Diet for cholecystitis
Proper nutrition with inflammation of the gallbladder is aimed at preventing the onset of symptoms of the disease. A balanced diet will provide the body not only with useful substances, but also provide it with good health. The therapeutic diet consists in eating food that promotes the outflow of bile. The question arises of how to organize nutrition and what you can eat after an attack of cholecystitis.
The content of the article
How to eat right?
Diet therapy for cholecystitis is aimed at improving the functioning of the gastrointestinal tract. Nutrition features are as follows:
- fractional 5-6 meals a day;
- drinking large amounts of liquid. Drinking 2.5 liters of water helps to remove bile and harmful substances from the body;
- reduction in salt intake. You can completely eliminate it from the diet;
- refusal of alcoholic beverages completely;
- warm food intake. The temperature should be 15-60 degrees;
- refusal to eat in the absence of appetite. Otherwise, there is an incorrect production of bile and its outflow;
- products are consumed boiled, stewed or steamed;
- eating delicious and healthy food.
Proper nutrition helps to reduce the release of bile. It does not stagnate, which reduces the risk of exacerbation of cholecystitis, the appearance of complications.
What can you eat?
With inflammation of the gallbladder, it is necessary to observe therapeutic nutrition constantly. To avoid recurrence of the disease, you should familiarize yourself with the list of permitted products. It is important to know what you can eat after an exacerbation. The list of products is large. Therefore, everyone will choose a diet according to their taste so that the food is healthy and tasty.
The table shows a list of allowed products for inflammation of the gallbladder:
Products | How do they affect the body |
Sweet fruits and berries | Lots of vitamins and minerals. Eat fresh, add to salads, prepare juices and compotes. |
Quail eggs | There is no cholesterol. They contain many useful trace elements, vitamins, low-calorie protein. Relieve symptoms - bitterness and belching disappear when eating raw eggs. |
Low-fat varieties of sour-milk products without preservatives | High content of healthy protein. Use fresh milk. Prepare soups, cereals, add to tea. |
Decoctions and infusions of chicory (from roots, flowers and seeds) | Improve the functioning of the biliary organs. Fresh juice stimulates the secretion of bile. Drinking with coffee helps in dissolving and removing stones from the biliary tract and gallbladder. |
olive oil | Rich in organic and unsaturated fatty acids, vitamins and phenols. Favors the outflow of bile, reduces inflammation and cholesterol. Improves the functioning of the digestive system, prevents the formation of stones. |
Low-fat varieties of meat, fish and seafood | Provide protein and phosphorus to the body |
Cauliflower | Improves bile secretion. Soups are boiled, boiled, baked and steamed. Use in the period without exacerbations. |
Fresh tomatoes with cucumbers | Rich in vitamins, minerals, dietary fiber, contain fiber. Low-calorie. Reduce appetite, blood vessels are cleansed, normalize metabolism. |
Berry decoctions, sweet fruit compotes, jelly, coffee with milk, juices and teas | Reduce the risk of paroxysmal pain. Improve the functioning of the gallbladder. Rich in vitamins. |
From bakery products, they use stale bread made from wheat flour, indigestible pastries.
Porridges are boiled from rice, semolina, millet and hercules, non-acidic fruits are added to them.
Macaroni is boiled, baked, but not fried.
Soups are prepared on a vegetable broth with the addition of cereals, pasta and vegetables. For the purpose of prevention, milk soups are cooked with the addition of cereals. Shchi and borscht are not spicy. From the greens add dill with parsley.
Eggs are included, omelettes are made from them.
Meat and fish dishes are baked or boiled in whole pieces. But you can steam meatballs and meatballs. Use lean varieties.
In case of problems with the gallbladder, they are allowed to eat dairy and sour-milk products - mild cheese, low-fat kefir with yogurt, condensed milk. You can diversify the menu with dumplings, puddings.
From sausages choose products without a high content of additives of chemical origin.
From sweets they eat honey, jam, marshmallows with marshmallows are allowed.
What foods should be avoided?
Nutrition, especially after an attack of cholecystitis, is organized in such a way as to exclude food that irritates the mucous membrane and increases cholesterol in the blood.
There are many products, the use of which adversely affects the functioning of the gallbladder and the biliary tract as a whole.
