Dietary nutrition in gastric ulcer. Nutrition for gastric and duodenal ulcers Menu for exacerbation of ulcers

Food can be a cure for many diseases. And you can't argue with that. Not in vain in Soviet times, health care diet for stomach ulcers was of paramount importance. Compliance with the principles of therapeutic nutrition was strictly mandatory.

The secret is that peptic ulcer of the digestive tract often heals even without treatment, but with proper nutrition.

Briefly about the ulcer

An ulcer is a single or multiple defect in the mucous membrane of the stomach or twelve duodenal ulcer, which leaves a scar after healing. When conducting FGDS, it can be barely noticeable (1-2 mm) or huge (more than 1 centimeter).

Even today it is a pathology from which people die. An invisible enemy - bleeding takes thousands of lives every year. Peptic ulcer of the stomach loves large cities and rolls over where high level economic development. Among the population prefers carriers of the first blood group.

There are so many causes of ulcers that almost everyone is at risk. You can start the list of factors for its appearance from the stomach - this is a violation of the secretory, motor and protective functions. Add the state of neuropsychic activity, hormonal levels and end with heredity with the presence of pathogenic bacteria. But this is also an incomplete list.

One of the important points in the appearance of an ulcer is malnutrition when a person prefers spicy, rough food, eats hastily, drinks alcohol often and smokes a lot.

Features of nutrition for stomach ulcers, general principles

How do you need to eat to live without stomach pain?

The first thing to do is evaluate your diet. Gastritis and peptic ulcer disease in themselves signal the need to change habits and eating habits. Food should become medicine, water that wears away the stone.

Diet therapy will help with this. It solves a number of problems: it normalizes the motility of the stomach, increases the protective properties of mucus, neutralizes acid, and stimulates the healing process. In fact, medical nutrition should be based on products that slightly stimulate secretion, quickly leave the stomach and slightly irritate its mucous membrane.

Principle one - reduce the aggressive effect of hydrochloric acid.

It is the leading damaging factor. It is necessary to remove products that stimulate the secretion of gastric juice. This includes everything that makes food sharper, piquant, stimulates appetite: spices, spices.

All drinks containing alcohol, strong tea, coffee, coca-cola, soda. Rich meat broths. Food cooked in the frying process: meat, fish, potatoes and other vegetables.

The second principle do not injure the mucous membrane. Eliminate coarse food: raw vegetables with solid fiber (radishes, turnips), coarsely chopped cucumbers. Dried, dried fish, tough meat, sour berries with small bones (gooseberries, currants). Extremely cold or hot food.

Ideal is food cooked in a slow cooker or double boiler.

The third principle don't overeat. Fractional meals should become habitual (5-6 times a day). The daily calorie content of the diet should be 2800-3000 kcal

How to control the secretion of gastric juice? By using certain products you can increase or decrease the release of hydrochloric acid. Compliance with simple recommendations will allow you to forget about the disease.

Prohibited foods for ulcers:

• Flour products: brown bread, especially fresh, fried pies, muffins with cream.
• From the meat set: fatty fried meat, meat broths, cabbage soup, rich borscht, canned food.
• Fruits and vegetables: sour with coarse fiber in raw chopped form. It is better to bake or boil.
• Drinks: soda, coffee, soda, Coca-Cola.
• Spices: red and black pepper, hot sauces, mustard, horseradish.

You also need to pay attention to individual intolerance to foods that cause heartburn and indigestion. Avoid food processing such as frying.

Allowed dishes and products:

• From flour products: white stale bread, crackers, dry cookies.
• From meat dishes: boiled and lean meat, fish, white poultry meat. Boiled lamb, beef, pork, poultry. Steam cutlets, meatballs, zrazy are also allowed.
• Dairy products: cream, milk, low-fat sour cream. Everything is non-sour and non-greasy.
• First courses: various slimy soups with the addition of milk and cereals.
• Vegetables and fruits: not acidic without rough skin and fiber when boiled.
• Drinks: still water, kissels, compotes, weak black tea, herbal tea. Juices from vegetables (potato, cabbage), decoctions of flax seed, rose hips, oats.

From the list of these products, you can make an approximate diet.

Diet for stomach ulcers - menu for the week

• Monday

Prepare any slimy porridge with milk and tea with butter. Something from baked fruit with rosehip broth. You can have chicken noodle soup and mashed potatoes. Dry cookies, kissel. Pumpkin casserole for dinner and an hour before bed, a glass of flax seeds.

• Tuesday

Milk with the addition of black tea, dry biscuits and scrambled eggs. Any vegetable puree soup with boiled meat, compote, curd mass with pumpkin and fruit jelly. Semolina porridge with jam and mineral water without gas an hour before bedtime.

• Wednesday

Herbal tea (linden), raw egg, white bread with butter, low-fat cottage cheese, baked fruit and vegetable puree. Steamed fish and slimy porridge. Boiled beets with the addition of prunes. A glass of milk before bed.

