The diet for liver and pancreas, gallbladder and biliary tract, gastrointestinal tract: in acute that it is possible and what not. Menu for the week, cooking recipes

Diseases of the digestive tract - a special class of pathologies that require a responsible approach to treatment on the part of the sick, as well as from the attending physician.

Along with the medication, the effect of which is aimed at suppressing the pathological symptoms and its consequences, the importance of place is the right choice of diet for liver, biliary tract, stomach and pancreas in each case.

Rules for compiling diet in states of exacerbation of chronic digestive diseases

Diet for diseases of the liver and pancreas necessarily based on the principles of proper nutrition. The diet in this case should be prepared individually, based on the disease and its extent, age and state of health of the patient.

Character inflammatory processes in both cases can occur both in the open form of the disease with severe pain, weakness and dyspeptic disorders, and in the hidden, when the patient does not feel pain in the body area and the location of the irradiation in the surrounding tissue.

In all cases, with food already diagnosed abnormalities, patients are not recommended to deviate from the rules previously adopted. When choosing products for food during exacerbation of chronic gastritis should be considered Reactivity general health deterioration even when a small amount of consumption annoying mucous products.

For acute diseases of the lower gastrointestinal tract (different intestine) characterized by the predominance of functional disorders of pain symptoms (diarrhea, constipation, cramping and etc.).

The diet for liver and pancreas should exclude products whose consumption leads to similar symptoms; How is the diet at diseases of the gastrointestinal tract.

First, we should take into account several important rules:

• Meals should be reusable, and 7 - 9 times a day, in small portions, with plenty of fluids;
• Food should be chopped (peretortoy finely chopped) and always cooked - it will reduce the burden on the liver:
• cooked food temperature - pleasantly warm (overheated and badly chilled meals excluded);
• Eliminate overeating.

In addition to the established rules should take into account the condition of the teeth of the sick - in exacerbations of chronic inflammatory processes in the digestive tract.

It is important to understand what food to avoid irritation should be as chopped and efficiently treated with saliva, so it is difficult to chews products must be either relaxed (boiled thoroughly) or deleted, or additional milled technical means (grinder, blender, etc.).

Authorized products

Diet for diseases of the digestive tract: gall bladder, liver and pancreas should be borne in mind that Adding certain foods can greatly facilitate or, on the contrary, exacerbate inflammation in body. Which products are recommended in acute pancreatitis and chronic hepatitis of various genesis (calorie per 100 gr.):

№	products	Norm / kcal	Embodiments cooking and Notes
1.	Lean fish: saffron cod, perch, cod, haddock, young flounder, hake, mullet, saury	Up to 90 Kcal	Traditional cooking, steamed meatballs.
2.	Lean meat: breast, chilled chicken, turkey, lean beef, rabbit.	200 Kcal	Traditional cooking, steamed meatballs, meatballs stewed in a mild sauce.
3.	Dairy products low-fat cheese, cottage cheese;	150 Kcal	Excluded sour cream and cream products,, ryazhenka.
4.	Flour and bakery products, wholemeal bread: bread, oatmeal, bread, nemyagky white bread, breads, pancakes, pasta;	300 Kcal	It allowed the preparation of crackers and drinking together with the rather weak meat broth, dried, stale bread, add grated bread in the burgers. Pasta boil and used without adding sauces. Pancakes are prepared in the traditional way.
5.	Seafood: seaweed weak salted squid;	Up to 70 Kcal	It allowed only the use of previously familiar products after careful provarkoy.
6.	Vegetables: tomatoes, herbs, dill, cucumbers, carrots, onions, eggplant, bell peppers, radishes, lettuce.	40 kcal and 90 kcal in the form of vegetable caviar	Conventional steaming, blanching, quenching with pieces of meat, grinding in weight (puree or eggs), salads.
7.	Fruit: sweet varieties of apples, pears, peaches, apricots, quinces,	Up to 95 Kcal	Traditional cooking, grinding into a puree, baking, cooking compotes, jams, fruit drinks.
8.	Gourds: pumpkin, melon, watermelon	Up to 80 Kcal	Pumpkin - in a slightly thoroughly boiled form, the other culture in a fresh state control.
9.	Drinks: tea, juice, fruit drink. Compote preferable preferably from dried fruits: apricots, prunes, raisins, dried berry fruits.	Not installed	It is not recommended to add more sugar 1 teaspoon, because This increases the load on the pancreas and contributes to weight gain. To increase the vitamin value of the drink at the end of cooking, you can add a small amount of non-acidic fresh berries.
10.	Porridge: rice, buckwheat, barley, oats, whole grain cereals	400 kcal (for rice porridge)	Normal cooking.
11.	Eggs: chicken, quail	Chicken - 160 calories; Quail - 140 kcal.	For quail - only hard-boiled, it is not recommended to be mixed with milk, as some enzymes are lost; For chicken - cooking hard boiled, scrambled eggs, cocktail "eggnog": Mix sugar, separating the pre-protein. The latter option is used with caution and only on home eggs.
12.	Sausage and hot dog products: sausage only boiled, sausages, meatless sausages;	280 Kcal	Sausages are used to initially cooked, both separately and in small sandwiches nemyagkim or loaves of bread; boiled sausages.
13.	Vegetable oils: olive oil, canola oil, avocado oil, sunflower	900 Kcal	Salad dressings, sauces slight addition, it is possible to drink a teaspoon with pain syndrome.
14.	Nuts: hazelnuts, walnuts, almonds.	710 Kcal	It is recommended to use only in raw form, roast increases the load on the liver and pancreas.
15.	Sugary foods: honey, slightly sweet jam	590 Kcal	It is recommended in small quantities as an additive to the curd, tea and pancakes.