The list of prohibited products includes the following:
Products | How they act on the body |
Alcoholic drinks and beer | Cause the formation of stones and their movement. It is allowed to drink a little wine once for 2-3 months. |
Fatty types of meat and fish products, by-products | They irritate the mucous membrane of the gallbladder, cholesterol rises, the process of digestion becomes more complicated. |
Legumes (beans, peas, chickpeas) | Gas production increases. |
Onions, garlic and greens (spinach, sorrel) | Cause irritation of the stomach due to the content of essential oils. |
Canned and pickled products | Increase cholesterol content, digestion processes are inhibited. |
Mushrooms, nuts | Hard to process. |
Hot spices, sauces and vinegar | They irritate the mucous membrane, make all the organs of the gastrointestinal tract work hard, the digestive processes worsen. |
Baked goods, sweets, products containing cocoa | The composition of the produced bile is disturbed. |
Sugar intake should be reduced to 70 g per day. It disrupts the formation of bile and its outflow.
Salt has a negative effect on bile. It thickens and is poorly excreted. Salt intake is reduced to 1 tablespoon per day.
How to eat during an exacerbation
An attack of acute cholecystitis begins with acute pain in the right hypochondrium. Pain radiates to the upper back - shoulder blades, shoulders and neck. The patient feels in the mouth the taste of metal or bitterness. Worried about nausea, vomiting with belching. Diarrhea is observed, body temperature may rise. Yellowness appears on the skin and mucous membranes of the eyes.
If signs of acute inflammation appear, you should seek medical help. Self-medication is unacceptable. Patients with a severe attack must be hospitalized. Medications are prescribed to relieve pain and inflammation. After an attack of cholecystitis, along with drugs, a special diet is prescribed.
It looks like this:
- food is not allowed in the first 2-3 days;
- you need to drink plenty of water - at least two liters per day;
- allowed to drink in a warm form a decoction of wild rose (2-3 glasses per day), herbal infusions. Juice from non-acidic berries and fruits is half diluted with water, they drink weak tea;
- after 3-4 days, with a decrease in pain, you can eat cereals on the water, light soups from cereals, drink jelly;
- all food should be semi-liquid, well cooked and ground;
- eat 5-6 times a day. Portions should be small;
- meat, cottage cheese and low-fat fish are gradually introduced into the diet.
A week later, when the condition improves, the patients are prescribed the diet "Table No. 5a", a month later - "Table No. 5".
"Table number 5a" involves eating food with a sharp restriction of fat and salt.
The therapeutic diet completely excludes cold dishes and food that causes fermentation and putrefaction in the intestines. It includes legumes, fatty meats. The consumption of carbohydrates and proteins should correspond to the norms of a healthy body.
The use of choleretic products is excluded - spices, products containing essential oils, spicy foods. They enhance the secretory function of the stomach, increase the activity of the pancreas.
The composition of food with the diet "Table No. 5" remains the same. Food can be baked. Meat and fish products are baked, first boiled to a semi-finished state. Food is no longer wiped.
Nutrition for chronic cholecystitis
Compliance with the diet after an exacerbation of the chronic form of cholecystitis is important. It controls the exacerbations of the disease. It depends on the quality and composition of food how often the gallbladder will become inflamed. Eating errors can negatively affect your overall health.
During the period of remission of the disease and the normal state of health, a therapeutic diet helps to activate the functions of the biliary system of the body. It prevents the stagnation of bile, stimulates the digestive organs and normalizes metabolism.
In the chronic form of cholecystitis, some rules must be observed:
- dietary compliance. They eat at the same time in order to accustom the body to the production of bile and its outflow at a certain time;
- eat often - up to 5 times a day, but in small portions;
- you can not overeat, so as not to increase the load on the digestive organs;
- eat according to the diet "Table number 5". Eat vegetable fats to improve bile production. With bile stasis, fat intake is increased to 120 grams on the recommendation of a doctor. In the presence of stones, biliary colic may occur;
- use animal and vegetable oil in a ratio of 3:1. You can replace fatty meat with butter, it contains easily digestible animal fats;
- Eat more fruits and vegetables. They increase the secretion of bile, improve the functioning of the digestive system;
- it is useful to eat fresh vegetables in the form of carrots, tomatoes, cauliflower, zucchini, fruits - grapes, watermelon, sweet apples, strawberries and dried fruits. They eat both separately and salads with the addition of vegetable oil to enhance bile secretion. Vegetables are boiled and stewed.
- do not use onions with garlic (they contain essential oil), it is better to refuse sorrel, radish and spinach - they irritate the digestive tract;
- food should be warm, taken boiled, stewed or steamed;
- it is better to refuse broths.
The use of vegetables and fruits lowers cholesterol, constipation ceases to bother.
Nutrition after surgery
In the presence of stones, frequent relapses of the disease resort to surgical intervention - cholecystectomy is performed.
Nutrition after surgery for cholecystitis is as follows:
- A day after the operation, mineral water without gas is given. Drink in small sips, the amount of water is one liter during the day.
- After 1.5-2 days, dried fruit jelly, weak tea, low-fat kefir are added to food. The volume of liquid is not more than 1.5 liters during the day. She is not sweetened.
