Diet is an important component of the successful treatment of any disease of the gastrointestinal tract. Diet 5 for pancreatitis and cholecystitis is designed to:

• relieve the symptoms of the disease;
• ensure the rest of the diseased organ;
• comprehensively improve the entire gastrointestinal tract.

Features of diet number 5

For pancreatitis, diet number 5 is prescribed: a special nutrition menu compiled by a well-known nutritionist for patients with gastrointestinal problems, M. Povzner. For each of the problems of the gastrointestinal tract, he developed a special diet or diet table, marked with the numbers 1,2,3,4 and 5 (these tables also have subspecies).

The table 5p prescribed for pancreatitis is divided into 2 subspecies:

• low-calorie, sparing diet for acute pancreatitis: designed for the first 2 weeks of an exacerbation of the disease;
• diet 5 for chronic pancreatitis: designed for periods of remission in patients with a chronic form of the disease (calorie content in the range of 2400–3200 kcal).

Diet number 5p for pancreatitis is a special version of the basic diet number 5, prescribed for the treatment of diseases of the gallbladder and liver. It is also prescribed for patients with cholecystitis.

The fact is that the symptoms and etiology of pancreatitis and cholecystitis are closely intertwined. Therapy for pancreatitis of the pancreas includes methods of treating the gallbladder, because the pathology of one of these organs inevitably provokes a violation of the functionality of the second.

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Common symptoms of cholecystitis and pancreatitis include:

• dyspeptic disorders: belching, nausea;
• severe epigastric pain radiating to the left;
• bloating, flatulence, diarrhea.

The main feature of the therapeutic diet No. 5 and its variety 5p: the exclusion of any food and cooking methods that initiate the release of insulin and bile.

Nutrition principles

A patient with a diagnosis of "pancreatitis" will not just have a long-term rejection of certain food groups, but a complete revision of the principles of nutrition. Diet for pancreatitis becomes not just a method of treatment, but also the only means of preventing possible relapses and complications of the disease.

So, with pancreatitis and cholecystitis, the following nutritional principles should be followed:

• The first rule of the diet for pancreatitis is to reduce the amount of food absorbed. A serving should not exceed 200-250 grams.
• You need to eat often: every 3-3.5 hours. The last meal should be no later than three hours before bedtime.
• Meals should be strictly according to the schedule. When the body gets used to the schedule of food intake, the secretory function will be activated exactly on time: not earlier and not later. If gastric juice is produced, but there is no food, the process of “self-eating” of the mucous walls begins, but if the juice comes in later than necessary or in insufficient quantities, the food is digested poorly, stagnates in the stomach and rots.
• Food should not mechanically or chemically irritate the inflamed mucosal surfaces. So, the diet should be cleared of foods rich in coarse, poorly digestible fiber, carbonated drinks, packaged juices, fast food, canned food and semi-finished products rich in chemical flavor enhancers, stabilizers and others.
• Any food should be crushed or mashed before eating.
• It is necessary to exclude from the diet all products that, due to the content of extractive substances in them, stimulate the production of gastric juice (garlic, onion).
• In case of pancreatitis, alkaline mineral water is welcome (alkali neutralizes the acidic environment in the area of ​​​​inflammation of the gland, thereby alleviating the symptoms of pancreatitis and speeding up the treatment of the patient.) Mineral water is drunk before meals (except when the patient is shown therapeutic starvation).
• In no case should you drink cold drinks (especially cold mineral water): after drinking any cold drink, you can provoke a spasm of the valve, and even clog it. On the contrary, warm mineral water has a beneficial effect on the bile ducts, washing them and thereby stimulating the outflow of gastric juice.
• It is necessary to use only warm food and drink: the valves can spasm from the cold, and the irritation of the mucous membrane can increase from the hot.
• All hard-to-digest foods, fast food, tobacco, alcoholic products, chewing gum are completely excluded from the diet.
• Recipes of dishes allowed for pancreatitis exclude the addition of salt during cooking. Up to 10–12 g of salt can be used per day, so it is worth adding it only to ready-made meals.
• Ways of cooking: boiling, stewing, cooking in a double boiler.

The above rules of eating behavior will help reduce the intensity of pain in pancreatitis and cholecystitis, as well as speed up the recovery of the patient.

Allowed and prohibited products

In the list of products allowed by the dietary table number 5:

• soups with a hateful broth, cream soups with meat, slimy oatmeal soups, or soups based on other cereals;
• cereals (any cereal except pearl barley and millet);
• dried or yesterday's bread;
• lean meat and fish (boiled or stewed);
• fruits - only sweet apples in a baked or mashed state;
• vegetable purees, boiled vegetables, steamed stews;
• eggs and dishes based on them (with a strict variation of diet number 5, only proteins are allowed);
• low-fat, non-acid grated cottage cheese (possible with honey) and casseroles based on it;
• boiled vermicelli (possible with butter);
• mineral water, herbal decoctions, wild rose infusion.

Milk is a controversial food for pancreatitis. Some sources advise to exclude it from the diet, referring to the fact that full-fat homemade milk has an extremely negative effect on the pancreas. It is worth drinking only low-fat (no more than 1%) milk, in small quantities. Dairy products in moderation are encouraged.

It is necessary to exclude from the diet:

• rich broths and dishes based on them;
• smoked and fried foods;
• raw vegetables and fruits;
• fatty meats and fish;
• radishes, turnips, onions, garlic, mushrooms, legumes, sorrel, white cabbage;
• preservation, pickles and marinades;
• smoked meats and any semi-finished products: dumplings, sausages, etc.;
• condensed milk;
• fresh bread, yeast fresh pastries, muffins;
• chocolate and ice cream;
• coffee;
• alcoholic drinks;
• spices, spicy and fatty sauces.

For additional foods and dishes prohibited by Diet 5, you should consult with your doctor.

An exemplary diet menu for an exacerbation period

The first three days from the onset of the acute stage of pancreatitis shows a complete refusal of food, rest and bed rest. In order to prevent dehydration and salt imbalance in the body, it is necessary to drink at least 1.5 liters of warm mineral, alkaline water without gas (Essentuki, Borjomi, Mirgorodskaya, etc.). In addition, you can drink diluted rosehip broth and weak tea.

After 3 days from the onset of the exacerbation, you can switch to a sparing diet. Meals can be arranged based on the options below.

Breakfast options:

• buckwheat porridge mashed in water, chopped chicken steam cutlet, tea;
• mashed liquid semolina or rice porridge without oil, milk jelly (in low-fat milk) or unsweetened tea;
• steamed protein omelette, tea with bread.

Snack options:

• grated low-fat cottage cheese, diluted with milk or kefir, jelly;
• pureed fruit jelly, a glass of mineral water;
• rosehip infusion, dried bread.

Lunch options:

• mashed potatoes on the water and fish soufflé, tea;
• soup-puree from vegetables, steam chopped cutlet;
• oatmeal soup with mucus, carrot puree, unsweetened tea.

Dinner options:

• steam omelette of 2 proteins in milk, crackers and weak tea;
• steamed meat soufflé, mashed buckwheat porridge without oil, rosehip broth;
• grated cottage cheese with the addition of low-fat milk, tea.

This variation of the diet for severe patients should be followed for 2 weeks. During the remission period, you can move on to the second, loyal diet option under the fifth number.

Sample diet menu for the remission period

During the period of remission, the patient can afford any products from the permitted list. In addition, the total calorie content of the diet also increases: from 1700 it increases to 2500-3200.

Breakfast options:

• crumbly buckwheat, a piece of boiled chicken fillet, tea;
• oatmeal with milk, beetroot salad, compote;
• rice porridge with butter, tea.

Snack options:

• a small handful of dried fruits (dried apricots or prunes), lingering cookies ("Maria" or "zoological") with tea;
• biscuits with hard cheese, fruit jelly;
• low-fat cottage cheese, yogurt.

Lunch options:

• boiled potatoes, a piece of boiled fish and a non-sour apple, dried fruit jelly;
• vegetable soup, a portion of boiled chicken fillet, vermicelli, compote;
• salad of carrots and green peas, steam cutlet with liquid mashed potatoes;
• soup-puree from vegetables and boiled meat, boiled beef and dried bread, tea.

Dinner options:

• steamed fish, dried bread and tea with milk;
• a glass of kefir with lingering cookies;
• squash puree, grated porridge with butter, tea.