The table includes conditionally acceptable products during exacerbation of chronic diseases of the digestive tract. However, there are limitations in the consumption of products for each disease separately, as well as general forbidden kinds of food with gastrointestinal pathology.

prohibited products

In diseases of the gastrointestinal tract is not advisable to use the following foods:

№	products	At what diagnosis ban
1.	Varieties of fish with high fat content: salmon, salmon, trout mature;	Hepatitis, cirrhosis, pancreatitis, gallstones
2.	Fatty meats and poultry: pork, lamb, duck, goose, marbled beef;	Hepatitis, cirrhosis, pancreatitis, gallstones
3.	Acute sauces and dressings: mayonnaise, ketchup, wasabi, Caucasian seasonings, cheese, mustard, pickles in acetic basis;	All gastrointestinal diseases
4.	Fast food: burgers, snacks and chips, chewing marmalade of unknown composition, chewing gum;	All categories gastrointestinal diseases
5.	Sweets: candy, chocolate;	Pancreatitis, hepatitis, gallstones
6.	Some special types of cheese: gouda, parmesan, mozzarella and all kinds Musty and upkeep of spices;	All gastrointestinal diseases
7.	Baking, fresh white bread and pastry products;	Ulcers, gastritis, pancreatitis, hepatitis
8.	Salted, smoked and dried meat products are: sausages, carbonates, bacon, etc.; balyk	All gastrointestinal diseases
9.	Kashi, corn, millet, barley, mixed (stand)	Ulcers, gastritis, pancreatitis, gallstones
10.	Vegetables like squash, cabbage, potatoes, all kinds of beans.	Gastritis, intestinal disease, gallstones
11.	Citrus and sour fruits and berries: apples, oranges, limes, grapefruit, pineapple guava, kiwi, gooseberry, cherry;	Gastritis, ulcers, pancreatitis, gallstones
12.	Mushrooms and mushroom broth:	All gastrointestinal diseases
13.	Fried foods: fried eggs, chops, steaks, kebabs	All gastrointestinal diseases
14.	Alcohol	All gastrointestinal diseases
15.	Carbonated and acidic drinks, coffee	All gastrointestinal diseases
16.	Mixed food: potatoes and meat, pasta and meat dumplings, dumplings	All gastrointestinal diseases
17.	Cold foods: aspic, jelly, ice cream, cold drinks	Gastritis, ulcer disease

Diet for diseases of the gastrointestinal tract: based on what and when appointed

On the basis of impact on the overall condition of the body and the human healing process, nutritionists was compiled a special "gastrointestinal diet."

Table № 5 "Diet digestive rest".

The main objective is to provide maximum protection of the organs.

