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Diet for colitis
Last reviewed: 04.07.2025

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Treatment of acute colitis
Acute colitis is often combined with enteritis – inflammation of the small intestine. Acute colitis is caused by salmonella, less often by viruses. Acute colitis can also be caused by dietary disorders. Symptoms of acute colitis: nagging pain in the abdomen and a feeling of malaise with watery diarrhea. Pain in the colon area upon palpation. There may be erosions. An increase in the erythrocyte sedimentation rate is noted in the blood test.
On the first day, the patient is given plenty of fluids, unsweetened tea, from the 2nd day - a diet for colitis is prescribed, table No. 4, then 4B and 4V. Antibacterial drugs are prescribed, for example, enteroseptol.
Enteroseptol is a drug that has an antibacterial and antiprotozoal (suppressing the proliferation of protozoa in the intestine) effect. It does not have a systemic effect, it affects only the intestine. This drug is especially recommended for stopping putrefactive processes in the colon. It is effective for colitis caused by protozoa. Enteroseptol can be used in cases of intolerance to antibiotics, together with sulfonamides. Dosage: 1-2 tablets 3 times a day after meals. Gradually, the dose can be reduced to 1 tablet 2 times a day. The course of treatment is about 10 days, but should not exceed 5 weeks. Side effects: skin rashes, joint and muscle pain, runny nose, cough and inflammation of the peripheral nerves. Not prescribed to patients with persistent liver and kidney dysfunction.
Treatment of chronic colitis
With chronic colitis, the mucous membrane in your intestines becomes inflamed or atrophied. You may feel dull, aching or cramping pains that are particularly uncomfortable half an hour after eating. You may be bothered by flatulence or instability, irregularity of stool. The causes of chronic colitis can be both infectious and related to nutritional errors. Chronic colitis can accompany dyspepsia or inflammation of the pancreas - pancreatitis or be associated with uncontrolled use of antibiotics and sulfonamides.
With chronic colitis, you need to eat 6 times a day according to diet No. 4. Recommended are white bread rusks, thinly sliced, crushed, low-fat semolina, rice soups, low-fat fish, meat, green tea. In case of severe exacerbation, a "hunger diet" is useful. If you suspect chronic colitis, you need to see a gastroenterologist, because this disease can be disguised as other gastrointestinal diseases, such as pancreatitis.
Your doctor may prescribe you a course of probiotic medications, such as Hilak.
Hilak is a drug for normalizing the acid-base balance in the intestine. The main component of the drug is lactic acid. The waste products of lactobacilli included in the drug have a beneficial effect on the mucous membrane of the large intestine, which suffers from chronic colitis.
Hilak is taken before or during meals, dissolved in plenty of water, 3 times a day, 50 drops. Not used with antacids. Rarely, allergic reactions to Hilak have been noted. Hilak is safe during pregnancy.
Diet for acute and chronic colitis is the main component of treatment.
Diet for acute colitis
The diet for acute colitis for a day looks something like this:
- 1 breakfast: oatmeal porridge with water, tea.
- 2nd breakfast: a glass of jelly.
- Lunch: meat broth, meat soufflé, rice porridge with water, crackers.
- Afternoon snack: rosehip infusion.
- Dinner: steamed cod cutlets.
- At night: a glass of milk.
Low-fat poultry without skin, steamed, is preferred. Porridges are eaten from rice and semolina. Unleavened cottage cheese, blueberry jelly and cocoa on water are recommended.
Whole milk and dairy products, pickles, marinades and sour dishes are prohibited.
Diet for chronic colitis
Symptoms of such an unpleasant disease as chronic colitis: abdominal pain and constipation, which alternate with diarrhea. An attack can be provoked by fatty, spicy and cold food, food with coarse fiber.
The diet for colitis reduces inflammation, fermentation and putrefaction in the intestines. The dishes are mostly liquid, mashed, cooked in a steamer. With chronic colitis, you need to eat 5 times a day. The diet for colitis allows only white bread crackers, soups on a weak meat broth with rice broth, meatballs and egg flakes from flour products. Pasta and strong broths should be excluded. Lean beef, chicken, veal, skinless rabbit are allowed. Fatty meat and sausages are excluded. Eat lean fish, and you will have to give up fatty, salted, smoked and canned fish. Of the dairy products, you can only have unleavened low-fat fresh cottage cheese. You can eat up to 2 soft-boiled eggs or an egg white omelet per day. Rice and buckwheat are allowed. Millet and barley groats are undesirable. A patient with chronic colitis should not eat legumes. All types of snacks are excluded. No sauces, vinegar or seasonings, especially very hot ones. Cinnamon and vanillin are allowed as seasonings. Blueberry, quince and pear kissels are allowed. Grapes, apricots, coffee with milk, very strong black coffee and cocoa are also not for your table.
Outside of exacerbation, you can eat 200 g of raw apples per day. If there are signs of fermentation processes, increase the amount of protein by eating fish, meat, and cottage cheese.
Diet 4 for chronic colitis
The diet for chronic colitis recommends the following dishes:
- Thin crackers.
- Slimy soups made from rice and oatmeal with meatballs.