- For 3-5 days, natural juices from beets, non-acid apples, rose hips are included in food. They give mashed potatoes, fruit jelly and sweetened tea.
- Drink at least 2 liters of fluid daily.
- Food and drink fractional, 6-8 times a day. The serving of food and drink does not exceed 200 ml per dose.
- Gradually introduce puree-like soups on water or on a weak meat broth. Add sour cream or butter. Allowed protein-based omelet, boiled fish.
- On the fifth day, you can enter crackers from white bread and biscuits.
- On the 6-7th day, they are allowed to eat millet, oatmeal, buckwheat porridge in a liquid pureed form. They are boiled in water diluted by half with milk. You can eat unsweetened and low-fat cottage cheese, minced lean meat and fish. Includes low-fat dairy products. Drink up to 1.5 liters.
- For 8-10 days and for 1.5 months, food should be sparing and consist of boiled or steamed food.
- 1.5 months after cholecystectomy, the diet is expanded to include lean cabbage soup, crumbly cereals, boiled lean meat, and milk.
- Within 3 months, table number 5 is prescribed. In order to restore the functioning of the digestive organs, it is necessary to strictly follow the rules of the diet.
Alcohol intake is prohibited for two years after cholecystectomy. Further, red wine is sometimes allowed with non-alcoholic beer.
Dieting remains important for life.
Diet Recipes
Diet meals will help organize meals after surgery for acute cholecystitis. Here are some recipes for such dishes:
Soup-puree from vegetables. Use the following products:
- zucchini - 2 pcs.;
- eggplant - 2 pcs.;
- carrots - 2 pcs.;
- onion - 2 pcs.;
- sweet pepper - 2 pcs.;
- potatoes - 5 pcs.;
- olive oil - 2 tbsp. spoons;
- greens - dill, parsley.
Vegetables are washed, peeled and cut. Remove the skin from the pepper by dipping it in boiling water and then placing it in cold water. Potatoes are lowered into a saucepan with 3 liters of boiling liquid and slightly salted.
After 10-15 minutes, add the rest of the vegetables, except for zucchini. They are added 5 minutes before the end of cooking. The mass is cooled, chopped with a blender, olive oil with chopped herbs is added.
Stuffed sweet peppers are prepared as follows:
- Peppers in the amount of 6 pieces are washed, cleaned of seeds and pierced with a fork.
- Boil rice - 3 tbsp. l.
- Half a kilogram of minced chicken is mixed with rice, chopped garlic (2 cloves), paprika is added to taste.
- Gravy is being prepared. Sliced carrots with onions (2 pieces each) are stewed until soft in a pan, tomato juice is added.
- Peppers are stuffed with minced meat, placed on a baking sheet, poured with gravy, bay leaves are added. Cook in the oven for about half an hour.
Baked apples. Take 4 large apples, one egg, 100 g of cottage cheese, 2 tbsp. l. sugar and cinnamon. Apples are freed from the core. Beat the yolk with cinnamon and sugar, add cottage cheese. The mixture is stirred with a blender. Pour a small amount of water on a baking sheet, lay out stuffed fruits and bake at 180 ° C for about 15 minutes.
Seafood soup (squid)
Soup Ingredients:
- 100 g cabbage;
- 250 g cucumbers;
- squid;
- greenery;
- 800 ml of vegetable broth;
- salt to taste.
The squid carcass is cleaned, cut into strips. Cabbage is added to the boiling broth, boiled for about 6 minutes. Add squid, chopped cucumbers. Salt and cook for another 4 minutes. Chopped greens are poured into the finished soup.
Fish soufflé is prepared as follows:
- Boil 90 g of fish fillet and grind in a blender.
- The yolk of 1 egg, 30 ml of milk, a small piece of butter are added to minced fish. Salt to taste.
- Whipped protein is mixed with the rest of the ingredients.
- Minced meat is laid out in a pan and baked in the oven at 180 degrees.
- Used for baking molds, steamed.
The benefits and disadvantages of therapeutic nutrition
The positive aspects of dietary therapy for inflammation of the gallbladder include the following:
- nutrition is balanced;
- easily maintained by patients;
- improves human health, prevents recurrence of the disease.
- normalizes the level of cholesterol in the blood, facilitates the work of the gallbladder.
The negative aspects of the diet include:
- you need skills in cooking healthy dishes, the availability of free time;
- long period of diet therapy.
Compliance with a therapeutic diet and proper nutrition remain the main components in the treatment of gallbladder diseases. Reducing the intake of fats, salt and limiting or eliminating certain foods does not adversely affect a person's condition. Nutrition remains balanced. Refusal of fatty, fried and smoked foods will not harm, but will only benefit any organism.