Eating with gastritis

Gastritis( inflammation of the stomach) affects a large part of the adult population. Acute forms are more often observed with poisoning in children. Chronic - proceed with a change in the functional state of the lining cells. Therefore, the acidity of the gastric juice deviates from normal.

Compliance with a diet with a superficial gastritis with a light course allows you to dispense with the use of medication. Patients with this disease are well aware of what foods they cause an exacerbation.

It is not easy to organize proper nutrition with gastritis, especially if there are no conditions for this at work. You have to cook at home and carry a bag of food that you can eat. But compliance with the diet gives such an astonishing result that you do not need to agitate for a long time.

General requirements for a diet for gastritis patients

The doctor can correctly assign dietary food to the patient only after examination, revealing the nature of the changes in the gastric mucosa by means of fibrogastroscopy, and the determination of acidity. In addition, it is possible to combine with other diseases of the intestine, liver, pancreas, gall bladder.

The optimal number of dietary health food is selected( tables for Pevzner).Thus, with reduced acidity, it is recommended No. 2, with elevated-No.1, depending on the stage of inflammation, 1a( acute stage) and 1b( symptom fading) is released.

If gastritis is combined with a dysfunction of the liver and gallbladder, make up a combination of a list of foods and products to treat the stomach with diet number 5.The concept of "table with gastritis" includes for the medical worker the necessary requirements for the allowed products, their correct processing, the composition of the menu for the day.

Regardless of the form of the disease, a gastric gastritis diet requires:

• to provide maximum rest( shining) to the affected organ, this makes it possible to relieve abdominal pain, maintain mucosal damage in organic acids, extracts, essential oils, salt, carbon dioxide, soluble sugars;
• should not be mechanically re-irritated( therefore, dishes are cooked in a garbled form), they should not contain fibers from connective tissue( meat is cleared of tendons and fasciae, poultry from the skin, contraindicated in coarse flour, bran, millet, legumes)use carrots and beets;
• organize a fractional diet in small portions( 5-6 times a day), avoid overeating;
• to exclude the temperature effect of hot or cold food, with inflammation of the stomach the temperature of the dish should be moderately warm( optimally 37-38 degrees);
• provide a sufficient supply of energy for the life of the organism with the diet.

The compilation of a dietary allowance considers that only 3 kg of food per day is needed for an adult. In the acute stage, the volume and caloric content are reduced with a therapeutic purpose and in the future they must compensate for the energy costs of the whole organism.

It is accepted to allocate:

• up to 30% kcal for the first breakfast;
• 10-15% - on the second;
• up to 40% for lunch;
• 15-20% for dinner.

Features of food products

The diet table for gastritis takes into account the peculiarities of the composition of food and its effect on digestion. Dietitians identify products that have a weak stimulating effect on the lining of the gastric mucosa, which practically do not affect the synthesis of hydrochloric acid in gastric juice.

These include weak tea, drinking and mineral water of sulphate-magnesium composition without gas, fresh cottage cheese, dried wheat bread, sugar, boiled meat and fish, vegetable puree from potatoes, carrots, cauliflower, trout, non-vegetable vegetable soups, porridgewater.

Products that have a strong stimulating effect on the secretion of gastric juice:

• rye bread, fresh pastries;
• alcohol, including beer;
• sparkling water;
• strong coffee and tea;Salted fish,
• ;
• egg yolk;
• rich broths of meat, chicken, fish;
• any canned food;
• spicy sauces and spices( ketchup, mayonnaise, adzhika, horseradish, mustard);
• all dishes prepared by roasting, smoking, marinating.

In addition, when compiling a menu for each day, it is necessary to take into account the compatibility of different types of products, their effect on the speed of advancement along the gastrointestinal tract.

For example, it is not recommended that patients drink strong food with water or liquid soup, even after eating porridge, it is best to drink tea after an hour and a half, at the same time consuming foods enriched with protein( cottage cheese, meat, milk), carbohydrates entering into flour products( bread)potatoes because of the difficulties in digestion.

For a long time in the stomach such berries as prunes, raisins. And, if the food is cooked in a liquid or mushy form, it is easily digested. Therefore, it is better to delay the inclusion of dry berries in food for 2 months after exacerbation of gastritis.

Fats have little effect on the secretory function of the stomach, but are delayed for a long time, with difficulty split. This requires the restriction of fatty foods due to animal fats, a little vegetable oil is allowed.

