Gastritis - A fairly frequent disease, not depending on age. It is associated with inflammation of the gastric mucosa. The causes of gastritis are diverse. You may have overloaded your stomach with an overly acute, too hot or cold beggar, engaged in gluttony. The development of this disease can contribute to the poisoning of low-quality products (poorly cooked, insufficiently cooked or roasted dishes), as well as alcohol or toxic substances. Acute gastritis can become chronic and be accompanied by diseases of the intestine, liver, gallbladder. Serious complications of chronic gastritis can lead to gastric and duodenal ulcers, in rare cases to anemia.
If you suffer from chronic gastritis and gastritis with low acidity of gastric juice, chronic colitis or enterocolitis, you should combine milk treatment with diets that include products that do not irritate the gastric mucosa and help restore normal stomach function.
With all these diseases, you should not eat spicy seasonings and spices (pepper, garlic, raw onions, mustard, horseradish, vinegar seasonings, hot sauces), salted and pickled vegetables, fruits, smoked meat and fish products, radish, rutabaga, radishes, sorrel, melon, plums, apricots, apples, berries.
Gastritis and colitis treated with milk for a long time and not unsuccessfully. These diseases of the digestive tract are of two types: they can be accompanied either by low acidity of gastric juice, or, conversely, increased. In the first case, the remedy you take should help increase the secretion of gastric juice. That is why we recommend treating gastritis or colitis with cold cow or goat milk.
One of the easiest ways is to take 2–3 sips of milk cooled to 12–15 ° C during the day a few minutes before the next meal. However, this treatment is quite long, and we recommend it to people suffering from chronic forms of these gastric diseases. Regular intake of cold milk in small quantities before meals improves digestion and has a beneficial effect on the acidic environment of the digestive organs.
With good tolerance of honey, you can add it to the milk in the treatment of gastritis or colitis. Add one teaspoon of melted honey to half a cup of hot cow or goat milk, cool the mixture to 12-15 ° C and take 2 to 3 times a day 1 hour before meals. This drink well removes painful phenomena and prevents the occurrence of constipation.
If, on the contrary, you suffer from colitis or gastritis with high acidity of gastric juice, then you can use a mixture of fresh cow or goat milk with honey (1 tablespoon per 1 cup of milk), but the milk must be warm (heated before 30 - 32 ° C). We advise you to take this remedy 1 hour before meals 1 - 2 times a day. The duration of treatment is about two months.
It is good for the treatment of gastritis, a method widely used in Russia, especially in its central areas and the middle lane. Chronic gastritis was treated with a mixture of baked cow's milk and fresh carrot juice of very sweet varieties rich in carotene. For 1/2 cup of baked milk, take 1/4 cup of freshly squeezed carrot juice, take the mixture in the morning, 1 hour before breakfast. After taking the drink is best to lie down for 20 - 30 minutes. Treatment continues for 6 to 8 weeks.
Here is the approximate composition of the therapeutic diet.which we advise to adhere to people suffering from chronic forms of gastric diseases.Note that although the set of products recommended for use is universal, each one has a different course of illness, and their tolerance is different, including milk. Therefore, you must first consult with a doctor who monitors the course of your disease. It will help to finally decide what will remain in your daily diet, and what can be replaced.
Breakfast - 100 g of wheat bread (preferably dried), a salad of ripe fresh tomatoes with non-acidic sour cream, fried eggs, 1 glass of yogurt.
The second breakfast is wheat bread with butter or biscuit cookies, 1/2 cup of kefir.
Lunch - milk rice soup with pumpkin, buckwheat porridge with butter, 50 g of dried white bread, milk jelly.
Tea time - sweet omelet on milk, tea or coffee with milk.
Dinner - 250 g cheesecakes with sour cream, 1 cup of kefir.
Breakfast - 100 grams of wheat bread (dried), mashed potatoes with a piece of low-fat boiled fish, tea with milk.
The second breakfast - 150 g low-fat cottage cheese with sour cream, milk with honey.
Lunch - milk soup with vermicelli or rice, 100 grams of wheat bread, 100-150 grams of boiled chicken or chicken steam meatball, 1/2 cup of ryazhenka or varenz.
Safe, - sandwich from wheat bread with butter and not sharp cheese, milk kissel.
Dinner - 150 - 200 g of boiled cauliflower, 50 g of wheat bread, 100-150 g of mashed potatoes, 100 g of boiled chicken, 1 cup of yogurt.
The third day
Breakfast - milk rice porridge (crumbly), 50 grams of wheat bread, steam meat cutlet from lean meats, 1 glass of milk.
The second breakfast - fruit mousse with biscuit or biscuit, 1/2 cup of kefir.
Lunch - vegetable soup, stewed pumpkin with sour milk, 100 grams of wheat bread, 10 grams of butter.
Safe, - cottage cheese or curd cheese sweet, coffee with milk.
Dinner - boiled vermicelli with a cutlet of lean beef or veal, 100 g of wheat bread, 1 cup of yogurt or ryazhenka.
Breakfast - pancakes, cooked in whole milk, tea or coffee with milk and sugar.
The second breakfast - an omelet with cheese, a slice of wheat bread, 1 glass of milk.
Lunch - milk noodle soup, crumbly buckwheat porridge with butter, a piece of boiled chicken, 1 cup of ryazhenka or varentsa.
Snack - chopsticks from semolina, sweet tea with lemon.
Dinner - a salad of boiled carrots and cauliflower, 50 grams of wheat bread, low-fat cottage cheese with sugar, 1 cup of kefir.
Breakfast - milk semolina porridge, 1 soft-boiled egg, 50 g of wheat bread, 5 g of butter, a salad of mashed boiled carrots and cheese, 1 glass of yogurt.
The second breakfast - low-fat cottage cheese with sour cream, fruit and berry jelly.
Lunch - potato milk soup, 50 g wheat bread, boiled macaroni, 50 g low-fat beef, 1/2 cup of kefir.
Snack - omelette sweet, yogurt or cream.
Dinner - mashed boiled zucchini, 100 g of wheat bread, mashed potatoes with milk, 1 cup of yogurt.
Breakfast - mashed potatoes with milk, meatballs or meatballs steamed from low-fat beef, 50 g of wheat bread, 1 glass of milk.
The second breakfast - carrot juice with cream.
Lunch - milk soup with oatmeal, steam chicken cutlet, 100 grams of wheat bread, beetroot-but-carrot puree, weak sweet tea.
Snack - 1 soft-boiled egg, 1 glass of milk.
Dinner - boiled cauliflower salad, a piece of boiled chicken or steamed chicken cutlet, 50 g of wheat bread, milk jelly.
Breakfast - 100 grams of wheat bread, sausages or small sausages with a milky sauce, crumbly buckwheat porridge, 1 glass of yogurt.
The second breakfast - scrambled milk, weak sweet tea.
Lunch - rice or vermicelli soup in a rather weak meat broth, 100 g of wheat bread, mashed potatoes, 100 g of boiled lean fish, 1 cup of ryazhenka or varenza.
Tea time - cottage cheese cream with sugar, 1/2 cup of milk.
Dinner - 50 grams of wheat bread, a dish of pureed boiled vegetables (except cabbage), rice milk porridge, 1 cup of kefir.
Another couple of recipes for therapeutic dietary dishes that are required for a speedy recovery.The menu includes the milk and dairy products you need during this period.
For lunch you can serve milk potato soup. The combination of milk and potatoes will favorably affect the condition of your stomach and will not cause irritation of the mucous membrane. To prepare this dish, take 2 cups of milk, 2 medium potatoes, 1 tbsp. l vermicelli, 1 tsp. butter, a little salt. Wash the potatoes well, peel, cut out all the eyes and black specks, cut into strips or small cubes and boil in water. Add vermicelli to hot boiled milk, boil for 10 minutes, then add boiled potatoes, bring to a boil again, season with salt and butter.
Milk kissel can be recommended as a third course or as an afternoon snack. This dish is very well tolerated in gastric diseases. In addition, it can be used by people suffering from diarrhea. Milk jelly is prepared from 200 g of milk, 1 tbsp. l starch, 1 tbsp. l sugar, 2 tbsp. l broth hips. Bring the milk to a boil over low heat, add the broth of the rosehip and the starch diluted in water, boil with the starch. Then add sugar and mix the whole mixture. Serve chilled jelly.
