When the diagnosis of "colitis" is made, many people in awe clutch at their heads, how now to be, because now they will have to completely change their way of life. This is true, but there is nothing wrong with that. Kolit is well treated, the main thing is to follow the prescription of the doctor and adhere to a strict diet. The latter is associated in the majority with a strict dietary restriction and even a grueling hunger strike. This is a misconception.
Diet is a rational and balanced diet, which aims to restore and correct metabolic disorders in the body to maintain health. The principle of all diets is the same – frequent and divided meals in small portions so as not to overload the body, exclude products that adversely affect the work of the affected organ, and vice versa – the inclusion and increase in the intake of products that help the damaged organ to return to normal functioning more quickly.
Basic rules in the treatment of acute colitis
Treatment of acute colitis is a complex exercise. Its main components are:
Drug therapy involves taking medication. Functional methods include physiotherapy methods. In some neglected situations, there is a need for surgical interventions. Diet therapy is often underestimated as an optimal method of treatment. This is not true, because it is on a par with other methods. It can not be the only way to treat, but forget about it – a big gap in the effectiveness of therapy.
Any item from the above, or all taken together, must be strictly prescribed by the attending physician, or by a nutritionist, only the doctor can cancel or change anything. The patient requires not less responsibility – strict performance of appointments.
Dietotherapy of colitis is reduced to compliance with the main norms:
- The volume of one serving should be placed in two joined palms of the hands;
- Gaps between meals (2,5 – 3 hours);
- Last reception – for 3 hours before going to bed;
- Drinking at least two liters of water a day;
- Reduction of consumption of table salt to two teaspoons per day;
- Monitoring diuresis (urination) – it should coincide in volume with the amount of liquid drunk;
- Strong refusal of alcohol;
- The temperature of hot and cold dishes. Normally, hotter – no more than 60 0 C, and cold – from 10 0 to 15 0 C;
- Of no small importance is the aesthetic appearance of the food taken and the speed of the process of food itself.
The main task is to eliminate the processes of putrefaction and fermentation in the intestine. The basic requirements for the products are minimum caloric content, no rough handling of the smoking or frying type, the optimum temperature (described above), the corresponding shelf life. Food should be taken in raw, boiled, stewed, steamed or slightly baked form, no sharp and sour condiments and sauces are allowed. In salads it is recommended to add one teaspoon of vegetable oil. All the rules and requirements are important in order not to irritate the mucous membrane of the digestive tract and not to provoke the aggravation or aggravation of the disease.
In the first 1-2 days, it is recommended to unload the digestive tract as much as possible and arrange bowel discharge.
General principles of chronic colitis therapy
All components of treatment and diet therapy are the same as in acute colitis. In case of its chronic course, the fruit is allowed to eat fruit in a raw, unprocessed form, as well as jam, honey, jelly, kissels, rich soups with potatoes (when exacerbations are not recommended), hard boiled eggs, Borjomi mineral waters and "Essentuki." It is recommended to eat one fruit or vegetable before each meal, chewing it thoroughly.
Types of colitis and a different approach to therapeutic nutrition
The diagnosis of colitis is more likely to be collective for all existing types. There are the following types:
- Ulcerative colitis;
- Chronic with constipation;
- Chronic with diarrhea.
Each species is inherently an independent disease. Each has its own reasons, its own mechanism of development of the pathological process and clinical manifestations. Accordingly, both the approach to treatment, and therapeutic nutrition can not be the same for everyone. One kind of product can be useful for one type of colitis and aggravate manifestations of pathology in another. Therefore, a clear division of concepts and methods of diet therapy is very important.
Diet in case of nonspecific ulcerative colitis
This disease is characterized by defects in the mucous membrane – ulcers. They penetrate and damage almost all the walls of the intestine. Therefore, along with taking medications, diet therapy is especially needed, which is aimed at unloading and creating conditions for a quick and full restoration of the body. General rules for compliance with the diet are specified at the beginning of the article and are relevant for ulcerative colitis.
Permitted products include:
- low-fat meat;
- a fish;
- eggs boiled – no more than 1 per day; you can not fry;
- dairy products – cottage cheese, natural yoghurt; sour cream, milk, kefir are excluded
- vegetables in boiled or steamed form;
- fruit – in the form of puree – apple, from a pear;
- jellied berries;
- porridge on the water from rice, buckwheat, mango, oatmeal;
- drink – water, green tea;
- bread yesterday, dried – no more than 1 slices per day;
Products and treatments not included in this list are strictly prohibited.
Diet in colitis with constipation
With constipation in the diet should be present products that stimulate the activity of the intestine. Others, which cause inhibition of motor activity and swelling, should be categorically excluded.
- soups – vegetable, meat, fish;
- from vegetables – carrots, tomatoes, beets, zucchini, cucumbers, cabbage, pumpkin;
- fruits, especially apples;
- dried fruits, softened in water;
- fruit and vegetable juices and decoctions;
- adding greens, vegetable oil to dishes;
- from sweets – jam, honey;
- bread from coarse wheat varieties, bran;
Excluded are other flour products, coffee, semolina, oatmeal, rice, radish, spicy, smoked, mushrooms.
