Proper nutrition for peptic ulcer. Diet nutrition for ulcerative gastric disease

Damage to the mucous membrane of the stomach or duodenum with the formation of ulcers, is binding to the predominance of aggressive factors (pepsin, hydrochloric acid, bile acids) over the protection factors of the mucous membrane. An important role in this has Helicobacter pylori., causing inflammation of the mucous membrane and destroying local protection factors.

The most characteristic symptoms are pain in the top of the abdomen on the hungry stomach (in the morning, between meals and night). The symptoms of the hungry ulcers make the patient more often eating food, including at night, the pain pokes 30 minutes after eating. Level-specific appetite, nausea, vomiting, feeling of stomach overflow, and weight loss.

Patient with ulcerative disease should be aware of the hazardous complications.

Punching of ulcers - the formation of a cross-cutting defect in the wall of the stomach or duodenum. The probulous ulcer is one of the most dangerous complications, since the contents of the stomach fall into abdominal cavity And causes spilled peritonit .
Bleeding - manifests itself in black color.
Largeness.

Violation of the power mode and food intake, irritating the gastric mucosa, is the cause of peptic ulcer and its exacerbations along with the use of alcohol, smoking and nervous voltage. Therefore, therapeutic nutrition and meals are an integral component of the treatment of this disease.

The purpose of the medical diet is to create conditions for the elimination of pain, dyspeptic phenomena and healing of ulcers. The diet is able to reduce the activity of the acidic factor of the stomach, reduce its excitability and stimulate regeneration processes. Reception of writing at the same time and small portions gently affects the mucous membrane and contributes to the elimination of inflammation.

It is difficult to definitely answer the question of which diet is needed with a stomach ulcer, since in different periods of the disease it is different. In the treatment of peptic ulcer with increased acidity Different medical tables are prescribed:

- with the maximum limitation of various types of exposure (mechanical, chemical and temperature) on the stomach, for a period of 6-10 days;
- with a unwitting restriction of all types of aggression on the stomach, the average treatment time to two weeks;
- with moderate gastric spank, until six months.

However, it is possible to say exactly that the therapeutic diet with the ulcer of the stomach at any stage of the disease provides an exception (in one way or another) strong stimulants of the secretion of the stomach and irritants of the mucous membrane. Preferences are given to products that quickly leave the stomach (casczyce and liquid food).

Regular and fractional power contributes to a gentle regime - it facilitates digestion and learning. The consistent purpose of therapeutic diets with a gradual expansion of the list of permitted products and methods of processing, enshrines the obtained therapeutic result, gradually prepares the gastrointestinal bodies and warns exacerbation in the future.

Proper nutrition with a stomach ulcer creates conditions for eliminating inflammation and reparations of the mucous membrane. It should be excluded irritants of the mucous membrane.

Mechanical irritation of the gastric mucosa cause:

large food for one reception;
reception of a large amount of coarse fiber contained in radish, repe, beans, gooseberries, grapes, currants, raisms, dates, bread with bran;
eating a housing meat, cartilage and skin of the bird.

Chemical irritation of mucous causes products:

having acidic medium (acidic products, sour immature fruits);
exciting gastric secretions: broths, strong nuthouses of vegetables, spices, fried dishes, canned food, smoked meat and fish products, tomato sauce, pickled and sauer vegetables, meat and fish stewed in their own juice, boiled eggs, fervor, fervor products; rye bread, dough, dairy serum, superheated food fats; Safety milk, strong tea, coffee, alcohol, carbonated drinks, raw vegetables, acidic fruits and berries.

Thermal impact has excessively cold or hot food.

In connection with this, the diet should include warm, non-bubble, rubbing dishes with a weak sloping effect: milk, eggs, milk porridge, boiled meat (in variations). Milk protein contributes to the scarring of ulcers, and frequent food with the exception of coarse dishes causes mechanical sluggage of the mucous membrane.

Diet under the ulcer of the stomach during the period of exacerbation

During this period, all the factors of adverse effects on the mucous membrane must be maximally limited. This option is prescribed for 6-8 days, since it is not balanced (the lower boundary of the norm, proteins and fats is significantly limited to carbohydrates). Nevertheless, in the conditions of the beddown, the diet provides the physiological needs of the body.

Food with exacerbation has the following principles:

Hexide is organized, and the amount of food taken at once is limited. Receiving gentle food at the same time helps to reduce inflammation.
Considering the fact that patients are in bed; food is prepared only in liquid form (can be in cascidious) and jelly-like. Such nutrition helps the process of reparation of ulcers, reduces the activity of the inflammatory process. Porridge is first boiled, and then wipe and bred to the desired condition with water or milk.
Any precipitates of secretion are excluded (all broths, acidic drinks, fermented milk products) and irritants of the mucous membrane (coarse products, all vegetables, coarse porridge).
It is excluded difficult to digest products (mushrooms, rigid meat with fascia, tenders and skin in a bird and fish).
No bread is allowed.
Soups are only allowed mucous membranes on water or milk from oatmeal, manna, rice croup. The mucous soups are mechanically gentled by the stomach. In fact, these are brazers obtained at a long cooking croup. They are filtering, but do not sneak, slightly solid and put oil. To accelerate the cooking, soups are prepared from flour for baby food or sliced \u200b\u200bcroup.
Cereal dishes (from buckwheat, oatmeal, rice croup) are prepared in the form of liquid porridge on milk, but oil is added to the ready-made.
Milk, calcined cottage cheese, milk kissel and cream (in soups) are allowed from dairy products. Whole milk - 4 glasses per day.
Allowed eggs sick or steam omelet (up to 2 pieces).
Excessively cold and hot dishes are excluded. Hot dishes should have a temperature of 50-55 ° C, and cold - 15-20 ° C. Cold food slows down the regeneration processes of the mucous membrane, and too hot also adversely affects the mucous membrane.

