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Diet for cholelithiasis

, medical expert
Last reviewed: 03.07.2025
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A diet for gallstone disease helps prevent cholesterol stones from forming in the gallbladder, so its main principle is to avoid fatty, salty, and spicy foods.

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Indications

A diet for gallstone disease is prescribed to reduce the risk of new gallstones, prevent exacerbations and reduce discomfort. Indications for prescribing such a diet include:

  1. Gallstones (cholecystolithiasis): Patients with existing gallstones, especially if they are causing symptoms, are often advised to follow a diet to prevent the stones from getting bigger or forming new ones.
  2. Chronic cholecystitis (inflammation of the gallbladder): Patients with chronic inflammation of the gallbladder may be prescribed a diet to reduce irritation and improve bladder function.
  3. Biliary dyskinesia: This is a disorder of the bile ducts that can cause pain and discomfort. Diet can help reduce symptoms.
  4. Postoperative Condition After Gallbladder Removal: After cholecystectomy (gallbladder removal), patients also need to follow a diet to reduce the risk of gallstone recurrence and digestive problems.

General information diets for cholelithiasis

The essence of the diet for gallstone disease is to reduce the load on the gallbladder and prevent the formation of new stones.

Diet 5 for gallstone disease

This is a diet specially designed to improve the functioning of the liver and biliary system, as well as reduce the risk of formation and aggravation of gallstones. Its main principles include limiting fats, preferring lean proteins, increasing fiber intake, eliminating spicy and hot foods, dividing meals into small portions, eliminating alcohol and carbonated drinks, and moderate salt intake. This diet helps reduce the load on the biliary system and facilitate digestion.

Diet for gallstone disease number 5 regulates cholesterol metabolism. Products rich in magnesium, such as buckwheat, are very useful. The best bread for those suffering from gallstones is gray bread with coarse bran.

Diet for gallstone disease

Milk and vegetarian soups, river fish, well-soaked herring, carrots, and watermelons are good for you. Sweets include marmalade and honey, jam, and pastila. Pasta, buckwheat, rice, and oatmeal should definitely be included in your menu. Milk and sour cream – low-fat, in small amounts. Use olive oil. Limit baked goods, sausages, and animal fats. Avoid eating cold food. Avoid offal. Fried foods, spinach, spices, cakes, sweet buns, and chocolate are prohibited. Cheese casseroles, vegetarian borscht, and vegetable soups are very good for you.

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Diet for exacerbation of gallstone disease

The diet for an exacerbation of gallstone disease is aimed at reducing the load on the gallbladder and preventing worsening of symptoms. During an exacerbation, it is usually recommended to follow a stricter diet than during remission. Here are the basic principles of the diet for an exacerbation of gallstone disease:

  1. Fasting: At the onset of an exacerbation of gallstone disease, fasting may be necessary for the first 24-48 hours to reduce the load on the gallbladder and prevent pain and spasms. During this period, it is recommended to drink only non-carbonated mineral water or water without gas.
  2. Gradual reintroduction of food: After fasting, gradually introduce light and low-fat foods into the diet. This may include:
    • Porridge with water, such as oatmeal or rice porridge.
    • Kisliy porridges and soups without fat.
    • Steamed chicken breast or skinless turkey.
    • Cooked vegetables such as carrots, zucchini or broccoli.
  3. Eliminate Fatty Foods: Completely eliminate fatty foods, fried foods, butter, high-fat dairy products and other foods that promote the absorption of large amounts of fat.
  4. Limit foods rich in cholesterol: Avoid egg yolks, liver and other foods rich in cholesterol.
  5. Moderate Protein Intake: Include lean protein foods such as chicken, fish and low-fat cottage cheese.
  6. Hydration: Drink plenty of water to help thin bile and prevent new stones from forming. Limit caffeine and alcohol.
  7. Small meals: Eat small meals and avoid overeating to reduce the stress on your digestive system.
  8. Limit hot and spicy foods: Avoid hot spices, seasonings and dishes as they may aggravate the pain.

The diet for an exacerbation of gallstone disease should be strictly followed to prevent worsening of symptoms and speed up recovery. It is important to consult a doctor or nutritionist to get specific recommendations and adjust the diet according to your condition. Also, following the diet should be temporary, and after an exacerbation, you can gradually return to your normal diet, following the softer principles of diet No. 5 for gallstone disease during the period of remission.

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Magnesium diet for gallstone disease

A diet that emphasizes magnesium may have positive effects on biliary health, but it is not strictly called a "magnesium diet." However, magnesium is an important mineral that may be helpful in maintaining gallstone health.

