What should be a diet with increased bilirubin in the blood? Let’s look at this in more detail. Bilirubin is a special bile pigment and the main component of bile. It is produced as a result of the breakdown of hemoglobin in blood cells – erythrocytes, which have completed their life cycle. This cycle usually takes 120 days. At a normal condition of the person for a day in its organism it is formed about 80 percent of a bilirubin. When it is released into the plasma, it binds to albumin.
Diet with increased bilirubin is of great importance.
Diet with increased bilirubin
With a diet shown to people with high bilirubin in the blood, it is necessary to abandon alcohol, physical overload, oral contraceptives, etc. All contraindications should be sounded by the attending physician. The prognosis, provided that all medical conditions are observed, is rather favorable, but the propensity to hyperbilirubinemia persists for life. In general, patients with this disease have an increased sensitivity to harmful effects on the liver.
What can be on a diet with elevated bilirubin, not everyone knows.
The main goal of the diet with a high content of bile pigment in the blood is to minimize harmful effects on the liver, to optimize fat metabolism and outflow of bile. Therefore, products with this diet should contain a low amount of fats, salts, purines. By the way, a high content of purines is present in smoked products, salmon caviar, some seafood, yeast, etc.
But the content of pectins and fiber should, on the contrary, be increased. This means that the menu should include a large number of vegetables, berries and fruits. Also, in order for the outflow of bile to occur better, the diet requires choleretic products, such as bran, vegetable oils, beet and cabbage juices.
Diet with increased bilirubin contains a large number of lipotropic substances – beef, lean fish, soy beans, buckwheat, cottage cheese and whey. They will protect the liver from such a negative process as fatty degeneration, and also reduce the risk of cholesterol stones.
Stewed, baked or boiled dishes help reduce the risk of chemically harmful effects on the liver. With this diet is strictly prohibited from eating roast and smoked. It is also important to follow the principles of fractional nutrition. Small portions do not overload the liver or other organs of the gastrointestinal tract and have a good effect on the outflow of bile. The most important foods in this diet are vegetables. They, as well as fruits and berries can be eaten raw, boiled, stewed and steamed.
A variety of dishes can be prepared from such meat as beef, lean pork, veal, turkey and chicken. Low-fat fish is allowed to eat no more than three times a week.
In general, the diet with increased bilirubin is full, nutritious and balanced by the number of proteins (100 g per day), carbohydrates (400 g) and fats (80-90 g). Drink at least two and a half liters of water a day. In addition to water, compotes, beet and cabbage juices, and jars are allowed.
Diet with elevated bilirubin should be strictly observed.
Absolutely contraindicated in this diet:
- products containing in their composition dyes, preservatives;
- fatty, fried;
- liver, brain, canned food and smoked meat, stew (as it contains extractives), sausages, lard, cooking fats;
- products that enhance the processes of fermentation, such as legumes (except soy), millet, and sometimes white cabbage, if its intolerance is observed;
- products that stimulate the secretion of the stomach. This is vinegar, spices, mustard, salinity, pickled and pickled vegetables;
- products containing in its composition essential oils (turnip, radish, green onions, radish, garlic);
- broths on legumes, on fish or meat, on mushrooms;
- cream, fatty cottage cheese and sour cream;
- all sour fruit;
- carbonated drinks, cocoa, coffee, chocolate, pastry cream.
Patients with Gilbert’s syndrome are very important not to allow large interruptions in nutrition. Since in this disease, hunger provokes the formation of unconjugated (unbound) bilirubin. One of the ways of diagnosis is just a trial of starvation. It is also important for such patients to observe the water load in order to prevent the accumulation of bile.
Are there differences in diet between men and women?
Why do women need a diet with increased bilirubin? In women, this indicator is often increased during pregnancy. Therefore, a special menu will help to bring it back to normal.
An approximate menu that helps reduce bilirubin, looks like this:
- Breakfast: porridge on the water without salt and oil, green tea.
- The second breakfast: baked apple (pear) or banana.
- Lunch: vegetable soup with meatballs, vegetable stew, sweet fruit compote.
- Snack: cottage cheese casserole or carrot pancakes for a couple.
- Dinner: fish fillet or souffle, rice porridge or pasta, a glass of yogurt.
Diet with increased bilirubin in men is not much different.
The basis of the diet should be:
- lean meat, poultry breast without skin, lean fish;
- all kinds of cereals, pasta;
- low-fat dairy products;
- sweet fruit – fresh or baked;
- vegetables cooked in any way, except frying.
Nuances of diet with increased bilirubin
It is recommended to boil the meat, and then bake. It can also be used in the form of meatballs, casseroles, cutlet steamed or chunks. Soups should be on a vegetable broth – groats or vegetable. Refills for soups can not be dispensed. Bread can only be consumed without salt, if one can not find one, then you can eat saltless loaves. Sweet baked products are allowed low-fat and unsalted cookies, biscuits without soda.
Low-fat fish (no more than three times a week) can be boiled or baked with rice and vegetables. Eggs are prepared only soft-boiled or in the form of omelets. The sour milk must be low-fat, and the curd cheese should be bold. Vegetables are allowed in any form, except stew. Dill and parsley for refilling dishes and salads are allowed. Berries and fruits are selected from sweet varieties, mature. From sweets are allowed marmalade, jam, caramel. Tea should not be strong.
Menu diet with increased bilirubin
Compliance with this diet causes the patient to abandon their favorite foods. However, it must be observed for several months. Creating a varied diet helps to avoid monotony. The use of salt should be minimized, and each meal is better complemented with berries, vegetables, fruits. At night, fermented milk products are allowed.
An approximate menu for a day might look like this:
- Breakfast: buckwheat with the addition of a small amount of milk, a portion of a steam omelet and a weak hour.
- The second breakfast: cottage cheese, seasoned with honey and finely chopped dried apricots.
- Lunch: vegetable soup with oatmeal, chicken and cabbage cutlets, beet juice.
- Afternoon snack: baked apple.
- Dinner: boiled fish, potato puree, not strong tea.
- At night: low-fat kefir.
The advantages of this diet are its diversity and balance, as well as in a gentle regime for the work of the liver and organs of the gastrointestinal tract. Also, the pluses can be attributed to its comparative cheapness. The disadvantages are its long duration, as well as the fact that it requires the skill of preparing a variety of dishes.
Already after about a month of feeding under this regime, the level of bilirubin in the blood will decrease significantly, the intestines and liver will be cleared of toxins, and the skin will return a healthy color.
Menu diet with increased bilirubin in the blood will help pick a doctor.