Thus, this nutrition creates all the conditions for reducing inflammation, since it does not have coarse food and products that irritate the mucous membrane. Reducing the volume of one-time accepted food, and fractional food causes mechanical spares. A sufficient amount of protein is necessary so that the ulcer is faster than heavily.

Food with bleeding ulcer

With ulcerative bleeding, a specialized diet is used. In the presence of testimony before ceasing bleeding, the patient can receive parenteral nutrition. After his cancellation, it is allowed to take 200 ml of liquid cold food. It can be milk, jelly, kissel, cream, while sour cream and raw eggs, mucous soups are added. As a result, the patient is translated into Table number 17. with extension to the option Table №1 .

To combat S. anemia prescribe meals S. increased content Proteins (140-150 g), while somewhat limit fats (60-70 g). It is necessary to enrich the ration with iron, cobalt, copper, manganese, cyanocobalamin, so it is advisable to introduce dishes with liver and yeast. With satisfactory well-being, after 1.5 months, not crushed food with the addition of fresh vegetables and fruits is permitted. Plums, peaches can also be used in not a witch form.

What power is shown when sinking the process and recovery?

It is moderately gentle, physiologically full nutrition within Table №1 . It is necessary to adhere to it for a long time (up to six months), since peptic disease needs long dietary diet. It is also necessary to carry out contradictional treatment.

Lack in food at any stages of the disease of strong stimuli (meat, mushroom broth, ear, sturdy tea, fried dishes, coffee, carbonated drinks, marinades, mustard, alcohol) creates conditions for successful treatment and long-term unreasonable period. The stepwise expansion of the diet prepares the gastrointestinal gaps to the transition to the common table, at which it is still worth limiting too sharp, spicy, very hot dishes and alcohol, and maintain regular food intake.

If the patient has a peptic disease and accompanying, then nutrition is almost the same, but the amount of protein consumed increases to 140-160 g, since indispensable proteins are necessary to prevent the negative effect of the enzyme tripsina . The amount of fats must be reduced to the lower border (80 g), including eliminate milk fatty products.

Usually, with well-being for patients, it becomes difficult to observe so long. Diet number 1 And the time of stay on it is reduced to 2-3 months. The diet expands, not the rubbing food is introduced, and raw vegetables and fruits are added. These include sweet plums, peaches, nectarine, apples, and vegetables - tomatoes. In the future, when conducting anti-inflicted treatment in the autumn-spring period, it should be re-soldered to gentle food for 2-4 weeks (first table No. 1b, and then No. 1).

There is no need to take something for weight loss in ulcers. First of all, because the patient with exacerbation worsens appetite, it is vomiting after meals, and it is afraid to eat normally. In addition, the prescribed therapeutic nutrition is already able to slightly, since the list of allowed products is very limited (especially tables 1a and 1b, they have reduced calorie content) and the frying dishes on oil is eliminated for a long period.

Sweets and other simple carbohydrates limit, because they increase the excitability nervous system. If we exclude smoked meat, flour, fatty, alcohol, then the issue of weight loss will disappear. It is enough to adhere to the recommendations regarding nutrition, and it will decline.

It is categorically impossible to starve in the presence of diseases of the screens. Also contraindicated with spices (ginger and cardamom), which accelerate the metabolism. Any spices are prohibited because they provoke the release of digestive enzymes. It is also impossible to abandon white bread in favor of black, which is always recommended for diets. As you can see, the desire to lose weight can cause aggravation.

The diet for ulcer of the stomach in the period of unstable remission:

Maximum exclude products that strengthen secretion (head brows, sharp, pickled, smoked and fried products, alcoholic beverages, coffee, tea, carbonated drinks).
Avoid annoying products (citrus and acidic fruit juices, cranberries, tomatoes, onions, pepper, garlic, repa, radish, coffee, tea, ginger, chocolate, alcohol) and products that increase gas formation.
Reduce the volume of food consumed - portion of the sizes with a fist for one reception.
Frequent meals (5-6 times a day). The last reception is no later than 3 hours before sleep.
Use products in a warm form, since cold dishes are digested for a long time, and the hotly irritated mucous membrane.
Increase protein intake and reduce the amount of fat (fatty pork, goose, duck, lamb, cream, butter creamy, cakes with cream).
The main methods of cooking are cooking, quenching, baking in the oven, starting with the third week of exacerbation.
Do not mix products that are not combined (proteins and carbohydrates) to avoid rotting and fermentation.
Include in the diet of bananas, forest strawberries, cherry, blueberries, potato juice, decoction of oats, sweet apples.
During the resistant remission, the power supply is close to the nutrition of a healthy patient, but with restrictions on sharp dishes.

Performing data dietary recommendations, eliminating smoking, which increases the risk of relapse, and the admission of alcohol, can be achieved by a long (several years) of the unrecognition of the disease. Patients suffering from peptic ulcer should avoid adopting non-steroidal anti-inflammatory funds.

Permitted products

The first dishes are prepared on a potato brave or vegetable broth with rubbed vegetables and croups (semolina, buckwheat, Hercules, rice). You can use milk soups from the vermicelli, as well as soups-puree with the addition of rubbed meat (chicken). An egg-milk mixture is introduced into soups and fill with oil.

From low-fat meat prepare steam and boiled dishes. Meat is allowed baked in the oven. Use beef, young lamb and low-fat pork, chicken and turkey. You can prepare steam cutlets, beds, purees, bay, souffle, bokings, zrazy, befstrogen (only from pre-boiled meat).

Non-fat fish can be boiled for a couple and bake. Prepare a piece (pre-removed the skin) or in chopped video (Curls, cutlets, meatballs, zrazy).

