Diet in gastritis with hyperacidity

For any gastrointestinal disease, it is extremely important to follow certain dietary rules, so a diet for gastritis with high acidity is a mandatory element of successful therapy for inflammation of the gastric mucosa.

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Indications

Indications for prescribing the diet are hyperacid gastritis diagnosed based on the results of determining the pH level of gastric juice, accompanied by typical symptoms (heartburn, pain in the stomach, belching, flatulence), as well as an exacerbation of the chronic form of this disease.

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General information gastritis with hyperacidity

Dishes for gastritis with high acidity are boiled, steamed (or cooked in an electric steamer), stewed or baked in the oven.

There are practically no special recipes for gastritis with high acidity: it is easy to cook porridge (the cereal needs to be well boiled), meat or vegetables, or prepare the simplest vegetable soup or cream soup.

If vegetarian soups for gastritis with high acidity are not to your taste, you can put separately cooked finely chopped meat or chicken and a teaspoon of low-fat sour cream in a plate.

All salads for gastritis with high acidity should be prepared from boiled vegetables (no canned peas or corn!) and seasoned with vegetable oil (no mayonnaise!). See the publications - Diet for high stomach acidity and Diet for exacerbation of gastritis

The breakfast menu for gastritis with high acidity usually includes milk porridges seasoned with butter (oatmeal, buckwheat, semolina, rice); steamed cheesecakes or lazy vareniki with low-fat sour cream; omelette (steamed); soft-boiled eggs (two eggs every other day).

The lunch menu may consist of vegetable soup; boiled meat or steamed cutlet (with pasta or mashed potatoes as a side dish); steamed fish with stewed vegetables; potato casserole with boiled meat. For an afternoon snack, you can drink tea with crackers or jelly with cookies, eat a couple of baked apples or yogurt. And the dinner menu for gastritis with high acidity may include a mass of low-fat cottage cheese, a sandwich from yesterday's loaf with butter and low-fat cheese, baked fish with vegetable puree, sausage and a salad of boiled beets with sour cream, etc.

The menu for exacerbation of gastritis with high acidity differs in that preference is given to pureed soups and mashed porridges in water or diluted milk; bread is excluded, and salt is limited to 8 g per day.

Benefits

The benefits of diet for patients were recognized even in ancient medicine: Hippocrates said: “Let food be your medicine,” and the Roman physician Galen believed that a good doctor should also be a good cook.

In acid-dependent pathologies of the gastrointestinal tract, in particular, when the stomach produces an excess amount of hydrochloric acid, the essence of the diet is to minimize gastric secretion and to maximally reduce the chemical (and in case of exacerbation - mechanical) impact of the food consumed on the inflamed gastric mucosa.

When choosing food products for gastritis with high acidity, you should be guided by the recommendations of the Pevzner therapeutic nutrition system, according to which you need to adhere to diet No. 1 with a maximum daily caloric content of 3000 kcal. With an equal volume of proteins and fats consumed per day (100 g each), the amount of carbohydrates should not exceed 450 g per day; five meals a day in small portions. Snacks for gastritis with high acidity have an extremely negative effect on the condition of the damaged gastric mucosa, for this reason - when five meals a day are not enough - eat six to seven times, while proportionally reducing the volume of portions.

Dishes for gastritis with high acidity should be prepared by regular boiling or steaming, stewing or baking.

And the diet for exacerbation of gastritis with high acidity is diet No. 1a, which not only limits the total caloric content (up to 1980 kcal) and the amount of carbohydrates (up to 200 g), but also involves chopping food, that is, eating dishes such as mashed porridge, cream soup, pudding, etc.

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What can and what can not?

So, what can and cannot be eaten if you have hyperacid gastritis?

The following are prohibited: any fatty meat and poultry; salted and smoked lard and bacon; canned meat; salted and smoked fish, including herring; canned and preserved fish; black and red caviar, as well as seafood - shrimp, mussels, squid, etc.

Fresh bread and pastries, black bread; legumes; bran, millet, pearl barley and corn porridge; fermented milk products, heavy cream and sour cream; sharp rennet cheeses; ice cream and confectionery will not be beneficial for the gastric mucosa.

Fresh white cabbage and sauerkraut (as well as all vegetable pickles and marinades), Brussels sprouts, radishes and horseradish, spinach and sorrel, tomatoes and paprika, onions and garlic, fresh fruits with coarse fiber, citrus fruits and sour berries are excluded from the menu.

