Diet and nutrition with reflux esophagitis
Diet with reflux esophagitis contributes not only to quick recovery, but also to long-term remission. The effectiveness of therapy of pathology is directly related to the correction of the diet.
Gastroesophageal reflux disease is a chronic pathology that is characterized by inflammation of the mucous membrane of the lower part of the esophagus. One of the main symptoms of the disease is heartburn, which arises from systematic reflux (throwing digested food along with gastric juice into the cavity of the esophagus tract).
Features of proper nutrition in case of disease
The main recommendations for a therapeutic diet
Diet in Ggrostroesophageal reflux disease with esophagitis should be complete and balanced, including a full range of nutrients and elements. Properties of some products and their preparation methods contribute to increased gas production, increased production of bile and secretion of the stomach (hydrochloric acid), irritation of the mucosa of the esophagus.
The main goal of the diet is to exclude these foods from the diet and provide the diet that is as gentle as possible for the gastrointestinal tract.
Nutrition for reflux esophagitis should be fractional in small volumes. The number of meals from the usual three times must be reduced to five or six. Night meals can be brought to nothing, and there is the last time not later than two hours before going to bed.
A moderate amount of food does not allow the stomach to stretch and produce increased secretion of hydrochloric acid for food processing. After eating for several hours you can not lie down or bend over, it helps refluxes.
Food should be chewed carefully, eat leisurely. This facilitates the work of the esophagus and stomach. Large pieces are slower digested, which means that gastric acid is produced in large quantities. When eating in a hurry, excess air is swallowed, which can cause belching, heartburn, etc. discomfort. Before eating, you can drink water or eat a piece of raw potatoes. Potato starch reduces the concentration of gastric juice.
Ways of cooking and food temperature
With reflux-esophagitis, the diet also requires changes in the culinary processing of food. Dishes can be cooked steamed, boiled, baked, stewed. Fried food should be completely excluded from the diet, as it irritates and traumatizes the walls of the esophagus, and also digests in the stomach for longer.
Food should be eaten warm, neutral temperature, finely chopped or mashed. Too cold or hot dishes stimulate increased production of gastric acid.
Dietary diet in the disease involves reducing the amount of salt and liquid. Salt contributes to the destruction of the mucosa of the esophagus, so its amount should not exceed 10 a day. The liquid should be reduced to one and a half liters, and not drink immediately after eating.
Alcohol is very irritating to the esophageal mucosa and provokes reflux. Therefore, it is better to completely exclude the use of alcohol, and especially in acute forms of pathology. In chronic form a small dose of alcohol in rare cases can be resolved, but drinking on an empty stomach is strictly prohibited.
What can you eat with a medical diet?
When reflux diet requires the exclusion of those foods and dishes that irritate or injure the mucous, increase the production of gastric acid, provoke gas formation, heartburn, belching. These include sour dishes and foods (for example, cabbage soup, citrus, sauerkraut, pickled vegetables), fatty sour-milk and high-protein foods, heavy, difficult to digest foods.
A list of foods that are not recommended for esophagus and reflux esophagitis include:
- pies, pastry, fresh bread made from rye or wheat flour.
- fatty fish and meat;
- Smoked meat, lard, sausages, salted fish;
- eggs or hard-boiled eggs;
- soda, strong coffee or tea, kvass;
- coarse fiber;
- currants, tomatoes, citrus fruits, green apples, kiwi fruit;
- heavy broths of vegetables, meat, fish (completely exclude dishes such as cabbage soup, kharcho, rassolnik, borsch);
- sharp spices;
- garlic, sorrel, onion;
- canned food and semi-finished products;
- wheat, corn, pearl barley;
- sweets (chocolate, honey, cakes, ice cream).
Symptoms and treatment of esophagitis suggest eating those foods and dishes that are easily processed by the stomach and do not injure the esophagus mucosa. In this diet should be balanced, enriched with vitamins and trace elements.
What can you eat?
