How to start a low residue diet to improve gut health

June 2024 · 6 minute read
2021-07-16T16:25:19Z This article was medically reviewed by Samantha Cassetty, MS, RD, a nutrition and wellness expert with a private practice based in New York City. Medically Reviewed Reviewed By Check Mark Icon A check mark. It indicates that the relevant content has been reviewed and verified by an expert Our stories are reviewed by medical professionals to ensure you get the most accurate and useful information about your health and wellness. For more information, visit our medical review board.

The low residue diet is not meant to help you lose weight. Instead, it's supposed to help heal your gut. 

The word "residue" here refers to the undigested food that makes up the bulk of stool. Therefore, the goal of a low-residue diet is to reduce the size and frequency of your bowel movements.

Doctors often prescribe a low residue diet for people with digestive problems like inflammatory bowel disease (IBD), Crohn's disease, and colitis. But recent research calls into question whether this approach actually helps.

Here's what you need to know about low residue diets.

What to eat on the low residue diet

Low residue foods are usually thoroughly cooked so that they break down easily in your body. Here is a list of do's and don'ts for the low residue diet according to the University of Michigan's Bowel Control Program.

Foods allowed:

And depending on your specific needs you may also be able to eat:

Foods not allowed:

Quick tip: Don't see food here you're wondering about? For a more comprehensive list, visit the University of Michigan Health System's guide.

Low residue vs. low fiber

On a low residue diet, you're recommended to eat no more than 10 to 15 grams of fiber per day. For comparison, health recommendations call for 25 to 38 grams of fiber each day.

Because of the low fiber intake, people often use a low residue diet and a low-fiber diet interchangeably. But they're not synonymous. 

Low-fiber diets focus only on cutting out high fiber foods. Whereas low residue diets aim to reduce fiber and also cut down on anything that can increase your bowel movements, which, for some people, can include low-fiber foods like meat and dairy.

Regardless, both low residue and low fiber diets are meant to put the least amount of strain possible on your digestive tract.

The foods you eat on either diet, like white rice, cooked vegetables, and fish, should move slowly through your digestive tract. And this slower movement usually means less waste, fewer bowel movements, and reduced cramping, bloating, and gas

The low residue diet can help with bowel disease

The low residue diet is a short-term plan to give your digestive system a break from breaking down hard-to-digest foods.

"It is not recommended to be lifelong in most cases," says Lori Welstead, a dietician who works in gastroenterology at the University of Chicago Medical Center. 

The Mayo Clinic recommends following the low fiber diet only as long as you are having symptoms like diarrhea. Once your symptoms have improved, you can start slowly reintroducing fiber into your diet.

However, research is divided on whether a low fiber diet is truly helpful for all types of inflammatory conditions. 

For example, a 2016 study found that among patients in remission, avoiding fiber was linked to an increased risk of flare-ups for people with Crohn's disease.

In addition, a 2014 review of 23 studies found that overall, there is no evidence to support restricting fiber when treating IBD.

And other studies have found similar results, suggesting that diets that cut out specific foods like gluten or legumes worked better for IBD than a low-fiber diet.

The low-residue diet and GI procedure prep

If you've ever had a colonoscopy and dreaded the preparation, the low-residue diet might help abate some discomfort. Traditionally, patients who are going in for a GI procedure are told that they must stick to a clear liquid diet the day before. 

But a number of studies have shown that a low-residue diet may be just as effective at colon preparation while vastly improving patient satisfaction. If you're going in for a GI procedure, ask your doctor if you can swap water and broth for more filling, low-residue options.

A daily meal plan on the low residue diet 

Breakfast:

Lunch:

Snacks:

Dinner:

Low-fiber diets aren't meant to last

The low residue diet is not the only diet out there that can help with gastrointestinal symptoms. The following other diets can be used to help control diarrhea in the short term, but none of them are long-term solutions. 

Insider's takeaway 

Welstead warns that sticking to a restrictive diet like the low residue diet can cause deficiencies in vitamin or protein levels. "For most patients, they are able to transition to a normal diet over time," Welstead adds.

That's why you should speak with a registered dietitian before starting any of these diets, including the low residue diet.

spanMadeline Kennedy is a health writer for Insider covering a wide range of topics including reproductive and sexual health, mental health, nutrition, and infectious disease. Before joining Insider, Madeline worked as a health news writer for Reuters, and a domestic violence therapist. She has a master's degree in social work from UPenn and is interested in the intersection of health and social justice. /span Madeline Kennedy is a health writer for Insider covering a wide range of topics including reproductive and sexual health, mental health, nutrition, and infectious disease. Before joining Insider, Madeline worked as a health news writer for Reuters, and a domestic violence therapist. She has a master's degree in social work from UPenn and is interested in the intersection of health and social justice. Read more Read less

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