Medical nutrition for gastritis

The girl holds a plate of food

Gastritis is a disease in which the mucous membrane of the stomach is inflamed.This process can last many years, which leads to thinning, atrophy of the mucosa, the formation of erosion and ulcers.

Types and symptoms of gastritis

Chronic

Chronic gastritis proceeds with periodic relapses of inflammation of the gastric mucosa.The main cause of this form of the disease is considered to be a Helicobacter pylori bacterium, which parasitizes on the stomach and duodenum.

Symptoms:

  • The pain under the spoon on an empty stomach is a weak aching or strong cramping, sometimes occurs immediately after eating.
  • Belching sour, heartburn, nausea, vomiting.
  • Heaviness under a spoon after eating, a feeling of overeating, a strong fullness of the stomach.
  • Belding with air, food, an unpleasant taste in the mouth.
  • Decrease in appetite.
  • Unstable stool, diarrhea, flatulence.

Atrophic

With this form of the disease, negative changes occur in the mucous membrane - the number of glands producing hydrochloric acid, digestive enzymes, the mucous membrane is thinner, etc. It is possible to go to cancer, because atrophic gastritis is considered a precancerous state.

Symptoms:

  • The smell of a rotten mouth.
  • Decrease in appetite.
  • An unpleasant taste in the mouth that arises in itself.
  • The feeling of heaviness in the stomach, which passes after belching with air.
  • Increased salivation is always or periodically.
  • Nausea, diarrhea, weight loss.
  • Muscle weakness, increased fatigue.

Surface

The first stage of inflammation of the mucous membrane of the stomach, the disease affected only small layers, there are no foci of erosion, the deep areas are not affected.With adequate treatment, the function of the stomach is completely restored.

Symptoms:

  • Pain in the projection of the stomach, under the spoon, in the right hypochondrium.
  • Changes to appetite.
  • Belching, heartburn, smell from the mouth.
  • A raid on the tongue.
  • The pallor of the skin and mucous membranes, anemia.
  • Reduced pressure, tachycardia.
  • Nausea on an empty stomach.
  • The feeling of bursting of the stomach after eating.
  • Unstable chair.
  • Improving body temperature.
  • Salivation.

Erosive

It is also called "stress", because often this form of the disease occurs suddenly, after the disease, nervous tension, injuries.It develops rapidly, in a chronic form, multiple erosion is formed.

Symptoms:

  • Acute abdominal pain after eating or on an empty stomach.
  • The feces are dark, resemble tar.
  • In vomiting - blood clots.
  • Abdominal pain, stool disorder.
  • Heartburn, nausea, vomiting.
  • General weakness.

In a chronic form, bloating, nausea, general weakness and discomfort may be disturbed.Exacerbations are often seasonal.

Focal

This is an inflammation of the mucous membrane of the stomach in any one place.

Symptoms:

  • Constipation, diarrhea, their alternation.
  • Pain in the stomach.
  • Nausea, rarely - vomiting.
  • An unpleasant taste in the mouth, heartburn, belching with an unpleasant odor.
  • Malfunctions in the digestive tract.
  • Slunity, salivation, fever.

Spicy

This is an acute attack of inflammation of the gastric mucosa, which occurs under the influence of a strong stimulus.The attack develops suddenly, proceeds hard, even erosion and bleeding can form.

Symptoms:

  • Boddy.
  • Sharp pain under the spoon, a feeling of heaviness.
  • Nausea, vomiting.
  • Dizziness, weakness.
  • Vomiting with an admixture of blood.
  • Liquid stool-joins after 1-2 days.

During the exacerbation

The following symptoms occur in the exacerbation stage:

  • Liquid chair.
  • An increase in body temperature to indicators of 38.5-39 ° C.
  • Loss of appetite or its sharp decrease.
  • Very rapid saturation, after which severity occurs in the stomach.
  • Pain in the projection of the stomach, which intensifies after eating.
  • Nausea, vomiting.

General power rules for gastritis.Which treatment table is shown to the sick?

