Gastroenterologist

Menus for acute gastritis

The stomach is the first organ in which digestion of food occurs. In this organ, food is processed by gastric juice, softened and partially broken down into simpler elements, and then enters the intestines. Any abnormalities in the stomach can lead to serious health problems. The most common disease of the stomach is gastritis. This ailment can occur in acute and chronic form, and acute gastritis is considered the most difficult regarding symptoms and treatment.

With gastritis, the diet is part of a comprehensive treatment.

Along with conservative treatment with medications, and in especially severe cases, with surgical intervention, dietary nutrition is an integral part of the treatment of acute gastritis.

Features of acute gastritis

Acute gastritis is an inflammation of the mucous membrane that occurs for the first time. This type of disease is characterized by severe symptoms and relatively severe course. Patients complain of nausea and vomiting, belching, upset stools, bloating and sharp pains in the projection of the stomach.

Depending on what caused the inflammation - an error in nutrition, overeating, nervous shocks, getting into gastrointestinal tract   acids or alkalis - there are several subspecies of gastritis. The simplest of them - catarrhal, does not pose a threat to the patient's life, while necrotic and phlegmic gastritis can lead to death if untreated.

  Some types of gastritis develop as a result of poor diet

The basic rules of clinical nutrition for acute gastritis

A classic healthy diet for acute gastritis implies a maximum reduction in the amount of irritating substances in food, as well as a decrease in the load on the digestive tract as a whole. At the same time, the nutritional value of the food consumed should cover the minimum needs of the body. Of considerable importance is the regulation of the acidity of the digestive juices, the protection of the damaged mucosa from the negative effects.

Highlights on nutrition for gastritis in the acute stage:

• fractional nutrition - small portions, up to 100 ml, but you need to eat at least 6 times a day;
• food temperature - at the level of the patient’s body temperature, in no case is it hot or cold;
• in the first week, eating only grated food;
• refusal to drink with food and a few minutes before it - the minimum interval between drinking and eating should be 60 minutes.

  If a person has gastritis, he should eat regularly and in small portions.

Another rule that patients often forget about is thoroughly chewing food, even if it is chopped with a blender. At the stage of processing in the mouth, the food lump should be thoroughly mixed with saliva. This will allow nutrients to be absorbed faster and more fully.

With gastritis in the acute stage, a gradual expansion of the diet is very important - starvation on the first day after the onset of symptoms of the disease with a gradual expansion of the diet, which consists of allowed foods and dishes.

What to eat with acute gastritis - a list of allowed foods

The list of allowed foods for gastritis depends on the subspecies of the disease. In gastritis with high acidity, it is necessary by adjusting the diet to reduce the secretory activity of the gastric mucosa, while with low acidity, on the contrary, it is necessary to activate the work of the glands in the stomach. That is why the diet for acute gastritis with different levels of Ph gastric juice is different.

Types of allowed products (by groups)	In acute gastritis with high Ph	In acute gastritis low Ph
Bread, Baking	Stale bread, rolls, pies or cookies made from non-butter and not puff pastry, dry biscuit.	White bread crackers.
Meat products	Lean beef (minced meat), chicken or turkey (minced meat, steam cooking).	Low-fat sausages and ham, beef, low-fat pork, meat broths.
Fish products	River and marine low-fat fish (minced meat, steaming).	River and sea fish, preferably not oily, fish stock.
Dairy products	Milk, mild cheese.	Adyghe cheese, cottage cheese, skim milk, kefir or fermented baked milk.
Cereals	Buckwheat, semolina, millet, oatmeal.	Pasta, buckwheat, oatmeal, semolina, millet, corn grits.
Vegetables	Everything except legumes, tomatoes and white cabbage.	All types of cabbage, root vegetables, leafy greens.
Fruits	Apples (baked or mashed), persimmons, bananas, watermelon, cherries and other stone fruits in the form of jelly, compotes and jelly.	Fruits and berries without a dense skin.
The drinks	Kissel, tea is not strong, coffee drink, fruit and vegetable juice, water without gas.	Juices from fruits and vegetables, tea, jelly, coffee drink, cocoa, slightly sparkling water.

In gastritis with low acidity, the menus are designed in such a way that the dishes are as aromatic and appetizing looking as possible - this will contribute to better excretion of gastric juice. In addition, after mitigating the symptoms, it is not recommended to cook minced meat dishes. It is better to cook it by roasting or on charcoal, so that each piece of such food can be chewed for a long time, which, again, improves appetite and promotes the production of gastric juice.

A little different is the case with acute gastritis with high acidity. Here, the task of nutrition is not only to reduce the synthesis of hydrochloric acid, but also to neutralize it during digestion. In this case, the menu consists mainly of mashed dishes and minced meat and fish. It also helps to quickly cure some forms of the disease, for example, erosive gastritis, due to the pronounced enveloping effect of food.

