Darlene,
Thank you for writing HCM. First, it is your "man" that needs to want to make changes to make himself better. You
ask questions that truly require the assistance of much nutrition education with a Registered Dietitian and your friend needs to be willing to make some serious lifestyle changes. These are some of the tips from my Academy Diet Manual for Crohns, but not for fatty liver:
Eat small meals or snacks every 3 or 4 hours. Avoid skipping meals.
When you have symptoms, or if you are taking prednisone, eat the foods in the Recommended Foods chart. These foods are lower in fiber. When diarrhea decreases, you may add small amounts of whole grain foods and higher-fiber fruits and vegetables. Try them one at a time. If you have
abdominal pain or diarrhea, then stop eating the new food. You can try it again at a later date.
Drink a lot of fluids. Aim for at least 8 cups of fluid each day. Limit caffeinated, sugary drinks and sugar substitutes
.
Eat foods that have added probiotics and prebiotics. Ask your registered dietitian for good choices. Check with your doctor before starting probiotic supplements.
Take a chewable multivitamin with minerals. You may need more of some
vitamins and minerals than you do when you are healthy. Ask your registered dietitian about taking supplements
Take a chewable
calcium supplement include a variety of low fiber foods in your diet. If you are taking reflux medications (like Zyrtec), take
calcium citrate.
If you are taking methotrexate or
sulfasalazine, take an additional supplement of 1 milligram of folic acid daily, except on the day methotrexate is given.
Foods to Avoid - mostly high fiber, high fat
Dairy Avoid higher fiber or higher fat foods that may not be tolerated as well. Fruited yogurt or yogurt with granola or mix-ins
Whole milk
Half-and-half, cream, sour cream
Ice cream (unless it is low fat or nonfat)
Proteins Fried eggs and meats, including sausage and bacon
Lunch meats, such as bologna or salami
Hot dogs
Tough or chewy cuts of meat (grilled steak or pork chops)
All dried beans, peas, and nuts
Chunky nut butters
Grains Whole wheat or whole grain breads, rolls, crackers, or pasta
Brown rice and wild rice; quinoa
Cereals made from whole grain; oatmeal or fiber cereals
Any grain foods made with seeds or nuts; popcorn
Vegetables The vegetables listed here are gas forming and/or have a high amount of fiber.
Beets
Broccoli
Brussels sprouts
Cabbage and sauerkraut
Cauliflower
Corn
Greens (mustard, turnip, collards)
Green peas
Lima beans
Mushrooms
Okra
Onions
Parsnips
Peppers
Potato skins
Spinach
Winter squash
Fruits All raw fruits except peeled apple, ripe bananas, and melon
Canned berries, canned cherries
Dried fruits, including raisins
Prune juice
Beverages Drinks with caffeine, such as coffee, tea, cola, some sport drinks
Alcoholic drinks
Avoid sweet fruit juices and soft drinks or other beverages made with sugar or corn syrup if they make diarrhea worse.
Other Sugar alcohols (sorbitol, mannitol, xylitol) cause diarrhea in some people. These ingredients are often found in sugarless gums and candies, as well as some medications.
With Crohns or colitis, fiber is usually restricted to 13 grams or less, so peel all fruits, use low fiber foods like white bread instead of wheat
Foods to Include:
Foods Recommended
Food Group Foods Recommended
lactose-free milk
Buttermilk and kefir
Yogurt, lactose-free yogurt, or soy yogurt without nuts, fruit, or granola or chocolate mix-ins; Greek yogurt usually lower in lactose
Mild cheese
Cottage cheese or lactose-free cottage cheese or take lactaid
Soy milk, rice milk, or almond milk (these are lactose free)
Sherbet
Tender, well-cooked beef, pork, poultry, or fish
Eggs, cooked until yolk is solid
Smooth nut butters (such as peanut, soy, almond, or sunflower)(may be too high in fat)
Tofu
Note: Choose grain foods with less than 2 grams (g) of
dietary fiber per serving.
Refined white flour products—for example, enriched white bread without seeds; pancakes/waffles; and crackers made with refined white flour
Cream of wheat
Grits (fine ground)
White bread, pasta, and rice
Cold and hot cereals made from white or refined flour
Vegetables Canned and well-cooked vegetables without seeds, skins, or hulls
Mashed potatoes
Vegetable juice
Fruits Canned, soft, and well-cooked fruits without skins, seeds, or membranes
Fruit juice without pulp
Fats and Oils Note: Limit fats to less than 8 teaspoons a day. When possible, choose healthy oils and fats, such as canola and olive oils.
Butter
Oils
Cream
Cream cheese
Margarine
Mayonnaise
Other Broth and strained soups made from allowed foods
Desserts (small portions) without whole grains, seeds, nuts, raisins, or coconut
Foods Not Recommended
Food Group Foods Not Recommended
Milk and Milk Products Milk and foods made with milk, if you are lactose intolerant
Yogurt with added fruit, nuts, or granola or chocolate mix-ins
Meat and Other Protein Sources Tough meat, meat with gristle, or fatty meats
Fried meat, poultry, or fish
Luncheon meats such as bologna and salami
Sausage, bacon, or hot dogs
Dried beans, peas, or lentils
Sushi
Nuts
Chunky nut butters
Grains Whole wheat bread
Brown rice, quinoa, kasha, barley
Whole wheat pasta
Whole grain and high-fiber cereals, including oatmeal or whole oats
Popcorn
Vegetables Raw or undercooked vegetables
Alfalfa or bean sprouts
Cooked greens or spinach
High-fiber vegetables such as peas and corn
Gas-forming vegetables, including:
Beets
Broccoli
Brussels sprouts
Cabbage and sauerkraut
Lima beans
Mushrooms
Okra
Onions
Parsnips
Peppers
Potato skins
Fruits Raw fruit
Berries
Dried fruit
Fruit juice with pulp
Prune juice
Fruit skin
With the fatty liver, avoid all fatty foods, quit any alcohol (same for Crohns),
use low fat cooking, cut fat off meats, let fat rise to top of gravies..
This gives you quite a bit to think about. I highly recommend a good lifestyle counselor that is also a Registered Dietitian to make this less overwhelming to him.
You are a kind angel..Kathy Shattler, MS, RDN