Digestive Health Food Diary...meal for every day 2. In the side section, tick all the relevant boxes...
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Digestive Health Food Diary Use this diary to record what you eat & drink every day for 14 consecutive days Supported by www.loveyourtummy.org
Transcript of Digestive Health Food Diary...meal for every day 2. In the side section, tick all the relevant boxes...
Digestive Health Food DiaryUse this diary to record what you eat & drink every day for 14 consecutive days
Supported by www.loveyourtummy.org
Your 2-weekfood diary
To
Name
Date
Food diary instructions:
1. List everything you eat and drink at each meal for every day
2. In the side section, tick all the relevant boxes
3. Take your completed diary with you when you visit your doctor or nurse to discuss if changes can be made to your diet and lifestyle that may help improve your digestive health
www.loveyourtummy.org
Day 1 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 2 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Week 1
To
Day 3 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 4 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 5 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 6 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 7 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Notes
Day 1 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 2 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Week 2
Day 3 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 4 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 5 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 6 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Day 7 Food eaten Symptoms Severity
Breakfast
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Lunch
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Dinner
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Snacks
Bloating
Flatulence/wind
Abdominal ache/pain
Diarrhoea
Constipation
Heartburn
Indigestion/dyspepsia
None
Mild
Medium
Strong
Notes
Notes
How to use thisfood & symptom diaryA food diary is a great way of keeping a record of what you have had to eat and seeing if these foods have triggered any digestive symptoms. This can then lead to identifying ‘trigger’ foods in your diet
For each meal or snack write down:
• The food & the portion size e.g. breakfast: 2 weetabix biscuits with full fat milk and 1 teaspoon of sugar; 2 slices of brown bread with a scrape of low fat spread and jam
• Where you ate e.g. lunch eaten at work /home/shopping centre
• Any symptoms or feelings you had after the meal e.g felt bloated 1 hour after meal, constipated, diarrhoea, wanted to be sick
• Note any additional snacks you had e.g. chocolate, crisps, chips from take-away
• Remember to include food items such as gravies, sauces, dressing, ketchup, side-salads with meals
• For combination dishes e.g. stews, curries, pizza – try to record as much detail as possible about the ingredients that were used in the dish (jar of curry sauce with fried chicken, red peppers and onions)
For more information and tips on your digestive wellbeing, please visit www.loveyourtummy.org