When she was appointed:

• All forms of liver disease, and species;
• Gastritis in the acute stage;
• bowel disease of any etiology including the presence of malignancy.
• Cholecystitis and condition after removing the gallbladder;
• As a weight loss diet.

In the appointment of a diet №5 primarily excludes: fried foods, acidic fruits and herbs (sorrel); hot spices, fast food.

Depending on the symptoms of the disease, diet №5 has several categories:

• A - option for recovery from 8 to 10 hours when disease resistant improvement;
• B - acute cholecystitis;
• l / f - a specialized version with bile stasis;
• P - state diets for patients with cholelithiasis, combined with pancreatitis, is used as the ultimate diet for survivors pankreanekroz.

The diet for liver, pancreas and other digestive tract depending on the subtype may include removing or replacement of individual products, as well as the determination of their number depending on the condition of the patient and the flow clinics disease.

Options for food processing

Diet during exacerbation of chronic diseases of the gastrointestinal tract: gall bladder, stomach, liver and pancreas excludes the following types of processing:

• Weak provarivaniya, particularly meat and fish, since they can be pathogenic microorganisms (up to helminth invasions), which exacerbate disease;
• Adding irritating condiments;
• Sudden temperature too hot and too cold food.

What technologies are permitted:

• Traditional cooking: meat for at least 40 minutes, for vegetables - at least 20 minutes. Each kind of vegetable to be cooked in a separate container, preferably in an enamel;
• blanching: vegetables lightly parboiled or cooked in it a little time. When diet №5 this technology is only permitted for green;
• Provarivaniya steamed in a special pot: Meat - chasa not less than 1; vegetables - from 30 minutes;
• baking: time depends on the product. The diet №5 baking is allowed only for apples;
• Preparation in multivarka: technology will depend on device capabilities and its program requirements.

Approximate menu for a week during exacerbation of pathologies of the liver and pancreas, gallbladder and biliary tract, gastrointestinal tract

The diet for liver and pancreas, as well as at deviations in other digestive organs, in the first days of the acute period should be as gentle.

It is important that the authorities did not undergo harmful overload and gradually returned to their functions. Menu the first week of exacerbations of chronic diseases of the gastrointestinal tract is planned around the following options:

1st day

On this day passes acute peak, so the diet should be gentle, and the most lightweight in terms of digestion and calorie content:

• Oatmeal on the water, well cooked. You can add a small piece of butter to taste, black currant jelly;
• Meat well scrolled, steamed meatballs without the addition of whole grains (rice). Dried fruits compote;

  

• Jelly based fruit compote or a previously prepared;
• Pudding on the basis of cheese and sweet peach, weak tea;
• Pistou: pumpkin, zucchini, bell pepper and slices of chicken breast;
• On the night of the year, jelly and fruits and a small biscuit.

Important! In no case did not go to bed with hunger.

2nd day

More aggravation saved and now it is important to adhere to the gentle power:

• Buckwheat porridge, boiled in water, it is recommended to grind slightly potoloch or use milled grits (it are available in meals for children up to 1 year, it is important to choose the types of porridges dairy-free), tea, some small crackers;
• Baked in the oven apple, berry jelly.
• Mucous rice porridge, a few meatless dryers (chelnochkov), tea without sugar.
• Curd paste with pieces of sweet apple, pear compote.
• Salad of zucchini with slices of lean veal. All products are the most crushed;
• On the night of dried fruit jelly cookies with lean.

3rd day

This day can go a slight improvement and it is important to keep the old rhythm to avoid the resumption of the disease:

• Oatmeal on the water with a small piece of stale bread, weak green tea;
• Baked apple inside zafarshirovannoe curd paste, a small lean cookies, compote of dried fruits;
• Rice porridge thickens weak (basically need the broth);
• Semolina medium density, few meatless pastries, dumplings or pieces of lean fish, green tea;
• Meatballs of lean meat with addition of buckwheat, jelly of fresh berries;
• At night pudding with fresh fruit and a few crackers.

4th day

There comes a gradual improvement, you can return the previous products in the diet:

• Oatmeal water with a minor addition of non-fat milk, low-fat cheese sandwich, pear compote;
• Fruit and berry jelly sweet varieties.
• Grated cheese with added pieces of peach jelly from dried fruits;
• Steam cooked egg omelette method few biscuits and tea;
• Souffle of turkey, a few pastries, stewed apples;
• On the night of jelly from the berries, a few crackers.

