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Diets with diarrhea

, medical expert
Last reviewed: 23.04.2024
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Diet with diarrhea, that is, in case of disruption of the intestine (which is called a disorder), should establish its normal functioning - whatever causes this symptom is caused.

With frequent and liquid stools, the body inevitably loses water and salt, so both must be replenished. It is also very important to temporarily provide the digestive system with a light regime, and for this it is necessary to comply with dietary nutrition.

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Treating diarrhea with a diet

The effectiveness of treating diarrhea with diet has been recognized by medicine since the time of Hippocrates, who wrote that "the action of dietary funds is long, and the action of drugs is transitory."

The diet for diarrhea in adults is based on: a significant reduction in the amount of food, at least 4 meals a day in small portions, as well as the complete cessation of consumption of foods that somehow irritate the gastrointestinal tract, increase contractions of the smooth muscles of the intestine (peristalsis) and promote increased fermentation in him. The diet with diarrhea in pregnant women adheres to the same principles.

According to the healing diet according to Pevzner, it is mechanically, chemically and thermally sparing the intestinal mucosa and the whole gastrointestinal tract # 4. It should be observed in all intestinal pathologies, accompanied by diarrhea and dyspepsia, within 3-5 days (until a noticeable improvement in the condition).

The daily ration should provide at least 2000 calories, that is, the calorie content of food is below the average physiological norm (2900-3200 kcal). The daily protein content corresponds to the norm (90-95 g), fat is 30% lower than the norm (70 g), but the carbohydrate component is almost two times lower than the normative (no more than 250 g). The volume of free liquid should be at least 1.5 liters per day: with diarrhea it is extremely important to drink water to avoid dehydration.

Diet in colitis with diarrhea

The diet for colitis with diarrhea is a diet number 4B, which is considered to be physiological in its full value: its caloric value is 2900 kcal per day, the protein and fat content - 100 grams, carbohydrates - about 400 g. Recommends six meals a small portion. Food should not be too hot or cold.

Diet in colitis with diarrhea, as in adults, not suffering from inflammation of the mucous membrane of the large intestine, limits practically the same products, but at the same time it permits the use of:

  • vegetable mashed potatoes (from potatoes and carrots);
  • ripe fruit and berries (not acidic, peeled);
  • dairy products (kefir, yogurt, cottage cheese, but milk and sour cream - only as additives to dishes);
  • butter;
  • cheeses and boiled sausages;
  • sauces (on low-fat broth with dill and parsley greens).

Similarly, all dishes should be cooked or steamed, and then brought to a homogeneous consistency (boil or grind additionally).

trusted-source[4], [5], [6], [7], [8]

Diet with a dysbiosis with diarrhea

Dietary nutrition in violation of the intestinal microflora, that is, with a pronounced enzyme deficiency and intestinal microbiocenosis, in principle, does not differ from the above diets (see diet with diarrhea in adults).

The causes of diarrhea in dysbacteriosis lie in the fact that in the small intestine the number of beneficial bacteria that break down primary bile acids decreases and too many harmful bacteria accumulate that destroy the digestive enzymes. This negatively affects the normal metabolism of bile acids - their dehydroxylation, deconjugation and reabsorption. As a result, the volume of deconjugated bile acids in the intestine rises so much that diarrhea begins. In addition, with the so-called syndrome of digestive deficiency, characteristic of dysbiosis, often there is nausea and vomiting. And then the doctors-gastroenterologists appoint a diet for diarrhea and vomiting.

The main task that dietary nutrition does is to maintain the water balance in the body, that is, the amount of fluid consumed must compensate for the volume of fluid lost with vomit and feces. However, doctors warn that drinking water should not be earlier than an hour and a half after vomiting, and the amount of water consumed at a time should not exceed 100-150 ml.

Further, under condition of at least insignificant improvement of state of health, it is possible to drink diluted non-acidic juices (naturally, except for grape, plum and apricot), tea with former uncomfortable croutons. And then, if there were no repeated vomiting for a few hours, you can gradually take a rice broth, baked apples, semi-liquid mashed rice porridge, cooked on water and without oil.

It is clear that a diet with diarrhea with diarrhea prohibits eating anything that can irritate the gastrointestinal tract and lead to increased bile secretion: fatty, salty, spicy, sour and canned, as well as fresh bread and rolls, raw vegetables and fruits, all kinds of beans, mushrooms, sweets, carbonated mineral and other drinks with gas. So this is the No. 4 diet for Pevzner. But the use of liquid is limited - no more than a liter a day.

trusted-source[9], [10]

Diets for diarrhea in children

Diets for diarrhea in infants who are naturally breastfed require continuation of breastfeeding, but it is necessary to increase the number of feedings. If the child refuses to suck the breast, do not try to do it in any way ... It is better to water the child with water: the loss of liquid for young children is especially dangerous.

It should be borne in mind that dietary nutrition in diarrhea in children of the first two months of life may require for some time to replace breastfeeding with lactose-free formula (milk sugar). This applies to cases where a lactase deficiency, a deficiency of a lactase enzyme that breaks the milk sugar, is detected in a newborn (usually in a premature or with a low birth weight). Feeding with lactose-free mixtures lasts until the child stops abusing, and the pediatrician will not allow them to return to breastfeeding.

After three years, when children eat almost everything and eat together with adult family members, the diarrhea diet includes the same foods and has the same restrictions as dietary nutrition in adults.

trusted-source[11], [12], [13]

Diets after diarrhea

Diets after diarrhea - diet № 4B, prescribed for the time of recovery after acute intestinal pathologies. The calorie content of this diet is 2900-3100 kcal per day, the protein content is 100 g, fat is 100 g, carbohydrates is 420-450 g. The food is fractional, 5-6 times a day. The volume of water drunk per day - up to 1.5 liters.

