Diagnostics

Therapeutic nutrition for intestinal inflammation

Symptoms of an inflamed intestine include stomach grumbling, bloating, pain, and fatigue. Since the small intestine usually suffers, pain begins in the navel, and after inflammation and the colon, the pain intensifies significantly. This disease is characterized by a very unstable stool (from liquid to constipation).

During treatment, patients are required to prescribe a special diet. Proper nutrition contributes to a quick recovery and further rehabilitation of the body.

Featured Products

So, with inflammation of the intestines, patients are recommended to include the following products and dishes in their menu:

  • Yesterday’s wheat bread, cakes and rolls from dough with the addition of boiled meat, rice, eggs, apples, etc. curd cheesecakes,
  • soups cooked in low-fat fish or meat broth with the addition of various cereals (except for millet), vermicelli, carrots, potatoes, zucchini, pumpkin and cauliflower,
  • lean meats (veal, beef and rabbit), poultry (chicken and turkey), fish (cod, pike perch, hake), lean ham and soaked herring,
  • omelettes and soft-boiled eggs,
  • butter in small quantities (up to 50 grams per day),
  • various vegetables (pumpkin, carrot, potatoes, zucchini, etc.),
  • friable cereals (with the exception of pearl barley and millet), boiled in water with the addition of a small amount (up to 1/3) of cream or milk, baked or steam puddings, noodles,
  • baked pears and apples, sweet fruits in compotes and jelly,
  • freshly squeezed cherry, strawberry and apple juices,
  • whole milk in different dishes, as well as in pure form, fresh cottage cheese, sour cream, mild cheeses, sour-milk products,
  • fresh herbs of parsley and dill, bay leaves in limited quantities, vanilla, fruit and milk sauces,
  • coffee and tea with milk, a decoction of rose hips or black currants.

Foods to be excluded from the diet:

  • fatty meat (lamb and pork),
  • fat bird (duck, goose),
  • fatty fish (stellate sturgeon, sturgeon, beluga),
  • hard boiled eggs
  • pork fat
  • bean
  • barley grits,
  • radish,
  • mushrooms
  • pepper, onion and garlic,
  • smoked meats
  • horseradish, mustard, all kinds of spicy and fatty sauces,
  • grape juice.

Organic acid enriched foods are strictly contraindicated:

  • sour fruits and berries (cranberries, black and red currants, cherries, sour apples, lemon),
  • fatty dairy products.

In the period of exacerbation of the disease (in addition to the main diet menu):

  • limit salt intake to 5-8 grams,
  • drink 1.5 liters of water per day,
  • include vitamins of groups A, B and C in the diet,
  • eat often (every 2-3 hours) with liquid and semi-liquid foods,
  • completely abandon any alcoholic beverages.

Experts note that even after recovery, patients are encouraged to continue to follow certain principles of therapeutic nutrition. For example, it is advisable to continue to comply with the fractional power system. You should have 6 meals a day.

In order not to aggravate the problem and neutralize the inflammatory processes in the intestine, you must strictly follow all the instructions of the doctor.

Nutrition for inflammatory bowel disease

Clinical nutrition for inflammation of the intestine has a number of common signs: it is designed to normalize metabolism and prevent relapse. It is necessary to eat food fractionally, variably, mainly at one time.

A balanced diet and proper heat treatment of products is the key to the quick restoration of the normal functioning of the gastrointestinal tract.

Diet for intestinal inflammation is designed to perform the following tasks:

  • Normalize motor-motor function,
  • Make up for the lack of essential nutrients,
  • Normalize microflora,
  • Prevent the development of intestinal obstruction.

One or another recommended diet depends on the course and degree of development of the pathology. When drawing up a diet plan, it is necessary to take into account the types of products, depending on their effect on intestinal motility:

  1. Products that enhance intestinal motility: brown bread, raw fruits and vegetables, bran, legumes, pickles, kvass, sour-milk drinks, smoked meats, fatty foods, sweets.
  2. Products that weaken intestinal motility: eating blueberries, jelly, shabby cereals, warm food.
  3. Products that do not have any effect on intestinal motility: lean fish and meat, low-fat cottage cheese, bread from premium flour.

Recommended Nutrition for Diarrhea

Diarrhea is one of the main symptoms of bowel disease. In this case, the diet is designed to reduce the motor activity of the stomach. It should exclude the use of products that can cause putrefactive fermentation processes. It is recommended to consume simple carbohydrates, at least 1.5 liters of liquid (water, tea, herbal drinks) per day. Food temperature must be at least 15 °. Products allowed in diarrhea:

  • Low-fat meat or fish broth
  • Boiled rice, buckwheat, oatmeal (preferably in a grated consistency),
  • Dairy products with a low percentage of fat,
  • Dried fruits and sweets: honey, jam, pastry buns,
  • Drinks: decoctions of rosehip, currant, mint, chamomile, blueberry, green and black tea, kissel.

Products whose use must be excluded:

  • Barley porridge, wheat groats,
  • Fatty, rich meat broth,
  • Pasta,
  • Smoked meats, canned food,
  • Dairy products with a high percentage of fat,
  • Cold as well as carbonated drinks
  • Limit the use of dietary fiber: sweet apples, legumes, bran, cabbage, raw fruits and vegetables.

