Diet with gastric ulcer and gastritis

With the pathology of the digestive system, a doctor will necessarily appoint a diet that will provide the bodies with functional rest. By the term diet is meant a diet in which it is necessary to adhere to a certain daily rate of calories and observe the proportion of carbohydrates, protein, fat, and also ways of cooking food and time between meals.

Diet with gastritis and stomach ulcer allows you to fill the need for essential substances, and it is adapted to the disturbed metabolic conditions. Special technological processing of products provides a reduction in the load on the gastrointestinal tract (hereinafter - the gastrointestinal tract), pancreas, liver.

Also, the diet can stimulate the secretion and motility of the digestive organs and act as an activator of enzyme processes, which is necessary, for example, with hypoacid gastritis. With inflammation in the digestive tract, the diet is a key aspect of therapy.

No medication is able to cope with the disease if the mucosa continues to be irritated. Compliance with the diet will relieve inflammation and accelerate regeneration, and also avoids the spread of the pathological process into the stomach tissue (deeper than the muscular plate) and, accordingly, an ulcer does not form.

What diet promotes recovery?

The diet prescribed by the doctor for gastritis and gastric ulcer can have 4 options, which is due to the stage of pathology. Some patients need to consistently prescribe diets that will be determined by the course of the process and the concomitant pathology.

Diet No1A

During an exacerbation of an ulcer, acute or chronic gastritis (with any concentration of hydrochloric acid), a therapeutic diet No1A is recommended. The patient should eat so in the first days of therapy, but not more than two weeks.

The purpose of the diet is to reduce the reflex response of the stomach, reduce interoceptive irritations that go from the affected organ, and accelerate the recovery of the mucous tissue, removing the load as much as possible from the stomach. Diet No1A involves the exclusion of components that act as pathogens for the secretion of hydrochloric acid and trypsin, as well as compounds that irritate the stomach tissue.

Caloric content decreases due to reduced consumption of carbohydrates and is close to 2000 kcal / day. A patient per day should consume: 80 g of protein, 100 g of fat, 200 g of carbohydrates, up to 8 g of salt. There should also be a daily dose of vitamins and elements:

• retinol or carotene (2 mg);
• thiamine (4 mg);
• nicotinic acid (30 mg);
• riboflavin (4 mg);
• ascorbic acid (100 mg);
• calcium (0.8 g);
• phosphorus (2 g);
• magnesium (0.5 g);
• iron (15 mg).

It is important to protect the mucous tissue of the body and the temperature stimulus, so the food should be consumed not hotter than 55 ° C and not very cold from 15 ° C

To avoid mechanical effects on the irritated stomach tissue dishes are served liquid. With relapse of gastritis and ulcers, it is undesirable to eat:

• rich broths;
• vegetables;
• beans;
• pasta;
• berries and fruits;
• Nondetic (duck, goose) and smoked meat;
• bread and flour products;
• fermented milk products, cheese;
• pepper, onion, garlic, horseradish, mustard, sauces.

The patient should eat overcooked porridge from buckwheat, oatmeal, rice (it is possible on milk), mucous soups based on oatmeal, rice, semolina or pearl barley, lean meat (turkey, beef, chicken), soft-boiled eggs, sweet baked or ground fruits.

Patients with bleeding from an ulcer clinician Meylengraht advises to prescribe a full-fledged diet. He suggested, at the manifestation of pathology (on the 1st day) to limit the calorie to 2000 kcal, and from the 2nd day to consume up to 3000 kcal. It is recommended that the patient give alkaline drink, a significant amount of iron (up to 5 g / day) and anti-spasm drugs.

Diet No1B

At the subsequent stages of therapy of exacerbated peptic ulcer or gastritis, diet No1B is shown. It is prescribed to persons who are shown and continue to bed rest. It can be observed no longer than 1.5 weeks. Daily calorie is approximately 2500 kcal.

The following ratio should be observed: 100 g of proteins, 100 g of fat, 300 g of carbohydrates, up to 10 g of salt. The norm of vitamins is like 1A. Food is all semi-liquid. It is allowed to drink and cook on milk. Steam steaks and meatballs are made.

Diet No1

After the symptoms of acute gastritis or peptic ulcer subside, as well as during the absence of manifestations of the disease for 3-5 months or until the disappearance of clinical manifestations, diet No1 is prescribed. The purpose of the diet is not to allow relapse. The energy value of the total amount of products is 3200 kcal. The diet should be limited to:

• 100 g of protein;
• 100 g of fat;
• 400-450 g of carbohydrates;
• 10-12 grams of salt.

Young people (adolescents) in the treatment of gastric ulcers and gastritis increase the protein norm by a quarter and fat by a third, therefore, the energy value increases to 3,500 kcal.

For the day the patient should drink at least 1.5 liters of fluid

The daily norm of vitamins and microelements is as follows:

• 100 mg of vitamin C;
• 20 mg of vitamin A;
• 30 mg of vitamin PP;
• 4 mg thiamine (B1);
• 4 mg riboflavin (B2);
• 0,8 g of calcium;
• 0.5 g of magnesium;
• 1.6 g of phosphorus;
• 15 mg iron.

