Nutrition Tips for Managing Short Bowel Syndrome

By: Tricia Laglenne, MS, RD, LDN, CNSC
March 6, 2023

Short bowel syndrome (SBS), or intestinal failure, is a condition in which your body is unable to absorb enough nutrients from foods and fluids you consume. This can occur after a surgical resection or damage to your intestines. Symptoms and absorption vary by individual based on the amount and health of the remaining intestine. Symptoms of SBS can include diarrhea, dehydration, electrolyte abnormalities, and weight loss.  

The following tips are intended to maximize absorption, improve your nutritional status and reduce dependence on parenteral nutrition. 

  • Mealtime
    • Eat small, frequent meals (6-8 per day)
  • Foods
    • Eat protein at all meals: eggs, creamy peanut butter, chicken, fish, beef, tofu
    • Choose complex carbohydrates such as bread, pasta, rice, and potatoes
    • Limit raw vegetables to small amounts
    • Avoid fruits with skin or edible seeds
    • Limit raw fruits to very small portion twice a day
    • Increase your soluble fiber to thicken output with foods such as bananas, applesauce, rice, oatmeal or use of soluble fiber supplements
    • Avoid high fat foods such as fried foods if your colon is intact
    • Use caution with dairy products – lactose intolerance is common with SBS
    • Avoid concentrated sweets such as candy, desserts, and juice
    • Avoid foods artificially sweetened with sorbitol or mannitol (Splenda® is okay)
  • Fluids
    • Drink isotonic fluids (with electrolytes), ideally oral rehydration solutions (see recipes below)
    • Do not drink fluids with meals as it increases how quickly food passes through
    • Limit to 4 oz. fluid during your meal to allow your food to be best absorbed
    • Drink ½ hour before or 2 hours after eating
    • If you do not have your colon, your fluid losses will be higher
  • 其他
    • If prescribed by your doctor, take antidiarrheal medication ½ hour before meals
    • Salty foods such as pretzels or soups are usually well tolerated and help absorb fluid
    • Avoid caffeine and alcohol

See below for help in choosing more optimal foods from each food group:

 

**For homemade ORS, discard after 24 hours if not consumed

**Visit for more recipes: https://optioncarehealth.com/patients/resources/sbs-friendly-recipes

SBS Sample Menu

Please visit Restore+ to learn more about the nutrition support services offered by Option Care Health.

*This material is for informational purposes only. It does not replace the advice or counsel of a healthcare professional. Please consult with your Registered Dietitian for more detailed, individualized information.

You might also be interested in:

A man and woman laughing

CMSAtoday Issue 4, 2020: Safe Transition from Hospital to Home or Infusion Suite: More Critical Than Ever Before

A man and woman laughing

Superheroes Wear Scrubs: Interview with Option Care Health Nurses

National Nurses Week is celebrated each year beginning on May 6 and ending on May 12, Florence Nightengale’s birthday, since 1990. The nurses at Option Care Health deliver hope every day through the extraordinary care they provide our patients. We realized that what makes our nurses so special is that they’re actually superheroes in scrubs. […]

Share Post