• Thursday

Lazy dumplings, milk and tea. Baked vegetables and porridge in the form of "smear" with meat pate. Vegetable puree soup and beef with pumpkin, oatmeal jelly. Semolina porridge with tea and butter. At night, a rosehip drink.

• Friday

Omelet with steamed vegetables, jelly. Boiled white poultry meat and grated porridge, bananas, baked apples and curd mass with pasta. Yogurt.

• Saturday

Beetroot with noodles baked in the oven, milk, peach, cereal soup with carrots and steam cutlets with porridge (buckwheat, rice).

• Sunday

Meat pate, jelly and mashed potatoes. Vegetable stew baked in the oven or slow cooker. Barley soup with poultry, semolina porridge with jam and tea with milk. Before bed: tea with chamomile.

What is the diet for stomach ulcers?

Depending on the stage peptic ulcer(open ulcer, scarring stage or remission period) are provided different types diets. Some types of tables are further subdivided into "a" and "b", designed for a more strict diet.

For diseases of the stomach and duodenum, diets No. 1, No. 1 "a" and No. 1 "b" are shown. As a person recovers, he switches from one diet to another, thus expanding his diet. It's reasonable, compliance rehabilitation period will avoid relapse.

Diet number 1 for stomach ulcers

This diet takes place during the formation of a fresh scar, when the exacerbation of peptic ulcer and the phenomenon of acute gastritis subsides.

Moderately mechanically and chemically sparing food is provided, with a decrease in irritants. In fact, this is a physiologically complete diet, but in a pureed form, steamed or water-cooked. Baking without a crust is acceptable.

Salt is moderately limited. Very cold and hot dishes are excluded. The frequency of feeding is at least 6 times a day. Good milk before bed.

With gastritis with hyperacidity. It is allowed to add stale white bread, low-fat cottage cheese, dry biscuits, non-sour dairy products, porridge with butter, steamed cutlets, white poultry meat, boiled meat, fish (perch) to table 1 "a". Finely chopped greens and vegetables or chopped with a blender are allowed, berries can be, but sweet.

Diet 1 "a" for stomach ulcers

It is also called mashed food. The most restrictive diet This is a diet for exacerbation of stomach ulcers, gastritis, burns of the esophagus.

Appointed for 8-10 days. Its goal is maximum sparing and rest of the inflamed gastric mucosa. Basic principle: meals are frequent (at least 6 times a day), in small portions in liquid form. Emphasis on milk, slimy soups (from barley, oatmeal, rice), eggs, both raw and soft-boiled, various types of jelly, and jelly from sweet fruits. Allowed porridge "mess" with milk and rice. Good for the stomach lining semolina.

Boiled meat in the form of a soufflé. Bread, crackers are prohibited. Vegetable side dishes are not recommended. When cooking, limit salt (it increases secretion). It is good to introduce drinks from wild rose, raw potatoes, cabbage, wheat bran on empty stomach.

Diet No. 1 "b" for stomach ulcers

This table is less strict, shown after table No. 1 "a".

Such a diet for stomach and duodenal ulcers can be considered a load. Here you can add 50 grams of crackers, pureed cereals with butter, mashed potatoes, meat and fish dumplings, meatballs. Soups, cereals, milk, mashed. Pureed milk porridges are shown.

The multiplicity of meals is stored up to 6 times.

With a stomach ulcer during an exacerbation of peptic ulcer is not prescribed. It is indicated for hepatitis and cholecystitis in remission. Her goal is good nutrition which a healthy stomach should provide.

Suitable diet for stomach ulcer table No. 5 "a" and No. 5 "p". They recommend sparing food, which does not contradict stomach diseases.

Diet for stomach ulcer during exacerbation, menu

During this period, for 10-14 days, table No. 1 "a" is shown, then table No. 1 "b" and only then we move on to table No. 1.

sample menu

In the early days you need a strict diet.

• Cabbage juice (half a glass);
• Milk steam omelette, a glass of milk;
• Then milk jelly (glass);
• Slimy rice soup, meat pâté;
• Potato juice (half a glass);
• Pike perch pate, oatmeal, kissel;
• At night: milk (half a glass).

During this period, the meat is carefully processed, tendons and fat are removed. After boiling, it is passed through a meat grinder (several times). If fish, then boiled and low-fat varieties.

On the third day, you can add croutons from white bread to soups, which should be soaked. Vegetables and fruits only in pureed form.

A week later, we can introduce curd mass, mucous porridges with the addition of butter into the diet, and change the meat soufflé for boiled finely chopped poultry.

After 3 weeks, the diet expands as much as possible. The ulcer is already in the stage of a fresh scar. Therefore, baked vegetables and fruits, in the form of jelly, compotes and jelly are acceptable. Boiled meat and fish are served whole.

