Full Liquid Diet patient education EDR010 200 University Ave. E St. Paul, MN 55101 651-291-2848 According to the American Dietetic Associa- Potatoes /Pasta/Rice 800-719-4040 (toll-free) tion (ADA), a full liquid diet is described 651-299-3928 (TDD) Allowed/Recommended: Thin, mashed www.gillettechildrens.org as any foods that are liquid or will become potatoes with butter &/or gravy. Pureed and liquid at body temperature. After oral sur- thinned rice or pasta Contact Us gery, these foods can help provide your child with nutrition needed to recover and to heal Avoid/Use Sparingly: Any others Urgent Questions the surgical area. or Concerns VEGETABLES Telehealth Nursing 651-229-3890 Increasing calories and protein is important Allowed/Recommended: Cooked and pureed for children who are on a liquid diet for more vegetables or strained baby vegetables Other Questions than 2 to 3 days. After cleft palate repair, (thinned as needed). Strained vegetable About Your Care pharyngeal flap, LeFort 1/III advancements, juices St. Paul Clinic patients: Nurse Call Line fractured jaw repair or any surgery requiring Avoid/Use Sparingly: Any others 651-578-5000 an incision inside the mouth, the full liquid diet is recommended for 10-14 days after Patients at Other Locations: FRUIT surgery. This allows the child to get good Contact a member of your Allowed/Recommended: Pureed fruits or Gillette health care team. nutrients while avoiding any solid chunks strained baby fruits(may thin with fruit of food that might get lodged or stuck in the juice) Appointments incision, infecting or disrupting the repair. 651-290-8707 Avoid/Use Sparingly: Any others The ADA’s Diet for Craniofacial Surgery lists the following foods that are allowed after MEAT & MEAT SUBSTITUTES oral/jaw surgery. You can use this as a guide, Allowed/Recommended: Pureed meats or adjusting it to the foods your child likes eggs thinned with broth or added to strained or dislikes. For infants, do not include any cream soups. Melted cheese (added to soup, foods that you have not already introduced pureed casseroles, etc.) to your child before surgery. Avoid/Use Sparingly: Any others BREADS/STARCHES Allowed/Recommended: No breads are MILK allowed Allowed/Recommended: Milk, cocoa, choco- late milk, milk shakes/malts, eggnog, instant Avoid/Use Sparingly: All breads breakfast mixes, nutritional supplements Crackers such as Kindercal, Pediasure as directed. Allowed/Recommended: May be pureed into Avoid/Use Sparingly: None soup /broth

Avoid/Use Sparingly: Any others Books, DVDs Continued on next page. and More Cereals Find materials about disabilities, medical conditions Allowed/Recommended: Smooth, hot cere- and support for caregivers. als (i.e., Cream of Wheat or Rice, MaltO- Health Resources and Meal) Education St. Paul campus, near Avoid/Use Sparingly: Chunky oatmeal. Dry fourth-floor skyway cereals 651-229-3938 [email protected] This information is for educational purposes only. It is not intended to replace the advice of your health care providers. If you have any questions, talk with your doctor or others on your health care team. 2/6/14 SOUPS & COMBINATION FOODS Powdered milk and cream (for children over one year Allowed/Recommended: Pureed broth soups and of age) strained cream soups. Combination baby foods, thinned • Make “double strength” or “high protein” milk by to flow readily through a large syringe. Pureed spaghetti adding one cup of dried skim milk powder to one sauce thinned with tomato juice or sauce; other pureed quart of fluid whole milk. Mix well and chill overnight or thinned casseroles. before using. Use this milk to drink and in place of regular milk for all food preparation. Avoid/Use Sparingly: Any others • Add powdered milk to foods. Three tablespoons mixes well with cereals, scrambled eggs, omelets, soups, cas- DESSERTS & SWEETS serole dishes, potatoes, gravy, etc. Allowed/Recommended: Melted gelatin; fruit ice; • Use cream or “double strength” milk in preference to sherbet; flavored ice cream/ ice milk. Popsicles, pudding regular milk for cereal, cream sauces and other recipes pops, frozen fruit bars, fudgsicles, creamsicles. Strained calling for milk. baby desserts thinned). Sugar, honey, syrup, ice cream toppings, jelly. Formula Standard formula is 20 calories per ounce. You can Avoid/Use Sparingly: Products containing pieces of fruit, increase this to 24 calories per ounce by following these nuts, candy or chips. guidelines: FATS & OILS • For standard powder, add three scoops of powder to five ounces (150 ml) of water. Allowed/Recommended: Butter and margarine, Half & • For standard liquid concentrate, add one can (390ml) Half, whipping cream, gravy, sour cream. of concentrate to 260ml of water. Avoid/Use Sparingly: Any others Breast milk BEVERAGES • Generally does not need to be fortified, but if a child Allowed/Recommended: Any are allowed. also takes formula, you could alternate breast milk feedings with 24 calorie formula for added calories. Avoid/Use Sparingly: None. Limit use of empty calorie • Be sure to completely empty breasts during pumping drinks such as soda, Kool-aid, diet drinks, Gatorade, etc. to get higher calorie hind milk.

