Diet in chronic cholecystitis

Diet in chronic cholecystitis seems to be the most effective and right way to treat this ailment.

Chronic cholecystitis is a violation of the gallbladder due to frequent inflammations occurring in it. The cause of inflammatory processes in the gallbladder can be a number of factors, for example, such as: congenital deformation of the bile ducts or the gall bladder itself, obstruction of the bile duct, neoplasm in the abdominal cavity, physical trauma of the gallbladder, impaired metabolism, malnutrition, life.

Such a diet implies fractional and frequent meals, often about 5 meals a day. During this diet, there are some restrictions on the foods that should be consumed during a diet. So the diet for chronic cholecystitis implies an almost complete elimination of fatty, fried and smoked food. During the diet, the use of fatty varieties of fish, meat and poultry is excluded, for example, salmon, salmon, pangasius, herring, mackerel, goose, duck, all parts of turkey and chicken, except for pork fillet, lamb, etc.

It is allowed to eat boiled food, almost all kinds of cereals (except pea and millet), skim milk products, sour cream 15% fat, hake, tuna (only not canned) chicken or turkey fillet, veal and beef. It is also permitted to eat baked varieties of permitted fish, meat and poultry, protein omelet for steaming, salads from fresh vegetables without adding onions or garlic, seasoned with low-fat kefir or a small amount of 15% sour cream.

[1],

Treatment of chronic cholecystitis with diet

Treatment of chronic cholecystitis with diet is not only the right decision, but also a necessary condition for the successful recovery of the patient. This diet is completely full and offers variety in the diet. The diet with cholecystitis contains a high amount of proteins, vitamins and mineral salts, carbohydrates are present in a limited amount and any fats are practically excluded.

With this diet, the main source of protein is meat, not fatty cottage cheese, skim milk, dried bread (white flour baked goods are not recommended). However, remember that when choosing foods for a diet, remember that any fatty foods can harm your liver and gall bladder, so your diet should contain no fatty fish, poultry and meat, for example, such as: beef chicken fillet, fillets of turkey, veal, cod, pike perch, sazan, navaga or pike.

An important aspect for a diet with cholecystitis remains the way of cooking. Meat or fish must be boiled or cooked in a steam way, as you can bake them in the oven without adding fat, but the last method of cooking is not recommended during the exacerbation of cholecystitis. Also during the diet will have to completely exclude any broth, except vegetable (excluding the addition of such broths of peas or beans).

What is the diet for chronic cholecystitis?

Based on existing prescriptions and restrictions on certain products in the patient's diet, the question arises: what is the diet for chronic cholecystitis? First of all, it should be noted that the essence of it is that, while maintaining a full saturation of the body, create conditions for its chemical shaking for the liver and promote the normal functioning of the biliary tract and improve the outflow of bile. The diet for chronic cholecystitis provides a fractional meal from 4 to 5 times during the day in small portions. Systematic nutrition always at the same time has a beneficial effect on the processes of bile secretion.

The total weight of a daily ration should not exceed 3 kg, of which from 1.5 to 2 liters. Falls on a free liquid. Table salt is allowed in an amount of no more than 8-10 grams per day. It is necessary to refrain from eating very cold dishes, the temperature of which should not be lower than 15 degrees Celsius. Hot dishes should not be heated to more than 62 ° C. To promote the normalization of the digestive system, there is a need for natural dietary fiber, the content of which is mainly rich in wheat bran. In somewhat smaller amounts, they are present nuts, fruits and vegetables, in the oat-flakes.

The use of wheat bran as food is possible both in natural form in the amount of 2-3 table spoons, as well as the dishes cooked from them. Wheat bran is prepared as follows: 2-3 tablespoons steamed boiled water and infused for half an hour. After this, dividing into four parts, they should be eaten during the day, washed down with milk or used as an additive to soups and borsch, to porridges. A decoction of bran also has a positive effect. It is prepared by grinding in a coffee grinder, after which it is poured with boiling water and cooked for 10 minutes. After letting it brew for several hours to one day, the broth is filtered and sugar and lemon juice are added to it. As an alternative to sugar, honey can be used.

Diet 5 for chronic cholecystitis

Diet 5 for chronic cholecystitis determines the diet, which consists of eating small amounts of 5 to 6 times throughout the day. Food for this diet should be cooked or baked in such a way that a coarse crust does not appear. Stews and steamed steaks are also allowed. Ready meals should be heated to a temperature ranging from 20 to 52 degrees Celsius.