Strictly adhering to the diet, as well as following the basic rules of eating behavior, you can quickly get rid of the unpleasant symptoms of inflammation of the pancreas, intensify the cure, and also protect yourself from relapses and complications of the disease.

Menu for pancreatitis for a week

Pancreatitis is inflammation of the pancreas. With this disease, it is necessary to adhere to dietary nutrition, regardless of the form in which it occurs. First of all, it is important to know that the menu for pancreatitis for a week is selected purely individually. What is forbidden to use during the period of exacerbation is allowed at the stage of remission.

With pancreatitis in a chronic form, the diet consists in consuming food with minimal acidity and spices. All dishes are prepared exclusively on water or steamed. If it proceeds in an acute form, during the first day the patient drinks only clean water. So, for a day he should consume two liters of water. After a few days, liquid soups, cereals, mashed potatoes are allowed.

How long to follow a diet?

This question interests almost every patient with pancreatitis. As a rule, a weekly menu for pancreatitis is compiled. But to follow a diet, especially in advanced cases, you need to almost constantly. You will have to eat dishes boiled, baked or cooked in a double boiler. It is necessary to give up fried, salty, pickled, smoked and alcoholic drinks forever, so as not to worsen your condition.

List of allowed products:

• meat of chicken, turkey, rabbit, veal. Of these, you can make meatballs, cutlets, or cook in portions;
• fish. Steam or bake in foil;
• omelette. If you want a boiled egg, it should be soft-boiled;
• pasta only in the form of soups. From buckwheat, semolina, rice and oatmeal - prepare porridge;
• fermented baked milk, kefir, low-calorie yogurt.

The menu should contain only white bread, which must be dried in advance in the microwave. Fresh, it is banned.

This is what the menu looks like

Monday:

• Breakfast: oatmeal on the water (if there are no contraindications, you can use milk). For taste, it is allowed to add a little honey;
• Lunch: vegetable soup without cabbage, steamed fish;
• Dinner: chicken breast with stewed carrots or zucchini.

Drink green tea without sugar, preferably large-leaf, not tea bags.

• Breakfast: low-calorie cottage cheese with honey and unsweetened yogurt;
• Lunch: soup, chicken cutlet and stew;
• Dinner: boiled potatoes, steamed fish (baked in foil).

It is not forbidden to use deodorized sunflower oil as a dressing.

• Breakfast: pumpkin puree with honey and dried apricots;
• Lunch: vegetable soup without hot spices;
• Dinner: zander.

Drink tea / compote from agricultural fruits. Under the ban - kissels and fruit drinks from fresh fruits.

• Breakfast: buckwheat porridge with butter;
• Lunch: soup, boiled rice with veal;
• Dinner: vegetable stew.

Snacks - low-fat natural yogurt, kefir.

• Breakfast: oatmeal with honey, kefir;
• Lunch: soup from a set of vegetables, buckwheat porridge with boiled chicken;
• Dinner: stew and fish.

Drinks and snacks remain the same.

• Breakfast: pumpkin puree, cottage cheese;
• Lunch: soup, corn porridge with meatballs;
• Dinner: buckwheat porridge, meatballs.

Do not forget that meat should be lean, and soups should not be fried.

Sunday:

• Breakfast: stewed zucchini, scrambled eggs;
• Lunch: buckwheat soup, mashed potatoes with fish (you can boil chicken breast);
• Dinner: stewed vegetables, tea.

All of the listed menu for a week with pancreatitis is adjusted by the attending physician. Therefore, there is no precise adjustment of the allowed portions.

The main task of the patient is not to overload the work of the entire gastrointestinal tract. In order to know how to diversify the diet, you should familiarize yourself with other products that are allowed to be consumed by patients with this disease.

Vegetables - zucchini, carrots, pumpkin, beets

The main condition is that they should be soft (not overripe!) And starchy. Use them in the form of purees, soups or casseroles. In moderation, you can celery, tomatoes, eggplant. If an exacerbation has begun, the patient is allowed to use - zucchini, pumpkin, beets, cauliflower. In the chronic form of the disease - dill, parsley, carrots, cucumber plus the previously described products.

Fruits and berries

When the patient has no complications, his diet is diversified, juicy and sweet berries / fruits are added to it. Purees and casseroles are prepared from fresh fruits. In the period of remission - cherries, grapes, lingonberries, melons, tropical fruits. They are used in the form of jelly or jelly. But first you need to coordinate your diet with a medical officer.

natural butter

In the absence of lactose intolerance, patients are allowed to consume butter in moderation. It is recommended to add it to warm food - mashed potatoes, cereals. But since cold fat is absorbed harder and longer, it should not be consumed in the form of sandwiches with bread.

ATTENTION! When buying oil in a regular store, it is worth considering that the lower the percentage of fat content, the more chemical impurities it contains. An oil made from natural ingredients simply cannot have a fat percentage of less than 80%. buying a product with an underestimated fat content, the body is more harmed.

Vegetable oil

The doctor himself will allow its use if he makes sure that the patient's pancreas can fully cope with proteins and carbohydrates. These people are advised to use not the usual sunflower oil, to which they are so accustomed, but corn or olive oil, they stabilize the work of this organ. It is important to know that oil must be added to food without heat treatment, so as not to lose its beneficial properties.

Dairy

After the acute phase subsided, they drink diluted milk with water in equal proportions. After a certain period of time, and the doctor will say more specifically, you can use low-fat cottage cheese. At the stage of remission - homemade yogurt, fermented baked milk, milk, etc. By the way, sour cream and low-fat cream are not forbidden at all.

Kashi - oatmeal, buckwheat, rice, semolina

You will cook them with milk or water. It all depends on the recommendations of the doctor. Prohibited cereals from barley, barley, millet, corn and peas.

What is wrong with pancreatitis?

As with every diet food, there are foods that must be present, but there are also exceptions like these:

• fat content, salinity, smoked products, marinades, canned food;
• grape, citrus juices;
• cocoa, coffee, alcoholic and carbonated drinks;
• hot spices, seasonings, rye bread;
• products containing carbohydrates;
• cakes, ice cream, pastry, sweets, chocolate.

Complement this list - millet and corn porridge. The first is allowed during the period of exacerbation.

What should be the diet for acute pancreatitis?

One of the ways to eliminate this ailment is to treat it with a diet. It, in turn, is carried out under the strict guidance of specialists, and is compiled by them. So, on the first day after the attack, the patient is transferred to therapeutic fasting for a week. During these days, he will drink only purified water, non-carbonated mineral water is allowed.

When the latest test results are obtained, from which it will be sufficiently clear that the number of enzymes secreted by the pancreas is reduced, the menu is expanded. As a rule, vegetable broth, 1% kefir, tea, veal cutlets, soup puree are added to it. In acute pancreatitis, turkey fillet is extremely important. It should be entered into the menu immediately after the patient begins to consume carbohydrate foods. You need to eat often, but in small portions. Such fractional nutrition will not overload the work of the pancreas.

Chronic pancreatitis - menu

Here the menu is much more varied than during the exacerbation. But in order not to provoke a breakdown, it is necessary to refrain from harmful foods and adhere to the basic principles of nutrition:

• all dishes should be steamed or stewed, baked;
• food temperature should not be higher than 60 degrees. Drinks not higher and not lower than 15 degrees;
• during the day, sit down at the table 5-6 times, gradually expanding the menu. If you yourself do not know what to add, and the same dishes are terribly tired, seek advice from a qualified doctor. Do not try to find information of this nature in the public domain, no one is responsible for people's health there. Therefore, in order to avoid unpleasant stories, it is better to go to see a doctor;
• consume salt and sugar in moderation. No more than 10 and 30 grams per day.

The daily norm of proteins is 150 grams, carbohydrates - 340 grams, fats - 80 grams. The consumption of animal fats is not limited. The main condition is to chew food thoroughly.

Please note - you need to eat at the same time, avoiding a long hunger strike. But since every person has problems with time, take crackers, an apple or yogurt to work.

Preventive actions

They are divided into primary (prevention of the development of the disease in the chronic stage) and secondary (prevention of a possible remission).

The first prevention - implies a full course of treatment, which is carried out in a hospital under the total supervision of a doctor. In practice, there have been situations more than once when patients, after feeling the slightest relief, asked to go home without even reaching the end of the treatment. But since it is not possible to keep patients in the hospital with requests, after a while they return with the chronic stage of pancreatitis. To avoid such a result, treatment must be carried out from and to, until the symptoms completely disappear, and this will not be confirmed by the results of the tests.

