|
Untitled Document
|
| |
FREQUENTLY
ASKED QUESTIONS
What
problems could make it hard for me to eat a healthy diet?
What are some good
tips for eating right? Why
should I be careful about food and water? What
illnesses caused by germs in food and water do people with HIV commonly
get? Are
these illnesses the same in people with HIV as in other people?
If I have HIV, can
I eat meat, poultry, and fish? Can
I eat eggs if I have HIV? Can
I eat raw fruits and vegetables? How
can I make my water safe ? What
should I do when shopping for food? Is
it safe for me to eat in restaurants? Should
I take special measures with food and water in other countries?
What problems could
make it hard for me to eat a healthy diet?
You might have trouble
eating if you have sores in your mouth, diarrhea, nausea or just a
poor appetite. If you have trouble eating or exercising, talk to your
doctor.
What are some good tips for eating right?
A few simple steps
can help you make sure your food is healthy and safe: Wash
your hands with soap and water before you eat so you won't get an
infection from germs on your hands.
Wash fruits and vegetables before you eat them or cook them.
Wash your hands with soap and water after you touch raw fish, chicken
or meat so you won't get an infection.
Be sure that meat, eggs and fish are well cooked before you eat them.
Here are some ways to put good nutrition into your diet: Have
high-calorie protein drinks such as milkshakes. Adding powdered milk
can increase the nutrition in other drinks.
Drink 8 to 10 glasses of filtered water each day.
Keep nutritious snacks on hand.
Eat high-calorie foods if you're losing weight.
Call your doctor if you lose 5 pounds or more when you didn't want
to.
Talk to your doctor about taking a multivitamin every day. Take your
multivitamin with a meal so your stomach won't get upset.
What can I do if I'm having trouble eating? If
you don't have an appetite--Try to eat your favorite foods. Instead
of eating 3 big meals each day, eat 6 to 8 small meals. Drink high-calorie
protein shakes with your meals or between meals.
If you have diarrhea--Don't eat fried foods and other high-fat foods
like potato chips. Don't eat high-fiber foods. Instead, eat bland
foods like bread, rice and applesauce. Ask your doctor about taking
nutritional supplements, such as Ensure.
If you have mouth sores--Avoid citrus fruits like oranges and grapefruit.
Avoid very hot or cold foods. Don't eat spicy foods. Try not to eat
hard foods like chips and pretzels. Use a straw to drink liquids.
If you have nausea and vomiting--Avoid drinking any liquid with your
meals. Eat 6 to 8 small meals each day instead of 3 large meals. Eat
foods with a mild flavor. Eat foods at a medium temperature, not hot
or cold. Drink nutritional supplements and sports drinks. Sit and
relax for 30 minutes after you eat.
Why should I be careful about food and water?
Food and water
can carry germs that cause illness. Germs in food or water may cause
serious infections in people with HIV. You can protect yourself from
many infections by preparing food and drinks properly.
What illnesses caused by germs in food and
water do people with HIV commonly get?
Germs in food and water that can make someone with HIV ill include
Salmonella, Campylobacter, Listeria and Cryptosporidium. They can
cause diarrhea, upset stomach, vomiting, stomach cramps, fever, headache,
muscle pain, bloodstream infection, meningitis, or encephalitis.
Are these
illnesses the same in people with HIV as in other people?
No. The diarrhea and nausea are often much worse and more difficult
to treat in people with HIV. These illnesses are also more likely
to cause serious problems in people with HIV, such as bloodstream
infections and meningitis. People with HIV also have a harder time
recovering fully from these illnesses.
If
I have HIV, can I eat meat, poultry, and fish?
Yes. Meat, poultry (such as chicken or turkey), and fish can make
you sick only if they are raw, undercooked, or spoiled. To avoid illness:
Cook all meat and poultry
until they are no longer pink in the middle. If you use a meat thermometer,
the temperature inside the meat or poultry should be over 165°
F. Fish should be cooked until it is flaky, not rubbery.
After handling raw meat, poultry, and fish, wash your hands well with
soap and water before you touch any other food.