In addition, it is necessary to limit the use of salt (not more than 7 g / day), sorrel, spinach, foods with a high percentage of essential oils, hot spices. Patients with diabetes should be aware of contraindications for carbohydrates and sugar.

In severe diarrhea, it is recommended that the patient refrain from eating any food in the first few days. Allowed only the use of water (at least 1.5 - 2 liters), strong tea with lemon and broth of wild rose.
The total duration of a diet can range from several months to several years. Expansion of the diet occurs gradually, under the supervision of the attending physician.

With such intestinal pathologies as Crohn's disease and ulcerative colitis, which are accompanied by diarrhea, the daily intake of protein should be at least 1.5 - 2 grams per kilogram of body weight. Dietary fiber can be completely excluded from the diet. In the case of a severe course of the disease, the patient can be transferred to parenteral nutrition.

Proper nutrition for constipation

For constipation, foods are used that can enhance intestinal motility. It can be dietary fiber and fiber. The protein content in the diet should be normal, the use of carbohydrates and vegetable fats is allowed. List of Recommended Products:

  • Fiber: sauerkraut, brown bread, fresh vegetables and fruits,
  • Wheat bran is the most common nutritional product for constipation. Bran can be added to cereals, soups, salads. Pure use is allowed. For this, the product is pre-soaked in warm water for 20 minutes, the remaining liquid is drained and taken as a tablespoon before meals. The minimum duration of bran intake is at least 5 - 7 weeks.
  • Bakery products: rye bread, yesterday’s pastries, wholemeal bread,
  • Fresh vegetable salads seasoned with oil or low-fat mayonnaise, vinaigrette seasoned with vegetable oil,
  • Boiled lean meat and poultry,
  • Dairy products,
  • Cookies, other dough products,
  • Vegetable side dishes, mushrooms, eggs,
  • From drinks: black tea (weak), rosehip broth, freshly squeezed cold juices.

Food and dishes, the use of which must be limited:

  • Warm food, jelly, mashed cereals and soups,
  • Rich broth, meat, poultry and fish dishes,
  • Spices, mustard and pepper,
  • Alcoholic drinks,
  • Butter rolls, chocolate, bread from premium flour,
  • Drinks: jelly, cocoa,
  • Rice and semolina porridge,
  • From the use of legumes, radishes, horseradish and garlic is also recommended to abstain.

The recommended amount of table salt is up to 14 grams per day, for this purpose it is recommended to use additional pickles and marinades. In addition, it is necessary to take into account the number of calories, as well as the chemical composition of staple foods.

Clinical nutrition must be combined with medication, mineral water, moderate physical activity. Selection of a diet should be carried out by the doctor individually. All this has a positive effect on the healing process and prevents possible relapses.

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Irritable bowel diet

Irritable bowel syndrome, also known by its abbreviation as IBS, is a complex of intestinal disorders of a functional nature. With IBS, people often experience abdominal pain, constipation or diarrhea, flatulence, or the presence of mucus in the feces. Irritable bowel syndrome diet will help alleviate all symptoms and will contribute to a faster onset of recovery.

Diet with irritated intestines is based on the observance of the most sparing in the mechanical, thermal and chemical terms of the diet. A diet for inflammation of the intestine will help to eliminate the process of inflammation, as well as restore impaired functions and reduce the processes of decay and fermentation in the intestine.

General recommendations for a diet with irritable bowel

A diet for irritable bowel prescribes the following recommendations:

  1. The energy value of the diet should be reduced to 2050 kcal, which becomes possible with a decrease in the intake of fats and carbohydrates
  2. Need to reduce sodium chloride intake
  3. Products that irritate the intestines mechanically, thermally and chemically are excluded
  4. To exclude products from the use of which in the intestine fermentation and rotting occurs
  5. It is worth taking care of the exclusion of indigestible food, as well as products that stimulate the separation of bile and the secretory function of the pancreas and stomach

The chemical composition of the diet is distributed as follows:

  • 250 grams of carbohydrates (30-50 grams of which are allocated to sugar)
  • 100 grams of protein (60-70% of animal origin)
  • 70 grams of fat (40-50 grams of butter)
  • 8-10 mg sodium chloride
  • 1.5 liters of fluid

Food should be five to six times a day. In this case, food should be served at a warm temperature. Products can be steamed, boiled or served in liquid, mashed or in the form of mashed potatoes.