Second prevention:

1. The first thing it is based on is that the patient is obliged to give up the abuse of alcohol and smoking. If this is ignored, death is possible. But still, it is better to give up the existing bad habits, especially since now there are various clinical institutions that can really help.
2. Follow the diet for as long as it takes for a full recovery. It has already been discussed earlier, so it will not be difficult to get acquainted with diet food again.
3. Always treat chronic diseases to the end. These include - caries, cholecystitis, sinusitis and others.
4. Eliminate drugs that adversely affect the functioning of the pancreas.
5. If there are no signs of exacerbation, experts are allowed to drink mineral water, but not carbonated, as was said some time ago.

Recipes from traditional medicine, along with dietary nutrition, can help restore the body's lost strength. But before using them, the patient is simply obliged to consult with a medical professional so as not to worsen his current condition.

Folk remedies:

1. Take calendula flowers, burdock root, sage stems and leaves in three parts. Two parts - dandelion root, meadow clover flowers. Dry all collected plants thoroughly, chop and mix. From the total mass, take two large spoons of the collection and pour 2 cups of boiled water. Insist in a thermos for 5 hours. Next, cool the composition, strain and store in the refrigerator. Warm up to comfortable temperature before use. Divide 1 cup of the product into four single doses - morning, afternoon, evening, before bedtime. Treat pancreatitis until the pain is gone, then another week to fix the result.
2. Take a golden mustache - 3 leaves, the length of which should be about 12 cm. They need to be chopped, poured over with boiling water twice, and boiled for 20 minutes the third time, then strained. Start taking the decoction gradually, with one tablespoon. After a certain period of time, its volume will be 1/3 cup per day.
3. Soak the oats in water and place them on a windowsill for a few days until they begin to sprout. As soon as it has taken root, dry the grains and turn them into flour, from which it will be necessary to cook jelly once a day.
4. Mix the following herbal ingredients in the same ratio to prepare the next infusion: wild rose (its fruits), green bean leaves, horsetail, dill seeds, St. John's wort, galangal roots. From the resulting amount, take only two dessert spoons of the collection and pour 500 ml of boiling water. Let it brew for about 8 hours. At the reception 1/3 cup three times a day before you sit down at the table. The duration of course therapy is a little more than six weeks, then you need to take a break of 14 days.
5. To prepare this herbal tea, you will need:

• wormwood and calendula flowers;
• burdock root and elecampane;
• chamomile and St. John's wort;
• cudweed marsh and tripartite series;
• horsetail and medicinal sage.

They need to take ten grams each.

How to do, step by step recipe:

1. Pour 4 teaspoons of the collection with a glass of boiling water.
2. Put the container on moderate heat, and simmer for about ten minutes.
3. Cool and strain. Since some of the water will evaporate during boiling, the lost volume must be brought up to 250 ml by adding boiled liquid.

Take a decoction three times a day for 1/2 cup thirty minutes before the start of the meal.

Dill infusion is no less successfully used. To do this, take 1 large spoonful of dry dill (you can take its seeds) and pour a cup of boiling water. Insist, strain and take before meals for half an hour in a warm form.

Get well soon!

Nutrition for colitis

Colitis is a disease characterized by inflammation of the lining of the large intestine. In treatment, a mandatory measure is a diet for intestinal colitis. It allows not only to reduce the load on the gastrointestinal tract and liver, but also to improve the overall health of a person.

• 1 General principles of diet
• 2 What is allowed to eat?
• 3 What is forbidden to eat?
• 4 Diet food
  • 4.1 In acute colitis
  • 4.2 In the chronic form
  • 4.3 Colitis with diarrhea
• 5 Sample menu for the week
• 6 Consequences of non-compliance with the diet in intestinal colitis
• 7 Delicious Recipes
  • 7.1 Vegetable soup
  • 7.2 Soup with meatballs

General principles of diet

The diet is determined based on the classification of the course of intestinal colitis. The disease happens:

1. Acute. The most painful variety. Accompanied by many failures in the activity of the gastrointestinal tract.
2. Chronic. A disease that has become permanent. Chronic colitis can manifest itself sluggishly and rarely cause serious symptoms and exacerbations, or it can constantly make itself felt. Often, the constant excitation of the disease is due to the fact that the patient does not adhere to the proper nutrition prescribed by the doctor.
3. Ulcerative. The reasons for the development of this form of the disease have not been studied.

Diet for intestinal colitis is one of the most important components of therapy, since drug treatment without correctly prescribed nutrition will not give proper results. The patient will need to follow the following diet rules for intestinal colitis:

1. Remove fats of animal origin, smoked meats and spicy foods from the menu. Such food acts as an irritant to the intestinal mucosa.
2. Do not eat vegetables with bones (cucumbers, tomatoes).
3. Avoid fatty fish and meats.
4. Reduce the amount of spices and spices.
5. Do not drink carbonated mineral water, sour juices and alcohol.

It is prescribed for chronic gastritis with secretory insufficiency, chronic colitis, dysfunction of the masticatory apparatus.
According to the chemical composition, the diet is physiologically complete with the content of proteins - 100 g, fats - 100 g, carbohydrates - 400-450 g, calories - 3000-3200. The amount of table salt - up to 15 g, free liquid - up to 1.5 liters. The total weight of the daily diet - no more than 3 kg.
It is recommended to take food 4-5 times a day (temperature 40-50°C).
Spicy dishes and spices, whole milk, mechanical irritants - raw vegetables and fruits are excluded from the diet, but chemical ones that stimulate gastric secretion remain.
Food is consumed in boiled crushed form. It is allowed to stew and bake after preliminary boiling, as well as frying without the formation of a rough crust (that is, without breading).

EXAMPLE MENU

First day

First breakfast Chopped egg with green salad and butter - 50 g; boiled fish with mashed potatoes and butter - 75, 150 and 5 g; two-day wheat bread - 100 g; tea with sugar - 1 glass.
Lunch Zucchini stuffed with vegetables - 200 g; two-day wheat bread - 50 g; tomato juice - 1 glass.
Dinner Green salad with butter - 50 g; fish broth with sago and carrots - 400 g; semolina zrazy with boiled beef meat - 275 and 5 g; two-day wheat bread - 200 g; infusion of rose hips - 1 cup.
afternoon tea Yogurt - 200 g
Dinner Cottage cheese mashed with carrots -100 g; liquid oatmeal with butter - 200 g; tea with sugar - 1 glass; two-day wheat bread - 50 g.
For the night Kefir - 1 glass.

Second day

First breakfast Vermicelli casserole with beef liver - 250 g; two-day wheat bread with butter - 100 and 10 g; coffee with milk and sugar - 1 glass.
Lunch Liquid milk rice porridge with butter - 300 and 10 g.
Dinner Vegetable caviar - 100 g; zucchini soup with oatmeal - 400 g; rabbit at home with potatoes - 175 g; two-day wheat bread - 200 g; fresh fruit compote - 1 cup.
afternoon tea Milk jelly -200 g.
Dinner Potato zrazy with vegetables and sour cream - 250 and 20 g; two-day wheat bread - 100 g; apple-lemon drink - 1 glass.
For the night Kefir - 1 glass.

Third day

First breakfast Amateur squash caviar - 100 g; cottage cheese casserole with apples and sour cream - 200 and 20 g; two-day wheat bread-100 g; tea with milk - 1 glass.
Lunch Milk semolina porridge with pumpkin - 250 g; plum juice - 1 glass.
Dinner Carrots with apples with sour cream - 100 g; potato soup with cauliflower - 400 g; beef liver cutlets with noodles - 100 and 150 g; two-day wheat bread - 200 g; fruit jelly - 1 glass. Kefir - 1 glass.
afternoon tea Kefir - 1 glass.
Dinner Fish stewed with onions, with buckwheat porridge - 100 and 150 g; two-day wheat bread - 100 g; tea with sugar - 1 glass.
For the night Kefir - 1 glass

Fourth day

First breakfast Liver cheese - 10F g; millet porridge with apples - 300 g; two-day wheat bread - 50 g; coffee with milk - 1 glass.
Lunch Soft-boiled egg - 1 pc.; two-day wheat bread with butter - 50 and 10 g; apple juice - 1 glass.
Dinner Amateur squash caviar - 50 g; oatmeal soup with chicken broth - 400 g; beef cutlets with boiled potatoes - 100 and 140 g; two-day wheat bread - 200 g; infusion of rose hips - 1 cup.

afternoon tea Beets with sour cream - 100 and 20 g; two-day wheat bread - 50 g; lemon drink - 1 glass.
Dinner Honey cottage cheese with jam - 80 g; boiled fish with butter - 75 and 5 g; two-day wheat bread - 50 g; tea with sugar - 1 glass.
For the night Kefir - 1 glass.