Thoroughly wash cutting boards, cooking utensils, and countertops
with soap and hot water after they have had contact with raw meat,
poultry, or fish. Do not
let uncooked meat, poultry, or fish or their juices touch other food
or each other. Do not
let meat, poultry, or fish sit at room temperature for more than a
few minutes. Keep them in the refrigerator until you are ready to
cook them. Eat or drink
only pasteurized milk or dairy products.
Can
I eat eggs if I have HIV?
Yes. Eggs are
safe to eat if they are well cooked. Cook eggs until the yolk and
white are solid, not runny. Do not eat foods that may contain raw
eggs, such as hollandaise sauce, cookie dough, homemade mayonnaise,
and Caesar salad dressing. If you prepare these foods at home, use
pasteurized eggs instead of eggs in the shell. You can find pasteurized
eggs in the dairy case at your supermarket.
Can I eat raw fruits and vegetables?
Yes. Raw fruits
and vegetables are safe to eat if you wash them carefully first. Wash,
then peel fruit that you will eat raw. Eating raw alfalfa sprouts
and tomatoes can cause illness, but washing them well can reduce your
risk of illness.
How
can I make my water safe ?
Don’t
drink water straight from lakes, rivers, streams, or springs.
Because you cannot be sure if your tap water is safe, you may wish
to avoid tap water, including water or ice from a refrigerator ice-maker,
which is made with tap water. Always check with the local health department
and water utility to see if they have issued any special notices for
people with HIV about tap water.
You may also wish to boil or filter your water, or to drink bottled
water. Processed carbonated (bubbly) drinks in cans or bottles should
be safe, but drinks made at a fountain might not be because they are
made with tap water. If you choose to boil or filter your water or
to drink only bottled water, do this all the time, not just at home.
Boiling is the best way
to kill germs in your water. Heat your water at a rolling boil for
1 minute. After the boiled water cools, put it in a clean bottle or
pitcher with a lid and store it in the refrigerator. Use the water
for drinking, cooking, or making ice. Water bottles and ice trays
should be cleaned with soap and water before use. Don’t touch
the inside of them after cleaning. If you can, clean your water bottles
and ice trays yourself.
What
should I do when shopping for food?
Read food labels carefully. Be sure that all dairy products that you
purchase have been pasteurized. Do not buy any food that contains
raw or undercooked meat or eggs if it is meant to be eaten raw. Be
sure that the "sell by" date has not passed.
Put packaged meat, poultry, or fish in separate plastic bags to prevent
their juices from dripping onto other groceries or each other.
Check the package that the food comes in to make sure that it isn’t
damaged. Do not buy food
that has been displayed in unsafe or unclean conditions.Examples include
meat that is allowed to sit without refrigeration or cooked shrimp
that is displayed with raw shrimp.
After shopping, put all cold and frozen foods into your refrigerator
or freezer as soon as you can. Do not leave food sitting in the car.
Keeping cold or frozen food out of refrigeration for even a couple
of hours can give germs a chance to grow.
Is
it safe for me to eat in restaurants?
Yes. Like grocery stores, restaurants follow guidelines for cleanliness
and good hygiene set by the health department. However, you should
follow these general rules in restaurants:
Order all food well done. If meat is served pink or bloody, send it
back to the kitchen for more cooking. Fish should be flaky, not rubbery,
when you cut it. Order
fried eggs cooked on both sides. Avoid eggs that are "sunny-side
up." Scrambled eggs should be cooked until they are not runny.
Do not order foods that may contain raw eggs, such as Caesar salad
or hollandaise sauce. If you aren’t sure about the ingredients
in a dish, ask your waiter before you order.
Do not order any raw or lightly steamed fish or shellfish, such as
oysters, clams, mussels, sushi, or sashimi. All fish should be cooked
until done.
Should I take special measures with food
and water in other countries?
Yes. Not all countries have high standards of food hygiene. You need
to take special care abroad, particularly in developing countries.
Follow these rules when in other countries:
Do not eat uncooked fruits and vegetables unless you can peel them.
Avoid salads. Eat cooked
foods while they are still hot.
Boil all water before drinking it. Use only ice made from boiled water.
Drink only canned or bottled drinks or beverages made with boiled
water. Steaming-hot foods,
fruits you peel yourself, bottled and canned processed drinks, and
hot coffee or tea should be safe. Talk
with your health care provider about other advice on travel abroad.
|
|
|