Recommended Product List

A diet for inflamed intestines recommends eating the following range of products:

  • Yesterday’s premium wheat bread or dried
  • Low-fat meats: beef, chicken, veal or turkey
  • Low-fat fish: perch, pike perch, carp, etc.
  • One soft-boiled egg or omelet from it
  • Dairy products: cottage cheese and acidophilus milk
  • Fats: butter (can be added to dishes or eat natural)
  • Rice, Hercules, Semolina or Buckwheat
  • Vegetable broths
  • Soups with weak meat, fish or chicken broth, as well as soups with a mucous consistency
  • Apple puree, juices and jelly and jelly from fruits and non-sour berries
  • Cocoa on water, tea and coffee

Prohibited Products List

A diet for irritable bowels requires a strict rejection of the use of a number of the following products:

  • Fresh and rye bread, muffin, pancakes and pancakes
  • Fatty meat: lamb, goose, pork and mornings, as well as sausages, canned food, smoked meats and ham
  • Salted, pickled, oily, smoked and canned fish
  • Hard boiled, raw and fried eggs
  • Whole milk, sour cream, kefir one day, cream and cheeses
  • All fats except butter
  • Millet, pearl barley and barley groats, as well as friable cereals, legumes and pasta casseroles
  • Any raw vegetables
  • Soups in bold and strong broth, as well as vegetable, cold, milk and bean soups
  • Any fresh fruits and berries, as well as dried fruits, honey, compotes, preserves and all other sweets
  • Spices
  • Cocoa and coffee with milk, grape juice, kvass, cold and carbonated drinks

Subject to all recommendations, a diet for irritable bowels will quickly help alleviate symptoms.

How to choose the right food?

First of all, it is necessary to take into account the severity of the pathological process. So, in acute inflammatory bowel diseases, maximum gastrointestinal tract sparing is required, therefore, on the first day of the ailment, doctors recommend that patients drink only warm water and strong, slightly sugared tea.

In the next few days, you can use rice broth and jelly.

From the fourth day, patients are shown a dietary table No. 4 (it provides all the same maximum chemical and mechanical sparing of the intestine, providing the body with proteins with a limited intake of carbohydrates and fats in the digestive tract). As the patient's condition improves, dietary tables are changed to 4b, 4c, and 15 (transitional before regular meals).

If enterocolitis is mild, diet No. 4 is already shown on the first day of the disease. However, the patient should be on it for no more than 4 - 5 days (only until the elimination of acute phenomena). In addition, when choosing food, one should take into account the influence of products and the way they are processed on intestinal function.

Some foods increase motility, another slows down, and the third does not work. For example, with severe diarrhea, warm foods should be consumed that have a viscous texture and do not irritate the digestive tract (not salty, not sharp, not acidic, not sweet, not rough, etc.

It is also worth remembering that a violation of the digestion of food during enterocolitis leads to the activation of rotting and fermentation in the intestine, therefore, in inflammatory diseases, products that stimulate these processes should be excluded from the diet:

  • Cabbage, fresh fruits, legumes and other products containing coarse, hard-to-digest fiber.
  • Milk.
  • Fatty meats (especially slices).
  • Fatty fish.
  • Baking.
  • Scrambled eggs and hard-boiled eggs.

What can I eat?

In the acute period, patients are allowed to consume the following foods:

  • Wheat bread crackers.
  • Soups cooked on low-fat diluted meat broth with mashed meat, rice or semolina.
  • Meat of only low-fat varieties (pure flesh) in boiled and minced form.
  • Steam cutlets from low-fat fish.
  • Fresh mashed cottage cheese.
  • Steam omelet (no more than 2 eggs per day).
  • Mashed cereals on the water (buckwheat, rice, oatmeal).
  • Vegetable decoctions.
  • Kissels.
  • Butter no more than 5 g per serving.

At the recovery stage, the following products can be added to the above list:

  • Yesterday’s wheat bread.
  • Cracker.
  • Low-fat soups with vermicelli and chopped vegetables.
  • Low-fat meat pieces in boiled or baked form, as well as boiled tongue.
  • Low-fat fish slices.
  • A small amount of milk for cereals.
  • Sour-milk products with low fat content.
  • Unsharp hard cheese (a couple of slices).
  • Scrambled eggs.
  • Boiled pasta.
  • Loose porridge (except wheat, pearl barley and barley).
  • Potatoes, pumpkin, cauliflower, zucchini in the form of mashed potatoes, casseroles.
  • Baked or fresh mashed apples.

Sample menu

In the acute period of the patient's menu, enterocolitis should look like this:

  • Breakfast - mashed oatmeal on the water, a few tablespoons of cottage cheese and tea.
  • Lunch - broth with semolina, steam meatballs, mashed rice, jelly.
  • Dinner - mashed buckwheat with steam omelet, tea.

During breaks, you can drink a decoction of rose hips or blueberries, as well as eat crackers. As the patient's condition improves, the menu can be made more diverse:

  • Breakfast - oatmeal in milk, soft-boiled egg, tea.
  • Lunch - vegetable soup with meat, rice with a steam patty, a slice of bread and butter, jelly.
  • Dinner - mashed potatoes, boiled fish, cottage cheese casserole, tea.
  • Before going to bed - kefir.

Between the main meals you can eat cookies and fresh apples, drink berry broths.

Diet for intestinal inflammation: menu

The intestine is a kind of filter of the body, as well as a conductor of nutrients.

Do not run your intestines

Such negative consequences relate to the large and small intestines, as well as the entire gastrointestinal tract, on the state of which the level of human productive activity depends.

In order to minimize pain, as well as accelerate the process of regeneration, self-healing and healing of the mucous membrane, experienced doctors developed a diet for inflammation of the intestine, designed to activate the protective functions of the body, normalize the process of emptying and localize pain symptoms that occur after each meal.