Fifth day

First breakfast Carrots with honey - 100 and 10 g; potato zrazy with cottage cheese - 270 g; two-day wheat bread-100 g; boiled milk - 1 glass.
Lunch Cottage cheese with sugar and mashed strawberries - 100 g; two-day wheat bread - 50 g.
Dinner Broth with egg flakes - 400 g; cabbage rolls from rice porridge with beef - 280 g; two-day wheat bread - 200 g; cocoa with milk - 1 cup.
afternoon tea Green peas with butter - 200 and 10 g; two-day wheat bread - 50 g; tomato juice - 1 glass. Dinner
Dinner Macaroni and cheese - 250 and 30 g; tea with sugar - 1 glass.
For the night Kefir - 1 glass.

Ulcerative colitis (UC) is a pathological condition characterized by an inflammatory process in the colon or rectum. According to medical indicators, the disease occurs in 5% of the population, while women suffer from this disease twice as often as men.

Clinical signs of ulcerative colitis are pronounced and directly depend on the form and stage of the disease. The disease can be acute or chronic. In the acute period of the disease, the symptoms are pronounced and are accompanied by a violation of the stool (more than 5 times a day), fever, sharp and cutting pains in the abdomen and other symptoms. Chronic ulcerative colitis has more subtle symptoms, and is often accompanied by constipation, which indicates inflammation of the ileum of the intestine.

The disease often worsens, which causes a number of physical and psychological discomfort. Treatment of UC is only complex and consists of both taking drug therapy and following a diet, which occupies a paramount place in almost all diseases of the gastrointestinal tract, including ulcerative colitis.

The diet for UC allows you to maintain the work of the excretory and digestive organs, thereby improving the patient's well-being. Compliance with proper nutrition allows you to restore the intestinal mucosa, protect it from aggressive effects. Proper nutrition with ulcerative colitis will help relieve the exacerbation of the disease, prevent its relapse. Typically, a diet for this disease lasts about 5 weeks, but some patients are prescribed for several months.

Nutrition for ulcerative colitis

For patients with a history of UC, nutritional therapy is prescribed by a gastroenterologist or nutritionist who manages the patient and is well acquainted with the history of the disease. The menu of people suffering from this disease should contain foods rich in protein, and the amount of animal fats and fiber should be reduced to a minimum, and in the acute period they should be completely abandoned.

It is important to note that nutritional management for acute, chronic or non-specific ulcerative colitis should be developed individually for each patient, but in any case, colitis requires a diet.

The menu during an exacerbation of the disease should be fractional, but with chronic, nonspecific colitis in remission, nutrition can be slightly diversified and include those foods that cannot be consumed in the acute period.

In order for the bowel functions to recover faster, you can eat at least 4-6 times a day, while the portions should be small, and all foods should be cooked correctly. The dishes included in the menu should be not only healthy and safe, but also tasty.

If the patient has a good appetite after an illness, this is a good sign, but you still need to keep your appetite under control and not eat those foods that are prohibited for colitis, as the disease may return.

What foods are included in the diet for ulcerative colitis

Diet therapy for UC in the acute stage includes table number 4, which is also often prescribed for other intestinal diseases. The main purpose of such nutrition is to reduce fermentation, the formation of putrefactive processes and reduce inflammation.

Compliance with such nutrition also allows you to normalize the digestive system, provide the body with all the necessary and useful substances, increase intestinal motility and secretion of gastric juice.

It is important to note that table No. 4 is prescribed only during an exacerbation of the disease in acute, chronic or non-specific ulcerative colitis and it can be observed for no more than 5-7 days.

As with other diseases of the gastrointestinal tract, all foods consumed should not be too hot or cold, portions are not large, and dishes should also be served only in pureed or chopped form, and they can be steamed or boiled.

The menu for ulcerative colitis should include the following foods:

• Low-fat varieties of poultry or fish, rabbit meat, veal or beef are also allowed.
• Chicken eggs - 1 per day. In the acute period with nonspecific colitis, only boiled protein is allowed. Frying is absolutely impossible.
• Bread of yesterday's baking from white flour, no more than 100 g per day.
• Dairy and sour milk products: low-fat cottage cheese, whole milk or yogurt can be used in the preparation of cereals or puddings. It is not recommended to use kefir, cream, sour cream, milk.
• Vegetables - consumed in boiled and mashed form.
• Cereals: semolina, rice, buckwheat and oatmeal are cooked in water or used for puddings and casseroles.
• Fruits and desserts: applesauce, berry jelly, fruit drinks, but not those that increase acidity. In the acute period, fresh fruits, jam, honey, pastries are launched.
• Drinks: green, black or herbal tea, pure still water.

From the above products, you can cook vegetable purees, broths, casseroles, jellies, puddings, salads and other dishes. The main thing is that all cooked food is served boiled or steamed.

What foods should you avoid for ulcerative colitis?

With ulcerative colitis, the following foods and dishes should be excluded from the diet:

• flour products: pasta, pastries, cookies, cakes;
• rich, fatty and milky soups;
• fatty meats or fish;
• canned food;
• dairy products: raw, fried eggs, kefir, sour cream, milk;
• cereals: barley, millet, barley;
• any snacks;
• smoked meats;
• sweets, chocolate;
• fruits and berries;
• dried fruits;
• jams, preserves;
• sauces, mayonnaise, tomato;
• any alcohol;
• spices.

The above products should be discarded both in the acute period of the disease and during remission in chronic or non-specific ulcerative colitis. When the patient's health has improved, the doctor may allow some foods from the prohibited list to be introduced into the diet, but only in small quantities.

With UC, it is necessary to completely abandon alcoholic beverages, since alcohol will lead to a deterioration in the patient's well-being or the development of an exacerbation.

It is necessary to observe therapeutic nutrition for UC until the cause of the disease is established, and a full treatment is not carried out. One of the main things in the diet for ulcerative colitis is not to eat fatty, spicy, salty or smoked foods. The use of such products will provoke an exacerbation of the disease.

Diet for colitis with constipation

If ulcerative colitis has a chronic course, the patient often suffers from constipation, so the diet should contain foods rich in fiber. The patient's diet should contain kefir, fruits, cereals, vegetable soups, butter in a small amount.

All food should be served boiled, chopped and pureed. Such nutrition will avoid irritation of the gastric mucosa, normalize digestion. If the patient suffers from constipation, diet therapy will prevent complications and relapses of the disease.

In chronic ulcerative colitis, which is accompanied by constipation, it is important to exclude the use of any spicy, fatty and salty foods, it is also important to exclude foods that increase fermentation from the diet.

Sample diet menu for ulcerative colitis for one day

Treatment of ulcerative nonspecific colitis with therapeutic nutrition will help reduce the symptoms of the disease, improve the patient's well-being, and prevent relapses. Many doctors with this disease recommend that their patients follow a vegetarian diet, but given that with this diagnosis the body needs protein, then it will be difficult to do without meat.

Consider an approximate diet for 1 day:

1. Breakfast: buckwheat or rice porridge on the water with melted butter, tea.
2. Second breakfast: 50 grams of boiled beef, jelly.
3. Lunch: vegetable soup, dried fruit compote.
4. Snack: black weak tea with 2 crackers.
5. Dinner: 1 steam chicken cutlet, a cup of tea.
6. Before bed: a baked apple.

A doctor should prescribe a diet for ulcerative colitis, since this disease can have a different course, so in the acute period there is repeated diarrhea, and in the chronic period, patients suffer from constipation.

Also, in the acute period, kefir is strictly prohibited, and with colitis with constipation, on the contrary, it is recommended to take kefir.

Features of dietary nutrition in ulcerative colitis

When compiling a diet for UC, the doctor should take into account the stage and clinic of the disease, and only then prescribe diet therapy. If the diet is made correctly and the patient strictly adheres to it, then significant improvements will be noticeable after 5 to 7 days.

