Physical Medicine

Center of Marin

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Bowel health

One-day food, fluid, and fiber diary

Record what you eat and drink for a day, with the fiber in each food and your fluid total.

For each day, record the time you eat or drink, the foods and serving sizes, the fiber content of the foods, and the amount and type of fluid. Use the fiber table to look up the grams of fiber in common foods.

Name: ______________________   Date: ______________

Date and timeFood and serving sizeFiber (grams)Fluid typeOunces

Totals: Fiber ________   Fluids ________    Comments: ______________________

This handout is for education and does not replace advice from your own healthcare provider.

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