Foods and preparation
Every ingredient the book has checked against the leaflet it follows, and against the other hospital guidance it was compared with. Green foods need no special handling. Amber foods are allowed, but only prepared a particular way, or only by some hospitals and not others. Red foods are left out of every recipe.
This follows the leaflet this book uses and notes where other trusts differ. If your own dietitian or surgical team has told you something different for your situation, follow them — your team wins.
Bread, rice, pasta and cereals
Vegetables
| Food | Tier | Preparation |
|---|---|---|
| Carrot | With care | Peel it and cook it until fully soft. Dice it small or mash it. |
| Swede | With care | Peel it and boil it until soft. Mash it. |
| Turnip | With care | Peel it and boil it until soft. |
| Parsnip | With care | Peel it and remove the woody core. Cook it until soft and purée it. Hospitals differ: The leaflet this book follows does not name parsnip. St George's allows it peeled and well cooked. |
| Butternut squash | With care | Peel it fully and scoop out all the seeds and fibrous centre. Cook it until soft and blend it. |
| Courgette | With care | Peel it and scoop out the seeds. Cook it until soft. |
| Marrow | With care | Peel it and deseed it. Cook it until soft. |
| Cauliflower florets | With care | Use florets only, with no stalk. Cook until soft. Hospitals differ: Allowed, as florets cooked soft, by the leaflet this book follows and by St George's. It is on Leeds's avoid list. Stoma advice flags brassicas for wind. |
| Broccoli florets | With care | Use florets only, with no stalk. Cook until soft. Hospitals differ: Allowed, as florets cooked soft, by the leaflet this book follows and by St George's. It is on Leeds's avoid list. Stoma advice flags brassicas for wind. |
| Passata, tomato purée, sieved tomato sauce | Allowed | — |
| Onion | With care | Cook it until completely soft, then either purée it into the sauce or strain it out. Never leave it crunchy or in strands. Hospitals differ: The leaflet this book follows lists "sausages with onions" as avoid and does not list onion itself as allowed. Several trusts allow well-cooked onion. This book uses onion only cooked to melting and then puréed or strained. |
| Shallot | With care | Treat it the same way as onion. Sweat it to melting, or leave it out. |
| Leek | With care | Use the white part only, sliced very finely, and cook it to melting, or sieve it out of a soup. Leek is stringy unless it is cooked this way. Hospitals differ: Leek is not on the allowed list of the leaflet this book follows. St George's allows it well cooked. |
| Garlic | Allowed | — |
| Cucumber | With care | Peel it and deseed it. Use it sparingly. Hospitals differ: Raw salad is on the avoid list of the leaflet this book follows. Peeled and deseeded cucumber is medium at St George's. |
| Beetroot | With care | Peel it and cook it until completely soft, then purée it or sieve it. Never grate it raw. Hospitals differ: The leaflet this book follows does not name beetroot. It is treated as a peeled root vegetable cooked soft, like carrot. |
| Spinach | With care | Cook it soft and purée it. Hospitals differ: Spinach is not on the allowed list of the leaflet this book follows. St George's rates it medium, so allowed with care. |
| Raw vegetables and salad | Avoid | — |
| Sweetcorn | Avoid | — |
| Celery | Avoid | — |
| Mushrooms | Avoid | Hospitals differ: The leaflet this book follows does not name mushrooms. They are on almost every other avoid and blockage list. |
| Peas | Avoid | — |
| Peppers | Avoid | — |
| Whole or chopped tomatoes | Avoid | — |
| Cabbage, kale, sprouts, spring greens | Avoid | — |
| Beansprouts | Avoid | — |
| Spring onion | Avoid | — |
| Olives and capers | Avoid | — |
Fruit
| Food | Tier | Preparation |
|---|---|---|
| Ripe banana | Allowed | — |
| Melon | With care | Remove the skin and all the seeds. |
| Stewed apple | With care | Peel it, core it, and deseed it. Stew it until soft. |
| Tinned pears | Allowed | — |
| Tinned peaches | Allowed | — |
| Stewed plums | With care | Skin the plums and remove the stones. |
| Smooth fruit juice (no bits) | Allowed | — |
| Lemon or lime juice | Allowed | — |