Calorie Calculation of Products

Diet for intestinal inflammation: features

Give up rough food

The main cause of inflammation of the small intestine is roughage, which includes high fiber content. Having a fibrous structure, it scratches the thin walls of the mucous membrane, provoking the appearance of microscopic cracks and cuts. In addition to external damage, fiber, consumed by the individual in large quantities, provokes:

  • Deformation and small tears of the mucous membrane of the gastrointestinal tract,
  • Small bowel dysfunction,
  • Lack of regularity of the emptying process,
  • Watery stools 10-20 minutes after the next meal.

How to eat with inflammation of the intestinal mucosa? Diet for diseases of the gastrointestinal tract. Evidence based medicine

Therefore, nutritionists and doctors monitored the features of the daily diet of patients with disorders and inflammation of the pancreas and intestines, according to the results of which a unique menu was created, consisting mainly of protein products.

This is due to the fact that plant and animal protein is the building block of the body's cells, sets them up for regeneration and self-restoration.

Based on this, it can be said that a diet in case of intestinal dysfunction is an integral part of the drug and biological effects, which helps to minimize the occurrence of rotting and fermentation in the small intestine.

Dietary technique for the restoration of the small intestine: treatment and prevention

Be sure to stick to the menu.

The diet menu, appointed after diagnosing inflammation of the gallbladder, small or large intestine, includes boiled and stewed dishes, which are rubbed through a fine sieve or kitchen grater before each meal.

The use of chemical aromatic and flavoring additives, table salt, hot spices in the preparation of specific dishes is simply unacceptable.

In order to understand exactly which menu scheme suits you, check out the products that are allowed for use during a therapeutic diet:

  • Minced meat broths
  • Boiled pasta,
  • Low fiber stewed vegetables
  • Steamed cutlets (chicken or veal),
  • Porridge cereals enriched with vitamins of group B,
  • Milk-based puree soups
  • Boiled or stewed mushrooms,
  • Dairy products (with a percentage of fat less than 3).

Canned vegetables, sweet and sour fruits and other products that stimulate fermentation and prolonged decay should be excluded from the diet. Particular attention should be paid to drinks. During the period of one calendar day it is necessary to drink at least 2.1 liters of liquid, which make up jelly, strong teas, filtered water and sugar-free compotes.

Nutrition for intestinal inflammation

Perhaps only small children do not know that the intestines belong to the digestive system. This organ plays an important role in the body, as it helps to digest food.

If viruses get in, the process of inflammation and pathology of the intestinal mucosa begins, which Ivlaxin Art Life can cope with.

Inflammation can lead to undesirable complications and most gastrointestinal diseases.

How is intestinal inflammation manifested?

Before starting bowel therapy, you should make sure that inflammation develops. This disease is characterized by the appearance of certain signs that distinguish inflammation from other intestinal infections.

Abdominal pain is felt in different places, regardless of localization. In this case, the nature of the pain is bursting type. In addition, with this disease, nausea forms after each meal.

Most often, symptoms will indicate damage to the small intestine or duodenum.

It is noteworthy that after the intestines are empty, relief comes. If the intestines become inflamed, diarrhea develops through acute intestinal infection. When constipation occurs, they speak of inflammation of the large intestine.

Proper nutrition for intestinal inflammation

Diet with a similar problem involves the exclusion from the menu of products that have mechanical and chemical damage.

In addition, it is necessary to limit the body's nutrients that provoke gas formation and fermentation processes.

Dishes should be consumed in a warm form, because cold and hot foods can disrupt intestinal motility. It is also worth taking vitamins Art Life.

At the same time, pickled, smoked, fried and salty dishes are forbidden. Food should be steamed or stewed, boiled and baked. All products are crushed with a blender (meat grinder).

What can I cook?

With intestinal inflammation, you can cook the following dishes:

  • pureed cereal and vegetable soups not lean broth,
  • non-fatty meatballs, dumplings and meatballs cooked in a double boiler,
  • soft-boiled eggs or steamed omelettes,
  • cottage cheese casserole,
  • unsweetened butter cookies,
  • yesterday’s wheat bread crumbs.

From drinks allowed jelly and rose hips. Dessert can be blueberry or bird cherry compote, fruit jelly.

Consequences of the disease

Sometimes secondary duodenitis occurs when food entering the duodenum cannot pass further down the intestine due to adhesions or scars. Often this happens after bowel surgery.

The danger of this disease is that its initial stage passes completely unnoticed. As the disease progresses, symptoms such as diarrhea occur, sometimes with blood or constipation, severe pain in the stomach, and hunger.

Severe consequences of duodenitis can be perforation of the intestines and internal bleeding. In the absence of treatment of a chronic form, organ atrophy may occur.

Diet with duodenitis

Treatment of duodenitis depends on the form, stage of the disease and the reasons it was caused. However, in any case, the treatment should be accompanied by a strict diet. Its principle is that cooked food does not irritate the mucous membrane of the duodenum.

Based on this, it should be warm, and not hot, frayed, unsalted and not sharp. Porridge, soups, non-acidic, soft fruits are allowed. Bake vegetables well. Nutritional recommendations may vary depending on the form and causes of the disease.

The question of what kind of diet for intestinal inflammation a patient needs can only be decided by a doctor.

Small bowel inflammation

The jejunum can be up to two meters long. Its function is to produce the enzymes necessary for the further conversion of complex organic compounds into simpler substances, which are fatty acids, amino acids and simple sugars, then enter the bloodstream.

Inflammation of the small intestine is called a unit. Since the function of the small intestine is associated with providing the body with nutrients, malabsorption can lead to its depletion.

Treatment of the disease is usually carried out in a hospital and involves the mandatory observance of diet therapy with a sparing diet.

Ileum

Acute or chronic inflammation of the third part of the small intestine, the ileum, is called ileitis. This is a fairly common disease that occurs more often at the age of 20-40 years.

The acute form is usually characteristic of children and is caused by bacteria or viruses.

The complexity of the disease is that it is impossible to diagnose with endoscopic methods, which causes errors in the diagnosis.

The treatment of the disease is usually carried out in a hospital, and drug therapy is accompanied by a sparing diet that eliminates spicy or fried foods. Chocolate is contraindicated for children, and the diet for inflammation of the intestines in an adult excludes alcohol and smoking. The menu contains lactic acid products, vitamins, proteins, astringents. A limited amount of fiber.

The functions of the cecum

The large intestine consists of three departments with its structure and functions. The cecum is the first section, it has a vermiform appendix.

The functions of the cecum include further digestion of food, which received the main cleavage in the small intestine and from there entered the cecum. Here, excess fluid is absorbed.

The role of the appendix is ​​very important - it provides protection against pathogenic microorganisms that cause infections. In addition, the intestinal microflora multiplies in the appendix.

Inflammation of the cecum includes typhlitis (inflammation of its tissues) and appendicitis. Tiflitis treatment requires antibiotic therapy, bed rest and a special diet. The diet for inflammation of the large intestine is prescribed individually, depending on the course of the disease. Products must be steamed.

The main condition is that they should not irritate the intestines. Jellies, cereals are useful, with constipation - boiled vegetables, stewed fruit, and with diarrhea - white, slightly dried bread, lean meat broths. Fruits can irritate the intestinal mucosa, so their use is very limited.

The diet for inflammation of the intestines in an adult differs from the nutrition of a child, which is associated with a different course of the disease.

Appendicitis

Another inflammation in the cecum is the process in the appendix, which begins with clogging of the lumen of the appendix by foreign bodies, from which propagation of pathogenic microflora in the cavity begins, and tissue edema that provokes pain and spasms. Treatment in this case can only be surgical, otherwise the appendix will burst and peritonitis will occur with a threat to life.

There is also a chronic form of appendicitis, in which conservative treatment and an appropriate diet are prescribed. Inflammation of the intestine, the symptoms of which give a blurry picture of the disease, can be mistaken for appendicitis.

Colon disease

The colon is a continuation of the blind and has several subdivisions itself. Inflammation of the colon can be caused by unhealthy diets and a sedentary lifestyle.

Although some of the harmful substances are excreted from the body, most of them are absorbed into the intestinal wall and lead to serious diseases such as colitis, sigmoiditis, diverticulosis and others. Treatment is with antibacterial and antiviral drugs. Then the patient is prescribed bifidobacteria and other similar drugs.

If inflammation of the intestine occurs, the diet and treatment with medications are in many cases supplemented by physiotherapeutic procedures.

Inflammation in the rectum is called proctitis. It occurs more often due to constipation. It can be caused by infections, mechanical damage, malnutrition.

The disease is very dangerous, it can develop imperceptibly, and then suddenly manifest acute pain. Therefore, timely and correct diagnosis is of great importance.

Treatment of proctitis includes such components as:

  • drug therapy
  • strict diet,
  • hygiene procedures.

Drug therapy plays an important role, but it will not help without strict adherence to dietary recommendations. Diet for intestinal inflammation excludes spicy, fatty foods, sweet and salty.

Such food contributes to constipation, which is unacceptable to restore the function of the rectum. The amount of fruit in the diet should also be reduced due to the risk of mechanical damage to the inflamed mucosa.

The menu is better to include ground meat, dairy products, light soups and well-boiled liquid cereals. Hygienic procedures consist of the use of enemas and baths with decoctions of herbs, such as chamomile, string, yarrow, or potassium permanganate.

Enemas are put twice a day, and the baths are good to use at night. After removal of acute inflammation, enemas with sea buckthorn oil or tampons are placed overnight.

The effect of stress on intestinal inflammation

Studies show that almost 90% of diseases in the human body arise from problems with the intestines or stomach. Modern food contains a large amount of chemical additives, artificial fats and sugar.

The digestive organs can not cope with such a volume of toxins and do not have time to remove them. Poisons accumulate over the years and are absorbed into the walls of the intestines and stomach, poisoning the entire body, which causes many diseases and allergic reactions.

Therefore, a diet for inflammation of the intestines and stomach should help cleanse organs of toxins.