With appropriate treatment and sparing nutrition, the ulcer heals rather quickly, but the inflammation persists for a long time. Therefore, a diet for ulcers and gastritis must be observed for another 2-3 months.

In addition, in the future, the threat of exacerbation of peptic ulcer remains. Therefore, the principles of therapeutic nutrition must be adhered to throughout life.

The therapeutic diet "Table 1" belongs to the category of so-called. It is usually prescribed for people who suffer from peptic ulcers of the stomach and duodenum. The diet brings noticeable relief both during the exacerbation of these diseases, and during the recovery period. In some cases, this diet is also prescribed for exacerbation of chronic gastritis.

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The therapeutic nutrition plan "Table 1" is prescribed by doctors to patients with peptic ulcer. But who said that on a therapeutic diet you need to forget about cooking and gastronomic creativity? Cook for health delicious and varied! But at the same time - following medical prescriptions ...

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Features of the diet "Table 1"

Indications: peptic ulcer of the stomach and duodenum, as well as gastritis during the recovery period;

Duration: by doctor's prescription;

Peculiarities: moderation in the amount of food consumed; restriction of products that cause increased secretion of the stomach; preference is given to pureed, boiled food and steamed dishes;

The energy value: 2300-2600 kK;

Liquid volume per day: 1.5 l;

The best type of cooking on a diet Table 1: steamed or boiled;

Power frequency: eat should be fractional, 5-6 times a day;

Diet "Table 1": what is possible, what is not

Meat, poultry, fish. Of meat and fish dishes, low-fat and soft-textured varieties are allowed. In other words, the meat should be tender, without tendons and skin. The ideal form of the dish is steam meatballs, zrazy and minced meat cutlets.

Eggs. No more than two pieces per day in any form, with the exception of fried eggs. Best of all - a light steam omelet with milk.

Bread and flour. You can: yesterday's wheat bread from premium flour, as well as crackers and biscuits. Inedible pastries and cookies are also allowed. The strictest ban on - rye bread and crispbread, on any fresh pastries and puff pastry products.

Dairy products. As part of the “Table 1” diet, you can consume whole and condensed milk, as well as cream, low-fat cottage cheese, sour cream and most fermented milk products reduced fat content. Cheese should be treated with extreme caution - only non-spicy low-fat cheese (either grated or processed) is allowed in the diet no more than once a week.

Vegetables. Theoretically, you can eat any vegetables, but it is important to correctly treat the way they are consumed. Since on the “Table 1” diet it is important to treat the walls of the stomach “wounded” with an ulcer as delicately as possible, vegetables rich in fiber should be boiled and turned into soft purees, light cream soups, etc.

Cereals. Allowed: semolina, oatmeal and buckwheat, as well as glutinous rice. Wild and brown rice are banned. You can use pasta, but they should be medium-sized in shape, ideally the smallest vermicelli.

Fruits and desserts. The "Table 1" diet encourages the use of any ripe, soft, sweet fruits such as peaches, apricots, bananas, plums, etc. In addition, you can use any fruits and berries in pureed, boiled and baked form, as well as in the form of soufflé, jelly, mousses, etc. From sweets, marshmallows, marshmallows, "bird's milk", desserts such as "tiramisu" and so on are allowed. Under the ban - chocolate, sour berries and fruits, fruits that are hard in texture (apples, pears, etc.), ice cream.

The drinks. You can: clean water, weak tea, cocoa, juices, compotes and fruit drinks from sweet fruits and berries. It is forbidden: sweet soda, kvass, sour drinks, coffee, alcohol.

Additional restrictions. It is important to understand the basic principle of the therapeutic diet "Table 1" - foods and dishes are allowed in the diet that do not chemically, mechanically or thermally irritate the damaged walls of the stomach and duodenum. This means that everything that enters the stomach should be at a neutral temperature, have a soft (ideally puree) consistency, and not be spicy, fatty, sour, smoked. For example: a salad of white cabbage with carrots is strictly forbidden, but stewed cabbage “in Bavarian style” is possible. Of the cereals, millet, barley groats, quinoa, corn groats are prohibited. Legumes are also banned (except for large white beans). The diet should not contain semi-finished products and canned food, pickles and marinades.

Sample menu for a day on a diet for stomach ulcers

Eat on a diet Table 1 should be fractional - 5-6 times a day. An approximate menu for the day might look like this:

• Breakfast: an omelet from two eggs and milk, cottage cheese with honey or jam, tea;
• Second breakfast: fruit salad;
• Lunch: glutinous rice soup, fish cakes with vegetable puree, sweet jelly;
• Afternoon snack: a cup of cocoa with marshmallows;
• Dinner: boiled vermicelli with meatballs, boiled and finely grated beetroot salad with prunes, tea;
• 3 hours before bedtime: a glass of low-fat kefir, applesauce;

Healthy Diet Recipes Table 1 help diversify your diet:

Sticky rice soup

Ingredients: 50 g rice, 1 chicken egg, a glass of low-fat milk, 15 g butter, water.

Cooking method:

1. Boil rice until fully cooked and strain it through a fine sieve.
2. In glutinous rice broth, add 3 tbsp. l. boiled rice and put on a slow fire.
3. Mix milk and egg and add this mixture to the broth. Remove from heat after 1-2 minutes.
4. If desired, you can add a little grated boiled carrots and finely chopped greens to the finished dish. Before serving, season the soup with a piece of butter.

Boiled beef dumplings in broth

Ingredients: 300 g beef without ribs, half an onion, 1 egg, 2-3 slices of white wheat bread, 1 tbsp. butter, 1 tbsp. sour cream, a pinch of salt.

Cooking method:

1. Cut beef meat into small pieces.
2. Chop half an onion and sauté in butter until golden brown.
3. Soak slices of bread in milk, squeeze and mix with sour cream.
4. Mix all the ingredients and pass through a meat grinder. Add salt to minced meat, if desired - a pinch herbs. Roll up a dense “sausage” from minced meat, wrap it in a white cotton cloth, tie a thread around the edges.
5. Dip in boiling salted water and cook for 10-15 minutes. Before serving, “unwrap” the sausage, cut into pieces and dip into cups with broth. If desired, you can add boiled vegetables and herbs to the broth.

Pumpkin with zucchini and cheese, baked in a pot

Ingredients: 400-500 g pumpkin, half a zucchini, 100 g white beans, 200 g cheese, 2 tbsp. butter.

Cooking method:

1. Boil white beans until half cooked.
2. Peel the pumpkin and zucchini, cut into small cubes. Also cut the cheese.
3. Preheat oven to 200 degrees, then reduce to 180 degrees.
4. Put pumpkin with zucchini, boiled beans and pieces of cheese in a pot.
5. Lay the pieces of butter on top.
6. Cover the pot with foil and place in the oven. Simmer for approximately 25-30 minutes. Then turn off the oven, leaving the dish to simmer for about 10 minutes. If desired, before serving, you can add a spoonful of sour cream to the dish.

The content of the article

Methods of diet therapy and characteristics of diets

Diet number 1a (most sparing)

Approximate one-day diet menu No. 1a (2008 kcal)

Diet number 16 (more stressful)

Diet number 1 (mashed)

Sample menu for day No. 16 (2500 kcal)

Sample diet menu No. 1 (3000 kcal)

The chemical composition of antiulcer diets containing increased quantities proteins and fats, for the treatment of peptic ulcer in adolescence and adolescence

Therapeutic nutrition for complications of peptic ulcer

Therapeutic nutrition for peptic ulcer with concomitant diseases

Sample menu of the lipotropic diet No. 1a (2000 kcal)

Sample menu of the lipotropic diet No. 16 (2432 kcal)

Sample menu of the lipotropic diet No. 1 (3000 kcal)

Approximate one-day menu for a patient with peptic ulcer with concomitant chronic or reactive pancreatitis (2500 kcal)

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stomach ulcer is chronic pathology, the main cause of which is infection bacterium Helicobacter pylori, as well as an imbalance between the aggressive environment of the organ and factors that protect it from damage. It is manifested by damage to the mucous membrane and the layers of the stomach located under it.

Until recently, a diet for stomach ulcers was the basis of therapy. medication treatment and folk remedies brought much less results. After finding out the exact cause of the disease, approaches to therapy have changed. But still correct balanced diet has not lost its relevance, especially during exacerbations.

Basic principles

Nutrition with a stomach ulcer spares the mucous membrane and promotes its regeneration. At the same time, its task is to provide for all the needs of a person, not to cause too much discomfort. The purpose of the diet during the recovery period is to transfer a person to ordinary food and adapt the gastrointestinal mucosa to it. Here are the basic principles of the diet for stomach ulcers:

• Thermally gentle food. The temperature of the dishes is 15-60°C (not hot and not cold).
• Mechanically gentle food - liquid, pureed or crushed dishes.
• A chemically sparing diet is the exclusion of dishes that stimulate the production of juice in the stomach and irritate the mucous membranes.
• Balance. Meals should include all the right nutritional ingredients. Energy value - 2800-3000 kcal, carbohydrate content - 400-420 g, proteins - 90-100 g, fat - 100 g (approximately a third - vegetable), liquids - 1.5-2 liters.
• Fractionality. You need to eat 5-6 times a day in small portions. Ideally, food at one time should fit in two palms.
• When compiling a diet, it is important to take into account the residence time of products in the stomach. For water and liquids - 1.5 hours, for meat and vegetables - 3 hours, for oily fish, legumes - 5 hours.
• Cooking method - boiling, baking, stewing, cooking over steam.
• Salt restriction to 6-10 g.
• During the recovery period, the zigzag principle is used: a short time the patient is allowed prohibited foods, then he again returns to dietary nutrition. This helps to quickly adapt to regular food.
• A diet for a stomach ulcer should be selected individually, taking into account the stage, form of pathology, etc.