Rice, semolina, buckwheat or oat, vermicell or thin noodles are added to the side dish and in soups. Porridges can be boiled on milk or water, well welded to a semi-casual state, a buckwheat must be wiped. From the croup is allowed to make puddings with the addition of cottage cheese, which can be prepared for a couple and bake without a crust.

Vegetables (potatoes, beets, young peas, carrots, cauliflower) boil on a pair and served on a garnish in a witch form (puree, souffle). Not the rubbing and zucchini can be wipe. Dill in small quantities are added to soups. Creamy and vegetable oil is added to the finished dishes.

Wheat bread is allowed not freight or dried. You can eat dry biscuit or low-fat cookies. Once a week, baked non-propelled patties with filling from apples, jam, cottage cheese, as well as meat or fish.

Milk and cream are allowed from dairy products, nice sources and kefir, fresh nice cottage cheese and sour cream. From cottage cheese you can cook lazy dumplings, cheesecakes, puddings. It is rarely in the diet you can enter non-stamped cheese (better in a grated form), 2 eggs twice a week, which prepare the schozyka or in the form of an omelet.

From the snacks (for not a rubbed table), you can include a salad of chopped boiled vegetables, boiled meat and fish, a pate of the liver, a milk sausage, a non-fat ham, fading (on a vegetable brave), low-fat herring and sturgeon caviar.

Sweet desserts are prepared for a pair of rubbed berries, adding a semolina camp. In the liver or welded form you can use sweet berries and fruits. Of them are also preparing mashed potatoes, kissels, jelly, sambuchs, compotes. Milk kissel, meringues, nexless jam, marshmallow, grazing, honey are allowed as desserts. From drinks - juices from fruits, decoction of rosehip, tea with milk or cream, weak coffee with milk.

Table of permitted products

	Proteins, G.	Fats, G.	Carbohydrates, G.	Calories, Kcal
Vegetables and greens
zucchini	0,6	0,3	4,6	24
cauliflower	2,5	0,3	5,4	30
potatoes	2,0	0,4	18,1	80
carrot	1,3	0,1	6,9	32
beet	1,5	0,1	8,8	40
pumpkin	1,3	0,3	7,7	28
Fruits
apricots	0,9	0,1	10,8	41
watermelon	0,6	0,1	5,8	25
bananas	1,5	0,2	21,8	95
melon	0,6	0,3	7,4	33
nectarine	0,9	0,2	11,8	48
peach	0,9	0,1	11,3	46
apples	0,4	0,4	9,8	47
Yagoda
strawberry	0,8	0,4	7,5	41
raspberries	0,8	0,5	8,3	46
Cruises and porridge
buckwheat (keris)	12,6	3,3	62,1	313
semolina	10,3	1,0	73,3	328
oat flakes	11,9	7,2	69,3	366
rice white	6,7	0,7	78,9	344
Flour and pasta
noodles	12,0	3,7	60,1	322
Bakery products
white bread crags	11,2	1,4	72,2	331
Confectionery
jam	0,3	0,2	63,0	263
jelly	2,7	0,0	17,9	79
marshmallow	0,8	0,0	78,5	304
merengi	2,6	20,8	60,5	440
paste	0,5	0,0	80,8	310
cookies Maria	8,7	8,8	70,9	400
Raw materials and seasonings
honey	0,8	0,0	81,5	329
sugar	0,0	0,0	99,7	398
milk sauce	2,0	7,1	5,2	84
Milk products
milk	3,2	3,6	4,8	64
kefir	3,4	2,0	4,7	51
cream	2,8	20,0	3,7	205
sour cream	2,8	20,0	3,2	206
prostokvash	2,9	2,5	4,1	53
Cheeses and cottage cheese
cottage cheese	17,2	5,0	1,8	121
Meat products
beef boiled	25,8	16,8	0,0	254
beef liver	17,4	3,1	0,0	98
beef boiled tongue	23,9	15,0	0,0	231
veal boiled	30,7	0,9	0,0	131
rabbit	21,0	8,0	0,0	156
Bird
clawed chicken	25,2	7,4	0,0	170
turkey	19,2	0,7	0,0	84
Eggs
chicken eggs	12,7	10,9	0,7	157
Fish and seafood
chang Black	28,0	9,7	0,0	203
chang salmon grainy	32,0	15,0	0,0	263
Oils and fats
butter	0,5	82,5	0,8	748
oil foiled	0,2	99,0	0,0	892
Non-alcoholic beverages
mineral water	0,0	0,0	0,0	-
coffee with milk and sugar	0,7	1,0	11,2	58
black tea with milk and sugar	0,7	0,8	8,2	43
Juices and compotes
apricot juice	0,9	0,1	9,0	38
carrot juice	1,1	0,1	6,4	28
pumpkin juice	0,0	0,0	9,0	38

Fully or partially limited products

It is envisaged to the complete exclusion of vegetables rich in fiber (radisis, turnip, white cabbage, beans, peas, trouser, fruit with peel) and products with connective tissue (cartilage, veins, leather).

From meat products are prohibited: fatty pork, duck, lamb, goose, canned meat and smoked meat. Excluded high extractive broths and saturated bums of vegetables for soups. From the first dishes it is necessary to eliminate soup, okroshka and borsch. Vegetables are not allowed to eat sorrel, dill, parsley, spinach, onions, as they contain a large amount of organic acids or annoying essential oils. Under the ban of mushrooms, as a difficultly absorbed product.

It is prohibited by the use of sauer and pickled vegetables, canned vegetables, causing an increase in secretion. It is difficult to digestible are: millet, pearl, bone and corn cereals, so they are excluded from the diet for a long time. Under the ban of oily fish and canned fish.

Remember that fried eggs and drive are poorly absorbed, so they are not recommended in this form. It is impossible to eat irritating mucous meat sauces, tomato sauce, horseradish, mustard, pepper. Animal fats are also excluded from the diet.

