Diet in chronic gastritis
Gastroenterology / / May 05, 2016
(Diet №1, №2, №15)
Chronic gastritis - the most common disease of the stomach and one of the most frequently encountered in clinical practice, diseases of the digestive system.
Gastritis develops under the influence of many factors, chief among which are the systematic violation of the diet (irregular meals, eating in a hurry, eat cold food), abundant, excessively spicy food, alcohol abuse.Overwork, part of the so-called "stressful situations", a detrimental effect on the nervous system, can also lead to functional disorders of the stomach and then to chronic gastritis.
Chronic gastritis often develops after acute gastritis (if the treatment has not been brought to an end), the qualitative composition of the violation of food (for example, the lack of protein in it and vitamins, especially C and B).A fertile ground for the emergence of chronic gastritis create repeated food poisoning.Poor effect on the state of the mucous membrane of the stomach smoking, especially on an empt
There are two forms of chronic gastritis: 1) with normal and high acidity;2) with low acidity, or even complete absence of hydrochloric acid in gastric juice.
Treatment of chronic gastritis (of any form) should be comprehensive, ie, include a variety of therapeutic agents:.. Medicine, healing injuries, diet therapy.The latter is very important.
food should be complete, contain a sufficient amount of protein, fat, carbohydrates, minerals, especially vitamins.
tactics of diet in chronic gastritis
In acute gastritis (normal, high or low acidity) is usually prescribed table type diet number 1. In chronic gastritis with low acidity (out of exacerbation period) shows a diet № 2,and in a state of permanent cure (remission) - a diet № 15.
during exacerbation of chronic gastritis regardless of the acidity of gastric juice main task diet - to create peace for the patient's body, reduce mechanical and chemical irritation of the stomach.At the same time all the food should only be given in the form of mashed, cooked in water or steamed (medical table number 1 as an exacerbation of peptic ulcer disease).
When the condition of the patient gastritis with normal or high acidity improves, he should get a table-type diet number 1, but without mechanical schazheniya stomach.The list of recommended products and the nature of cooking remain the same as the number 1 in the diet, but not all dishes are mashed.With a decrease in pain is not mashed food is not irritating to the gastric mucosa, as in the period of exacerbation.In addition, not mashed foods improves appetite, reduces the tendency to constipation.
In chronic gastritis with reduced acidity or absence of hydrochloric acid in gastric juice after disease exacerbation (disappearance of pains in epigastric region, heartburn and other complaints) for a long period assigned diet № 2, based on the one hand, on the mechanical shchazhenija mucosamembrane of the stomach, and the other - on the chemical stimulation of food stimuli of gastric juice.The objective of dietary treatment with the method of training and "whipping" of the gastric mucosa to activate the function of the development of gastric juice and hydrochloric acid.To this end, in the diet include meat, fish and vegetable broths, herring.
For cooking use different cooking methods: boiling, baking, frying (no breading).For mechanical schazheniya gastric mucosa produce food primarily crushed.
diet diet number 2 is rich in extractive substances that promote good appetite, vitamins, it allows you to organize a full, varied and tasty food.
From diet diet number 2 excludes food and dishes that linger long in the stomach, it is difficult to digest and extremely irritating to the gastric mucosa.These include products made of pastry, fried pies, rye bread, pancakes, fatty meats and fish, meats, snack canned food, spicy seasonings and spices - pepper, mustard, horseradish, pickles, radishes, turnips, rutabaga, radish.Exclude is also very hot and very cold food and drinks.
Recommended foods and dishes with gastritis
bread - wheat, white crackers, biscuits nesdobnoe.
Snacks - not sharp cheese, low-fat ham, and sausage (such as "Doctor"), soaked in water herring, liver pate.
Soups - in meat, chicken and fish broth, vegetable broth with cereals, pasta, finely chopped or pureed vegetables.
dishes lean meats and poultry - in the form of chopped products, boiled, steamed, fried (no breading flour or breadcrumbs).Boiled chicken piece.
dishes low-fat varieties of fish - fried without breading.
dishes of vegetables - puree of various vegetables, puddings, cakes, baked or fried, so that there was no coarse crispy crust (also without breading).Recommended boiled cauliflower, boiled and stewed zucchini and squash, beets, carrots and potatoes.Finely chopped greens (lettuce, dill, parsley leaves) can be added to various dishes.
