Cornell Headache Diet: Foods to Avoid
Nausea or Vomiting (Gastroparesis) Diet
Dietary Guidelines for Functional Disorders


Cornell Headache Diet: Foods to Avoid

Generally dietary triggers are overstated but this is a list of the most common culprits

Beverages
Limited caffeine sources to 8 oz/day: coffee, tea, cola type soda, chocolate milk.

Alcoholic drinks
Ale, Beer, Chianti, Sherry, Burgundy, Vermouth.

Meat & Fish
Aged, Cured, Processed meats containing poultry, Nitrates: Ham, Hot dogs, Salami, Sausage, Bologna, Pickled Herring, Dried Fish.

Dairy
Aged, Mature Cheese: Blue, Boursalt, Brie types, Camembert types, Cheddar, Swiss, Roejuefort, Stilton, Parmesan, Provolone, Romano.

Bread & Cereals
Sourdough bread.

Vegetables
Broad beans, Italian beans, Lima, Lentils, Snow peas, Fava, Soy beans.

Fruit
Avocado, Banana, Citrus, Figs, Raisins, Papaya, Passion fruit, Red plums, Raspberries.

Soups
Canned soups, Bouillon cubes, soup bases with autolyzed yeast or monosodium glutamate (MSG).

Sweets
Chocolate, Licorice, Molasses.

Misc.
MSG, Soy sauce, Meat tenderizers, Accent Yeast, Yeast extracts, Brewers yeast; Nuts and seeds: Peanuts, Sesame, Pumpkin; Pickeled foods; Preserved foods.


Nausea or Vomiting (Gastroparesis) Diet

Modified from Koch KL. Textbook of Gastroenterology, 1995

STEP 1. Gatorade and Bouillon
Diet: Small volume of salty liquids to avoid dehydration
Goal: 1000 to 1500 mL/day in multiple servings e.g. 1-2 oz at a time
Avoid: Citrus and highly sweetened drinks

STEP 2. Soup and Crackers
Diet: Soups with noodles or rice and crackers and peanut buffer in small amounts in at least six divided meals per day
Goal: 1500 calories per day; avoid dehydration and maintain weight
Avoid: Creamy, milk-based liquids

STEP 3. Solid Food: Starches Chickens and Fish
Diet: Starches such as noodles, pastas, potatoes, and rice are easily mixed and emptied by the stomach; chicken breast and fish are usually well tolerated in six divided meals per day; a one-a-day vitamin should be prescribed
Goal: To find common foods that evoke minimal nausea or vomiting
Avoid: Fatty foods which delay gastnc emptying and red meats and fresh vegetables which require maximum trituration


Dietary Guidelines for Functional Disorders

Christine Frissora, M.D.
Assistant Professor of Medicine Division of Gastroenterology and Hepatotogy

Lucinda A. Harris, M.D.
Assistant Professor of Medicine Division of Gastroenterology & Hepolology

To improve constipation:

1. Encourage the "p" fruits: pears, peaches, pineapple, papaya, plumes, pear juice
   
   
2. Avoid banana, rice
   
   
3. Caffeine tends to help
   
   
4. Encourage CaMg tabs at night before bed or divided between lunch/dinner
   
   
5. Encourage soluble fiber: lentil soup, split pea, navy bean, oatmeal
   Note: make sure the beans are soaked, well cooked and mashed before consuming
   
   
6. Prunes can help constipation but contain phenopthalein which causes bowel dependence and may cause worsening of the problem over time
   
   
7. Milk of Magnesia in low doses if safe, if you are otherwise healthy
   
   
8. A stool softener such as docusate can be used safely
   
   
9. Chewable fiber such as equalactin may be helpful by pulling water into the stool
   
   

To improve diarrhea:

1. Encourage bananas, apple, rice, plantams, tea
   
   
2. Avoid vitamin supplements containing Magnesium including CaMg tabs
   
   
3. Trial of metamucil, equalactin or equivalent fiber which will help pull water into the stool and tone it
   
   

To treat bloating/gas:

1. Avoid gum
   
   
2. Avoid carbonation including beer, seltzer and soda
   
   
3. Avoid crude fiber such as fiberone, bran, wheat germ
   
   
4. Avoid cheese and dairy
   
   
5. Encourage bioavailable vitamins only such as prenatal vitamins with dinner
   
   
6. Avoid oyster shell calcium and other calcium supplements that are not well absorbed
   
   
7. Encourage soluble calcium: Viactive, 'RIMS, Oscal or Citracal divided into 500 mg per day
   
   
8. Recommended calcium intake for normal healthy females:
   • 1200 mg per day for menstruating women
   • 1500 mg for post-menopausal women that are not on estrogen
   • 1000 mg for post-menopausal women on hormone replacement
   • Also recommended: Vitamin D 400 mg daily
     
     
9. Foods that can cause bloating: broccoli, cabbage, cauliflower, kale, brussel sprouts and cucumber.