Recommended inclusion in the diet of well-cooked cereal in milk in half with water from buckwheat and oatmeal, and from rice. Allowed are vegetarian soups with mashed vegetables and well-boiled rice, oatmeal, finely chopped potatoes, pumpkin, carrots. Dietary prescriptions also allow you to eat milk soups in half with water, cream soups and creams. The number of baked goods allowed includes: bread from wheat flour of the 1st and 2nd grades, dried rye bread from peeled and sown flour, as well as uneaten biscuits.

Dietary recommendations for meat provide an opportunity to include in the diet of low-fat varieties, beef, veal, chicken and turkey, rabbit meat. Before eating, all the tendons should be removed from the meat, and the skin removed from the bird. For cutlets you need to use low-fat minced meat, and they should be cooked for a couple.

Diet 5 with chronic cholecystitis allows you to diversify the food of fish with low-fat varieties - steam, boiled and cutlets. You can eat lean soaked herring, stuffed fish, salads from seafood.

Milk products allowed for this diet are milk, fresh yogurt, kefir, acidophilus milk. You can eat low-fat and bold cottage cheese, as well as low-fat and inexpensive cheese.

Varied menu vegetables can be using raw, wiped, boiled or steamed vegetables: herbs, potatoes, carrots, cauliflower and beets. They are prepared in the form of puree, souffle, etc. In addition, you can prepare from eggs baked and steamed omelettes. For this, it is required to adhere to the ratio of half or one whole yolk to 1-2 proteins.

Tea and coffee must be brewed not strong; tea can be served with lemon, and coffee - with the addition of milk. Of drinks is still useful decoction of rose hips and juices of fruits and berries.

Use of butter should be limited to 10-20 grams per day. Table salt per day is allowed not more than 10 g.

[2], [3], [4], [5]

Diet in chronic calculous cholecystitis

Before proceeding to the question of what a diet should be in chronic calculous cholecystitis, it is necessary to define what the disease is. Chronic calculous cholecystitis is a form of this disease that is characterized by the formation of stones in the gallbladder. The disease is also widely known under another name - cholelithiasis. This variety is the most unfavorable in the prognostic plan, since it causes blockage of the bile ducts and in almost all cases leads to the need for surgical intervention.

The onset of cholelithiasis is signaled by attacks of pain in the region of the right hypochondrium. In some cases, such pain symptoms may occur after eating, especially if the dishes were heavy and fatty. Because of this, factors such as a healthy lifestyle and diet are very important for a successful recovery. A set of therapeutic measures necessarily includes the dietary prescriptions of appropriate medical specialists.

The list of permitted and undesirable products, which regulates the diet for chronic calculous cholecystitis, is based on diet No. 5a. This diet has the purpose to promote the optimization of the processes of removing bile from the body. After a few months, such a diet goes to the therapeutic diet number 5.

Food according to dietary recommendations should be boiled or cooked on steam and in its composition should not include heavy animal proteins. The diet of the patient does not allow the presence of millet, cabbage, sausages and smoked products, berries and offal. Under categorical prohibition throughout the treatment course is the use of alcoholic beverages.

[6], [7], [8]

Diet in chronic acalculous cholecystitis

Chronic tubeless or noncalculous cholecystitis is characterized by a state of chronic inflammation in the gallbladder. In most cases, this ailment is accompanied by motor-tonic dysfunction of bile outflow, a feature of which is that they do not lead to the formation of stones.

One of the methods of treatment of chronic beskamennogo cholecystitis is dietotherapy. So, a diet with chronic, effeminate cholecystitis presupposes a diet that is often different, 4 to 6 times a day, in divided meals in small quantities. Frequency and fractionality of nutrition is a factor contributing to the fact that the gallbladder is regularly emptied.

It is not recommended the use of fatty, fried and spicy food, under the ban also carbonated water and alcoholic beverages such as wine and beer. It is recommended to refrain from eating baking pastries, nuts, egg yolks, cold dishes, raw vegetables and fruits.

Diet in chronic galleless cholecystitis in the event that the disease has passed into the stage of exacerbation, prescribes the use of freshly prepared food exclusively in a warm form. The main way to cook food should be cooking or it can cook for a couple. Dishes from cereals and vegetables can also be baked in the oven.

Diet in exacerbation of chronic cholecystitis

Diet with exacerbation of chronic cholecystitis provides frequent and divided meals up to 6 times throughout the day. Cooking at a time when the disease has worsened requires a more careful approach to this process. All products must be thoroughly washed and cooked thoroughly. Vegetables should be prepared solely as puree, meat and fish - only mashed or boiled. The amount of salt used in cooking should be significantly reduced.

Below, we consider one of the variants of the one-day menu of the patient with acute chronic cholecystitis.