Dishes and garnishes from groats and pasta - various cereals, cakes, puddings, boiled noodles and finely chopped noodles.
eggs and dishes from them - soft-boiled eggs, omelettes.
Milk, dairy products and dishes from them - milk, mainly for cooking, as well as tea and other drinks: cottage cheese, cheese, mild cheese;yogurt, acidophilus milk, yogurt, sour cream, cream.
fats - butter, ghee, vegetable.
Fruits and berries - pureed fruit drinks, puree, jelly, jelly, mousse, jam.
Pureed raw fruits (if tolerated), berries - raspberries, strawberries, strawberry, blueberry.A decoction of rose hips.
drinks - tea, lemon tea, weak coffee, cocoa, water and milk or cream.
juice - berry, fruit.
Sauces - not sharp (meat, fish, sour cream).
Sample menu diet number 2
1st breakfast.Meat fried patties (no breading) with boiled potatoes, rice porridge (or other cereals) and butter, coffee with milk, cheese.
2nd breakfast.Tea with cookies.
Lunch.Cabbage soup in meat broth with mashed vegetables, meat chopped steak fried with vegetables, fruit compote.
Snack.Tea, cheesecake with cottage cheese.In
drilled.Jellied fish, cereal pudding, jelly.
should be borne in mind that for a long time (more than 1-2 months.) Used primarily crushed food is undesirable.As will improve well-being and in consultation with a physician should make changes in the diet.
Diet number 15 is based on the principle of physiological nutrition, it contains a sufficient amount of protein, fat, carbohydrates, minerals and high in vitamins.Diet № 15 does not provide mechanical and chemical shchazhenija gastric mucosa.From this rule, however, products such as fatty mutton varieties of pork and poultry, as well as hot dishes and condiments.In addition, limit the use of smoked products, canned meat and fish.To limit or exclude from the diet of vegetables containing coarse fiber, and essential oils that irritate the stomach lining (turnips, radishes, radish).
permitted rye bread, raw vegetables and fruits (neprotertye), limited or even excluded in the diet number 1 and 2.
- Gastric ulcer and duodenal ulcer
- Nutrition in chronic gastritis
- diet for peptic ulcer
- Gastritis with low acidity, traditional treatments
- Heartburn (gastroesophageal reflux disease)
diet menu Approximate number 15
1st breakfast.Russian salad (beetroot, cabbage, green peas), fried fish with boiled potatoes, coffee and milk.
2nd breakfast.Fresh apple, broth hips.
Lunch.Ham with fresh herbs, soup in meat broth, goulash with noodles, stewed fruit.
Dinner.Cottage cheese with sour cream, oatmeal, pudding.At night.Yogurt or fruit juice.
In chronic gastritis is very important to ensure that the diet with vitamins, including in the diet of fruit and vegetable juices, broth hips, raw vegetables and fruits (neprotertye or pureed depending on the characteristics of a particular diet).
In the treatment of chronic gastritis plays an important role diet.It is important to avoid long breaks between meals, there should be at certain times, at least 4 times a day, slowly, chewing food well.Frequent small feedings at the same clock contributes to the rhythmic activity of the digestive system.If it is impossible just to get hot food in a dining room you need to use a thermos of pre-cooked food.
results of remote monitoring of patients with chronic gastritis suggest that many of them are recurrent clinical symptoms of the disease.The most common cause of exacerbations - failure to comply with medical advice, especially regarding nutrition.Compliance with diet and dietary recommendations - the key to health for those suffering from chronic gastritis.Health status and duration of clinical remission of the disease largely depends on the efforts of the patients themselves, aimed at the prevention of exacerbations of chronic gastritis.
It is difficult to overestimate the role of medical personnel and, in particular, nurses and nutritionist especially in the promotion of nutritional care of patients suffering from chronic gastritis.