Nutrition for heartburn

It has long been known that food is capable of provoking a disease, and curing it. The pathology of the digestive system is most often associated with a violation of proper nutrition. A timely transition to dietary meals with mild disease can prevent further development, protect damaged organs and restore their function without medication.

Diet for heartburn helps to get rid of this painful symptom. In order to know what foods to make your diet from, the patient needs to undergo a complete examination, find out the diagnosis, establish the cause of the painful manifestation.

What pathology is hidden behind the heartburn?

Heartburn is a subjective feeling, each person describes it differently( "bakes in the throat", "burns behind the sternum").It is caused by a reverse casting of the contents of the stomach into the esophagus. Usually accompanied by eructations and pain. In the lower part of the esophagus is the sphincter. Its task is to pass the food lump only into the stomach, then tightly seal the passage.

The process is regulated by the nerve endings of the vagus and sympathetic nerve, brain, hormonal action. It is the increased level of progesterone that explains the temporary heartburn in a pregnant woman. Violation of the closure of the sphincter leads to the ingestion of gastric juice acid on the mucosa of the esophagus.

This is possible with a functional disruption of regulation( a single overeating of heavy food, stress, doing physically hard work).In such conditions, the person observes the inconstancy of the symptom( "there was once a heartburn and itself went away").However, the food at the time of heartburn has its own characteristics. Significantly worse, if over time "burning in the esophagus" becomes a regular sign of the disease.

The most common heartburn is observed:

• in diseases of the esophagus( esophagitis, achalasia, cicatricial narrowing, Barrett's esophagus);
• of the pathology of the stomach( gastritis, peptic ulcer, tumor);
• diseases of the intestines and bile ducts;
• systemic pathology of connective tissue( lupus erythematosus, scleroderma, amyloidosis);
• hernia of the esophageal opening of the diaphragm;
• alcoholism;
• abdominal obesity.

A strong and persistent symptom of heartburn is with gastroesophageal reflux disease. In addition to the disturbed closure of the sphincter, the rise of the intra-abdominal pressure( with constipation, lifting of gravity) has to do with the appearance of the reverse ejection of acid. We gave detailed explanations to make it clear that the occurrence of heartburn does not necessarily correspond to a high level of acidity.

Principles of nutrition for heartburn caused by functional disruptions

We offer rules for diet and nutrition, observing which you can avoid unpleasant manifestations to people without pathology of digestive organs. Eat regularly, avoiding large breaks, the emergence of a feeling of hunger. Those who are trying to lose weight on a starvation diet, remember that the stomach accumulates acid, which sooner or later lead to negative consequences.

Medical starvation is carried out only in specialized clinics under the supervision of medical research. Abandon the abundance of fatty and fried meat food, spicy condiments and sauces, cream cakes and sweets especially in the evening. These dishes form "deposits" in the stomach, where they stay instead of normal six hours for 10-12.

To exclude from the menu dishes and products that increase gas generation( fresh bread, cabbage, mushrooms, beans and peas, grapes).Have dinner no later than 4 hours before bedtime. It is advisable to take a walk after dinner. The process of walking is a physiological stimulator of the stomach and intestines. Do not stay up after dinner. Avoid lifting weights, working with the torso bend.

Teach yourself to sleep on a high cushion to make it difficult to flow into the esophagus at night. Refuse smoking, nicotine has a significant effect on the nervous regulation of the sphincter. Try to lose weight with a balanced load and rational restrictions in nutrition. Mineral water before meals take for 20-30 minutes, the composition should be close to alkaline.

. What if there is heartburn caused by illness?

Nutrition for heartburn caused by organic changes in the stomach and esophagus, is built taking into account the acute or chronic stage of the disease, the level of acidity. With inflammation of the esophagus and stomach, the same menu is selected. On the Pevzner scale it is the table number 1 with options. The maximum restrictions in the diet for heartburn are necessary in the erosive-ulcerative process.

