Can adults eat baby food with gastritis? How to make a diet for a child with gastritis: general recommendations A 9-year-old child has acute gastritis nutrition

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Nutrition for acute gastritis (OG)

Acute gastritis (inflammation of the gastric mucosa) can occur in children due to gross malnutrition: consumption of poor-quality foods, intake a large number fatty or coarse, fiber-rich foods (immature fruits, berries), eating disorders, eating hastily or dry food.

Acute gastritis is manifested by nausea, sometimes vomiting, belching, pain, a feeling of heaviness in the epigastric region.

The best medicine for OH is abstaining from food intake during the first day.

At the same time, the inflamed gastric mucosa rests, which is a kind of protective measure, since the release of digestive juices during the inflammatory process decreases sharply.

It is only necessary to give the child often and in small portions during this period warm, weak tea, boiled water, weak decoctions of herbs without sugar, 5% glucose solution in combination with physiological saline (0.9% saline solution). The total amount of fluid is determined by the degree of thirst in the patient.

The next day after fasting, fruit and vegetable and cereal decoctions, rosehip decoction are allowed. From the third day of illness, the child is transferred to liquid food: weak fat-free broth with white crackers or slimy pureed soup, jelly, liquid cereals.

Only from the fourth day meat steam dishes (meatballs, meatballs), boiled fish, various puddings are included in the diet. On the fifth day, you can already use milk soups, boiled chicken (without skin), thicker cereals and vegetable puree (potato, carrot) in your diet. Then the child is gradually transferred to a normal diet in accordance with age, expanding the methods of culinary processing of products. Steam dishes are replaced with boiled ones, instead of kissels they give fresh fruit puree, fruit juices, baked apples.

To prevent chronic gastritis for several weeks, spicy and salty foods and indigestible fatty foods should be excluded from the diet of a child who has recovered from OH for several weeks.

Nutrition for chronic gastritis (XT)

Chronic gastritis occurs mainly in children of preschool and school age. With chronic hepatitis, the stomach glands that produce hydrochloric acid, pepsin and mucus are affected. As a result, the activity of the stomach is disturbed.

Moreover, violations can be of two types: in one case, the level of hydrochloric acid increases (CH with increased secretory activity), in the other it decreases (CH with reduced secretory activity).

The main manifestation of chronic gastritis is pain in the epigastric region, most often after eating, accompanied by heartburn or acid belching with increased acidity. gastric juice, nausea, decreased appetite and belching with air - with low acidity.

It should be noted that in conditions of inflammation and atrophy of the gastric mucosa, its absorption capacity is enhanced. At the same time, large molecules begin to be absorbed nutrients, which leads to intoxication and allergization of the body. In children, the general state of health worsens, they quickly get tired, food allergies appear or intensify.

With chronic hepatitis with normal or increased secretory function of the stomach, the child should eat 6-7 times a day in small portions, as a result of which free hydrochloric acid, which irritates the stomach, does not have time to form.

At the same time, foods and dishes that have a local irritant effect on the inflamed gastric mucosa, as well as having a strong juice effect are excluded from the diet of a sick child: meat, fish, strong vegetables, especially mushrooms, broths, cabbage broth, fried meat and fish, raw unmashed vegetables and fruits, pickles, marinades, smoked meats, spicy snacks, sausages, canned food, fresh onions, radishes, turnips, radishes, wheat porridge, brown bread, pies, pastry pastries, cold and carbonated drinks, ice cream, sour berries and fruits .

Dishes are prepared from boiled products and given in a pureed form. Meat and fish are boiled in two waters and passed through a meat grinder, cereals and vegetables are rubbed.

Valuable products for the nutrition of such patients are milk (3-4 glasses of warm milk to reduce the acidity of the contents of the stomach), cottage cheese, eggs.

Fats should not be limited in their diet, but dishes containing simple carbohydrates (sugar, sweets) in the diet of such children should be somewhat reduced.

From raw vegetables, only grated carrots and finely chopped tomatoes seasoned with sour cream or vegetable oil, as well as raw, finely chopped greens, are allowed. The remaining vegetables should be boiled and salads should be prepared from them, but without adding onions.

The first courses are prepared in the form of vegetable puree soups (except cabbage) on cereal broth or milk soups with pureed cereals or noodles with vegetables. For the preparation of second courses, chicken, lean beef, fish, boiled in water or steamed, are used.

To improve the taste after boiling, they can be lightly baked in the oven. For the preparation of second courses, eggs, cottage cheese, sour cream, cream are used. As side dishes for meat and fish dishes, you can offer mashed potatoes and carrots, boiled cauliflower, beets, stewed or mashed zucchini and pumpkin, as well as boiled noodles, vermicelli, cereals. The latter are also given as an independent dish for breakfast or dinner. Dishes are seasoned with butter or vegetable oil, you can use sour cream and milk sauces.

For breakfast and dinner, in addition to the named dishes, it is recommended to steam various puddings, omelettes, casseroles, as well as milk porridges. Of the bread products, they use white wheat stale (yesterday's) bread, white crackers, unbread cookies, biscuit.

Food for children with chronic hepatitis with normal or increased secretion of the stomach, it is desirable to slightly undersalt, and spices should be excluded altogether.

Depending on the age of the child, it is recommended to include in the daily diet 650-800 ml of milk, 35-50 g of butter, 25 g of vegetable oil, 50-60 g of sugar, 110-120 g of fresh fruit, 140-210 g of potatoes, 90 -140 g of vegetables, 55-85 g of cereals (including pasta), 150-250 g of wheat bread (including all types of bakery products). Cottage cheese is given 3-4 times a week, 45-65 g per day, mild cheese is used on days when there are no curd dishes on the menu. Cheese is usually added grated to butter, preparing a sandwich for breakfast or dinner (weekly rate 45-55 g).

You can also use cream, soft-boiled eggs or in the form of a steam omelette (1-1.5 pieces per day), butter (15-25 g per day), mashed cottage cheese (30-45 g per day), mucous mashed cereal soups , mashed milk porridges, steam puddings, meat and fish soufflés and hashes from boiled products, white crackers, small amounts of fresh fruit (for making jelly). Less salt is added to food than for healthy ones.

Such a diet (see diet No. 16 below) is prescribed to a sick child for 1-2 weeks. But since it is close to physiological and almost completely satisfies the needs of the child's body for proteins, fats and carbohydrates, in the case of a slow course of recovery processes (continued pain, heartburn and other disorders testify to this), it can be extended for another week.

From the third or fourth week of treatment, the menu of a sick child is gradually expanded, the number of feedings is reduced to 5-6, and the calorie content of the daily diet is increased. In nutrition, gradually reduce the volume of milk and increase the content of butter, cottage cheese. Vegetable oil, stale wheat bread, boiled vegetables, fresh non-acid fruits, dried fruit compote are introduced into the diet. All food is given in pureed form.

Then, for 6-12 months, the child should eat the same foods and dishes, but cooked without rubbing and sharp mechanical grinding. Several times a week, you can eat well-baked lean buns, cheesecakes with cottage cheese, pies with apples, boiled meat or fish, eggs. It is not contraindicated to use milk sauce as a gravy (without sautéing flour) with the addition of butter, sour cream, as well as fruit and milk-fruit sauces.

