Guides and instructions for your digestive health
Clear, step-by-step resources to help you prepare for procedures and follow the diet plan your care team has recommended.
Clear, step-by-step resources to help you prepare for procedures and follow the diet plan your care team has recommended.
FODMAPs are certain carbohydrates that are poorly absorbed and can cause gas, bloating, cramping, and changes in bowel habits. This diet helps identify which foods trigger your symptoms. It works best with the guidance of a registered dietitian.
Remove high-FODMAP foods to calm symptoms. This is not meant to be permanent.
Add foods back one group at a time to find your personal triggers and tolerance levels.
Build a varied, sustainable diet that avoids only the foods that bother you.
A clean colon is essential for an accurate exam. Find the prep you were prescribed below for step-by-step instructions. If you're not sure which prep you were given, call our office.
A 238 g bottle of MiraLAX (PEG-3350) dissolved in 64 oz of Gatorade or a similar clear sports drink. We may prescribe it as a split-dose, one-day evening, or two-day prep โ use the version we chose for you.
Drink half (32 oz) โ about 8 oz every 15 minutes.
Drink the other half (32 oz) the same way. Finish at least 2 hours before arrival.
Take Dulcolax tablets first if prescribed, then drink the full 64 oz โ 8 oz every 15 minutes over about 2 hours.
Begin a low-fiber diet during the day. In the evening, drink the first half (32 oz).
Clear liquids only. In the evening, drink the second half (32 oz), or as we directed.
A low-volume prep made from three pouches, taken as two doses. This schedule is the standard template โ follow any changes we gave you.
Dose 1: empty the first pouch into 16 oz of water, stir until dissolved, and drink over 30 minutes. Then drink at least 16 oz more clear liquid.
Dose 2: empty the two remaining pouches together into 16 oz of water, drink over 30 minutes, then at least 16 oz more clear liquid. Finish 2 hours before arrival.
A tablet prep โ 24 tablets total, split into two doses of 12. Nothing to mix, but drink all the water as directed. Standard template below.
Fill the provided bottle to the line (16 oz) with water. Swallow the 12 tablets one or two at a time, finishing all 16 oz over 15โ20 minutes. Over the next hour, refill and drink two more 16-oz bottles of water.
First 12 tablets + the three 16-oz waters as above.
Second 12 tablets + the three 16-oz waters. Finish all water 2 hours before arrival.
Two 6-oz bottles, each diluted with water and followed by more water. Standard template below.
Pour one 6-oz bottle into the mixing container and add cool water to the 16-oz line. Drink all of it. Over the next hour, fill the container to the 16-oz line with water and drink it โ twice.
First bottle + the two 16-oz waters.
Second bottle + the two 16-oz waters. Finish 2 hours before arrival.
A low-volume, mild lemon-lime PEG prep โ two bottles with flavor packets. Standard template below.
Empty one flavor packet and the contents of one bottle into the mixing container, then add cool water to the fill line (16 oz) and stir. Drink all of it over 15โ20 minutes. Over the next hour, refill with water to the line and drink two more 16-oz containers.
First bottle + flavor packet + the two 16-oz waters.
Second bottle + flavor packet + the two 16-oz waters. Finish 2 hours before arrival.
A two-liter split-dose solution, plus extra clear liquid. Standard template below.
For each liter, empty one Pouch A and one Pouch B into the container and add water to the 1-liter line. Stir until dissolved and chill. You'll make two liters total.
Drink the first liter โ 8 oz every 15 minutes โ then at least 16 oz of additional clear liquid.
Drink the second liter the same way, plus 16 oz clear liquid. Finish 2 hours before arrival.
The smallest-volume option โ two 5.4-oz bottles that are ready to drink, each followed by clear liquids. Standard template below.
Drink the entire first bottle. Over the next 5 hours, drink at least five 8-oz cups of clear liquid.
Drink the entire second bottle, then at least three 8-oz cups of clear liquid. Finish 2 hours before arrival.
A gallon (4-liter) PEG-electrolyte solution. These products are used the same way. Standard template below.
