MODIFICATIONS OF A NORMAL DIET DURING ILLNESS AND
CONVALESCENCE
In addition to
modifications in texture and consistency, other modifications in relative
proportion of nutrients and restriction of certain nutrients are necessary with respect to the following.
- Carbohydrate: type and content
- Protein: type and content
- Fat: type and content
- Electrolytes and minerals: content
- Vitamins: content
Modification in the
proportions of carbohydrates, fat and protein in the diet are necessary, as
listed below.
(i)
Diabetic Diet is
carefully calculated for each diabetic patient to minimize hyperglycemia and glycosuria, to attain ideal body weight and to prevent,
ketosis hypoglycemia and coma. In this
diet proportion of carbohydrates is reduced, that of proteins is increased
whereas fat is restricted.
(ii)
Low Calorie Diet
is presented in order to achieve
weight loss especially for those suffering from cardio-vascular and rental
diseases, gout or hyperthyroidism and for severely ill patients with low food
tolerance. In this diet all the three energy-yielding nutrients are restricted.
(iii)
High Protein,
high Fat, Low Carbohydrate Diet is
used for patients with hypoglycemia.
(iv)
Ketogenic
diet is used to control
epilepsy, it is allow carbohydrate, low-protein, high-fat diet.
(v)
Calorie dense diet is used in weight increasing regimes.
MODIFICATIONS IN CARBOHYDRATES
(i)
Lactose Free Diet is
prescribed for patients suffering from total or partial inability to metabolize
lactose (milk sugar)
(ii)
Dumping syndrome Diet is prescribed for patients who have undergone
gastrectomy or gastric bypass surgery.
MODIFICATIONS IN FAT
(i)
Restricted Fat Diets are prescribed for patients with disease of liver,
gall bldder or pancreas in which disturbances of digestion and absorption of
fat may occur.
(ii)
Fat Controlled, low Cholesterol Diet is used for patients with increased levels of blood
cholesterol and for those with atherosclerosis.
(iii)
Dietary
Management in hyperlipoprotineamia is required for patients suffering from
elevation of blood lipoproteins.
MODIFICATIONS IN PROTEIN
(i)
Restricted Protein Diet is used for patients in hepatic coma or with chronic
uremia, renal disease or liver disease.
(ii)
Gluten Free
Diet is prescribed for
patients with celiac disease or non-tropical spruce having gluten intolerance.
(iii)
Restricted
Purine Diet is useful in order to
decrease the blood uric acid level as in gout.
(iv)
High Protein
Diet is required to be
prescribed in several cases. They are pre and post – operative period, high
fever, burns, injuries, increased metabolism, nephritis in children, chronic nephritis
(unless there is nitrogen retention), pernicious anemia, ulcerative colitis,
hepatitis, celiac and cystic fibrosis, tuberculosis and other wasting illness,
wounds and nutritional anemia.
MODIFICATIONS IN ELECTROLYTES AND
MINERALS
This
may be required in the following cases.
(i)
Increased Sodium
diet is useful in Addison’s disease.
(ii)
Restricted
Sodium Diet is more common and advised for patients with cardio – vascular
disease, hypertension, renal disease with swelling, cirrhosis of liver with as
cites, pre-eclapsia and eclampsia and ACTH therapy.
(iii)
Restricted potassium diet is used in cases
where potassium is not excreted properly from the body.
(iv)
Restricted copper Diet is given in wilson’s
disease, Liguria or anuria.
(v)
High calcium and
phosphorous diet is advised in rickets, osteomalacia, tetany, dental caries and
acute lead poisoning.
(vi)
High iron diet
is advised in nutritional or hemorrhagic anemia.
(vii)
Acid ash or
alkaline ash diet is responsible for producing acidity or alkalinity in the
body. It is presented according to the type of kindly store depending on its
solubility in acidic or alkaline urine.
MODIFICATIONS IN VITAMINS
High
vitamin diet --- Vitamin A content of the diet may be increased to combat night
blindness and xeroothalmia, increased vitamin D content in rickets and
osteomalacia, increased vitamin K content of the diet in liver and gall-bladder
disease, increased thiamine to prevent beriberi and polyneuritis, increased
niacin to prevent pellagra, increased ascorbic acid (vitamin C) to improve
wound – healing and prevent survey and overall defense mechanism of body.
No comments:
Post a Comment