Diet specificationAdult

Published: August 2026. Next review: 2031.


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

Change log

Change date Section updatedChange
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
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