CONDIMENTS Nutritious snacks Allowed/Recommended: Ground spices and seasonings • Fruit and cottage cheese (pureed) that your child has had previously. • Milkshakes & malts-for additional calories and pro- Avoid/Use Sparingly: Any others tein, add Instant Breakfast mix • Ice cream with topping *Twin Cities Dietetic Association - 1997 • Pudding or custard, add whipped cream for added calories **Remember that you can also utilize pureed baby foods • Higher calorie fruit juices like grape, prune, pineapple without chunks. and nectars • Eggs-cooked and blenderized Adding Calories At meal time Recipe Ideas • Use cream, sour cream or cheese sauces on cooked, Place ingredients for each recipe in blender. Cover and pureed vegetables or potatoes. blend at high speed. Add more liquid if necessary. • Add gravy and sauces to blended meat dishes and potatoes. Fruit Whip • Use liberal amounts of butter and margarine. ¾ cup cooked or canned fruit • Add brown sugar and whole milk or cream to hot ½ Tbsp fruit juice cereal. Continued on next page.

Full Liquid Diet This information is for educational purposes only. It is not intended to replace the advice of your health care providers. 2/6/14 PG 2 If you have any questions, talk with your doctor or others on your health care team. EDR010 Apricot Whip Favorite Casserole or Old Fashioned Beef Stew 1 jar strained baby apricots Blend up your favorite casserole or stew. Add enough dash of salt milk or broth to get the consistency you need. ¼ cup evaporated milk Macaroni Salad Banana Shake 1 cup macaroni and cheese 1 cup milk 1 cup milk 4 Tbsp powdered milk season to taste 1 small ripe banana 2 tsp sugar Quick Potato Soup ¼ tsp vanilla 1 cup mashed potatoes dash of nutmeg 1 cup hot milk (or cream) dash onion and garlic salt Fruit Drink Cheese Fruit Salad 1 banana (mashed) 1 cup cottage cheese 1 cup fruit juice (any kind) ½ cup canned fruit ice chips (optional) ½ cup fruit juice Pink Lassies Chocolaty/Peanuty Shake 1 cup cranberry juice ½ cup chocolate ice cream 4 Tbsp. Orange juice ¼ cup whole milk 1 cup vanilla ice cream 2 Tbsp creamy peanut butter

High Protein Milk Shake Yogurt Delight 1 cup whole milk 8 ounces of your favorite yogurt ½ cup ice cream 1 cup whole milk 1 pkg Instant Breakfast mix Yogurt Shake Peanut/Banana Shake 8 ounces of your favorite yogurt ¼ cup whole milk 1 cup whole milk ½ cup vanilla ice cream ½ cup vanilla ice cream 2 Tbsp creamy peanut butter Graham Crackers ‘n’ Milk ½ ripe banana 3 graham cracker squares Breakfast Drink ¼ cup whole milk 1 cup apple juice Creamed Meat ½ ripe banana ¼ cup infant rice cereal 1 jar junior baby meat ½ cup milk Homemade Yo-J 3 Tbsp instant potato flakes 8 ounces of your favorite yogurt seasoning to taste 1 cup orange juice These instructions and recipes are to be used as guide- Breakfast Shake lines only. If your child has special dietary needs or 1 cup whole milk allergies, adjust the recipes accordingly. If you have any 8 ounces vanilla yogurt questions about the full liquid diet, please contact the ½ cup orange juice craniofacial team at 651-325-2308, or 651-602-3277. ½ ripe banana 2 Tbsp creamy peanut butter

Full Liquid Diet This information is for educational purposes only. It is not intended to replace the advice of your health care providers. 2/6/14 PG 3 If you have any questions, talk with your doctor or others on your health care team. EDR010