Forbidden any fresh bread, juice and puff pastry, dried fruits, chocolate and ice cream. It is impossible to use fermented dairy products with high acidity, as they stimulate secretion. For the same reason, acidic fruits and berries are excluded. Restricted in the diet sour cream, it is better to use it as an additive to dishes.

Table of prohibited products

	Proteins, G.	Fats, G.	Carbohydrates, G.	Calories, Kcal
Vegetables and greens
vegetables legumes	9,1	1,6	27,0	168
swede	1,2	0,1	7,7	37
cabbage	1,8	0,1	4,7	27
sauerkraut	1,8	0,1	4,4	19
green onion	1,3	0,0	4,6	19
bulb onions	1,4	0,0	10,4	41
cucumbers	0,8	0,1	2,8	15
canned cucumbers	2,8	0,0	1,3	16
radish white	1,4	0,0	4,1	21
turnip	1,5	0,1	6,2	30
tomatoes canned	1,1	0,1	3,5	20
horseradish	3,2	0,4	10,5	56
spinach	2,9	0,3	2,0	22
sorrel	1,5	0,3	2,9	19
Mushrooms
mushrooms	3,5	2,0	2,5	30
Cruises and porridge
corn grits	8,3	1,2	75,0	337
pearl barley	9,3	1,1	73,7	320
millet camp	11,5	3,3	69,3	348
barley grits	10,4	1,3	66,3	324
Confectionery
candy	4,3	19,8	67,5	453
Ice cream
ice cream	3,7	6,9	22,1	189
Cakes
cake	4,4	23,4	45,2	407
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
ginger	1,8	0,8	15,8	80
ketchup	1,8	1,0	22,2	93
mayonnaise	2,4	67,0	3,9	627
pepper black hammer	10,4	3,3	38,7	251
chilli	2,0	0,2	9,5	40
Meat products
pork	16,0	21,6	0,0	259
ham	22,6	20,9	0,0	279
Sausages
sausage with / dried	24,1	38,3	1,0	455
saradelki	10,1	31,6	1,9	332
sausages	12,3	25,3	0,0	277
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
duck smoked	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Fish and seafood
fish dried	17,5	4,6	0,0	139
fish smoked	26,8	9,9	0,0	196
canned fish	17,5	2,0	0,0	88
Oils and fats
fat animal	0,0	99,7	0,0	897
fat culinary	0,0	99,7	0,0	897
Non-alcoholic beverages
kvass Bread	0,2	0,0	5,2	27
* Data indicated on 100 g of product

Menu diet with a stomach ulcer (power mode)

The power menu in the ulcer of the stomach depends on the process stage (exacerbation, unfinished exacerbation or attenuation of exacerbation, remission). Since, with pronounced exacerbation, food is organized in the hospital, while improving the state of therapeutic diet is observed long, and the power in the period of recovery and in remission is longer (up to 6 months), it is more expedient to bring the menu for a week for this period.

This is already physiologically full nutrition (90-100 g of proteins, 100 g of fats and 420 g of carbohydrates). Food fractional, reduced volume of disposable meals and balanced against vitamins and minerals.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Recipes of dietary dishes

Below are the recipes for cooking dishes in different periods of the disease. Dietary dishes have a different cooking technology and thermal processing.

Dietary soups of mucous membranes are used at the initial stages of the disease under severe inflammation. They represent the effects of durable crops, but without wiping the cereals itself. Decorations are slightly solid, fled the egg-milky mixture and add oil. The finished dish has a homogeneous consistency of the cream, without particles of products and flakes of a curled egg.

Dairy soups are used in Diet 1A. and 1B . They are prepared with croups, on milk with the addition of water (1: 1). Crops are pre-boiled until prepared, and then boiling milk are added. Crupes in the finished dish should not be preserved, so they are wiped, the color of soups is white, and they have a sweet, weakly fat taste.

The rubbed soups are the base of the first table. They are boiled on water with croups, potatoes and carrots. Well-strained ingredients wipe, but oil is satisfied.

For yazuvenches, cooking is preferred: Cooking for a pair and in a water bath. For greater removal of extractive substances, the meat must be cooked with small pieces, then the primary broth to merge, and the meat in fresh hot water Cook until readiness. It is used as a semi-finished product for stewed and chopped dishes.

When cooking the ferry, the product should not come into contact with the liquid, therefore the loss of useful substances are less. Warba on a water bath is produced at a temperature of 40-70 ° C in a container lowered to a large water capacity. In the diet, it is preparing omelets, sauces, egg puddings, eggs and puddings.

First meal

Hercules poured into the water and boiled at least an hour until complete rigging. The decoction is filled through a sieve, without wiping, add salt, sugar.

Milk soup with meat puree

Boiled meat whipped in a blender and wipe. The meat puree is mixed with the finished rice mucous decoction, salted, boiled. When cooling to 70 ° C, the egg-milk mixture is poured and whipped well with a wedge. At the end, creamy oil is added.

Second dishes

Carrots are crushed on the grater, allowed with water and with the addition of butter.

Rice is boiled 20 minutes, wipe and pour hot milk. Enveloped carrots, sugar, continue to cook for another 30 minutes or 45-50 minutes. At the end add a piece of oil.

Chicken cutlets (steam)

Birds are prepared from raw pulp, using fillet and pulp legs. Puffs twisted, add butter, salt, milk and wheat bread. Form small cutlets, prepare on a pair of grid.

desserts

Gelatin soak in cold water and warm up to dissolving it. Purified from peel and seed apples cut and bake in the oven with the addition of water.