Diet in the disease should include the following products:
- dried bread, biscuit biscuits;
- light soups on vegetable or second meat broth;
- small vermicelli;
- well-cooked porridge on water or diluted milk (buckwheat, rice, oatmeal, semolina);
- Milk jelly and dairy products with low fat content (cottage cheese, cheese, yogurt);
- sweet fruits and berries in moderation;
- steam omelettes, boiled eggs with liquid yolk;
- beets, potatoes, pumpkin, cauliflower and broccoli, carrots, zucchini, zucchini, squash, cucumber;
- allowed green young peas in small quantities, vegetables should be in the form of mashed potatoes,
- ground or finely chopped;
- cream and vegetable refined oil;
- low-fat fish and meat (turkey, veal, rabbit, chicken);
- compote, dried fruit juice, weak tea, latte;
- Desserts (their recipes and methods of preparation should be based on the principles of diet;
- allowed marshmallows, marmalade, jelly, soufflé, kissel, mousse);
- still mineral water;
- in small quantities, dill, parsley, coriander;
- dried herbs;
- in moderation, by-products (heart, liver).
The main recommendations for the preparation of a therapeutic diet
When preparing the menu, it is necessary to take into account not only the list of prohibited and admissible products recommended by doctors, but also the personal tolerance of a product by the patient, the degree and form of the disease, because each organism is individual. So, for example, a diet with erosive reflux esophagitis will be even more strict and sparing for the stomach.
Therefore, in each case, the diet is adjusted for the individual needs of the patient. To track specific reactions of the body and find out whether you can use this or that product, you should keep a diary of nutrition. The food diary records all foods, meals and the time they are taken, as well as the body’s reactions and overall health. Then conclusions are drawn about the tolerability of these or other products, and their own therapeutic diet is being prepared.
Also, when developing the menu, you need to take into account the daily rate of calories, proteins, fats and carbohydrates. Then the diet will be balanced.
The diet should be based on the following rules:
- proteins (85-90 grams, half of which are animal proteins);
- carbohydrates (300-350 grams, simple, easily assimilated carbohydrates account for a fifth);
- fats (70-80 grams, of which one third is for vegetable fats).
Approximate menu for the week
8-00 Oatmeal, a sandwich with low-fat hard cheese, black or herbal tea.
11-00 Banana, yoghurt.
14-00 Boiled chicken or turkey breast with mashed potatoes.
17-00 Cottage cheese casserole.
19-00 Cutlet steamed with vermicelli, salad with fresh or boiled vegetables.
8-00 Porridge from buckwheat, soft-boiled egg or steam omelette, tea or compote.
11-00 Apple with cottage cheese and raisins, baked in the oven.
14-00 Soup based on broth with turkey, casserole with zucchini or zucchini.
17-00 Milk jelly with biscuits.
19-00 Rice with baked fish and vegetables.
8-00 Pudding based on rice and dried fruits.
11-00 Sandwich with boiled chicken and a bit of greenery.
14-00 Meatballs from lean meat, broccoli or potato puree.
17-00 Milk jelly with dried biscuit.
19-00 Buckwheat porridge, salad with boiled carrots.
8-00 Oatmeal, a sandwich with cottage cheese or cheese, mint tea.
11-00 Banana pudding.
14-00 Soup on a second meat broth with shallow vermicelli.
17-00 Cottage cheese casserole.
19-00 Pumpkin or carrot puree, boiled or steam fish.
8-00 Egg omelet, a sandwich with liver pate, green tea.
11-00 Baked apple or pumpkin with cinnamon and dried fruits.
14-00 Boiled or baked potatoes, salad with beets, steamed chicken cutlets.
17-00 Berry jelly or pudding, biscuit biscuit.
19-00 Broccoli with stewed rabbit.
8-00 Pumpkin porridge with rice, coffee with milk.
11-00 Bread with cheese and greens.
14-00 Soup with croup on a light broth, lettuce, a slice of bread.
17-00 Pumpkin and apple puree.
19-00 Rice with chicken or broccoli casserole in egg-milk sauce.
8-00 Casserole with pasta and omelette, herbal tea.
11-00 Sweet fruit.
14-00 Potatoes with baked fish, beet salad with olive oil.
17-00 Milk jelly or soufflé based on cottage cheese.
19-00 Oatmeal porridge with chicken in dairy sauce.
Reflux esophagitis is a rather serious disease, often chronic, causing severe discomfort to the patient. Correction of the diet is the main way that can eliminate symptoms and prolong remission. If you consider a therapeutic diet is not as a temporary measure, but as a way of life and a good habit, you can forget about heartburn, pain and relapse for a long time.