Nutrition for Patients with Hirschsprung's Disease
Patients that have surgery soon after birth:
- Breast milk is recommended due to known laxative effect. If your child is under the age of 12 months and is breast fed keep in mind that once foods are introduced the consistency and frequency of stool will change and breast milk will no longer have its laxative effect.
Baby foods to Include to help avoid constipation: Stage I-II (~4-8months of age):
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| - Pears and raspberries combo
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Food to introduce at ~8-10 months of age:
Note foods should be soft in texture and cut into small pieces
- Anything from the list above
- Canned pears
- Fresh strawberries, watermelon, honeydew melon, peeled grapes, and kiwi
- Whole wheat waffles
- Whole wheat bread or toast
- Whole wheat macaroni and cheese or pasta
- Steamed broccoli, green beans, cauliflower and green peas
- Whole wheat veggie pizza
- Graham cracker sticks or crackers
- Corn tortillas
- Whole wheat pitas
Food to avoid from 4 months on:
- Combination baby foods containing bananas and applesauce
- White bread, high sugar cereals, white pasta, white rice,
- Large amounts of high fat dairy products may constipate some children and have no effect on others. Provide enough dairy products to meet calcium needs for age. See chart below.
How much calcium do I need everyday?
| 0-6 months | 210 mg |
| 7-12 months | 270 mg |
| Ages 1-3 | 500 mg/day |
| Ages 4-8 | 800 mg/day |
| Boys and Girls Ages 9-18 | 1,300 mg/day |
Which foods are good sources of calcium?
| Food & Serving Size | Calcium (milligrams) | Food & Serving Size | Calcium (milligrams) |
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| Yogurt, 1 cup | 400 | Orange juice, calcium added, 1 cup | 200 |
| Milk, 1 cup | 302 | Bok Choy, 1/2 cup, cooked | 79 |
| Ricotta, 1/2 cup | 337 | Turnip greens, 1/2 cups, cooked | 99 |
| Swiss, 1oz. | 272 | Orange, 1 medium | 56 |
| Mozzarella, 1oz. | 183 | Collard greens, 1/2 cup, cooked | 178 |
| Macaroni and Cheese, 1/2 cup | 180 | Kale, 1/2 cup, cooked | 90 |
| Cheese Pizza, 1 slice | 220 | Broccoli, 1/2 cup, cooked | 36 |
| Canned sardines, w/ bones, 3 oz. | 330 | Tofu, firm (calcium set), 1/2 cup | 258 |
| Canned salmon, w/ bones, 3 oz. | 181 | Black-eyed peas, 1 cup | 212 |
| Calcium Fortified Foods | | Navy beans, 1 cup | 128 |
| Soy milk, calcium added, 1 cup | 300 | Almonds, 1/2 cup | 94 |
Patients who have Hirschsprungs and have an ostomy
Include the following:
- Complex carbohydrates (a form of sugar) are important and can be found in foods like whole wheat cereals, breads, and pasta and should be incorporated into the diet
- Drink plenty of caffeine free fluids to keep hydrated
- The physician will direct you on how to incorporate more sodium depending upon lab results
- For more information on sodium and fluid intake contact the Dietitian
Avoid the following:
- All fruit juices and other sugary drinks. Even 100% juice offers little nutritional benefit and can increase stool/ostomy output.
- Avoid other sources of simple sugars such as jams, jellies, snack cakes, fruit roll-ups, and candies
Patients that have hirschsprung's disease who recently had ostomy takedown:
- Nutrition needs after ostomy takedown depend on the age of the patient.
- In general, the goal is to avoid constipation and incorporate high fiber foods into the diet.
- If the patient is 12 months of age or younger, follow the dietary recommendations listed for patients who have surgery soon after birth.
- If the patient is 1 year or older, foods listed below can be offered to increase insoluble fiber into the diet.
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| | - Wheat cereals: Raisin Bran, Bran flakes
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