The gastrointestinal tract is like a tube that passes through the entire body. Some doctors present the contents of the intestines and stomach as an external environment in relation to other organ systems.

The digestive system provides the entire body with nutrition and energy, which is why it is so important that it functions properly.

However, in addition to organic pathologies of the digestive system, caused by a malfunction of its organs, there are functional diseases that are associated with stress, nervous experiences.

After such emotional overloads, digestive system disorders in the form of diarrhea, stomach pains, even vomiting can be observed. The occurrence of such symptoms after stress is explained by the presence in the stomach and intestines of a large number of nerve fibers, the impulses from which are transmitted to the digestive system. After stress relief, these symptoms also disappear.

The role of nutrition for intestinal health

Thus, many factors affect the occurrence of digestive diseases, and the nutritional system is significant among them.Therefore, in any case, the diet with inflammation of the intestine plays one of the main roles.

A sample menu includes lean soups or mashed soups for the first, grated lean meat, fish with boiled vegetables for the second, as well as boiled cereals, compotes and jelly. Of great importance is the intake of food in small portions, which will protect the intestines from overload.

The diet for inflammation of the intestines in an adult involves the completion of dinner three to four hours before bedtime.

The human body is a complex self-regulatory system in which each cell and each organ performs its function, and their coordinated work supports his life. The intestine is one of the main organs of the digestive system, since the final stage of food processing is associated with it.

Diet for intestinal inflammation, food

Violation of nutritional status with inflammation of the intestine is observed quite often (up to 60-75%) and is manifested by loss of body weight, hypoproteinemia and hypoalbuminemia, mixed type anemia, edema, the occurrence of polyendocrine insufficiency.

With a thorough examination of patients with intestinal inflammation, most researchers note that the occurrence of nutritional status disorders in this category of patients is due to:

  1. disruption of digestion by reducing the activity of intestinal and pancreatic enzymes,
  2. violation of the absorption processes, the morphological substrate of which is the replacement of specialized cells with immature enterocytes,
  3. increased intestinal motility,
  4. violation of the protein-synthetic function of the liver,
  5. increased protein loss in the lumen of the gastrointestinal tract.

Therapeutic nutrition for inflammatory bowel diseases

It should be considered universally recognized that in conditions of clinical recurrence of both ulcerative colitis and Crohn's disease, the diet should include mechanical, thermal and chemical digestion of the digestive tract.

Fractional nutrition is recommended at least 5-6 times a day with a certain restriction in the diet of the proportion of carbohydrates and fats while increasing the protein quota, the content of which is brought to 130-150 g / day. The diet is fortified with foods containing calcium and potassium.

Calcium inhibits the development of osteoporosis and has a general anti-inflammatory effect. The intake of fats and carbohydrates is limited to the lower limit of the physiological norm (70 and 250 g / day, respectively). The amount of fluid consumed should be 1.5-2 liters, and the amount of sodium chloride - 6-8 g per day.

Sometimes the improvement of treatment results is facilitated by the complete exclusion from the diet of milk and dairy products, as well as coarse fiber, especially in the presence of areas of narrowing of the small and large intestine.

Food for intestinal inflammation, recommendations

Allowed: soups on lean meat broth, vegetable broths, various dishes of lean beef, veal, boiled chickens, in the form of cutlets, meatballs, soufflé, cod dishes, pike perch, perch, pike, calcium-rich foods (low-fat cottage cheese, cheeses), compotes, jelly and juices containing tannins (from blueberries, bird cherry, pomegranate, blackcurrant, dogwood and pear).

Not recommended: cabbage soup and borscht, milk soups, okroshka, fatty meats, duck, goose, smoked meats and pickles, sausages, sausages, canned food, fatty fish, coarse vegetables, salted and pickled mushrooms, dairy products (cream, sour cream, ice cream, fat cottage cheese), hot seasonings (horseradish, pepper, mustard, onions, vinegar, garlic), alcoholic drinks, kvass, sparkling water, sweets.

The results of a number of studies convincingly show that the development of inflammatory bowel diseases is reliably associated with the excessive consumption of sucrose, animal fats and retinol. On the contrary, eating foods containing fructose, vitamin C, magnesium, as well as fruits has a protective effect.

In recent years, there have been reports of a beneficial effect on the intestines of patients with inflammatory diseases of the colon of omega-3 fatty acids. The basis for the use of omega-3 fatty acids in diseases of the gastrointestinal tract is the anti-inflammatory effect of these lipid substances.

The first observations of the importance of including these fatty acids in the diet of patients with ulcerative colitis were obtained from epidemiological studies that showed a low incidence of inflammatory bowel diseases in the Eskimos.

The results of numerous pilot studies show that taking omega-3 fatty acids is well tolerated by patients and enhances the effectiveness of 5-aminosalicylic acid derivatives with active ulcerative colitis.

Compliance with these recommendations is advisable for exacerbation of ulcerative colitis and Crohn's disease of mild to moderate severity.

The most difficult organization of therapeutic nutrition in severe relapses of ulcerative colitis and Crohn's disease, usually occurring in the acute form of these diseases or in a continuously relapsing form with total damage to both the colon and often the small intestine with severe intoxication.