Treatment of colitis and gastritis
The variety of types of disorders of the gastrointestinal tract and the similarity of their symptoms necessitate a thorough diagnosis. The following research methods are used:
- analysis of feces (with colitis) or gastric juice (with gastritis),
Next, the doctor gastroenterologist prescribes the treatment of colitis and gastritis, which includes:
- physiotherapy course,
If inflammation has arisen as a result of the action of pathogenic microorganisms or helminths, then antibiotics or antihelminthic drugs are necessary. Also used in the treatment of local exposure: No-Shpu, Imodium, Loperamide, Festal. To restore mucosal cells, anti-inflammatory and hormonal preparations are prescribed. If the cause of the disease was excessive use of drugs, then they should be excluded.
In difficult cases, therapy takes place in the hospital. The doctor's actions are aimed at eliminating the symptoms of the disease and restoring the cells of the mucous membrane of the affected organ. After improving the condition of the patient should continue to adhere to the diet.
Diet for gastritis and colitis
Relief in the diet with gastritis and colitis is possible in case of remission. It is important to follow the diet and eat fractional - at least 6 times a day, chewing food thoroughly. Useful vitamin-mineral complexes.
- fatty, fried, overly salty and spicy foods,
- alcohol and smoking.
Diet for gastritis depends on the form of the disease: with increased acidity, the specificity of the products is aimed at reducing it, with a lower one, at activating the secretion of gastric epithelial cells. In the case of acute colitis, the first two days should be abandoned, and then go to a diet regime.
Do not use:
- foods that cause flatulence,
- fatty and hard meats,
- fresh bread and pastry,
- smoked meats and pickles,
- excessively hot and cold dishes.
Permitted products in the treatment of gastritis and colitis:
- boiled eggs, scrambled eggs,
- lean fish and steamed meat
- boiled or baked fruits,
- low-fat dairy products
- boiled porridge,
- mineral water, tea, dogrose decoction, compotes, jelly,
- vegetable puree, soups, salads.
Food should be subjected to maximum heat treatment and grinding, so as not to injure the inflamed mucosa of the stomach and intestines. It should be diverse and contain 100 g of protein and fat components, 500 g of carbohydrate and 15-20 g of salt.
- infection (dysentery, salmonellosis, tuberculosis, chronic infections, giardiasis, amebiasis, helminthiasis),
- alimentary factor (use of coarse, insufficiently thermally processed food, irregular and inadequate food, food, “dry rations”, inadequate intake of dietary fiber, frequent use of spicy, salty, smoked, fatty foods, alcohol),
- the action of toxic substances (salts of heavy metals, mercury, lead, arsenic, etc.),
- radiation exposure
- drugs (long-term use of antibiotics, laxatives, drugs in the form of suppositories, frequent enemas),
- stressful situations
- intolerance to some products
- hereditary factors (Hirschsprung disease, Crohn's disease),
- autoimmune factors
- chronic diseases of the kidneys and liver, occurring with endogenous intoxication of the body (liver cirrhosis, chronic renal failure),
- intestinal ischemia (with atherosclerosis, thrombosis, diseases of the cardiovascular system, respiratory system),
- reflex effects in diseases of other organs (myocardial infarction, pancreatitis),
- Systemic diseases of the connective tissue (scleroderma, lupus erythematosus, etc.).
Symptoms of colitis
With intestinal colitis, the symptoms are divided into local and general.
Local symptoms include abdominal pain. It is often localized in the lower and lateral areas of the abdomen, has a dull aching character. After eating the pain increases, and after defecation decreases. Patients may be disturbed by abdominal distension, rumbling, transfusion, feeling of heaviness. The pain may increase when walking, shaking ride.
Stool disorders are characterized by diarrhea or constipation, depending on the cause and type of intestinal dyskinesia. With increased peristalsis, frequent stools, in small portions. In the feces there is mucus, sometimes - streaks of blood. There are tenesmus - painful urge to defecate. These symptoms are more characteristic of acute inflammations of the intestine, as well as for ulcerative colitis.
In chronic colitis, the symptoms also include stool disorder. Constipation is more common with reduced intestinal motility. They are characterized by the number of bowel movements less than three times a week and the release of high-density feces. As a result of constipation, anal fissures and hemorrhoids can appear.
Intestinal inflammation always proceeds with common symptoms. Most often these are signs of intoxication - headache, weakness, fatigue, sleep disturbances, irritability. With infectious enterocolitis, there is an increase in temperature, chills, dehydration. With a prolonged course of chronic colitis, body weight decreases, signs of hypovitaminosis develop. Symptoms of anemia (pallor, pain in the heart, shortness of breath, etc.) are characteristic of nonspecific ulcerative colitis (UC), which occurs with periodic bleeding.
Special attention should be paid to the defeat of the colon as a result of ischemia. It develops with insufficient blood supply to the intestine. The cause may be heart disease (myocardial infarction, angina, heart disease), respiratory system (respiratory failure), systemic atherosclerosis, and tendency to thrombosis.
Ischemic colitis can develop gradually, then atrophy of the mucous membrane occurs. In acute ischemia, ulcers and erosion appear on the intestinal mucosa, intestinal bleeding may develop. Thrombosis of the vessels of the peritoneum causes intestinal obstruction, peritonitis, general intoxication, colon gangrene.
Important: if any signs of intestinal colitis appear, you should consult a doctor.
Stages of colitis
Almost always the first stage of the disease is catarrhal colitis. It is characterized by exudative phenomena: the goblet cells begin to produce an excessive amount of mucus, which becomes noticeable in the stool. Diarrhea is the predominant symptom at this stage.
With a long course of the disease, hypertrophy of the mucous membrane first develops, and then its atrophy. Sometimes the hypertrophic stage is absent.
For atrophic colitis is characterized by thinning of the mucous membrane, the replacement of glandular elements with connective tissue. In this case, the motility of the colon is reduced, and constipation prevails. Sometimes diarrhea alternates with constipation.
This form of the disease is difficult to treat.
Treatment of acute and chronic colitis
The treatment of colitis depends on its cause.
If possible, it is necessary to eliminate the effect of the causative factor - change the work during professional intoxication, treat diseases of other organs, normalize nutrition, etc.
In case of infectious diseases of the intestine, antibacterial, anthelmintic or antiprotozoal agents, intestinal antiseptics are prescribed. Enterosorbents and cleansing enemas are used to remove toxic products from the intestines.
To restore the normal microbial flora, the appointment of pre- and probiotics is necessary. If colitis is accompanied by damage to the stomach and small intestine, then enzyme preparations are used. In order to normalize intestinal motility, prokinetics are used.
Treatment of chronic colitis with frequent constipation provides laxatives. In case of hereditary diseases (Crohn's disease, Hirschsprung), surgical treatment may be needed, in which part of the affected intestine is removed.
Other methods of treatment include physiotherapy, abdominal massage, microclysters with various topical medications. For example, NUC uses sea buckthorn oil, which improves reparative processes. With chronic intestinal inflammation shows spa treatment, the use of curative mineral water. Favorably on the function of digestion affects physiotherapy.
Important: for bowel disease can not self-medicate. How to treat intestinal colitis should be determined by a qualified specialist. If you turn to a doctor late, the chances of successful treatment are reduced, the disease may become irreversible.
Dietary treatment for colitis
Diet for colitis is one of the most important treatments. A set of recommended products depends on the symptoms of the disease.
In case of diarrhea and bloating, it is necessary to exclude products causing increased gas formation:
- raw vegetables and fruits
- sour, spicy, salty, canned, fried, smoked products,
- legumes (peas, soybeans, beans),
- Rye bread,
Food should be well ground and heat treated. You can eat potatoes, pasta, white bread, eggs, lean meat and fish in boiled or stewed form, cheeses. Alcohol, spices and strong tea and coffee are strictly prohibited.
Food for colitis, accompanied by constipation, should contain an increased amount of fiber and fluid (about 2 liters). The diet should consist mainly of dairy and vegetable food:
- fermented milk products (kefir, ryazhenka, acidophilus, natural yogurt),
- lean meat (chicken, beef),
- bran bread or rye,
- dried fruits (prunes, dried apricots).
Food should be eaten in small portions 5-6 times a day. In case of chronic disease, the diet must be followed almost for life.
Prognosis: acute forms of colitis are usually well treated (with the exception of ischemic).
In chronic colitis, treatment should be long. Although complete recovery in this case is rarely observed, adequate treatment and well-chosen diet significantly improve well-being, ensuring a full life.
But perhaps it is more correct to treat not the effect, but the cause?
