Diet for UC: basic principles, sample menu

2024 Author: Isabella Gilson | [email protected]. Last modified: 2023-12-17 03:14

Diet for UC (in the presence of non-specific ulcerative colitis) is needed in order to support the regenerative processes of the mucous membrane within the large intestine, so the following recommendations will help you recover from the disease faster.

Ulcerative colitis, the symptoms of which cause the development of characteristic ulcerations on the surface of the organ mucosa, can cause serious complications, ranging from intestinal bleeding to narrowing of the lumen of the intestinal walls during subsequent development within the remote period of progression of such a disease as colorectal cancer.

Basic principles of nutrition

Diet for NUC involves proper nutrition, given that almost every patient has a food allergy, which manifests itself in the form of hypersensitivity to the protein contained in milk. For these reasons, this diet excludes any dairy products other than butter ghee from the diet.

It is recommended to cook meals in the process of following a diet with UC on water or fish, andalso meat broths. With such a pathology, the patient should eat four to six times a day. When it comes to the acute stage of the disease, it is supposed to increase the protein content in the diet, against this background, seventy percent of the protein must be obtained from animal food.

Decrease in intestinal motility

It is extremely important to include in the diet foods that can reduce intestinal motility. Astringents and tannins contained in jelly and decoction of berries such as blueberries, dogwood, bird cherry, as well as pears and quinces are of great benefit. The patient's diet should include black and green tea, which are distinguished by strong tea leaves, as well as cocoa cooked in water, soups with a slimy consistency and cereals, but not buckwheat, as it leads to increased peristalsis. Dishes should be served warm to the patient.

Sample menu

The UC Diet offers meals according to the following menu scheme:

• For breakfast they eat rice porridge with melted butter, steamed cutlets, tea.
• For a second breakfast, eat 40 grams of boiled meat with blueberry jelly.
• Dinner is a potato soup with meatballs, along with a rice casserole with meat and dried fruit compote.
• In the afternoon they drink tea, which is characterized by weak tea leaves with crackers.
• For dinner, mashed potatoes with steamed fish patty are perfect. A cup of tea is also worth a drink.
• Eat a baked apple at night.
• Eat 200 grams throughout the daybread made from yesterday's wheat.

Such a diet for UC as much as possible spares the mucosa of the digestive system, but it is possible to make certain amendments to the diet only with the permission of the doctor.

How to eat in case of an exacerbation

When the disease enters an acute phase, for one day it is better to completely refuse any food. Then fractional meals are prescribed, that is, up to eight times a day. All food must be carefully chopped, it can only be taken in a warm form. There is a restriction on the use of sugar and s alt. The diet for NUC during an exacerbation differs in the following characteristics.

• The diet should have an increased amount of protein, a large proportion of which is of animal origin. The patient must eat meat along with fish and eggs, and cottage cheese is also allowed. Dairy products in liquid form are contraindicated, and fish with meat must be carefully chopped and low-fat. Cooking such dishes should be steamed or boiled.
• Carbohydrate dosage should be 250 grams daily, but fiber should be avoided. It is possible to eat semolina porridge. From drinks, it is advisable to use kissels, semi-sweet decoctions of wild rose and black currant. It will be useful to consume juice with pulp. Fruits and vegetables should be eaten raw. What else does the diet for UC during an exacerbation suggest?
• Certain foods can be gradually reintroduced into the diet when improvement is seen.
• Vitamins also need to be included in the diet for this disease in highquantity, however, they already contain medical preparations.
• Against the background of an exacerbation of the disease, decoctions of pears and blueberries are useful.
• It is necessary to exclude everything fried from the diet, as well as fatty and s alty. It is required to limit the consumption of spicy foods along with chocolate, legumes, mushrooms, fruits, vegetables and plums. Many patients most often do not tolerate dairy products, so it is advisable to exclude them from the diet.
• Recommended to use lean meat (boiled or steamed), eggs with cereals, dry cookies are suitable. You should also include walnuts in your diet.

It is not recommended to follow a strict diet for a long time, because it cannot restore the metabolism and strength disturbed due to the disease. Meals should be tasty and varied. A good sign is the return of appetite to the patient. In case of exacerbation, you must immediately go to the hospital.

What is the diet for UC in remission?