Compliance with dietary nutrition means the exclusion from the diet of rye and grain bread, fresh white bread and any bakery and flour products, as well as fatty meat, fish, poultry and rich broths on their basis; smoked products and canned food (meat and fish); fungi and mushroom broth; all legumes; not past the thermal culinary processing of fresh vegetables and fruits; coffee, cocoa, soda water and beverages.

In addition to cooking and steaming, it is allowed to cook meals by baking in the oven, and grinding food is no longer required.

Dietary food after diarrhea permits the use of:

  • dried wheat bread;
  • the first dishes on a weak broth or on the decoction of vegetables (with finely chopped and well-boiled vegetables and cereals);
  • Low-fat meat, fish, poultry (boiled, chopped or baked without crust);
  • porridges crumbly (except for pearl barley and millet);
  • boiled vermicelli and noodles;
  • fermented milk products, and milk, sour cream and cream - when added to dishes;
  • vegetable mashed potatoes (from potatoes, carrots, cauliflower);
  • ripe and sweet fruits (apples, pears, citrus fruits) and berries without peel (except plums and grapes) - no more than 200 g per day.

trusted-source[14], [15], [16], [17]

Diets for diarrhea

The diet menu for diarrhea in an acute period can consist of semolina porridge boiled on water, and tea with a white cracker (for breakfast); about 100 g of cottage cheese (for breakfast); meat soup puree with white cracker (for lunch): cups of blueberry jelly (for a mid-morning snack); rice mashed porridge on the water and a glass of tea (for dinner).

Approximately the same diet menu for colitis with diarrhea: rice mashed porridge in water and a glass of tea with a white cracker (for breakfast); protein steam omelet (for breakfast); soup on chicken broth with mashed carrots and vermicelli, steam chicken cutlet with mashed buckwheat porridge, blueberry jelly (for dinner); apple puree (for a mid-morning snack); Boiled fish with mashed potatoes and tea with white croutons (for dinner).

In the diet menu after diarrhea, you can make milk rice porridge and coffee with milk and biscuits (as breakfast); steam omelet (for a mid-morning snack); meat soup with potatoes, carrots and cauliflower, boiled chicken fillet with rice (for lunch); apple puree (for a mid-morning snack); curd-banana pudding and tea with milk (for dinner).

Diets for diarrhea

In principle, diet recipes for diarrhea do not represent any culinary complexities. Here, for example, recipes for cooking two dietary dishes that are suitable for adults and children suffering from diarrhea.

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Recipe for dietary apple puree

This dish - due to the content of pectins - is useful for mucous membranes of the intestine and intestinal microflora. To make it, you need to peel 2-3 sweet apples from the peel and core. Peel should be boiled for 10 minutes, discarded, and put the decoction into sliced apples and put them under the lid until soft (it takes no more than 20 minutes). Then it remains to cool them a little and grind them into a homogeneous mass with a blender.

Dietary curd-banana pudding recipe for a couple

To cook this wonderful diet pudding, you need 200-250 g of low-fat cottage cheese, 2 raw eggs, one ripe banana, a tablespoon of granulated sugar or a dessert spoonful of powdered sugar, half a pack of vanilla sugar and 40 g of soft butter.

Proteins are separated from the yolks and beat into foam; cottage cheese, sugar, butter and egg yolks mix well until smooth (with a mixer), then whipped proteins are added to the same place. Peeled banana is cut (not very finely) and sent to the resulting mass. Everything is again mixed, laid out in a mold and put on a steam bath for 40 minutes (or in a steamer for 20 minutes).

Do not forget that diarrhea (diarrhea) is only a symptom. And this symptom has many serious diseases. Certainly, a diet with diarrhea contributes to the cessation of diarrhea and normalization of the intestine. But if the intestinal disorder happens often enough, you should think about your health and go to the gastroenterologist.

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What can you eat with diarrhea?

The classic "menu" with diarrhea consists of wheat (white) rusks with strong black tea, boiled rice rice porridge, baked apples and blueberry jelly. On such food you need to hold out for several days, although the list of what you can eat with diarrhea, nutritionists also included:

  • buckwheat and oat porridge (on water, strongly boiled, semi-liquid);
  • Soups with light meat or fish broth (with rice or mango);
  • vegetable broth;
  • lean beef, veal, rabbit meat, chicken or turkey meat (boiled or steamed, minced);
  • boiled nonfat fish;
  • low-fat cottage cheese;
  • eggs (soft-boiled or in the form of a steamed omelet);
  • cocoa (without milk), black coffee, diluted juices (except plum, grape and apricot).

Specialists in the field of therapeutic nutrition argue that with diarrhea, especially profuse, except for baked apples it is very useful to use carrot juice with pulp and fresh bananas. These three products give the body essential organic acids, pectin, carotene and potassium.

What you can not eat with diarrhea?

With diarrhea, you can not eat everything that is not included in the list of foods that are allowed to eat the same diet number 4, namely:

  • fresh bread, including rye;
  • croissant and any other pastries and flour confectionery;
  • fatty meat, poultry and fish, as well as broths from them;
  • soups with vegetables and croup;
  • millet, pearl, barley and corn porridge;
  • whole milk and dairy products;
  • canned food, pickles, sauces and condiments;
  • cheese and sausage products;
  • beans, mushrooms, nuts;
  • fresh vegetables, fruits and berries;
  • all sweet, including honey and jam;
  • alcoholic and carbonated drinks.
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