Diet with pyelonephritis

In the complex therapy of acute and chronic pyelonephritis, the system of therapeutic nutrition is not the last place. Therefore, all patients with this diagnosis are prescribed a diet with pyelonephritis.

Pyelonephritis is an inflammatory disease of the kidneys of bacterial etiology, which affects the internal (connective) tissues of the parenchyma and the structure of this organ (pelvis). The inflammatory process leads to functional malfunctions in the functioning of the kidneys: a violation of urinary outflow, stagnation of venous blood and lymph. 

[1], [2], [3]

Diet for chronic pyelonephritis

Drug treatment of pyelonephritis, including the chronic form of this disease, is aimed at stopping the inflammatory process and restoring the normal passage of urine through the urethra. The effectiveness of treatment depends on many factors, among which an important role is played by a temporary decrease in the load on the kidney affected by inflammation, observance of the water-salt balance (to reduce arterial hypertension and edema), and stimulation of excretion of nitrogenous slags from the body. This is the purpose of diet 7 with pyelonephritis, which is prescribed to patients with chronic pyelonephritis (outside the periods of exacerbation), as well as during the remission of acute pyelonephritis.

The daily protein content in this diet is limited to 80 g, fats - up to 90 g. At the same time, at least 70-80% of proteins must have an animal origin, and up to 25% of fats must be plant. The daily amount of carbohydrates consumed in this diet for pyelonephritis can be 450-500 g (90-100 g of sugar). The total energy value of 4-5 meals a day does not exceed 2800-2900 kcal, and the allowable amount of table salt is limited to 5-6 grams. In addition, the volume of liquid consumed during the day (including in the first courses) is 1 liter. Individually, this amount is adjusted depending on the daily diuresis of the patient.

Observing the therapeutic diet 7 with pyelonephritis, you can drink a weak black and green (with sugar or honey); compotes and kissels; decoction of wild rose berries; milk, kefir and curdled milk (with a low percentage of fat content). You can not drink cocoa, coffee, carbonated and alcoholic drinks and mineral water with sodium.

The allowable amount per day: bread, baking, cookies - no more than 400 g; chicken eggs - 2 pieces; meat and poultry (lean boiled, baked or stewed) - 150 g. Categorically it is contraindicated to eat fatty and fried, spicy and smoked. Food should be cooked or stewed, and it is best to cook for a couple.

[4], [5], [6]

Diet with acute pyelonephritis

At the beginning of the disease, when the pain and temperature in the lower back are felt, the diet with acute pyelonephritis prescribes drinking at least 1.5-2 liters of liquid (water, compote, juice, tea with lemon, broth of wild rose) during the day. As noted by urologists, it helps to wash the urinary tract.

However, during the exacerbation of the disease, the volume of fluid should be limited: for a day the volume of the drink should be equal to the volume of urine output.

The recommended diet for patients with acute pyelonephritis, as well as a diet for exacerbation of pyelonephritis is the 7A salt-free diet, in which the minimum amount of proteins (20 g per day), the amount of fats is reduced to 80 g (of which 15% vegetable fats), and the amount of carbohydrates is 350 g (including not more than 80 g of sugar). Caloric content of a daily ration is 2200 kcal, and the regime of food intake is 5 or 6 times a day.

With acute pyelonephritis, you do not need to consume broths, spicy dishes, legumes, smoked and salted, canned goods, cakes and pastries, spicy spices and seasonings (garlic, pepper, horseradish, mustard, vinegar), as well as coffee and chocolate.

Sometimes the diet during exacerbation of pyelonephritis excludes the consumption of bread, meat and fish, as these products can enhance acidosis (a violation of the acid-base balance of the body in the direction of increasing acidity).

[7], [8], [9]

Diet with pyelonephritis in children

Fundamental recommendations regarding what should be a diet for pyelonephritis in children, from a diet with pyelonephritis in adults differs little - mainly in terms of quantitative parameters. For example, children between the ages of three and six can eat half a boiled egg a day, and older children have one egg. Although portions of main courses can be ordinary (according to age).

Doctors advise to use more dairy and sour-milk products, cook only lean meat (veal, rabbit, chicken) and low-fat sea fish. Boiled meat and fish should be given, but without broth.

The diet for pyelonephritis in children includes wheat bread, sugar, butter and vegetable oil, various cereals and pasta, vegetables, fruits, berries, juices and compotes. You can give children with pyelonephritis and sweets, except for cakes and pastries with cream and chocolate.

The main methods of cooking are the same as in the diet for adults, and the number of meals should not be less than five times during the day.

[10], [11]

Diet with pyelonephritis in pregnancy

During pregnancy, women can develop a so-called gestational pyelonephritis. Because of endocrine changes in the body or from constant pressure on the ureter of the enlarged uterus, there is a violation of the usual physiological tone of the urinary tract and all urodynamics. The result is an excessively high pressure in the renal pelvis, which leads to pyelonephritis. In such a situation, the diet for pyelonephritis during pregnancy will help to improve the condition of the future mother.

The total daily calorie content of this diet is from 2,800 to 3,000 calories, and in its composition should not be more than 60 grams of protein per day, with two thirds of them - proteins of animal origin. The amount of fat is approximately at the level of 100-110 g per day, and the daily norm of carbohydrates is 450 g. The food should be divided: in small portions up to six times a day.