Magnesium helps control smooth muscle contractions, including those in the biliary system, and this can promote a more normal flow of bile. Magnesium can also help prevent gallstones.

Here are some magnesium-rich foods you can include in your diet if you have gallstones:

  1. Nuts and seeds: Almonds, hazelnuts, cashews, walnuts, sunflower seeds, pumpkin seeds, etc.
  2. Grains: Oatmeal, quinoa, brown rice and whole grains.
  3. Green Vegetables: Spinach, broccoli, kale, potatoes (with skin), and other green vegetables.
  4. Legumes: Black beans, kidney beans, peas and tapeworms.
  5. Fruits: Bananas, avocados and figs.
  6. Seafood: Salmon, tuna and other fish.
  7. Dairy products: Low-fat yogurt and cottage cheese.

In addition to magnesium, it is also important to follow the general recommendations of Diet No. 5, which is specifically designed to support the liver and bile duct system. Include magnesium-rich foods in your diet, but also follow the advice of your doctor or nutritionist regarding your diet and treatment of gallstones. If you have specific questions about the diet, discuss them with a health care professional for individual recommendations.

A diet for gallstone disease with a high magnesium content is especially good for patients suffering from constipation.

Menu 1

  • 1 breakfast: buckwheat porridge 200 g, grated carrots 200 g, tea with lemon 200 ml.
  • 2nd breakfast: millet porridge with dried apricots 200 g.
  • Lunch: borscht with bran 200 ml, rosehip infusion 200 ml.
  • Afternoon snack: apricot juice 200 ml.
  • Dinner: tea with lemon 200 ml.

Menu 2

  • 1 breakfast: oatmeal milk porridge 250 g
  • 2nd breakfast: 100 g dried apricots.
  • Lunch: cabbage soup 200 ml, boiled meat 100 g, apple 100 g, carrot juice 150 ml.
  • Afternoon snack: carrot salad 100 g
  • Dinner: cottage cheese 250 g, tea 200 g.

Diet recipes for gallstone disease

Here are some recipes that can be included in the diet for gallstones. These dishes correspond to the principles of reducing fat intake and easing the work of the gallbladder:

  1. Vegetable soup:

    • 2 potatoes, diced
    • 1 carrot, sliced into circles
    • 1 zucchini, diced
    • 1 onion, finely chopped
    • 4 cups low-fat vegetable broth
    • Salt and pepper to taste
    • Fresh green herbs (parsley, dill) for decoration

    Cook the potatoes, carrots, zucchini and onion in the vegetable broth until the vegetables are tender. Season with salt and pepper to taste. Garnish with fresh herbs before serving.

  2. Steamed Vegetables with Lemon Sauce:

    • 2 heads broccoli, diced into small florets
    • 2 carrots, sliced into circles
    • 2 tablespoons olive oil
    • Juice of 1 lemon
    • Salt and pepper to taste
    • Fresh green herbs (cilantro, basil) for garnish

    Place the vegetables in a steamer and steam until soft, about 5 to 7 minutes. Make the lemon sauce by mixing together the olive oil, lemon juice, salt, and pepper. Pour the sauce over the vegetables and garnish with fresh herbs before serving.

  3. Baked chicken fillet with herbs:

    • 2 chicken fillets (skinless)
    • 2 tablespoons olive oil
    • 2 tablespoons fresh lemon juice
    • Salt and pepper to taste
    • Fresh green herbs (parsley, dill) for decoration

    Mix olive oil, lemon juice, salt and pepper. Marinate the chicken fillet in this mixture for 30 minutes. Then bake the fillet in the oven at 180°C for about 25-30 minutes or until done. Serve garnished with fresh herbs.

  4. Quinoa with vegetables and stewed salmon:

    • 1 cup quinoa
    • 2 cups low-fat vegetable broth
    • 2 pieces of salmon
    • 1 zucchini, diced
    • 1 red bell pepper, diced
    • 2 tablespoons olive oil
    • Salt and pepper to taste

    Rinse the quinoa and cook it in vegetable broth until done. Place the salmon on a steamer jar and steam it for 10-15 minutes. In a separate pan, fry the zucchini and bell pepper in olive oil. Serve the salmon and vegetables on the quinoa, seasoning with salt and pepper to taste.

These recipes are healthy and easy meal options for those following a gallstone diet. However, before changing your diet or adding new foods, be sure to consult with your doctor or dietitian to make sure they are right for you and will not cause any unpleasant symptoms.