For the first breakfast you can eat oatmeal porridge on milk and curd pasta. To tea with sugar and lemon is allowed a little white stale bread with butter in an amount of not more than 5 grams.

The second breakfast includes apple puree and dry biscuits with a rose hip broth with sugar.

For lunch, stale bread made of white flour, potato or carrot soup puree, boiled fish or boiled vermicelli with a meat steamed souffle is offered. Replacement of vermicelli can make a mashed potatoes. Also for dinner - jelly, compote, juice or jelly.

You can fill up with bread crumbs of white bread with fruit juice or broth of wild rose.

Over dinner, you can eat a steam cutlet or a protein omelet. An alternative is a cheese souffle. After a meal, it is suggested to drink it with a dogrose decoction or berry jelly.

Before going to bed, a glass of milk, kefir or curdled milk is drunk.

When a diet with an exacerbation of chronic cholecystitis leads to the fact that the disease recedes from its acute phase after consulting a doctor in the diet, it is possible to start gradually introducing more other products, which helps to ensure the full nutrition of the body.

[9], [10], [11]

Diet for chronic pancreatitis and cholecystitis

The usefulness of bread is beyond doubt - it is rich in plant protein content. But in this case, the maximum utility differs only stale or specially dried. It is better able to be digested, which mainly refers to bread baked from white flour varieties. . In rye bread there is a lot of vegetable fiber, which helps to optimize the functioning of the intestine, including the processes of emptying the gallbladder. This prevents the occurrence of stagnation of bile.

Diet for chronic pancreatitis and cholecystitis provides for the use of rye bread and fruits and vegetables in a raw and boiled form. Vegetable soups are recommended, without any restrictions,.

As for the eggs, then it is necessary to consider in more detail all the pros and cons of their use. The fact is that eggs contain cholesterol, which is one of the factors in the formation of gallstones and adversely affects the functioning of the liver. In the absence of exacerbation, it is allowed to eat one egg at a time with the yolk once a day. Whipped proteins can be used for cooking meat, fish, curd or vegetable soufflé, fruit and berry mousses.

Diet for chronic pancreatitis and cholecystitis involves the inclusion in the diet of diseased fish only in fresh, frozen or paired form. Frozen fish must first be thawed at room temperature. It should be borne in mind that a long soaking in water can lead to the loss of a lot of useful fish. In order to boil the fish with chunks it is necessary to fill it with boiling water, and in case if it is required to remove the extractive substances contained in it, the best way is to prepare for steam.

[12],

Menu diet for chronic cholecystitis

The diet menu for chronic cholecystitis is based on the principles of diet number 5. The diet is distinguished by a full composition of all substances necessary for the body. In the diet of patients with chronic cholecystitis should not include foods that differ in the content of large cholesterol, which is inherent in yolks, lungs, brains, liver, kidneys. Under the prohibition of chronic cholecystitis are also broths - whether meat, fish or mushroom, smoked meat, marinades, canned food, sausages, legumes, sorrel, spinach, radish, radish, green onions, garlic, spices, lard, cocoa and chocolate - in which there are extractive substances. It is recommended to exclude fried dishes from the menu of the patient and include in the diet more products that have lipotropic effect. These include: buckwheat and oatmeal, low-fat meat, fish, eating which prevents the formation of excess fatty deposits in the liver. To ensure a better outflow of bile during the day, you should drink about two liters of liquid.

The diet menu for chronic cholecystitis provides frequent (up to 5 times during the day) and a split meal that it should not be chopped, steamed or baked.

For example, consider one of the possible options for the menu at the stage of recovery.

During the first breakfast, it is suggested to eat boiled fish or soaked herring with a garnish of buckwheat porridge or boiled potatoes. On white or black bread, you can spread 5 grams of butter. It is allowed sweet tea with a slice of lemon or a cup of loose natural coffee with milk.

For the second breakfast - cottage cheese with sour cream, which should be no more than 10 grams, or raw. As an option - a little uneasy cheese. One apple and a glass of dog rose broth.

At lunch you can eat vegetable vegetarian soup, on the second - stewed carrots and green peas with a steam chop or boiled meat. Compote of dried fruits or fresh fruit.

As an afternoon snack, it is recommended to have uncomfortable cookies or crackers from a loaf or a loaf, with tea with sugar and lemon.

You can have supper with cabbage rolls stuffed with boiled meat and rice, or with a cottage cheese casserole with soaked prunes. Tea with honey, jam, or a glass of dog rose broth.

Diet recipes for chronic cholecystitis

In order to provide the body with proper and adequate nutrition during the disease, there are various diet recipes for chronic cholecystitis. Let's consider some of them.

