Atrophic gastritis menu. Diet and nutrition for atrophic gastritis
Among all the diseases that affect the gastrointestinal tract, gastritis is the most common. Most of its varieties occur with negative symptoms, but the most severe form is considered atrophic. A diet for atrophic gastritis will help alleviate the symptoms of the disease and speed up the treatment process.
Since atrophic gastritis of the stomach has several different forms, which differ in symptoms and nature of the disease, they also require a special approach to treatment. In addition to drug therapy, you need to follow a diet and nutrition regimen.
In each individual case, doctors recommend giving preference to certain products that will not aggravate the current pathology and will speed up the treatment of the patient. With atrophic gastritis of the stomach, dysfunction of the digestive system can occur to a greater or lesser extent.
Thus, the acidity in the stomach can change, the structure of tissues can change, the secretory function, the breakdown and absorption of various useful substances in the gastrointestinal tract can be disrupted. Proper nutrition will help eliminate the characteristic abnormalities of any form of atrophic gastritis, improve the patient’s well-being and contribute to a speedy recovery.
A dietary feature that applies to the treatment of any form of atrophic gastritis is regular meals throughout the day.
The intervals between meals should be approximately equal, which will allow for even production of digestive enzymes and distribute the load. Each portion of food should fit in the patient's palms. This will allow you to approximately calculate the amount of food consumed at one time.
Focal gastritis differs from others in the localization of tissue atrophy of the digestive system. Quite often, the formation of atrophy affects the antrum of the stomach. The antrum is one of the largest in the stomach, and if a disruption in the secretory function occurs due to the localization of gastritis in this place, then the body will have low acidity. With reduced acidity and the gradual death of cells in the digestive organs, the disease will begin to enter the active stage.
In order to stop the consequences of the development of focal gastritis, you should avoid foods that irritate the gastric mucosa and go on a diet. With proper nutrition, you can resume normal production of hydrochloric acid and improve the breakdown of fats and carbohydrates. The body will also benefit from amino acids found in bee products, dairy products and cereals.
For focal gastritis, doctors recommend drinking mineral water before meals to stimulate the functioning of the glands. You should also drink teas and decoctions of medicinal herbs, dried rose hips, calamus root and ginger. Fatty and spicy foods, which will increase the load on the digestive organs, should be excluded from the menu.
Video “Rice Diet”
For chronic
With chronic atrophic gastritis of the stomach, symptoms appear much more often than with other types of disease. All it takes is exposure to favorable conditions. First of all, the provocation of symptoms of such gastritis occurs due to poor nutrition.
Also, irritation and death of tissues of the digestive system occurs due to frequent consumption of alcoholic beverages or improper use of medications. Their influence can negatively affect the entire body of the patient.
A proper diet for atrophic gastritis and the consumption of various healthy foods is important for treating the disease. This will help stop atrophic changes in the digestive system. With chronic atrophic gastritis of the stomach, the efficiency of secretory function decreases. With low acidity in the stomach, food is required that enhances fermentation in the body and stimulates peristalsis.
It is imperative to control the intake of vitamins and various microelements into the digestive system with food. You can give preference to boiled meat and vegetables. You need to eat porridge and drink plenty of fluids. The development of chronic gastritis is more common in older people. However, due to frequent stress or disorders of the nervous system, this form of the disease also affects the younger generation.
With diffuse
When signs of diffuse atrophic gastritis appear, there are no dystrophic abnormalities in the stomach. The diffuse form is a transitional stage from the initial superficial gastritis before exacerbation of the disease. The glandular tissues are primarily affected. Changes occur gradually, but at this stage of the pathology, the disorder of secretory function appears clearly.
For diffuse atrophic gastritis, dietary nutrition is the best way to treat the disease. At this stage of the pathology, an exacerbation of symptoms and an increase in the area of affected areas of the gastric mucosa cannot be allowed.
If the patient does not have a balanced diet with diffuse gastritis, the consequences cannot be avoided. The menu should include foods that activate the glands. The products do not have to be hard; they can be ground or softened by soaking in water. Dishes should be prepared from boiled products, and can also be stewed and baked. You cannot eat hot or cold food.
You can add dietary meat and fish to the menu. It is acceptable to consume dairy and pasta products, boiled chicken eggs. You also need to eat more fresh fruits and vegetables, which contain a lot of fiber.
Low acidity
A diet for atrophic gastritis with reduced acidity production affects the gradual death of cells in the gastrointestinal tract. The decrease in glandular cells is reflected in the functioning of the secretions of the digestive system. As a result of this process, signs of low acidity appear in the patient’s body.
The production of enzymes that help digest food is reduced, and the process of absorption of nutrients is disrupted. Atrophic gastritis with low acidity requires a mandatory change in diet.
To treat such a pathology, the menu needs to include foods that stimulate the production of digestive enzymes and hydrochloric acid. This is necessary to increase acidity, facilitate the metabolic process and normalize peristalsis.
Sour freshly squeezed juices, citrus fruits, and honey are good for this. If you have low acidity, you should not eat fresh baked goods or whole milk. If fermentation is reduced in the body, then meals should be separate and at least 5 times a day.