It is difficult for the inflamed stomach to digest the coarse fibers of cellulose, which normally provide irreplaceable cleaning action. They are found in considerable quantities in white cabbage, peel of apples, turnip, radish, berries with dense skin( grapes, gooseberries, currants, dates), in bread with bran.

What can I include in the menu for acute gastritis?

It should be noted that acute gastritis or gastroenteritis occurs more often when poisoning, against the background of infectious diseases. In the clinical course, the significant impact of direct exposure to toxins, toxic substances and pathogenic microorganisms is significant, general intoxication, dehydration during vomiting and diarrhea is expressed.

In the first days the patient is recommended to starve. It is necessary to drink more liquid( boiled water, weakly brewed tea, broth of dogrose, mineral water without gas).An adult is recommended up to 2 liters per day, the physician calculates the volume of fluid for the body weight to the child.

From the second day in the diet it is allowed to include a jelly from non-acid berries, liquid oatmeal, mashed potatoes on water, soft-boiled egg. In the future, the expansion of the diet is based on the acidity index:

• with normal - restrictions concern only rough fried foods, smoked products, canned food, hot sauces, fatty confectionery;
• when increasing - you can not use food that greatly activates the juiciness;
• with reduced - it is acceptable to eat dishes that stimulate acidity.

The disease lasts 7-10 days, but the diet still has to be observed within a month. What you can eat with a gastritis with a decreased and increased acidity, we will discuss more specifically with a list of restrictions.

How to eat with gastric acid with low acidity?

In the treatment of an exacerbation from the first days, a general gentle diet is prescribed, as in the acute form of gastritis. Strict compliance is necessary to reduce inflammation. After reducing pain syndrome and other symptoms, it is possible to stimulate the formation of gastric juice with the help of nutrition.

Table number 2 provides for the physiological usefulness of food. The energy intensity of the diet is 2800-3000 kcal / day. The composition for fat accounts for 90-100 g( 1/4 part must be animals), for proteins the same amount( 2/3 of animal origin), the amount of carbohydrates is allowed to be increased to 420 g.

Recommended food set and dishes from it

With reduced acidity, it can be included in nutrition with stomach gastritis:

• wheat bread in dried form;
• biscuits and dry biscuits;
• soups, better cooked without fatty meat and fish on vegetable broth with additives of wiped croup, vermicelli, meatballs;
• with a good tolerance suits borsch, cabbage soup with fresh cabbage with herbs( excluding sorrel and spinach);
• boiled meat of low-fat varieties, poultry, fish, beef tongue, steam cutlets;
• milk sausages;
• eggs soft-boiled or in the form of a steam omelet;
• kefir, cream, fresh cottage cheese, hard cheeses, sour cream;
• porridge( not recommended millet, barley, pearl barley);
• from vegetables - mashed potatoes, zucchini, carrots, cabbage, beetroot;
• stubble rubbed varieties of apples, watermelon, tangerines, oranges, grapes without skin, strawberries, raspberries;
• sweets - marmalade, marshmallow, pastille, honey, jam, various jams;
• tea with milk;
• from fruit useful jelly and compotes, non-acidic juices.

What can not be eaten with gastritis with reduced acidity

Contraindicated products are those that require prolonged digestion in the stomach, irritate the mucosa, activate the pathogenic flora of the intestineand fermentation processes. These include:

• fatty fish and meat;
• fresh pastry and dough products;Salted and peppered dishes;
• spicy sauces and condiments;
• ice cream and cold drinks;
• significant amount of grapes and cabbage;
• whole milk;
• coarse dietary fiber raisins, prunes;
• beans;
• chocolate.

The duration and expansion of the therapeutic diet are determined individually. Usually a more stringent option is retained for up to a month and a half. Then join the rich soups, soaked herring, lightly fried meat( without breadcrumbs), a sandwich with caviar, up to two cups of coffee a day.

Before meals, you can drink half a glass of water with added lemon juice. During the remission period, patients are recommended to exclude from the diet only fatty and smoked meat, fish, fat, spicy seasonings. Less common are cabbage and fresh grapes.

Sample menu in the stage of exacerbation of hypoacid gastritis

The products can be varied depending on the individual tolerability and tastes of patients.

For the first breakfast - a liquid oat porridge on the water, tea with the addition of milk, dried wheat bread.

For the second breakfast - baked in the oven apple.

For lunch - low-fat broth with pieces of potatoes and meatballs, buckwheat porridge with a steam meat loaf, broth of wild rose, white crackers.