5th day

On this day, improving gradually stabilize, new varieties of food are added to the diet:

• Semolina porridge rather thin, a small sandwich with cheese, stewed apples;
• Meatballs, steamed rabbit meat with fine rice;
• Puree apple roast is mixed with cottage cheese and pear, a few meatless pastries, weak green tea;
• Vegetable soup broth with several pieces of lean fish, small crackers, quince compote;
• Hard-boiled egg, a small sandwich with cheese, weak green tea;
• At night, a cup of oatmeal and a few crackers.

6th day

State largely back to normal, but the observance of the diet - an important aspect for a full recovery:

• Oat, buckwheat porridge mashed with a little milk. Several shuttles, stewed prunes;
• Jelly pear, apple and blackcurrant, weak ah;
• Steam scrambled eggs with a small amount of vegetable pieces (carrots, tomatoes, zucchini);
• Jelly from apples, a few meatless pastries;
• Fish fillet with slices of vegetables, tea;
• Baked pumpkin pulp with rice and cheese, stewed pears;
• On the night of the apple jelly, a few crackers.

7th day

Decisive day, after the patient goes to the traditional food with the exception of potentially harmful products. In the future, power will preserve the "fractional character", but with the right approach will help reduce exacerbation gastrointestinal diseases:

• Sparsely semolina with a small sandwich with boiled sausage, weak tea;
• Baked in the oven apple zafarshirovannoe cheese, a few meatless pastries, stewed fruit;
• Meatballs beef, steamed, vegetable stew peppers, zucchini, and cucumbers prepared in multivarka (-cooked or conventional manner), half a glass of low-fat yogurt;
• Berry jelly, several chelnochkov, weak green tea;
• Cottage cheese souffle with slices of peach, stewed fruit;
• Steam cutlets of beef salad with boiled onions, stale bread, stewed pears;
• On the night of oatmeal and 1 hard-boiled egg.

Examples of dietary recipes

Further exemplary embodiments include recipes for food sparing diet for liver and pancreas.

Recipes of the first dishes

Under the first courses in the first place refers to the various light soups. It is important to bear in mind that it is advisable not to cook them in the broth, and add the meat as a complement to food. At the end of the first week, you can make soup in the secondary meat broth.

Vegetable soup with added fish

Need to:

• 70 - 100 grams of zucchini,
• 2 - fragment 3 cauliflower:
• Several pieces of lean fish.

Preparation:

1. Fish boil for 30 - 40 minutes in lightly salted water, then lay out and cleaned of skin and bones, divided into slices.
2. Vegetables cut into small pieces add the remaining broth and cook until tender (about 10 minutes).
3. Then, the resulting soup back already cooked fish, cool and serve.

Soup with meatballs with a small amount of potatoes and crackers

Need to:

• 100g meatballs veal;
• 1 medium potatoes;
• Crackers of white bread or bran bread.

Preparation:

1. Pre lightly steamed rice and boil.
2. Then scroll through the wringer 70 - 90 g. beef and veal mixed with rice and salt, to form a mass of spherical form.
3. The resulting meatballs cook rice-based ready in 30 minutes, and then add back some fragments of finely chopped potatoes.
4. Boil all together until cooked (about 10 minutes).
5. Then pour the resulting soup crackers in a bowl and leave to cool.

Recipes dishes

Main courses for diseases of the digestive tract taken after 30 - 40 minutes after the first. As a rule, it is also lighter versions of dishes.

Fish fillet with vegetable slices

Need to:

• About 150 grams of lean fish;
• 1 - 2 vegetable culture optional;
• Salt to taste.

Preparation:

1. Fish and vegetables are boiled separately.
2. Each water tank in the cooking process to add some salt to taste.
3. You can add allspice in peas and bay leaves for flavor.
4. Next, the vegetables are ground together with stoned fish served on a table.

Soufflé turkey

Need to:

• turkey fillet - 100 g .;
• Low-fat milk - ½ cup;
• Egg - 1 pc;
• Salt;
• Oil - to handle the pan;

Preparation:

1. Turkey boil for 20 - 30 minutes, then to a blender or grinder to grind.
2. In the mass add egg, milk, salt the mix.
3. Baking sheet greased and distribute the weight evenly.
4. Bake in oven at low temperature (about 150 ° C). Then cool and serve.

dessert recipes

When cooking desserts as a sweetener is recommended to use natural fruit sugar.