General principles of diet:

  • The diet should be enough BJU, trace elements, vitamins.
  • You need to eat 4-6 times a day in small portions.
  • During the exacerbation period, products that are rich in rough fiber are excluded - unripe fruits, peas, beans, gooseberries, dates, grapes, bread made of coarse flour.Vegetables must be consumed only after heat treatment.
  • Exclude spices, seasonings, sharp snacks.
  • They cook food, steam, stew.During the exacerbation period - wiped.You can not fry food and bake with the formation of a dense crust.
  • Exclude products containing connective tissue.This is sinewy and fatty meat, lard, cartilage, fish and poultry.
  • Some patients show the rejection of milk and dairy products.
  • Exclude products that stimulate hydrochloric acid products and are difficult to digest.These are radishes, a trouser, radish, garlic, onions, mushrooms, brown bread, canned food, and ced.
  • Alcohol is prohibited in any quantity.

Patients of gastritis show diet number 1. Its target is a moderate thermal, mechanical and chemical sparks of the gastrointestinal tract with a full diet, reducing inflammation, stimulation of ulcers, normalization of the motor and secretory function of the stomach.

General characteristics of diet No. 1

This is a physiologically full -fledged diet in calories and the content of BJU.Limited stimuli of the mucous membrane, pathogensincreased secretion, for a long time delaying in the stomach, as well as difficult to digested food.Very cold and very hot dishes are excluded.Food is steamed or boiled, some dishes are baked without crust.Fish and non -red meat can be served with a piece.

Diet composition No. 1:

  • proteins-90-100 g (of which 60 % are animals);
  • fats - 100 g (of which 30 % plant);
  • carbohydrates-400-420 g;
  • calorie content-2800-3000 kcal;
  • salt-10-12 g;
  • Free liquid - 1.5 liters.

The diet is 5-6 times a day, before bedtime, you need to drink milk or cream.

Features of food for children and adolescents:

  • It is necessary to strictly adhere to the diet.There are often in small portions.Therefore, it is necessary to give a child to the school homemade food.
  • The child should have breakfast, lunch and dinner, and light snacks.
  • The products that the child eats should be fresh, it is strictly forbidden to the child is what was prepared yesterday or a few days ago.
  • The diet should have mucous porridge, dairy products, low -fat meat, vegetables.
  • It is necessary to completely abandon fast food, carbonated drinks, chocolate and other harmful products that children love so much that it is a certain difficulty.
  • The break between meals should not exceed 2-3 hours.
  • It is necessary to completely abandon sweets.

A diet for a child should be developed strictly individually.So it will turn out to achieve maximum benefit.During the exacerbation, all efforts must be directed to reduce the load on the body.To achieve this, you need to follow the rules:

  • To ensure that the child ate at the same time through equal intervals.
  • All food should be fresh.
  • You can only stew, cook and bake food.You can use a little vegetable oil.
  • You can not use foods with flavors, sweeteners, dyes.
  • It is necessary to ensure that the child does not ate dry.
  • Exclude canned food, smoked meats, pickles, sharp dishes.
  • Food should be warm or room temperature.

The schoolboy must have a full breakfast in front of the school.You need to give snacks with you, but not perishable.It is better to give vegetables, fruits, bellies, etc.

Features of a diet with low acidity

In this state, the stomach produces little hydrochloric acid, so the food is poorly digested.As a result, the body does not receive all the nutrient and beneficial substances contained in it.

What can not be eaten and drink, and what can and should be? 

The main task is to increase the production of acid and enzymes, to accelerate the process of passing the food lump inintestines.Food should be liquid or wiped, you can use acidic products - fresh cottage cheese, kefir, citrus fruits.When there is no exacerbation, you can even eat fried dishes, but without panning and cooked with a small amount of oil.The temperature of the dishes should be no more than +60 ℃ and at least +15 ℃.The daily diet should contain 2500-3000 kcal.

The diet with reduced acidity is quite diverse.You can consume cereals, fruits and vegetables, meat and fish, broths, bakery products, tea, coffee, juices, dairy and dairy products.However, you can’t eat fatty, sweets with cream, those vegetables and fruits that cause flatulence and fermentation (onions, cabbage, garlic, legumes, grapes).You can’t eat sdoba, baking should be dried.They do not drink milk in its purest form, as it helps to reduce acidity.It can be added to tea, porridge.Groups need to be well boiled, and it is better to wipe it.

Features of diet with increased acidity

When the stomach produces too much acid, it damages its own mucous membrane.The reasons for this condition are Helicobacter pylori, an excess in the diet of acute, spicy, fat.