Below are exemplary one-day menus for children with chronic hepatitis with normal or increased secretory function of the stomach during an exacerbation (diet No. 16; Table 20) and outside of an exacerbation (diet No. 1 pureed and No. 1 non-purified; Table 21).

Table 20. Approximate seven-day menu for a child with exacerbation of chronic gastritis with normal or increased secretion, or with peptic ulcer of the stomach or duodenum (diet No. 16)

Feeding	Name of the dish	Serving, g, ml
Feeding	Name of the dish	3-6 years old	7-10 years old	11-14 years old
After sleep 20-30 minutes before meals
First breakfast	fish pudding Liquid potato puree
Lunch	Milk jelly
20-30 minutes before lunch
	Creamy oat milk soup Steam meat cutlets mashed rice porridge Kissel from dried fruits Rusks from white bread
	Curd cream
	Pureed buckwheat milk porridge Soft-boiled egg White bread crackers
	Milk

Table 21. Sample one-day menu for a child suffering from chronic gastritis with normal or increased secretion or peptic ulcer of the stomach or duodenum, in the stage of fading exacerbation (wipe diet No.

Feeding	Diet number 1 pureed	Diet number 1 unmashed	Serving, g, ml
Feeding	Diet number 1 pureed	Diet number 1 unmashed	3-6 years old	7-10 years old	11-14 years old
After sleep 20-30 minutes before meals	Infusion of yarrow, chamomile and plantain	Infusion of yarrow, chamomile and plantain
First breakfast	Natural steam omelette Carrot puree Surrogate coffee with milk White bread with butter	Natural steam omelette Salad of boiled carrots with vegetable oil Surrogate coffee with milk White bread with butter
Lunch	Baked apple with sugar	Baked apple with sugar
20-30 minutes before lunch	Cabbage or potato juice	Cabbage or potato juice
	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote, grated White bread	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote White bread
	Cookies	Cookies
	Tea with milk White bread with butter and grated cheese	Oatmeal porridge "Hercules" milk Tea with milk White bread with butter and cheese
	Milk	Milk

In case of intolerance to milk, it should be excluded from the diet. In this case, the amount of protein required by age is compensated by an increase in other protein-containing products (meat, fish, eggs, cottage cheese) and the inclusion of special medicinal products containing an increased amount of protein (protein enpit). And if there are no exacerbations of the disease during the year, the child can be transferred to the usual diet.

V.G. Liflyandsky, V.V. Zakrevsky

Many diseases in the modern world have become “younger”, including gastritis - inflammation of the gastric mucosa. But in the treatment of gastrointestinal diseases, a child has its own important nuances, in particular, regarding nutrition.

What is the cause of this disease in childhood? Provocative moments:

non-compliance with the regime and quality of nutrition;
food in a hurry without proper chewing;
dry eating (eating raw vegetables and fruits);
long intervals between meals;
physical and emotional stress (stressful situations, experiences).

With these adverse factors the child meets with the beginning of schooling, when the general and food regimens are violated, and the parents are no longer able to control the diet of their beloved child, as before.

The decisive role can be played by:

hereditary predisposition to diseases of the digestive tract;
infections (for example, caused by the bacterium Helicobacter pylori);
untreated acute gastritis with a transition to a chronic course.

The diagnosis of "gastritis" combines diseases of different course: in acute or chronic form.

Acute gastritis is manifested by a sudden deterioration in the child's well-being, accompanied by repeated or repeated vomiting, pain in the stomach, possible fever, loss of appetite, and weakness. The parents' diagnosis - "ate something", is partly correct. The "something" may be benign, but inappropriate for age or volume, food containing pathogens or food toxins. A reasonable approach of parents to treatment will help the child get rid of the disease forever. A timely visit to the doctor, compliance with the terms and volumes of therapy guarantees a quick recovery without going into a chronic course.

Chronic gastritis is a constant change in the phases of recovery and exacerbations. The goal of treatment is to make the periods of fading of the symptoms of the disease (remissions) longer, and to minimize exacerbations (relapses).

Violation of the acid-forming function

In the chronic course, the manifestations of the disease are not limited to inflammatory changes in the mucosa, and violations of the acid-forming function of the stomach are also detected.

Hence the classification of gastritis according to the degree of acidity appeared:

with saved (normal);
with increased (hyperacidosis);
with reduced (hypoacidosis).

It is quite difficult for a child of primary school age to describe his feelings. Of the complaints, one draws attention to itself - “the stomach hurts”. What kind of pain it is: aching, local, diffuse, bursting, it is difficult to assess. Pain persistently occurs 2-3 hours after eating, accompanied by nausea, belching, and sometimes vomiting.

An experienced doctor before the examination may suspect what kind of gastritis the child has: with increased or decreased acidity.

For hyperacid gastritis, pain is typical on an empty stomach and after taking fatty and fried foods, sour and spicy foods. The appetite is preserved, but the child develops excessive irritability, heartburn, sour belching, and a tendency to constipation.

With hypoacid gastritis, appetite worsens, pain appears regularly after eating, the child is worried about nausea, occasionally vomiting, a feeling of heaviness in the abdomen, belching with an unpleasant smell of rotten eggs, periodic loosening of stools, and increased fatigue.

The examination helps to identify the acidity of gastric juice and the degree of damage to the mucous membrane. What to do next? Treat! And if the doctor takes responsibility for drug therapy, then the parents have the responsibility to provide the child with special dietary nutrition.

Diet tables according to Pevzner

Prolonged adherence to a child's diet often causes anxiety in parents. What to feed, how to cook, what foods are strictly prohibited for consumption? You don't have to think of anything. All on the shelves, or rather - on dietary tables, Manuil Pevzner laid out a long time ago.

An outstanding Russian doctor has developed 15 unique dietary tables for each disease of the digestive system, taking into account the phase of the disease, the course and violation of the acid-forming function. For more than 100 years, doctors and patients have been gratefully using his work.

Dietary tables No. 1, 1a, 1b, 2 are intended for diet therapy of gastritis:

No. 1 - at chronic gastritis with high acidity without exacerbation (for 6-12 weeks);
No. 1a - in the acute form of gastritis and chronic during the period of exacerbation (until the pronounced clinical manifestations of the disease disappear);
No. 1b - in the stage of unstable recovery (until the state of health is completely normalized)
No. 2 - in the treatment of gastritis with reduced acidity.

Basic principles

The purpose of diet tables is to minimize further irritation of the gastric mucosa and reduce the burden on its secretory functions. “Food must be sparing – thermally, mechanically and chemically” – this phrase as a postulate is repeatedly repeated by nutritionists and pediatricians when prescribing treatment. In other words:

food is served only warm;
irritant products are excluded: spicy, fatty, pickled, salty, sour, carbonated and smoked;
indigestible foods are prohibited: legumes, mushrooms, fatty or sinewy meat, fruits with dense skin;
rich broths on vegetables, meat and fish are contraindicated.

Against the background of treatment, strict adherence to the daily regimen with a full night's rest, 6 meals a day strictly by the hour (every day at the same time) and a favorable psychological atmosphere during meals is necessary.

