Diet for different forms of atrophic gastritis of the stomach. Principles of diet for atrophic gastritis: what will help revive a dying stomach Diet nutrition for gastric atrophy

Atrophic gastritis is an insidious disease. It does not always cause any pain or noticeable discomfort, and people usually do not understand the danger of metabolic disorders that develop due to the death of normal stomach cells.
So gradually, if atrophic gastritis is not treated, this pathology without pronounced symptoms turns into cancer. But all that can help is taking two or three medications and following a diet for a long time.

The mucous membrane of the stomach with atrophic gastritis resembles depleted and lifeless earth

Types of treatment

For atrophic gastritis, only conservative treatment is carried out:

• It makes no sense to remove anything, since areas of atrophy are located in larger or smaller foci;
• before the cells degenerate into cancer, they can (and should) be brought back to life;
• Only with the help of conservative methods is it possible, by carefully inducing the gastric mucosa to recover, to supply the further parts of the digestive tract with the food needed to establish metabolism.

Conservative treatment of chronic atrophic gastritis is based on “three pillars”:

1. Diet: foods must be specific and also prepared in a special way so that the intestines not only do not suffer from the fact that they were not properly treated with hydrochloric acid, but can also take from them everything that the exhausted body needs.
2. Drug treatment. In this case, the doctor decides how to treat atrophic gastritis of the stomach based on the results of the studies:
   • fibrogastroscopy (possibly with biopsy);
   • determining the presence of Helicobacter pylori as the cause of gastritis (the test is usually performed simultaneously with FEGDS);
   • probing the stomach to determine its acidity.
3. Therapy folk remedies. They, being selected by a doctor who is familiar with the “picture of the stomach,” help achieve treatment goals without overloading the body with chemical compounds.

Is it possible to cure atrophic gastritis? It is possible if minimal focal changes have occurred in the stomach. If a person seeks help already at the stage of diffuse atrophy, then with the help of a long-term diet he can only restore some areas of the mucous membrane and stop further progression of the disease.

Drug therapy

The spiral-shaped bacterium Helicobacter pylori is fixed in the gastric mucosa and begins to dissolve its cells with the help of its enzymes and its own hydrochloric acid

Treatment of both focal atrophic gastritis and its diffuse variant is carried out as follows:

1. Medicines are prescribed to improve the movement of food from the stomach to the intestines. They also effectively fight nausea.
2. If there is a decrease in the production of hydrochloric acid, medications containing natural gastric juice are prescribed.
3. Since a reduced amount of hydrochloric acid reduces the production of pancreatic enzymes necessary for digestion, such enzymes are prescribed in the form of synthetic preparations.
4. Impaired processing of food in the stomach leads to vitamin deficiency. The metabolism of B12 and folic acid, due to which the hemoglobin level also decreases. To correct this condition, not only vitamin complexes are used, but also cyanocobalamin and folic acid separately.

Specifics of therapy for atrophic-hyperplastic inflammation

Treatment of atrophic depends on the cause of the disease:

1. Most often, such an inflammatory process on the gastric mucosa is caused by the Helicobacter bacterium, so specific therapy is immediately prescribed. It consists of two antibacterial agents, as well as agents that protect the stomach from hydrochloric acid. This treatment is carried out for 7 days, after which tests are repeated for the presence of Helicobacter in the stomach.
2. To eliminate stomach pain, a combination of antispasmodic and anticholinergic drugs is used.

Warning! Drugs of these two groups are prescribed only by a gastroenterologist after examination and other studies.

3. If there is an increase in the pH of the stomach, drugs that stimulate the production of hydrochloric acid are prescribed. If acidity is high, blockers of its production are prescribed.
4. It is necessary to take medications that improve the regeneration of the gastric mucosa.

How to eat with atrophic gastritis

Nutrition for atrophic gastritis of the stomach should be carried out according to the following rules:
The basis of the diet:

Exclude:

• spicy dishes;
• food prepared by frying;
• pickled products;
• alcohol;
• coffee;
• chocolate;
• cakes;
• candies;
• breaded fish;
• legumes;
• canned food;
• mushrooms.

A diet for focal atrophic gastritis allows a person to eat:

• chicken broth with noodles;
• meatballs;
• baked pumpkin with honey;
• cottage cheese casserole;
• omelette;
• mashed potatoes;
• boiled fish;
• egg and milk sauces;
• cocoa;
• weak tea;
• boiled veal;
• rabbit cutlets;
• mousses, jelly, honey;
• sandwiches from a dried piece of bread (up to 400 g/day) with low-fat cheese and butter(up to 25 g/day).

What does traditional medicine offer?

