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Cholecystitis is an inflammatory disease of the gallbladder. Due to a violation of the outflow of bile, inflammation occurs, which may be accompanied by the deposition of stones in the gallbladder1.
Cholecystitis is common in people of all ages, but young people are especially affected by it. An unbalanced diet, snacking on the run, carbonated drinks and alcohol provoke the disease.
With the frequent use of foods that are difficult to digest, the load on the digestive tract increases. There is an active production of bile, but its outflow is difficult, which leads to the formation of stones and sand in the gallbladder. To avoid this, it is necessary to normalize the outflow of bile and its consistency. To do this, you need to watch your diet. It is better to eat often and in small portions, as well as to drink as much liquid as possible.
With cholecystitis, dieting is indispensable. At the same time, you will have to revise your diet not only during an exacerbation of the disease, but also during its chronic course.
Benefits of diet for cholecystitis
Proper nutrition for cholecystitis is, rather, not even a diet, but a new way of life, because it will have to be observed for life. But such a balanced diet of permitted products will prevent the occurrence of new attacks and other unpleasant sensations in the epigastrium, as well as the transition of the disease to a chronic form.
Disadvantages of diet for cholecystitis
Proper nutrition for cholecystitis is, rather, not even a diet, but a new way of life, because it will have to be observed for life. But such a balanced diet of permitted products will prevent the occurrence of new attacks and other unpleasant sensations in the epigastrium, as well as the transition of the disease to a chronic form.
What can you eat with cholecystitis
The list of allowed products is quite limited, but it cannot be called scarce either. Patients with cholecystitis can afford to eat deliciously, properly and fully without compromising health. Properly selected food products will help them in this, which will then become the basis of full-fledged meals.2.
More precise recommendations on permitted products can only be given by a doctor based on the medical history and your current condition.
List of allowed products
Bread | Crackers, biscuits, stale bran bread. |
Meat | Beef, rabbit, veal, chicken, turkey. |
Fish and Seafood | Low-fat varieties: pike, pike perch, river perch, bream, cod, pollock, hake, flounder, mullet, halibut, haddock, catfish. |
First course | Soups on the secondary broth. Vegetarian, cereal soups. Any first courses without the use of frying. Vegetable puree soup. |
Oil | Vegetable oil (linseed, sunflower, olive, pumpkin). Creamy – no more than 30 g per day. |
Cereals | Buckwheat, rice, millet, couscous, quinoa. Oatmeal, barley, corn porridge. |
Pasta | Pasta from durum wheat, buckwheat and rice. |
Eggs | Chicken, quail, caesar (limit the consumption of yolks). |
Milk products | Milk with a fat content of not more than 5%, low-fat cottage cheese, fermented baked milk, curdled milk, natural yogurt without additives. |
Cheese | In limited quantities, preferably low fat and not spicy. |
Sausage, sausages | Homemade from lean meats, no smoking. |
Vegetables | Cabbage (white, broccoli, cauliflower), potatoes, beets, pumpkin, zucchini, carrots, cucumber. |
Berries and fruits | Apples, bananas, melon, pears, plums, raspberries, blueberries, grapes. |
Beverages | Weak tea, coffee with milk, chicory, rosehip broth, homemade compotes and jelly, still water. |
What can not be eaten with cholecystitis
Some foods, such as fatty meats and offal, pickled and smoked delicacies, contribute to the formation of stones, adversely affect the functioning of the gastrointestinal tract and impair the flow of bile.
List of prohibited products
Meat | Fatty pork, lamb, beef. Salo. Offal. |
Bird | Goose, duck. |
Fish | Fatty fish: catfish, burbot, sturgeon, mackerel, herring, tuna, carp, chum salmon, salmon, pink salmon. Caviar. |
Soups | In the primary, fatty broth. Highly concentrated cabbage or mushroom broths. |
Legumes | Beans, lentils, peas, mash. |
Canned food | Pickled vegetables. Any smoked and canned products, both homemade and industrial. |
Milk products | Cottage cheese with a fat content of more than 5%, cream, ice cream. |
Vegetables | Radish, sorrel, radish, onion, turnip, garlic, spinach. |
Fruits and berries | Sour varieties of plums, cranberries, citrus fruits. |
Confectionery | Butter cream, margarine, rich and puff pastries, cakes, chocolate. |
Sauces, spices | Mayonnaise, mustard, vinegar, spices, spicy sauces. |
Beverages | Strong coffee, alcohol, soft drinks and carbonated drinks. |
Menu for a week for a diet for cholecystitis
During the period of exacerbation of cholecystitis, nutrition should be as sparing as possible. In the first couple of days, it is usually recommended to completely avoid solid foods and drink only liquids. Then liquid cereals, pureed and sour-milk products are gradually introduced. Specific nutritional recommendations are given to the patient by his attending physician on an individual basis.3.
After the stage of exacerbation of cholecystitis, it is necessary to constantly adhere to the diet and general recommendations. As dietitian Artur Moiseenko advises, meals should be fractional, 5-6 times a day in small portions. Special attention should be paid to the temperature of the food. For example, food from the refrigerator is prohibited, as cold cases of reflex spasm and severe pain attacks are not uncommon. Therefore, the dishes should be warm, but not too hot.
Day 1
Breakfast: green tea, oatmeal with carrots on the water, cheese biscuit
Snack: banana, natural yogurt
Dinner: boiled potatoes with vegetable oil, boiled pike perch fillet
Snack: a glass of kefir with bran
Dinner: cabbage rolls, baked vegetable salad
Recipe for oatmeal with carrots
Ingredients:
- Long-cooked oatmeal – 50 g;
- Water – 250 ml;
- Carrot – 1 pc. (small);
- Cinnamon – on the tip of a knife;
- Salt;
- Butter – 5 g (for serving).