Food is prepared liquid or mushy. The use of vegetable fiber is limited. Diet No1 allows for presence in the diet:

• soups (soups-mashed potatoes, milk soup);
• vegetables (potatoes, carrots, eggplants, beetroots, cauliflower and broccoli, Jerusalem artichoke, dill, an old pumpkin and zucchini, some green peas and tomato);
• cereals (oatmeal, buckwheat, semolina, rice). Cook the mug on water or milk, the croup should be completely boiled. You can also eat souffle, puddings for a couple;
• eggs, you can up to three pieces;
• dietary meat (veal, beef, lamb, chicken, turkey);
• Dairy products (cream, sour cream, milk, curdled milk, kefir, cottage cheese, yoghurt with low fat content);
• fruit with berries (sweet pears, apples, quince, bananas, strawberries, strawberries, black currants, slightly raspberries, figs);
• sweets (honey, pastille, marshmallow, sweet jam, jelly, jelly, fruit purees);
• flour products (biscuit, biscuit biscuits, patties baked with fillings, yesterday's bread);
• drinks (tea and coffee, cocoa, compote, freshly squeezed sweet juice, rose hips).

It is important to remember that you can not eat with gastritis and peptic ulcer

It is forbidden to use:

• strong broths;
• salted fish;
• fatty sorts of meat, smoked products, canned food;
• white cabbage, cucumbers, turnips, rutabaga, sorrel, onion, parsley, celery;
• pickled, pickled and salted vegetables;
• pearl barley, millet, corn and barley;
• fresh bread, puff pastry;
• spicy and salty cheese;
• beans;
• berries and fruit with sour, ice cream, chocolate;
• kvass, black coffee, drinks with gas;
• mustard, pepper, horseradish, tomato paste.

Table No2

With chronic hypoacid gastritis diet should be close to the diet No2. It helps to restore the secretion and motor activity of the digestive tract, regulates the production of gastric juice and reduces fermentation. Diet involves limiting the use of coarse fiber, raw milk, spices.

The patient should consume up to 3000 calories per day. Approximate ratio: 100 g of proteins, 100 g of fat, 400 g of carbohydrates, 12-15 g of salt. There are no recommendations on food temperature, it is even allowed to eat roasted, provided that a rough crust is not formed.

You need to eat food crushed or thoroughly chew it

Nutrition for gastritis and ulcer of the stomach is selected by the attending physician, taking into account complications of pathology, concomitant diseases, individual preferences of the patient. Compliance with the requirements of dietary therapy will facilitate the fastest recovery of the mucosa.

Dietotherapy for children

Diet in case of an ulcer and exacerbated gastritis to a child should be prescribed by a doctor, because the disease is faster, and the lack of nutrients can affect mental and physical development. For children, food is chosen, which involves up to eight meals, a reduction in the total amount of food, and stipulates the intervals between meals.

In acute gastritis at first it is recommended to refrain from snacks 6-12 hours. After stopping vomiting (if it was) give compotes, rice broth. A day after the manifestation of the disease, you can eat vegetable puree, soup, broth, crackers, liquid porridge. After 3-4 days, you can add meat to the menu, and then boiled meat and fish, cottage cheese, butter.

On the 5th-7th day the child can be transferred to a diet that corresponds to his age, but it should not irritate the stomach tissue. After 14-21 days the patient can switch to normal food. For children with chronic gastritis, when symptoms appear, the No1B diet is recommended for 3-7 days. To eat a patient you need a day from 6 to 8 times.

Remove from the menu spicy, salty dishes. After 3-4 weeks, the child can be transferred to the diet table No1 and meals every 4 hours. To adhere to a diet is desirable until there comes a confident remission. With chronic gastritis with low acidity, food is moderately sparing. To increase the secretory activity of the stomach, you can eat a little fried (without the peel) fish or meat, soups from fish and vegetables, tea, coffee.

Remove from the diet ingredients that are long digested and have a negative effect on the mucosa of the body, (for example, vegetable fiber). With an acute ulcer for a week prescribed diet, which minimizes the chemical, thermal, mechanical effects on the gastrointestinal tract and facilitates rapid evacuation of the contents.

The consumption of carbohydrates and proteins is slightly less than the age of the patient. The child is given food in a semi-liquid form, not salty. The menu can contain milk, cream, butter, jelly, kissels, liquid cereals and cereal soups, cottage cheese. In the acute phase, it is contraindicated in bread, vegetables can only be given to be rubbed.

With gastric ulcers and gastritis, immediately after an exacerbation, 6-8 meals are organized

After 7 days after the manifestation, the diet No1B is prescribed, diet should be adhered to for 2-3 weeks. Kasha a child should eat at least 2 times a day, sweet juices, jam, crackers are useful. After that, the patient eats on the recommendations of the No1 diet for 3-4 months. From the diet, turnip, radish, cabbage, spinach, sorrel is removed.

Most gastrointestinal diseases develop against a background of malnutrition. If after treatment of gastritis or ulcers return to the usual way of life, then the disease will necessarily remind itself of itself with renewed vigor. After relief of symptoms, one should not eat sharp, fatty and heavy meals, canned food and smoked foods, and drink alcohol. It is necessary to limit the use of easily digestible carbohydrates, without having to remove them completely from the menu.

Compliance with diet during remission is not required, but you need to adhere to a healthy diet and pay special attention to the schedule of meals. Fasting and overeating have a very negative impact on health and lead to obesity and chronic diseases, so it is important to eat every 4-6 hours, but in small portions.

Another important recommendation of doctors is to thoroughly chew food. This will help prevent heat (food warms or cool in the mouth) and mechanical irritation of the gastric mucosa, will accelerate the digestive process, as carbohydrates begin to decompose already under the action of saliva enzymes.