We recommend reading the story of Olga Kirovtseva, how she cured the stomach… Read article >>
Waking up at night from hungry severe pains? And the severity after eating there? At the same time you feel like an amoeba, and the desire is only one thing - to lie down and curl up? There are all signs of gastritis! This is a well-known and completely treatable disease. It all depends on the will of the patient and the fulfillment of all doctor's prescriptions.
Of course, prevention will have to deal with the rest of his life. But tasty food is a gastronomic sensual pleasure and it is extremely unwise to refuse it because of gastritis. Moreover, diseases of the digestive organs contribute to the development of various pathological processes, since the body does not receive enough nutrients, vitamins and minerals.
Gastritis with high acidity. Causes of pathology
Gastritis is an inflammatory process that affects the gastric mucosa. This is a collective name. Gastritis with high acidity is one of the varieties of this pathology. Changing the pH of the gastric juice is not in itself a disease.
This is a symptom and a consequence of neglect of the stomach by its owner. High pH values contribute to the development of gastritis. In chemical terms, it is a chronic burn of the mucous membrane of gastric juice. Doctors distinguish 2 groups of factors contributing to the development of this disease:
External or exogenous causes of pathology:
- Food - love spicy, fatty and heavy - be prepared to treat gastritis
- Food on the run - badly chewed, dry food leads to gastritis
- Stale food, violation of cooking technology and food storage
- Alcohol, tobacco
- Drugs - antibiotics, NSAIDs
- Items randomly in the stomach
- Sometimes it is enough to swallow dust or other unpleasant fumes and get burns of the mucous and inflammatory processes in the digestive tract.
Internal or endogenous causes:
- Stress and lack of vitamins
- Inflammatory processes caused by pathogenic and conditionally pathogenic microflora, helminthiasis, amebiasis, trichomoniasis
- Violation of the blood supply to the stomach due to diseases of the heart and blood vessels
- Allergic reactions
But according to medical statistics, the cause number 1 is the bacterium Helicobacter Pylori. This pathogen can live for years in the stomach of the patient and does not manifest itself. But under favorable conditions, Hilecobacter begins to multiply actively, thereby causing inflammation of the gastric mucosa due to the death of its lining epithelium.
Symptoms of the disease
Doctors distinguish 3 types of the disease. Symptomatology differs depending on the type of pathology.
Type A gastritis is an extremely rare chronic autoimmune disease. At the same time, the body releases antibodies that destroy the cells that form the gastric mucosa. The process is active in the zone of the bottom of the body. Signs of pathology:
- Pain and heaviness after eating
- Unpleasant taste in the mouth
- Dyspepsia - with nausea, belching
- Violation of defecation - more diarrhea than constipation
- Burning in the mouth, in the tongue, visually the tongue looks varnished - in the later stages
- Drowsiness and fatigue due to anemia and nutritional deficiencies
- Uncertain gait, vibration insensitivity - in the later stages of pathology
- In most cases, the disease is asymptomatic.
The treatment of chronic gastritis is presented in the following video:
Type B gastritis is a classic chronic process. The cause is an infectious lesion of various types of bacteria and microorganisms. Develops in the upper sections of the stomach. Symptoms of the disease:
- Stomach pain at night
- Hunger pains in the stomach
- Nausea, vomiting
- Belching with sour sharp taste, heartburn
- Defecation disorders - constipation more often than diarrhea
- In rare cases, asymptomatic.
Gastritis type C captures the stomach and duodenum.It is the result of toxic effects of alcohol, drugs, may develop after surgery on the gastrointestinal tract. Symptoms of the disease:
- Dyspeptic symptoms
- Pain after eating and after sleeping
Gastritis is fairly easy to diagnose. But this should be done by a general practitioner or a gastroenterologist. The standard scheme of examination for suspected inflammation of the gastric mucosa:
- Anamnesis is a patient survey about a way of life, chronic diseases, working conditions, medications taken.
- Examination - includes palpation of the stomach, tapping and auscultation (listening).
- Laboratory tests - general blood and urine tests, feces. It is necessary to perform fecal occult blood test, respiratory test for Helicobacter, bacposa, examination of material taken during fibrogastroscopy.
- Instrumental examination methods - includes various types of gastroscopy, gastric ultrasound, x-ray contrast study, measurement of gastric acidity, sensing.
Treatment of type A gastritis
Therapeutic tactics are aimed at reducing the acidity of gastric juice, arresting the inflammatory process, restoring the normal functioning of the gastrointestinal system.
The treatment is carried out at home. Indications for hospitalization are severe pain, suspected ulcer or perforation of the stomach wall, severe dehydration. When treating a disease of type A, the doctor prescribes the following groups of drugs:
- Preparations to improve the production of gastric juice
- Succinic and citric acid to enhance the production of hydrochloric acid
- Drugs aimed at restoring electrolyte balance
- Enveloping, astringent
- Cholinolytics and antispasmodics to relieve pain and improve the evacuation function of the stomach
- Steroids to stimulate the production of protein - with the loss of muscle mass due to lack of nutrients
- The treatment lasts at least 1 month and does not require the hospitalization of the patient.
It is important to understand that this type of gastritis is a chronic process. The main treatment is carried out in the period of acute illness. After stopping the acute process, the actions of the doctors will be aimed at maintaining the patient's state of remission for the maximum possible period.
Treatment of type B gastritis
The treatment tactics for this diagnosis is aimed at suppressing the infection - Helicobacter and other representatives of pathogenic or conditionally pathogenic flora. The standard treatment regimen consists of:
- Antibiotics - at least 14 days based on bakposev and antibiotic susceptibility testing
- Antisecretory drugs - to reduce the production of hydrochloric acid
- Antispasmodics to reduce pain
Treatment of this type of disease is carried out at home. Indications for hospitalization - severe pain, suspicion of erosion of mucous membranes or their perforation, pronounced exhausting nausea and vomiting. The choice of drugs is the prerogative of the attending physician.
Treatment of gastritis type C
In this case, the medical tactic is aimed at eliminating toxic effects, improving the motility of the stomach and intestines, improving local immunity, reducing the likelihood of perforation of the walls of organs. What doctor will prescribe:
- Drugs aimed at improving motility
- Antacid and enveloping drugs
- Spasmolitis to relieve pain
- Sedative preparations of plant origin
- Digestive enzymes - as needed
This type of gastritis also does not require hospitalization, treatment is carried out at home. An exception is the general severe degree of intoxication with additional signs of damage to the liver or urinary system.
For all types of gastritis shows spa treatment in specialized resorts.
Recipes of traditional medicine
Inflammation of the gastric mucosa is familiar to mankind for a long time.And some experience was gained in treating this problem. Important! Any home methods and recipes should be agreed with your doctor. Herbs and other herbal remedies for gastritis:
- Mint, yarrow, St. John's wort in equal proportion is brewed according to the classical technology - 1 teaspoon of the mixture per 250 ml of boiling water. Infused for 2 hours and sipped during the day. Mint relieves nausea and heartburn, yarrow and St. John's wort - removes the inflammatory process. The duration of treatment is 14 days.
- Potato juice minced in the morning for 14 days. Use only freshly prepared fresh.
- Broth licorice root helps to reduce the pH of gastric juice. To obtain the broth, 20 g of the root is crushed and poured a glass of boiling water. Insist 2 hours. Store only in the refrigerator, as the drink loses its healing properties. Take 2 tablespoons before each meal. The duration of treatment is 1 month.
- Honey - has anti-inflammatory properties. On 1 glass of warm water 1 tablespoon of a natural product of beekeeping. Peduncles - do not play a role. The main thing is to use only natural honey. The treatment lasts 15 days.
- Flax seed has anti-inflammatory and enveloping effects. To obtain the medicinal infusion will need 1 tablespoon of seed per 0.5 liters of boiling water. Leave for 1 day. Take 1 glass on an empty stomach.
Food during gastritis treatment
Proper nutrition during treatment is a mandatory element of treatment. Depending on the severity of the inflammatory process, one of the recommended diets is selected - diet No. 1, 1A or 1B.
In the first 4 days of treatment, diet 1A is prescribed - milk-only pureed dishes. Then on the 6th day the list of approved products is expanded. After stabilization of the state, they switch to diet No. 1, but the food remains thermally processed and cleaned. Permitted Products:
- Tea with milk, jellies, mineral alkaline water without gas, compotes
- Products from non-fermented dough, yesterday bread or crackers
- All types of dairy and dairy products
- Low-fat meat - veal, chicken, pork
- Steamed Omelets
- Pureed porridge
- Pureed soups - vegetable or low-fat broth
- Puree from cooked vegetables
- Sweet fruits, grated, cooked - boiled, baked
- Fresh bread
- Fried dishes - meat, eggs, lard
- Spice and spice dishes
- Products that cause gas formation - legumes, onions, turnips, radish
- Sour fruit
- Spicy sauces
Exclude these products will have a long period of time. After reaching a state of remission, you should continue to follow a diet. Raw vegetables and fruits are introduced into the diet gradually in small portions.
