Gastroparesis diet and lifestyle recommendations
Key principles
- Eat small, frequent meals: aim for 5-6 small meals per day to minimize the workload on your stomach.
- Chew food thoroughly: properly chewed food aids digestion.
- Low-fat and low-fiber foods: these are gentler on your digestive system.
- Soft or pureed foods: these foods are easier for the stomach to process.
- Stay upright after meals: avoid lying down or reclining for at least 3 hours post-meal.
- Avoid overeating: be mindful of portion sizes, as you may not tolerate as much food as others.
- Incorporate gentle activity: go for a 45-minute walk after meals to encourage gastric emptying.
Foods to include
- Grains: white bread, plain crackers, low-fiber cereals, oatmeal, cream of wheat.
- Protein: lean meats (chicken, turkey, fish), eggs, tofu, and smooth nut butters (in moderation).
- Fruits: canned or cooked fruits without skins (e.g., applesauce, peaches, pears).
- Vegetables: well-cooked, peeled, and pureed vegetables (e.g., carrots, zucchini, squash).
- Dairy: low-fat milk, yogurt, cheese (if tolerated).
- Carbohydrates: white rice, pasta, and potatoes without skin.
- Liquids and soups: clear broths, low-fat soups, fruit juices, and meal replacement drinks.
Foods to avoid
- High-fiber foods: whole grains, raw fruits and vegetables, legumes, seeds, and nuts.
- High-fat foods: fried foods, high-fat dairy, greasy or heavy meals.
- Tough and chunky foods: red meats, fibrous vegetables like celery or broccoli.
- Carbonated beverages: can cause bloating.
- Spicy and acidic foods: tomatoes, citrus fruits, and chili.
Hydration
- Stay well-hydrated with water and clear liquids.
- Avoid drinking large amounts with meals to prevent feeling overly full.
Supplementation
Liquid nutritional supplements may be suggested to meet caloric and nutrient needs if solid foods are difficult to tolerate.
Additional lifestyle tips
- Meal timing: space meals evenly throughout the day.
- Adjust expectations: it’s normal to eat smaller portions than others.
- Mindful eating: pay attention to your body’s signals and stop eating before feeling overly full.