Add water to the fill line of the container (about 1 gallon / 4 liters), cap, and shake until dissolved. Refrigerate โ it's easier to drink cold. A flavor packet may be added if provided.
Drink about half (2 liters) โ 8 oz every 10โ15 minutes.
Drink the remaining half (2 liters) the same way. Finish 2 hours before arrival.
EoE is an allergic condition where certain foods inflame the esophagus, causing trouble swallowing, food sticking, and chest discomfort. Removing trigger foods can control it without medication. Which foods come out โ and in what order โ is decided with your doctor, and progress is checked with follow-up endoscopy. The plans below run from the simplest (one food) to the most complete (elemental).
A "step-up" approach that removes only the two most common triggers to start. If symptoms and inflammation improve, you may not need further restriction.
Removes the six food groups responsible for most EoE. Highly effective, and each group is reintroduced one at a time to pinpoint your triggers.
All nutrition comes from a special amino-acid-based formula, with no regular food. Because it removes every possible food protein, it's the most effective diet for EoE โ but also the most demanding, so it's usually used for severe cases or for a defined period.
Not a restrictive diet but a way of eating built around whole, plant-forward foods and healthy fats. It supports gut health, reduces inflammation, and benefits the heart, liver, and metabolism.
Poultry, eggs, and dairy (especially yogurt and cheese) fit in moderate amounts. Water is the main drink.
Only liquids you can see through. Used before some procedures, during a flare, or when easing back into eating. It isn't complete nutrition, so it's meant for a short time only.
Limits fiber so there's less material moving through the bowel. Used to rest the gut during a flare, with a narrowing (stricture), or around certain procedures.
General guidance for the hours and day after an endoscopy or colonoscopy with sedation. Always follow the specific discharge instructions we gave you.
Start with clear liquids and small sips. Your throat or belly may feel mildly off for a short while.
Eat light, low-fiber foods. Avoid alcohol, and heavy, greasy, or spicy meals. Do not drive or make important decisions โ the sedation is still wearing off.
You may be asked to stay on low-fiber foods and to hold blood thinners or NSAIDs for a few days. Follow the specific instructions we gave you.
Most people return to their normal diet unless we told you otherwise.
Food choices and habits that reduce heartburn and reflux. Triggers vary from person to person, so use this as a starting point and adjust to what affects you.
When the stomach empties slowly, smaller, lower-fat, lower-fiber meals are easier to handle. Liquids often go down better than solids.
During a flare the bowel needs rest, then fiber is added back gradually. Follow our guidance on when to move between stages.
Clear liquids only for a few days while symptoms settle.
Advance to low-fiber foods โ white bread, rice, well-cooked vegetables without skins.
Gradually return to a high-fiber diet โ vegetables, fruit, whole grains, legumes โ and drink plenty of water to help prevent future attacks.
In celiac disease, gluten damages the small intestine โ so it must be avoided completely and for life, even in small amounts.
Trouble digesting lactose (the sugar in dairy) can cause gas, bloating, and diarrhea. Tolerance varies โ many people handle small amounts.
There's no single IBD diet. What works changes between a flare and remission. The goals are steady nutrition and avoiding your own personal triggers.
Broaden your diet and aim for variety. A Mediterranean-style pattern is a good target for most people when symptoms are quiet.
A lower-fat diet eases the workload on the pancreas. Small, frequent meals and avoiding alcohol are key.
The most effective treatment for fatty liver is gradual weight loss and a Mediterranean-style way of eating, with less sugar and refined carbohydrate.
Good nutrition helps protect muscle and energy when the liver is scarred. Most people need more frequent meals and enough protein โ not less.
Lowering sodium (often under about 2,000 mg a day) helps control fluid buildup and blood pressure. Most sodium comes from packaged and restaurant food, not the salt shaker.
The simplest starting point โ remove only dairy, the single most common EoE trigger. If it settles the inflammation, you may not need to remove anything else.
A middle step between two-food and six-food โ remove the four most common triggers, then reintroduce them one at a time with follow-up endoscopy.