With increased
The progression of atrophic gastritis with increased acidity is directly related to the patient’s diet. Increased fermentation and production of hydrochloric acid leads to pathological manifestations in the gastrointestinal tract.
In this situation, first of all, adjustments should be made to the patient’s menu. In order for the increased production of acidity to decrease to normal levels, high-fat foods, fried foods, hot sauces and seasonings should be excluded from the diet. You should not drink alcoholic or carbonated drinks, which provoke increased fermentation to break down complex substances and alcohol. You need to stop consuming acidic foods and juices, as well as citrus fruits.
If a patient with atrophic gastritis smokes, then he should limit this habit.
With increased acidity in the digestive system, treatment of the disease may be delayed and subsequently become chronic. Dietary nutrition should be followed for 3-4 months. During this time, you can normalize the production of gastric juice.
It is imperative to exclude wheat and rye fresh bread and fatty meat from the diet. It is undesirable to eat mushrooms, onions, garlic, radishes, cabbage, radishes, as these vegetables increase acidity and stress on the stomach.
Food should not be too cold or hot; a temperature of about 50 degrees is needed. Portions during meals should not be too large. When treating atrophic gastritis with high acidity, you should avoid eating coarse fiber. It takes longer to digest and slows down intestinal motility. It is better to consume more plant-based proteins.
Every third resident of large cities suffers from gastritis. This is usually due to an incorrect rhythm of life and eating on the run. Atrophic gastritis is the most difficult subtype of this disease to treat. It is caused by a chronic course with thinning of the gastric mucosa, as a result of which the number of secretory glands decreases and the production of gastric juice and enzymes is disrupted. It is believed that if time is missed in treating atrophic gastritis, it can lead to stomach cancer.
The main symptoms of atrophic gastritis
Manifestations of focal atrophic gastritis are similar to acute gastritis. At first, the symptoms are subtle, but as the disease progresses, the state of health worsens along with the exhaustion of the body.
Basic:
- dull aching pain in the epigastric region, radiating to the right hypochondrium, intensifying after eating;
- belching with the smell of stale food in the stomach;
- nausea and heartburn after eating;
- unstable stool, alternating diarrhea and constipation;
- bloating, rumbling;
- manifestations of vitamin deficiency (due to impaired absorption of food in the stomach);
- “varnished” tongue – atrophy of taste buds.
If you notice any of the above symptoms in yourself, you should definitely consult a doctor. The doctor will prescribe treatment and select adequate medications. But the basis of any therapy is the correct diet for atrophic gastritis.
Why is diet needed in the treatment of gastritis?
The appearance of focal atrophic gastritis directly affects digestion. The mucous membrane becomes thinner and loses its ability to produce sufficient amounts of gastric juice, mucus and enzymes that were involved in the breakdown and digestion of food. This process occurs gradually, and as a result, the stomach is no longer able to accept normal daily food. And since nutrients from food are not absorbed, not only the gastrointestinal tract, but also all organs suffer. Therefore, treatment of the disease is necessary.
How can proper nutrition help with atrophic gastritis? By properly processing food and replacing heavy dishes on the menu with easily digestible ones, the load on the stomach is removed. Food is digested faster, all nutrients and medications are better absorbed. Strict adherence to the diet 7 days a week makes it possible to live a normal life and not suffer from the symptoms of atrophic gastritis with low acidity.
What should be on the menu for atrophic gastritis?
The diet for the treatment of focal gastritis should be enriched with proteins and fiber. Contain a sufficient amount of vitamins in the menu. Food must either be boiled or steamed. Be sure to cool it to room temperature before use. It is better to grind the products thoroughly; this stimulates the enzymatic activity of the glands in the mucous membrane. It is also important to chew food well so that the process of digestion begins before it enters the stomach.
The number of meals is at least 5-6 times a day, portions should be small, which eliminates overeating. The principle of separate nutrition for gastritis with low acidity gives a beneficial effect.
Diet No. 2 is usually used in treatment. This is a balanced diet enriched with vitamins and microelements.
Healthy dishes on the menu:
- Lean meat (rabbit, chicken, turkey, beef, veal), river and sea fish (hake, cod, navaga, perch, pike, flounder, bream), boiled tongue.
- First courses: pureed, cooked in lean broth.
- Porridge: rice, oatmeal, buckwheat with the addition of a small amount of butter.
- Dairy products: milk, low-fat soft cottage cheese and cheese, sour cream, kefir, fermented baked milk, yoghurts without dyes.
- Boiled eggs or omelet (1-2 times a week).
- Butter, olive, sunflower oil in salads or ready-made dishes.
- Vegetables: carrots, beets, cauliflower and broccoli, pumpkin, potatoes, tomatoes, onions, zucchini, eggplant and others (raw and baked).
- Fruits: bananas, apples, oranges, lemon, melon, persimmon, all types of berries.
- Pasta made from durum wheat.
- Wholemeal bread, crackers, gingerbread, dry biscuits.
- Sweets: marmalade, jelly, sweet cheeses and curds, honey.
- Drinks: weak tea (preferably green), compote, jelly, fruit drink, mineral water “Borjomi”, “Essentuki”, “Narzan”.
