Diet in gastritis with low gastric acidity: menu for each day

The peculiarity of this disease is that a necessary condition for successful treatment is compliance with certain nutritional rules. This should become the norm of life, and patients who want to achieve maximum efficiency from treatment measures will have to put up with some restrictions. Dietary nutrition with insufficient acid formation can have a significant impact on the clinical course of the disease, as well as correct its general direction and the development of complications.

A lack of hydrochloric acid reduces the protective and digestive functions of the gastric juice, indigestion and fermentation of food in the stomach begins, which causes a feeling of heaviness, nausea, pain, belching and other unpleasantness. Naturally, gastroenterologist patients with insufficient acid formation have a question: what products increase the acidity of the stomach and, moreover, do not irritate the mucous membrane of the diseased organ? Table No. 2 satisfies these conditions. After an exacerbation of hypoacid gastritis, the stomach especially needs a gentle diet that does not irritate its epithelium for about a month. At the same time, the diet should include products that stimulate the production of hydrochloric acid and digestive enzymes. They should contain potassium, sodium, calcium and magnesium in significant quantities.

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Products for low stomach acidity

Table No. 2 includes a full set of dishes with an average degree of activation of the process of gastric juice production. This is a light diet, including food products, crushed to varying degrees and subjected to various culinary processing - steamed, boiled, stewed, baked, even fried, however, not breaded, since there should be no crispy, irritating mucous membrane, crust. Foods rich in fiber are consumed in puree form.

Bread - preferably wheat, a little rye is possible, but it should be taken into account that it has an irritating effect on the gastric mucosa. The bread should not be fresh, you can eat white unleavened croutons. Baked goods from unleavened dough are allowed, in no case warm, better - yesterday's: buns, cookies, cheesecakes, pies - with potato, rice, meat, fish filling, jam and apples.

You can eat pasta and easily digestible cereals: semolina, wheat, oatmeal, buckwheat, rice. They need to be well boiled in water, if tolerated - add milk.

Liquid dishes are prepared for the first course, the components of which are easily digestible. Cream soup, soups and borscht, preferably vegetarian, with mashed vegetables or chopped into small pieces, meatballs, noodles, boiled cereals. Broths activate the production of gastric juice, but strong ones irritate the inflamed mucous membrane. Therefore, first courses are prepared on a secondary broth (draining the broth that has boiled the first time with foam) from lean meats or fish. Boiled meat (fish), if desired, can be used to prepare second courses or, after chopping, added to the soup.

Products containing animal proteins stimulate the production of digestive enzymes and hydrochloric acid. They are consumed steamed and stewed, as well as fried and baked, but without crust, and are prepared from fillets of lean meat, poultry, and lean fish.

It is allowed to eat soft-boiled eggs (no more than one per day), omelettes - regular and protein.

Vegetable purees, casseroles, stews, cutlets must be included in the diet. Boiled, baked, stewed dishes can be prepared from almost any vegetables. Mashed potatoes are a very dietary and healthy food, satisfying the need for carbohydrates, potassium and phosphorus and stimulating the production of gastric juice. Pumpkin can also be present in the diet of a patient with hypoacid gastritis in the form of porridge, preferably with rice, not with millet, or puree. It is allowed to eat salads from fresh ripe tomatoes, boiled (steamed, baked) vegetables with meat, fish, eggs. Onions and garlic, pickles (cucumbers, cabbage) are not added to salads. You can sprinkle food with finely chopped herbs.

Cabbage, zucchini, carrots, cucumbers, tomatoes, beets, cauliflower and green peas increase stomach acidity. There may be restrictions on cabbage, which even after heat treatment often causes bloating, colic, and flatulence. Green peas can also cause intolerance.

Raw vegetables are consumed in pureed form or as vegetable juices. Freshly squeezed cabbage, carrot, tomato juices taken on an empty stomach stimulate acid formation and saturate the body with vitamins, which are perfectly absorbed in this form. Potato juice and pumpkin juice, on the contrary, neutralize acidity, therefore, they are contraindicated in hypoacid gastritis.

With this form of the disease, milk intolerance often develops. You should not rely on this product, since it stimulates fermentation processes. On the contrary, sour milk, kefir, fermented baked milk, hard non-spicy cheese, grated or sliced, dishes from low-fat cottage cheese should be present in the patient's diet as a source of calcium, which is necessary for the body. Fermented milk drinks are, in addition, natural probiotics and help prevent dysbacteriosis. Sour cream, cream and whole milk can be added little by little to cooked food.