The doctor prescribes herbal decoctions that stimulate the production of gastric juice

Treatment of atrophic gastritis with folk remedies includes the use of the following recipes:

1. 100 ml warmed fresh juice white cabbage drink half an hour before meals.
2. Take 30 ml potato juice three times a day, before meals. This remedy has been successfully used for treatment by more than one generation of supporters. traditional medicine. Read the article about and learn about all of it medicinal properties, about the nuances of preparation, as well as contraindications.
3. For breakfast, eat a grated raw green apple (200 g), mixed with grated raw pumpkin(600 g), ¼ cup lemon juice and 1 tsp. honey After this, do not eat anything for 3-4 hours.
4. Eat 1 teaspoon of fresh blueberries, grated with sugar, before breakfast.
5. In equal parts, 50 g each, take trifoliate leaves, immortelle, sage leaves, mint, St. John's wort, angelica root, eyebright herb, calamus rhizome, dill seeds, wormwood herb, mix dry. Then take 1 tbsp. mixture and pour a glass of boiling water over it, leave for 3 hours, strain and drink before eating. This should be done three times a day.
6. Take a decoction of chamomile purchased at a pharmacy, prepared according to the recipe indicated on the box.
7. Take 50 g each of calamus root, dandelion, sage, peppermint, calendula flowers, St. John's wort, chamomile, plantain leaves, chop everything, mix. 4 tbsp. pour a liter of boiling water, take 100 ml three times a day.

Thus, you can stop the progression and avoid the development of cancer by following a diet and taking the necessary medications. Such therapy will be complemented by taking various decoctions and infusions of herbs.

Diet for atrophic gastritis is an integral part effective treatment. Its main task is to protect the stomach from mechanical, thermal and chemical species food irritants. The therapeutic diet should also provide the body with all the substances necessary for stable functioning, help stabilize the motor function of the gastrointestinal tract and moderately stimulate the secretory function of the stomach.

If atrophic gastritis of the stomach is diagnosed, the doctor must immediately prescribe the patient not only complex treatment, but also an individual dietary regimen that corresponds to the stage of development of the disease and the general health of the patient.

Principles of dietary nutrition for atrophic gastritis

Despite the fact that the diet for atrophic gastritis is individual in nature, medical experts highlight general principles therapeutic nutrition for this type of disease. These include:

• frequent and moderate meals, mainly pureed (at least 5 meals per day, each portion should be small, but sufficiently nutritious and chopped);
• restriction in salt consumption (no more than 15 g per day);
• removal from the diet of foods containing coarse fiber;
• exclusion from the diet of excessively hot and very chilled foods and drinks;
• using appropriate methods heat treatment food (foods are allowed to be steamed, boiled, stewed, fried, but without breading or crusting);
• planning a diet based on it chemical composition(all food consumed during the day should contain 420 g of carbohydrates, about 100 g of fat and 100 g of protein).

Therapeutic nutrition for atrophic gastritis also involves taking into account calorie intake, in which it is necessary to equal daily norm at 3000 kcal.

Products prohibited for consumption with atrophic gastritis

In order for the complex treatment of atrophic gastritis of the stomach to be successful and without complications, the patient should strictly follow the diet prescribed by the attending physician. First of all, the patient needs to exclude from the diet the list of prohibited foods (dishes) that can irritate the gastric mucosa.

When undergoing diet therapy treatment, you should not consume:

• pickled, smoked, spicy;
• pickles, canned food;
• alcoholic, carbonated, coffee-containing drinks;
• rich broths from fish and meat;
• baked goods made from puff pastry;
• fatty meats and fish;
• eggs (hard-boiled);
• seasonings, mustard, horseradish;
• grapes, grape drinks;
• fresh bread, kvass;
• onions, garlic;
• animal fats, lard;
• raw, ungrated vegetables;
• legumes, radishes, bell pepper, rutabaga.

Products approved for use for atrophic gastritis

Despite the fact that the diet for atrophic gastritis prohibits the consumption of a very extensive list of foods, the patient’s diet can remain quite varied thanks to such permitted foods as:

• butter and vegetable oils;
• juices from fruits and vegetables;
• soft-boiled eggs, omelet;
• fermented milk products, whole milk;
• viscous porridges, small pasta;
• first courses cooked in low-fat broth;
• potatoes, pumpkin, cabbage, beets, zucchini;
• honey, sugar;
• dried bread, yesterday's pastries;
• lean types of fish and meat;
• pureed berries;
• tea, rosehip decoction.

Treatment of atrophic gastritis with dietary nutrition in the absence of its exacerbation provides for the possibility of slight relaxations in the diet. In such cases, food may include (in limited quantities): lamb, pork, barley, pearl barley, corn and millet porridge.

Quite insidious. This is reflected in the fact that the disease is quite difficult to diagnose, and the subsequent treatment process is no less complicated. And all this against the backdrop of the fact that most often at the initial stage the disease proceeds unnoticed. Reading this, the question may arise: what does nutrition have to do with atrophic gastritis?

