Content
Diet for erosive gastritis is one of the components of therapeutic measures for inflammation of the stomach. The diet, the permitted and prohibited foods, and the particulars of the diet, the doctor determines the patient on an individual basis - this will largely depend on the acidity of the gastric juice. Following the recommendations of a specialist, observing the principles of diet and nutritional therapy, patients quickly achieve remission.
Features of nutrition with erosive gastritis of the stomach
Erosive gastritis - inflammation of the gastric mucosa with the formation of single or multiple ulcerations (erosions). It can be acute or chronic. Erosive gastritis differs from gastric ulcer in the depth of erosion. As a rule, they do not penetrate into the inner layers of the stomach and after treatment do not form scars. Erosions are essentially open wounds on the lining of the stomach. Therefore, when irritating food gets on them, inflammation, pain, bleeding occur. In addition, the clinical picture in erosive gastritis consists in stool disturbance, nausea and vomiting, heartburn, flatulence. One of the characteristic symptoms of exacerbation of gastritis is "hungry" pain in the stomach.
It is important that the treatment of erosive gastritis is comprehensive. The doctor prescribes drugs that help stop the inflammatory process, reduce the active secretion of gastric juice, and antibiotics if Helicobacter pylori bacteria are found. It should be noted that complete therapy is impossible without a therapeutic diet.
The basic principles of nutrition for erosive gastritis include:
- fractional meals about 5-6 times a day in small volumes (200-250 g);
- exclude the use of food "on the run" and dry food;
- food must undergo proper heat treatment - cooking, stewing, baking, steaming;
- meals should be served chopped or mashed;
- the diet should be complete, balanced according to BZHU;
- a ban on smoking and drinking alcoholic beverages.
Most often, the disease proceeds against a background of increased or normal acidity, therefore, with erosive gastritis, dietary food according to Pevzner is prescribed - table number 1.
Diet for chronic erosive gastritis
The diet after exacerbation of erosive gastritis during the transition to the chronic form is not so strict. However, a number of restrictions will remain forever. This will help avoid the acute stage of the disease. Foods that should be completely excluded:
- fatty fish and meat (pork, lamb);
- smoked meats, pickles and marinades;
- spices, seasonings, sauces;
- baking;
- mushrooms;
- legumes;
- coffee, carbonated drinks;
- some types of raw vegetables (cabbage, sorrel, onions, garlic, bell peppers);
- fresh sour varieties of berries and fruits;
- all fried, fatty, spicy foods.
Eating during a diet with erosive gastritis of the stomach should not activate the formation of hydrochloric acid, so protein foods should be limited.
Diet for erosive gastritis in the acute stage
Nutrition during exacerbation of erosive gastritis should be aimed at protecting the gastric mucosa. Too cold or hot food destroys the inner walls of the inflamed organ. Drinks consumed should also be warm. During a diet with an erosive form of gastritis, it is necessary to exclude artificial additives - dyes, flavors, food with a varied composition. In addition, coarse fiber foods with a dense skin, dishes that are too fried "to the crust" can irritate the gastric mucosa.
Diet during an exacerbation of erosive gastritis for the first few days excludes the use of traumatic food. It should be in a liquid, wiped state. Further, as the general well-being of the patient with an erosive form of gastritis stabilizes, they are transferred to a less strict diet - table number 1. Gastroenterologists assure that the constant use of liquid products cannot speed up the healing process. With erosive gastritis, you gradually need to switch to a full-fledged diet - carefully include fiber, yesterday's stale bread, boiled and stewed vegetables in the menu. These foods actively stimulate the removal of inflammation, restore appetite, and prevent constipation.
The basic principles of the diet for acute erosive gastritis:
- fractional meals in small portions;
- a balanced diet for proteins, fats and carbohydrates;
- food must be chewed thoroughly, do not rush while eating;
- exclude food intake before bedtime.
Fried, spicy, salted, mushrooms and smoked foods are strictly prohibited. You can not use strong coffee, tea, carbonated drinks, as well as fast food.
Diet menu for erosive gastritis of the stomach
The diet for patients with an erosive form of gastritis, menus, recipes are determined, taking into account the course of the disease, stage, general condition, clinical picture of pathology. It is important to diversify the dishes as much as possible. When composing a menu for erosive gastritis, nutritionists rely on a table of permitted and prohibited foods.
The functions of the gastrointestinal tract with erosive gastritis are severely limited, but you need to provide the body with nutrients, proteins, fats and carbohydrates, vitamins and minerals. From protein foods, you can eat meat, steamed fish, boiled eggs, milk. In cereals made from rice, oatmeal, buckwheat, white breadcrumbs, there are a lot of carbohydrates. From fats, you can add a little butter, vegetable fats to ready-made dishes. Potatoes, zucchini, carrots, beets, pumpkin after heat treatment - all these are the main sources of trace elements and pectins. To replenish vitamins, you can use ripe sweet varieties of fruits and berries, compotes.