Baked apples wipe, add sugar. Chilled proteins beat. Connect apple puree, protein mass and pour gelatin. Gently stirring and decompose by molds. Cool

Curd souffle

Water cottage cheese, milk, sour cream, semolina and yolks are whipped in a mixer. Scrambled eggs are injected and stirred. The curd mass is laid out in the shape and cook for a couple.

A peptic disease is a chronic disease of the whole organism with a stomach or duodenal damage. The aggravation of the disease may occur due to violations of the normal activity of the nervous system (excessive nervous voltage, strong mental shocks, long-lasting or frequently repeated heavy experiences). Non-compliance with the correct nutritional power supply (irregular nutrition, dryness) plays a major role in the occurrence of ulcer disease. The main signs of ulcerative disease -Teriodic, mostly empty stomach and but at night, pain in the upper half of the abdomen, heartburn, belching, vomiting.

The presence of ulcers in the stomach or duodenum with a peptic disease is a local manifestation of the disease of the whole organism in which the nervous, humoral and metabolic processes are impaired.

Treatment of peptic ulcer should be comprehensive, including a number of methods, among which the leading place belongs to therapeutic nutrition.

The basic principles of therapeutic nutrition in the exacerbation of ulcerative disease are as follows:

The creation of the greatest rest for the mucous membrane of the stomach and duodenum;

Exception of products that have a strong juice action;

Exclusion of products mechanically irritating the gastric mucous membrane (i.e. food is given mainly in the witch form);

Frequent and fractional nutrition. Eating every 3-4 h. Contraindicated abundant introduction of food, for 1 reception;

Exception too cold or very hot food;

High nutritional value of the diet containing a sufficient amount of proteins, fats, carbohydrates, mineral salts, vitamins, mainly C, group B, A.

From the diet exclude reinforcement of gastric juice products: meat, fish and mushroom broths, fried and stews in their own juice meat and fish, smoked and salted products, spices and spices (mustard, pepper, etc.), alcoholic beverages, carbonated water, strong tea and coffee. Do not include products containing coarse fiber (repa, trouser, radishes), mechanically irritating the gastric mucosa.

The sparing diet includes products and dishes, weakly exciting gastric secretions: milk, cream, cottage cheese, porridge, rubber boiled vegetables, grated cereal and vegetarian (except cabbage) soups, eggs sick or omelet, boiled meat and fish, fastening tea, alkaline mineral Waters that do not contain carbon dioxide.

Recall that proteins are rich in milk and cottage cheese, cheese and eggs, meat and fish. Fats are contained in butter cream and vegetable oil, milk and cream. A lot of carbohydrates in bread and breadcrumbs, pasta and croups (rice, manna, oatmeal, born, etc.), as well as in potatoes. An important source of vitamin C is decoction of rosehip.

It should be borne in mind that milk in some people can increase the acidity of the gastric juice and cause heartburn.

Depending on the peculiarities of the flow of ulcerative disease, several rations are used. Thus, with a sharp exacerbation, diet No. 1A and 16, appointed for a short time, with a less sharp exacerbation - diet number 1 (it is also effective with sluggish, a low-spirited course of the disease, without pronounced pains and heartburns).

The course of treatment is usually starting with the most gentle diet, moving to more load.

Diet No. 1a provides maximum mechanical and chemical spurning of the stomach. All dishes are prepared with a rubbed, liquid or cascidious consistency. They are boiled in water or a couple.

Soups - rice, oat or pearl cereal mucosa; Semal soup (prepared with the addition of egg-milk mixture, cream or butter). Cuts can be prepared (to accelerate the cooking process) also from flour for children's and diet nutrition or ground croup.

Meat I. fish dishes - steam souffle from low-fat meat (beef, veal, pork or rabbit), birds (chicken, turkey), fish (cod, pike, heck, ice, Navaga, etc.). Souffle includes 1 time per day in the diet.

Cereal dishes and side dishes - liquid porridge rubbed, oatmeal or buckwheat; Porridges from semolina cereals, rice and buckwheat flour (with the addition of milk or cream).

Egg dishes - Eggs Skump, steam oslet, whipped egg proteins (meringues).

Milk and dairy products - milk solid, condensed, cream natural and whipped, freshly prepared fresh cottage cheese, steam curd soufflé.

Fruit and berry dishes - Kissel and jelly from sweet varieties.

Drinks - Lucky tea with milk or fresh cream, decoction of rosehip, sweet fruit and berry juices, decoction of wheat bran.

Fats - butter (added to finished dishes).

Bread and bakery are excluded from the diet.

Approximate Diet Menu No. 1a

1st breakfast. Steam omelet, butter, milk (1 cup).

2nd breakfast. Milk (1 cup).

Dinner. Rice mucous soup, meat steam souffle with vegetable oil, fruit kissel.

Afternooner. Egg Ski, milk (1 cup).

Dinner. Milk semolina porridge, lemon jelly.

Before bedtime. Milk (1 cup).

Diet No. 16 (less gentle) contains more steam dishes from rubbed meat and fish (cutlets and meatballs, beds and rolls, soufflé). The sauce is allowed - milk or sour cream (from fresh sour cream), crackers from white bread (75 g), out of fats - butter creamy or refined olive, sunflower, corn (oil in natural form is added to the finished dishes). More often prepared dairy wipe porridges, soups from various rubbed croups (rice, oatmeal, pearl, buckwheat, born or millet). Liquid or cascidious food is prepared in water or a pair.

Approximate diet menu number 16

1st breakfast. Meat steam cutlets with dairy sauce, rice rubbing porridge, tea with milk.

2nd breakfast. Fruit Kissel, Sukharik.

Dinner. Milk soup from the rubbed barley cereals, meat steam meatballs, fruit jelly.

Afternooner. Egg Ski, decoction of rosehip (1 cup).

Dinner. Fish Souffle, buckwheatted porridge, fruit kissel.

At night. Milk (1 cup).

Diet No. 1 is characterized by a less stringent observance of the principles of mechanical and chemical spur. White bread, boiled meat (chopped) and fish, boiled and rubbed vegetables (potatoes, carrots, beets, zucchini, pumpkin) and fruit are allowed.

In the diet include milk, cream, fresh nickname sour cream, cottage cheese, non-adhesive cookies, butter, eggs sick or steam oslet, milk cereal rubber soups, milk soups-puree from vegetables, milk soups with vermicelline, Milk swary porridge, macaroni and boiled vermicells Allow baked dishes, fastening tea with milk.

Bouillons and cabbage decoctions exclude from the diet. All dishes are prepared by the wipes, welded in water or a couple.

This diet is the main thing in the course of therapeutic nutrition for peptic ulcer. There are 2 options for this diet: in one case, food is prepared with a rubbish, in another - non-stuck.

Soups - Dairy rubber coarse (oatmeal, rice, buckwheat, born, manual); Dairy with rubbed vegetables, vermicelline or homemade noodles; The rubbed vegetables (potato, carrot, beetroot) with an egg-milk mixture, refilled by creamy or vegetable oil.

Meat and fish dishes - from low-fat varieties Cutlets, beds, meatballs, puree, souffle, rolls, etc., cooked in water or a couple.

Dishes from cereal and pasta products - Milk porridge rubber (rice, oat, pearl, bone, millet, buckwheat); Porridge manne and oat flakes "Hercules", souffle, puddings from the rubbed croup; Dishes from Vermicelli, Macaron, homemade noodles.

Vegetable dishes - from potatoes, carrots, beets, cauliflowers, pumpkins, zucchini, green peas: boiled, rubbed in the form of mashed potatoes, steam souffle and puddings (without a crust).

Egg dishes - Eggs Skump, steam omelets, whipped egg whites (meringues).

Milk and dairy products - whole milk, condensed, fresh cream, freshly prepared fresh cottage cheese, curd soufflies and casseroles, dumplings with cottage cheese, sour cream, light cheese varieties.

Fruit and berry dishes: Natural fruits and berries Ripe sweet varieties, boiled, rubbed or baked; Sweet berry juices - strawberry or crimson; Kissels, jelly and mousses; baked apples.

Sweets - honey, jams, jams of sweet berries and fruits, grazing, marshmallow.

Souces - milk, sour cream or fruit.

Spicy vegetables - parsley, dill (little).

Fats - butter creamy and vegetable (added to finished dishes).

Drinks - fastening tea with milk or cream, decoction of rosehip or wheat bran, carrot juice.

Bread - wheat, slightly dried, non-proper cookies.

Approximate Diet Menu No. 1

1st breakfast. Egg Skump, porridge milk oat fate, tea with milk.

2nd breakfast. Baked apple, ripping rosehip.

Dinner. Parl rubbed soup, meat steam cutlets with dairy sauce, potato mashed potatoes with vegetable oil, fruit jelly.

Afternooner. Milk Kissel, dry cookies.

Dinner. Fish steam bokings with vermicellus, tea.

At night. Milk (1 cup), galley.

If the ulcer disease proceeds without pronounced pains and heartburns (when it comes to ulcerative disease in the remission), often turns out to be the most efficient diet No. 1 without mechanical gentry. This diet is especially shown if the disease is accompanied by a decrease in the intestinal motor function, which is manifested by constipation. The food is prepared by boiled, but not a rubbish (meat and fish give a piece, vegetables are unzipped, porridge crumbly, etc.).

Approximate menu of diet number 1 without mechanical gesturing of the stomach

1st breakfast. Boiled meat with boiled vermicelline, millet crumbly porridge, cheese, tea with milk.

2nd breakfast. Apple liver, wild rose, non-proper cookies.

Dinner. Vegetarian potato soup, cranging meat stew with boiled rice, boiled beets with vegetable oil, tea.

Afternooner. Egg Skump, milk (1 cup) with cookies.

Dinner. Boiled fish with boiled potatoes, compote from dried fruit, cook with cottage cheese.

At night. Milk (1 cup) or tea with milk.

Therapeutic nutrition for peptic ulcer, despite many restrictions both in the set of products and in the methods of their culinary processing, still should be varied.

In cases where patients poorly tolerate milk (heartburn, meteorism), it is replaced by milk kissel, milk, divorced by 1/3 tea, or mineral water.

Feb-9-2017

What is a gastric and duodenal ulcer

A peptic disease is a disease in which defects (ulcers) are formed in the stomach and (or) 12-repulitant intestine.

For the disease, a chronic course and cyclicity is characterized: the disease is pushing the health of its owner for years, the exacerbation periods are replaced by deceptive calm. The most often ulcer makes itself felt in spring and autumn.

The leading role in the development of the disease is played by a spiral microbe Helicobacter pylori, which damages the mucous membrane of the stomach and a 12-rosewoman.

The fact is, ulcer does not develop without a number of additional factors:

stresses, anxiety, depression. bad heredity;
incorrect meals: use of coarse and acute food.
alcohol abuse.
smoking.
uncontrolled reception of some medicines (reserpine, corticosteroid hormones, aspirin).

Once in the stomach Helicobacter, it begins to actively multiply. It produces special enzymes (ureazu, proteases), which damage the protective layer of the mucous membrane (internal) shell of the stomach and 12-rosewood, disrupts cell functions, producing mucus and metabolic processes and causes the formation of an ulcers.

Symptoms

First of all, a person signals pain in the upper half of the abdomen about the emergence and development of peptic ulcer. Worried about night and "hungry" pain, in which a person needs to eat something to "pay off" pain.
Pains for ulcerative illness have clear rhythm (time of emergence and connection with food intake), frequency (alternation of painful sensations with periods of their absence) and seasonality of exacerbations (spring and autumn). It is characteristic that pain for ulcerative diseases decreases or disappear after meals and antacids.
One of the frequent symptoms of ulcerative disease is a heartburn, which usually occurs after 2-3 hours after eating. Nausea, vomiting, "sour" belching, constipation - these nonspecific symptoms may also testify to ulcers. Appetite for ulcerative disease is usually preserved or even elevated, the so-called "painful feeling of hunger".

In some cases, the ulcer may pass asymptomatic.

If the disease is not treated, the ulcerative defect is distributed deep into the walls of the stomach. This process may end with life-threatening complications: caming (perforation), in which a through hole or bleeding is formed in the wall of the stomach or intestine.

Itself, of course, to make a diagnosis of this disease, however, as any other, only a doctor can, on the basis of its own experience and results of laboratory surveys.

Power supply with stomach and duodenal ulcer

Therapeutic nutrition for ulcerative disease is directed, on the one hand, on the full provision of the physiological need of a patient's body in basic nutrients and energy, and on the other - to restore the disturbed secretory and motor functions of the stomach, to activate the reparative processes in its mucous membrane. At the same time, special attention is paid to achieving the full security of the body's needs in essential nutrition factors (irreplaceable amino acids, PNCH, vitamins, microelements, etc.) - the most important regulators of metabolic processes primarily in the gastric mucosa and duodenal intestine.

Important conditions for achieving optimal therapeutic effect are observance technological requirements To preparation of dishes and frequent, fractional mode with the consistent application of the basic version of the standard diet and a diet version with a mechanical and chemical gentry during the exacerbation of the disease.

General characteristics of diet

Diet in its own way chemical composition, set of products and dishes, cooking technology, food, biological and energy value is physiologically complete, contains both basic nutrients (proteins, fats, carbohydrates) and indispensable nutritional factors (vitamins, trace elements, indispensable amino acids, PPGK, etc. .), And therefore, the adaptation of the diet to the individual clinical pathogenetic features of the disease is easily carried out by equivalent replacement or additional inclusion in it only 1-2 components for a targeted impact on a specific mechanism of homoeostasis.

Features of cooking technology

A diet is used in two versions: rubbed and non-stuck. They differ from each other only cooking technology.

Diet hyponatrium: products and dishes are excluded, which are strong secretion pathogens and chemically irritating the gastric mucous membrane.

In the rubber version, the food diet is given in a liquid, cascidious form, and then in boiled form or cooked for a pair - in a more dense form.

Below is an approximate seven-day menu of the diet.

Bread and bakery products. Wheat bread from top grade flour, yesterday's baking or dried. Rye bread, any fresh, as well as products from a bone and puff pastry are excluded.
Soups. On a vegetable brave of rubbed, well-strained croup, dairy, puree soups from vegetables, mucous soups, refilled with butter, egg-milk mixture, sour cream. Considerable meat, fish, chicken broths, strong mushroom and vegetable beams, soup, borschy, okroshki.
Meat and poultry dishes. Steam or boiled beef, young low-fat lamb, edged pork, chickens, turkey. Fat and fatty varieties of meat, goose, duck, sub-products, canned and smoked meat products are excluded.
Fish dishes. From low-fat varieties of river and sea fish without leather, piece or in the form of cutlets, cooked in boiled form or a couple.
Dishes from croup. Porridge from manna, buckwheat, oatmeal, cooked on water or dairy, semi-naked, rubbed. Millet, pearl, barley cereals, legumes.
Dishes from vegetables. Potatoes, carrots, beets, cauliflower, cooked on water or a pair in the form of a souffle, puree, pudding. Self-cooled cabbage, turnip, trouser, radishes, onions, salted, sauer and pickled vegetables are excluded.
Milk products. Milk, cream, non-acid kefir, prostrochy, cottage cheese in the form of souffle, lazy dumplings, pudding. Equiphelter products are excluded with high acidity.
Snacks. Boiled vegetables salads, boiled tongue, doctoral sausage, dairy, dietary, filar fish on a vegetable brave.
Dishes from eggs. Egg skeyka (1-2 eggs per day), omelets from egg proteins, steam oslet with good tolerability.
Sweet dishes, fruit. Fruit puree, baked apples, jelly, jelly, wipe compotes, sugar, honey.
Juices. Of the fresh ripe sweet fruits and berries.
Fats. Butter creamy, refined sunflower, corn, olive for adding to dishes.

Diet with a stomach and duodenal ulcer

A diet with an ulcer GCC is an integral part of the treatment and except for the consumption of certain foods, it implies strict mode, special rules for cooking and nutrition. Nutritionists pursue the only goal that is designed to balance the nutrition in the ulcer of the stomach, restore and stabilize all digestive processes occurring in the body.

Approximate diet menu with stomach ulcer with mechanical and chemical gene:

	Exit, G.	Proteins, G.	Fats, G.	Coal
1 breakfast
	70	6,2	2,7	1,7
Oatmeal Porridge Printer	195/5	8,3	9,8	34,6
2 breakfast
Souffle curd steam	150	18,4	22,8	21,1
Milk boiled	200	2,8	3,2	4,7
Dinner
Rice puree soup with vegetables with sour cream	500/10	7,7	10,9	35,6
Boiled meat puree	75	16,2	7,9	—
Kisel Milk	200	5,3	6,0	35,3
Afternoon person
Apple baked with sugar	140	0,7	0,7	17,2
Decoration of Ryshovnika	200	0,6	—	22,2
Dinner
Boiled Fish Suffle Steam	105	18,4	5,3	4,9
	195/5	9,1	8,4	35,8
Tea with sugar	200	0,2	—	15,0
At night
Milk boiled	100	2,8	3,2	4,7
All day
Wheat white bread	200	11,4	4,5	72,3
Sugar	30	—	—	28,9
Butter	10	—	8,2	—
TOTAL:		109,0	93,0	337,4

The content of vitamins and minerals in the daily diet:

Vitamins, mg.		Mineral substances in mg.
Vitamin A + beta carotene	1,1	Potassium	460
Vitamin C	120	Calcium	1200
Vitamin E.	8,3	Magnesium	400
Vitamin B1.	2,0	Sodium	5200
Vitamin B2.	2,4	Phosphorus	1800
Vitamin B6.	2,2	Iron	16,1
Vitamin B12.	0,009	Copper	2,0
Vitamin RR	19,6	Manganese	5,0
Folic acid	0,18	Iodine	10,1

In the acute phase of the disease with pronounced dyspeptic disorders, a permanent pain syndrome, a poor general condition for the first 4-5 days hypochaloric, hyponatrium, gentle diet options are prescribed.

