2024 Author: Isabella Gilson | [email protected]. Last modified: 2023-12-17 03:14
Diseases of the gastrointestinal tract (GIT) affects every second person on earth. Wrong diet, junk food, stress - these are the main causes of gastritis, ulcers, gastroesophageal reflux disease (GERD for short) and many other problems of the digestive system. Few people know that on the way to a cure for any ailment, the main component of complex treatment is a special diet, and the cure for gastrointestinal diseases directly depends on the diet and menu. So what is GERD? How to treat this disease? The GERD diet, recipes and a sample menu are listed below.
What is GERD? Causes and symptoms of the disease
Gastroesophageal reflux disease (GERD) is a disease of the gastrointestinal tract, in which the contents of the stomach are ejected into the esophagus through its lower sphincter, causing inflammation. The most common cause of the appearance is a hernia of the esophagus. Symptoms of the disease are chest pain, sour belching, heartburn. Sometimes there is a feeling of rapid satiety, bloating, shortness of breath, cough, rarely - nausea and vomiting.
GERD treatment: general recommendations
When treating anydiseases, it is necessary to choose an integrated approach, including:
1. Medications:
- proton pump inhibitors or blockers that reduce stomach acidity (Pantoprazole, Nexium, Omez, Nolpaza);
- antacids (Rutacid, Maalox, Gaviscon, Rennie, Almagel);
- gastroprotectors ("De-nol", "Bismofalk", "Venter");
- sedatives.
2. Non-drug treatment:
- normalization of diet;
- diet for GERD;
- folk remedies.
3. Surgical treatment (last resort).
Key nutritional guidelines for treating GERD
Key recommendations for the treatment of GERD:
1. It is necessary to diversify the diet and eat 5-6 times a day.
2. Reduce the usual portion by half. Do not get carried away with spices and s alt.
3. During an exacerbation, exclude baked and fried foods. Eat light food that does not injure a sick stomach and does not cause accelerated production of gastric juice. Two concepts in GERD should be firmly connected: treatment - diet.
4. Don't eat at night! The minimum interval between sleep and dinner is 2 hours.
5. Chew your food thoroughly!
6. After eating, you can not exercise and do physical work.
7. Try during remissionstick to the ground rules.
8. Never go hungry!
9. The diet is selected based on the individual characteristics and preferences of the patient.
Prohibited foods for GERD
List of foods not included in the GERD diet:
1. Drinks:
- alcoholic drinks;
- strong tea, coffee, cocoa;
- carbonated drinks (lemonade, cola, energy drinks);
- mint drinks and mint.
2. Spicy food.
3. Chocolate.
4. Fruits and vegetables that cause heartburn (for each - individually).
5. Full fat dairy:
- milk 2%,
- cream;
- full yogurt;
- fatty cheeses and cottage cheese.
6. Fried meat and meat products.
7. Fried foods (potatoes, donuts, eggplant caviar, etc.).
8. Fast food.
Allowed Foods
Foods included in the GERD diet:
1. Protein food:
- soft-boiled eggs - no more than 2 pcs. per day, steam omelet;
- fish: cod, perch, carp, pike, navaga, zander;
- lean meats - veal, beef, poultry (without skin), rabbit meat, steamed or oven-cooked (meatballs, cutlets, casserole, soufflé);
- fermented milk and dairy products: low-fat yogurt, kefir and curdled milk after meals; low-fat cottage cheese - with sour cream or in a casserole; non-sour sour cream as a dressing; milk -individually.
2. Fats:
- vegetable oils (sunflower, olive, corn) - 10-20 g per day;
- butter - 10-20 g per day.
3. Carbs:
a. Vegetables:
- Raw: skinless tomatoes, cucumbers, carrots, some soft cabbages, herbs.
- In the form of mashed potatoes and casseroles: asparagus, potatoes, green peas, beets, zucchini, pumpkin.
b. Fruits and berries - only soft, sweet varieties and mashed, baked, boiled.
c. Wheat bread, yesterday.
d. Semi-liquid or grated cereals: semolina, oatmeal, buckwheat, rice.
e. Pasta.
f. Sweets: marmalade, cream, non-bread cookies, marshmallow, jelly, jelly.
GERD diet (sample menu)
This menu is compiled by a dietitian or gastroenterologist, so it is not standard for all patients.
Breakfast: Pumpkin-potato casserole, steamed omelet, sour cream, herbal tea with honey.
Second breakfast: fat-free cottage cheese with sour cream, fruit compote.
Lunch: noodle soup, steamed meatballs, rice porridge, jujube tea.
Snack: toast, rosehip broth, nuts (3-4 pcs.).
Dinner: fish stew, vegetable salad, bread, ginger tea with honey.
Second dinner: homemade yogurt with fresh berries.
Pevzner's diet for GERD
The famous therapist Manuil Pevzner developed special therapeutic diets that help in the treatmentone disease or another. Diet 1 for GERD is the best.
Diet No. 1 is conditionally divided into 1a, 1b, 1m.
Diet 1a is prescribed in the first 6-8 days of the onset of the disease or seasonal exacerbation. The diet provides for the most sparing chemical, thermal, mechanical effect on the gastrointestinal mucosa, while reducing inflammation and healing erosion and ulcers. Food is boiled or steamed, ground and taken in a liquid or mushy state. Hot and cold are contraindicated. You can use steam omelet, weak tea or herbal decoction, jelly, soups and cereals. Drink milk before bed, eat every 3 hours.
When symptoms subside, a diet for GERD 1b is prescribed. Together with the above allowed dishes, it includes mashed soups, meat and fish cutlets and steamed meatballs, white bread crackers.
The 1m diet includes all meals and prescriptions for diets 1a and 1b, only meals can be taken raw. It is prescribed after the attenuation of all symptoms.
Diet for GERD: Recipes
Bouillon with egg flakes
From lean meat (poultry, beef, veal) cook the broth. Beat two eggs and pour them into 1 liter of boiling meat broth, mix thoroughly, add s alt. You can add diced white bread croutons.
Meatballs
1 kg of veal or chicken grind in a meat grinder. Add 100 g of white bread soaked in milk or water and 1 egg. Throw in lightly s alted water, wait until it boils, reduce heat and cook for 10 minutes.
Zucchini and potato puree
1 zucchini and 3-4 medium-sized potatoes cut into circles, boil, bring to a puree state with a pusher or blender, add 10-20 g of butter.
Cauliflower Omelette
Boil 1 head of cauliflower, disassembled into inflorescences, in s alted water. Lubricate the baking dish with oil, put the cabbage in the form. Beat 2 eggs, add 100-150 g of milk, beat again and pour over the cabbage. Steam.
Meat pate
Boil 1 kg of chicken, beef or veal meat. Can be combined. For 20 min. until the end of cooking, throw boiled carrots into the pan. Cut the meat into pieces, grind in a meat grinder or blender along with carrots. Add butter.
Milk Noodle Soup
1 cup flour mixed with 1 egg and 1 tbsp. l. water. Divide the dough into 4 parts, roll out a very thin pancake from each and dry for 10-15 minutes. Roll the dough into a roll and cut into strips. Add the noodles to boiling water and cook for 10-15 minutes over low heat. Boil 3, 5 tbsp. milk, pour milk over noodles, add 1 tsp. s alt, 2 tsp. Sahara. Serve with butter.
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