In diarrhea management for palliative care, which category of foods should be omitted?

• A. Milk and ice cream
• B. BRAT foods (refined grains, applesauce, bananas, rice, peanut butter)
• C. Potatoes and carrots
• D. High potassium foods

Answer: (A)

Lactose-containing dairy products should be avoided because they can worsen diarrhea. Milk and ice cream bring lactose into the gut, and many adults have reduced lactase activity or experience lactose intolerance during illness. Undigested lactose draws water into the intestine and is fermented by gut bacteria, which increases stool volume, cramping, and urgency. By omitting these dairy items, you reduce the osmotic load on the gut and often improve comfort and stool consistency in palliative care. If dairy is wanted, choose lactose-free options or non-dairy substitutes, and consider yogurt with live cultures, which may be better tolerated for some. Maintaining hydration and electrolyte balance remains essential.