How to deal with high acidity?

It is important to observe the diet, abandon salted, smoked, fried, acute.You need to eat in small portions, consume a lot of liquid food, mashed potatoes.The diet may have sticks, cutlets, the daily salt rate - 8 g, bakery products are allowed.Food needs to be prepared for steam, stew, bake or cook.The calorie content of the diet is 2200-2500 kcal.Sometimes doctors prescribe vitamin complexes.

Nutrition should be diverse for the body to receive everything necessary.However, there are restrictions.Fruits are allowed non -acidic, all types of citrus fruits are prohibited, including kiwi.Grapes can be eaten without a peel, hard fruits are boiled or made of them mashed potatoes.Bread is allowed wheat, dried.Every day you need to consume milk and dairy products, but fermented milk products are prohibited.In the diet, low -fat meat may be present, a bird without tendons and cartilage, without skin.Soups affect the state of the stomach, but the broths should be weak.You can’t make a brine and sour cabbage soup from soups.

Features of diet with gastroduodenitis and erosion of the stomach

Nutrition should exclude food that irritates the mucous membrane of the stomach and a 12-pimple intestine.The diet should include cereal sore soups, preferably with the addition of cream or milk, liquid cereals, low -fat meat, fish, turkey, chicken in finely chopped form, low -fat dairy products - sour cream, kefir, milk, yogurt, butter, boiled vegetables, white bread, composes, composesjelly, tea, herbal teas, fruit juices.Food should be warm, boiled or steamed.You need to eat 5 times a day in small portions.

Any alcohol is prohibited in any amount, drinks with caffeine, strong tea, pepper, mustard, fat, fried, salty, sausages and sausages, smoked meats, canned foods, raw fruits and vegetables, citrus fruits, tomatoes, onions, cabbage, radish, ketchup, mayonnaise, seasonings, sweets, ice cream, sauces.You should also definitely quit smoking.

That you can’t eat and drink: a memory table

We offer you a list of products that cannot be consumed for gastritis.

Group of products

Products and dishes

Soups

Fish and meat broths, strong vegetable decoctions, mushroom broths, borscht, cabbage soup, okroshka

Flour products and bread

Any fresh, rye bread, puff, puff pastry

Meat and poultry

Sinewy and fatty varieties of meat and poultry, goose, duck, smoked meats, canned food

Fish

Salt, fat, canned fish

Dairy products

Very sour dairy products, salty and sharp cheeses, limit sour cream

Eggs

Fried and screwed

Groups

Palovka, millet, corn and barley cereals, whole pasta, legumes

Vegetables

White cabbage, trouser, turnip, sorrel, radish, cucumbers, onions, mushrooms, canned vegetables, sauerry and salty vegetables, marinades

Snacks

All salty, sharp, smoked and canned

Sweets, fruits

Acidic, unripe, fiber berries and fruits, chocolate, ice cream, non -rubbed fruits

Sauces and spices

Horseradish, mustard, pepper, tomato, mushroom, fish and meat sauces, limit vanillin, cinnamon, parsley, dill

Drinks

Kvass, black coffee, alcohol, carbonated drinks

Fat

Everything except refined vegetable oil, butter and ghee butter

What can you eat and drink, except for ordinary water?

We offer a detailed table, it lists products that can be consumed for gastritis.

Group of products

Products and dishes

Soups

Dairys of well-woven or wiped cereals (rice, semolina, oatmeal), on potato, carrot broth from wiped vegetables, with vermicelli with the addition of wiped vegetables, dairy vegetables-pegs, well-fuel soups of well-folded meat, chicken, sweet berry soups made of wiped berries with the addition of semolina;soups can be seasoned with cream, butter, a mixture of egg and milk;flour for soups is dried in a dry pan

Bread and flour products

Wheat bread from the flour of the first or highest grade dried or yesterday's pastries, dry biscuit, dry cookies, non-accurate and well baked buns 1-2 times a week, baked pies with apple, boiled meat or fish, jam, cottage cheese cheese cheese

Meat and poultry

Bird - without skin, tendons, fat, fascia;beef boiled and steam dishes;young low -fat lamb and tearing pork, turkey, rabbit, chickens;steam rolls, cutlets, tits, zrazy, beef strogans made of boiled meat, mashed potatoes;boiled tongue and liver