You will have to give up dishes such as borscht, soups with meat and fish broth, chicken broth, mushroom soup, bean and pea soup, rassolnik, vinaigrette, head cheese and aspic, shashlik and pelmeni.

Tarragon, black pepper, turmeric, ginger and other spices are absolutely contraindicated for gastritis with high acidity. As well as mayonnaise, mustard, horseradish, tomato, mushroom and soy sauce. It is strictly forbidden to eat fast food.

And the list of permitted products for gastritis with high acidity, included by nutritionists, includes:

• dried out bread made from wheat flour, crackers, baked pies with neutral filling (no more than twice a week), yeast-free pancakes or fritters (once a week);
• lean beef, beef tongue, rabbit, young turkey, skinless chicken breast or fillet, chicken liver - boiled, stewed, baked in portions or in the form of steamed cutlets;
• vegetable oil (sunflower or olive), unsalted butter;
• low-fat cooked sausage or dairy sausages (no more than 60 g per day);
• lean fish – cod, tuna, trout, pike perch – boiled and in the form of steamed fish cakes;
• hard, mild cheeses with 30% fat content (maximum 30-45 g per day);
• non-acidic cottage cheese and natural yoghurts with 3.2% fat content;
• chicken and quail eggs - soft-boiled, omelette with milk or cream;
• porridge (semolina, buckwheat, oatmeal, rice);
• durum wheat pasta (which is added to soup or served as a side dish for the second course);
• potatoes (boiled, baked or mashed, fried is prohibited);
• carrots and beets (boiled);
• cauliflower and zucchini (stewed or steamed);
• pumpkin (puree, as well as in porridge or desserts);
• sweet apples (including baked), ripe pears (without skin), peaches, melons, bananas.

What can and cannot be drunk with gastritis with high acidity

Most patients are helped by alkaline - chloride-sulphate-hydrocarbonate or hydrocarbonate-sodium mineral water for gastritis with high acidity, such as: Naftusya, Polyana Kvasova, Svalyava, Essentuki, Borjomi. Just before drinking, you should pour water into a glass in advance so that carbon dioxide comes out.

You can drink green tea, weakly brewed black tea, natural sweet fruit juices (after diluting them with water 1:1), dried fruit compote, and jelly.

But kefir (and all fermented milk drinks), natural black coffee, cocoa, carbonated water and rosehip infusion increase the acidity of the stomach and can intensify the symptoms of hyperacid gastritis.

As for milk, which domestic gastroenterologists traditionally recommend drinking at night for hyperacid gastritis, its fat content should be at least 2.5%, and it should be slightly warmed up before consumption. At the same time, many foreign experts believe that calcium, casein and whey milk proteins can stimulate the release of additional hydrochloric acid in the stomach and thereby increase the symptoms of gastritis. In addition, fresh milk has a slightly acidic reaction (pH 6.68), so patients with gastritis should decide on the use of milk based on their individual reaction to this product.

It is important to remember that it is not recommended to drink anything immediately after eating; drinking liquids should be postponed for at least an hour after eating.

Any alcohol is absolutely unacceptable for gastritis with high acidity (vodka, champagne, white and red wine, beer). Also remember that smoking is very harmful to the gastric mucosa for gastritis with high acidity.

Contraindications

Contraindications to this type of fasting are concomitant diseases of the cardiovascular and endocrine systems, infectious and viral diseases (tuberculosis, hepatitis), oncology, severe anemia, VSD, childhood and old age.

According to gastroenterologists, if the principles of therapeutic nutrition are followed by patients with gastrointestinal diseases, including acid-dependent ones, complications are not observed, and there are no risks associated with the diet.

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How to lose weight with gastritis with high acidity?

Gastroenterologists warn: it is dangerous to have a fasting day for gastritis with high acidity, but if the disease is chronic and there is no exacerbation, then with excess body weight one day a week you can eat oatmeal cooked in water and drink a lot (at least 1.5 liters) of water.

But one- or two-day fasting for gastritis with high acidity is allowed in the event of the first symptoms or exacerbation of chronic hyperacid inflammation of the stomach. And, of course, such fasting does not pursue the goal of losing weight.

Patients are advised to drink at least 2.5 liters of water during the day; this can be alkaline mineral water without gas. On the third day, food intake is limited to slimy soup on water, strained porridge and jelly made from sweet berries. This should be done for two more days, after which boiled meat and fish, cottage cheese, eggs and vegetables are returned in small portions.