| Raspberries (sieved to a smooth coulis) | With care | Blend it, then push it through a fine sieve and discard every seed. Use the smooth purée only, never the whole fruit. Hospitals differ: Berries are on the avoid list of the leaflet this book follows, because of their seeds. A sieved purée is smooth juice, which the leaflet allows. Some hospitals would still say to leave berries out. |
| Strawberries (sieved to a smooth purée) | With care | Blend it, then push it through a fine sieve and discard the seeds. Use the smooth purée only. Hospitals differ: Berries are on the avoid list of the leaflet this book follows, because of their seeds. A sieved purée is smooth juice, which the leaflet allows. Some hospitals would still say to leave berries out. |
| Ripe mango (peeled, stoned, sieved) | With care | Use it fully ripe. Peel it, cut the flesh from the stone, then blend it and push it through a sieve to remove any fibres. Hospitals differ: The leaflet this book follows does not name mango. It is treated as a peeled, deseeded, sieved fruit. |
| Blackcurrant or elderflower cordial (smooth) | Allowed | — |
| Lime juice | Allowed | — |
| Citrus segments, pith and zest | Avoid | — |
| Berries | Avoid | — |
| Dried fruit | Avoid | — |
| Pineapple | Avoid | Hospitals differ: Pineapple has a fibrous core. It is cited in stoma and US guidance rather than in UK trust leaflets. |
| Coconut, desiccated or fresh | Avoid | — |
| Fruit skins, pips and stones | Avoid | — |
| Smoothies and juice with bits | Avoid | — |
Meat and poultry
| Food | Tier | Preparation |
|---|---|---|
| Chicken (breast or thigh, skin removed) | Allowed | Remove the skin and cook it until tender. |
| Turkey | Allowed | — |
| Beef mince | Allowed | — |
| Braising beef | Allowed | Trim off the fat and gristle. Cook it until fork-tender. |
| Lamb mince | Allowed | — |
| Pork (loin, fillet) | Allowed | Trim off the fat. Leave out the crackling. |
| Bacon | Allowed | — |
| Pancetta or guanciale | Allowed | — |
| Ham | Allowed | Trim off the fat and gristle. |
| Plain pork sausages | Allowed | — |
| Tough, gristly or very fatty meat; crackling; skin | Avoid | — |
| Sausages with onion or herbs | Avoid | — |
Fish and shellfish
| Food | Tier | Preparation |
|---|---|---|
| Salmon | Allowed | Remove the skin and check for pin bones. |
| Smoked salmon | Allowed | — |
| Tinned salmon | Allowed | Remove the skin and any bones. |
| White fish (cod, haddock, pollock, hake) | Allowed | Remove the skin and check it is fully boned. |
| Smoked haddock | Allowed | — |
| Tinned tuna | Allowed | — |
| Prawns | Allowed | Peel them and check for shell fragments. |
| Fish in white breadcrumbs or batter | Allowed | — |
| Fish in wholemeal breadcrumbs | Avoid | — |
Eggs and dairy
| Food | Tier | Preparation |
|---|---|---|
| Eggs | Allowed | — |
| Whole milk | Allowed | Hospitals differ: Milk is fibre-free everywhere. Radiotherapy and LARS advice can add a separate lactose restriction. |
| Skimmed milk powder (for fortifying) | Allowed | — |
| Buttermilk | Allowed | — |
| Double or single cream | Allowed | — |
| Crème fraîche | Allowed | — |
| Mascarpone | Allowed | — |
| Cream cheese | Allowed | — |
| Hard cheese (Cheddar, Gruyère, Parmesan) | Allowed | — |
| Feta | Allowed | — |
| Sweetened condensed milk | Allowed | — |
| Ricotta | Allowed | — |
| Clotted cream | Allowed | — |
| Mozzarella | Allowed | — |
| Smooth yoghurt (no bits) | Allowed | — |
| Ice cream (plain) | Allowed | — |
| Custard | Allowed | — |
| Yoghurt with fruit pieces, nuts or seeds | Avoid | — |
Alternatives
| Food | Tier | Preparation |
|---|---|---|
| Tofu | Allowed | — |
| Quorn | Allowed | — |
| Soya or oat-free plant milk | With care | Check the label for added fibre or husk. |
Nuts and seeds
| Food | Tier | Preparation |
|---|---|---|
| Nuts, all kinds | Avoid | — |
| Seeds, all kinds (sesame, poppy, chia, linseed, pumpkin) | Avoid | — |
| Peanut butter | Avoid | Hospitals differ: It is on the avoid list of the leaflet this book follows. Smooth peanut butter is allowed by St George's, Oxford, Milton Keynes and Leeds. This book follows the leaflet and keeps peanut butter out of the recipes, and says so. |
| Chocolate and nut spreads | Avoid | — |
Pulses
| Food | Tier | Preparation |
|---|---|---|
| Beans, lentils, chickpeas, baked beans, hummus | Avoid | — |
Fats and oils
| Food | Tier | Preparation |