When following a diet, the patient must observe the following rules:

1. All products must be steamed or served boiled.
2. Food should be warm, but not hot or cold.
3. High calorie meals should be consumed in the morning.
4. You need to eat 5-6 times a day.
5. After 9 pm you need to refuse food.
6. Portions should be small.
7. The menu should contain foods rich in protein. (110 grams per day).
8. All products used for the diet should be natural, fresh and healthy.

By following the elementary rules, you can not only reduce the symptoms of the disease, but also improve the functioning of the digestive tract.

What happens if you do not follow a diet with ulcerative colitis

In cases of negligent attitude to one's health with a diagnosis of "ulcerative colitis", lack of treatment and diet, the patient puts at risk not only his health, but also his life.

Ulcerative colitis, like any other bowel disease, can progress and lead to complications such as:

• massive bleeding;
• perforation of colon ulcers;
• peritonitis;
• colon stricture;
• colon cancer.

Any of the above diseases can develop against the background of ulcerative colitis. That is why you should not hesitate to treat at the first symptoms of the disease. Only timely and high-quality treatment will keep the disease under control and prevent its progression.

Nonspecific ulcerative colitis occurs quite often among residents of European countries. It is an inflammatory disease exclusively of the large intestine that never spreads to the surface of the small intestine.

Ulcerative colitis is accompanied by an erosive process of the mucosa, which requires not only the intake of various drugs, but also a diet, and a constant one. Ulcerative colitis is a chronic, relapsing disease, so proper nutrition is essential.

Causes and signs of nonspecific ulcerative colitis

The causes of ulcerative colitis are still not precisely defined. It is difficult to say how much the love of junk food, fast food and bad habits affect the development of this disease, but they are definitely provoking factors that increase the chances of getting sick with ulcerative colitis.

A diet for non-specific ulcerative colitis may improve symptoms but rarely resolve the disease completely.

When a new provocateur of inflammation appears, the disease resumes. For this reason, a constant diet is very important and forms an integral part of the treatment.

One of the provoking factors of nonspecific ulcerative colitis is heredity. It has been proven that people who have close relatives with ulcerative colitis suffer from this disease many times more often.

Of course, external factors are also important. Improper nutrition, an abundance of fatty foods, alcohol, nicotine and a sedentary lifestyle negatively affect the entire state of the intestine, creating favorable conditions for the development of infection and inflammation.

Various infections can also lead to ulcerative colitis. The influence of viruses and bacteria on the development of this disease is still being studied. However, the inflammatory process is almost always associated with disorders of the immune system. There are a number of symptoms of non-specific ulcerative colitis:

• Chair disorders. Ulcerative colitis manifests itself in many ways, from severe constipation to chronic diarrhea. Severe inflammation can lead to stools containing blood or pus. In some cases, constipation is replaced by diarrhea for no apparent reason.
• Tenesmus. With ulcerative colitis, there may be painful abdominal cramps, false urge to defecate, which remain for some time after going to the toilet.
• Pain in the abdomen. Ulcerative colitis is rarely painless. As a rule, patients feel pain in the left side of the abdomen before or after a bowel movement. Pain can be aching or sharp intense.
• Weight loss. With inflammation of the intestines, nutrients are poorly absorbed in it, appetite decreases, so the patient is rapidly losing weight.

The treatment of such a difficult disease always includes a whole range of measures. It includes drug therapy, and diet, and a total restructuring of lifestyle.

In the case of a severe course of the disease, surgical intervention may be prescribed. Most often, general practitioners prescribe a number of drugs and give advice about nutrition:

1. Hormonal preparations. Taking hormones for ulcerative colitis helps reduce the inflammatory process, but they have their own side effects. With prolonged use of hormonal drugs, there may be a malfunction in the body, active hair growth on the face and body, increased blood pressure, and the development of diabetes.
2. Immunosuppressants. The drugs suppress the body's immune response, which reduces inflammation, but these drugs should only be taken under medical supervision.
3. Diet. Proper nutrition in ulcerative colitis is essential. The action of drugs will not be enough if the intestines are constantly irritated by indigestible food. This is a chronic disease that requires a constant diet.
4. Antibiotics. Antibacterial drugs are prescribed as additional therapy if ulcerative colitis is accompanied by signs of a bacterial infection: pus in the stool, fever, fever.
5. Painkillers. With severe pain in the abdomen, painkillers are prescribed, but they are not recommended to be taken for a long time, since pain can be an alarming symptom of another acute disease, and the drugs blur the clinical picture.
6. Antidiarrheal or mild laxatives. Stool disorders also require treatment. For diarrhea, fixing drugs and drugs that prevent dehydration are prescribed, and for chronic constipation, mild laxatives that do not cause intestinal irritation.

A person with this disease must carefully monitor what he eats so as not to provoke inflammation. As a rule, fractional meals are prescribed, in small portions 4-5 times a day, with the exclusion from the diet of any food that is difficult to digest.

With ulcerative colitis, it is important to follow the rules of nutrition, which will help reduce intestinal motility, relieve spasms and reduce the inflammatory process.

Diet for ulcerative colitis is not as strict as it might seem at first glance. Refusing fast food and spices is difficult only for the first couple of weeks, then addiction begins, and the body no longer requires junk food.

The list of allowed products is controlled by a doctor. You can expand it only after consulting your doctor. Allowed products for colitis:

• Lean meat. There is no need to refuse such a nutritious product as meat, but it must be carefully selected and cooked (boiled or stewed, but not fried in oil). Veal without fat, chicken (especially breast), turkey, and rabbit are suitable as dietary products.
• Cereals. Porridges (preferably on water, but also with milk) are allowed any, except barley and millet. Porridges are considered dietary dishes, but you should not buy instant porridges in packs, they have a lot of preservatives and flavorings.
• Low-fat cottage cheese and sour cream. Dairy products are good for the intestines, but it is advisable to avoid milk with a high percentage of fat. Fat-free or low-fat cottage cheese is recommended.
• Flour products. It is advisable to use flour products without muffins, creams and not fresh. You can eat biscuits, yesterday's bread, crackers, wheat bread toasts. Occasionally, you can afford pastries from lean dough. Pasta is also allowed.
• Vegetables and fruits. Fresh fruits and vegetables are healthier because of fiber, but they can irritate the intestines, cause bloating, you can drink jelly, eat mashed vegetables and fruits. Sweet fruits can be eaten fresh in limited quantities.
• Eggs. It is advisable to eat soft-boiled eggs or in the form of steam omelettes. Hard boiled eggs and fried eggs are undesirable.
• Greens. Fresh or dried herbs (dill, parsley) can be added to dishes.
• Fish. It is advisable to use low-fat steamed or boiled, stewed fish, but avoid canned fish and semi-finished products.
• Beverages. You can drink weak black or green tea, fresh coffee in limited quantities, natural fruit drinks and compotes.

Prohibited Products

There is also a list of products that it is desirable to completely abandon or significantly limit their number.

The doctor will advise how to replace them if the craving for junk food is already very strong, but, as a rule, a diet is a matter of habit. In remission, the diet is usually expanded, but this should be discussed with the doctor. Forbidden:

• Sweet pastries. Muffin is undoubtedly a delicious treat, but its harm to the intestines is obvious. Sweet pastries cause severe constipation, intestinal cramps, which is highly undesirable for ulcerative colitis. This does not mean that it should be completely excluded, but you can rarely eat muffins, in small quantities and not at night, to give it time to digest.
• Alcohol. Alcoholic drinks are harmful to the whole body. They lower the protective functions of the body, disrupt the process of digestion and increase the acidity of gastric juice, and accelerate degenerative processes. Particularly harmful to the intestines are light carbonated alcoholic drinks: sparkling wines, beer, cocktails with various additives. Refusal of alcohol will bring many benefits to the body and help alleviate the condition.
• Fast food. Fast food is called "junk food" for a reason. Infrequently eating a small amount of fast food will not harm a healthy body, but with chronic ulcerative colitis, it is better to avoid hamburgers, french fries, soda, pizza, chips, etc. These products are usually fried in oil, they contain a large amount of carcinogens, spices, preservatives, flavor enhancers, which irritates the gastric and intestinal mucosa.
• Sweets, chocolate. Sweet, creamy, chocolate, it is desirable to reduce. These products disrupt the metabolism in the body, contribute to weight gain, and negatively affect digestion.
• Fried and fatty meat. Fried fatty foods are difficult to digest, disrupt the functioning of the stomach, liver, pancreas and intestines. The load on the digestive organs increases several times.
• Hot spices, onion, garlic. Fresh onions and garlic, hot spices irritate the intestinal mucosa, which increases spasms and provokes an exacerbation of ulcerative colitis.
• Pickles and preserves, marinades. Salinity and marinades increase the acidity of gastric juice, cause heartburn, worsen digestion.

