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Cancer: Graft vs. Host Disease Diet Recommendations HF#415

 

Graft vs. Host Disease (GVHD) occurs in some people who have had a stem cell transplant.  It can cause several problems with the skin, liver and gastrointestinal (GI) tract.  Problems with the GI tract can range from mild to severe and include diarrhea, abdominal pain, cramping, nausea, or heartburn.  If you have GVHD you may have had some, or all, of these problems. 

 

The following diet guidelines are recommended to help relieve these symptoms and allow your GI tract return to normal. Continue to follow the diet guidelines for a Neutropenic diet while following the GVHD dietary recommendations. Your doctor will let you know when you can go back to eating your regular diet.

 

Try these foods and beverages first:

 

Beverages : 

  • Tea, weak, decaffeinated or brewed herb, except peppermint
  • Gatorade®
  • Rice milk, Lactaid® milk
  • Apple juice, cranberry juice, Kool-Aid®, or Tang® diluted in water

Starches:

  • Plain, white bread, bagel or English muffin
  • Refined pasta
  • White rice
  • Plain potato without the skin
  • Cereal:  cream of rice, cream of wheat, farina, grits, Malt-O-Meal®, puffed rice, Rice Krispies®, Cheerios®, corn flakes, rice flakes
  • Pretzels
  • Saltines

Fruits:

  • Applesauce
  • Banana
  • Peaches or pears, canned in juice or light syrup

Other: 

  • hard candy
  • ice pops
  • broth 
     

If you do not have diarrhea or stomach cramping you may begin including small amounts of the following foods:

 

Food Group

Foods Recommended

Foods to Avoid

Breads/Grains

6-11 servings daily

 

Serving Size:

1 slice (1 oz) bread product

1/3 cup rice or pasta

½ cup cooked cereal

¾ to 1ounce snack food

¾ cup dry cereal

 

Bread (corn, white, sourdough, pita)

Bagels (plain)

English muffins

Pancakes, waffles

Pasta, Couscous

Rice Cakes, plain

Tortillas

Rice

Cereals (less than 2g fiber/serving)

Crackers (animal, graham, saltine)

Pretzels

Baked tortilla or potato chips

Any whole wheat/whole grain bagel, bread, English muffin, bread, rice, pasta, tortilla or crackers

Wheat germ

Popcorn

Croissants

 

*Note:  Avoid products made with Olestra® or Olean®

Meats and other proteins

2-3 servings or 6 oz daily

 

Serving size:

1 egg

2-3 ounces cooked meat

 

Well cooked, lean cuts of broiled, baked or roasted fish, meat, ham, skinless poultry

Crab, imitation crab

Tuna (water-packed)

Eggs (well cooked)

Tofu (cooked, follow neutropenic diet)

Luncheon meats

Hot dogs

Luncheon meats (unless low fat)

Hot dogs (unless low fat)

Corned beef

Pepperoni

Pickled or cured meats/fish

Beans/legumes

Vegetables

2 or more servings daily

 

Serving size:

½ cup cooked vegetable or juice

Well cooked, tender vegetables: Asparagus tips

Beets

Carrots

green beans

mushrooms

winter squash

pumpkin

sweet potatoes, yams &, potatoes (without skin and could be baked boiled, mashed, or cooked from frozen)

Raw or undercooked vegetables

The following cooked vegetables: artichokes, baked beans, bamboo shoots, bean sprouts, beet greens, broccoli, celery, Brussels sprouts, cabbage, chives, corn, cucumbers, peas, eggplant, bell peppers, leeks, all legumes, mustard greens, parsley, rutabagas, sauerkraut, summer squash, tomatoes, turnips, spinach, collard greens, Swiss chard

Fruits

2 or more servings daily

 

Serving size:

½ cup

Fresh fruit (peeled): apricots, bananas, melon, peaches, pears, papaya, mango

Baked and peeled apples

Plain applesauce

Canned fruit (peeled): peaches, pears, plums, apricots

Juices: cranberry, apple

Juices: citrus, prune, V-8® or V-8 Splash®, tomato, pineapple

All raw fruits except those specifically allowed

Canned or fresh: berries, figs, oranges, grapefruit, lemons, limes, grapes, pineapple, prunes, rhubarb, cherries

All dried fruit

Dairy

2-3 servings daily

 

Serving size:

1 cup milk or yogurt

1 oz cheese

Lactose-free 2%, 1%, skim or chocolate milk

Rice milk

Lactose-free supplements (i.e Boost®, Ensure®)

Low fat yogurt

Non-fat or 1% cottage cheese

Cheese: cheddar, Monterey Jack, Swiss, American, Ricotta, string (part-skim mozzarella)

Any milk or milk-based product not pre-treated or not taken with lactase enzyme. 

Whole milk

Fats

Limited amounts daily

Can use low-fat or fat-free margarine, mayonnaise, salad dressings without restriction. 

Butter/margarine/oils-limit to 1 tsp

Peanut butter-limit to 2 tsp

Gravies and sauces-limit to ¼ cup 

Cream cheese, sour cream, whipping cream, half & half-limit to 2 Tbsp

Fats in greater portions than listed in previous column

Desserts

Consume in moderation

Plain cookies or cakes, Jello®

Frozen:  popsicle, sherbet, sorbet, low fat frozen yogurt,

ice cream (low fat, non-dairy)

Pudding made with allowed milk

Cookies or cake with raisins, nuts, coconut or fillings

Regular fat/premium ice cream

Pastries-any high fat, commercial

Condiments/Herbs/Spices

 

Herbs/spices:  basil, bay leaf, oregano, rosemary, thyme, cinnamon, salt

Condiments:  honey, jelly, syrup, soy sauce, vinegar

Herbs/spices: cayenne, chili powder, garlic, mustard, paprika, pepper, onion powder/salt

Condiments: mustard, ketchup, chili sauce, horseradish, jalapenos, steak sauce, relish, barbecue sauce, salsa, Tabasco® sauce

Beverages

Non-cola, caffeine-free carbonated beverages

Hawaiian Punch®, Hi-C®, Tang®, Gatorade®, Powerade®, Kool-Aid

Weak, decaffeinated teas (except peppermint)

Alcoholic beverages

Coffee, regular and decaffeinated

Peppermint Tea

Caffeine containing beverages

Colas

 

 

If you would like to schedule an appointment with the Registered Dietitian at the Carbone Cancer Center, please call 608-265-1700

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 06/04/2013

Copyright © 06/04/2013 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#415

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