|---|---|---|
| Butter | Allowed | — |
| Vegetable, rapeseed or olive oil | Allowed | — |
Sugars and sweet things
| Food | Tier | Preparation |
|---|---|---|
| Seedless jam, jelly-type marmalade (no peel), lemon curd, honey, golden syrup | Allowed | — |
| White chocolate (plain) | Allowed | — |
| Sugar | Allowed | — |
| Chocolate (no fruit or nuts) | Allowed | — |
| Jelly | Allowed | — |
| Meringue | Allowed | — |
| Chocolate or cake with dried fruit or nuts | Avoid | — |
| Jam or marmalade with seeds or peel | Avoid | — |
Condiments and sauces
| Food | Tier | Preparation |
|---|---|---|
| Tomato ketchup | Allowed | — |
| Pickles, chutney, relish | Avoid | — |
| Mustard powder | Allowed | — |
| Smooth mustard | Allowed | — |
| Wholegrain mustard | Avoid | — |
| Vinegar | Allowed | — |
| Mayonnaise, salad cream | Allowed | — |
| Brown sauce, Worcestershire sauce | Allowed | — |
| Soy sauce | Allowed | — |
| Fish sauce | Allowed | — |
| Mirin | Allowed | — |
| Marmite | Allowed | — |
| Stock (chicken, beef, vegetable, dashi) | With care | Keep it clear and strained, with no vegetable pieces. |
| Gravy (smooth) | Allowed | — |
| White sauce, cheese sauce | Allowed | — |
| Creamed or clear soups | Allowed | — |
| Soups with vegetable pieces | Avoid | — |
Flavourings
| Food | Tier | Preparation |
|---|---|---|
| Ginger (infused and removed) | With care | Slice it and simmer it to flavour the liquid, then remove every piece. It is never eaten. Hospitals differ: Ginger is a spice, and the leaflet this book follows lists spices under avoid. Infusing it and removing every piece leaves flavour behind without any residue. |
| Salt | Allowed | — |
| Lemongrass (infused and removed) | With care | Bruise the stalk and simmer it to flavour the liquid, then lift it out whole. Never chop it, and never eat it. Hospitals differ: No leaflet names lemongrass. It is treated like an infused herb, which the stricter leaflets restrict when chopped. |
| Matcha (powdered green tea) | With care | Use a teaspoon or less, sifted and whisked in fully. It is tea, not a spice. Hospitals differ: No leaflet names matcha. The leaflet this book follows allows tea, and matcha is finely ground tea leaf with no residue at these amounts. |
| White wine (cooked off) | Allowed | — |
| Vanilla extract or paste | Allowed | — |
Herbs and spices
| Food | Tier | Preparation |
|---|---|---|
| Ground black or white pepper | With care | Use a small pinch, finely ground, or leave it out. Hospitals differ: The leaflet this book follows lists "herbs and spices" as avoid but "pepper" as allowed, in the same leaflet. St George's allows dried spices. This book treats a pinch of finely ground pepper as allowed, and says so. |
| Saffron (infused) | With care | Steep a pinch in hot stock until the threads soften completely into the liquid. Hospitals differ: Saffron is a spice, and the leaflet this book follows lists spices under foods to avoid. Some hospitals allow it. |
| Nutmeg, cinnamon and other ground spices | With care | Use a small grating only, or leave it out. Hospitals differ: It is on the avoid list of the leaflet this book follows. Dried spices are allowed by St George's and at Leeds stage 3. |
| Curry powder, five-spice, paprika | With care | Use small quantities, finely ground, and leave it out if your team says so. Hospitals differ: It is on the avoid list of the leaflet this book follows. Dried spices are allowed by St George's and at Leeds stage 3. |
| Herbs infused and removed (bay, sage, thyme sprig) | With care | Simmer a whole sprig or leaf, then lift it out. Nothing is chopped, and nothing is left in. Hospitals differ: Fresh herbs are on the avoid list of the leaflet this book follows and at Leeds. Infusing them and removing every piece leaves no residue. |
| Chopped fresh herbs (parsley, coriander, chives, basil) | Avoid | — |
| Chilli, fresh or flakes | Avoid | — |
| Whole spices left in the dish (cumin seed, mustard seed, cardamom pods) | Avoid | — |
Drinks
| Food | Tier | Preparation |
|---|---|---|
| Tea, coffee | Allowed | — |
| Squash, fizzy drinks | Allowed | — |
| Milkshakes, hot chocolate, malted drinks | Allowed | — |
| Milkshake syrups with real fruit or seeds | Avoid | — |
Other ingredients
| Food | Tier | Preparation |
|---|---|---|
| Gelatine (leaf or powder) | Allowed | — |