What can be done on a diet with erosive gastritis
The menu for erosive gastritis can be quite varied. While on a diet, the following foods are allowed to eat:
- lean meats (beef, veal, rabbit, you can have a little lean pork);
- fish (tuna, hake, pollock, flounder, cod);
- poultry (chicken, turkey);
- mashed soups in water;
- vegetables (potatoes, pumpkin, carrots, cauliflower, broccoli, zucchini, bell peppers);
- soft-boiled eggs, steamed omelet;
- low-fat milk;
- pureed cottage cheese;
- dairy products;
- liquid porridge made from buckwheat, oatmeal, rice, semolina in water or milk;
- vermicelli, noodles, horns;
- fruits (apricots, bananas, peaches, apples);
- melons and gourds;
- non-acidic berries;
- honey, jam, biscuits from sweets;
- vegetable juices, tea, weak coffee, rosehip decoction from drinks.
What is not allowed on a diet with erosive gastritis
It is important to understand that for an inflamed gastric mucosa with erosive gastritis in acute form, you need to refrain from eating for a day. During this period, you can drink non-carbonated water, unsweetened rosehip broth, weak tea. On the second day, mashed liquid cereals and soups, jelly and jelly are carefully introduced into the diet. On the third day, you can eat steamed cutlets, fish, mashed potatoes and carrots. Starting from the fourth day, you can eat as part of the diet prescribed by your doctor. Meat products, fish are steamed or boiled, porridge should be consumed in a liquid consistency, vegetables are baked or stewed.
The list of foods prohibited for use with erosive gastritis includes:
- all fatty, spicy, fried, smoked and salty foods;
- conservation, marinades;
- seasonings, hot sauces, spices;
- fatty cheeses;
- whole milk;
- fresh bread;
- rich broths;
- sour types of berries and fruits;
- coffee, cocoa, carbonated drinks;
- rich confectionery, chocolate.
The diet involves quitting smoking and drinking alcohol.
Sample menu for a week
A menu for a week with erosive gastritis will help you create a diet.
Monday:
- breakfast - semi-liquid buckwheat porridge, weak tea, crackers;
- second breakfast - pumpkin casserole;
- lunch - fish soup, stewed vegetable stew, liquid jelly;
- afternoon tea - yogurt, biscuit;
- dinner - mashed potatoes and boiled veal, compote with dried fruits.
Tuesday:
- breakfast - rice porridge with milk, sweet tea;
- second breakfast - an apple baked in the oven with honey;
- lunch - vegetable soup, steamed low-fat fish, fresh berry compote;
- afternoon tea - low-fat milk;
- dinner - rabbit with zucchini, rosehip decoction.
Wednesday:
- breakfast - steamed cheesecakes, weak coffee;
- second breakfast - low-fat kefir, croutons;
- lunch - noodle soup, steamed meat cutlet, green tea;
- afternoon tea - banana;
- dinner - rice with baked chicken breast, milk with a low percentage of fat.
Thursday:
- breakfast - scrambled eggs in a double boiler, chamomile tea;
- second breakfast - yogurt;
- lunch - carrot puree soup, rabbit casserole, cocoa drink;
- afternoon tea - berry jelly;
- dinner - baked fish in foil with vegetables.
Friday:
- breakfast - milk semolina porridge, weak sweet tea;
- second breakfast - an egg, mineral water;
- lunch - vegetable cream soup, chicken pudding, fruit drink;
- afternoon tea - kefir;
- dinner - cottage cheese casserole, dried fruit compote.
Saturday:
- breakfast - soft-boiled eggs, coffee;
- second breakfast - berry jelly, biscuit;
- lunch - turkey meat, baked zucchini, kefir;
- afternoon tea - baked apple in honey;
- dinner - fish soufflé, carrot puree, sweet tea.
Sunday:
- breakfast - rice porridge with butter, tea;
- second breakfast - low-fat cottage cheese with honey;
- lunch - chicken soup, steam cutlet, buckwheat, berry compote;
- afternoon tea - rosehip tea with biscuit;
- dinner - oatmeal jelly, baked pumpkin, boiled veal.
The menu is approximate, you can change it, make it more varied.
Conclusion
Diet for erosive gastritis is one of the necessary measures during the treatment of the disease - both in acute and chronic form. The purpose of the diet, medical nutrition is to relieve the inflamed stomach, reduce the load on the mucous membrane and prevent possible complications.Erosive gastritis is treated in a comprehensive manner, without careful adherence to the diet, a full recovery will be impossible.