Fish

Low -fat fish without skin, in the form of cutlets or a piece, is steamed or boiled

Dairy products

Cream, milk, non -acidic kefir, acidophilin, yogurt, non -acidic fresh, wiped cottage cheese;Dishes from cottage cheese - souffle, baked cheesecakes, puddings, lazy dumplings;unstable grated cheese, rarely - slices

Eggs

2-3 eggs per day in the form of steam omelet

Groups

Rice, buckwheat, semolina, oatmeal;Porridge on water or milk, buckwheat - wipe, cereals should be half -binding;puddings, steam souffle, cutlets made of ground cereals;finely chopped boiled pasta, vermicelli

Vegetables

Carrots, potatoes, cauliflower, beets, green peas (limited);Vegetables are steamed or boiled and wiped (steam pudding, souffle, puree);Early zucchini and pumpkin can not be wiped;A very finely chopped dill is added to soups;up to 100 g - ripe non -hearted tomatoes

Snacks

Salad of meat, fish, boiled vegetables, boiled tongue, doctoral sausage, hepatic paste, diet or milk sausage, a vegetable decoction, sturgeon caviar, non -resistant cheese, non -fat and unsolved vegetables, rarely - a force and soaked non -fat herring

Sweets and fruits

Sweet fruits and berries in baked, boiled and wiped, jelly, mashed potatoes, jelly, mousses, samboo, wiped compotes, snowballs, merengi, milk jelly, cream cream, honey, sugar, marshmallow, non -layer jam, pastille

Spices and sauces

Behamel without passing flour and butter, fruit, milk-fruit, sour cream

Drinks

Nice tea,chamomile tea, tea with cream or milk, weak coffee with milk, weak cocoa with milk, sweet berry and fruit juices, rosehip decoction

Fat

Unsalted butter, ghee of the highest grade, vegetable refined oils as an additive to dishes

Menu for every day: an example of a weekly diet for gastritis

We offer our version of the menu for a week.It contains basic dishes, snacks, interesting ideas when there is no time to cook.

Important!This menu option is suitable for gastritis with high acidity

Monday

  • Breakfast: steam meat ties, mashed potatoes, tea with milk;
  • Second breakfast: fruit jelly, a glass of milk;
  • Lunch: wiped rice soup with milk, potato casserole with boiled meat, apple wiped compote;
  • Afternoon snack: rosehip decoction, crackers;
  • Dinner: steam cottage cheese souffle, wiped buckwheat porridge in milk, fruit jelly;
  • At night: a glass of milk.

Tuesday

  • Breakfast: non -acidic cottage cheese with sugar and milk, semolina milk porridge, tea with milk;
  • Second breakfast: sweet baked apple with sugar, a glass of milk;
  • Lunch: milk pearl barred soup, steam meat cutlets, beetroot puree, fruit jelly;
  • Afternoon snack: rosehip decoction with crackers;
  • Dinner: rice pudding, milk jelly, soft -soft egg;
  • At night: a glass of milk.

Wednesday

  • Breakfast: soft -boiled egg, wiped buckwheat porridge in milk, tea with milk;
  • Second breakfast: baked sweet apple, one glass of milk;
  • Lunch: vegetable soup, rice-minced pudding, apple jelly;
  • Afternoon snack: rosehip decoction, crackers;
  • Dinner: buckwheat, a glass of milk;
  • At night: a glass of milk.

Thursday

  • Breakfast: milk pudding, milky wiped rice porridge, tea with milk;
  • Second breakfast: a glass of milk, fruit jelly;
  • Lunch: rice wiped soup, steam meat cutlets, carrot puree, wiped compote;
  • Afternoon snack: rosehip decoction, crackers;
  • Dinner: baked noodles with cottage cheese, a glass of milk;
  • At night: a glass of milk.

Friday

  • Breakfast: carrot puree, flooding tongue, milk manic porridge, tea with milk;
  • Second breakfast: wiped compote from dried fruits, a glass of milk;
  • Lunch: milk of wiped oatmeal, steam fish tags, potato mashed potatoes with vegetable oil, jelly;
  • Afternoon snack: rosehip decoction, thin slices of dried white bread;
  • Dinner: steam chicken cutlets, carrot puree, pearl milk, wiped porridge, jelly of sweet berries;
  • At night: a glass of milk.