To live without gastritis is easy. It is enough to adhere to the rules of healthy eating, avoid various toxic drugs:
- Per day should be from 4 to 6 meals.
- Portions should be reasonable, not pass.
- Food comfort temperature - from +20 to +60 degrees.
- Spicy dishes alternate with neutral foods.
- Do not eat on the run, chew food thoroughly.
- Follow the rules of hygiene, both in general terms and in the oral cavity in particular.
Compliance with these simple rules will avoid unpleasant diseases. But even if the diagnosis “acute or chronic gastritis” already accompanies your life, then it is quite possible to cure or achieve prolonged remission.
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What is colitis, how to get rid of him or live with him
Colitis refers to inflammatory or dystrophic changes in the large intestine. According to statistics, the symptoms of colitis appear in almost all adults at different times. This disease ranks first among all intestinal diseases, according to the frequency of visits to clinics.
Perhaps acute and chronic course of the disease.
Why does colitis occur?
Causes of colitis are very diverse. One of the features is the connection with other digestive organs. Colitis develops again in chronic gastritis, pancreatitis, cholecystitis. A general failure of the digestive processes in the initial stages leads to the defeat of the large intestine. Therefore, treatment and diet for colitis are always consistent with the state of other organs.
The primary disease is considered if the cause acts directly on the intestines. These include:
- Various infectious pathogens - they cause an acute disease, spread through dirty hands, failure to comply with sanitary rules of culinary processing of food and carelessness in everyday life. Most often revealed dysenteric infection, salmonella, campylobacter, E. coli. Giardia and worms also cause a picture of colitis.
- Dysbacteriosis caused by the use of antibiotics or other strong anti-inflammatory drugs. Disturbing the ratio of the normal intestinal flora, they contribute to an increase in the proportion of pathogenic microorganisms.
- Autoimmune reaction to the own intestinal cells, leading to their destruction. This is one explanation for the course of ulcerative colitis.
- Impaired blood supply to the colon can be caused by atherosclerosis of the mesenteric artery, thrombosis of its branches. Decreased nutrition of the intestinal walls leads to atrophy, ulcerative lesions, infarction and necrosis. This type of colitis is called ischemic. Characteristic for the elderly. Develops with heart failure. In people of younger age, it is possible as a complication of surgical interventions on vessels, with injuries, extensive blood loss.
- Crohn's disease - a chronic inflammatory lesion of the entire digestive tract, causes marked changes in the large intestine.
- Chemical effects - occur with increased sensitivity of the mucous membrane of the large intestine to the means used in enemas.
- Heredity is considered to be a predisposing factor for the development of the disease, although a specific gene responsible for colitis has not yet been established.
- Postponed stressful situations cannot be excluded, because patients often point to an existing connection with the exacerbation of the disease. Hard work, nerve overloads cause a breakdown of immunity, contribute to the development of the disease.
Signs of colitis are caused by a leading cause and have distinctive features.
Common to all types of inflammation of the colon are the following manifestations:
- Pain in the abdomen constant or paroxysmal, localized throughout the abdomen or in a particular place, given in the back, sacrum, scapula. Appear after eating, physical activity, when traveling in transport.
- The alternation of diarrhea and constipation.
- Painful urge to defecate (tenesmus).
- Impurities of mucus, blood and pus in the feces, sometimes spontaneous leakage of the contents of the rectum.
- Bloating, rumbling. Diet for colitis takes into account this feature.
- Increased body temperature.
- With prolonged diarrhea, the manifestation of dehydration: dry skin, tongue, mucous membranes.
Characteristics of acute colitis
Acute infectious colitis caused by certain pathogens has characteristics that are used in the diagnosis.
Dysenteric colitis - affects the rectum and sigmoid colon, causes severe general intoxication with fever, chills. The painful tenesmus, mucus and blood in feces are characteristic.
E. coli, salmonella - causes food poisoning in organized groups of people. The clinic is the same for everyone: diarrhea, intoxication, dehydration.
Clostridia produce toxin, it causes fever, diarrhea (usually without blood).
Giardia can also cause diarrhea. Severe intoxication is not characteristic.
Stage of the disease
The treatment and nutrition for colitis depends on the nature of the inflammatory response, the degree of damage to the intestines. There are 3 stages of the disease:
- catarrhal - on the mucous membrane, swelling and inflammation are expressed,
- fibrinous - there are areas of ischemia and necrosis due to disruption of the blood supply to the intestine,
- ulcers - defects in the form of ulcers of different depths, shapes and sizes are determined.
Such signs are detected only when examining the intestine using endoscopic techniques with optics. Treatment of colitis without a detailed preliminary examination can not only have no effect, but also harm.
A diet for colitis is prescribed in order to maximize bowel discharge during the exacerbation. Eat 5-6 meals a day in small portions.
Used diet table number 4, features depend on the specific symptoms and stage of the disease. It is completely necessary to exclude spicy, fried food, canned food, mayonnaise, reduce the amount of fat. Meat and fish dishes are allowed only boiled or steamed. In the acute stage, everything is prepared rubbed. Recommended low-fat soups, porridge on the water, jelly, broth hips.
It is forbidden to use culinary products with cream, black bread. Fresh vegetables, fruits in the period of exacerbation are contraindicated, gradually connected in stewed and shabby form.
With abdominal distension, all products causing increased gas formation (legumes, cabbage, mushrooms) are canceled. When the tendency to constipation in porridges and soups add 1-2 tablespoons of bran.
The diet recommended not whole milk, and dairy products of low fat content (kefir, grated curd). The patient should get used to the white dried bread.
A diet for colitis with a chronic course should be respected throughout life, after acute infectious colitis for 2-3 months.
Treatment of colitis requires a painstaking attitude to the intestines, the selection of drugs that act gently, with the least damaging properties on the microflora.
To relieve pain, antispasmodics are recommended (No-spa, Platyphyllin).
To prevent constipation, mild laxatives are prescribed (Trimedat, Resolor). With diarrhea - loperamide.
For heartburn used Maalox, Omeprazole.
When an infection is detected, treatment with Enterofuril, Sulfasalazine is carried out.
In order to improve the intestinal flora are appointed Bifidumbakterin, Linex, Bifikol.
The insufficiency of pancreatic and intestinal enzymes requires the use of Pancreatin, Creon, Mezim.
In case of ulcerative colitis, anti-inflammatory hormonal agents and surgical methods of treatment have to be used.
There are other drugs, their choice and dosage are determined by the doctor. Treatment is prescribed only by the attending physician.
Treatment of colitis folk remedies recommended to carry out the acute stage. Cooked decoctions are used inside and in microclysters. Broths brewed as tea (1-2 spoons per glass), you can cook the total amount per day in a thermos.
To eliminate spastic pains, a decoction of chamomile flowers, fennel fruits, and sea buckthorn oil is recommended.
With mild catarrhal colitis, you can apply a decoction of cumin seeds.
Chronic colitis with more pronounced changes is treated with berries of viburnum with honey, rose hips, currants and nettle leaves.
For ulcerative colitis, traditional medicine recommends potato juice, chamomile decoction with hunters, immortelle with mint and fennel fruits.
For persistent diarrhea, rice water, picking oak bark and chamomile are recommended.
Lovers of honey products are offered treatment with propolis (chewing on an empty stomach or drinking alcohol tincture 30 drops in water, warm milk before meals).
All methods of treatment of colitis should be coordinated with the doctor. Effectively spa treatment baths, natural mineral waters and mud. The duration of the course depends on the condition of the patient.
Colitis and gastritis
Published: May 29 at 15:15
Do you still tolerate gastritis? It is not the effect that needs to be treated, but the cause, says Olga Kirovtseva.
Inflammation of the mucous membranes of various parts of the digestive system causes disruption of their functioning and leads to the development of serious pathologies. With the defeat of the large intestine, the disease is called colitis, stomach - gastritis. The causes of these disorders can be external or internal and act primarily in combination.
Colitis and gastritis can be acute or chronic. In the first case, the disease is short-term, but very pronounced. With prolonged exposure to pathological factors or poor-quality treatment of acute forms of inflammation, it enters a chronic stage.