  If gastritis is present high acidity, food should be consumed in a puree state

What you can not eat with acute gastritis

In the acute form of inflammation of the gastric mucosa, it is not recommended to include excessively coarse, fatty and acidic foods in the nutrition plan. So, at any level of acidity of the gastric juice, you can not eat the following foods:

• pickled, salted and pickled vegetables and fruits;
• salted, smoked, dried and canned meat and fish products;
• complex soups, which include fried dressing with tomatoes, onions, garlic and spices;
• spicy vegetables - radish, radish, garlic;
• vegetables, fruits and herbs with a high acid content - sorrel, spinach, pomegranates, citrus fruits;
• fatty meats and fish;
• freshly baked bread and pastries, puff pastries and pastries with fat cream;
• frying vegetables, meat and fish.

  In acute gastritis, smoked foods are prohibited

Alcoholic beverages, strong teas, strong coffee also fall under the ban (instant coffee is especially dangerous for the stomach).

Sample menu

In the first days after exacerbation of gastritis, you can eat only weak tea, preferably herbal tea, a decoction of non-acidic berries and a mucous decoction of rice, oats or flax seeds. On the second day, if the symptoms ceased to be severe, it is recommended to gradually introduce mashed soups and milk porridges, meat and fish meals, depending on the patient’s appetite.

Sample menu   per day is as follows:

1. Breakfast - porridge mucous from rice or oatmeal, tea with milk.
2. Lunch - mashed cottage cheese with the addition of banana, a little sour juice.
3. Lunch - mashed soup on vegetable or meat broth (depending on the acidity of the gastric juice), buckwheat meatballs with meat, dried fruit compote.
4. Snack - a fresh banana or a baked apple.
5. Steamed vegetables with fish, fruit and berry jelly.

Steamed dishes are preferred

Before going to bed, you can eat a little cottage cheese, a baked apple or half a banana. Between meals, you must drink mineral water (preferably without gas) or herbal teas.

It is very important that the patient, no matter what type and type of gastritis he is diagnosed with, does not feel hunger.

As the patient's condition improves even further, it is recommended to add mashed soups, steam cutlets, meatballs and meatballs, vegetable salads (first from boiled, and then raw vegetables), casseroles from cereals and pasta , stew and dumplings.

It is necessary to adhere to a diet not less than three months. During this time, the mucous membrane of the stomach will be finally restored, and the risk of chronic gastritis will significantly decrease.

In the form, the doctor will tell about gastritis:

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One of the most common diseases of the digestive system is gastritis. This disease affects about 10% of the total population of the planet.

For the treatment of gastritis, certain medications are prescribed, but without following a diet, getting rid of this disease will not work. Therefore, each patient should study the list of products that must be excluded from their diet.

The right approach to diet

Before creating a menu you need to find out what your gastritis is: with high or low acidity. Indeed, many products affect the production of secretions, as well as the motility of the digestive tract.

But still there are certain rules of the diet, which should be observed regardless of acidity:

• The day should start with breakfast.
• It is necessary to observe 3-4 hour breaks between meals. Shorter intervals will lead to overeating, and longer ones will lead to an increase in the concentration of hydrochloric acid.
• Food should be taken in small portions, preferably at the same time.
• Chew your food well. This will help the stomach to cope with its task.
• You can drink drinks (water, tea) no earlier than 30-35 minutes after eating.
• It is not recommended to eat on the go or “dry”.
• Salty, fatty, smoked and spicy dishes are prohibited.
• It is necessary to exclude alcohol, drinks with gas and sugar, coffee.
• Your menu must be made only from fresh and high-quality products.

What you can not eat with gastritis with high acidity

If this form of the disease is observed, then in your menu you can not include products that provoke the production of hydrochloric acid, as well as increase gastric motility. It is better to cook dishes that are not irritating to the mucous membranes.

List of foods not to eat:

• Porridge from millet or pearl barley;
• Rye, bran or fresh, still warm bread   and baking;
• Various greens: spinach, dill, onions, garlic, sorrel;
• Meat of fatty, hard or sinewy varieties;
• Any beans (beans, peas, lentils);
• Sunflower seeds and any nuts;
• Cabbage;
• Mayonnaise, ketchup;
• Sour cream, kefir, fermented baked milk, cream;
• Citruses
• Sour fruit;
• Soups and borscht cooked in fatty broths;
• Mushrooms;
• Fried eggs;
• Sausages, jerky, canned food;
• Cakes and cakes.
• Salty fish.

Why should be abandoned with low acidity

If this form of the disease is observed, then you need to stimulate the production of gastric secretions. Therefore, it is necessary to eat dishes that accelerate this process, and, in addition, increase appetite. Indeed, most patients suffering from this form of the disease complain of its absence. You can help your body if you watch a movie about mouth-watering dishes before eating, or try to fantasize about delicious food. Thus, your stomach will begin to produce more juice.

