Fluid diet - clear
This document is part of the ACI Diet Specifications for Adult Inpatients. It is not to be used for patient education.
Aim
To provide clear fluids to replace or maintain the body’s water balance and leave minimum residue in the intestinal tract.
Characteristics
Only fluids or foods that liquefy at body temperature and are low in fat and residue.
Indications
Where appropriate, clinicians may consider ordering this diet for patients:
- following gastrointestinal surgery, as a first step in oral rehydration
- to reduce the amount of residue in the colon, as preparation for bowel surgery or barium enema
- severe nausea, vomiting or acute diarrhoea.
This diet is suitable to be used in combination with clear thickened fluids. While thickened fluids contain fibre in the nutrient information panel, the type of fibre is not clinically significant.
Nutritional adequacy
This diet is inadequate in all nutrients and should not be used as the sole source of nutritional support for more than 3 days, unless appropriate oral nutrition supplements are used.
Precautions
- Variety and choice are severely limited in this diet.
- If this diet is to be used in preparation for a gastrointestinal procedure, confirm local protocol.
- Commercial clear oral nutritional supplements may include whey protein as an ingredient.
Paediatrics
Suitable for use in paediatrics when combined with an age-appropriate diet.
Specific menu planning guidelines
| Allowed | Not allowed | |
|---|---|---|
| Hot main dishes | Nil | All |
| Sauces, gravies | Nil | All |
| Starchy vegetables / pasta / rice | Nil | All |
| Vegetables | Nil | All |
| Soups | Low-fat clear soup and broths <2g fat per serve | Cream soup or soup with visible food pieces |
| Sandwiches | Nil | All |
| Salads, dressings | Nil | All |
| Breads, cereals | Nil | All |
| Spreads | Nil | All |
| Hot breakfast choices | Nil | All |
| Fruit | Nil | All |
| Yoghurt | Nil | All |
| Desserts | Plain jelly, sorbet or plain ice blocks | All others |
| Milk and cheese | Nil | All |
| Beverages | Water Pulp-free apple juice Cordial, soft drink Black tea, black coffee, herbal tea | Juice containing pulp Orange, pineapple, tomato and prune juice All others |
| Biscuits | Nil | All |
| Miscellaneous | Plain boiled sweets, gums and jubes Commercial rehydration fluids and ice blocks Commercial clear fat-free, fibre-free, liquid oral nutritional supplements Commercial clear fat-free thickened fluids Sugar, salt, sweeteners | Cream, pepper All other commercial oral nutrition supplements All other commercial thickened fluids |
| Celebratory foods, special occasions | Nil | All |
References
- Daley SF, Sharma S. Therapeutic diets for the management of gastrointestinal conditions and preoperative and postoperative care (updated 9 Aug 2025). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026.
Change log
| Change date | Section updated | Change |
|---|---|---|
| August 2026 | General language | Updated to be consistent with ACI style writing guide |
| Characteristics | Updated to reduce ambiguity | |
| Indications | Added a statement around fibre in thickened fluids | |
| Specific menu planning guidelines | Soups: Added allowable fat limits Fruit: Removed juices from Beverages: Added orange, pineapple, tomato and prune juice to not allowed Desserts: Added plain ice blocks | |
| References | Updated |