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DEHYDRATION:DEHYDRATION:Diarrhea and VomitingDiarrhea and Vomiting
 
ALCANTARA, NadineALCANTARA, Nadine
CERIACO, ChedanCERIACO, Chedan
SLU BSN IV-K, Group 1SLU BSN IV-K, Group 1
 
BRAT DIET
FOR DIARRHEA
B
anana,
R
ice,
A
pplesauce,
T
oast
DIET
PROs
The BRAT diet consists of foods that are relativelybland, easy to digest, and low infiber. Low-fiber foodsare recommended because foods high in fiber may causegas, possibly worsening the gastrointestinal upset.
In 2007, Debora Duro and Christopher Duggan reportedthat bananas and rice have been shown to have a positiveeffect on the bowels with recommended caution.
In vitro
 research has found that rice may offer anti-secretorybenefits. Rice-based oral re-hydration solutions helpdecrease stool volume and stop diarrhea sooner.
 
The banana’s high content of amylase-resistant starchis broken down into short-chain fatty acids in thecolon, a process that may reduce water and electrolytelosses and benefit GI symptoms.
Duro and Duggan cite one study in which adding pectin(which is provided by the applesauce so does the toast)or bananas to the diet significantly decreased stoolweight and stopped diarrhea much sooner, compared with arice diet alone.
 
CONs
Adding rice, bananas, or pectin to the diet duringdiarrhea may be beneficial, but Duro and Duggan pointout that the BRAT diet is not nutritionally complete andmay be deficient in Calories, fat, protein, fiber,vitamin A, vitamin B12, and calcium. Duro and Dugganalso say that food restriction does not benefit diarrheaand actually causes individuals to suffer from diarrheafor longer periods of time, based on randomized clinicaltrials.
In addition to dietary restrictions, medicalprofessionals recommended that all patients, regardlessof age, intake plenty of fluids to prevent dehydration,along with oral rehydration solutions to replace thedepletedelectrolytesto avoid salt imbalance. Severe,untreated salt imbalance can result in "extremeweakness, confusion, coma, or death."
 Alternative
An alternative diet that is being researched is theCRAM diet (
C
ereal,
ice,
a
nd
 M 
ilk) since it may add morecompleteproteinand needed fat into the diet.
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