Rules of the table №1

The main task of the dietary variant is to provide maximum shaking of the mucous membrane of the esophagus and stomach, help in restoring the normal regulation of the secretion of hydrochloric acid and the work of the cardiac sphincter. General requirements include:

• creating maximum rest for inflamed tissues;
• exclusion of mechanical causes of irritation( dishes are cooked, washed, fried food is forbidden);
• protection against chemical and thermal irritants, it is impossible to eat spicy dishes, smoked foods, pickles, sauces, observe the food temperature during the feeding process within 38 degrees( prohibit too hot and cold dishes);
• elimination of a long delay in food overeating;
• increase the frequency of feeding up to 5-6 times with reduced portions.

Special requirements for heartburn-related diets:

• excludes foods with sokochnymi properties;
• limited amount of salt to 10 g / day;
• observance of sufficient caloric content, necessary quantity of nutrients, vitamins, microelements.

What products are prohibited in the menu of table number 1?

In accordance with the fulfillment of the requirements for restrictions, table No. 1 recommends that

• be waived from bread and rye bread;
• broths and soups of fatty meat or fish;
• dishes from cabbage, mushrooms, tomatoes;
• fried and smoked fish, meat, fat;
• sausages;
• of raw vegetables;
• greens, onions and garlic;
• spicy seasonings, sauces, ketchup, marinades;
• any canned food, including juices;
• carbonated and soft drinks;
• fruit( especially citrus fruit);
• chocolate;
• ice cream;
• coffee and alcohol.

What can be eaten in case of heartburn according to table number 1?

The basis of nutrition - liquid porridge, cooked on water or diluted with milk. Meat and fish are allowed only in a twisted form, products made of minced meat, wiped, boiled or steam( soufflé, steam cutlets, meatballs, meatballs).Vegetables must be cooked and ground. Prepare vegetable soups with mashed carrots and potatoes.

Bread is allowed exclusively wheat, without seeds and bran, yesterday or dried. Milk - is considered one of the main suppliers of protein and fat in the diet. If patients do not tolerate whole milk, then it is advised to take it a little, warmed up or in addition to tea. Of all fats, only butter( in a plate) and refined vegetable oils( sunflower, olive) are used.

When are tables # 1a and # 1b used?

The variants differ in the degree of limitations, they are applied sequentially to the stage of exacerbation with gastritis, peptic ulcer. The table 1a is assigned for a week, it goes on for the next 10 days in 1b, then the general table 1.

The table shows the difference in nutrient composition

1a	1b
Food volume /	2.5 kg	3 kg
Proteins	80 g	100 g
Fats	100 g	110 g
Carbohydrates	200 g	400 g
Caloric value	2000-2200 kcal	3000 kcal

Table 1a provides maximum shaking, butnot suitable for long-term use, since it contains few energy materials. The food is dominated by liquid porridge( buckwheat and millet are excluded), dairy and vegetarian soups, steamed meat soufflé.It is allowed to use one soft-boiled egg or in a scrambled omelet, freshly ground cottage cheese. For drinking recommended broth of dogrose, oat jelly.

Table 1b allows the addition of vegetable or meat puree, steam cutlets, meatballs, semi-liquid porridges in milk( oat, buckwheat, rice) with the addition of a teaspoon of honey or sugar, milk is given up to four times a day, it is allowed to eat 3 boiled eggs. Restrictions on pasta continue.

Transfer to the general table 1 is accompanied by thicker food, milk porridges, casseroles of cottage cheese and meat, loose pasta( thin noodles, vermicelli) is allowed. Vegetable puree is prepared from vegetables, including a small amount of fiber( potatoes, carrots, beets, cauliflower, pumpkin).They pre-cook with a tolstalker before pressure.

It is possible to consume sweet fruit, jelly and compote of non-acidic berries, kefir. Herbal teas with chamomile and rosehip are allowed. Pay attention to the composition of herbs. For example, peppermint and calendula are able to increase acidity, therefore, increase heartburn.