Colitis and gastritis impair the absorption of food. This is accompanied by abdominal pain, abnormal stool, heartburn, vomiting, flatulence and other symptoms. When colitis occurs, swelling of the colon and a violation of mucus production. In the stomach, the work of glandular cells and the balance of acidity of its divisions are disturbed. The consequences of colitis and gastritis are fever, weakness, fatigue, ulcers, cancer.
Food for gastritis and colitis
Dietary table number 2 was developed in the middle of the XX century by the Soviet doctor Mikhail Pevzner, but today it retains its effectiveness and relevance.
Indications for prescribing patients diet number 2 are such diseases as:
- gastritis and colitis during the recovery phase
- secretory insufficiency in chronic gastritis
- periods of remission in gastritis and colitis in the absence of comorbidities
The general approach to catering for gastritis and colitis is to provide a complete diet and gentle cooking of food in the preparation of dishes. This excludes products that irritate receptors and mucous membranes of the digestive tract organs, which are difficult to digest and linger in the stomach.
This diet has a positive effect on gastrointestinal secretory processes, contributes to the improvement of compensatory mechanisms in gastroenterological diseases and prevents the occurrence of exacerbations.
The energy value of this diet is on average 3000 kcal, consisting of:
- 100g of protein
- 100g fat
- 500g carbohydrate
- no more than 10g of salt and 1.5 liters of fluid per day
The mass of the daily diet, while observing diet No. 2, is about 3 kg, while cold dishes should not have a temperature below 15 degrees, and hot dishes should not exceed 60.
- The dairy group of permitted products consists of milk, cottage cheese, fermented milk drinks, cheese and sour cream.
- Eggs in the form of steam omelets and boiled.
- Allowed butter in moderate quantities and refined vegetable oils, preference is given to olive oil.
- Yesterday's wheat bread, dried sponge cake, biscuits and buns.
- Various cereals, better semi-viscous, other cereal dishes and small pasta.
- Soups in diluted broth with chopped vegetables, cereals or pasta.
- Meat and fish dishes are recommended chopped from lean meat, poultry or fish.
- Various vegetables, cooked, in the form of mashed potatoes, casseroles, stewed and others. Vegetables that cause fermentation processes or an increase in acidity, such as cabbage, peas, tomatoes, and others, are consumed provided they are well tolerated.
- Berries and fruit in the form of mashed potatoes with good tolerability.
- Not strong tea, coffee, cocoa, you can with lemon or milk.
- Vegetable and berry juice, diluted with water, jelly, as well as broth hips.
- Sugar and honey in moderation.
- Of the delicacies allowed are cheeses, aspic dishes of meat, fish or offal, unsalted herring, boiled sausage and lean ham, liver pastes, fish caviar.
- bakery products from pastry or warm dough,
- fat and fried meat,
- pickles, smoked meat, marinades and canned food
- lard and margarine,
- cold drinks and ice cream,
- spicy seasonings and sauces
- confectionery with chocolate and cream,
- berries with rough skin or grains: gooseberry, red currant, raspberry,
- kvass and grape juice,
- legumes, mushrooms, sweet peppers, cucumbers, onions, garlic, radishes, radishes, swede.
The approximate daily menu in accordance with the principles of diet No. 2 is as follows:
- Breakfast - egg, oatmeal, cheese, tea,
- Lunch - soup with vermicelli broth, steamed cutlets or baked with vegetable puree, jelly,
- Snack - decoction of hips,
- Dinner - boiled fish, rice garnish, tea,
- Before bed - kefir.
On the basis of this example, it is easy to make a diverse, useful and tasty menu, necessary for diseases of the gastrointestinal tract. Be healthy and have a good appetite!
Diet number 2 has the following indications: chronic gastritis, accompanied by secretory insufficiency, in the stage of recovery or during unsharp exacerbation, enteritis, colitis and acute gastritis during the recovery period. The treatment table is advisable to use as a transition to a balanced diet in the absence of associated diseases of the gallbladder, liver, pancreas. The power supply system can be prescribed during the recovery period after surgery and acute infections.
Characteristics of the diet № 2 Pevzner
Diet - 4-5 times. The chemical composition of the diet table number 2:
- 90-100 g of proteins (40% of plant origin)
- 90-100 g of fat (75% of animal origin)
- 400-420 g of carbohydrates
- 15 grams of salt
- 1.5 liters of free fluid
- energy value - 2800-3000 kcal
Therapeutic diet number 2 is aimed at providing the body with adequate nutrition, moderate stimulation of the secretory function of the stomach, the normalization of the motor function of the gastrointestinal tract. The power system is considered complete in terms of physiological norms. Dishes to the patient can be served in varying degrees of grinding, prepared by boiling, stewing, steaming, baking, roasting (without a coarse crust). From the diet are excluded those products that are digested for a long time, irritate the mucous membrane. Meals should not be plentiful.
Pevzner table number 2: recommended and excluded products
At the treatment table number 2 should be:
- yesterday's wheat bread, pastry and pastry
- first courses, cooked in a weak broth of meat and fish, vegetable, cereal soups
- lean meat, fish, poultry, tongue, beef sausages
- dairy and dairy products, cottage cheese, grated cheese, cream
- boiled eggs, steamed omelette
- cereals (porridge from semolina, rolled oats, rice, buckwheat, cooked in diluted milk or vegetable broth), vermicelli
- vegetables (pumpkin, potatoes, zucchini, beets, carrots, cauliflower, tomatoes)
- ripe sweet fruits and berries in a scuffed or puree form
- sweets (meringue, jam, jam, honey)
- drinks (tea with milk or lemon, coffee with cream, juices diluted with water, decoctions of bran and rosehip)
- refined vegetable, butter, ghee
Pevzner's diet number 2 excludes from the menu:
- fresh wheat bread, pastry puff pastry
- milk soups, okroshka
- duck, goose, fatty meats, canned foods, smoked meats, lard
- salted, fatty, smoked, canned fish
- hard boiled eggs
- cereals (millet, pearl barley, barley, corn), legumes
- raw vegetables, uncooked, pickled, sour, radish, radish, white cabbage, cucumbers, spinach, sorrel, bell pepper, garlic, onions, turnips, mushrooms
- coarse varieties of fruit, berries with hard kernels (red currant, raspberry) or coarse skin (gooseberry), grapes, dried fruits
- spicy and fatty sauces, spices
- drinks (kvass, grape juice)
Intestinal diseases occupy a leading place among gastroenterological diseases and the reasons for seeking medical attention.Among the causes of bowel disease can be identified:
- autoimmune disorders
- errors in nutrition (lack of fiber in the diet, the use of fatty, spicy, fried foods, convenience foods),
- the presence of other diseases of the digestive system (for example, gastritis, cholecystitis or pancreatitis),
- bad habits,
- intestinal infections
- taking drugs that violate the composition of the intestinal microflora,
- lack of vitamins and microelements,
There are many clinical forms of colon pathology and they have a different etiology. "Palm" belongs to the functional disorders. In our country, the term “chronic spastic colitis” has persisted for a long time, but the term “irritable bowel syndrome” is the most widely accepted in world practice. This is a complex of functional disorders manifested by abdominal pain, flatulence, rumbling, violation of its function (constipation or diarrhea), a feeling of incomplete bowel movements, which decrease after bowel movements. All of these disorders support inflammatory changes in the mucosa.
The most serious diseases of the colon are inflammatory diseases - UC (nonspecific ulcerative colitis) and Crohn's disease, in the origin of which are of great importance immunological disorders. Despite the commonality of these two diseases, there are differences between them. In Crohn's disease, changes occur in any part of the intestine, but most often in the ileum (terminal ileitis). Granulomatous inflammation, which affects all layers of the intestine, leads to thickening of the layers and stenosis of the intestine, ulcers and fistulas are also formed.
The peculiarity of ulcerative colitis is the lesion of the rectosigmoid department, however, subsequent spread of the process throughout the colon with the formation of ulcers, cryptabscesses and pseudopolyps is possible. In this disease, pathological changes cover only the mucous membrane of the colon and tend to spread in breadth and not deep. The clinical picture of NUC and Crohn's disease is characterized diarrhea mixed with blood and eating disorders. Patients lose weight (less with UC) and they develop anemia.
Intestinal diseases are closely associated with diseases of the upper GI tract, in particular with gastritis. The stomach and duodenum are the organs that are actively involved in the digestion of food, because here it is exposed to the effects of gastric juice and pepsin, bile and pancreatic juice. The degree of enzymatic processing of food and the state in which it reaches the lower intestine depends on their condition.