The diet at the same time provides for maximum bowel sparing, which is achieved by the appointment of either a non-slag diet or parenteral nutrition. As a slag-free diet, you can use the elemental mixtures Travasorb HN, Criticare HN, Vivonex Std, etc.

However, studies of recent years show that the use of elemental diets has been shown to be effective in Crohn's disease, but not in ulcerative colitis.

Moreover, an attempt to fully satisfy the needs of the body for nutrients with the help of these nutrient media, as a rule, was accompanied by a clinical deterioration in the course of ulcerative colitis. Complete parenteral nutrition has also proved to be an ineffective therapeutic factor in ulcerative colitis, and in Crohn’s disease it has both positive and negative aspects. In such clinical situations, in our opinion, it is advisable to use polymer balanced mixtures for tube and oral nutrition (such as “Berlamin Modular”).

The necessary technical equipment for conducting probe nutrition in patients with ulcerative colitis are thin one- or two-channel silicone probes, plastic systems and devices designed to force the introduction of nutrient mixtures through the probe into the stomach or small intestine. The latter, thanks to the features of their constructive solutions, allow for drip or bolus administration of the nutrient mixture.

The probes are performed nasogastric or nasogastroduodenally under radiological control of the correct location of the probe. If necessary, the probe can be installed using an endoscope.

In this case, two sensing options are possible: one of them using probes with a diameter of up to 2.5 mm, a length of about 2.5 m, carried out by conducting the probe through the biopsy channel of the endoscope, the second option involves conducting probes of special designs of larger diameter, equipped with a special elastic guide.

In case of danger of developing pulmonary aspiration and respiratory failure, especially in elderly patients and, if necessary, prolonged enteral tube feeding, a microgastrostomy can be performed or a jejunostomy performed to conduct a probe.

Introduced probes should be changed every 8-10 days. This achieves the prevention of pressure sores and the development of bleeding.

In order to select the composition of the nutrient mixtures, multi-stage test studies of the degree of preservation of the digesting and absorption functions in relation to the introduced nutrients are performed in segmental perfusion mode.

The test mixture (400 ml) is injected at a speed of 5-10 ml / min, through the perfusion channel of the probe, opening 30 cm above the nearest opening of the de-compression channel connected to the suction. Due to active aspiration through the decompression channel, the entire volume of non-absorbable perfusate is completely removed from the intestine.

As test solutions, glucose-electrolyte and monomer-electrolyte solution, and then other nutrient mixtures, are initially used. At the same time, the small intestine is prepared to receive nutritional mixtures.

In the case when the absorption capacity with respect to the glucose-electrolyte solution exceeds 60%, the state of digestion and absorption with respect to the polymer mixture is determined.

The assimilation of not less than 50% of the proposed volume implies an intra-intestinal injection of a 5-10% solution of the polymer mixture in a volume of 1.5-2 L per day, and the missing nutrients are administered parenterally.

When assimilating more than 60% of the entered amount of the polymer mixture, you can use 15-20% solutions of this nutrient mixture.

Diet for intestinal inflammation in an adult - what can I eat?

A diet for inflammation of the intestine is an essential component of the treatment process.

A well-chosen diet helps to replenish nutrients in the sick body and restore intestinal efficiency, due to which it is possible to accelerate recovery.

Dietary nutrition during the course of the inflammatory process in the intestine may differ in different people, so you should not borrow a list with a treatment menu from a neighbor with a similar problem.

Only a doctor can prescribe a diet after carefully examining the patient's condition.

What is intestinal inflammation?

The intestine is conditionally divided into two departments - the small and large intestines. Accordingly, inflammation can occur in different parts of this digestive organ.

But in any case, this pathology cannot proceed in isolation, as a result of which the entire gastrointestinal tract system malfunctions: food cannot be digested normally, nutrients are poorly absorbed, intestinal motor activity is impaired, and as a result, the patient has stool disorders.

It turns out that the diet prescribed by the doctor should solve several problems at once.

Small bowel inflammation is called enteritis. The disease proceeds, accompanied by a number of unpleasant symptoms, according to which even a person inexperienced in medicine can understand that it is time to turn to a gastroenterologist.

Among the main symptoms of inflammation of the mucous membrane of the small intestine:

  • intense pain in the lower abdomen,
  • nausea,
  • the occurrence of vomiting,
  • general malaise
  • diarrhea with pain
  • fever with fever.

An additional symptom is that when you try to palpate the abdominal cavity, you can hear the sounds of rumbling in the intestine.

The result of a laboratory blood test for inflammation of the small intestine will show an increase in the sedimentation rate of leukocytes.

With inflammation of the small intestine in a woman, the menstrual cycle is disrupted, the patient begins to lose weight dramatically.

As for the forms of manifestation of enteritis, the pathology can be viral, allergic, infectious and toxic in nature.

Signs of inflammation of the large intestine are manifested by bloating, painful cramps during bowel movements, impaired stool (diarrhea), the presence of purulent or blood impurities in the feces.

Often, these symptoms are accompanied by general weakness, nausea and vomiting, as well as a sharp decrease in weight.