To eliminate diarrhea, the food should be very light, finely chopped and softened, so cooking and steaming are the priority for cooking. In this case, you should abandon garnishes from vegetables, whole milk, sweets, beans. Advantage is given to low-fat broths from fish, meat and poultry, rice broths. Also allowed cottage cheese, kefir, no more than 1 eggs a day, diluted with water fruit juices, jelly, tea, jelly. After diarrhea passes into the diet, you can include steamed or boiled vegetables.
Diet therapy for spastic colitis
Spastic colitis can be accompanied by constipation and diarrhea. Approximate diets for diarrhea and constipation are given above. They can be used for this type of disease. The only additional condition is the removal of products that provoke spasm of the intestine – avocado, whole milk, cheese, cream, margarine, fatty meat.
Nutrition for catarrhal colitis
Experts recommend the complete rest of the affected body in the first two days – only a plentiful drink. From the third day gradually to include in the diet mucous and low-fat soups and broths, kissels, porridges. On the fourth day it is allowed to add solid food – eggs, biscuits, cookies, dairy products.
The main recommended products are celery, pumpkin, bran. The food must be ground.
Proper nutrition with pseudomembranous colitis
Its main symptom is diarrhea. Consequently, diet therapy will consist of the first two hungry days. Further nutrition with increased protection of the intestines – kissels, decoctions, porridges, mucous soups and broths, cottage cheese.
Colitis, by its prevalence, occurs in children as often as in adults.
Children, in view of their underdeveloped immunity and compensatory mechanisms, are more susceptible to the damaging effects of the disease. Consequently, and require more careful compliance with diets, which should be closely monitored by the parents. It is impossible to force something to select or prohibit, from this the child will want the forbidden product even more, and there is it secretly from adults. The child should similarly explain his condition and delicately explain the need to maintain the diet and the consequences of failure.
In general, the diet, the list of banned and allowed food is the same. It is corrected only according to the age of the child and the individual tolerability of one or another food product.
The following products are needed to maintain the nutritional diet:
- meat – lean beef, veal, turkey, chicken;
- fish – cod – this is the most low-calorie and non-fat variety;
- vegetables – pumpkin, carrots, zucchini, eggplants, tomatoes – in a thermally processed form;
- fruit – any, but eat it in the form of mashed potatoes or bake;
- flour products – bread from higher grades of wheat in dried form, do not overdry to hard breadcrumbs;
- dairy products – cottage cheese, sour cream, low-fat cheese, milk in small quantities and with good tolerability;
- porridge of rice, buckwheat, semolina and oatmeal;
- eggs soft-boiled or in the form of an omelette.
- fatty varieties of meat – lamb, pork, fat beef;
- all kinds of mushrooms;
- beans, kidney beans, peas;
- fruit in raw form;
- dairy products, such as kefir;
- smoked, spicy, fried, sour food and any other, not listed in the list of allowed.
Many patients do not see anything in common between diets and the way a certain set of food can be called a cure. And, with a wave of the hand on the diet, they limit themselves only to medicines, and then blame the doctors for the inefficiency of the therapy. All because any beginning in treatment should start with lifestyle changes and nutrition correction. Food is not only a flavoring object, it is a storehouse of vitamins, minerals and trace elements that have a direct impact on the functioning of the body. Some diseases and painful conditions are removed, it is necessary to include one product in the diet or exclude another.
If the dietary requirements are not observed, treatment can not only be delayed, but also not yield results. Colitis is a very serious disease, in which the walls of the intestine are damaged, thinned and lose their functional activity. The lack of maintenance of proper nutrition can lead to disappointing consequences and provoke complications such as bleeding, perforation of the intestinal wall, its ischemia and necrosis, and become prerequisites for the development of cancer.
About the chronic colitis in the next video will tell the doctor:
The basis of effective treatment consists of several components: medicines, diet and physiotherapy. Accordingly, neglect of diet therapy is a huge mistake and will not bring the expected effect of treatment.
There are many types of inflammation of the intestine, which develop for various reasons. Therefore, the treatment for them is not always the same, and the rules of nutrition are different from each other. It is important to know your true diagnosis for comparing it with the diet regime.
In general, the basic principles of maintaining a diet are equal and uncomplicated. The only unsightly condition for many can be only a sharp restriction of the spectrum of allowed food.
The main thing is to remember the importance, goals and tasks posed to the patient himself, as well as possible adverse effects in refusing to comply with the correct diet.
Recommendations and consultations of a doctor for the period of treatment are mandatory.
A good drug, most importantly – do not overdo it with a dosage, which seems to have been a couple of times.
Hey. I even did not know that there are such drugs for slimming, and it's very good to make them in syrups, pills, tablets.
And women also 3-4 times a week doing exercises?
Exercise for stretching is only for those who are professionally engaged in their body for example bodybuilders.