- Meatballs, meatballs, chicken and beef cutlets.
- Oatmeal and buckwheat porridge on water.
- Steamed omelette made from 2 eggs.
- Blueberry jelly, rosehip infusion, steamed soufflé.
You should not eat:
- Rye bread.
- Pastries made from flour.
- Soups with pasta.
- Strong broths.
- Meat in pieces.
- Fatty fish.
- Caviar.
- Whole milk.
- Hard boiled eggs.
- Fried eggs.
- Pearl barley.
- Beans.
- Peas.
- Natural fruits.
- Honey.
- Candies.
- Grape, apricot juices.
Patients with chronic colitis are recommended to eat small meals frequently. The last meal should be no later than 8:00 PM. The bulk of the food should be eaten at lunch, and dinner should be very light. A second breakfast and afternoon snack are mandatory.
Diet 4a for chronic colitis
The diet for chronic colitis in the acute stage (table 4a) limits the content of carbohydrates (porridge, sugar) in the diet.
The following products are welcome on the patient's table: stale crackers, mashed cottage cheese, one soft-boiled egg, slimy soups, boiled fish, chopped meat (instead of bread, put rice in cutlets), currant and blueberry decoction and kefir, dry biscuit, mashed vegetables, steamed, non-acidic sour cream, yogurt, kissels and tea, cocoa.
Diets for different types of colitis
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Diet for ulcerative colitis
Ulcerative colitis is an inflammatory, mainly autoimmune, bowel disease. The patient's diet should be dominated by proteins. The main sources of protein are fish and cottage cheese, lean meat, soft-boiled eggs and protein omelettes. You can add 10 g of butter to the dishes. Fats are limited. Dishes are not fried. Liquid rice porridge on water, warm jelly and rosehip broth, ripe fruits and vegetables in the form of puree are very useful. The diet for colitis involves fractional meals 5-6 times a day. The last meal is at 8 p.m. Dinner should be very light. Do not eat fatty meat and mushrooms, spicy dishes, salty dishes, plums, coffee, chocolate, sauces, popcorn, do not drink alcohol and soda.
Diet for colitis with constipation
Compliance with nutrition principles is an important component of treating colitis with constipation. Food is taken 5 times a day. Products should be chopped, they should not be hard. The basis of the diet is unsweetened cookies, soft cheese, kefir. Lightly fried cutlets, meatballs, strained porridge mixed with milk, cereal soups on meat broth, strained vegetables and compotes, boiled fruits and vegetables are allowed. They are rich in fiber and help in the fight against constipation. The consistency of dishes is liquid. It is permissible to consume 15 g of salt per day.
What you can't do:
- Sweets (chocolate, creams).
- Smoked meats, marinades.
- Sausages.
- Legumes.
- Whole milk.
- Fried dishes.
- Soda.
- Alcohol.
Diet for colitis with diarrhea
Unsystematic nutrition, fried food and helminthic invasions often lead to the development of colitis with diarrhea. The stool of patients with colitis is usually dense or unstable, that is, constipation alternates with diarrhea. Patients are bothered by rumbling in the stomach, belching and migraines. Wheat bread, crackers and finely chopped boiled vegetables (potatoes, zucchini, pumpkin) are allowed. The best meat is veal and chicken. Boiled bream and cod, zucchini, pumpkin and boiled or baked green peas are useful. You can eat 3 soft-boiled eggs per day. Hard-boiled and fried eggs are prohibited. You can cook an omelet steamed and in the oven. Desserts include cottage cheese puddings, jelly, compotes and mousses, marshmallows, pears and rosehip broth, cinnamon as an additive to sweet dishes.
The diet for colitis prohibits the following products: rye bread, fresh white and black bread, products made from puff pastry and yeast dough, milk soups, borscht, cabbage soup, fatty meats, goose, duck, game, sausages, salted fish, milk, salted cheese, processed cheese, sausage cheese, pigtail cheese, beets, radishes, garlic, rutabaga, sorrel, horseradish, sauces, apricots, ice cream, cakes, plum juice, alcoholic beverages, kvass and coffee.
The diet should be followed for about a month. During the remission period, soups with meat broth, boiled and raw vegetables are allowed. Alcohol, smoked meats, radish, rutabaga, pepper, horseradish, beef fat, hot sauces, mayonnaise, kvass and coffee are excluded from the diet.
Diet for spastic colitis
For spastic colitis, the following dishes are recommended:
- Porridge, cream soup, vegetable puree, fruit puree, jelly, mousse, kissel, baked and boiled lean fish, baked and boiled lean meat steamed and in water. This can be eaten if colitis is accompanied by diarrhea.
- If you are constipated, eat raw vegetables and fruits, fruit juices, vegetable juices, baked pumpkin.
- Brew anise seeds and drink instead of tea. You need 1 teaspoon of seeds per glass of water. The pain will go away and the release of gases will stop.
To combat spastic colitis, it is very important to avoid irritation and nervous tension. Live and enjoy what each new day brings!
