to ease the symptoms of Hirschsprung disease with a high-fibre, low-sugar diet.</p><p><a href="/Article?contentid=830&language=English">Hirschsprung disease</a> is a condition of the gastrointestinal (GI) tract in which nerve cells, called ganglion cells, have not formed on the inner wall of the bowel. When these cells are missing, stool (poo) does not move properly through the bowel, which can make a child very sick.</p> <p>Hirschsprung disease is normally treated with surgery. However, even after surgery, a child may continue to have issues with stooling.</p> <p>The guidelines below are designed to help you adapt your child's diet and help manage their stool output. They also promote general bowel health. We encourage the entire family to follow a similar diet so that your child with Hirschsprung disease is not singled out.</p> <h2>What is the goal of a special diet for Hirschsprung disease?</h2> <p>A diet for children with Hirschsprung disease can help improve the texture of your child's stool and reduce any gas or bloating. The goal for children with Hirschsprung disease is to have at least one or two soft (peanut butter-like texture) stools every day with as little discomfort as possible. </p><h2>Key points</h2> <ul> <li>A high-fibre, low-sugar diet and regular eating throughout the day can help your child pass stool more easily.</li> <li>Reducing lactose in your child's diet can ease bloating, gas and diarrhea. </li> <li>Always talk to your child's healthcare team before starting your child on any special diet. </li> <li>Keep a record of your child's symptoms as you try different foods so that you can learn what works best for your child. </li> </ul><h2>Dietary guidelines to make stooling easier</h2> <p>Important: Please tell your child's healthcare team if your child is already on a special diet before you follow any of the guidelines below.</p> <h3>Limit concentrated sugars and sugar alternatives</h3> <p>Sugars and sugar alternatives can increase gas and bloating and cause <a href="/Article?contentid=7&language=English">diarrhea</a>.</p> <ul> <li>Avoid sweets and sugary foods such as candies, cookies, soda, juice, sports drinks and syrup.</li> <li>Avoid sugar alternatives such as sucrose (Splenda), sorbitol and manitol.</li> <li>Read the <a href="/Article?contentid=1442&language=English">labels of processed food</a> and choose foods and drinks with less than 10 g of sugar per serving.</li> </ul> <h3>Eat a high-fibre diet</h3> <p><a href="/Article?contentid=964&language=English">Fibre</a> helps to make the stool soft and bulky, which prevents <a href="/Article?contentid=6&language=English">constipation</a>. It also helps to control blood sugar levels.</p> <ul> <li>Introduce fibre slowly, as it may cause <a href="/Article?contentid=822&language=English">gas</a> and bloating at first.</li> <li>Make sure your child is drinking enough fluids. Water is best.</li> <li>Consider adding natural wheat bran or psyllium to your child's food. Some psyllium products can cause choking, however, so make sure your child has no difficulties with swallowing and takes enough fluids.</li> </ul> <h3>Monitor your child's response to dairy products</h3> <p>Milk and milk products contain a sugar called lactose. The body uses an enzyme called lactase to break down this sugar in the intestine. If your child does not produce enough lactase, they may find it difficult to absorb lactose and develop symptoms such as bloating, gas and diarrhea.</p> <ul> <li>Consider reducing your child's intake of lactose to see if it helps to ease their symptoms.</li> <li>Try lactose-free dairy milk or soy drinks.</li> <li>Offer your child yogurt and firmer cheese such as Swiss or cheddar - they might find these easier to tolerate than a glass of plain milk. </li> <li>Limit milk to 500 mL a day once your child is aged over 12 months.</li> </ul> <p>You can find more guidelines in the table below.</p> <table class="akh-table"> <thead> <tr><th>Food group</th><th>Foods that are better tolerated</th><th>Less tolerated foods</th></tr> </thead> <tbody> <tr> <td>Vegetables and fruit</td> <td><ul> <li>All fresh, frozen or canned vegetables</li><li> </li><li>Fresh or frozen fruit (maximum of 1/2 to 1 cup a day)</li> <li>Lower-sugar fruits such as apples, pears and berries</li> <li>Prunes</li> </ul></td> <td><ul> <li>None (vegetables)</li> <li>Dried fruit, canned fruit in syrup, fruit cups, canned pie fillings</li> <li>Fruit juice (all types)</li> </ul></td> </tr> <tr> <td>Grain products</td> <td><ul> <li>Whole grain breads, buns and crackers</li> <li>Whole grain unsweetened pasta</li> <li>Brown rice, quinoa, barley, millet</li> <li>Unsweetened cereals</li> </ul></td> <td><ul> <li>White bread and buns</li> <li>White rice and pasta</li> <li>Donuts, cakes, cookies, sweet rolls, pastries</li> <li>Sweetened cereals</li> </ul></td> </tr> <tr> <td>Milk and alternatives</td> <td><ul> <li>Yogurt, cheese, cottage cheese</li> <li>Lactose-free milk or soy milk (optional)</li> </ul> <p>Everyone tolerates dairy differently - please monitor your child's symptoms.</p></td> <td><ul> <li>Flavoured milk or soy drinks</li> <li>Ice cream, pudding, custard, sugar or honey-sweetened yogurt</li> <li>Almond or rice milk</li> </ul></td> </tr> <tr> <td>Meat and alternatives</td> <td><ul> <li>Any meat, poultry, fish</li> <li>Eggs, tofu, nuts</li> <li>Beans, lentils and chickpeas - small amounts (can sometimes cause bloating)</li> </ul></td> <td><ul> <li>Sweet marinades</li> <li>Glazed meat products</li> </ul></td> </tr> </tbody><thead> <tr><th colspan="3">Other foods</th></tr> </thead> <tbody><tr> <td>Sweet foods</td> <td> </td> <td><ul> <li>Candy, chocolate bars</li> <li>Added sugar or sugar alternatives for cereal, coffee and tea</li> <li>Syrup, jam, honey</li> </ul></td> </tr> <tr> <td>Drinks</td> <td><ul> <li>Water, tea, coffee, diet soda, sugar-free drinks such as Crystal Light and “light” juices</li> </ul></td> <td><ul> <li>Soda, chocolate milk and other flavoured milk or soy drinks</li> <li>Rice or almond milk</li> <li>Drinks containing sorbitol, manitol, xylitol, sucralose (Splenda)</li><li>Sports drinks such as Gatorade or Powerade</li> </ul></td> </tr> </tbody> </table> <h3>Eat regularly</h3> <ul> <li>Have three meals and one or two snacks each day.</li> <li>Aim to eat every three hours. Eating throughout the day will make your child's bowel work throughout the day.</li> </ul><h2>Record any changes in your child's symptoms</h2> <p>Not all people react the same way to foods. Your child's ability to tolerate foods depends on:</p> <ul> <li>how much of their bowel is affected by Hirschsprung disease and </li> <li>whether they have had part of their bowel removed or have an ostomy.</li> </ul> <p>There may be a period of trial and error while you learn what works best for your child. Some parents find it useful to keep a record of the food their child eats and how this affects their symptoms, for example the frequency and texture of their stool and whether they feel less bloated or gassy. </p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/hirschsprung_disease_dietary_guidelines.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/hirschsprung_disease_dietary_guidelines.jpgHirschsprung disease: Dietary guidelines to ease stooling

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