With an exacerbation of a stomach ulcer, the diet requires the most gentle regimen, all food is rubbed or served in the form of thin soups and cereals. Then they are crushed until the patient switches to a standard diet. Compliance with a diet during an exacerbation of a stomach ulcer and rehabilitation helps to recover faster, relieves symptoms, significantly improves and consolidates the results of therapy, and prevents complications. Some patients even manage to lose some weight.

Do's and Don'ts

Since the diet for stomach ulcers should spare the mucous membrane, when choosing products, they take into account how they affect the mucous membrane and the secretion of the glands. Food cannot stay in the upper part of the gastrointestinal tract for a long time, this should also be paid attention to. Foods that provoke intensive production of juice in the stomach are excluded from the menu. List of prohibited products:

• strong broths from meat, fish, mushrooms;
• canned and smoked;
• spicy condiments, dishes and snacks, other spicy food;
• vegetables rich in fiber (turnip, radish, cabbage);
• bread made from rye flour;
• alcohol;
• drinks with gas;
• strong coffee and tea.

The diet menu for stomach ulcers and recipes consist mainly of foods that moderately stimulate secretion. These include:

• soups with milk and vegetables;
• grated porridge;
• vegetables (potatoes, carrots, beets, broccoli, pumpkin, zucchini);
• Low-fat meat and boiled fish;
• milk and products from it;
• soft-boiled eggs and steam omelettes;
• alkaline water without gas;
• weak tea.

The effect of food on the stomach largely depends on the way they are prepared. So boiled and pureed meat has a weak stimulating effect on the secretory function, and fried and with a crust - a strong one. Fats immediately after entering the gastrointestinal tract suppress the production of enzymes, but after decay in the intestines, they provoke an increased secretion of gastric juice, therefore, a diet for stomach ulcers does not recommend eating fats in pure form but only as part of other dishes and products.

Diet Options

Therapeutic nutrition at the stages of the disease of a stomach ulcer differs from each other. There are several options that accompany the treatment of peptic ulcer:

• Diet number 1
• Diet number 1 surgical.
• Diet number 1a.
• Diet number 1b.

Each type of diet for stomach ulcers has its own characteristics and is used in different periods of the disease. It must be strictly observed and only as prescribed by the doctor.

Diet number 1

A therapeutic diet 1 is prescribed for a gastric ulcer in an acute stage, but without obvious signs of irritation of the mucosa. Such nutrition is also shown when the patient has gastritis or a pre-ulcerative condition. It promotes healing of ulcers, regeneration of the mucosa, regulates the excretory function of the stomach. It provides all the energy needs, can be adjusted, depending on the activity of the patient. Food is rubbed or served liquid or in a highly crushed form. With this diet are allowed:

• white bread and lean buns, yesterday or dried;
• soups mashed from vegetables (excluding cabbage), cereals, with milk or water; olive, sunflower, creamy oils are added to soups;
• meat and fish boiled or steamed, can be served pureed or in pieces;
• mashed porridge with milk (except wheat), pasta, puddings;
• from vegetables recommend potatoes, pumpkin, zucchini;
• dairy products - any, but not very sour;
• testicles in the form of a steam omelette or soft-boiled;
• fruits and natural sweets;
• sunflower oil, olive oil, butter (added to ready meals);
• bechamel or cream sauce;
• tea is allowed to drink, rosehip broth, juices are not too concentrated.

You can not eat what is cooked on strong broths. Any spicy seasonings, rye bread, smoked meats, pickled and salty dishes are excluded. Vegetables are served only mashed, you can not eat turnips, cabbage, radish, sorrel. Too acidic kefir is also not recommended. It is advisable to adhere to such a diet even after the treatment is completed. New products that are not on the approved list should be introduced with great care.

Diets No. 1a and 1b

This diet is used for an exacerbated stomach ulcer with severe pain syndrome, it is more strict than the previous one. The goals include not only the stimulation of regeneration, but also the removal of pain and irritation. Everything is served warm, mashed or runny. Diet 1a for stomach ulcers has more restrictions than table number 1. Any sauces, juices, vegetables with fruits, berries are completely excluded. You can not eat snacks, from drinks - rosehip broth, jelly. Recommended menu:

• soufflé from meat, fish and cottage cheese;
• cream, fresh milk;
• testicles are soft;
• semi-liquid mashed cereals in milk, cream, water;
• butter (added to ready meals).

Meat and fish are selected low-fat, like cottage cheese. Porridge can be consumed of any variety, except for wheat. The frequency of eating a diet for stomach ulcers and table No. 1a provide for fractional, 5-6 times a day. With diet 1b, the list of products is the same as with 1a, only crackers are allowed. A special table and a list of products helps to navigate the menu.