Diet for catarrhal colitis
The diet for colitis in the initial, catarrhal stage should contain all the necessary substances, but be gentle on the intestinal mucosa. The first two days, it is generally advisable to fast, drink only tea, mineral water and rosehip decoction. In the future, meals should be frequent (up to 6 times a day), but in small portions. Nutrition is aimed at preventing rotting processes in the intestines. Food should be boiled and chopped, milk, smoked meats, legumes are excluded from the diet. Kissels, boiled vegetables and crackers, on the contrary, will benefit your health.
Diet for atrophic colitis
The diet for colitis with atrophy of the intestinal mucosa is aimed at reducing the acidity of gastric juice, it mechanically spares the mucosa by eating small portions 6 times a day in pureed form, without coarse fiber. The distribution of the diet is as follows: the daily diet is 100 g of protein, 100 g of fat and 400 g of carbohydrates.
Fatty meat, baked goods, duck, goose, lamb, grapes, fatty bread, fatty fish, raw vegetables and fruits are prohibited for patients with atrophic colitis. For breakfast, it is good to eat applesauce with lemon juice, for a second breakfast - porridge-smear of buckwheat or oatmeal. For lunch - wheat bread, cabbage soup from fresh cabbage or vegetable soup, boiled meat or tongue with porridge on water.
You cannot eat fresh bread, milk, pea soup, salty, fatty, spicy dishes, onions, radishes, peppers, fresh berries and cream products.
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Diet for erosive colitis
The diet for colitis with ulcers should contain an increased amount of proteins. They are found in meat, eggs, cottage cheese. Milk is contraindicated, and only lean meat is allowed. Semolina and rice porridge, rosehip decoction, weak tea with crushed crackers are possible. Fruits are consumed mashed, in the form of puree. Boiled meat and white yesterday's bread are recommended. Dairy products are poorly tolerated. Anything fatty, chocolate, creams, mushrooms, plums are excluded.
Diet for pseudomembranous colitis
A diet for colitis requires increased protein and decreased fat. With pseudomembranous colitis, you should avoid such foods as sausages, fresh bread, fatty meats, smoked and salted foods, legumes, millet, coffee with milk, ice cream, scrambled eggs, kvass, apricot juice and apricots, grape juice and grapes. You can only eat boiled vegetables. Pears and plums should be baked. Soups are eaten in the form of creams and purees, bread is eaten dried or yesterday's, in the form of crackers. It needs to be soaked. You should not eat very hot dishes and cold desserts. Fruit juices are diluted with water, and pears and apples are peeled and seeded. You will have to give up fatty, fried and smoked foods.
Diet for exacerbation of colitis
The diet for colitis in the acute stage of the chronic process includes products that are gentle on the intestinal mucosa: stale bread, mashed berries and juices mixed with boiled water, fresh cheese, rosehip decoction, meat in pieces, unmashed boiled vegetables, meat pies, cheese pies, jams, tea with milk, coffee with milk. Black bread, sausages, radish, sorrel, onions, garlic, apricots and melons are excluded. Eat 50 g of fresh apples before meals.
Diet for colitis and enterocolitis
The diet for colitis and enterocolitis is selected by the attending physician, who takes into account the severity of the inflammatory process in the intestine. For colitis and enterocolitis without increased fermentation and putrefaction, diet 4 is prescribed. The patient is given strong tea without milk, cottage cheese strained through a sieve, sour milk, oatmeal and semolina soups. Minced meat in the form of meatballs and quenelles can be included in the menu. Rice and semolina porridge on water and stale bread are allowed. Cherry kissels are useful drinks, as well as blackcurrant jelly. Raw vegetables, unpeeled fruits and raisins should be limited if there is intense fermentation in the intestine. The patient can be given meat cutlets without bread. During remission, a little milk can be added to the porridge, for example, a mild tomato.
Diet for gastritis and colitis
Diet for colitis and gastritis is a dietary table according to Pevzner 2. You can eat tea, cocoa, sour milk, low-fat chopped herring, milk in dishes, cream, butter, omelette, fish, vegetarian, cereal soups, fish fried without breading, chopped chicken, mashed cereals, vegetables, mashed fruits, sweet dishes without cream, compotes, kissels, mousses, jelly, fish sauces. For breakfast, you should definitely eat a soft-boiled egg, and for lunch, mashed vegetable soup or cereal soup. The role of first courses in therapeutic nutrition for gastritis and colitis is very great. Do not eat on the run, dry food, do not get distracted during meals.
Diet for colitis in children
The diet for colitis in children should be physiological, contain enough protein, exclude intestinal irritants and products that cause rotting and fermentation in it. These are smoked dishes, everything fried, whole milk, fatty meat, cabbage, beans and onions. All dishes should be boiled and mashed. Fasting days are useful for diarrhea. If the child is prone to constipation, it is useful to add more chopped boiled beets to his table. Weak broths, soft-boiled eggs, and jelly are useful. Make your child freshly squeezed apricot juice if he suffers from constipation. Citrus fruits are excluded. Cream is useful. Make sure that the little sweet tooth does not reach for sweets. Use potato juice - give the baby ½ a glass half an hour before eating.
The diet for colitis depends on its form, is maximally sparing to the intestinal mucosa and helps to recover faster if it is carefully followed.