Services – Diets for Gastroenterological Medicine
Lactose Controlled, High Fiber, Low Flatogenic Diet
Lactose is the sugar found in milk. A lactose controlled diet avoids or limits milk and milk products or any foods prepared with milk. Some commercial products are supplemented with milk or lactose and should be omitted. It is important to read labels for ingredient content as some lactose free versions of the food are available. This diet meets the Recommended Daily Allowance for all nutrients. Be sure to consume some foods from the milk group, if at all tolerated, to ensure proper intake of calcium and riboflavin.
Food Guidelines
 Milk
Allowed: Soybean milks, nutramagen, non-dairy cream substitutes. Up to 2 cups per day or yogurt, cultured buttermilk, or sweet acidophilus milk.
Not Allowed: All regular milk (whole, low-fat, skim, dried, evaporated or condensed.
Meat, Fish, Poultry
Allowed: Plain, beef, fish, lamb, pork, chicken, turkey, veal,shellfish. Organ meats. All meat cold cuts*and franks*, sausage*, peanut butter*.
Not Allowed: Any breaded or prepared with milk or milk products. Processed meat product containing lactose such as franks, luncheon meats and canned.
Egg
Allowed: Prepared any way except with milk or cheese “Not Allowed”
Not Allowed: All eggs prepared with milk or cheese “Not Allowed”.
Cheese
Allowed: Hard, ripened cheeses such as cheddar, blue, brick, colby, edam, provolone, swiss,and american.
Not Allowed: Cottage cheese, cream cheese, processed cheese foods.
Bread (3 slices)
Allowed: Enriched, whole grain, rye, or pumpernickel breads. Quick breads such as cornbread or biscuits, made without milk. Rolls, crackers prepared without milk.
Not Allowed: Any prepared of processes with milk or milk products. commercially prepared mixes, waffles*, pancakes*, french toast, unless made without milk. Bagels.
Potato or Substitute
Allowed: Limit potatoes, rice, noodles, macaroni, spaghetti, corn and popcorn.
Not Allowed: Any prepared with milk or milk products (cream sauces), instant potatoes.*
Vegetables
Allowed: All plain, fresh, frozen, or canned vegetables. vegetable juices, lettuce, cum cumber, peppers, avocado, tomato, asparagus, zucchini and okra.
Not Allowed: Vegetables prepared or processed with milk or milk products. Onions, beans, celery, carrots, brussel sprouts, broccoli and cauliflower.
Fruits
Allowed: Fresh, canned, frozen,dried fruits, and fruit juices. Cantaloupe, berries and grapes.
Not Allowed: Dietetic fruits containing lactose. Apples, citrus, fruits, bananas, apricots, prune juice.
Soups
Allowed: Bouillon, borsht, or soups made foods "allowed". Dehydrated non-milk soup mixes.
Not Allowed: Cream soups. Commercial soups made with milk or milk products containing lactose.
Fats
Allowed: Regular butter and margarine, cooking oils, non-dairy cram substitutes and whipped toppings,, salad dressings*, mayonnaise, bacon nuts, olives, avocado.
Not Allowed: Salad dressings with added milk, sour cream, regular whipped cream, cream cheese.
Desserts and Sweets
Allowed: Fruit ice, gelatin, cakes*, pudding*, cookies*, made without milk or milk products, pure sugar candy. Jelly, jams, and preserves, honey, syrup.
Not Allowed: Any beverages prepared with milk or milk products.
Beverages
Allowed: Regular, freeze dried and instant coffee, decaf coffee, regular and instant tea, carbonated beverages.
Not Allowed: Any beverages prepared with milk or milk products.
Miscellaneous
Allowed: Salt, herbs, spices, condiments, pickles, vinegar, brown gravy, plain cocoa*, monosodium glutamate.
Not Allowed: White sauces or cream gravies, milk chocolate, cocoa mixes. Sugar substitutes with lactose, chewing gum, vanilla powder, wheat germ.
*Consult the list of ingredients or check with manufacturer. A lactose free version of food may be available.
Sample Meal Pattern:
Breakfast
- Apple juice
- Oatmeal
- Scrambled Egg
- Whole Wheat Toast
- Bacon, Margarine
- Jelly, Sugar
- Coffee with non-dairy creamer
Lunch
- Sandwich: Ham/Swiss
- Cheese
- Rye Bread
- Mayonnaise/Mustard
- Pickle
- Vegetable Soup
- Fresh Fruit
- Lemonade
Dinner
- Roast Beef au jus
- Baked Potato with skin
- Tossed Salad
- Bread - Whole Wheat
- Margarine
- Oil & Vinegar Dressing
- Jell-O
- Iced Tea, sugar
Nutritional Suggestions
NOTE: Be sure to include some of the following foods each day to provide a good source of CALCIUM in your diet:
- Allowed Cheese
- Yogurt
- Dark Green, Leafy Vegetables
Be sure to include a vegetable rich in Riboflavin every day:
- Spinach
- Asparagus
- Winter Squash
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