Remission

Diet for this form of pathology in remission should be strict. Then it softens and, subject to full recovery, it can no longer be adhered to. Against the background of an improvement in the condition, patients are recommended to eat according to the following system (The diet for NUC during remission should be observed as strictly as during exacerbation.)

• Meals should be taken at least four times a day. It is steamed or boiled (sometimes you can fry some dishes), food is served at the table in a chopped form.
• For cooking cereals, you can use anycereals, with the exception of millet and barley. The diet includes pasta.
• From dairy food, fresh cottage cheese is suitable along with non-acidic sour cream, milk and cheese. Eggs are cooked soft-boiled or in the form of an omelet. Uns alted butter is added to the dish.
• Low-fat ham is offered as appetizers along with doctor's sausage, aspic meat or fish, beef liver pate soaked in herring.
• Vegetables are served boiled or stewed. These are potatoes combined with boiled cauliflower with butter, early zucchini and pumpkin (fried), beets (subject to good tolerance). Fresh tomatoes and cucumbers are not excluded from the diet.
• Fruits with berries can be eaten absolutely any, except for plums, apricots and melons. Fresh compotes are relevant along with jelly, mousses, rosehip broth.
• Tea is offered as part of the diet drinks.
• Spices can be added to dishes (but only in limited quantities), we are talking about bay leaves, unground peppers, cinnamon, boiled onions.
• From bakery products, yesterday's bread is suitable in combination with lean croutons and cookies.

Table 5: Nutrition Features

Diet for UC and table 5 is recommended for all patients. I must say that under the number "5" as many as fifteen different dietary options are hidden. For example, a diet for liver disease advises adherence to this form of nutrition, which allows glycogen to accumulate in the body, improving the separation of bile and normalizing the digestive system along with metabolism. Such a dietshown to persons in postoperative periods.

As part of this table, food entering the body must be thermally, mechanically and chemically gentle. All first courses are recommended to be whipped with a blender, and as for meat, it is prepared only in the form of cutlets or meatballs. In addition, the food should not be very hot or too cold, and also contain oxalic acid along with essential oils, purines, cholesterol, fat oxidation products.

Frying is completely excluded as a cooking method. The same applies to foods rich in refractory fats. In general, you need to get 70 grams of fat, mainly of plant origin, per day. The body should receive 50 grams of carbohydrates and 100 grams of protein. Table 5 has an energy value between 2,500 and 2,800 calories.

We continue to consider in detail the diet for UC. Which foods are allowed and which are prohibited?

Recommended and Excluded Products

Soups are recommended to be boiled in water, adding vegetables, noodles or cereals. Meat, fish and mushroom broth are excluded. The menu of table number 5 for every day, as a rule, provides for the consumption of boiled or steamed cutlets from lean meat or fish. Fatty food has no place on the table. Dairy products should also contain a reduced percentage of fat. Bread should be dried or yesterday. Fresh pastries and pastries are not allowed. You can eat crackers, bread, bagels, dry cookies.

Grains

Grains are suitable for any. Beans are prohibited. You can also eat any vegetables, with the exception of those rich in essential oils and acid (white cabbage, eggplant, radish, radish, onion, garlic, sorrel). As part of the preparation of an approximate menu for table number 5, the consumption of non-acidic fruits with berries is allowed, but chocolate, along with ice cream and confectionery, should be excluded. It is allowed to drink juices along with compotes, fruit drinks, jelly, herbal and other weak tea. Rosehip infusion is especially useful. Quenching thirst with strong tea and coffee, or soda is not recommended. Not a place in the diet, of course, and alcohol.

Sample menu for table 5 for one day

Here is a sample menu.

• For breakfast you can eat an omelette with bread and cheese, drink tea.
• Possible banana snack.
• For lunch, a portion of vegetable soup is desirable along with veal cutlet with mashed potatoes, steamed vegetables, apple juice.
• For an afternoon snack, a cottage cheese casserole with the addition of dried fruits and jelly is suitable.
• For dinner, you should give preference to boiled rice and fish, vegetables stewed in sunflower oil and mineral water without gas.
• Immediately before going to bed you need to drink a glass of kefir.

In closing

This diet can be followed from a couple of weeks to several years, depending on the severity of the pathology. As soon as the exacerbation passes, and the state of the digestive organs stabilizes, it will be possible to gradually start to include in the dietfamiliar products, but in the presence of chronic deviations, table number 5 can become lifelong.

We reviewed the diet for UC in detail.