Consequences and complications of nonspecific ulcerative colitis

Inflammatory processes in the colon can lead to various undesirable consequences.

For this reason, the doctor prescribes treatment immediately after the diagnosis is made, and in the absence of positive results, the patient recommends surgical intervention. Possible complications:

1. Colon cancer. Various intestinal diseases can lead to the formation of a malignant tumor: constipation, polyps, colitis. This is one of the most undesirable complications of the disease. Cancer at the initial stage can be determined by colonoscopy. People with ulcerative colitis should have this procedure regularly. At an early stage, it is possible to defeat colon cancer with the help of chemotherapy.
2. Colon perforation. A dangerous complication, often leading to death in the absence of medical care. Individual ulcerations can become thinner, break through, causing peritonitis, severe inflammation of the abdominal cavity.
3. Intestinal bleeding. Any bleeding is dangerous. The body loses blood, anemia and other troubles are possible. If colitis has led to the formation of cracks in the surface of the intestinal wall, they can become even more inflamed, bleed, and also create favorable conditions for the development of infection.
4. Acute toxic dilatation of the intestine. Also, a rather dangerous complication of ulcerative colitis, which occurs in about 5-9% of patients. Dilatation refers to the pathological expansion of the colon or its departments due to toxic effects. Dilatation weakens intestinal motility, causing stool retention, severe bloating, and pain.
5. damage to other organs. With a long course of the disease, the inflammatory process can be transmitted to other organs and tissues, causing inflammation even of the eyes, joints and skin.

It is worth remembering that with a diet and regular preventive examination by a coloproctologist and therapist, many unpleasant consequences and complications can be avoided. There are a number of preventive measures that allow you to bring the disease into remission and avoid the resumption of inflammatory processes for a long time.

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Fundamentals of proper nutrition and diet for colitis

If a patient with colitis is concerned about constipation, then his diet should weaken the peristalsis of the large intestine.

This means that the diet should include foods rich in plant fiber, which is not digested by the body's enzymes.

Thanks to this component, which absorbs water, feces pass through the intestines without difficulty, and peristalsis is normalized.

A relaxing effect on the intestines is provided by bread, cooked from wholemeal flour, and rolls with wheat bran.

The same effect can be achieved if you eat thermally unprocessed vegetables and fruits.

Best of all, cabbage and carrot salad or fresh zucchini cope with the task of stimulating intestinal motility.

Bananas, prunes, nuts and tangerines, as well as blackcurrant berries just picked from a bush, normalize stools no worse than them with colitis with constipation.

A diet for intestinal colitis with constipation suggests that immediately after waking up on an empty stomach, a glass of slightly warm water is drunk. Add 10 grams of sugar and a slice of lemon to it.

In the morning, you can eat salads, where the main ingredient is beets. In this dish, it is recommended to add greens such as dill and parsley, as well as a little vegetable oil.

From the menu of a patient with colitis, the main symptoms of which are constipation, bloating and headaches, it is important to exclude coffee, strong tea, buns, sweets, rice and semolina porridge.

When chronic colitis is manifested by bloating and diarrhea, nutrition is approached differently. The first step is to limit the use of salt. It can be consumed no more than 10 g per day.

The diet for chronic colitis, the main symptoms of which are flatulence and diarrhea, involves eating only boiled in water or stewed food.

You can also include fish, meat and vegetables baked in the oven in the diet. Suffering from diarrhea, you need to eat often (5-6 times a day), but in small portions.

If colitis is accompanied by diarrhea, then treatment with a diet requires the inclusion of the following dishes and foods in the diet:

• slightly stale bread made from wheat flour, or crackers;
• low-fat cod or pikeperch soup with boiled rice;
• lean meat soup with slices of potatoes, carrots or zucchini;
• steam cutlets and meatballs from chicken or beef meat;
• mashed potatoes or zucchini gruel;
• boiled pike perch or cod;
• scrambled eggs;
• cottage cheese;
• porridge cooked on the basis of cream.

A diet for chronic colitis, which is accompanied by diarrhea, prohibits the use of rye and fresh wheat bread, buns, soups with milk, beans, cabbage soup and borscht.

The menu should not contain smoked meats, sausages and canned foods.

Nutrition for chronic colitis involves the rejection of unboiled milk, eggs fried in butter, onions, cabbage, chocolate, coffee, kvass, alcohol and plums.

What diet is prescribed for exacerbation of chronic colitis?

During the period of exacerbation of chronic gastritis, a strict diet is prescribed, placing a taboo on bread and rolls, soups with the addition of cereals and potatoes, on mackerel and other fatty fish, pork meat, carbonated drinks, coffee and milk cocoa.

It is forbidden to eat milk in its natural form, and all products based on it.

While the period of exacerbation of the disease lasts, one should refuse boiled pasta, cereals from millet and pearl barley, beans, fried eggs, salted fish and sausages.

A diet for acute colitis that enhances drug treatment and alleviates the patient's condition includes:

• thermally unprocessed vegetables and fruits;
• crackers (stale wheat bread);
• broth with the addition of boiled rice;
• meat boiled in water;
• scrambled eggs;
• freshly made cottage cheese (no salt);
• green tea;
• decoction of rose hips.

If, due to an exacerbation of the disease, symptoms such as constipation, bloating and heaviness in the abdomen appear, then some changes should be made to the usual diet.

For example, in the morning, in order to relieve the condition, the patient is required to drink a glass of a slightly chilled sugared drink.

It can be a decoction of wild rose, juice squeezed from a fruit or vegetable, and water diluted with sweet honey.

In the case when the symptoms of colitis are not very pronounced, you can eat tomatoes, sweet fruits, from which the peel is separated, and berries.

But, using these products, one must abandon pasta, rice, both in milk porridge and in boiled form, as well as semolina. All these nuances have diet number 46.

However, diet number 3 is often used instead, consisting of foods high in fiber and magnesium.

They do not act on the intestines as irritants and do not lead to the formation of large amounts of gases.

Such products are boiled beets and carrots, cereals boiled to a crumbly state, bran bread and apples, including baked ones.

In those days when the period of exacerbation of colitis recedes, you can go on diet number 15. Such a diet will give the patient the necessary treatment, since it is a menu from which spicy foods and dishes that are poorly digested in the gastrointestinal tract are deleted.

If colitis is accompanied by inflammation of the caecum, then the patient is put on a diet in which only pureed mushy dishes are allowed.

To stimulate intestinal motility, because such an intestinal disease occurs with constipation, it is required to include kefir, fruit juice and meat with an abundance of tendons in the diet.

With colitis associated with damage to the colon, it is supposed to eat foods consisting of coarse plant fiber.

Dietary nutrition depending on the type of gastritis

When colitis has symptoms such as cramps and loose stools, the diet should be based on the consumption of only those foods that are rich in fiber.

That is, kefir, cottage cheese, vegetable dishes and fruits should be included in the diet. At the same time, it is better to draw up a menu for yourself daily so as not to accidentally break the diet.

The diet for spastic colitis obliges the patient to minimize the use of all animal products. This mainly applies to fatty meat and butter.

But in order to achieve a significant improvement in the condition, it is better to completely forget about food like this.

The same strict ban should be imposed on coffee, carbonated drinks, strong brewed tea and alcohol.

Also, dietary treatment involves the refusal of food, due to which the symptoms of spastic colitis are more pronounced. It includes chocolate sweets, cheese and whole cow's milk.

In atrophic gastritis, which is a chronic disease accompanied by atrophy of the mucous membrane of the large intestine, it is important to eat pureed food.

This should be done often (5-6 times a day), but the portions eaten should be small.

Such treatment with a diet is aimed at normalizing the level of acidity of the secretion of the stomach and protecting its mucous membrane.

On the day the body of a patient with atrophic colitis should receive 400 g of carbohydrates, 100 g of protein and the same amount of fat.

Colitis, which is characterized by atrophy of the colon mucosa, requires the exclusion from the diet of foods that include coarse fiber.

In other words, the menu cannot include lamb, fatty pork, fish and goose, as well as grapes, raw vegetables and fruits.