Cooking:
- Rinse oatmeal until clear water and put in a saucepan.
- Wash the carrots and grate on a fine grater.
- Add carrots to flakes, add water and put on medium heat.
- After boiling, reduce the heat, add spices and cook until tender, stirring constantly.
Day 2
Breakfast: a glass of homemade compote, an omelet from two eggs
Snack: apple marshmallow
Lunch: soup with vermicelli and chicken meatballs
Snack: tea, bread with cheese.
Dinner: vegetable stew, steamed chicken cutlet
Day 3
Breakfast: low-fat cottage cheese with baked apple, chicory with milk
Snack: carrot and apple salad with herbs
Dinner: cauliflower soup, roasted turkey
Snack: tea, croutons with raisins
Dinner: kefir, buckwheat porridge, chicken fillet sausages
Recipe for homemade chicken sausages
Ingredients:
- Chicken fillet – 500 g;
- Chicken egg – 1 pc .;
- Butter – 50 g;
- Milk – 100 ml;
- Salt – to taste;
- Ground paprika – to taste;
- Dried herbs – to taste.
Cooking:
- Turn the chicken fillet into minced meat. Add oil.
- Add the egg, milk and spices to the minced meat. Knead the mince.
- Put 2-3 tbsp on cling film. l. minced meat and twist the sausage. Wrap tightly, then tie the edges of the film with a thread.
- Put the sausages in a saucepan, cover with cold water. Bring to a boil, then cook for about 20 minutes more.
Day 4
Breakfast: coffee with milk, corn porridge with banana
Snack: berry mousse
Lunch: chicken soup with rice noodles, boiled beet and prunes salad dressed with olive oil
Snack: baked pear with cottage cheese
Dinner: carrot cutlets, rabbit goulash, crispbread
Day 5
Breakfast: casserole of millet porridge with raisins, chicory with milk
Snack: low-fat cottage cheese with cucumber and herbs
Lunch: potato casserole with minced veal, coleslaw with carrots
Snack: curdled milk
Dinner: pumpkin baked with herbs, turkey steam cutlets.
Recipe for millet casserole with raisins
Ingredients:
- Millet – 1,5 cups;
- Milk (can be vegetable) – 3,5 cups;
- Vegetable oil – 1,5 tbsp. l .;
- Vanillin – optional;
- Raisin – 100 g.
Cooking:
- Rinse the raisins and pour boiling water over them.
- Rinse the millet thoroughly. Pour in milk and bring to a boil. Reduce heat and cook until done.
- Let the porridge cool down. Add butter, vanilla and raisins.
- Grease a baking dish with oil and put the cooled millet on it.
- Bake at 180 degrees for approximately 25-30 minutes.
Day 6
Breakfast: buckwheat porridge with banana and linseed oil, boiled quail eggs, green tea
Snack: fruit bar, fermented baked milk
Lunch: pumpkin puree soup, beef steam cutlets, bran bread
Snack: banana
Dinner: zander baked with potatoes.
Day 7
Breakfast: omelet with vegetables baked in the oven, coffee with milk
Snack: biscuit with zucchini caviar
Lunch: stuffed peppers with fresh vegetable salad
Snack: linen candy, tea
Dinner: buckwheat noodles with vegetables, oven-baked fish meatballs
linen candy recipe
Ingredients:
- Flaxseed flour – 2 tbsp. l.;
- Dried apricots – 7-10 pieces;
- Water – 30 ml;
- A handful of nuts.
Cooking:
- Soak dried apricots and nuts in water.
- Pour the flaxseed flour with water and knead.
- Grind nuts and dried apricots in a blender.
- Combine all ingredients, form sweets.
Food must be cooked without salt and hot spices, by boiling, stewing and steaming, baking. The amount of liquid consumed per day should be at least 2-2,5 liters.
The results
During the period of exacerbation, it is necessary to adhere to a fairly strict diet, this can last up to several weeks. But even after the end of the acute phase, you need to adhere to a special diet.
The therapeutic diet will not provoke dyspeptic symptoms. The inclusion of fruits, vegetables, bran and polyunsaturated fatty acids in the diet has a positive effect on bile secretion and helps maintain health.
Dietitian Reviews
– In order to prevent the transition of the disease into a chronic form or exacerbation, the diet must be followed constantly. Due to the insufficiency of bile acids in the case of cholestasis and impaired bile secretion, the absorption of fat-soluble vitamins often worsens: A, K, D, E. Therefore, it is recommended to include multivitamin preparations containing the full complex of such vitamins in the diet. To draw up an individual menu, it is recommended to consult a doctor, says Artur Moiseenko.
Popular questions and answers
How to follow a diet correctly, can it cause complications, and answered other popular questions gastroenterologist, nutritionist, nutritionist Elena Krasnopeeva.
Do I have to follow a diet if I am taking prescribed medications?
Will you have to follow the diet for the rest of your life?
In chronic cholecystitis, a diet is needed so that the disease does not become more severe and does not cause complications. But it’s not even a diet. Rather, it is a new way of life.
Can dieting adversely affect overall health?
Is it possible to carry out therapeutic starvation with cholecystitis?
Sources:
- Petrov V.N. Lapotnikov V.A. Chronic cholecystitis. Nurse, 2011. https://cyberleninka.ru/article/n/hronicheskiy-holetsistit/viewer
- Nazarenko L.I. Baranovsky A.Yu. Possibilities of diet therapy and typical mistakes in the diet of patients with biliary tract diseases. Experimental and Clinical Gastroenterology, 2013
- Bordin D.S. Recommendations of the scientific society of gastroenterologists of Russia for the diagnosis and treatment of cholelithiasis. Experimental and Clinical Gastroenterology, 2012