With acute form of gastritis

In acute gastritis, the strictest table No. 1a is assigned. Within 2-3 days the child receives 6 times a day small portions of food. The calorie content of such a therapeutic diet does not exceed 2000-2200 kcal per day. This is achieved by reducing the amount of carbohydrates, fats and partially proteins in the diet.

Vegetables and fruits in their natural form, dairy products, flour products, spices, sauces, spices, coffee and carbonated drinks are excluded from the menu.

Steam dishes are served at the children's table, or prepared by cooking with salt restriction:

mucous soups made from rice, semolina or oatmeal with cream or butter;
boiled meat of low-fat varieties, passed through a meat grinder (veal, chicken,);
boiled fish or steam soufflé from lean fish (instead of meat);
omelette steamed with milk;
mashed porridges of a liquid consistency from rice, oatmeal, semolina or buckwheat on water with the addition of cream and milk;
, tea with milk, rosehip broth, warm skim milk.

Sample menu for diet No. 1a

As acute symptoms subside, the range of dishes expands with the transition to table No. 1b.

At the stage of unstable recovery

Diet dishes of table No. 1b contribute to the further normalization of the gastric mucosa, and are prescribed for a period of 5-7 days. Acidic foods (marinades, fruits and berries), rich broths and white cabbage are excluded from the diet - the strongest stimulant of gastric juice secretion.

Food is prepared in a liquid and mushy consistency by steaming or boiling. Steam cutlets, wheat crackers appear in the list of dishes, and mashed soups are served instead of slimy soups. The energy value is somewhat reduced due to the restriction on carbohydrates, but at the same time it practically corresponds to the norm of 2600 kcal.

Sample menu for diet No. 1b

For chronic gastritis

The next stage of diet therapy is table number 1, which contains the physiological norm of fats, proteins and carbohydrates. Its calorie content is 2800 kcal, and the dishes have a moderate sparing effect on the gastric mucosa. The diet remains the same - up to 5-6 times a day at intervals of 3-4 hours for 4-6 weeks or more.

Table number 1 does not exclude stews and baked dishes. The range of products on the menu is expanding with dried white bread, durum wheat noodles, biscuits, non-acidic kefir, cottage cheese and yogurt, sour cream sauces, boiled or steamed fish and meat dishes (fillets, cutlets and meatballs), baked fruits. Once a week, homemade cakes are allowed - pies with jam or meat filling.

Sample menu for diet number 1

With gastritis with low acidity

Diet table No. 2 according to Pevzner is designed to solve two problems - to protect the gastric mucosa from the aggressive effects of food and stimulate the secretion of gastric juice. Daily calorie content of 3000-3100 kcal is calculated for 5 meals a day.

The menu allows the presence of “strong” low-fat broths with extractives, berries and fruits with a sweet and sour taste, colored and white cabbage, fermented milk products, citrus fruits, cocoa. The list of cooking methods has been expanded - fried dishes without breading are allowed.

Sample menu for diet number 2

Chronic gastritis tends to exacerbate seasonally. Without a noticeable error in nutrition, a child may experience relapses of the disease in autumn and spring. To prevent them, 3-4 week preventive courses of diet therapy (corresponding to the form of gastritis) are carried out in the autumn-spring period.

In children, chronic gastritis usually occurs with normal acidity or with its increase. Therefore, most often in dietary therapy, table No. 1 according to Pevzner is used, the menu for the week for which can be compiled something like this:

Good day, dear readers. The topic of today's article will be a diet for gastritis in a child. We will consider which products are prohibited, and which, on the contrary, are recommended. You will find out the basic patterns that must be observed when feeding a baby with. You can see the menu for the day and a couple of recipes.

Features of dietary nutrition

In order for the recovery process to begin as quickly as possible, certain rules must be taken into account.

It is important to observe correct mode nutrition. Try to eat at approximately equal intervals, every day at the same time.
Meals should be frequent, but at the same time fractional. It is important that the baby's daily menu includes five meals.
It is necessary that the child consumes exclusively fresh products, including freshly prepared ones.
It is unacceptable to add flavorings or seasonings, including spices, to food.
Products should be boiled, steamed or baked in the oven, a prerequisite is the addition of a small amount of sunflower oil, do not allow the formation of a crust.
The daily diet should consist of valuable products that include the whole range of useful substances, including vitamins and minerals.
For a speedy recovery, it is necessary to use soups of a mucous consistency, boiled cereals.
It is unacceptable to eat cold or hot food, it must be warm.
It is important to ensure that there is no dry food in the child's diet.

Tables for diets according to Pevzner

Previously, there lived a high-level specialist who developed 15 dietary tables, taking into account various diseases of the digestive system, his name was Manuil Pevzner. He compiled his dietary tables even taking into account different forms of the same disease.

So with gastritis, such diet tables are prescribed:

No. 1 - chronic form of gastritis with high acidity;
No. 2 - chronic form with a reduced level of acidity,
No. 1a - exacerbation in the chronic form or acute course of the disease;
No. 1b - period of unstable recovery.

Since my son's main disease is cholelithiasis, the diet on which he sits is table number 5. I would like to note that the principles of nutrition are similar. To date, my son has had food restrictions for over two years. At first, it was hard for him, he tried in every possible way to get rid of the diet. However, there was nowhere to go. So that my son would not be so offended, I put our entire family on such a diet, we have already forgotten what fried or fatty foods are.

It is worth noting that following the diet has improved the overall health of my child, heartburn and nausea have disappeared.

Diet for acute gastritis

Since such a condition is characterized by the presence of painful sensations, vomiting is possible, it is not surprising that the baby loses appetite. There are cases when the disease was accompanied by bright dyspeptic symptoms, which led to dehydration.

It is necessary in the first day of the disease to follow a very strict diet. This will significantly reduce the load on the gastric mucosa, add time for its recovery.

When an adult is admitted to the hospital with acute gastritis, on the first day he is allowed to drink, it is forbidden to eat. One-day fasting can significantly reduce the feeling of pain in the abdomen, normalizes the working capacity of the digestive system. However, this method is not suitable for young children. Absolute starvation can lead to serious consequences. Therefore, they minimize the amount of food consumed at one time.

Plentiful drink, allowing to accelerate the removal of toxins, resist dehydration, because it constantly replenishes fluid reserves in the body.

It is necessary to arrange a water-tea break once a day. For schoolchildren, this procedure is recommended to be carried out up to 12 hours, and for preschoolers - up to 6. In the allotted time, the child only needs to be watered. It can be water, rice water or weakly brewed tea.

The first meal after an attack, it is advisable to start 12 hours after the appearance of the first signs of the disease. It must be borne in mind that it should be dietary, steamed, for example, an omelette.

As he recovers, in addition to previously acceptable foods, the child will be gradually introduced sour-milk dishes, lean meat and fish.

Dieting. It is important not to overfeed the baby, do not let him eat before bedtime.

Decreased acidity

It must be understood that the stomach of a toddler may not be able to cope with large amounts of food consumed. In particular, this will be dictated by low acidity, therefore, digestive system will not cope with the splitting of such food. You must make sure that easily digestible foods are present in the child's diet.