In order for the diet treatment to bring the desired results and the symptoms of the disease to disappear, you should eat apple puree with the addition of lemon juice for breakfast.

For lunch, you can eat cabbage soup from fresh cabbage with a slice of wheat flour bread or boiled lean meat with porridge boiled in water. A suitable dish for dinner is vegetable soup.

Nutrition for colitis caused by the spore-forming anaerobic microbe Clostridium difficile involves the consumption of food rich in proteins and poor in fats.

With such pseudomembranous colitis, you can not eat sausage, freshly baked bread, fatty meat, smoked meats and pickles.

The ban was also imposed on such products and dishes as ice cream, millet porridge, scrambled eggs and coffee with milk. Any fruits and vegetables can only be eaten boiled.

Treatment with a diet for pseudomembranous colitis obliges the patient to eat soups in the form of mashed potatoes, crackers instead of bread and fruit juices diluted with water.

So that the symptoms of intestinal disease do not make themselves felt, you should eat food only in a warm state and avoid including fried and smoked foods in the menu.

So, in chronic colitis of any kind, food should be dietary. When suffering from this disease, it is important to eat food that does not overload the digestive tract.

Treating colitis with a diet is just as effective as taking medication.

Diet for Colitis and Gastritis

Diet table number 2.

Indications for use:
acute gastritis, enteritis and colitis during the recovery period,
chronic gastritis with secretory insufficiency, enteritis, colitis in
period of remission without concomitant diseases.

General characteristics of the diet:
physiologically complete, rich in extractive substances
diet, with rational culinary processing of products. Excluded
foods and dishes that linger in the stomach for a long time, it is difficult
digestible, irritating to the mucous membrane and receptor apparatus
Gastrointestinal tract. Diet has a stimulating effect on the secretory apparatus
stomach, improves compensatory-adaptive reactions
digestive system, prevents the development of the disease.

Energy value: 2800-3100 kcal.
Composition: proteins 90-100 g, fats 90-100 g, carbohydrates 400-450 g, free liquid 1.5 l, salt up to 10-12 g.
The mass of the daily ration is 3 kg.
Food temperature: hot dishes - 57-62 ° C, cold - below 15 ° C.

dishes can be boiled, baked, stewed, and also fried without
breadcrumbs in breadcrumbs or flour and without the formation of a rough crust. grind
not necessary.

Diet:

4-5 times a day.

Allowed:

* Milk (whole, dry and condensed) and cream with drinks and
as part of dishes, cottage cheese (cheesecakes, dumplings, curds, etc.), yogurt,
kefir and other dairy products. Sour cream - up to 25 g per dish, cheese
grated or in pieces.

* Soft-boiled eggs, steam omelet.

* Butter, ghee, refined vegetable oils (preferably olive oil).

* Wheat bread from yesterday's baking, lean rolls and cookies, dry biscuit.

* Porridges are semi-viscous and mashed on water (possible with the addition
milk), products from cereals (puddings, cutlets without a rough crust), small
pasta (vermicelli or chopped).

* Soups in a low-fat, weak broth with mashed vegetables and cereals or from finely chopped vegetables.

* Chopped products from lean meat (beef, veal,
lamb, pork, fish, poultry) in any form (can be fried without
breading), or boiled meat / fish in pieces.

# Sauces on weak broths.

# Various vegetables in the form of mashed potatoes, puddings, casseroles, cutlets, in
boiled and stewed. Potatoes, pumpkin, zucchini, beets, carrots,
cauliflower. White cabbage, tomatoes, green peas - with
good tolerance.

# Fruits and berries in the form of puree, kissels, jelly, compotes,
baked. Watermelon, tangerines and oranges, grapes - with good
portability.

# Tea, cocoa, coffee, with lemon, milk or cream if desired.

# Vegetable, berry juices diluted with water, decoctions of wild rose and bran.

# Sugar, honey, jam, sweets.

# From appetizers mild grated cheese; jellied fish, tongue and meat;
soaked herring; boiled sausage, low-fat ham; hepatic
pate; vegetable caviar; fish caviar; salad of raw tomatoes and boiled
vegetables, you can with meat, fish, eggs.

It is forbidden:

* products from warm pastry;

* breaded meat and fish, fatty meats and fish;

* pickles, smoked meats, marinades, meat, fish and other canned foods;

* pork fat and cooking fats;

* cold drinks, ice cream;

* mustard, horseradish;

* chocolate, cream products;

* figs, dates, berries with coarse grains (raspberries, red currants) or rough skins (gooseberries);

* grape juice, kvass;

* onions, radishes, radishes, cucumbers, swedes, garlic, mushrooms, bell peppers, legumes.

Dietary table number 2a.

Indications for use:

Acute gastritis, enteritis and colitis during convalescence and
transition to a normal diet, chronic gastritis with secretory
insufficiency, enteritis, colitis in the period of stable remission without
concomitant diseases, gastritis with preserved secretion. General characteristics of the diet:
physiological content of proteins, fats and carbohydrates. cookery
salt is limited, mechanical and chemical
irritants of the mucous membrane and receptor apparatus of the gastrointestinal tract,
stimulants of gastric secretion, substances that linger for a long time in
stomach.

Cooking technology:

All products are wiped, boiled or steamed,
baking is allowed. Tender meat is cooked and served as a piece.
Free liquid - up to 1.5 l, table salt - 8-10 g.

Diet.

Acute colitis is often combined with enteritis, an inflammation of the small intestine. The causative agents of acute colitis are salmonella, rarely viruses. Acute colitis can also be caused by eating disorders. Symptoms of acute colitis: drawing pain in the abdomen and feeling unwell with watery diarrhea. On palpation - pain in the colon. There may be erosion. There is an increase in the erythrocyte sedimentation rate in the blood test.

On the first day, the patient is given a plentiful drink, unsweetened tea, from the 2nd day - a diet for colitis is prescribed, table number 4, then 4B and 4C. Antibacterial drugs are prescribed, for example, enteroseptol.

Eneteroseptol is a drug that has an antibacterial and antiprotozoal (suppresses the reproduction of protozoa in the intestine) effect. It does not have a systemic effect, it affects only the intestines. This drug is especially recommended for stopping putrefactive processes in the colon. Effective in colitis caused by protozoa. Enteroseptol can be used in cases of intolerance to antibiotics, together with sulfanilamide agents. Dosage: 1-2 tab. 3 times a day after meals. Gradually, the dose can be reduced to 1 tab. 2 times a day. The course of treatment is about 10 days, but should not exceed 5 weeks. Side effects: skin rashes, joint and muscle pain, runny nose, cough and inflammation of the peripheral nerves. It is not prescribed to patients with persistent disorders in the liver and kidneys.

Treatment of chronic colitis

In chronic colitis, the lining of your intestines becomes inflamed or atrophied. You may feel mild, aching or cramping pains that cause particular discomfort half an hour after eating. Flatulence or instability, irregularity of the stool may disturb. The causes of chronic colitis can be both infectious and related to nutritional errors. Chronic colitis may accompany dyspepsia or inflammation of the pancreas - pancreatitis or be associated with uncontrolled intake of antibiotics and sulfonamides.

For chronic colitis, you need to eat 6 times a day according to diet No. 4. White bread crackers, thinly sliced, chopped, low-fat semolina, rice soups, low-fat fish, meat, green tea are recommended. With a pronounced exacerbation, a "hungry diet" is useful. If you suspect chronic colitis, you need to contact a gastroenterologist, because this disease can masquerade as other gastrointestinal diseases, such as pancreatitis.

Your doctor may prescribe you a course of probiotic preparations, such as Hilak.

Hilak is a drug for normalizing the acid-base balance in the intestine. The main component of the drug is lactic acid. The waste products of lactobacilli included in the preparation have a beneficial effect on the mucous membrane of the large intestine, suffering from chronic colitis.

Hilak is taken before or during meals, dissolving it in a large amount of water, 3 times a day, 50 drops. Not used with antacids. Occasionally, allergic reactions have been observed on Hilak. Hilak is safe during pregnancy.

Diet for colitis in acute and chronic form is the main component of treatment.

Diet for acute colitis

A diet for colitis in acute form for a day looks something like this:

• 1 breakfast: oatmeal porridge on the water, tea.
• 2 breakfast: a glass of jelly.
• Lunch: meat broth, meat soufflé, rice porridge on the water, crackers.
• Afternoon snack: rosehip broth.
• Dinner: steam cod cutlets.
• At night: a glass of milk.