Sample diet menu for gallstone disease for every day

A diet for people with gallstones usually limits fat intake and promotes normal bile flow to prevent new stones from forming and reduce the risk of flare-ups. Below is a sample diet menu for each day. However, before starting a diet, be sure to consult with your doctor or nutritionist to take into account your individual needs and recommendations.

Day 1:

Breakfast:

  • Egg white omelette with vegetables (fat free).
  • Oatmeal with water, honey and low-fat yogurt.

Afternoon snack:

  • Apple.

Dinner:

  • Chicken soup with vegetables (fat-free).
  • Mashed potatoes (without milk and butter).
  • Boiled broccoli.

Afternoon snack:

  • Buckwheat with boiled chicken.

Dinner:

  • Fish (baked or steamed).
  • Quinoa.
  • Steamed greens.

Day 2:

Breakfast:

  • Buckwheat on water.
  • Egg white scrambled eggs with tomatoes.

Afternoon snack:

  • Pear.

Dinner:

  • Chicken broth (fat-free).
  • Potatoes with herbs (without oil).
  • Cucumber and tomato salad.

Afternoon snack:

  • Nuts (several pieces).

Dinner:

  • Braised turkey with lemon and herbs.
  • Whole grain buckwheat quiche.

Day 3:

Breakfast:

  • Egg white omelette with mushrooms (fat free).
  • Oatmeal on water with berries.

Afternoon snack:

  • Apple.

Dinner:

  • Fish soup (fat-free).
  • Mashed potatoes (without milk and butter).
  • Stewed spinach and broccoli.

Afternoon snack:

  • Cottage cheese with low-fat yogurt.

Dinner:

  • Chicken fillet (baked or steamed).
  • Quinoa with decoctions.

Day 4:

Breakfast:

  • Buckwheat on water.
  • Egg white omelette with herbs.

Afternoon snack:

  • Pear.

Dinner:

  • Braised turkey with onions and peppers.
  • Vegetable salad with olive oil.

Afternoon snack:

  • Almonds (several pieces).

Dinner:

  • Fish (baked or steamed).
  • Whole grain buckwheat quiche.

Day 5:

Breakfast:

  • Egg white omelette with spinach and tomatoes (fat free).
  • Whole grain toast with honey.

Afternoon snack:

  • Berries (such as strawberries or raspberries).

Dinner:

  • Chicken soup with vegetables (fat-free).
  • Mashed potatoes (without milk and butter).
  • Boiled cauliflower.

Afternoon snack:

  • Buckwheat with boiled chicken.

Dinner:

  • Braised turkey with herbs and lemon.
  • Quinoa.

Day 6:

Breakfast:

  • Hercules on water with nuts and honey.
  • Egg white omelette with mushrooms.

Afternoon snack:

  • Apple.

Dinner:

  • Fish broth (fat-free).
  • Mashed potatoes (without milk and butter).
  • Cucumber and tomato salad.

Afternoon snack:

  • Cottage cheese with low-fat yogurt.

Dinner:

  • Chicken fillet (baked or steamed).
  • Whole grain buckwheat quiche.

Day 7:

Breakfast:

  • Egg white omelette with vegetables (fat free).
  • Oatmeal on water with berries.

Afternoon snack:

  • Pear.

Dinner:

  • Braised turkey with onions and peppers.
  • Vegetable salad with olive oil.

Afternoon snack:

  • Almonds (several pieces).

Dinner:

  • Fish (baked or steamed).
  • Whole grain buckwheat quiche.

These are just examples of dishes that can be included in the menu for gallstone disease. The main thing is to avoid fatty, spicy, fried foods and products that can cause an exacerbation. Be sure to consult a doctor or nutritionist to develop an individual nutrition plan that takes into account your needs and health condition.

Diet for gallstone disease after surgery

After gallbladder surgery (cholecystectomy), a special diet may be required to facilitate the body's adaptation and prevent gallstone recurrence. Here are the recommendations for a diet after gallbladder removal:

  1. Following the general principles of diet #5: After gallbladder surgery, it is also recommended to follow the basic principles of diet #5 as described above. This includes limiting fatty and spicy foods, moderate protein and carbohydrate intake, more vegetables and fruits, and dividing food into small portions.
  2. Reduce fatty digestion: After gallbladder removal, bile is secreted continuously rather than being stored and released when needed. Therefore, it is important to avoid excess fatty foods to prevent unpleasant digestive symptoms such as diarrhea and abdominal pain. Avoid fatty dairy products, fatty meats, fast food, and fried foods.
  3. Moderate Protein Intake: Choose lean and low-fat sources of protein such as fish, chicken, turkey, low-fat cottage cheese and beans.
  4. Introduce new foods slowly: After surgery, you may need to introduce new foods slowly to assess how they affect your condition and digestion. Start with light, low-fat foods and watch your body's response carefully.
  5. Drink: Drink enough water throughout the day to maintain normal bowel movements and prevent constipation.
  6. Avoiding Alcohol and Carbonated Drinks: Alcohol and carbonated drinks can cause discomfort and unwanted symptoms and should be avoided.
  7. Gradually increase fiber: As your body adapts to the changes in bile duct function, you can gradually introduce more fiber into your diet. High-fiber vegetables and fruits can be helpful in normalizing digestion.
  8. Follow your doctor or dietitian's recommendations: It is important to follow the recommendations given to you by your doctor or dietitian, as they may be tailored to your individual needs and the specifics of your condition.

After gallbladder surgery, your diet may need to be adjusted to suit your needs and reactions to certain foods. It is important to discuss your diet with your healthcare professional and follow their recommendations to ensure successful adaptation to the new conditions of your body.

The diet for gallstone disease after surgery includes only boiled lean meats and fish, dried, not fresh wheat bread. Vegetable dishes - in the form of mashed potatoes.

Post-operative menu:

  • 1 breakfast: protein omelette (220 g), tea.
  • 2nd breakfast: natural cottage cheese with sugar (200 g).
  • Lunch: pureed oatmeal soup (200 ml), carrot or potato puree (200 g).
  • Afternoon snack: applesauce (200 g).
  • Dinner: boiled fish (200 g), kefir with sugar (200 g).

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Folk remedies for gallstone disease

Gallstones can be an unpleasant and painful condition. It is important to note that home remedies cannot completely replace the treatment that a medical professional can offer. However, some home remedies can help reduce the symptoms and discomfort of gallstones. Here are some of them:

  1. Eating Right: Following a low-fat diet, such as Diet #5, can help reduce the risk of new gallstones and relieve symptoms. Limiting animal fats, fast foods, fried foods, and spicy foods can be helpful.
  2. High-fiber diet: Increasing your fiber intake from vegetables, fruits, and whole grains can help improve digestion and prevent constipation.
  3. Herbal teas: Certain herbal teas may help ease the symptoms of gallstones. For example, chamomile, lemon balm, or ginger tea may help relieve cramps and abdominal pain.
  4. Nuts: Eating walnuts and almonds can help to remove bile and improve digestion. However, nuts are high in fat, so they should be consumed with caution and in moderation.
  5. Olive Oil: Olive oil is considered beneficial for the bile system. It can help improve digestion and reduce inflammation.
  6. Warm Compresses: A warm compress on the abdominal area can help relieve pain and discomfort caused by biliary spasms.
  7. Drinking Water: Regularly drinking water is important to dilute bile and prevent stone formation.

It is important to remember that before using any folk remedies, especially if you have a medical problem, you should consult with a doctor or nutritionist. They can evaluate your condition and make recommendations that are right for you. Folk methods can be useful additions to treatment, but they cannot replace professional medical intervention.

Benefits

Diet plays an important role in the treatment and management of gallstones. Its benefits include:

  1. Reducing Stone Formation: A diet high in fiber and low in fat may help reduce the risk of new gallstones forming and reduce their size.
  2. Reducing symptoms: Eating right can improve gallstone symptoms such as pain, discomfort, nausea, and vomiting.
  3. Maintaining a healthy biliary system: The diet promotes more efficient excretion of bile, which can help prevent bile stasis and gallstones.
  4. Improved Digestion: Eating right can promote easy digestion and prevent constipation and other digestive problems.
  5. Maintaining a Healthy Liver: Diet No. 5 also helps to reduce the load on the liver and maintain its functions.
  6. Reduced risk of complications: Following a gallstone diet can reduce the risk of complications such as acute gallstones or pancreatitis.
  7. Improved overall health: Eating a healthy diet overall can improve your overall health, help you maintain a healthy weight, and reduce your risk of developing other chronic diseases.

A diet for gallstone disease usually includes limiting fats, preferring lean proteins, increasing fiber intake, eliminating spicy and hot foods, dividing meals into small portions, and moderate consumption of salt and sugar. It is important to emphasize that the diet should be adapted to individual needs and recommendations of a doctor or nutritionist, and its observance should occur under their supervision.

What can and what can not?