The doctor may advise the use of foods that increase the secretion of hydrochloric acid. For this purpose it can even be used skim cheese.

Diet with high acidity

This condition differs from others in that it is characterized by heartburn. Parents should understand that the baby produces more hydrochloric acid than necessary.

Consumed meals should be directional. Naturally, products that increase the secretion of hydrochloric acid should be absent from the children's diet (raw vegetables and fruits, freshly baked bread, fried foods, vegetable broths, citrus, seasonings, especially spicy).

Food with coarse fibers is considered harmful, for example, white cabbage, tough meat.

Eating food with an optimal temperature of 40 degrees.

A baby with such a diagnosis will be recommended to drink milk, fish, egg white, lean meat, as well as buckwheat, oatmeal and rice cereals.

What is allowed to eat

When deciding what to eat for a child with gastritis, you need to take into account the list of allowed foods.

Vegetables, with the exception of radish and white cabbage.

Fruit. It is forbidden to eat sour berries and fruits, as well as citrus fruits. In addition, it should be borne in mind that certain fruits may be contraindicated in children with different levels of acidity, this issue should be clarified with the attending physician. It should also be understood that such a product should be consumed only after heat treatment, for example, after baking.

Dairy. In the acute period are a contraindication. However, as you recover, they gradually begin to introduce butter, then sour cream and low-fat cottage cheese, low-fat milk (only after boiling), yogurt. But adding these products to the child's diet should be done carefully, depending on his individual reaction. There are cases when the inflammatory process of the mucosa leads to the fact that intolerance to dairy products begins to develop.

Kashi. Most often, the menu includes oatmeal and buckwheat. It must be cooked on water, served in a boiled, semi-liquid state. It is this product that well envelops the mucous membrane and protects it from the influence of acid.

Fish can be consumed exclusively low-fat varieties, it can be cooked in the oven or steamed, it can also be boiled.

Meat must be present on the menu of the little one, because it is a valuable source of animal proteins. The main condition is to choose low-fat varieties, such as chicken or rabbit fillets (should be skinless and with a minimum of fat). It is also recommended to eat the meat of young animals, their meat is more tender and much faster absorbed by the child's body.

Rusks. Fresh bread is not allowed for children with gastritis, however, if you dry it, cook crackers - such a dish will be acceptable.

List of prohibited products

So the baby will be contraindicated in such food:

fried and fatty, especially rich broths;

any pickles, marinades;

cabbage, radish due to high fiber content;

muffin;

sauces and spices;

dried fruits, in particular raisins and prunes;

canned food;

any liver;

soda;

nuts;

strong tea and coffee;

legumes;

fast food;

sour berries and citrus fruits;

ice cream and chocolate.

It is necessary to ensure that foods that contain preservatives, dyes or flavors do not appear in the baby's diet.

Menu for the day

The daily menu of a child with gastritis can be represented by the following dishes:

I - semi-liquid porridge or steam omelette. Give to drink weak tea. It is allowed to have a snack with dried bread or biscuit cookies.

II - liquid oatmeal, washed down with milk (skimmed).

III - for the first vegetable soup (it is allowed to add an egg to it), for the second, steam cutlets are prepared from dietary meat, mashed potatoes (without butter); from drinks - rosehip broth or weak tea.

IV - fat-free cottage cheese in accordance with the daily norm.

V - steamed vegetable puree, a piece of lean boiled meat, tea.

Recipes

If you are considering recipes for children with gastritis, then it should be borne in mind that their ingredients and methods of preparation will directly depend on whether the level of acidity is normal, increased or decreased.

An example of a recipe for low acidity is a steam omelet:

take two eggs, half a glass of milk, oil (vegetable), salt to taste;

take a saucepan with a lid, with a volume of about two liters, a shape close to such dimensions that it can be placed in a saucepan;

pour water into a large bowl, send to the fire, leave until boiling;

meanwhile, mix milk with eggs and salt, beat everything well;

grease the form with vegetable oil, then the prepared mixture is poured into it;

we lower it inside the pan, make sure that there is no contact of the form with water;

we cover our future omelette with oiled paper, then cover everything with a lid (be sure to make sure that the egg mixture is covered not only with a lid from the pan - such paper will prevent the accumulated steam from entering our omelet);

the cooking process on low heat takes about 10 minutes, the lid should not be opened until it is fully cooked;

do not forget that the child needs to be fed only with warm dishes, so we wait until the omelette has cooled down enough, but do not supercool it.

If we consider recipes for cooking dishes for babies with high acidity, then you can cook vegetable soup - puree:

for cooking you will need an average head of cauliflower, a chicken egg, a glass of 4 percent milk;

pour water into a saucepan, put on fire;

we sort out the cauliflower inflorescences, wash them thoroughly;

when the water in the pan boils, we lower our inflorescences into slightly salted boiling water;

after about 18 minutes, chop the cauliflower directly in the pan, then add the prepared milk and the whole mixture is brought to a boil;

after that, remove from heat, you need to beat the white of a raw egg separately and add it to the chilled soup (whisk with a whisk);

Serve chilled, but not cold.

Fish cakes:

for cooking you will need a pollock, hake or other low-fat fish fillet - about half a kilogram, a slice of white bread, an egg, salt to taste.

pre-soaked bread;

after 20 minutes, beat it together with fish fillet in a blender;

when you get a homogeneous mixture, it's time to add salt and egg, beat again;

From the resulting we make cutlets, cook on a steam bath.

Now you know what diet food should be. Follow all the recommendations, do not give prohibited foods, as much as the child would not like. Remember to comply proper diet nutrition.