• Beef cutlets with vegetables

For their preparation, the meat is cooked until ready and cut into pieces. Cut the carrots into cubes, and the cauliflower on the inflorescences, the vegetables are allowed in a small amount of water, to which butter is added. Vegetables so eaten are combined with meat and, after having been salted, are passed through a meat grinder, after which it is necessary to add eggs and 5 grams of butter. The resulting mass is thoroughly beaten, and from it are formed cutlets, which are fried in a frying pan smeared with butter. If desired, pieces of boiled potatoes or vermicelli are spread around, all smeared with sour cream or sour cream in half with flour, sprinkled with grated cheese and baked in the oven.

• Potato soup

Washed potatoes are cleaned, cut into slices and together with carrots, washed, peeled and cut into cubes, are sawn in butter or are allowed in a small amount of water. Onions must be cleaned and, cut into slices, brown on butter. In the boiling water is placed first prepared potatoes, and after 10 to 15 minutes there also need to send the onions and carrots, and bring the soup to readiness.

Diet recipes for chronic cholecystitis also suggest the preparation of all kinds of jelly. Here is an example of orange jelly.

From the oranges, peeled juice is squeezed out. The zedra (the orange part of the peel) should be cut into thin strips. Gelatin is poured cold water in the ratio 1 to 6-10, and after its swelling for 30-40 minutes excess water is filtered through gauze. Hot water with the addition of sugar in it is brought to a boil, and the prepared zest and gelatin are then placed in the syrup. After this, continuously stirring, the syrup is brought to a boil and filtered. The next step is adding orange juice to the syrup and mixing. Then everything is poured into molds, which should be in the cold - about 8 degrees Celsius for 1-2 hours.

In order to remove the jelly from the mold and place it on the dish, it should be held 1-2 seconds in hot water, and after wiping it with a towel, cover it with a dish, turn it upside down and shake it up a little.

[13], [14], [15], [16]

What can you eat with chronic cholecystitis?

With such a number of prohibitions, a reasonable question arises in the diet, and what can you eat with chronic cholecystitis? If you dig deeper, it turns out that people suffering from chronic cholecystitis can eat a lot of useful and most delicious food and products. For example, from flour products you can eat dried, not fresh and not at all freshly baked bread, preferably from rye flour or wheat flour of the second grade. In order to make the consumption of bread more pleasant it can be dried in a toaster and eat chilled.

You can also eat baked pies with meat, apples, fish or with low-fat cottage cheese and all kinds of casseroles from low-fat cottage cheese, manki and vermicelli. Now it is not difficult to find the most acceptable recipe on the Internet. From meat products you can eat beef, veal, chicken fillet and turkey. Fish are allowed, there are navaga, perch, pink salmon, cod, pike perch and hake, but fish should also be boiled, cooked or baked in the oven.

Soups are recommended vegetable broths, fruit soup, soups with skim milk or borscht without beans, meat and cooked not on meat broth. You can eat fat-free or low fat content sour-milk products, such, for example,: curdled milk, kefir, yogurt, etc. Eggs can be consumed in the form of a protein omelet and in the amount of one piece per day. From sweets you can marmalade or sweets that do not contain chocolate, fats or cocoa, but not more than 60 grams of sugar per day. From drinks you can use black or green not hard-boiled teas, fruit drinks, herbal teas, vegetable or fruit and berry juices.

What you can not eat with chronic cholecystitis?

Despite the fact that the diet for chronic cholecystitis is fairly balanced and high-grade, it is necessary to remember, that it is impossible to eat at a chronic cholecystitis.

One of the first is the ban on the consumption of flour products from white flour, puff pastry or short pastry, fresh or freshly baked bread, cakes and cream cakes. It is also recommended to refrain from eating meat of fat varieties - lamb and pork, roasted meat and game (ducks, goose). In addition, chronic cholecystitis should exclude from the diet of sausage, smoked products, canned food and offal. If you like caviar, salted, smoked or fatty fish, for example, ketu, sturgeon, unfortunately, you will have to forget the taste of these products. After all, they are included in the list of what can not be eaten with chronic cholecystitis.

In addition, the disease with chronic cholecystitis involves a diet in which there are no fats, whether vegetable or animal: fat, margarine, mustard. The ban also applies to eggs fried or cooked. It is necessary to abandon the maintenance of mushrooms, green onions, pickled vegetables, radish and horseradish in the diet. Chronic cholecystitis forces you to part with such delicacy as ice cream, as well as with soft and alcoholic drinks. With this disease will have to give up cocoa and black coffee.

Taking care, it is allowed to use fermented biscuits and fatty (6 per cent) milk, sour cream, cream, salted cheese and fatty cottage cheese.