Diet for ulcer perforation and bleeding

After surgery on the stomach for sewing in a perforated ulcer or after resection, strict fasting is recommended for the first three days. At this time, the wound heals, the stomach gets used to the new state. After 2 or 3 days, the patient is given a rosehip decoction or fruit jelly, slightly sweetened. The number of drinks is limited.

From the fifth or sixth day after the removal of the perforation, a perforated diet 1 surgical is introduced for gastric ulcers. First, the patient is given a little mashed vegetable soup, rice porridge in water, a soft-boiled testicle. With normal health, over the next days, steam cutlets from low-fat meat or fish are introduced, steamed omelettes, pureed soups in a weak meat broth. Then gradually the patient is transferred to diet 1a, 1b and 1 pureed. This type of diet should be followed for at least one year.

Diet table number 1 What can you do? What is impossible?

Stomach Ulcer Diet Recipes

Bleeding from the antrum or other part of the stomach is another complication of an ulcer. Abdominal operations with this pathology, they are now rarely carried out, they stop the blood using an endoscopic procedure. After such an operation, one-day fasting is recommended. Then liquid drinks are gradually introduced (kissel, a decoction of bran and rose hips). Then they give mashed cereals and soups. It is very important that the food be mechanically gentle. With a bleeding ulcer, a lot of blood is lost, it is necessary to replenish the supply of iron. Fish and meat, non-acidic apples are introduced into the diet as soon as possible.

The diet is adjusted if peptic ulcer is combined with inflammation of the pancreas, cholecystitis and other pathologies. For example, with pancreatitis, fresh milk is excluded. If there are problems with the liver, a diet number is prescribed. It also matters whether the ulcer is open or closed, in the stage of scarring. The diet during an exacerbation of a stomach ulcer is more strict until the main symptoms pass.

Menu for the week

Nutrition for stomach ulcers can be varied. There are great recipes that allow you to cook delicious food at home, because patients are allowed to eat a lot of food. The menu for a stomach ulcer for a week allows you to change the diet daily.

Food calendar

Monday

Morning In the morning - 2 soft-boiled eggs, semolina porridge, tea with sugar, not strong.

Lunch Lunch - apple, baked, fat-free yogurt.

Lunch Lunch - chicken soup mashed with rice, veal meatballs, mashed potatoes, jelly, rosehip broth.

Afternoon snack Before dinner - a cracker of white bread, a glass of milk.

Dinner In the evening - steamed fish with cauliflower, tea. Before going to bed - a glass of warm milk.

Morning In the morning - rice porridge with milk, mashed, soft-boiled egg.

Lunch Lunch - strawberry jelly, crackers.

Lunch Lunch - zucchini soup, fish pate, vegetables with beef baked in foil, apple mousse.

Snack Snack - a decoction of wheat bran, cottage cheese.

Dinner In the evening - mashed potatoes with chicken meatballs, tea. Before going to bed - a glass of yogurt.

Morning Breakfast No. 1 - buckwheat porridge with milk, tea.

Lunch Breakfast No. 2 - kissel from oatmeal, sweet grated apple.

Lunch Lunch - soup with pasta, baked pike perch, rice porridge, beetroot salad, rosehip broth.

Snack For an afternoon snack, you can eat a banana with yogurt.

Dinner In the evening - beef pilaf, a salad of boiled vegetables, jelly. Before going to bed - fruit jelly, tea.

Morning In the morning - a decoction of pearl barley with milk and yolk, crackers, tea.

Lunch Second breakfast - cottage cheese with yogurt.

Lunch For lunch - rice soup, rabbit soufflé with vermicelli, pear in sweet syrup, jelly.

Snack Snack - rosehip tea, crackers.

Dinner In the evening - pumpkin puree with zucchini, beetroot salad, a piece of turkey in jelly, tea. Before going to bed, you can drink a glass of milk.

Morning In the morning you can eat semolina porridge with any jam.

Lunch Snack before dinner - dumplings with cottage cheese, strawberry mousse.

Lunch Lunch - salad of green vegetables, zucchini with minced meat inside.

Snack Snack - jelly and fruit salad.

Dinner In the evening - boiled veal tongue, mashed potatoes, oatmeal pudding and apples. A glass of yogurt before bed.

Morning In the morning you can eat a steam omelet with tea.

Lunch Lunch - ryazhenka, beetroot salad.

Lunch Dinner is recommended with fruit soup made from apples with prunes, for the second - soaked herring, mashed potatoes, for dessert - a piece of protein biscuit.

Afternoon snack A pear and a glass of jelly for an afternoon snack.

Dinner In the evening - boiled cod, barley porridge, jelly. Before going to bed - a glass of milk.

Sunday

Morning Morning - tea, vermicelli with cheese.

Lunch Lunch - cottage cheese and potato casserole, jelly.

Lunch Lunch - cauliflower soup with potatoes and carrots, potatoes with boiled meat, apple compote.