Desserts: fruits that increase stomach acidity, almost all that do not cause adverse reactions from the gastrointestinal tract and allergies. You can prepare
fruit and berry puree from fresh ripe fruits, peeling off the hard skin. Berries such as raspberries, red currants, which have many hard seeds, are not recommended, or the seeds must be removed through a fine sieve during cooking. Fruits of a very soft puree consistency can be left unstrained. Jelly and baked apples are very well absorbed and do not cause irritation. Citrus fruits (lemon, grapefruit, orange, tangerine) - add to tea or jelly. If there is no intolerance - citrus fruits, watermelon, grapes without skin no more than 200g per day. You can use: honey, sugar, jams, preserves. Confectionery - marshmallows, meringues, creamy caramel and milk toffee, marmalade and pastille. However, do not overdo it if you consume honey, and especially if you regularly use it for medicinal purposes, then other sweets should be excluded. The easiest way, if there is no intolerance, is to take a tablespoon of honey 10 minutes before meals, you can dissolve it in cold water and drink it. The dosage should not exceed 150 g of honey per day, given that a tablespoon holds 30 g of thickened and 35 g of liquid honey. During treatment, you cannot eat other sweets except honey, the duration of apitherapy is from one and a half to two months.

Fats that can be consumed include butter (fresh and melted) and vegetable oils, added to prepared foods and used in cooking.

Sometimes, if you wish, you can treat yourself by preparing forshmak from well-soaked herring, jellied meat (fish, tongue), liver pate, black caviar. Table No. 2 allows for the use of doctor's and milk sausages, milk sausages.

The dishes are served with broth sauces, sour cream, lemon with dill, parsley, celery, bay leaf, cinnamon and vanilla.

Food should always be freshly prepared and with a minimum amount of salt (≈12 g per day). It is necessary to eat small portions from five to seven times a day and chew food thoroughly. Consumption of chopped food should be limited to one to two months after an exacerbation. When the state of health normalizes after consulting a doctor, changes can be made to the diet.

For gastritis with low acidity, you can drink green tea, tea with lemon, cocoa and coffee, boiled in water and with milk. Compotes (including dried fruit), sour kissels, vegetable and fruit juices (diluted with water 1:1), decoctions and infusions of medicinal herbs.

For medicinal purposes, teas that increase stomach acidity, improve digestion and increase appetite are drunk before meals and brewed as follows:

1. Green tea. Take a tablespoon of tea leaves, rinse with hot boiled water, pour 300 ml of hot water (≈80°C), leave for half an hour, put the teapot in a saucepan with hot water and keep it on low heat for one hour, strain and take two tablespoons about fifteen minutes before meals.
2. Anise tea. Pour a teaspoon of anise seeds into a thermos and pour 250 ml of boiling water. Leave for 2-3 hours. Strain and drink ¼ cup three times a day before meals. This tea has the ability to inactivate Helicobacter, and also has a relaxing effect on the muscles of the gastrointestinal tract.
3. Ivan-tea. It relieves inflammation well and coats the mucous membrane of the gastrointestinal tract. If Helicobacter pylori or erosions are detected, this tea is simply irreplaceable. Its leaves contain carotene and vitamin C, which is three times more in this plant than in oranges. It is effective in metabolic and hematopoietic disorders, normalizes the digestive process (it can eliminate upset stomach and constipation), these properties are very valuable for chronic gastritis with low acidity. Tea brewed from the leaves of this plant stimulates the restoration of the damaged gastric mucosa, has a strengthening and tonic effect on the body. Ivan-tea is prepared for hypoacid gastritis as follows: 60 g of leaves are poured with a liter of water, brought to a boil, and filtered after half an hour. Drink 150 ml before each meal until the discomfort in the stomach area completely disappears.

Juices that increase stomach acidity are made from almost all fresh fruits, berries and vegetables, with the exception of potatoes, pumpkin and grapes, which are definitely contraindicated in hypoacid gastritis.
Mineral water for low stomach acidity should not be carbonated. For gastritis with low acidity, sodium chloride mineral water is recommended. For example, "Kuyalnik" (mineralization 3.5 g / l) or "Mirgorodskaya", it is less mineralized (from 2.5 to 3.2 g / l) and can be drunk as table water.