Acute gastritis (inflammation of the gastric mucosa) can occur in children due to gross eating disorders: consumption of poor-quality foods, intake of large amounts of fatty or rough, fiber-rich foods (immature fruits, berries), eating disorders, eating hastily or dry food. Acute gastritis is manifested by nausea, sometimes vomiting, belching, pain, a feeling of heaviness in the epigastric region. The best medicine for OH is abstaining from food intake during the first day. At the same time, the inflamed gastric mucosa rests, which is a kind of protective measure, since the release of digestive juices during the inflammatory process decreases sharply. It is only necessary to give the child often and in small portions during this period warm, weak tea, boiled water, weak decoctions of herbs without sugar, 5% glucose solution in combination with physiological saline (0.9% saline solution). The total amount of fluid is determined by the degree of thirst in the patient. The next day after fasting, fruit and vegetable and cereal decoctions, rosehip decoction are allowed. From the third day of illness, the child is transferred to liquid food: weak fat-free broth with white crackers or slimy pureed soup, jelly, liquid cereals. Only from the fourth day meat steam dishes (meatballs, meatballs), boiled fish, various puddings are included in the diet. On the fifth day, you can already use milk soups, boiled chicken (without skin), thicker cereals and vegetable puree (potato, carrot) in your diet. Then the child is gradually transferred to a normal diet in accordance with age, expanding the methods of culinary processing of products. Steam dishes are replaced with boiled ones, instead of jelly they give fresh fruit puree, fruit juices, baked apples. To prevent chronic gastritis for several weeks, spicy and salty foods and indigestible fatty foods should be excluded from the diet of a child who has recovered from OH for several weeks. Chronic gastritis occurs mainly in children of preschool and school age. With chronic hepatitis, the stomach glands that produce hydrochloric acid, pepsin and mucus are affected. As a result, the activity of the stomach is disturbed. Moreover, violations can be of two types: in one case, the level of hydrochloric acid increases (CH with increased secretory activity), in the other it decreases (CH with reduced secretory activity). The main manifestation of chronic gastritis is pain in the epigastric region, most often after eating, accompanied by heartburn or acid belching with increased acidity of gastric juice, nausea, loss of appetite and belching with air - with low acidity. It should be noted that in conditions of inflammation and atrophy of the gastric mucosa, its absorption capacity is enhanced. At the same time, large molecules of nutrients begin to be absorbed, which leads to intoxication and allergization of the body. In children, the general state of health worsens, they quickly get tired, food allergies appear or intensify. With chronic hepatitis with normal or increased secretory function of the stomach, the child should eat 6-7 times a day in small portions, as a result of which free hydrochloric acid, which irritates the stomach, does not have time to form. At the same time, foods and dishes that have a local irritant effect on the inflamed gastric mucosa, as well as having a strong juice effect are excluded from the diet of a sick child: meat, fish, strong vegetables, especially mushrooms, broths, cabbage broth, fried meat and fish, raw unmashed vegetables and fruits, pickles, marinades, smoked meats, spicy snacks, sausages, canned food, fresh onions, radishes, turnips, radishes, wheat porridge, brown bread, pies, pastry pastries, cold and carbonated drinks, ice cream, sour berries and fruits . Dishes are prepared from boiled products and given in a pureed form. Meat and fish are boiled in two waters and passed through a meat grinder, cereals and vegetables are rubbed. Valuable products for the nutrition of such patients are milk (3-4 glasses of warm milk to reduce the acidity of the contents of the stomach), cottage cheese, eggs. Fats should not be limited in their diet, but dishes containing simple carbohydrates (sugar, sweets) in the diet of such children should be somewhat reduced. From raw vegetables, only grated carrots and finely chopped tomatoes seasoned with sour cream or vegetable oil, as well as raw, finely chopped greens, are allowed. The remaining vegetables should be boiled and salads should be prepared from them, but without adding onions. The first courses are prepared in the form of vegetable puree soups (except cabbage) on cereal broth or milk soups with pureed cereals or noodles with vegetables. For the preparation of second courses, chicken, lean beef, fish, boiled in water or steamed, are used. To improve the taste after boiling, they can be lightly baked in the oven. For the preparation of second courses, eggs, cottage cheese, sour cream, cream are used. As side dishes for meat and fish dishes, you can offer mashed potatoes and carrots, boiled cauliflower, beets, stewed or mashed zucchini and pumpkin, as well as boiled noodles, vermicelli, cereals. The latter are also given as an independent dish for breakfast or dinner. Dishes are seasoned with butter or vegetable oil, you can use sour cream and milk sauces. For breakfast and dinner, in addition to the named dishes, it is recommended to steam various puddings, omelettes, casseroles, as well as milk porridges. Of the bread products, they use white wheat stale (yesterday's) bread, white crackers, unbread cookies, biscuit. Food for children with chronic hepatitis with normal or increased secretion of the stomach, it is desirable to slightly undersalt, and spices should be excluded altogether.

During the period of exacerbation of chronic hepatitis with normal or increased secretory function of the stomach in the first week, the child is given food 6-8 times a day, slightly reducing its total volume and set of products. The basis of the diet at the beginning of an exacerbation of chronic hepatitis is milk, the volume of which increases to 1 liter per day. You can also use cream, soft-boiled eggs or in the form of a steam omelette (1-1.5 pieces per day), butter (15-25 g per day), mashed cottage cheese (30-45 g per day), mucous mashed cereal soups , mashed milk porridges, steam puddings, meat and fish soufflés and hashes from boiled products, white crackers, small amounts of fresh fruit (for making jelly). Less salt is added to food than for healthy ones. Such a diet (see diet No. 16 below) is prescribed to a sick child for 1-2 weeks. But since it is close to physiological and almost completely satisfies the needs of the child's body for proteins, fats and carbohydrates, in the case of a slow course of recovery processes (continued pain, heartburn and other disorders testify to this), it can be extended for another week. From the third or fourth week of treatment, the menu of a sick child is gradually expanded, the number of feedings is reduced to 5-6, and the calorie content of the daily diet is increased. In nutrition, gradually reduce the volume of milk and increase the content of butter, cottage cheese. Vegetable oil, stale wheat bread, boiled vegetables, fresh non-acid fruits, dried fruit compote are introduced into the diet. All food is given in pureed form. Then, for 6-12 months, the child should eat the same foods and dishes, but cooked without rubbing and sharp mechanical grinding. Several times a week, you can eat well-baked lean buns, cheesecakes with cottage cheese, pies with apples, boiled meat or fish, eggs. It is not contraindicated to use milk sauce as a gravy (without sautéing flour) with the addition of butter, sour cream, as well as fruit and milk-fruit sauces. Below are exemplary one-day menus for children with chronic hepatitis with normal or increased secretory function of the stomach during an exacerbation (diet No. 16; Table 20) and outside of an exacerbation (diet No. 1 pureed and No. 1 non-purified; Table 21).

Table 20. Approximate seven-day menu for a child with exacerbation of chronic gastritis with normal or increased secretion, or with peptic ulcer of the stomach or duodenum (diet No. 16)

Feeding	Name of the dish	Serving, g, ml

After sleep 20-30 minutes before meals
First breakfast	fish pudding Liquid potato puree
Lunch	Milk jelly
20-30 minutes before lunch
	Creamy oat milk soup Steam meat cutlets mashed rice porridge Kissel from dried fruits White bread crackers
	Curd cream
	Pureed buckwheat milk porridge Soft-boiled egg White bread crackers

Feeding	Diet number 1 pureed	Diet number 1 unmashed	Serving, g, ml

After sleep 20-30 minutes before meals	Infusion of yarrow, chamomile and plantain	Infusion of yarrow, chamomile and plantain
First breakfast	Natural steam omelette Carrot puree Surrogate coffee with milk White bread with butter	Natural steam omelette Salad of boiled carrots with vegetable oil Surrogate coffee with milk White bread with butter
Lunch	Baked apple with sugar	Baked apple with sugar
20-30 minutes before lunch	Cabbage or potato juice	Cabbage or potato juice
	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote, grated White bread	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote White bread
	Cookies	Cookies
	Tea with milk White bread with butter and grated cheese	Oatmeal porridge "Hercules" milk Tea with milk White bread with butter and cheese

medbe.ru

Diet for gastritis in children: what to feed, proper nutrition

At the end of the twentieth century, it was generally accepted that gastritis was widespread only among students, as well as in adults. But today, cases of the development of inflammation of the stomach are also recorded in children: every day there are more and more of them. Mainly in younger age disease progresses due to unhealthy diet and negative emotions that arise as a result of difficulties in kindergarten or school. Gastritis can occur both in adolescence and at 1 year. As a rule, gastritis is also common among schoolchildren. Lack of time for rest and food affects the work of the stomach. In addition, in many schools the food is not good enough, from which the child prefers to snack on other snacks. Therefore, today gastritis most often occurs at the age of 10.

During gastritis, children often lose their appetite, and eating food causes discomfort. Also, pains are noted during hunger, they are localized in the abdomen. Sometimes there may be signs such as sour belching and heartburn. In addition, gastritis is characterized by an increase in the level of acidity of gastric juice, which causes other health problems. In this regard, many parents have a question, what to feed?

With symptoms of gastritis, you should consult a gastroenterologist. Based on the data obtained from the examination, he prescribes treatment. Therapy of gastritis is carried out in various ways, including with the help of a diet. In particular, proper nutrition blocks the development of complications in the stomach, and is also an important point in the prevention of gastritis.

Principles of Diet Therapy

With gastritis, it is recommended to contact not only a gastroenterologist, but also a nutritionist, so that he prescribes what can be eaten. It is important to adhere to a special diet. And this applies not only to periods of exacerbation of the disease. As practice shows, children who adhere to proper nutrition are less prone to indigestion. You should eat at least 5-6 times a day, while eating should be done at the time set for this. The child needs to have two hearty breakfasts, lunch, afternoon tea and dinner. This is the first principle of dietary treatment.

The second principle is that all products must be fresh and prepared in a special way. It is not allowed to take the food that was cooked a few days ago. During cooking, you can not add various artificial food additives to food. You can replace them with any natural products: fruits, vegetables or herbs. Steam is considered the most useful way to cook food, you can also stew food on low heat with the addition of water or use the oven. But in the process you need to watch so that a crust does not appear on the food.

When cooking all types of soup, it is advisable to use a slimy decoction. It envelops the walls of the epigastrium, favorably affecting the work of the stomach. Great for soups different types cereals and vegetables. As a filling, it is recommended to use cream or butter. Naturally, it is allowed to feed the child with meat, and with a diet, meat dishes are allowed. In this case, it is worth considering how to cook it. If the meat is soft, it should be boiled, but hard varieties should only be used when cooking minced meat, meatballs or meatballs.

The essence of the third principle of diet therapy is that the diet must include healthy foods. Favorably on the body of a child with gastritis, mucous porridges will act. Barley, rice and buckwheat are distinguished among them: it will not be harmful to cook these types together. Do not forget about oatmeal, it is very useful for the body, especially in combination with milk.

Also, it will be useful for the child to eat vegetables. They can be served both fresh and cooked in the form of soups. The main thing is that all vegetables are washed. Doctors recommend washing some of the vegetables with a sponge. At 2 years old, it is desirable to serve them in a pureed form.

Nutrition for inflammation of the epigastrium excludes any canned food, fried foods, strong drinks, as well as foods high in sugar. In addition, not all vegetables can be eaten, so white cabbage, radish and beans should be excluded. A diet for gastritis in a child allows for the presence of peas, but only in the form of mashed potatoes.

In the menu of a child with gastritis, most of the products should be vegetables, fresh or cooked. But in the event that the disease has worsened, you can not eat raw vegetables. Staying on a diet is worth it until you fully recover.

Diet therapy for acute gastritis

A diet for acute inflammation is prescribed in order to facilitate the work of the stomach. A special diet is considered important point in treatment. Baby food should have a beneficial effect on the gastrointestinal tract and not cause irritation on the prostrate gastric mucosa. Doctors recommend the first days of treatment to try not to eat. This rule does not apply to children under 8 years of age. The absence of food allows the mucous membrane to return to normal without being constantly exposed to any irritants.

When the disease begins to manifest brighter than before, the patient should adhere to a water diet. This is explained by the fact that in the acute form of inflammation of the epigastrium, children may experience nausea or vomiting, due to which a sufficient amount of fluid is lost. This comes with a risk of getting dehydrated, so kids need to drink plenty of water.

For the first part of the day, the child is advised to strictly maintain a diet of water and tea. Sometimes it can last about six hours, especially for children under 7 years old. During this period, the child should be served chilled tea, but not strong. The water must be boiled. You can't drink juice. If dehydration occurs, the child must take special solutions. The doctor prescribes the exact amount of fluid, assessing the current state of the patient's body.

After twelve hours, it is allowed to eat liquid food. It is usually represented by various mucous soups, the components of which must be crushed. If heartburn is present among the symptoms of the patient, potatoes are contraindicated for him, especially mashed potatoes. After 3-4 days, the child can start eating steamed meat dishes. After another day or two, meals with the addition of milk, as well as fruits and juices, are included in the diet.

When acute gastritis is completely cured, the child should continue to adhere to a special diet. So in his diet there should be no fatty, spicy and salty foods. Nutritionists believe that table number 1 is best suited for the body during this period.

Table number 1

When the symptoms of gastritis disappear, doctors recommend sticking to table number 1. This diet minimizes the presence of table salt in food, and also eliminates food from the menu that can damage the digestive tract. Eating should be done fractionally: at least five times a day, small portions. For children, this diet does not harm, but rather contributes to a complete recovery.

In the morning, children should drink cooled weak tea. Omelet should be cooked without adding oil, only steamed. Dried white bread is allowed. After a while, milk porridge or rice is served with the addition of a small amount of butter. From drinks milk or cocoa are recommended.

Lunch includes various vegetable soups cooked in a slimy broth: they should not contain white cabbage. Children with gastritis are allowed to feed boiled eggs. You can also serve meat dishes, especially steamed cutlets, you can cook pasta with them. The tea should not be strong. The afternoon snack consists of fruits and curd products.

For dinner, the child should eat vegetables in the form of mashed potatoes. The chicken should be boiled and the skin removed. A slice of yesterday's bread is allowed.

If the pain begins to return, the child should stick to table number 1a. It almost does not differ from table number 1, but there is one difference. Table number 1a excludes any vegetables and fruits from the diet.

Diet for chronic gastritis

Nutritionists pay special attention to the chronic form of gastritis. It is believed that when choosing a diet, it is necessary to take into account the ability of the stomach to form acid. There are two types of inflammation: in one of them, the acidity is high, in the other, it is low. In the event that the child suffers from gastritis with low level acidity, his stomach can hardly cope with a large amount of food, in this case, foods that take a long time to digest will have to be excluded from the menu. Nutrition for gastritis should facilitate the work of the digestive organs, as well as promote the secretion of gastric juice.

During gastritis with increased secretion, the stomach, on the contrary, produces too much hydrochloric acid. The main goal of diet therapy is to neutralize the negative effects of gastric juice on the body. It is important to remove rough foods from the diet, bread, vegetables are distinguished among them, and fried foods should also not be consumed. Those products that provoke the release of acid are also prohibited, namely carbonated drinks, meat broths and spices. It is forbidden to eat food with high temperature so as not to cause even more damage to the gastrointestinal tract, but they should not be too cold. An acceptable temperature is considered to be not less than 20 and not more than 40 degrees.