What can not be eaten with this form of the disease:

• Rough food. The stomach is quite difficult to cope with such products. Therefore, limit your intake of cereals from pearl barley or wheat grits, as well as beans.
• Hard meat
• Fast food and canned fast food;
• Thick pasta;
• Fried eggs with fried eggs;
• Fresh bread, loaf, rolls;
• Animal fats;
• Seasonings and spice mixtures;
• Confectionery, ice cream;
• Drinks with gas, kvass;
• Raspberries, gooseberries, currants;
• Dried fruits;
• Grape Juice.

Increased acidity. Menu Rules

Having seen the number of foods that should be excluded with this form of the disease, you will undoubtedly ask: what is allowed to eat in this case? Do not be afraid that you will have to starve. Indeed, from the products that you can safely add to your menu, you will prepare many tasty and healthy dishes that help reduce the concentration of secretions of gastric juice, and enhance the natural defense of the digestive system.

What to eat:

• Yesterday’s white bread, crackers, and dietary cookies are allowed.
• You can eat oatmeal, as well as "mucous" porridge from buckwheat and rice.   If you want to improve the taste of such dishes, you can add one or two tablespoons of milk at the end of cooking.
• Potatoes, carrots, beets, cauliflower. However, do not eat vegetables without prior processing. They must be baked, cooked, and can be in a double boiler. Sometimes it is allowed to afford a little tomato without a peel.
• Bananas, sweet berries, non-sour varieties of apples and pears   - permitted fruits, but do not get involved in them. Remember that the main rule of nutrition with this ailment is moderation. You can eat fruits and berries only in a crushed form.
• You can cook yourself an omelet, or boil a soft-boiled egg. But remember that your norm is one per day.
• Dairy products boost hydrochloric acid production, so in your case, adding them to the diet should be with extreme caution. Sometimes you can use a little skim milk or sour cream. Cottage cheese is an excellent product, but only in processed form, so make casseroles or soufflé from it, but in no case cheesecakes.
• Butter and vegetable oil   can be added to dishes, but only a little.
• If you want to cook a meat dish, then only low-fat diet varieties are suitable for you: lamb, turkey, rabbit, chicken breast.
• Fish   it is better to choose low-fat varieties: cod, pollock, hake, blue whiting, pollock.
• If you want sweets, you can sometimes indulge yourself with marshmallows, milk cream, pastille, jelly, soufflé and honey.
• Of the drinks, it is better to choose various jelly and fruit drinks, you can also drink alkaline water without gas and weak tea.   Freshly squeezed carrot, potato and cabbage juice help with this form of the disease. Rosehip infusion will also be very useful.

Low acidity. What can I eat

• It is allowed to use a small amount of white "yesterday" bread.
• It is allowed to eat semolina, buckwheat and rice porridge, cooked without the addition of milk or cream.
• You can add potatoes, zucchini, cabbage, pumpkin to the menu. But no matter which vegetable you choose, it should be boiled or steamed.
• Of the fruits, you decide to eat sour varieties of apples, watermelon, cranberries, black currants.
• You can eat no more than 2-3 eggs per week, cooked in the form of an omelet or soft-boiled.
• It is recommended to use kefir, yogurt, cottage cheese, yogurt daily. Pure milk is acceptable only as an additive to tea or coffee.
• In this case, it is better to give preference to marine species of fish. It is sometimes allowed to treat yourself to slightly salted herring.
• When cooking meat dishes, preference should be given to dietary varieties: chicken, turkey, rabbit. These products can be boiled or steamed. It is sometimes allowed to eat meat baked in a sleeve, but only without “crusts”. You can also eat broths with the addition of cereals or pasta.
• It is recommended to drink weak tea with a slice of lemon. You can also occasionally drink weak coffee and cocoa. It is useful to add juice from carrots, potatoes, cabbage to your menu.

Menu

A seven-day diet should be made up on the basis of a diet called the “Table No. 1”. Such nutrition is recommended for exacerbations, as well as gastric and duodenal ulcers. All dishes on the menu should be boiled or cooked in a double boiler. Power scheme:

• First breakfast. For this meal, you can cook an omelet, pudding, porridge or cottage cheese casserole.
• Snack. At this time, you can use milk soup, mashed potatoes, steamed meat tunes, or baked fruits.
• Dinner. Soup is a must for this meal. For the second, you can make a dish of meat or fish. Dessert is a small cup of jelly or fruit jelly.
• Snack. At this meal, you can eat a plate of jelly, or drink a cup of tea with a slice of marshmallow or marshmallow.
• Dinner. An excellent choice is porridge or mashed vegetables. You can also diversify this meal with meat or fish cakes cooked in a double boiler. If desired, you can replace these dishes with soufflé, puddings, jelly.
• Last meal (2 hours before bedtime).   You should use kefir if you have low acidity. When elevated, it is allowed to eat a small portion of baked fruit.