Patients with a combined pathology (the presence of gastritis and colitis) require an individual selection of therapeutic measures and dietary recommendations. Only if they are observed can effective treatment and improvement of the quality of life of patients. Nutrition for colitis and gastritis largely depends on the state of acidity of the gastric juice and bowel function (constipation or diarrhea). If you turn to the classic therapeutic diets, the patients are shown dietary. Table number 1 (with increased and normal secretion), Table number 2 (with reduced secretion), Table number 3 (for constipation) and Table number 4 (in the presence of diarrhea).
With all the variety of diets and the existing nuances of nutrition, there is still a common thing between them:
- fractional and frequent meals,
- mechanical schazhenie gastrointestinal tract (maximum grinding of food during the period of exacerbation),
- cooking boiled and baked,
- the use of low-fat varieties of meat and fish,
- cereals (except for corn, millet and pearl barley) cooked in water, since colitis most often doesn’t tolerate milk, causing excessive flatulence, with normal tolerance of milk, milk porridges can be cooked,
- exclusion of products that cause fermentation (fresh yeast pastry, kvass, legumes, many types of cabbage),
- exclusion of coarse vegetables (radish, radish), pickled vegetables, garlic, mushrooms, seasonings and hot sauces,
- the exclusion of coarse varieties of fruits and berries, especially the use of them in raw form,
- It does not recommend foods that are difficult to digest and linger for a long time in the stomach, this applies to duck and goose meat, any fatty meat, canned food, smoked meats, and hard boiled eggs.
A diet for colitis and gastritis, as with any combined pathology, must take into account the functional state of the stomach and intestines, and therefore may have many limitations. It happens that any product can be used for gastritis, but the exacerbation of colitis does not allow it. So, apples and cabbage can be consumed with gastritis, but the intestines react to these products by bloating. The situation can be corrected by adding stewed apples and cabbage to the diet.
Further, in case of gastritis with low acidity, one can periodically eat fried patties or meat without breading, as this food enhances the secretion of gastric juice. However, fried foods can aggravate the intestinal condition (increase pain, bloating and colic), so in each case the approach should be individualized.
If during gastritis with secretory insufficiency, appetizers and salads from fresh tomatoes, soups in a weak broth (meat or fish) are allowed, then at high acidity they should be prepared only on water or weak decoction of vegetables - patients cannot use extractive substances that encourage the production of gastric juice. The composition of vegetables and cereals in them is the same, and the degree of their grinding (rubbing) depends on the severity of gastritis exacerbation and the presence of diarrhea.
When diarrhea food should be as gentle as wiped boiled products without coarse fiber, tendons and skin (this applies to meat and fish). Vegetables, even boiled ones, are completely excluded at first, and as diarrhea subsides, only neutral ones without coarse fiber (pumpkin, potatoes, carrots, and peeled zucchini) are introduced into the boiled and shabby form. Broths with a tanning effect are introduced into the diet: quince, blueberry, cornel, bird cherry.
When constipation, on the contrary, vegetables and fruits are introduced, as an increase in fiber in the diet is shown. However, to use them raw or boiled depends on the state of the intestines. If the intestine responds to the abundance of raw vegetables and fruits with spastic pain, bloating and colic, then you should switch to boiled food. For constipation, preference is given to boiled carrots, beets, soaked prunes and figs. Patients can eat bran bread and old Russian grain bread provided that they are well tolerated by the intestines (no pain and swelling).
Diet for colitis and gastritis should include:
- Low-fat varieties of meat and fish, which are cooked in boiled or baked (without a coarse crust) form. The degree of grinding (lumpy meat or products from the mass of cutlet, pastes and soufflé) depends on the severity of symptoms (exacerbation or remission).
- Well boiled porridge (except for millet, barley, barley, corn). Most porridges are cooked in water, if allowed - in broth or with milk. It is not contraindicated to use as a side dish not coarse pasta (meaning thin noodles or vermicelli). It should be borne in mind that in the presence of constipation pasta should be used rarely and in small quantities, because they can cause constipation. When diarrhea porridge is well boiled or wiped, preference is given to rice porridge.
- Soups in water or broth (meat / fish) - it depends on the acidity of gastric juice. Grains in soups should be well boiled or mashed, and vegetables - finely chopped. It is allowed to add potatoes, carrots, zucchini, pumpkin and cauliflower to the first courses, with good tolerance you can eat white cabbage.With constipation, beetroots and borsch with a large amount of beets must be introduced into the diet. With colitis and diarrhea, preference is given to grated soups, and vegetables are introduced into them cautiously and only when stool is normalized. In soups, if desired, add meatballs or boiled meat in the form of minced meat.
- Slightly dried wheat bread (white or gray). Patients are allowed to use dry nonfat cookies or homemade sponge cake.
- Vegetables in boiled or stewed form as a side dish or in the form of salads. Vegetables can be introduced into casseroles or make of them patties and stews. In a state of remission, you can enter ripe peeled tomatoes and cucumbers, leafy salads, finely chopped Chinese cabbage (it does not cause bloating), parsley and dill. With a tendency to diarrhea vegetables are used very carefully and only in the form of boiled and pureed.
- Milk and cream in the form of additives in various dishes. If the milk is well tolerated by patients, it can be consumed whole. It is especially indicated for gastritis with high acidity. Fermented milk drinks are preferred for gastritis with low acidity and with a tendency to diarrhea. Every day, cottage cheese, mild and not very salty cheese may be present in the diet of patients. In some cases, with colitis, it is recommended to eat rubbed.
- Butter (10 g per reception). Vegetable oil is recommended in the presence of constipation, and when diarrhea is introduced into the diet with caution.
- Soft-boiled eggs or steam omelets. You can eat 2 eggs a day, every day or every other day.
- In case of gastritis with low acidity, appetizers are allowed (not sharp cheese, jellied fish, fish roe, soaked herring). These dishes can be used with colitis.
- Homemade sauces - dairy, bechamel, sour cream to any vegetable and meat dishes.
- Ripe fruit can be consumed without peel only during remission. Apples, pears, bananas, melons in small quantities, sweet strawberries and raspberries. Watermelon, apricots and plums are indicated for constipation. The treatment of fruit with diarrhea should be very cautious. Most likely the patients will come up with apples and pears in stew (baked), berry kissel, mousses, compotes and jelly.
- Fruit marmalade, meringue, marshmallow, marshmallow, honey jam and jam in small quantities.
- Fruit and vegetable juices in diluted form. Excluded grape, cabbage, and with diarrhea - plum, peach, apricot. Patients can use weak tea and coffee, broth hips, cocoa in the water.
How to treat colitis
The large intestine performs important functions: it provides water absorption and contains the microorganisms necessary for vital activity. Its inflammation leads to disruption of the entire digestive process.
How and what to treat colitis colitis?
The basis of the disease is damage to the intestinal mucosa. Remarkable is the fact that colitis is the most common gastrointestinal disease. The development of the disease contribute to intestinal infections (for example, bacterial dysentery). Streptococci, staphylococci and proteas can cause colitis.
The most violent disease occurs in the event that it was caused by an intestinal infection. Getting on the intestinal mucosa, pathogenic bacteria damage it, because of which the inflammatory process develops. The walls of the colon swollen, disrupted mucus production and peristalsis. Toxins released during the life of pathogenic microflora cause unpleasant symptoms of colitis. Among the causes of this disease, gastroenterologists distinguish:
- Long-term use of antibiotics and other medicines (antipsychotics, laxatives, etc.),
- Intestinal infections (dysentery, salmonellosis, etc.),
- Malnutrition (monotonous food, abuse of flour and meat, spicy dishes and alcohol),
- Intestinal dysbiosis,
- Food allergies,
- Hereditary predisposition
- Infections in the pancreas or gall bladder.
In some cases, for example, in Crohn's disease and ulcerative colitis, the causes of the inflammatory process in the intestine may remain unclear.
One of the main signs of colon colitis is abdominal pain. Depending on the course of the disease, the nature of the pain may vary. They are also accompanied by rumbling and bloating. Since colitis can occur in both acute and chronic forms, the clinical picture in each of the cases has its own characteristic features:
With acute colitis
In the large intestine, the mucous membrane swells severely and at the same time it thickens. Patients with this diagnosis note the following symptoms:
- Strong pain,
- Impurities of blood and mucus in the stool,
- Urging to stool,
With chronic colitis
When chronic colitis, the inflammatory process extends not only to the rectum, but also to the ligamentous-muscular system. This is reflected in the patient's condition. Vivid symptoms of chronic colitis are:
- Impaired stools (constipation or diarrhea),
- Severe pain, localized in a certain part of the abdomen,
- Bloody mucous discharge in feces,
In deciding how to treat colitis, the causes, form and type of the disease must be taken into account. In the event that inflammation in the intestine was caused by an infection. You will need to undergo a course of antibiotic therapy. Among the drugs for the treatment of colitis, physicians prefer the following groups:
- Antidiarrheal drugs. Lopiramid and similar means will help eliminate the symptoms of colitis of moderate severity. However, do not use them too often,
- Aminosalicylate. They have an antidiarrheal effect and are aimed at eliminating inflammation in the intestines,
- Antibiotics. Used for intestinal infections, as well as prevention of complications,
- Multivitamins. Replenish vitamins and minerals. Especially necessary for colitis, as the disease violates the absorption of substances in the intestine.
Diet with colitis
How can you treat colitis? At home, to cope with the painful symptoms of inflammation of the intestines will help therapeutic diet. And although nutrition is not the main cause of pathology, some foods can aggravate the course of the disease. When following a diet, follow these guidelines:
- Limit consumption of dairy products, cereals, raw vegetables and fruits,
- Completely exclude carbonated drinks, coffee, fried and fatty foods from the diet,
- Eat small meals every 3 hours so as not to overload the digestion,
- Drink plenty of water, but avoid harmful to the digestive process drinks (coffee, alcohol, sweet soda).
Learn more about the topic.
- How to treat intestinal colitis Colitis is an acute inflammation of the colon mucosa. The disease often occurs simultaneously with gastritis or enterocolitis. How and what
- How to treat inflammation of the intestine Disorders of the gastrointestinal tract are just symptoms of more serious violations of the digestive system. In some cases, they require immediate treatment.
- How to treat diarrhea in an adult If unstable stool often bothers you, and it is also accompanied by other digestive disorders, it makes sense to talk about diarrhea. In people
- How to treat intestinal dysbiosis Disbalance between obligate and conditionally pathogenic microflora in the intestine leads to the development of dysbacteriosis. This disease causes a lot of gastrointestinal disorders. how
- How to treat the intestines Bowel problems occur in every third person. However, it is difficult to determine the cause of discomfort, since the symptoms of intestinal diseases are in many ways similar.
Symptoms of intestinal disease
Colitis # 8212, an inflammatory process affecting the walls of the large intestine, in adults begins in the mucous membranes of the large intestine, after which the primary signs of almost all types of colitis appear:
- Abdominal pain, which can be both permanent and periodic,
- Pus and mucus in the feces, distention of the peritoneum, chills,
- Increased urge to stool, diarrhea, fever,
- Due to dehydration there may be a feeling of weakness, rare urination, dry mouth, eyes and skin.
Most often, the pathology is observed in women, sometimes there is colitis during pregnancy, since during this period they are most vulnerable.
Acute and Chronic Ailments
The acute form is accompanied by severe swelling and thickening of the intestinal mucous membranes. The first symptom is mucous discharge. A medical examination reveals redness of the intestinal walls, erosion of the surface, and small hemorrhages may occur. External manifestations of acute colitis include:
- mucus-bloody admixture in feces,
- painful urge during stool,
- adults are characterized by fatigue, diarrhea, nausea, and gagging.
Treatment using only traditional medicine prescriptions will lead to the chronic form of the disease. Chronic intestinal colitis is accompanied by extensive inflammation not only of the mucous membranes, but also of the ligaments and muscle tissues, affecting large areas. In women, the main symptom is the appearance of neoplasms and dilated thin vessels. Common signs of illness are:
- severe pain, impaired defecation,
- bloody mucus clots appear in the stool,
- feces become smelly.
If the treatment of colitis is absent or incorrect, then belching, bitter taste in the mouth, loss of appetite and mood changes will be added to these signs. Ulcerative colitis is a chronic disease. which is non-specific. In adults, it is characterized by the presence of tumors with hemorrhages. Its main features are:
- increased abdominal pain,
- difficult defecation, fever,
- joint pain, rectal discharge of blood and pus,
- immune system disorders # 8212, anemia and weight loss.
Without timely treatment, colitis can lead to the formation of cancer.
Spastic and pseudomembranous colitis
Spastic bowel colitis is characterized by a variety of manifestations - from constipation to diarrhea. Most often observed abdominal distension. violation of intestinal activity. Less often - pain and excessive gas formation. It can be treated both with folk remedies and with medication. The cause of pseudomembranous disease is dysbiosis, not cured in a timely manner. The mild form is practically not diagnosed, so this diagnosis is made in the case of diarrhea while taking tetracycline and lincomycin antibiotics.
More complex forms of the disease are accompanied by persistent diarrhea, even without the use of antibiotics. Treatment of this type of intestinal colitis with folk remedies is possible only in combination with medications. Symptoms include the following:
- rapid defecation, blood and mucus in the stool,
- high body temperature, intoxication of the body,
- pain during stool.
Enterocolitis and ischemic disease
In most cases, the manifestations of enterocolitis are similar to acute gastritis, although they differ in origin. Symptoms include:
- rumbling belly. gagging,
- pressure pain, bloating,
- raid on the tongue.
Treatment is most often limited to the use of a water-tasting diet and gastric lavage. If blood circulation is disturbed in the vessels of the large intestine, ischemic colitis may develop. Among the main symptoms there are two - severe pain on the left side of the peritoneum and impaired bowel movement.Obstruction of the intestine subsequently leads to rectal bleeding and peritonitis.
How is pathology treated?
Symptoms and treatment of colitis are closely interrelated, as in some conditions it is enough to apply folk remedies, while in others only medical therapy will help. To eliminate most signs, the doctor prescribes a special diet with a large amount of fluid intake. If an infection becomes the cause of the disease, antibiotics may be prescribed. Treatment of colitis caused by ischemia is based on the elimination of manifestations of dehydration through the administration of intravenous solutions. If it is impossible to restore the blood supply, surgical intervention is indicated.
In most cases, diet, drink plenty of water and rest is enough to eliminate the disease. But not always and not for all types of colitis. Colitis during pregnancy causes a lot of inconvenience and anxiety in future moms. In this situation, do not panic and take on self-treatment, as you can harm not only yourself, but also the baby. As in other cases, the main way to get rid of the disease is # 8212, a special diet.
The most commonly prescribed diet is food table number 4, which excludes all products that can provoke fermentation in the intestinal cavity, spicy, salty, fatty and smoked dishes. In this state, do not get carried away with hot and cold food. In addition, adsorbents, agents for the normalization of intestinal microflora # 8212, normobact, Linex, Bifidumbacterin can be prescribed.
Children's colitis and its treatment
It is not difficult to identify colitis in children, as it is accompanied by fairly pronounced symptoms:
- fever, decreased activity and weakness
- eating disorder, abdominal pain,
- stool becomes more frequent (up to 15 times a day), feces are watery, maybe with foam, blood and mucus, of a green tint,
- during a bowel movement, rectal prolapse is possible,
- with infectious colitis, there are signs of dehydration # 8212, dry mucous membranes and skin, pointed features, a decrease in the intensity of urination.
Chronic colitis in children has a wavelike symptoms, exacerbation is replaced by remissions. In this case, the clinical picture is a violation of the process of feces (constipation or diarrhea) and pain around the navel or on the left side. Sometimes a child's colitis can cause cracks in the anus.
Treatment is carried out by complex therapy:
- elimination of the pathogen,
- normalization of intestinal activity,
- prevention of recurrent manifestations.
For the treatment of colitis in children, diet therapy is also used, which includes cereals, jelly, steam dishes, weak broths. In the chronic type, drugs are prescribed: probiotics, enterosorbents, prokinetics, agents containing enzymes. If you do not start the disease and seek medical help on time, you can quickly get rid of the disease.
Symptoms and treatment of intestinal colitis in adults
Colitis is characterized by the appearance of an inflammatory process inside the large intestine. With the defeat of the mucous membrane, there are the first signs of the disease. This is one of the frequent gastroenterological pathologies, often along with colitis, there are lesions of the stomach or small intestine.
Forms and types of the disease
The disease is characterized by two forms:
Each of them has a variety of species. There is acute colitis after an infection has entered the body, it has several types:
- erosive (ulcers are formed on the intestinal mucosa),
- catarrhal (inflammation of the mucous membranes is more often observed during the harvest season of vegetables and fruits),
- fibrinous (deposition of fibrin on the intestinal wall),
- ulcerative (characterized by a rapid course with the formation of ulcers and bleeding).
Colitis in a chronic form proceeds sluggishly, sometimes becoming aggravated. The intestinal mucosa undergoes pathological changes under the influence of a long inflammatory process.At the site of the lesion, the large intestine narrows and shortens, as the ligaments and muscles are affected.
The disease can occur as a result of several reasons:
- infection in the digestive tract,
- eating poor food,
- alcohol abuse
- excessive load (emotional or physical).
Often, food becomes the cause when colitis symptoms dramatically increase under the action of the production of toxins by infectious agents. Chronic form can last for years, exacerbation cause:
- nutritional errors,
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For diagnosis use the data:
Confirms the diagnosis of colonoscopy, rectoromanoscopy, irrigoscopy. It is necessary to differentiate from amebiasis, chronic forms of dysentery, and functional disorders. In any form of colitis, a patient is prescribed an examination to rule out a bowel tumor.
Medications for acute colitis
To normalize the intestinal flora bifikol, colibacterin, enteroseptol is prescribed. Astringent drugs (kaolin, bismuth) soothe the intestines, eliminate irritation of the mucous. To relieve pain, apply antispasmodics (drotaverin, papaverine).
In the treatment of chronic forms of colitis, a diet is prescribed with the exception of smoked, salty, spicy foods. Cooked vegetables, fruits and meats are recommended to prevent constipation.
Antibacterial drugs are prescribed depending on the nature of the pathogen: for staph infection furazolidone, furadonin). Antibiotics short course (erythromycin, ampicillin, tetracycline).
If necessary, metronidazole, sulfasalazine, phthalazole. From bacterial - bifidumbacterin, colibacterin, bifikol. The purpose of treatment: to suppress the action of the pathogen, reduce irritation of the intestines, restore the microflora.
Treatment of folk remedies
Pour boiling water (200 ml) mixture of herbs (plantain, chamomile, Norway cassia, immortelle flowers, cumin, tutsan, peppermint) 2 tbsp. l warm 15 min. in a water bath. After cooling, add boiling water (200 ml). Drink 0.5 stack. before meals three times a day.
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Diet should include 5-6 doses daily. In the acute period, the food should be liquid, pureed, semi-liquid. Cooking should be steamed or boiled foods. The amount of food for a single reception should not be large. Carbohydrates are limited to 100 g, proteins to 120 g. After a persistent improvement in the patient's condition, proteins increase to 150 g. Food should be warm.
In the case of nonspecific or ulcerative colitis, completely abandoning the use of dairy products for better recovery. If there are problems with bowel movements, increase the amount of fruits and vegetables in the diet, feeding them with wiped materials. Should be excluded:
- carbonated drinks,
- nuts, chocolate, ice cream,
- wheat groats and barley,
- not processed vegetables and fruits,
- strong coffee and tea
- pastry and muffin,
- sausages, marinades, pickles, smoked meats.
The chemical composition of diet number 2:
- proteins 100 g (60% animal, 40% vegetable),
- fats 100 g (25% vegetable, 75% animal),
- carbohydrates 400-420 g,
- salt to 15 g,
- liquid 1.5 l.
Mass daily ration: 3 kg.
Daily allowance diet number 2: 2800–3000 kcal.
Diet: 4-5 times a day.
Indications for use of diet number 2:
- acute gastritis, enteritis, colitis (during the recovery period, for the transition to a balanced diet),
- chronic gastritis (with secretory insufficiency with mild exacerbation and during the recovery period after exacerbation),
- chronic enteritis and colitis (after and without exacerbation without concomitant diseases of the liver, biliary tract, pancreas or gastritis with preserved or increased secretion).
What can you eat with diet number 2:
Soups: on broth from vegetables, on mushroom, fat-free meat and fish broth, with finely chopped or mashed vegetables, potatoes, boiled cereals, noodles, noodles, meatballs. When portability is allowed borscht, cabbage soup from fresh cabbage, beetroot soup with finely chopped vegetables.
Cereals: various cereals cooked in water or milk, in meat broth (except wheat and pearl barley), puddings (steamed and baked), vermicelli, pilaf.
Vegetables, greens: potatoes, beets, pumpkins, carrots, zucchini, cauliflower, ripe tomatoes, (white cabbage and green peas - with tolerance). Vegetables can be cooked, stewed, baked, sliced, in the form of mashed potatoes, casseroles or puddings. Greens must be finely chopped and added to dishes.
Meat fish: lean meat without fascias, tendons and skin (boil, bake, fry (you can grease with an egg)), boiled tongue, lean types of fish with a piece or chopped (boiled, baked, stewed, fried without breading), milk sausages, minced veal dishes , beef, chicken, turkey, young lean mutton, a piece can be cooked veal, chicken and turkey poults.
Eggs: soft-boiled, omelets, steamed, baked or fried (without a hard crust).
Fresh fruits and berries: ripe fruit and berries (mashed potatoes), if very soft, you can not rubbed, baked apples, oranges and lemons in tea or in jelly. With a tolerance of 100-200 g per day: tangerines, watermelon and grapes without skin.
Milk products: fermented milk drinks (kefir, sour milk, etc.), cottage cheese independently and in dishes, cheese slices or grated, sour cream (up to 15 g), cream and milk - in dishes.
Sweets: jelly, mousse, meringue, snowballs, toffee, marmalade, creamy caramel, marshmallow, marshmallow, honey, jams and preserves.
Flour products: Yesterday's wheat bread or dried bread, buns, cookies, dry biscuit. No more than 2 times a week baked cooled cheesecakes with cottage cheese, a pie with boiled meat, fish, rice, eggs, apples or jam.
Fat: butter, melted, refined vegetable oils.
The drinks: compotes, jellies, tea with lemon, coffee, cocoa on water and milk, vegetable, fruit and berry juices (diluted with water), dogrose and bran broth.
What can not eat when diet number 2:
- bean and soups with them, milk soups, okroshka, consumption of millet, barley, yachts and corn grits is limited,
- raw unpeeled vegetables, pickled and pickled, mushrooms, cucumbers, sweet peppers, onions, garlic, radish, radishes, rutabaga,
- fatty meat, poultry and fish, salted fish, canned food (except dietary), smoked meat,
- hard grades of fruits and berries in raw form, berries with hard grains (raspberries, currants, etc.), with a coarse skin (gooseberries, etc.), figs, dates,
- ice cream, chocolate and cream products,
- fresh flour products, butter and puff pastry,
- lard, beef, mutton and cooking oils,
- kvass, grape juice,
- pepper, mustard, horseradish, fatty and spicy sauces.
Diet number 2 (table number 2): menu for the week
Diet number 2 is diverse and useful. Below is a sample menu for the week.
The food for the treatment table No. 2 must be cooked in a ground or scrubbed form, boiled, steamed, stewed or baked. But remember, the more heat treatment of food takes place, the less vitamins remain in it. Roasting is allowed, but without breading and without the formation of a coarse crust. Not hard meat can be cooked and served a piece. It excludes very hot and very cold dishes.
Breakfast: steam omelet, oatmeal, tea with milk.
Dinner: soup with meatballs, chicken souffle.
Snack: fruit puree.
Dinner: buckwheat, steamed fish, kefir.
Breakfast: lazy dumplings with sour cream, cocoa.
Lunch: dogrose broth with honey.
Lunch: chicken soup with pasta, steamed cauliflower.
Dinner: vegetable stew, piece of beef, ryazhenka.
Breakfast: pancakes with jam, herbal tea.
Lunch: apple salad with orange.
Lunch: mushroom broth soup with boiled rice, steamed patties, boiled beetroot salad.
Lunch: cottage cheese with sour cream and fruit puree.
Dinner: pancakes with boiled meat, tomato juice, kefir.
Breakfast: pancakes with cottage cheese, tea with milk.
Lunch: pastila, decoction of bran.
Lunch: buckwheat soup with potatoes in a low-fat chicken broth, vermicelli with sour cream sauce.
Dinner: mashed potatoes, steamed chicken, carrot salad with cheese, yogurt.
Breakfast: sandwiches with butter and cheese, cocoa.
Lunch: baked apple.
Lunch: low-fat fish broth with potatoes and greens, meat pudding with vegetables.
Dinner: cauliflower puree, steamed veal cutlets, compote.
Breakfast: cheese omelette, tea.
Lunch: fruit puree.
Lunch: cabbage soup, boiled tongue, tomato juice.
Tea time: dogrose broth with honey.
Dinner: buckwheat with stewed meat sauce with carrots, ryazhenka.