Afternoon snack Before dinner - a baked apple with honey.

Dinner In the evening - fish with bechamel sauce, carrot roll, tea with milk. At the end of the day - a soft-boiled egg, a glass of milk.

It should be understood that the menu for a week with a stomach ulcer is not some kind of diet for weight loss. The patient should not feel hungry, otherwise heartburn will begin in the esophagus, and the ulcer will not heal well. But you should not overeat either: it is difficult for the stomach to cope with a large amount of food.

Dish recipes

Diet for patients with stomach ulcers should not be a torment. You can cook many delicious meals at home. The main thing is to have a list of allowed products in front of you and use only them. As already mentioned, during the period of exacerbation for ulcers, all dishes should be cooked boiled, stewed or baked, wiped or thoroughly chopped. Some diet recipes for stomach ulcers with delicious meals we will present here.

This dish is suitable for patients at the very beginning of treatment, when their condition is quite severe.

Slimy oatmeal soup with milk

Difficulty: easy

Cooking time: 35 min.

Ingredients

1. 1. Oatmeal flakes
2. 2. Milk
3. 3. Water
4. 4. Chicken egg
5. 5. Sunflower or olive oil
6. 6. Salt

Peptic ulcer is chronic illness whole body with ulcerative lesions of the stomach or duodenum. An exacerbation of the disease may occur due to disturbances in the normal functioning of the nervous system (excessive nervous tension, severe mental shocks, prolonged or often recurring difficult experiences). An important role in the occurrence of peptic ulcer is played by non-compliance with the correct diet (irregular meals, dry food). The main signs of peptic ulcer are periodic, mostly on an empty stomach and at night, pain in the upper abdomen, heartburn, belching, vomiting.

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

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

The basic principles of therapeutic nutrition for exacerbation of peptic ulcer are as follows:

Creation of the greatest rest for the mucous membrane of the stomach and duodenum;

Exclusion of products that have a strong juice effect;

The exclusion of products that mechanically irritate the gastric mucosa (i.e., food is given mainly in a pureed form);

Frequent and small meals. Eating every 3-4 hours. Abundant food intake is contraindicated, for 1 meal;

Exclusion of too cold or very hot food;

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

Products that increase the secretion of gastric juice are excluded from the diet: meat, fish and mushroom broths, meat and fish fried and stewed in their own juice, smoked and salted foods, spices and spices (mustard, pepper, etc.), alcoholic beverages, carbonated water, strong tea and coffee. Do not include foods containing coarse fiber (turnip, swede, radish), mechanically irritating the gastric mucosa.

A sparing diet includes foods and dishes that slightly stimulate gastric secretion: milk, cream, cottage cheese, cereals, mashed boiled vegetables, mashed cereal and vegetarian (except cabbage) soups, soft-boiled eggs or scrambled eggs, boiled meat and fish, weak tea, alkaline mineral water containing no carbon dioxide.

Recall that milk and cottage cheese, cheese and eggs, meat and fish are rich in proteins. Fats are found in butter and vegetable oils, milk and cream. There are many carbohydrates in bread and crackers, pasta and cereals (rice, semolina, oatmeal, barley, etc.), as well as in potatoes. Rosehip decoction is an important source of vitamin C.

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

Depending on the characteristics of the course of peptic ulcer, several diets are used. So, with a sharp exacerbation, diets No. 1a and 16 are indicated, prescribed for a short time, with a less sharp exacerbation - diet No. 1 (it is also effective for a sluggish, asymptomatic course of the disease, without severe pain and heartburn).

The course of treatment usually begins with the most sparing diet, moving on to more stressful ones.

Diet No. 1a provides maximum mechanical and chemical sparing of the stomach. All dishes are prepared mashed, liquid or mushy consistency. They are boiled in water or steamed.

Soups - mucous from rice, oatmeal or pearl barley; semolina soup (prepared with the addition of an egg-milk mixture, cream or butter). Broths can be prepared (to speed up the cooking process) also from flour for baby and diet food or from ground cereals.

Meat and fish dishes - steam soufflés from lean meat (beef, veal, pork or rabbit), poultry (chicken, turkey), fish (cod, pike, hake, ice, saffron cod, etc.). Soufflé is included in the diet once a day.

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

Egg dishes - soft-boiled eggs, steam omelet, beaten egg whites (meringues).

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

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

Drinks - weak tea with milk or fresh cream, rosehip broth, sweet fruit and berry juices, wheat bran broth.

Fats - butter (added to ready meals).

Bread and bakery products are excluded from the diet.

Sample diet menu No. 1a

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

2nd breakfast. Milk (1 glass).

Dinner. Rice slimy soup, meat steamed soufflé with vegetable oil, fruit jelly.

afternoon tea. Soft-boiled egg, milk (1 cup).

Dinner. Milk semolina porridge, lemon jelly.

Before bedtime. Milk (1 glass).

