Hi XXXXXXX

Thanks for posting the query.

The biggest challenges for patients with gastroparesis are finding foods that are enjoyable and satisfying and also easy to tolerate. A diabetic diet for treating gastroparesis has some similarities to a regular diabetic diet, but with substantial differences.

Milder forms of the disease may respond well to eating changes. Instead of two or three large meals a day, multiple small meals throughout the day may help. Plenty of fluids before, during and after meals can help move gastric contents into the small intestine, as liquids move quicker than solids. Low dietary fat also helps, because fat inhibits gastric emptying.

Basic Dietary Guidelines:

1. Have Small, frequent meals. Reducing the meal size reduces the distension of the stomach from the meal. By eating smaller meals, you may not feel as full or bloated and the stomach may empty faster.

2. Avoid foods high in fat. Fat can delay emptying of the stomach. Eating less fat-containing foods will decrease the amount of time food stays in the stomach. However, fat-containing liquids, such as milkshakes, may be tolerated and provide needed calories.

3. A diet low in fiber is suggested. Fiber delays gastric emptying. In addition, fiber may bind together and cause a blockage of the stomach. Examples of high fiber foods that should be avoided include oranges, berries, XXXXXXX beans, potato peels, apples, sauerkraut, and Brussels sprouts. Fiber supplements for treatment of constipation should also be discontinued if possible.

4. Chew food well before swallowing. You should avoid foods that cannot be easily chewed such as broccoli, corn, popcorn, nuts, and seeds. Solid food in the stomach does not empty well. Dental problems, such as missing or broken teeth, may lead to poorly chewed food.

5. Taking fluids throughout the meal and sitting upright or walking for 1-2 hours after meals may help in the emptying of the meal from the stomach.

Getting adequate nutrition is important to maintaining health and controlling blood sugars.
You can take foods such as fat-free protein sources such as egg substitutes, non-fat cheese, non-fat milk, milk powder, high-protein broth, non-fat yogurt and non-fat cottage cheese. Since liquids are easier to digest, you can take high-protein shakes, strained baby foods, smoothies, vegetable or tomato juice and liquid nutritional supplements.

Solid foods can be processed in a blender. Foods such as meat, fish, poultry or ham can be blended with sauces, broths, water, and gravy. Vegetables can be blended with water or tomato juice. Starches such as potatoes and pasta blended with soups, broth or water can provide carbohydrate nutrition. Mixed dishes such as lasagna, macaroni and cheese, spaghetti and chilli are best consumed after mixing with some form of liquid and blended.

A heart-healthy diet is the key to atrial fibrillation prevention and it helps avoid complications.
1. Eat more fish, which strongly supports the role that seafood XXXXXXX in omega-3 fatty acids can play in protecting you against all types of heart disease, including atrial fibrillation
2. Limit alcohol intake.
3. Lower sodium. Salt is biggest major concern in atrial fibrillation prevention, because high sodium intake can cause high blood pressure, which can strain or damage the heart. Cut back on sodium to help reduce your risk of both high blood pressure and atrial fibrillation, and to help prevent stroke as well. To maintain low sodium diet, rinse canned foods, cook at home and Read labels carefully.

Hope I answered your Query.

Regards
Grace Abraham

---

Hi,

I apologize for the delayed response and for not having the other issues during my initial reply. Let me try today and clarify about the other reports.

Of all the blood reports you mentioned earlier, except for blood urea nitrogen all others are not clinically significant to suspect a chronic disorder; certainly not a nephropathy (renal disease).

An ALT value under 56IU/L is normal. However values under 100 are not significant enough to indicate a liver damage. Obesity with or without alcohol consumption history can explain the milder increase in this liver enzyme. You do not need specific dietary changes, rather absolute cessation from alcohol and some weight reduction can bring the values to normal.

Chloride levels are marked as 105mg/dl, but over here in India we consider values up to 108mg/dl as normal. Again, marginal fluctuation is not significant.

Creatinine under 1.5mg/dl does not signify any renal illness.

Blood urea nitrogen at 25 is transiently elevated above reference range. Such elevations with normal creatinine levels are commonly attributed to dehydration and or use of nephrotoxic drugs such as painkillers. Drinking sufficient amount of water and avoiding nephrotoxic drugs along with consistent normal blood sugars will keep your kidneys optimally healthy for years to come.

In simple words, the reports you have are not significant worrying concerns. They can be corrected using lifestyle changes, restricting alcohol consumption (if any) and avoiding nephrotoxic drugs. They do not warrant any radical diet changes.

As far as salt consumption is concerned, the most important ingredient of salt is sodium. This is what that influences blood pressure and renal function and I shall restrict my comments to sodium alone and not other electrolytes and minerals in the salt.
1. To answer how much mg salt is normal in a day - the answer is "anything less than 5 grams a day is considered optimal XXXXXXX
2. WWW.WWWW.WW
This link is a randomly selected article which specifies sodium content of commonly used food products. You could find similar or more useful contents if you could search for sodium content in commonly used food / particular food. They could give you more information that I can with regards to sodium content of each food alone is concerned.

Hope this suffices. Let me know if you have further enquiries.

Best Regards

---