Fruit and berry jelly

Need to:

• 100g fresh berries or fruits;
• Gelatin,
• A little sugar.

Preparation:

1. Berry grind to a liquid state, in the case of pre-cook the fruit compote.
2. Then dissolve the gelatin in the water to complete dissolution, then the resulting mass pour fruity berry component.
3. Let stand until completely solidified in the refrigerator.
4. Before use, a little crush, and let stand in a warm room. Do not take immediately after the refrigerator.

pumpkin casserole

Need to:

• Cheese - 100 g;
• Pumpkin pulp or chopped vegetables - 50 g.
• 1 raw chicken egg.
• Seasonings for the correction of taste, but not a lot.

Preparation:

1. Pre-boil and clean the pumpkin.
2. Cottage cheese to put in a separate container and heated slightly, and then drive to a raw egg and mix thoroughly, while stirring gradually add a little sugar, salt and pumpkin pulp.
3. Carefully whip until obtaining a homogeneous mass consistence, then pour it on a baking sheet and baked in an oven at a temperature not exceeding 200 ° C.

recipes kash

Kashi in this case are the simplest of all the dishes for the diet as provide mostly provarivaniya cereals water-based.

For the diet in the first days of exacerbation traditionally used:

• Buckwheat, boiled in boiling water in a proportion of cereals ½ by the same amount of water. It is recommended to cook grits on the raw water, and not wait for it boil;
• Crushed oat flakes: on cereals ½ proportions similar amount of raw water;
• Figure 1/3 2/3 cereals raw water, as this tends to be boiled soft grits.

salad recipes

Salads at a dietary food does not seasoned as additional refueling heavier the food product itself.

Salad of eggs with small pieces of vegetables

Need to:

• 2 chicken raw eggs;
• ½ cup milk;
• Chopped vegetables as desired;
• Salt to taste.

Preparation:

1. Boil hard boiled 2 eggs, cool and then chop.
2. Then there is added a certain amount of pre-cooked and cut into pieces of vegetables, stir.

Salad of zucchini with slices of lean veal

Need to:

• Courgettes - 70 - 90 g .;
• Fresh, chilled beef - 150 g;
• Salt to taste.

Preparation:

1. Veal and zucchini Boil in different containers until ready to add some salt water: veal is cooked for a long time - up to 60 minutes. This fact is important to consider and preferably pre-crushed product.
2. The broth can then be used for cooking on the following method (to make a vegetable soup or cereal).
3. Zucchini cooked no more than 10 minutes.
4. Next, chop the ingredients and mix well.

Beverages

The most preferred drink in the acute stage of the disease of the gastrointestinal tract will jellies and compotes.

Compote can be prepared as a ready-made from the dried fruit and fresh produce. Jellies are available in ready-made forms, but it is advisable to cook them at home yourself, as in formulations often added preservatives and stabilizers, which can negatively affect the state of the internal authorities.

Compote of apples and pears

Need to:

• A set of corresponding dried fruits or 3 apples and 3 pears;
• A small amount of sugar.

Preparation:

Fruits chopped and dipped in boiling water, then cook 2 - 3 minutes. The resulting beverage can add a little sugar.

Kissel from fresh berries

• Need to:
• Berry puree - 200 g.
• Starch

Preparation:

1. Sour berries (black currant, cherry, a little strawberry) are ground into a puree.
2. Grown juice of berries in boiling water, then it is poured 1/3 of the starch and mixed thoroughly.
3. The remaining 2/3 of the product put on the fire and bring to a boil.
4. When the mass starts to boil, it can be a bit sweeten, then add the cooked earlier Kiselny base and stir everything together.
5. Deactivated without boiling. Cool.

Selection of an optimal diet in diseases of the liver and pancreas, as well as gall bladder and other disorders of the gastrointestinal tract - is an important aspect to successful recovery. Strict compliance with the regulations issued by the doctor, will quickly and fully return to its previous rhythm of life.

Video: Diet for diseases of the liver and pancreas

Diet for pancreatic diseases:

Diet №5 by Pevsner: