Diet for cholecystitis of the gallbladder

2024 Author: James Gerald | [email protected]. Last modified: 2024-01-12 17:37

The main goal of the diet for cholecystitis of the gallbladder is the accelerated removal of the main symptoms and the removal of the patient into the remission phase. Check out its key principles and explore the sample menu.

Nutrition for exacerbation of cholecystitis

The diet is selected in accordance with the principles of a healthy diet and may differ slightly depending on the severity of the patient's symptoms. Usually in the early days they are most pronounced. Therefore, during this period, one should observe restraint in nutrition and give preference to dietary products that correspond to table No. 5.

It is important to maintain the gallbladder with healing drinks such as rosehip decoction, diluted juices, herbal infusions and teas. During the first 5 days, when the patient adheres to strict bed rest, he should eat food prepared in a grated form. Salt is excluded. The optimal menu during this period consists of slimy soups and boiled cereals.

An important feature of nutrition for cholecystitis, regardless of its phase, is regular nutrition. It is better to eat food often, but in small quantities, not exceeding 200 g.

The frequency of meals should be 5 to 7 times. This is the only way to ensure the restoration of the function of the gallbladder, the timely outflow of bile, respectively, the patient's recovery or his release into remission. In the acute period, the number of calories should be no more than 1600 kcal. per day. It is also important to drink at least 2.5 liters of water every day.

The diet prescribed in the first 5 days with cholecystitis is called 5B. Approximately 10 days after the diagnosis of gallbladder inflammation, the patient is transferred to table No. 5A. This nutrition program must be adhered to for two weeks.

Are there any special recommendations for patients with calculous cholecystitis

The above recommendations are given to patients with cholecystitis of the gallbladder without stones. The only difference in the diet of patients with removed stones is that they can completely starve for the first few days. This is a period when the digestive tract organs gradually return to their usual functions, recover, and therefore they need some time before they can enter food.

Patients with calculous cholecystitis in the first couple of days are prescribed an abundant drink, vitamin drinks such as a decoction of rose hips. After that, they go on a 5B diet. After 10 days, like patients with non-calculous, that is, acalculous cholecystitis, they go on a 5A diet.

List of prohibited foods for the acute stage of cholecystitis

First of all, any foods that irritate the mucous membranes of the gastrointestinal tract are prohibited, and require intensive work to break down and absorb nutrients. Also, dishes that can provoke fermentation in the intestines are strongly discouraged. These include any variety of cabbage, legumes, and millet.

What else is on the list of prohibited foods:

1. Pickled foods, mustard and spices. All this contributes to a stimulating effect on bile secretion, which is unacceptable during an exacerbation. On the contrary, it is necessary to provide peace to the organ, so it will recover faster.
2. Rich meat, fish and mushroom broths.
3. Onions and garlic, radishes.
4. Citrus fruits, cranberries, any sour berries and fruits.
5. Coffee, carbonated drinks, cocoa.
6. Fatty meat, smoked meats, canned food, sausage.
7. Fatty cream and cottage cheese.

List of permitted products in the exacerbation phase

The principles of beneficial nutrition for cholecystitis must be studied and applied in practice if the patient does not want to face an exacerbation again. If the errors in the diet are repeated, the patient will only further distance himself from recovery.

For many patients during an exacerbation, refusing bread is a real problem. Indeed, today many doctors recommend completely excluding this product from the diet for gallbladder cholecystitis. But given the mentality of Russians, this is not always possible. Instead of bread, you can use rusks made from white wheat flour.

The most popular and common dish in diet 5 is soup. It is best if its components are wiped to a puree state. Gradually, as you recover, you can add finely chopped ingredients, lightly boiled cereals to the soup.

Meat is a valuable source of protein. The permitted types include chicken breast, turkey, rabbit. Sometimes you can afford and beef, but many therapists agree that this is not a very suitable product for a patient with cholecystitis. It is better to eat poultry, or rabbit as a last resort.