And despite the fact that most often the patient learns about his illness only after eating a certain food. Then what can diet do? And with the help of a balanced diet you can moderate pain syndrome, which in turn will lead to the stomach starting to work better. This means getting more useful elements from food.

For this disease, nutritionists prescribe diet No. 2. The goal is to provide the patient’s body with all the microelements, vitamins, fats and carbohydrates in the required quantities.

There is a list of foods that you should completely remove from your diet. And first of all, this applies to the so-called “heavy” foods - that is, those that take several hours to digest. These are all fatty foods, rye bread, pork, beef, all types of smoked and pickled foods, mushrooms of all kinds. Oily dishes, canned vegetables, dishes made from legumes, battered and breaded are also prohibited.

Only those foods that increase the patient’s appetite and the production of stomach acid are allowed for consumption. It is recommended to stew or boil food.

Diet and its basics

Soups are best made as purees. using meat, fish or herbal broth. For breakfast, doctors recommend preparing porridge for yourself - semolina, rice, oatmeal. Can be used in small quantities meat dishes– lean beef, milk sausages, meat without fat, chicken, rabbit. Everything except sausages must be passed through a meat grinder.

Proteins can be replenished by eating seafood - mussels, shrimp, octopus. Allowed drinks are tea, cocoa, fruit and vegetable juices. Juices should only be freshly prepared. No baking, only crackers and bran bread. All fruits and berries must undergo the necessary heat treatment.

Sweets include mousse, honey, jelly, marmalade.

All dishes are served only warm.

With atrophic gastritis with low acidity, nutritional regulation is one of the important stages in the treatment of the disease. Foods in the diet should stimulate acid production. These are lean meats, fruit and vegetable dishes. You should not eat foods that can cause fermentation processes in the stomach - whole milk, baked goods, especially fresh ones.

Nutrition for gastritis with high acidity also has its own characteristics. Fried, fatty foods are completely excluded from food. The patient also needs to give up cigarettes, alcohol and drinks containing alcohol.

Menu for atrophic gastritis by day

Monday:

Breakfast – potatoes and boiled fish. Tea;

Lunch – fruit jelly;

Lunch – soup with meatballs, baked potatoes and tomato juice;

Afternoon snack – a decoction of rose hips;

Dinner: cheesecakes with sour cream. Tea with honey and lemon;

Late dinner - a glass of kefir.

Tuesday

Breakfast – semolina porridge cooked in water, soft-boiled egg, coffee with milk;

Lunch – rosehip decoction;

We have lunch with noodle soup, potato casserole with meat, berry compote;

Afternoon snack – baked apples;

Dinner – steamed potatoes and fish fillet, cocoa;

Late dinner - yogurt.

Wednesday

Breakfast – rice porridge with a viscous consistency, tea with a slice of lemon;

Lunch – raspberry jelly;

Lunch – vegetable broth soup, meat soufflé, dried fruit compote;

Afternoon snack of baked apples;

We have dinner with cottage cheese with honey and sour cream, compote;

Before bed, a glass of kefir.

Thursday

Breakfast – steamed omelette from a couple of eggs, lean ham. Tea with lemon;

Lunch – blueberry jelly;

Lunch – creamy rice soup with carrots, buckwheat porridge cooked in water, steamed meatballs;

For afternoon snack, baked apples;

Dinner consists of mashed potatoes and meat baked in foil. Rose hip decoction;

Before bed, a glass of kefir.

Friday

For breakfast, sticky rice porridge with a piece of butter, coffee with milk;

Lunch consists of blueberry jelly;

Pickle for lunch. Prepared from chicken meat cutlets. Boiled potatoes. Dried fruit compote;

The afternoon snack consists of tea with lemon and marshmallows. The latter can be replaced with marshmallow;

You can have dinner with mashed potatoes, a portion of boiled beef tongue and a glass of tomato juice;

Every third resident of large cities suffers from gastritis. This is usually due to an incorrect rhythm of life and eating on the run. Atrophic gastritis is the most difficult subtype of this disease to treat. It is caused by a chronic course with thinning of the gastric mucosa, as a result of which the number of secretory glands decreases and the production of gastric juice and enzymes is disrupted. It is believed that if time is missed in treating atrophic gastritis, it can lead to stomach cancer.

The main symptoms of atrophic gastritis

Manifestations of focal atrophic gastritis are similar to acute gastritis. At first, the symptoms are subtle, but as the disease progresses, the state of health worsens along with the exhaustion of the body.

Basic:

• dull aching pain in the epigastric region, radiating to the right hypochondrium, intensifying after eating;
• belching with the smell of stale food in the stomach;
• nausea and heartburn after eating;
• unstable stool, alternating diarrhea and constipation;
• bloating, rumbling;
• manifestations of vitamin deficiency (due to impaired absorption of food in the stomach);
• “varnished” tongue – atrophy of taste buds.