For dinner - mashed potatoes, carrots, 100 grams of cottage cheese, tea with jam.

Before going to bed - 200 g of kefir, white crackers.

How to eat properly with gastritis with normal and high acidity?

Features of the diet for increased acidity are introduced two weeks after the exacerbation. In the early days, the food does not differ from the one already mentioned for gastritis with reduced acidity. However, patients are recommended whole milk for alkalizing the contents of the stomach and protecting the mucous membrane.

If the patient does not tolerate milk or it causes a sharp swelling of the abdomen, then substitute mucous cereal soups. In the next 2 weeks, all meals are cooked only with boiled or steamed, wiped, five times the frequency of power.

Table №1 is assigned. It consists of products that limit the secretion of hydrochloric acid. Excludes prolonged digestion and gastric retention. The energy intensity of the diet is 2800-3000 kcal / day. Ingredients - fats 100 g( 1/3 part vegetable), proteins up to 100 g( 2/3 of animal origin), carbohydrates up to 420 g.

Authorized products and dishes

Only products that do not stimulate the release of hydrochloric acid in gastric juice:

• bread white wheat dried or yesterday;
• cookies are dry, biscuits without cream;
• vegetable and milk soups with cereals;
• meat, fish, poultry of low-fat varieties, boiled or stewed, steamed meatballs, meatballs;
• meat soufflé, knels;
• soft-boiled eggs, steam omelet;
• milk, cream, curdled milk, fresh cottage cheese;
• cottage cheese casserole;
• porridge - semolina, oatmeal, rice, buckwheat( millet is excluded);
• mashed potatoes, carrots, cauliflower, beets;
• sweet fruit and berries in compote, mashed with sugar, baked apples;
• sugar, honey;
• sweetened broth of rose hips, tea with milk or cream.

What can not be eaten with gastritis with normal or high acidity?

From the diet, products that stimulate the secretion of gastric juice and injure the gastric mucosa are excluded. Patients should not eat pickled and salted foods, spicy seasonings, sauces, fatty meat soup, rich soup, any fried foods, products made from sour milk( yogurt, yogurt, yogurt), strong coffee, black rye bread, plenty of salt. Alcohol-containing beverages are prohibited.

Sample menu in the stage of exacerbation of hyperacid gastritis

For the first breakfast - steam omelet from two eggs, tea with milk, biscuit.

For the second breakfast - whole milk, white dried bread.

For lunch - vegetable soup, mashed potatoes with buckwheat, fruit jelly.

For a snack - milk, a dry biscuit.

For dinner - boiled fish with garnish of carrot-beet pulp, loose tea with milk.

Before going to bed - a glass of milk.

Recipes of some dietary dishes

The following are the recipes for which it is recommended to prepare meals for patients.

Mucous soup

Mucous soups are recommended in an acute stage of a gastritis at the expressed painful syndrome. They are a good substitute for milk for people who do not tolerate this product.

To prepare one serving, you need 25 grams of oatmeal( pre-grind flakes in a coffee grinder) pour about 500 ml of water, bring to a boil, reduce the heat to a minimum and cook stirring until the volume is reduced by half and the soup thickens. The resulting mass is wiped through a sieve. For taste it is recommended to salt a little, add the wiped boiled egg yolk, cream.

Meat soufflé

Not all the housewives know what kind of dish is. Meanwhile, it is prepared easily and quickly. One serving requires 60 g of boiled meat( chicken), 50 ml of milk, one egg, a little flour, a gram of salt( a small pinch), a teaspoon of butter and vegetable oil.

Cook the boiled meat three times through a meat grinder, add salt, mix with milk and vegetable oil. From the egg, release the protein, add the yolk to the minced meat. In the last place in the mass to mix whipped protein. All put in a baking dish. Put in the oven for 10 minutes. Before serving, lubricate with butter.

Broth, seasoned with egg flakes

To flavor the usual low-fat broth suitable for filling eggs. To do this, break the egg, mix well and slowly pour into the boiling broth with stirring. In order not to form clumps of protein, you need to adapt to pour the egg mass through a colander or sieve. After that, you need to add a dish.

Patients with chronic gastritis have to adhere to dietary restrictions for a long time, possibly for a lifetime. At the same time, you need to stop smoking, give up alcohol, try to comply with the regime. It is impossible in the treatment of gastritis to rush from one method to another. Course use of medicines does not affect nutrition.