Some forms of diseases( catarrhal, superficial inflammation) do not need strict limitations of table 1a and the patient is immediately recommended 1b or table 1. How long the patient will have to adhere to diet number 1 is decided by the doctor on the basis of clinical signs of recovery.

What to eat when pregnant with heartburn?

The hormonal balance after birth is gradually restored, the prerequisites for throwing acidic contents into the esophagus and manifestation of heartburn disappear. But before the birth of a child, the future mother should better adhere to dietary requirements, so as not to damage the stomach. You should organize more frequent meals than usual( 4-5 times a day), use snacks, and there are reduced portions.

In the third trimester, six-fold feeding is necessary. It is better to eat chopped food, cooked. Exclude fried foods, fatty meat and fish products, pastries, sweets. Do not drink water with water. In order not to overfill the stomach it is recommended to drink 30-40 minutes before meals or an hour after. Carbonated water is forbidden. Mineral alkaline water can be drunk without gas. Kiseli from non-acid berries is shown.

Herbal teas from chamomile, ginger, fennel will help to remove heartburn. Milk porridge, soups are the safest in nutrition. Do not get carried away by yogurt. Curd you need to eat only fresh, non-acidic. Not recommended sauerkraut, tomatoes, salted vegetables, sour apples.

We recommend a menu for a week for patients with heartburn, but without exacerbation of diseases of the esophageal-gastric zone.

Day 1

• Breakfast - semi-liquid milk porridge, 100 g low-fat fresh cottage cheese, green tea with honey.
• The second breakfast is sweet yoghurt.
• Lunch - vegetarian soup, dressed with buckwheat, meat cutlets, steamed, fruit compote.
• Snack - sweetened broth of dog rose, white crackers.
• Dinner - puree from stewed carrots, steam meatballs from fish, green tea.

Day 2

• Breakfast - rice porridge with pumpkin, tea with milk and breadcrumbs.
• The second breakfast is a banana.
• Lunch - soup from low-fat fish, meat knots( steam) with garnish from vegetable stew, compote.
• Snack - a stewed apple.
• Dinner - curd casserole, green tea with biscuits.

Day 3

• Breakfast - buckwheat porridge with milk, green tea with breadcrumbs and a spoon of honey.
• The second breakfast is a black sweetened tea with a sandwich( dried white bread, a little butter and a slice of uneven cheese).
• Lunch - vegetable soup with white toast, chicken with vermicelli, jelly with berries.
• Snack - apple-carrot souffle.
• Dinner - mashed potatoes with baked fish, chamomile tea with honey.

Day 4

• Breakfast - rice milk porridge, green tea with dry biscuits.
• The second breakfast is a stewed pumpkin.
• Lunch - chicken soup with noodles, boiled chicken with buckwheat, jelly.
• Snack - yogurt.
• Dinner - steamed meatballs with mashed potatoes, broth of wild rose.

Day 5

• Breakfast - steam omelet from two eggs, tea with milk and dried croutons.
• The second breakfast is a banana.
• Lunch - soup with meatballs, vegetable stew, mousse of apples.
• Snack - tea with chamomile and honey.
• Dinner - fish steamed chops, boiled potatoes, yoghurt.

Day 6

• Breakfast - fresh cottage cheese with a spoon of sour cream, green sweetened tea with a sandwich of mild cheese.
• The second breakfast is boiled soft-boiled egg, tea with white dried bread.
• Lunch - grated cereal soup on vegetable broth, chicken boiled meat with stewed vegetables, fruit jelly.
• Snack - baked apple.
• Dinner - steamed meat patties with mashed potatoes, yoghurt.

Day 7

• Breakfast - oatmeal porridge with dried fruit, broth of wild rose with dry biscuits;
• The second breakfast is a cottage cheese casserole, tea.
• Lunch - fish soup, stew with vermicelli, fruit jelly.
• Snack - tea with fennel, white crackers.
• Dinner - stewed fish with carrots and potatoes, one egg, green tea with biscuits.

It is not difficult to compose a useful diet from products. It is important to prepare them correctly. A person should not be hungry when dieting.