All dishes are prepared in boiled or pair, in a liquid and semi-liquid form. Food takes small portions every 2-3 hours.

Sample menu For a patient with a peptic ulcer of the stomach in the first week of the exacerbation of the disease, seems in the following table:

One-day menu:

Name of products and dishes	Exit, G.	Proteins, G.	Fats, G.	Coal
1 breakfast
Milk boiled	200	5,6	6,4	8,2
2 breakfast
Kissel from Kuragi	200,0	1	—	38,1
Dinner
Oatmeal mucus soup, milk with butter	400/5	7,7	10,8	19,1
Suffle of boiled fish (ice)	105,5	18,7	5,6	4,9
Jelly of grape juice	160,0	4,5	—	13,3
Afternoon person
Decoration of Ryshovnika	200	0,6	—	15,2
Dinner
Souffle cottage cheese steam (from bold cottage cheese)	150	18,4	22,8	21,1
Porridge oat milk viscous wipe	195/5	8,3	9,8	34,6
Kisel Milk	200	5,3	6,0	31,8
At night
Milk boiled	200	5,6	6,4	8,2
All day
Sugar	30	—	—	29,9
TOTAL:		75,7	68,0	224,4

As the exacerbation of the disease, the patient is prescribed a variant of diet with mechanical and chemical gloom.

With a safe flow of the disease, the relief of acute symptoms, the restoration of the disturbed secretory processes in the stomach and intestines, activation of the reparative processes in the mucous membrane of the stomach and duodenum, reaching the synchronization of the safety gastrointestinal tract in two weeks of treatment of the patient is gradually transferred to the main version of the standard diet, which is respected during 2-3 months, as the restoration of morphofunctional disorders in the stomach and the intestines occurs later than the clinical therapeutic effect is achieved.

With acute gastritis or pronounced exacerbation of chronic gastritis, the tactics of therapeutic nutrition is the same as in the ulcer of the stomach in the acute period.

In case of chronic gastritis with secretory insufficiency, a basic version of a standard diet without chemical gentry using food stimulants of secretory processes is used.

The purpose of the diet is to promote the restoration of the secretory and motor functions of the stomach and intestines, an increase in the gastric secretion and a decrease in fermentation and rotting processes in the intestine.

The approximate menu of the basic version of the standard diet is given in the following table:

Approximate Menu of the basic version of the standard diet:

Name of products and dishes	Exit, G.	Proteins, G.	Fats, G.	Coal
1 breakfast
Omelet from egg proteins, steam	70	6,2	2,7	1,7
Oatmeal porridge	200/5	8,3	9,8	29,6
Tea with milk	200	1,6	1,6	2,4
2 breakfast
Souffle carrot and apple baked with sour cream	195/20	7,3	13,0	31,9
Decoration of Ryshovnika	200	—	—	—
Dinner
Parl soup with finely linked vegetables	500/10	4,0	6,1	25,8
Meat cutlets steam	100/5	16,7	12,7	7,2
Puree beets with vegetable oil	180/5	3,8	6,1	20,0
Fruit juice mousse	160	4,5	—	28,2
Afternoon person
Apple baked with sugar	140	0,7	0,7	17,2
Tea with milk	200	1,6	1,6	2,4
Dinner
Puree from beet	180/5	3,8	6,1	20,0
Porridge buckwheat milk viscous rubbing	195/5	9,1	8,4	40,8
Tea with milk	200	1,6	1,6	2,4
At night
Kefir	200	5,6	6,4	8,2
All day
Wheat white bread	200	11,5	4,5	72,3
Sugar	30	—	—	29,9
TOTAL:		86,3	74,9	340,0

According to the book "Therapeutic nutrition in chronic diseases." The authors of the book - Boris Kaganov and Haider Sharafetdinov.

Proper nutrition for the ulcer of the stomach is an indispensable attribute of the correct therapeutic effect, a prophylactic measure, aimed at counteracting the appearance of ulcer recurrences.

A diet with a stomach ulcer, compiled competently and without disorders, adopted by the patient to the manual - allows you to speed up recovery, stimulate the rapid healing of ulcers in the stomach. Below are the main patterns that are mandatory to perform a patient suffering from the ulcer of the stomach, in chronic gastritis, in the future can develop into chronic peptic ulcer disease.

If it comes to the duration of dietary food, adhere to the menu throughout the year after the end of the exacerbation of the ulcer process. The main purpose of dietary food is to help the regeneration processes of epithelial tissues.

Forbidden products

Below is a list of products forbidden to use with ulcerative disease. Food with an irritating effect on the wall of the digestive tube, reinforcing the formation of sodium and chlorine, filled with sodium and chlorine, reinforced from the diet.

From meat products will need to remove residents and cartilage. Doctor nutritionist, gastroenterologist will provide other recommendations for proper nutrition in ulcers.

Permitted products

A list of dishes and products allowed by diet number 1. The list of products is extensive, the food for the patient will not seem limited and boring.