During a medical examination of the lower intestine, swelling of the mucous membrane and thickening of the walls of the affected organ are detected.

As a result of deciphering the patient’s laboratory blood test, an increase in white blood cells and accelerated erythrocyte sedimentation is detected.

Inflammation of the lower intestine can result from malnutrition and frequent stress.

Therefore, in order to prevent the occurrence of this form of the disease, experts recommend adequate sleep and good rest, as well as high-quality nutrition.

Drug treatment and clinical nutrition are prescribed to the patient after diagnosing the disease.

As already mentioned above, the treatment menu prescribed by the doctor for inflammation in the small and large intestines may differ.

How is medical nutrition formed?

Dietary nutrition in the inflammatory process in the large or small intestine should be easy, which means that the selection of products must be made from those that will not irritate and burden the digestive tract.

As a rule, in the early days of intestinal inflammation, doctors attribute to the patient a hungry diet, in which the patient can not eat, but you can drink only ordinary water and strong, barely sweet tea.

On the second and third day of illness, the patient is allowed to drink jelly and a decoction of rice. With the onset of the fourth day, the doctor can prescribe a number four diet to the patient, which is gentle, but is also able to provide a weakened body with protein supplementation.

Compliance with the diet according to Pevzner allows you to suppress the inflammatory process in the intestine, normalize the work of the gastrointestinal tract, normalize the functioning of the liver, kidneys and pancreas.

Diet table number four cannot include foods that contribute to excessive gas formation in the intestines and can cause rotting of food.

As the patient's well-being improves, meals according to Pevzner are replaced by dietary table number 4b, 4c and table number 15.

With mild inflammation of the large and small intestines, the patient can go to table No. 4 on the first day of the disease, which helps to eliminate acute phenomena. The patient can stay on this diet for no more than five days.

When selecting food in order to eliminate inflammation in the intestine, the gastroenterologist takes into account not only the factor of the influence of products on the functioning of the intestine, but also the acceptable methods of heat treatment.

After all, all the dishes that the patient can eat with enteritis or colitis should be boiled or steamed, in addition, the patient is allowed to eat such food only in the form of heat.

It is also worth noting here that it is the food that enhances the intestinal motility, therefore the food that can slow down the motor activity of the walls of the organ is immediately excluded from the patient’s menu.

It will not be superfluous to note that with enterocolitis, most often the processes of decay in the intestine occur in poorly processed food by the inflamed organ.

For this reason, the patient’s diet menu does not include products such as cabbage (fresh and pickled), beans, beans and other foods that are a source of fiber lipids, as well as milk, fatty meat and fatty fish, butter baked goods and eggs.

Approximate nutrition for intestinal pathology?

Before expanding on the topic of what people with an inflamed intestine can eat, it is worth noting one very important point, which, most likely, is advice and concerns the fragmentation of food intake: the patient should eat often (5-6 times a day), but in small portions ( 150 - 200 g), which will not allow overloading the inflamed intestines.

After the first week of the disease, when the functioning of the intestine has partially normalized, the patient can eat the foods and dishes listed in the list:

  • steamed cutlets from low-fat varieties of fish or meat,
  • fish soufflé, as well as vegetable soups cooked on a broth in which lean meat was boiled,
  • soft boiled chicken eggs, or steamed omelet from them,
  • cottage cheese casserole, sweet fresh cottage cheese,
  • porridge cooked on water from grated rice, buckwheat or semolina,
  • wheat crackers or stale white bread, lean cookies.

As for drinking, the patient can drink jelly from dried fruits, as well as necessarily a rosehip decoction, which not only contains a lot of useful trace elements and vitamins, but also helps to eliminate carcinogens from the intestines, and also helps to normalize the digestive tract.

For sweets, the patient is allowed to eat fruit and berry jelly cooked at home - it is not recommended to buy powdered jelly in the store. With inflammation of the intestinal walls, it is good to drink warm compotes from bird cherry, blueberry or mountain ash.

It is worth noting that the diet prescribed for intestinal inflammation involves the consumption of 2 thousand kilocalories per day.

At the same time, the patient's menu should contain at least 100 g of proteins, 250 g of carbohydrates (sugar 30 - 40 g) and 70 g of fat.

In the period of a decrease in exacerbation, soups with chopped vegetables and boiled cereals can be included in the patient's diet.

If in the first week of the disease fish and meat could only be eaten mashed, now these products are allowed to boil in pieces.

Vegetable puree can be seasoned with cream or whole milk. As for the preparation of pasta and cereals from cereals, all of them also need to be boiled.

With the onset of an improvement in the state of the intestine, the diet can be expanded with skimmed milk drinks and hard cheese with a mild taste.

During the recovery period, the daily intake of kilocalories increases to 3000, while daily the patient should consume at least 100 g of fats and proteins, 400 g of carbohydrates, as well as 1.5 l of liquid and only 10 g of salt.

Nutrition remains fractional until complete recovery.

≫ More information on the topic: http://protrakt.ru/kishechnik/dieta-pri-vospalenii-chto-est.html

Watch the video: Growth and Nutrition with IBD (November 2019).

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