Lean, skinless poultry cooked in a double boiler are preferred. Kashi is eaten from rice and semolina. Unleavened cottage cheese, blueberry jelly and cocoa on the water are recommended.

Whole milk and dairy dishes, pickles, marinades and sour dishes are prohibited.

Diet for chronic colitis

Symptoms of such an unpleasant disease as chronic colitis: abdominal pain and constipation, which alternate with diarrhea. Fatty, spicy and cold foods, foods with coarse fiber can provoke an attack.

A colitis diet reduces inflammation, fermentation, and putrefaction in the intestines. Dishes are mostly liquid, pureed, cooked in a double boiler. For chronic colitis, you need to eat 5 times a day. A diet for colitis allows only white bread crackers, soups on a weak meat broth with rice water, meatballs and egg flakes from flour products. Pasta and strong broths should be excluded. Lean beef, chicken, veal, skinless rabbit are allowed. Exclude fatty meat and sausages. Eat lean fish, and you will have to give up fatty, salted, smoked and canned fish. From dairy products you can only fresh low-fat fresh cottage cheese. You can eat up to 2 soft-boiled eggs or a protein omelette per day. Rice and buckwheat are allowed. Millet and barley groats are undesirable. A patient with chronic colitis should not eat legumes. All types of snacks are excluded. No sauces, vinegar or seasonings, especially very spicy ones. From seasonings cinnamon and vanillin are allowed. Blueberry, quince and pear jelly are allowed. Grapes, apricots, coffee with milk, very strong black coffee and cocoa are also not for your table.

Out of exacerbation, you can eat 200 g of raw apples per day. With signs of fermentation processes, increase the amount of protein due to fish, meat, cottage cheese.

Diet 4 for chronic colitis

1. Thin crackers.
2. Mucous soups of rice and oatmeal with meatballs.
3. Meatballs, meatballs, chicken and beef cutlets.
4. Oatmeal and buckwheat porridge on the water.
5. Steam omelette with 2 eggs.
6. Blueberry jelly, rosehip broth, steam soufflé.

You cannot eat:

1. Rye bread.
2. Sweet flour products.
3. Soups with pasta.
4. Strong broths.
5. Piece of meat.
6. Fatty fish.
7. Caviar.
8. Whole milk.
9. Hard boiled eggs.
10. Fried egg.
11. Pearl barley.
12. Beans.
13. Peas.
14. Natural fruits.
15. Candies.
16. Grape, apricot juice.

Diet 4a for chronic colitis

The diet for chronic colitis in the acute stage (table 4a) limits the content of carbohydrates (cereals, sugar) in the diet.

Such products are welcome on the patient’s table as stale crackers, mashed cottage cheese, one soft-boiled egg, mucous soups, boiled fish, minced meat (instead of bread, put rice in cutlets), a decoction of currants, blueberries and kefir, dry biscuit, mashed vegetables cooked on steam, non-acidic sour cream, yogurt, kissels and tea, cocoa.

Diets for different types of colitis

diet for ulcerative colitis

Diet for colitis with constipation

Compliance with the principles of nutrition is an important component of the treatment of colitis with constipation. Food is taken 5 times a day. Products need to be crushed, they should not be hard. The basis of the diet is lean cookies, soft cheese, kefir. Lightly fried cutlets, meatballs, mashed cereals mixed with milk, cereal soups in meat broth, mashed vegetables and compotes, boiled fruits and vegetables are allowed. They are rich in fiber and help in the fight against constipation. The consistency of the dishes is liquid. It is permissible to consume 15 g of salt per day.

What you can't:

1. Sweets (chocolate, creams).
2. Smoked meats, marinades.
3. Sausages.
4. Legumes.
5. Whole milk.
6. Fried meals.
7. Soda.
8. Alcohol.

Diet for colitis with diarrhea

Unsystematic nutrition, fried foods and helminthic infestations often lead to the development of colitis with diarrhea. The stool in patients with colitis is usually dense or unstable, that is, constipation alternates with diarrhea. Patients are concerned about rumbling in the abdomen, belching and migraine. Allowed wheat bread, crackers and finely chopped boiled vegetables (potatoes, zucchini, pumpkin). The best meat is veal and chicken. Useful boiled bream and cod, zucchini, pumpkin and boiled or baked green peas. You can eat 3 soft-boiled eggs per day. Hard boiled and fried eggs are prohibited. You can cook an omelet in a steam and in the oven. Desserts include cottage cheese puddings, jelly, compotes and mousses, marshmallows, pears and rosehip broth, cinnamon, as an additive to sweet dishes.

The colitis diet prohibits the following foods: rye bread, fresh white and black bread, puff and yeast dough products, milk soups, borscht, cabbage soup, fatty meats, goose meat, duck, game, sausages, salted fish, milk, salted cheese , processed cheese, sausage cheese, pigtail cheese, beetroot, radish, garlic, swede, sorrel, horseradish, sauces, apricots, ice cream, cakes, plum juice, spirits, kvass and coffee.

The diet should be followed for about a month. During remission, soups with meat broth, boiled and raw vegetables are allowed. Alcohol, smoked meats, radish, swede, pepper, horseradish, beef fat, hot sauces, mayonnaise, kvass and coffee are excluded from the diet.

Diet for spastic colitis

• Mashed porridge, soup puree, vegetable purees, fruit purees, jelly, mousses, jelly, baked and boiled low-fat fish, baked and steamed and boiled low-fat meat in water. It can be eaten if the colitis is accompanied by diarrhea.
• If you are constipated, eat raw vegetables and fruits, fruit juices, vegetable juices, baked pumpkin.
• Brew anise seeds and drink instead of tea. For a glass of water, you need 1 teaspoon of seeds. Pain will go away and gas will stop.

To combat spastic colitis, it is very important to avoid irritation, nervous strain. Live and enjoy what each new day brings!

Diet for catarrhal colitis

The diet for colitis in the initial, catarrhal stage should contain all the necessary substances, but be gentle on the intestinal mucosa. For the first two days, it is generally desirable to starve, drink only tea, mineral water and rosehip broth. In the future, meals should be frequent (up to 6 times a day), but in small portions. Nutrition is aimed at preventing the processes of putrefaction in the intestines. Food should be boiled and chopped, milk, smoked meats, legumes are excluded from the diet. Kissels, boiled vegetables and crackers, on the contrary, will benefit your health.

Diet for atrophic colitis

A diet for colitis with symptoms of atrophy of the intestinal mucosa is aimed at reducing the acidity of gastric juice, it mechanically spares the mucous membrane by eating small portions of food 6 times a day in a pureed form, without coarse fiber. The distribution of the diet is as follows: the daily diet is 100 g of protein, 100 g of fat and 400 g of carbohydrates.

Fatty meat, pastry, duck, goose, lamb, grapes, fatty bread, fatty fish, raw vegetables and fruits are prohibited for patients with atrophic colitis. For breakfast, it is good to eat applesauce with lemon juice, for a second breakfast - buckwheat or oatmeal porridge. For lunch - wheat bread, cabbage soup from fresh cabbage or vegetable soup, boiled meat or tongue with porridge on the water.

You can not eat fresh bread, milk, pea soup, salty, fatty, spicy dishes, onions, radishes, peppers, fresh berries and cream products.

Diet for erosive colitis

Diet for colitis with ulcers should contain an increased amount of protein. They are found in meat, eggs, cottage cheese. Milk is contraindicated, and meat can only be lean. Possible semolina and rice porridge, rosehip broth, weak tea with crushed crackers. Fruits are consumed pureed, in the form of puree. Recommended boiled meat and yesterday's white bread. Dairy products are not well tolerated. All fatty, chocolate, creams, mushrooms, plums are excluded.

Diet for pseudomembranous colitis

The colitis diet is high in protein and low in fat. With pseudomembranous colitis, dishes such as sausages, fresh bread, fatty meats, smoked meats and salty foods, legumes, millet groats, coffee with milk, ice cream, scrambled eggs, kvass, apricot juice and apricots, grape juice and grapes are refused. You can only eat boiled vegetables. Pears and plums need to be baked. Soups are eaten in the form of creams and mashed potatoes, bread is eaten dried or yesterday, in the form of crackers. It needs to be soaked. You should not eat very hot dishes and cold desserts. Fruit juices are diluted with water, and pears and apples are peeled and seeds are removed. You will have to give up fatty, fried and smoked foods.