If you notice any of the above symptoms in yourself, you should definitely consult a doctor. The doctor will prescribe treatment and select adequate medications. But the basis of any therapy is the correct diet for atrophic gastritis.

Why is diet needed in the treatment of gastritis?

The appearance of focal atrophic gastritis directly affects digestion. The mucous membrane becomes thinner and loses its ability to produce sufficient amounts of gastric juice, mucus and enzymes that were involved in the breakdown and digestion of food. This process occurs gradually, and as a result, the stomach is no longer able to accept normal daily food. And since nutrients from food are not absorbed, not only does the gastrointestinal tract, but also all organs. Therefore, treatment of the disease is necessary.

How can proper nutrition help with atrophic gastritis? By properly processing food and replacing heavy dishes on the menu with easily digestible ones, the load on the stomach is removed. Food is digested faster, all nutrients and medications are better absorbed. Strict adherence to the diet 7 days a week makes it possible to live a normal life and not suffer from the symptoms of atrophic gastritis with low acidity.

What should be on the menu for atrophic gastritis?

The diet for the treatment of focal gastritis should be enriched with proteins and fiber. Contain a sufficient amount of vitamins in the menu. Food must either be boiled or steamed. Be sure to cool it to room temperature before use. It is better to grind the products thoroughly; this stimulates the enzymatic activity of the glands in the mucous membrane. It is also important to chew food well so that the process of digestion begins before it enters the stomach.

The number of meals is at least 5-6 times a day, portions should be small, which eliminates overeating. The principle of separate nutrition for gastritis with low acidity gives a beneficial effect.

Diet No. 2 is usually used in treatment. This is a balanced diet enriched with vitamins and microelements.

Healthy dishes on the menu:

• Lean meat (rabbit, chicken, turkey, beef, veal), river and sea fish (hake, cod, navaga, perch, pike, flounder, bream), boiled tongue.
• First courses: pureed, cooked in lean broth.
• Porridge: rice, oatmeal, buckwheat with the addition of a small amount of butter.
• Dairy products: milk, low-fat soft cottage cheese and cheese, sour cream, kefir, fermented baked milk, yoghurts without dyes.
• Boiled eggs or omelet (1-2 times a week).
• Butter, olive, sunflower oil in salads or ready-made dishes.
• Vegetables: carrots, beets, cauliflower and broccoli, pumpkin, potatoes, tomatoes, onions, zucchini, eggplant and others (raw and baked).
• Fruits: bananas, apples, oranges, lemon, melon, persimmon, all types of berries.
• Pasta made from durum wheat.
• Wholemeal bread, crackers, gingerbread, dry biscuits.
• Sweets: marmalade, jelly, sweet cheeses and curds, honey.
• Drinks: weak tea (preferably green), compote, jelly, fruit juice, mineral water"Borjomi", "Essentuki", "Narzan".

A diet for gastritis with low acidity involves avoiding heavy foods. The following are not allowed in the menu:

• Pork, lamb, fish from cold seas, mushrooms, including broths based on them are excluded.
• Smoked meats, spicy dried meat, lard.
• Legumes (beans, peas), nuts, sunflower seeds.
• Pickles, canned food, jam.
• Coffee, any juices, chocolate, carbonated drinks.
• Alcohol (including beer).
• Mayonnaise, ketchup, sauces sold in ready-made form.

The list of such products is completely individual for each patient. Therefore, in order for a diet for atrophic gastritis to suit you ideally, you need to consult a doctor.

Approximate daily menu for gastritis with low acidity

• Breakfast: oatmeal or buckwheat porridge with milk (200 g), cottage cheese casserole with berries (150 g), green tea with lemon and sugar.
• Second breakfast: banana-blueberry pudding (150 g).
• Dinner: chicken soup with noodles (200 g), 2 turkey-beef meatballs, mashed potatoes (150 g).
• Afternoon snack: marshmallows or marmalade, dried fruit compote.
• Dinner: stewed vegetables(zucchini, eggplant, tomatoes) 150 g, 1 steamed fish cutlet (80 g), green tea with lemon balm and thyme.
• Second dinner: a glass of kefir or low-fat yogurt (preferably homemade).

During the day you can snack on fruit or cottage cheese.

In order for the diet for atrophic gastritis (with high and low acidity) to be easily tolerated by you, you need to come to it gradually. It is important to choose products that are not only suitable for your treatment, but also for their taste. After one to two weeks, you will get used to the new items on your menu, and “junk food” will no longer be so attractive. By using proper nutrition You can not only get rid of the symptoms of chronic atrophic gastritis, but also normalize the functioning of the entire body.

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