A good option is sodium chloride mineral water "Essentuki-4", "Essentuki-17", it can be consumed regularly, 20 minutes before meals, after pouring it into a glass and letting the gases out, since this water is not non-carbonated.

Menu for low stomach acidity

A sample diet for six meals might look like this.

Monday

1. Veal (beef) meatballs with buckwheat porridge cooked in water, jelly
2. Toasted white bread with butter and cheese, weak tea with milk
3. Potato soup with veal broth and croutons, rice with boiled veal, compote
4. Baked apples, mineral water
5. Jellied fish, bread, weak tea
6. A glass of kefir

Tuesday

1. Cottage cheese casserole, weak coffee with milk
2. Kissel with crackers
3. Vegetarian borscht (you can add a spoonful of sour cream if you wish), stewed fish with vegetables, mineral water
4. Biscuits, green tea
5. Noodles with steamed chicken cutlets, baked beet salad with vegetable oil and a few drops of lemon juice, weak tea with milk
6. A glass of ryazhenka

Wednesday

1. Oatmeal with butter, cheese, cocoa with milk
2. Soft-boiled egg, green tea with lemon
3. Vermicelli soup cooked in a weak chicken broth, protein omelette, bread, compote
4. Pancakes, weak tea with milk
5. Chicken baked with vegetables, rosehip decoction
6. A glass of kefir

Thursday

1. Fried fish cakes, weak coffee
2. Fresh apple puree, dry biscuits
3. Rassolnik with pickle brine and rice, boiled chicken with mashed potatoes, tea
4. Pancakes with sour cream, cocoa and milk
5. Rice pudding, rosehip decoction
6. A glass of kefir

Friday

1. Pancakes with cottage cheese, coffee with milk
2. Semolina porridge with butter, jelly
3. Vegetable soup, navy-style macaroni, compote
4. Apple pie, rosehip decoction
5. Vegetable stew with turkey, tea with lemon
6. A glass of sour milk

Saturday

1. Steamed meat patties, mashed potatoes, cocoa with milk
2. Liver pate, bread, tea
3. Buckwheat soup with weak beef broth, meatballs with pasta, jelly
4. Afternoon snack: baked apples or fresh fruit puree
5. Dinner: fried or baked fish with boiled potatoes, rosehip infusion
6. A glass of kefir

Sunday

1. Noodle pudding baked with cheese, green tea with lemon
2. Rice casserole with fruits, cocoa and milk
3. Broth with meatballs, vegetable stew with meat, compote
4. Yesterday's bun, rosehip decoction
5. Jellied tongue, bread, weak tea
6. A glass of kefir

The patient may be prescribed different diets, which are subject to correction depending on the phase of the disease and concomitant pathologies.

What should you not eat if you have low stomach acidity?

Usually, during an appointment, the doctor tells the patient what he or she should not eat if he or she has an illness. However, there is often too much information, and it is not possible to remember everything at once.

In case of gastritis with low acidity, it is necessary to abstain from all kinds of fresh baked goods, not only from rich and fatty dough, but also from unleavened dough. Limit the consumption of products containing rye flour.

Excluded from the diet:

• hot spices and sauces with high fat content;
• canned, smoked and salted meat, fish and products made from them;
• animal and combined fats, lard;
• fresh fruits and berries with rough skin and hard seeds (blackberries, raspberries, figs), chocolate, confectionery with cream, ice cream;
• fermented milk products with a high degree of acidity, restrictions on the consumption of sour cream;
• sharp and specific types of cheese, such as Roquefort;
• vegetables, raw and not chopped, marinated, canned vegetables and pickles, onions and garlic, radishes and horseradish, sweet peppers, rutabagas and mushrooms, beans, kidney beans and peas; use cucumbers - with great caution;
• grape juice, kvass;
• fatty meats, poultry, fish, smoked and salted foods, hard-boiled eggs;
• milk soup, okroshka.

Dishes made from hard-to-digest foods, very cold and scalding hot foods, spices, carbonated drinks and, of course, alcoholic drinks are eliminated from consumption.

Limit consumption of porridge made from millet, pearl barley and corn grits.