Saturday

  • Breakfast: steam fish cutlets, mashed potatoes with vegetable oil, milk, wiped buckwheat, tea with milk;
  • The second breakfast: a sweet apple baked with sugar, a glass of milk;
  • Lunch: dairy laps, steam meat meatballs, boiled vermicelli with butter, berry jelly;
  • Afternoon snack: a decoction of rosehips and crackers;
  • Dinner: steam fish cutlets, mashed potatoes with vegetable oil, wiped milk buckwheat, milk jelly;
  • At night: a glass of milk.

Sunday

  • Breakfast: meat cakes baked under the sauce of Behamel, mashed potatoes, oatmeal milky wiped porridge, tea with milk;
  • Second breakfast: jelly made of sweet berries, a glass of milk;
  • Lunch: potato wiped soup, steam fish tags, potato mashed potatoes with vegetable oil, milk jelly;
  • Afternoon snack: rosehip decoction, crackers;
  • Dinner: meat roll, stuffed with herbs and rice, steamed, fruit jelly;
  • At night: a glass of milk.

Recipes of delicious dishes allowed for gastritis

SUV chicken souffle for steam

Ingredients:

  • 500 g of chicken breast;
  • 100 g of carrots;
  • 1 egg;
  • 30 g of butter;
  • Salt to taste.

Preparation:

  1. Through the meat grinder, skip chicken fillet and raw carrots.
  2. Add a raw egg and melted oil to the minced meat.
  3. Salt and mix the minced meat.
  4. Put in a steamer form and enable the cooking mode.

Risotto with pumpkin and baked veal

Ingredients:

  • 300 g of rice;
  • 300 g of pumpkin;
  • 4 tbsp.l.vegetable oil;
  • 400 g of low -fat veal (clipping);
  • 2 tbsp.l.butter;
  • 700 ml of venerable broth;
  • Salt to taste.

Preparation:

  1. Bake a pumpkin in the oven until soft-40-60 minutes at 180-200 ℃.
  2. Pump up the pulp of pumpkin from the peel, make mashed potatoes out of it.
  3. Add vegetable and butter to the preheated frying pan, put the pumpkin and put out.
  4. Pour rice into the pan, mix and prepare for two minutes on low heat.
  5. Pour a glass of broth, let it completely absorb into Fig.Then add 50 ml as you absorb.
  6. Add pumpkin puree to the finished rice, salt and mix.
  7. Peel the meat, salt, bake in the oven.
  8. Cut the finished meat with slices and serve with risotto.

Fish meatballs

Ingredients:

  • 800 g of cod;
  • 160 g of wheat bread;
  • 2 eggs;
  • 80 g of carrots;
  • 80 g of sour cream;
  • 200 ml of water.

Preparation:

  1. Wash the fish, peel and scales, cut the fins.
  2. Draw fish, remove small seeds.
  3. Three times, let the cod fillet through a meat grinder.Add bread soaked in water to the last pass.
  4. Add egg and water to minced meat.
  5. Beat the minced meat to airiness.
  6. Form the meatballs.
  7. Warm up the oven to 200 ℃, put the meatballs on a baking sheet lubricated with oil.Bake for 15-20 minutes.

Frequently asked questions

How to eat with gastritis if you want to lose weight?

Stop on the following products should be placed:

  • Chicken without skin, rabbit, boiled fish, low -fat beef, low -fat cottage cheese.
  • Vegetable oil-1-2 tsp.per day.
  • Buckwheat, oatmeal, in small quantities - Fig.Refuse millet, barley, semolina, pearl barley.
  • Sweet fruits and berries.

There are often small portions, between meals should take 3 hours.Eat bread, cook dishes on vegetable broth, reduce salt.It is better to give preference to green tea from drinks.

Is it possible to eat bread for gastritis?

Wheat bread from flour of the first or highest grade dried or yesterday's pastries.

Is it possible to drink alcohol for gastritis?

No, alcohol must be completely excluded.

How to cope with pain with gastritis at home?

Preparations that reduce the irritation of the mucous membrane will help relieve pain.With severe pain, holin blocks, antispasmodics, analgesics are taken.However, it must be remembered that they can aggravate the state of the gastrointestinal tract, so gastroprotectors must be taken together with them.