Diet #5, also known as the "liver diet," involves certain dietary restrictions and recommendations to improve liver and biliary system function. Here are the general rules of what you can and cannot eat on Diet #5:

What is possible:

  1. Lean Proteins: Preferred protein sources include skinless chicken, turkey, low-fat fish, low-fat dairy products (cottage cheese, yogurt).
  2. Carbohydrates: Whole grains, quinoa, oatmeal, rice, buckwheat and other healthy sources of carbohydrates.
  3. Vegetables: Boiled, stewed or raw vegetables, except hot and spicy varieties.
  4. Fruits: Apples, pears, bananas, peaches and other low-fat fruits.
  5. Greens: Parsley, cilantro, basil and other green herbs.
  6. Liquid: Water, low-fat broth, low-fat juices, low-fat yogurt.
  7. Fiber: Foods rich in fiber, such as vegetables, fruits, and whole grains.

What to avoid:

  1. Fats: Fatty meats, fried foods, butter, cream, fatty cheeses.
  2. Hot and spicy foods: Pepper, mustard, horseradish and other hot spices.
  3. Alcohol: Any form of alcohol should be excluded.
  4. Carbonated drinks: Carbonated drinks can cause pain and discomfort.
  5. Coffee: Limit coffee intake, especially if it causes discomfort.
  6. Fried Foods: Avoid fried and heat-resistant foods.
  7. Preservation: Avoid canned and pickled foods as they can be high in salt and fat.

Diet #5 is designed to reduce the load on the bile system, improve digestion and support liver function. When following this diet, it is also important to consider your individual needs and the recommendations of your doctor or nutritionist, especially if you have specific medical requirements or restrictions.

Contraindications

Diet #5 may be prescribed to treat and maintain liver and bile duct health, but it is not suitable for everyone. There are contraindications that require avoiding this diet or using it with caution. Contraindications may include the following:

  1. Allergies and Food Intolerances: If you have allergies to any of the foods included in Diet #5 or if you have an intolerance to them, this may be a contraindication.
  2. Diabetes: Diet No. 5 limits sugar and carbohydrate intake, and this can affect blood glucose levels. If you have diabetes, you need to carefully monitor your sugar levels and possibly adjust your diet with your doctor.
  3. Pregnancy and Breastfeeding: During pregnancy and breastfeeding, it is important to provide the body with essential nutrients. Diet No. 5 may limit some of them, so it is important to consult with a doctor or nutritionist to develop a suitable diet plan.
  4. Conditions that require an individual approach: Some medical conditions, such as chronic digestive diseases, require an individual approach to nutrition. Your doctor will need to take into account the specifics of your condition when recommending a diet.
  5. Children and Adolescents: Diet No. 5 is intended for adults and may not be suitable for children and adolescents whose nutritional needs differ from those of adults.
  6. Complex Medical Cases: Complex medical cases, such as acute or chronic liver or biliary complications, may require more specialized treatment and nutrition.

It is important to emphasize that diet No. 5 should only be used under the supervision of a physician or nutritionist, and its implementation should take into account the individual needs and characteristics of the patient. Before starting this diet or any other diet, it is important to consult a medical professional for individual recommendations.

Possible risks

Diet #5, designed to support liver and bile duct health, is generally considered safe, but like any diet, it may have its risks and limitations. Here are some of the possible risks associated with Diet #5:

  1. Fat Deficiencies: Because Diet 5 restricts fat intake, including some healthy fats such as fat-soluble vitamins (A, D, E, K) and omega-3 fatty acids, deficiencies in these nutrients may occur. This may require taking additional vitamins and supplements.
  2. Weight Loss: Due to fat and calorie restriction, some people may lose weight. This may not be desirable for those who need to maintain their weight or gain weight.
  3. Taste Dissatisfaction: Diet #5 restricts many foods, which can cause taste dissatisfaction and reduce the enjoyment of food.
  4. Ineffectiveness: Diet No. 5 may be ineffective in some cases of gallstones or other liver pathologies. In some situations, more serious treatment may be required.
  5. Individual characteristics: Diet No. 5 is not suitable for everyone, and individual health characteristics may require individual adjustments in nutrition.
  6. Failure to follow the recommendations: If the rules of diet No. 5 are not followed, this may lead to ineffectiveness and deterioration of the condition.

It is important to emphasize that diet #5 and treatment of gallstone disease should be carried out under the supervision of a doctor or nutritionist. Before starting this diet or any other diet, it is important to consult a medical professional for individual recommendations and taking into account your medical condition.

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