Diet No. 16 (less sparing) contains more steam dishes from mashed meat and fish (cutlets and meatballs, dumplings and rolls, soufflé). Sauces are allowed - milk or sour cream (from fresh sour cream), white bread crackers (75 g), from fats - butter or refined olive, sunflower, corn oil (oil in its natural form is added to ready meals). More often they prepare mashed milk porridges, soups from various mashed cereals (rice, oatmeal, pearl barley, buckwheat, barley or millet). Liquid or mushy food is cooked in water or steamed.

Sample diet menu number 16

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

2nd breakfast. Fruit jelly, cracker.

Dinner. Milk soup made from mashed barley groats, steamed meatballs, fruit jelly.

afternoon tea. Soft-boiled egg, rosehip broth (1 cup).

Dinner. Fish soufflé, mashed buckwheat porridge, fruit jelly.

For the night. Milk (1 glass).

Diet number 1 is less strict adherence to the principles of mechanical and chemical sparing. White bread, boiled meat (chopped) and fish, boiled and mashed vegetables (potatoes, carrots, beets, zucchini, pumpkin) and fruits are allowed.

The diet includes milk, cream, fresh non-acidic sour cream, cottage cheese, non-bread biscuits, butter, soft-boiled eggs or steam scrambled eggs, mashed milk cereal soups, vegetable pureed milk soups, vermicelli milk soups, mashed milk porridges, pasta and boiled vermicelli , allow baked dishes, weak tea with milk.

Broths and cabbage decoctions are excluded from the diet. All dishes are prepared pureed, boiled in water or steamed.

This diet is the main one in the course of therapeutic nutrition for peptic ulcer disease. There are 2 variants of this diet: in one case, the food is prepared pureed, in the other - unmashed.

Soups - milk pureed cereals (oatmeal, rice, buckwheat, barley, semolina); dairy with mashed vegetables, noodles or homemade noodles; mashed vegetables (potato, carrot, beet) with egg-milk mixture, seasoned with butter or vegetable oil.

Meat and fish dishes - from low-fat varieties cutlets, dumplings, meatballs, mashed potatoes, soufflés, rolls, etc., boiled in water or steamed.

Dishes from cereals and pasta - mashed milk porridges (rice, oatmeal, barley, barley, millet, buckwheat); semolina and oatmeal porridge "Hercules", soufflé, puddings from pureed cereals; dishes from vermicelli, pasta, homemade noodles.

vegetable dishes- from potatoes, carrots, beets, cauliflower, pumpkins, zucchini, green peas: boiled, mashed, steamed soufflés and puddings (without crust).

Egg dishes - soft-boiled eggs, steam omelettes, beaten egg whites (meringues).

Milk and dairy products - whole milk, condensed milk, fresh cream, freshly prepared unleavened cottage cheese, cottage cheese soufflés and casseroles, dumplings with cottage cheese, sour cream, mild cheeses.

Fruit and berry dishes: natural fruits and berries of ripe sweet varieties, boiled, mashed or baked; sweet berry juices - strawberry or raspberry; kissels, jelly and mousses; baked apples.

Sweets - honey, jams, jam from sweet berries and fruits, marshmallows, marshmallows.

Sauces - milk, sour cream or fruit.

Spicy vegetables - parsley, dill (a little).

Fats - butter and vegetable oil (added to ready meals).

Drinks - weak tea with milk or cream, rosehip broth or wheat bran, carrot juice.

Bread - wheat, slightly dried, unbread biscuits.

Sample Diet Menu #1

1st breakfast. Soft-boiled egg, oatmeal milk porridge, tea with milk.

2nd breakfast. Baked apple, rosehip broth.

Dinner. Pureed pearl barley soup, steamed meat cutlets with milk sauce, mashed potatoes with vegetable oil, fruit jelly.

afternoon tea. Milk jelly, dry biscuits.

Dinner. Fish steam meatballs with noodles, tea.

For the night. Milk (1 glass), biscuits.

If peptic ulcer occurs without severe pain and heartburn (when it comes to peptic ulcer in remission), it often turns out to be the most effective diet No. 1 without mechanical sparing. This diet is especially indicated if the disease is accompanied by a decrease in the motor function of the intestine, which is manifested by constipation. Food is cooked boiled, but not pureed (meat and fish are given in pieces, vegetables are not pureed, crumbly cereals, etc.).

Approximate diet menu No. 1 without mechanical sparing of the stomach

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

2nd breakfast. Baked apple, rosehip broth, lean biscuits.

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

afternoon tea. Soft-boiled egg, milk (1 cup) with cookies.

Dinner. Boiled fish with boiled potatoes, dried fruit compote, cheesecake.

For the night. Milk (1 cup) or tea with milk.

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

In cases where patients do not tolerate milk well (heartburn, flatulence), it is replaced by milk jelly, milk, diluted by 1/3 tea, or mineral water.