A diet for gastritis with low acidity involves avoiding heavy foods. The following are not allowed in the menu:
- Pork, lamb, fish from cold seas, mushrooms, including broths based on them are excluded.
- Smoked meats, spicy jerky, lard.
- Legumes (beans, peas), nuts, sunflower seeds.
- Pickles, canned food, jam.
- Coffee, any juices, chocolate, carbonated drinks.
- Alcohol (including beer).
- Mayonnaise, ketchup, sauces sold in ready-made form.
The list of such products is completely individual for each patient. Therefore, in order for a diet for atrophic gastritis to suit you ideally, you need to consult a doctor.
Approximate daily menu for gastritis with low acidity
- Breakfast: oatmeal or buckwheat porridge with milk (200 g), cottage cheese casserole with berries (150 g), green tea with lemon and sugar.
- Second breakfast: banana-blueberry pudding (150 g).
- Lunch: chicken noodle soup (200 g), 2 turkey-beef meatballs, mashed potatoes (150 g).
- Afternoon snack: marshmallows or marmalade, dried fruit compote.
- Dinner: stewed vegetables (zucchini, eggplant, tomatoes) 150 g, 1 steamed fish cutlet (80 g), green tea with lemon balm and thyme.
- Second dinner: a glass of kefir or low-fat yogurt (preferably homemade).
During the day you can snack on fruit or cottage cheese.
In order for the diet for atrophic gastritis (with high and low acidity) to be easily tolerated by you, you need to come to it gradually. It is important to choose products that are not only suitable for your treatment, but also for their taste. After one to two weeks, you will get used to the new items on your menu, and “junk food” will no longer be so attractive. With proper nutrition, you can not only get rid of the symptoms of chronic atrophic gastritis, but also normalize the functioning of the entire body.
You may also be interested
Quite insidious. This is reflected in the fact that the disease is quite difficult to diagnose, and the subsequent treatment process is no less complex. And all this against the backdrop of the fact that most often at the initial stage the disease proceeds unnoticed. Reading this, the question may arise: what does nutrition have to do with atrophic gastritis?
And despite the fact that most often the patient learns about his illness only after eating a certain food. Then what can diet do? And with the help of a balanced diet, you can moderate the pain syndrome, which in turn will lead to the stomach starting to work better. This means getting more useful elements from food.
For this disease, nutritionists prescribe diet No. 2. The goal is to provide the patient’s body with all the microelements, vitamins, fats and carbohydrates in the required quantities.
There is a list of foods that you should completely remove from your diet. And first of all, this applies to the so-called “heavy” foods - that is, those that take several hours to digest. These are all fatty foods, rye bread, pork, beef, all types of smoked and pickled foods, mushrooms of all kinds. Oily dishes, canned vegetables, dishes made from legumes, battered and breaded are also prohibited.
Only those foods that increase the patient’s appetite and the production of stomach acid are allowed for consumption. It is recommended to stew or boil food.
Diet and its basics
Soups are best made as purees. using meat, fish or herbal broth. For breakfast, doctors recommend preparing yourself porridge - semolina, rice, oatmeal. It is allowed to eat meat dishes in small quantities - lean beef, milk sausages, meat without fat, chicken, rabbit. Everything except sausages must be passed through a meat grinder.
Proteins can be replenished by eating seafood - mussels, shrimp, octopus. Allowed drinks are tea, cocoa, fruit and vegetable juices. Juices should only be freshly prepared. No baking, only crackers and bran bread. All fruits and berries must undergo the necessary heat treatment.
Sweets include mousse, honey, jelly, marmalade.
All dishes are served only warm.
With atrophic gastritis with low acidity, nutritional regulation is one of the important stages in the treatment of the disease. Foods in the diet should stimulate acid production. These are lean meats, fruit and vegetable dishes. You should not eat foods that can cause fermentation processes in the stomach - whole milk, baked goods, especially fresh ones.
Nutrition for gastritis with high acidity also has its own characteristics. Fried, fatty foods are completely excluded from food. The patient also needs to give up cigarettes, alcohol and drinks containing alcohol.
Menu for atrophic gastritis by day
Monday:
Breakfast – potatoes and boiled fish. Tea;
Lunch – fruit jelly;
Lunch – soup with meatballs, baked potatoes and tomato juice;
Afternoon snack – a decoction of rose hips;
Dinner: cheesecakes with sour cream. Tea with honey and lemon;
Late dinner - a glass of kefir.
Tuesday
Breakfast – semolina porridge cooked in water, soft-boiled egg, coffee with milk;
Lunch – rosehip decoction;
We have lunch with noodle soup, potato casserole with meat, berry compote;
Afternoon snack – baked apples;
Dinner – steamed potatoes and fish fillet, cocoa;
Late dinner - yogurt.
Wednesday
Breakfast – rice porridge with a viscous consistency, tea with a slice of lemon;
Lunch – raspberry jelly;
Lunch – vegetable broth soup, meat soufflé, dried fruit compote;
Afternoon snack of baked apples;
We have dinner with cottage cheese with honey and sour cream, compote;
Before bed, a glass of kefir.
Thursday
Breakfast – steamed omelette from a couple of eggs, lean ham. Tea with lemon;
Lunch – blueberry jelly;
Lunch – creamy rice soup with carrots, buckwheat porridge cooked in water, steamed meatballs;
For afternoon snack, baked apples;
Dinner consists of mashed potatoes and meat baked in foil. Rose hip decoction;
Before bed, a glass of kefir.
Friday
For breakfast, sticky rice porridge with a piece of butter, coffee with milk;
Lunch consists of blueberry jelly;
Pickle soup for lunch. Cutlets made from chicken meat. Boiled potatoes. Dried fruits compote;
The afternoon snack consists of tea with lemon and marshmallows. The latter can be replaced with marshmallow;
You can have dinner with mashed potatoes, a portion of boiled beef tongue and a glass of tomato juice;
First, let's figure out whether a diet is really necessary for atrophic gastritis?
A disease such as atrophic gastritis is a rather complex pathology, since along with the inflammatory process there is atrophy of the mucous membrane and glandular tissues. The cells and tissues of the stomach gradually change their structure, up to complete or partial death, which directly affects the function of digestion: mucous secretion, the production of enzymes, the breakdown and absorption of substances necessary for the body are disrupted. Over time, the stomach stops “accepting” any food, and the percentage of nutrients that enter the body becomes unacceptably small. As a result, not only the digestive system suffers, but also all organs and systems of the body, without exception.
What can diet do in this situation? Thanks to changes in diet, it is possible to ease the work of a damaged stomach, which allows food to be absorbed and supply the body with useful elements and vitamins. Moreover, it becomes easier for the stomach to work, which reduces pain and promotes faster passage of food masses through the gastrointestinal tract.
Types of diets for different types of disease
In this article we will talk about which diet for atrophic gastritis is most effective, and in what situations it can be prescribed, and we will also analyze possible menu options and daily diet during the treatment of the disease.
Diet 2 for atrophic gastritis
Diet No. 2 (or treatment table No. 2) is a rational principle of nutrition, the purpose of which is to provide the body with all the necessary complex of microelements, vitamins, proteins, fats and carbohydrates, while not loading, but normalizing the activity of the entire digestive system.
To prepare dishes, they mainly use a double boiler, boiling in water and (less often) baking. Food should be as crushed as possible so that the digestive system does not experience additional mechanical stress. In addition, finely ground food stimulates the enzymatic activity of the stomach. All products used for cooking are subjected to grinding. Avoid foods that may cause difficulty in digestion - anything fried, smoked, fatty, spicy, overly salty or sour, cold or hot. This list should also include unnatural products, that is, those that contain artificial colors, preservatives, sweeteners, flavor enhancers, stabilizers and emulsifiers.
Nutritionists advise eating very small portions, but quite often, approximately every 2-3 hours.
Diet for chronic atrophic gastritis
The chronic form of the disease is a long-term disease that requires long-term and patient treatment. The provoking factor in the development of the disease is an improper diet, consumption of alcoholic beverages, and frequent and illiterate use of medications. The role of proper nutrition in the chronic course of the disease is undeniable: atrophic changes in the walls of the stomach, the proliferation of connective tissue elements where the glands should be located - all this disrupts the natural production of hydrochloric acid and digestive enzymes. The peristalsis of the digestive organs is also upset.
With mucosal atrophy, any gastroenterologist will insist on following a diet. As a rule, strict and gentle nutrition is prescribed. Degenerative changes in the walls of the stomach most often reduce the production of hydrochloric acid, so the food consumed should promote its production and enhance the enzymatic function of the digestive system. The intake of all necessary vitamins and nutrients from food must be monitored.
Diet for focal atrophic gastritis
Focal gastritis is characterized by the formation of zones of atrophy of the stomach walls. In other words, zones appear in the stomach that cease to perform their secretory function, since the glandular tissue is partially replaced by epithelium.
More often, in the focal form of the disease, diet No. 1a is prescribed, after some time the patient is transferred to diet No. 2. In addition, it is recommended to drink medicinal mineral water, such as Narzan, Essentuki-4 or Essentuki-17, 15-20 minutes before meals. This technique helps stimulate the functioning of intact glands.
It is prohibited to consume alcoholic beverages, as well as food products and dishes that can damage the already suffering gastric mucosa. If such measures are not taken, the treatment may last for a very long period, or may not bring any effect at all.
Diet for diffuse atrophic gastritis
The diagnosis of the diffuse form of the disease in most cases means that there are no serious dystrophic problems in the stomach yet. This is a kind of transitional form, when damage to the mucous membrane is still superficial, but local areas of degeneration of glandular tissues are already observed. Symptoms of a disorder of the secretory function of glandular cells at this stage are already evident.
Dietary nutrition for diffuse damage can be more effective than ever, however, if this condition is neglected, then negative consequences are inevitable.
The recommended diet is treatment table No. 2. It provides a complete diet for the patient, activating the function of the glands. Dishes must be prepared boiled, stewed or baked, but should not be fried. Do not eat foods that are too cold or have a rough texture (coarse fiber).
Diet No. 2 can be quite varied, using meat and fish products. Dairy products and flour products are acceptable. Eggs are prepared in the form of steam omelettes or hard-boiled.
Be sure to include a sufficient amount of vegetables and fruits in your diet.
Diet for atrophic gastritis with low acidity
Low acidity appears as a result of atrophic processes in the mucous tissues of the stomach. In this case, the degree of damage may depend on how large the damaged area is. Dead glandular cells lose the ability to produce acid, which helps food process and digest. In addition, there is a lack of mucus, as well as enzymes, thanks to which the process of absorption of nutrients occurs.
Changing your diet is considered perhaps the most important stage in the treatment of gastritis with low acidity. The diet should include foods that stimulate the production of gastric juice components. Among such products are lean meat, fish, acidified freshly squeezed juices, fruit and vegetable dishes. Dishes that can provoke fermentation processes in the digestive tract are prohibited: fresh baked goods, whole milk, etc. Food should be varied and satisfying. However, overeating should be categorically excluded: patients with hypoacid atrophic gastritis eat fractionally, that is, often in small portions. This allows food to be absorbed completely without burdening the stomach.
Diet for atrophic gastritis with high acidity
The development of atrophic gastritis with high acidity is directly related to nutrition, that is, this pathology appears against the background of poor nutrition. This means that the first thing the patient must do is make adjustments to his menu.
Actually, any gastritis involves avoiding eating spicy, fried and fatty foods. We should not forget about bad habits that also need to be eliminated - smoking and drinking alcohol.
The increased acidity of gastric juice needs to be reduced, and in the presence of inflammation with atrophy, as well as periodic bouts of vomiting, it is important to stimulate the work of the remaining functioning glands.
Eat food at least five times throughout the day. If the process worsens, the diet is followed for at least 3 months.
Various damaging and acid-forming foods are excluded from the diet: mushrooms, radishes, fatty meats, fried foods, citrus fruits, grapes, soda, coffee, dark bread, hot seasonings, onions and garlic, mustard. You should not allow food to linger in the stomach cavity for a long time: for this reason, avoid hot and cold foods, as well as heavy and rich foods.
It is recommended to consume skim fresh milk. It is better to replace raw fruits with boiled or steamed ones, as well as purees or compotes. Eating porridges made from rice, semolina, and oatmeal is encouraged. It is preferable to grind all products, for example, in a blender.
Diet for atrophic gastritis with normal acidity
Patients with normal gastric acidity eat according to the principle of the course of the disease: during exacerbations the diet becomes stricter, and during periods of remission it is weakened.
During an exacerbation of the disease, it is recommended to eat mainly the so-called “mucosal” first courses, prepared with the addition of rice and barley cereals. You can eat oatmeal with milk or water. You should eat in small doses, but often enough, chewing pieces of food well - this contributes to the normal function of the digestive organs.
An important point is the normalization of bowel movements. If loose stools predominate, it is recommended to drink freshly squeezed juices from pomegranate, dogwood, blueberries, black currants, and pears. For persistent constipation, emphasis is placed on drinking juices from carrots, apricots, and beets with the addition of pureed vegetables. Fermented milk products (fresh) are also recommended.
You should not eat sweets or baked goods. It is recommended to drink green tea between meals (but not during meals).
Diet for antral atrophic gastritis
Antral atrophic gastritis is accompanied by damage to the lower parts of the stomach, located almost at the exit from the organ, on the border with the duodenum. With antral gastritis, morning sickness, rapid satiety with heaviness in the abdomen and unpleasant belching often appear.
Most often, in such cases, treatment table No. 1a is prescribed, especially in cases of severe pain. This diet should be followed for the first few days of the disease. The goal is to reduce irritation and reflex excitability of the gastric mucous tissues. Secretion-stimulating foods are eliminated from the diet. Food that is crushed to a puree or liquid is allowed. As a rule, most of the diet consists of pureed porridges, cream soups, as well as dishes based on dairy products - cottage cheese, yoghurts, puddings.
After diet No. 1a, the patient switches to diet No. 1, which helps restore damaged mucosa. This is a relatively expanded nutritional option, the purpose of which is to normalize the secretion and motility of the digestive system. Dishes high in fiber are not recommended, so all vegetables and fruits are served only in processed form (boiled, baked, gelled, etc., but not raw).
Diet for atrophic hyperplastic gastritis
Atrophic hypertrophic gastritis is accompanied by the appearance of formations on the surface of the gastric mucosa - these can be cystic or polypous formations. The cause of the disease is considered to be factors such as consumption of alcohol, unnatural synthetic products, vitamin deficiency, and allergic reactions to foods.
At the very beginning of the hyperplastic process, nutritionists prescribe dietary nutrition with the exclusion from the diet of all foods that irritate the internal walls of the stomach. These are all fatty foods, pickles, baked goods and products and flours, sour and spicy foods, raw fruits and vegetables. It is also necessary to give up cigarettes and alcoholic beverages.
Goals of dietary changes:
- stopping hyperplasia of the gastric mucosa;
- restoration of gastric motility and secretion;
- normalization of intestinal function;
- stabilization of hemoglobin levels in the blood.
If gastritis is chronic, then you will most likely have to adhere to dietary nutrition throughout your life.
Diet menu for atrophic gastritis
First day (Monday):
- I breakfast – semolina porridge, boiled egg, rosehip tea;
- II breakfast – apple soufflé;
- lunch - vermicelli soup, boiled brisket with sour cream, apricot jelly;
- afternoon snack – cookies, tea;
- dinner – cottage cheese with yogurt;
- before bed – a cup of kefir.
Second day (Tuesday):
- I breakfast – oatmeal with apple and cinnamon, tea;
- II breakfast – a piece of homemade cheese;
- lunch - soup with meatballs, mashed potatoes and meat, carrot juice;
- afternoon snack – half an apple baked with cottage cheese;
- dinner – cottage cheese with sour cream, tea with honey;
- before bed - a cup of yogurt.
Third day (Wednesday):
- I breakfast – rice casserole, green tea;
- II breakfast – blueberries with honey;
- lunch – chicken soup, noodles with meat, berry compote;
- afternoon snack – pureed pear;
- dinner - a piece of boiled fish, jelly;
- before bed - yogurt.
Fourth day (Thursday):
- I breakfast – vermicelli with cheese, cocoa;
- II breakfast – apple pudding;
- lunch – rice soup, buckwheat cutlets with potatoes, compote;
- afternoon snack – marmalade, green tea;
- dinner – potato and fish casserole, tea;
- before bed – a cup of kefir.
Fifth day (Friday):
- I breakfast – a portion of lazy dumplings with sour cream, tea;
- II breakfast – berry mousse;
- lunch - fresh cabbage soup, steamed chicken cutlet, tea with currants;
- afternoon snack – carrot and apple salad with sour cream;
- dinner – milk sausage with rice, tea;
- before bed – tea with honey.
Sixth day (Saturday):
- I breakfast – omelet, tea with cookies;
- II breakfast – peach puree;
- lunch – cabbage and carrot soup, potato cutlets with meat gravy, compote;
- afternoon snack – marshmallows, cocoa;
- dinner - a piece of boiled tongue with potatoes, compote;
- before bed - a cup of fresh yogurt.
Seventh day (Sunday):
- I breakfast – cheese casserole, tea;
- II breakfast – banana mousse;
- lunch – fish broth, baked chicken breast with cauliflower puree, tea;
- afternoon snack - jelly with crackers;
- dinner – meatball with rice, strawberry tea;
- before bed – a glass of yogurt.
Diet recipes for atrophic gastritis
What interesting and tasty things can be prepared for the patient in order to diversify the boring and monotonous menu? There are many options: the main thing is to use your imagination and try to think outside the box. We present to your attention a small selection of delicious and healthy dishes.
- Air steamed cutlets. Dish ingredients: 1 kg of potatoes, ½ kg of boiled cauliflower, one carrot, one onion, one egg, breadcrumbs, salt.
Cut the boiled cabbage into cubes and simmer in sunflower oil with chopped onions and carrots. Make a puree from the potatoes, mix it with the cabbage, add the egg and breadcrumbs. From the resulting “minced meat” we make cutlets, sprinkle with breadcrumbs and cook in a double boiler. Bon appetit.
- Delicate jelly. Ingredients: a little vanilla sugar, 2 tbsp. spoons of cocoa, sugar, two egg yolks, a glass of jam, 600 ml of sour cream, 3 tbsp. spoons of gelatin, 3 glasses of water, a little lemon juice. Fill the gelatin with cool water, leave until it swells, then heat it up a little. Beat the yolks with ½ cup of sugar until fluffy, add a little lemon juice, vanillin or vanilla sugar, and mix. Add 200 ml of sour cream and a glass of gelatin, mix. Pour the mixture into the prepared container and put it in the refrigerator. Leave until it hardens.
Prepare the next layer: mix 200 ml of sour cream with sugar (1-2 tablespoons), add a glass of crushed jam, a glass of gelatin, stir. Pour the mixture onto the jelly that has already hardened in the refrigerator, and put it back in the refrigerator.
Last layer: 200 ml sour cream, ½ tbsp. Mix sugar and cocoa, add remaining gelatin. Add the mixture to our jelly in the form of a third layer and place it in the refrigerator until completely hardened. Before serving, cut into portions and serve.
- Eggplant pate. Ingredients: eggplant, 2 onions, 2 eggs (boiled), salt and pepper, vegetable oil (about 40 g).
Roast the whole eggplant. After the eggplant is cooked, scrape out the pulp with a spoon; we don’t need the peel. Sauté the onion in a frying pan. In a blender, mix the eggplant pulp, boiled eggs, onions and chop. Salt and pepper to taste. The pate is ready - you can spread it on croutons or toast.
- Monastic porridge. Ingredients: buckwheat 100 g, pearl barley 100 g, rice 100 g, couscous 100 g, three onions, 2-3 small carrots, eggplant, water, vegetable oil (about 60 g), herbs, salt.
Sauté chopped onions, eggplants and carrots in a frying pan in vegetable oil. Place the washed buckwheat in the pan, and a third of the steamed vegetables on top of it. The next layer is washed pearl barley and again a third of the vegetables. Next - couscous and remaining vegetables. The last layer is washed rice. Carefully pour one liter of warm salted water into the container, trying not to damage the layers. Sprinkle herbs on top and close with a lid. Place on low heat or in the oven until the liquid is completely absorbed. Bon appetit.
What should you not eat if you have atrophic gastritis?
- Freshly baked bread, fresh pastries, buns, pastries, cream cake.
- The first dish is made from peas and beans. Okroshka, rassolnik, fatty rich borscht.
- Meat products: smoked meats, canned foods (stewed meat, canned food), lard, fatty meats.
- Fatty fish, fish with bones, canned fish, salted and smoked fish.
- Dairy products: products with high fat content, undiluted milk.
- Margarine, vegetable-animal mixtures (spreads), animal fat.
- Raw vegetables, radishes, garlic and onions, mushrooms, pickles and marinades, pickled vegetables.
- Legumes.
- Ketchup, mayonnaise, sauces and dressings, vinegar.
- Ice cream, chocolate, cream products, nuts.
- Carbonated drinks, kvass, grape juice, alcohol.
To cure atrophic gastritis, you need to eat right. These are not general recommendations that can sometimes be violated. Diet - . Without it, the patient's condition will quickly deteriorate.
With atrophic gastritis, it is important to follow a strict diet to improve the digestion process.
The diet is made depending on the subtype of the disease. Therefore, before choosing a menu, consult your doctor. The specialist will give appropriate recommendations. If, the stomach stops working. After all, its walls gradually “die off” and become thinner. Erosion and ulcers appear on atrophied tissues. This causes problems with digestion and the production of gastric juice. Food will not go to waste. Intoxication and anemia will begin.
Diet therapy is needed not only to eliminate inflammation. With proper nutrition, the body will receive useful substances, and the digestive system will be restored. You need to eat in small portions, but often. So as not to feel hungry. Eat at least once every 3 hours. But don't overeat or snack on the run. Chop or grind all foods so as not to overload your stomach. Eat slowly, without any distractions. Do not heat or cool food. The food should be warm. This also applies to drinks - no hot tea or ice water.
You need to consume about 2500 – 3000 calories per day. The diet for atrophic gastritis of the stomach should include:
- up to 400 grams of carbohydrates;
- about 100 grams of vegetable fats;
- protein food - 100 grams, 50 of them are proteins of plant origin;
- up to 15 grams of sea salt.
Do not drink a lot of liquid - maximum 1.5 liters per day. This means not only water, but also soups, broths, and decoctions. This doesn't mean you have to suffer from thirst. Just watch how much you drink.
Boil, stew or steam all dishes. Some can be baked, but eat them without a “brown” crust.
Atrophy with such gastritis leads to the death of stomach tissue. This could end very badly. A gastroenterologist will tell you which diet to choose and how long to stay on it. It depends on the diagnosis and related factors. Treatment is a long process. Most likely, therapy will continue for at least six months. Even if the symptoms no longer bother you, this does not mean that the disease has subsided. And after recovery, you need to eat healthy food.
Prohibitions
Nutrition for atrophic gastritis of the stomach is mainly prohibitions and restrictions. But if you make exceptions, you will not be cured. You will have to change your lifestyle and give up many dishes.
You can't eat:
- fatty, fried, spicy, smoked, salted, lightly salted, pickled, canned, pickled;
- hard-boiled eggs, scrambled eggs;
- beans, peas, beans;
- raw vegetables and fruits;
- onions, garlic, radishes;
- fresh baked goods and pastries;
- some cereals: barley, wheat;
- hard-to-digest foods: nuts, seeds;
- almost everything sweet, in particular chocolate and ice cream;
- spices, sauces, seasonings, dressings, vinegar;
- fast food and other junk food.
You can't drink:
- alcohol;
- soda (including sparkling mineral water);
- coffee, ;
- fat milk and products made from it;
- undiluted juices from sour berries or fruits.
You can eat
The menu for atrophic gastritis consists of products that are easily digested and do not burden the stomach. At the same time, you receive vitamins and microelements in sufficient quantities. You can eat:
- Light soups or low-fat broths.
- Lean varieties of meat, fish, poultry.
- Carrots, potatoes, zucchini. Not raw: stewed or boiled.
- Soft-boiled eggs, steamed omelettes.
- Semolina, buckwheat, rice, oatmeal. Prepare viscous porridges or soups from them.
- Non-acidic or baked fruits without skin.
- Non-acidic berries.
- , cheese, sour cream.
- Well-cooked pasta.
- Dried bread, crackers, biscuits - in small quantities. Everything is made from durum flour.
- Honey, natural “homemade” marmalade, puddings, soufflé.
To make the meat soup diluted, pour out the “first broth” and cook in the second.
You can drink:
- Water;
- green tea;
- jelly and compotes;
- , but don’t use it too often;
- low-fat milk, kefir, fermented baked milk;
- herbal decoctions and settings.
These products are the basis of dietary nutrition and an important part of treatment. They will help relieve inflammation and restore damaged tissue. If you eat only what your doctor has approved, severe abdominal pain is unlikely to bother you. Over time, the diet will be expanded and new dishes will be added to it.
Low, high and normal acidity
The diet for atrophic gastritis with low acidity necessarily includes lean fish and lean meat. You need food that makes the digestive system work and secrete gastric juice. These are fruit and vegetable juices (must be freshly squeezed). The fruits can also be grated or made into puddings.
It is necessary to prevent further atrophy of the stomach and glands. To do this, eat something that will stimulate them to work. And at the same time normalizes the acidity level.
Don't eat the same thing every day. Diversify your diet - mix permitted foods. Choose foods that are rich in nutrients to provide your body with essential vitamins in one meal.
It is forbidden to consume baked goods in any form and whole fat milk, as they can cause “fermentation” in the stomach.
For gastritis with high acidity, fried and spicy foods, “sour” fruits and berries are prohibited. Porridge, boiled vegetables and puree are recommended. It's better to grind them in a blender. Drink skim fresh milk. The goal is the same - to make the stomach work and help it recover. Food should be digested quickly, so do not indulge in large portions and “heavy” foods. Do not heat or cool food, eat only warm food.
If you have normal acidity, the diet depends on the stage of the disease. During exacerbations, it becomes stricter: only “slimy” cereal broths and liquid porridges are allowed. Then you can add other foods to your diet. Drink green tea and freshly squeezed homemade juices.
Subtypes of atrophic gastritis
When the antrum of the stomach is damaged, attacks of “morning sickness” often occur. Sometimes they are accompanied by severe pain. In this case, eat only liquid or pureed food. You need to sit on such a “limited” diet for several days. Then you can switch to a standard diet for atrophic gastritis. The doctor will tell you the specific date. Do not eat raw vegetables and fruits. They contain a lot of fiber, which affects the secretion of the stomach. Eat them only after heat treatment, chop or puree them.
With atrophic hyperplastic gastritis, you can also forget about raw vegetables and fruits. Don't drink alcohol, don't smoke. In general, get rid of bad habits. With this disease, tumors appear in the stomach. Therefore, any food that irritates the mucous membranes is removed from the diet. Anything spicy, sour or floury is prohibited. Eat only natural foods without synthetic or chemical additives.
Several inflammatory processes can occur simultaneously in the stomach. For example, if it is atrophic and mixed superficial gastritis. In this case, the diet is selected individually. But the same prohibitions and recommendations are relevant for her. It is recommended to drink warm (about 25 - 30 degrees) mineral water without gas on an empty stomach. But not in one gulp - in small sips. Decoctions of herbs, herbal teas, juices from berries, fruits and vegetables will be useful. Rosehip tinctures are also useful for this disease. If your stomach hurts badly, make juice from potatoes.
The diet for mixed gastritis is not much different from the diet for atrophic inflammation. But you shouldn’t choose dishes yourself - you need a doctor’s opinion.
Diet option
Sample menu for the week.
First day.
- Semolina porridge, steamed egg white omelette or soft-boiled egg, rose hip decoction.
- Apple soufflé or savory homemade cakes without sugar, kefir.
- Rice or vermicelli soup, boiled lean meat, vegetable stew, jelly.
- Galette cookies or pasta casserole, herbal tea.
- Cottage cheese, plain yogurt, yogurt.
- Kefir.
- Oatmeal or cheese curd, weak tea.
- Lenten cookies or a small piece of homemade cheese, compote.
- Soup with meatballs or broth with eggs, mashed potatoes with lean meat, jelly or carrot juice.
- Baked apple with cottage cheese or honey, compote.
- Cottage cheese or boiled vegetable salad, tea.
- Curdled milk.
- Rice or muesli casserole, green tea.
- Berries with honey.
- Beetroot soup or chicken soup, lean meat or fish, compote.
- Fruit puree, tea.
- Boiled fish, stewed potatoes, jelly.
- Drinking yogurt without additives.
Fourth.
- Vermicelli or semolina porridge, tea.
- Fruit pudding.
- Soup with rice or meatballs, buckwheat cutlets, boiled vegetables, compote.
- Homemade marmalade or low-fat cottage cheese, green tea.
- Fish casserole without crust or baked potatoes, tea.
- Kefir.
- Lazy dumplings or oatmeal, boiled vegetables, herbal tea.
- Berry mousse, compote.
- Cream soup, steamed cutlet or lean fish, vegetables, compote.
- Fruit and vegetable salad.
- Natural milk sausage, side dish of vegetables or rice, tea.
- Curdled milk.
- Steam omelette or soft-boiled egg, berry compote.
- Fruit puree.
- Vegetable soup, stew or potato cutlets, jelly.
- Marshmallow, curdled milk.
- Cheesecakes or boiled tongue, compote.
- Kefir.
- Cheese casserole or vegetable cutlets, jelly.
- Fruit mousse, cracker.
- Vegetable soup or fish broth, lean chicken breast, vegetable puree, herbal tea.
- Rusk, jelly.
- Meatballs or lean fish, rice, compote.
- Yogurt.
For atrophic gastritis, follow the diet advised by your doctor. Do not make exceptions, otherwise the treatment will not be effective.