Gastritis with low acidity

Feeding a child with gastritis eliminates spicy, fried and salty foods, any canned food, carbonated drinks, coffee, raw fruits and vegetables. At the same time, malnutrition should not be allowed. Food should be served at a set time so that there is no pain in the abdomen.

As a rule, a nutritionist first prescribes a diet for the first 9 days. The menu should include meat and fish dishes, but without fat. It is recommended to cook food by steaming, stewing or baking. Vegetables and fruits should be carefully processed, the child should not eat them raw.

If gastritis in children is characterized by increased secretion, the doctor prescribes a diet that includes mucous cereals and vegetables containing some fiber. When the symptoms of the disease are most acute, the child is forbidden to eat raw vegetables. It is advisable to bake them or cook them as mashed potatoes. In addition to mucous cereals and vegetable dishes, it is allowed to eat yesterday's bread, various soups, small pasta, fat-free meat and fish, boiled eggs, but not more than three per week, steamed omelettes, peas, non-acidic berries, dishes containing milk. From drinks, sweet juices, compotes, milk and cool weak tea are allowed.

It is forbidden to add to the menu such products that can reduce the effectiveness of diet therapy or contribute to the deterioration of the child's condition. Among these, baked bread, any high-fat dishes, hot spices, mayonnaise, mushrooms, beans, smoked foods, canned food, some types of vegetables, overly sour fruits, and sweets are distinguished. It is undesirable to drink strong tea, coffee and sparkling water.

Why diet is good

A diet for gastritis in children is considered an indispensable way in the fight against ailments, but before you radically change the diet of a child, you should visit a gastroenterologist for a thorough examination, and after that the right diet will be prescribed.

Healthy eating not only effectively fights disorder at work gastrointestinal tract, but also protects the body from further development of the disease. In this regard, every parent needs to instill in the child the habit of eating right from childhood. Today, gastritis is considered one of the most common diseases, so it is important to prevent its development in advance.

gastrotract.ru

Gastritis in children treatment: nutrition and diet

For all pathologies of the gastrointestinal tract in children aged 5-10 years, there is main principle Nutrition: during the day, food is taken in small, frequent portions. The exception is acute pancreatitis (sometimes also cholecystitis, symptoms are acute pain and vomiting), in which the patient must completely starve for three to five days. Fasting treatment relieves inflammation of the pancreas and painful symptoms.

Naturally, such products as chips, chocolates, soda, nuts, sandwiches with fresh muffins are contraindicated for a sick child. If an adult patient can refuse them, then it is difficult for a child to explain how important diet is for health. Therefore, it is necessary to speak with him calmly and confidently, give some understandable examples, etc.

The diet itself in children is the main treatment, and differs little from it in the adult version. Food should remain soft and warm (not below room temperature but not hot), coarse fiber and solid foods are contraindicated. Spicy foods and spices are prohibited. Fatty, fried, smoked will be poison for the stomach with gastritis. Recipes for steamed, baked dishes can be found on any cooking site.

Chemical sweets, juices, fruits (except baked apples) and fruit drinks provoke the production of gastric juice. This is detrimental to the affected organ of the child. Many people think that homemade jams, marinades, canned food are healthy. This is not true. For the stomach, they are actually not much different from store-bought ones and are harmful to health. You can use them only for those who do not have any problems with the gastrointestinal tract, and then in limited quantities.

Another important rule on which treatment is based: the diet for gastritis should be balanced, contain mostly stewed and steamed foods. Strong tea and coffee should not be drunk. Limit the use of salt, but within reasonable limits (a complete rejection of salt or sugar leads to dire consequences). Chewing gum provokes serious complications of gastritis.

Diet for gastritis in a child

The diet for inflammation of the gastric mucosa in children aged 3-10 years is the “table number five” that has been proven for decades. Porridges, steamed cutlets (many recipes for steamed dishes are very interesting), light salads and baked apples have all been known to us since childhood: this is often how they were fed in sanatoriums. Such a sparing diet is used as a treatment, also for cholecystitis, chronic pancreatitis. By and large, all children should eat this way, for the purpose of prevention.

But with gastritis, nutrition has its own characteristics due to differences in the forms of inflammation: the acidity of the stomach can be both low and high.

Gastritis with high acidity

Symptoms of this type of pathology are sour belching, pain. In this case, it is necessary to reduce the production of gastric juice. Medication is not as important as diet. The following foods should be excluded from the diet:

with coarse fiber (radish, fish with cartilage, muesli, meat with veins, turnips and rutabaga, "gray" bread (with bran);
citrus;
coffee;
alcohol;
carbonated drinks;
black bread;
cabbage (fresh, white);
sauces;
mushrooms.

The temperature of the products should not exceed 50-60 degrees, but not be cold (below 16-20 degrees). Sample menu for gastritis with high acidity in children (recipes from our childhood):

buckwheat, oatmeal;
lean rabbit;
River fish;
boiled homemade milk;
spinach, zucchini, pumpkin, carrots and beetroot (of which great recipes salads);
baked apples, raspberries;
chamomile tea (not strong).

Gastritis with low acidity in a child

With this pathology, the symptoms are as follows: aching pain, food is digested slowly and poorly, not of sufficient quality. In order to increase production the right substances in the stomach, it is recommended to drink Essentuki-17 water before meals (from 9-11 years old), take a portion slowly (half an hour), eat baked fruits at the same time.

Tea with sugar for this disease is allowed to be introduced into the diet. You can also drink fermented milk, but regular milk is prohibited.

Video “Gastritis: causes, symptoms and treatment. Diet for gastritis

Approximate child's diet

Not only for diseases of the gastrointestinal tract in a child, but also for the purpose of their prevention, children from 5-10 years old should follow a certain diet.

Feeding a small patient correctly is the main treatment for such diseases. Naturally, at school with friends, the child will still probably eat buns and chocolates, but at least at home, the correct sparing menu will be waiting for him.

The diet for gastritis in children is described in great detail. A nutritionist, a dermatologist (after all, malnutrition provokes the appearance of rashes on the skin), a gastroenterologist will advise you on the right nutrition. Here are the main theses:

from meat products allowed: lean pork, beef, rabbit, chicken. Fatty foods, sausages, canned food, etc. are strictly prohibited;
Bread must be bought rye, sometimes black. Long loaf, pies and cookies, homemade and shop pies, pastries - you can not eat;
fish is allowed to cook only lean (boil, bake);
soups should not be greasy. Vegetable, borscht, without frying - you can (there are recipes in any cookbook or the Internet);
it is also forbidden to feed: fatty cream and milk, fatty cottage cheese and fermented baked milk, fatty cheese (or too salty). Other dairy products in moderation can be added to meals or consumed separately;
egg white is a strong allergen, it is better to refuse it;
of sweets, only marmalade is allowed (1-2 pieces per day, no more), dried fruits and compotes from them (uzvars), tea with sugar;
coffee, cocoa, strong tea and iced drinks, as well as soda and sweet water are strictly prohibited.

Some deviations from the recommended diet in children from 10 years of age are allowed during periods without exacerbations and for a short time (half a day, maximum a day). Not only the state of the organs of the gastrointestinal tract depends on nutrition, but also the composition of the blood, the health of the heart, skin, lungs, as well as the presence of severe allergies. The treatment of all these pathologies in a child of any age is much more difficult than diet therapy in the initial stages of gastritis.