In the phase of semi-remission and remission, you can cook whole chicken breast. In case of exacerbation, it is better to twist the meat 2 times through a meat grinder and cook dumplings, soufflés and other steamed dishes. The fish should also be lean. Better to opt for varieties such as cod, hake, pike perch and flounder. It is better to completely exclude red fish in the next month.

What else can or can not be eaten during this period

The diet for cholecystitis of the gallbladder does not contain whole milk. If you cook porridge in milk, it is better to dilute the product by 50% with plain water. Therapists, in principle, recommend giving up milk during an exacerbation and adding it gradually to the usual menu for a week, as soon as the first prerequisites for remission appear.

Cottage cheese is a valuable and healthy product, but it is necessary to use it not in its pure form, but adding it to steam casseroles. It is better to use cottage cheese with a fat content of 5-9%. Fully fat-free cottage cheese is not recommended, since the method of processing such a product is questioned.

As for cereals, oatmeal, rice, buckwheat are very useful. During an exacerbation, they should be boiled in water. As soon as the patient is transferred to a 5B meal plan, he can include vermicelli and hard pasta in the menu, which should be boiled well (at least 20 minutes, since a rigid structure can provoke an exacerbation).

Of the vegetables, zucchini, broccoli, and pumpkin are especially useful. Potatoes are allowed as mashed potatoes. You can sometimes also indulge in small quantities of green beans. All vegetables should be wiped or steamed.

Fruits and berries are limited until the patient is in remission. From time to time, he can allow himself to use a baked apple, pear, only non-acidic varieties. Sweets are not welcome. In order not to feel cravings for such products, you can resort to all sorts of tricks, for example, adding a spoonful of honey to tea.

Butter can only be put in cereals in an amount of no more than 10 g.

From drinks, weak tea with honey or a teaspoon of sugar, rosehip broth are allowed. Gradually, you can add homemade jelly to this.

Recommendations for patients with chronic cholecystitis

Depending on the initial data, as well as on how accurately the patient complied with the prescribed requirements, he can either recover completely from cholecystitis or acquire it in a chronic form. If there was a second case, then you will have to follow certain rules that will prevent overloading of the gallbladder and liver, and also help to avoid thickening of bile and the formation of stones in the future.

What advice can be given to people with chronic cholecystitis:

1. Observe fractional meals and consume no more than 300 g of food at a time.
2. Do not get carried away with high-calorie food, especially on holidays, make sure that your menu turns out to be no more than 2,500 calories.
3. On average, the amount of fat should be no more than 80 g per day. The amount of proteins should be about the same. The carbohydrate content of a meal should be approximately 400 g.
4. Be careful with salt. It is better to cook an absolutely bland dish, which is subsequently salted by each separately for himself. A pinch of salt in a bowl of soup or a bowl of porridge will do the trick.
5. Drink at least 2 liters of water.
6. If you want to stay healthy for a long time, love the steamed food! Such dishes should form the basis of the menu in the presence of gallstones. In order to make your meals more varied, steam the casseroles by adding finely chopped or, even better, pureed vegetables, cereals and cottage cheese.
7. Avoid tough meats and vegetables.

With chronic cholecystitis, you can afford a dietary version of the vinaigrette, which does not contain onions, pickled cucumbers and beans. Berries and fruits are allowed, but only sweet. As for eggs, it is better not more than 1 per day. The preferred processing option involves the preparation of a steam omelet. Moreover, if possible, it is better not to add yolk to such an omelet at all and to do with several proteins.

Remission practically does not differ in nutritional plan from half-remission, but with the proviso that it allows more indulgences, and the patient can sometimes afford meals unprocessed.

Outcomes

1. The diet for cholecystitis assumes maximum restrictions in the exacerbation phase and a gradual expansion of the menu as you go into remission.
2. Food ingredients must be wiped, boiled, or steamed.
3. Sour foods, marinades, smoked meats, coffee should be excluded. The presence of protein in the diet is mandatory. Chicken breast, turkey, or rabbit can be a valuable source.