Suggest diet to avoid constipation
Patient: i hav a 11 yrs old daughter who got  disabled at the time of birth due to cord rounded around her neck. her survival was not complete and now she is a special child. she is completely bed ridden and dependent on liquid or mashed diet. she is bed ridden can not hold her neck and also feels fits. she passes stool after 6-7 days. she is on medicines like revotril drops, tab topamax.kindly suggest balanced diet for her particularly to keep her fresh and avoid constipation Doctor: Hello dear!I can understand your concern as i am a mother too. It feels heartbroken to see your child in misery.I would advise you to make a diet chart based on her caloric requirement according to her current weight and considering the ideal weight at this age. Suppose at this age,she should have a weightof atleast 35 kg,which i am sureshe wontbe.so you should start with ATLEAST 60% of the required calories of this weight that is 1800 calories (60% would be around 1000 calories)i am making a sample of diet chart which you can give to her and gradually increasing calories.starting from 8 am in the morning give her whole egg in the form of a puree made with poring egg in about 5 ounces of boiled  milk and gradually stirring with a whisk.it will be like a custard.add in 2 teaspoons of sugar and a drop of vanilla essence for flavorit will provide around 220 calories.at 10 am you can give chicken stock made with about a 100 gm of chicken in water with selected spices like black pepper or paprika and salt,whichever she likes.it will provide around 150 caloriessave the meat of chicken and blend it with a cup of wheat cereal with a little stock if remaining)it will provide around 250 calories.At 12 noon you can give about a cup of rice pudding made with 4-5 ounces of boiled rice and 8-10 ounces of milk with added sugar if she likes and a cardamom to enhance the flavor.It will provide around 200-250 calories.at 2 pm you can give her mashed veggies like a mashed potato medium sized..you can also grill with butter and sprinkle some salt and then mesh it with chicken stock or milk or anything you like.It will provide around 150 calories and with added butter and stock around 250-300 calories.At 4 pm repeat the wheat and chicken stock (wheat cereal/porridge is high in fiber to avoid constipation).At 6 pm give her banana shake..2 bananas in 5-6 ounces of milk, it will provide around 200 calories.At 8 pm give her lentil soup (about a 100 grams) with selected spices. it will provide around 250 calories in almost a cup of 5-6 ounces.At 10 pm repeat rice puddingAt 12 midnight give her warm milk about 5-6 ounces with a tablespoon of olive oil. It will enhance the calories and relieve constipation.Hope it will help.You can always make variations in the diet with the choice of ingredients.Wishing your child good health :-)