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Menu planning for diarrhoea sheet
Essay frame

Plan a menu for a young woman recovering from acute diarrhoea and calculate its energy and protein.

How to lay out the answer. Follow the frame, then write it in your own words.

  1. 1 · Aim. To plan a menu for Ms. D recovering from acute diarrhoea and calculate its energy and protein.
  2. 2 · Principles.
    • ORS and fluids first; ORS after each loose stool
    • Continue feeding; soft, bland, low-fibre, low-fat food
    • Curd and buttermilk rather than milk
    • Avoid fried and spicy food, raw salads, sugary drinks; strict hygiene
  3. 3 · Nutrient prescription. IBW = 54 kg; energy 54 × 30 ≈ 1600 kcal; protein 54 g; fluid 2.5-3 L plus ORS.
  4. 4 · Foods to give and avoid. Give ORS, coconut water, rice water, kanji, curd rice, idli, khichdi, banana, boiled potato, stewed apple; avoid fried food, raw salads, whole grams, sugary drinks.
  5. 5 · Sample menu. [Table: Time | Menu | Amount, fluids at every round]
  6. 6 · Calculation. [Table: food group | amount | energy | protein] Total about 1597 kcal and 53 g protein (100% and 97%).
  7. 7 · Result. The menu gives about 1597 kcal and 53 g protein with 2.5-3 L fluid plus ORS and meets Ms. D's needs.
  8. 8 · Preparation tips. Make ORS correctly, sip slowly, boil water, wash hands, return to normal diet in 2-3 days.

Scoring tip: Write the ORS composition and the home-made recipe as a small box; it is often asked even when the question is about the menu.