Cancer: Graft vs. Host Disease Diet Recommendations
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
Print Health Fact For You