Diet with pyelonephritis during pregnancy should be virtually salt-free (not more than 3 grams of table salt per day) and include products such as: eggs, lean boiled meat, low-fat milk and sour-milk products, cereal cereals, vegetables (except celery, spinach and sorrel) , fruits and berries (except black currant, melon and peaches). It is forbidden to eat meat, fish and mushroom broths, spicy, salted and canned dishes, sausages and smoked meat, chocolate and spices.

Diet for cystitis and pyelonephritis, that is, when the infection affects the bladder in parallel with inflammation of the kidneys, it should exclude all spices, onions, garlic, hard cheeses, fish, beans, radish, radish, tomatoes, nuts, sour fruits (including citrus fruits) , chocolate.

[12], [13], [14]

The diet menu for pyelonephritis

The diet menu for pyelonephritis can be as follows:

• Breakfast: boiled potatoes (200 g) with butter, boiled soft-boiled egg (1 pc.), A cup of tea with sugar, jam or honey.
• The second breakfast: sour cream (200 g), sweet tea.
• Lunch: vegetarian rice soup (300 g) with sour cream, vegetable ragout (200 g), jelly from fresh apples or compote from dried (200 ml);
• Afternoon snack: curd-fruit dessert (150 g) or fresh fruit (200 g).
• Dinner: milk rice porridge with butter (200 g), a glass of tea with honey.

And here is another version of the diet menu for pyelonephritis:

• Breakfast: vinaigrette without pickles (200 g), cottage cheese (100 g), bread with butter, tea with milk.
• The second breakfast: an omelet from egg yolks or milk porridge (200 g), infusion of hips (200 ml).
• Lunch: vegetable soup with sour cream (300 g), boiled lean meat or fish (100-150 g) with mashed potatoes or cereal, compote or juice (200 ml).
• Afternoon snack: milk (200 ml), biscuit or biscuit.
• Dinner: vegetable cutlets or curd casserole (200 g), a glass of yogurt or curdled milk.

Recipes for dishes with pyelonephritis

The rules of therapeutic nutrition in renal pathologies, including acute and chronic forms of pyelonephritis, recommend limiting the intake of salt and food rich in purines (meat broths, by-products and canned meat). However, it is equally important to adhere to those methods of cooking that, in the opinion of dietitians, are most suitable for cooking in this disease. The diet with pyelonephritis involves the use of dishes prepared by boiling, baking, and also easy roasting (in butter).

Recipes for dishes with pyelonephritis should take into account the restriction of proteins of animal origin, providing a high-calorie component of food (due to carbohydrates, vegetable and milk proteins and fats), as well as sufficient content in the diet of fruits and vegetables.

Pumpkin soup

To make soup-puree from pumpkin, you need to take 1.5 liters of water 300 grams of raw pumpkin, one potato, one small carrot and onion bulb. All the ingredients are cleaned, finely chopped (pumpkin and carrots can be grated) and sent to boiling water in such a sequence with intervals of 3 minutes: potatoes, pumpkin, carrots, onions.

When all the vegetables are soft, remove the pan from the stove, chop the soup with a blender and add a tablespoon of butter or melted butter. When serving soup you can sprinkle with fresh herbs or grated cheese.

Vegetable cutlets

For 600-700 g of cabbage one raw egg, half a glass of milk and 2 tablespoons of semolina and butter are taken. Still need bread crumbs (3-4 tablespoons) and 2 grams of salt.

Cabbage should be finely chopped and softened in milk with water, then pour over semolina and stir for 5 minutes. When the cabbage has cooled, pour the egg into it and mix it until a homogeneous mass is obtained.

Then form cutlets, roll each in breadcrumbs and bake in the oven or fry in butter in a frying pan. To such cutlets is very suitable sauce from tomato paste with parsley or dill. By the same principle, you can prepare any vegetable patties from the diet menu for pyelonephritis.

Rice casserole with apples

To prepare this dietary dish, you need 1.5 cups of rice, 3-4 apples, 1 egg, 2 tbsp. Tablespoons of butter, 150 g of sour cream, 100 g of sugar and a little ground cinnamon.

Rice should be cooked as for garnish (that is, put it not in cold water, but in boiling water). After all the water is drained from the boiled, discarded and almost cooled rice, it is combined with a tablespoon of butter and a loosened raw egg. Apples must be peeled, cut into medium pieces, mixed with sugar and cinnamon. Then grease the stewpan with the remaining oil, lay half the rice, on top of it lay an even layer of apples, and put the second part of rice on apples. From above, all is poured with sour cream and sent to a preheated oven for half an hour.

To significantly improve the condition with kidney pathology, it is necessary to limit the amount of protein, salt and liquid. For example, when protein (meat) food is consumed in the process of its assimilation, the formation of exogenous nitrogenous slags occurs - the products of protein splitting, the excretion of which is carried out by our kidneys. And when they are inflamed, then it is difficult to cope with this "duty". And the main thing is that the diet with pyelonephritis is aimed at reducing the burden on the diseased organ, which helps to cope with the disease more quickly.