Video "What to do with gastritis in a child"

To understand how to treat this disease, you need to familiarize yourself with its nature and primary causes. The following video will help you with this.

lechimdetok.ru

Diet for gastritis in children

Diet for gastritis in children is no less important than treatment. Gastritis can be acute or chronic. This disease affects boys and girls aged 5 to 12 years. At this time, there is an intensive development of all systems of the child's body, so the child may be vulnerable to various diseases. During puberty, gastritis often develops in girls. Perhaps this is due to the restructuring of the hormonal background and excessive emotionality.

Acute gastritis refers to inflammation of the gastric mucosa. The causes of the disease can be many. The main ones are:

abuse of unhealthy food;
irregular meals (long periods of time between meals);
systematic use of spicy foods;
taking medications that irritate the walls of the stomach;
poisoning chemicals;
infection with Helicobacter pylori (Helicobacter Pylori);
excessive physical activity and stressful situations.

Sometimes gastritis occurs against the background of allergies or other diseases. Helicobacter pylori is a spiral-shaped microorganism that enters the stomach or duodenum and causes not only gastritis, but also other serious diseases.

Description of the symptoms of childhood gastritis

Symptoms of the disease depend on its type and degree of damage to the walls of the stomach. The main symptom is pain. With gastritis, children experience pain in the upper abdomen. The intensity of pain depends on the degree inflammatory process, so pain can be mild, aching, intense, or excruciatingly strong.

In addition to pain manifestations, gastritis is accompanied by heaviness in the stomach, a feeling of fullness and unpleasant pressure. Such manifestations can be both isolated and combined simultaneously with pain. Gastritis also manifests itself:

belching;
bad breath;
nausea;
vomiting;
elevated temperature body;
constipation
anemia
liquid stool;
pallor of the skin.

A sign of the disease is a plaque on the tongue of a grayish-white color with an unpleasant odor. The child may refuse food, act up. In acute gastritis, body temperature can rise to 39 degrees. Anemia in this disease occurs due to malabsorption nutrients. In addition to pallor, there is lethargy, fatigue against the background of general intoxication of the body.

Heartburn in a child is aggravated by bending or physical activity. Some children complain of a burning sensation throughout the esophagus. When jumping, running, in addition to heartburn, pain also intensifies.

Unlike acute gastritis, chronic gastritis differs in that the symptoms are not so pronounced. With this form of the disease, periods of exacerbation and remission are observed. Some children have almost no complaints.

At times, belching, heaviness and not strong pain can be observed. Chronic gastritis can develop from acute, especially if the treatment has not been completed.

How is gastritis in children treated?

Treatment of the disease is prescribed after the diagnosis, which includes ultrasound abdominal cavity, fibrogastroduodenoscopy and blood tests. After the diagnosis and confirmation of the disease, it is required to immediately begin treatment procedures. In the treatment of acute gastritis prescribe:

antispasmodics;
enzymes:
drugs that reduce the secretory activity of the stomach;
sorbents;
gastrocytoprotectors.

Acute gastritis requires a strict diet. At the beginning of treatment, gastric lavage is required. Some doctors advise to refrain from eating on the first day. Since chronic gastritis can be caused by the pathogen Helicobacter Pylori, antibiotic therapy is required.

For pain, antispasmodics are also prescribed. In addition to dieting, the child is recommended to drink mineral waters (Borjomi, Truskavets Essentuki).

Any form of disease cannot be cured unless the diet is followed. Therefore, mothers need to pay great attention to the diet of the child. As you recover, the diet can be replenished with various dishes.

When choosing products, it is necessary to take into account the acidity of the stomach. It is either high or low. What is allowed with low acidity is prohibited with high acidity.

Basic principles of nutrition

In diet therapy, there are several principles that parents should consider. Children who have been diagnosed with this or that form of gastritis should eat at the same time. Meals should be frequent, and portions should be small. Food is divided into 5-6 meals during the day: 2 breakfasts, lunch, afternoon tea and dinner. This is the first principle of proper nutrition.

The second principle is the selection of fresh products and the method of their preparation. Do not give a sick child food that has stood in the refrigerator for several days. During cooking, it is not recommended to add artificial additives and flavor enhancers, spicy seasonings. Dill, parsley, bay leaf can be added to soups. You need to cook food for a couple. You can eat baked dishes or stews over low heat. If the dish was baked in the oven and a crust has formed, it must be removed. Soups are prepared with a slimy decoction, which has an enveloping effect. Soups can be prepared with different cereals, vegetables, and season with cream or butter.

It is better to buy chicken, rabbit or young veal meat. Avoid fatty meats and fish. Twist tough meat in a meat grinder and make steamed cutlets or meatballs.

The third principle concerns the combination of healthy products. With this disease, it is recommended to cook porridge. It will be useful for the child to eat barley, rice, buckwheat porridge. Oatmeal and semolina porridge can be cooked in milk. From vegetables it is permissible to give:

zucchini;
carrot;
potato;
cauliflower;
beets;
pumpkin.

All vegetables should be mushy and served whole. It is better for small patients to wipe the cooked vegetables in a puree. Do not give children with gastritis too cold or hot food. During the period of exacerbation of chronic gastritis, it is forbidden to give raw vegetables and fruits. Apples should be baked in the oven. The doctor and scientist Manuil Isaakovich Pevzner developed special diets for children with gastritis. For diseases of the gastrointestinal tract, the diets "Table No. 5" and "Table No. 1" are shown.

What is forbidden to eat with gastritis?

Diseases of the gastrointestinal tract require exclusion from the menu of fried, spicy, salty, sour foods. Do not give your child fresh bread, cream cakes, buns and other fresh pastries. Cheesecakes, pancakes, pancakes are prohibited. From dairy products, it is allowed to eat fresh sour cream, non-acidic kefir, low-fat cottage cheese casseroles. Avoid fatty and spicy cheeses. You can not cook soups on steep, rich broths from meat and fatty fish. Do not give fried omelets, hard-boiled eggs. If your child loves omelets, steam them. Soft-boiled eggs can be given 2-3 times a week.

It is forbidden to give pickled vegetables, radishes, raw onions, garlic, horseradish. Fresh cucumbers must be peeled so that the child does not consume the tough peel. With gastritis, you should not give your child sour and unripe berries and fruits. The acid will irritate the affected gastric mucosa even more and the healing process will be delayed.

Kissels from non-acidic berries or mousse have a good effect on the work of the stomach. You can give honey if not available allergic reaction on it. From drinks it is permissible to use milkshakes, weak tea, cocoa brewed in milk. Mineral water should be out of gas.

Taking care of children during illness requires attention, effort and time.

Therefore, as soon as the child is on the mend, parents should take care of the prevention of the disease in order to avoid frequent relapses.

This means that healthy eating should become the norm in the family.

Explain to your child why you should not buy chips, crackers and fast foods. Sweet carbonated drinks are also very harmful. You can not take long breaks between meals. The child should continue to eat regularly. Prepare cheese sandwiches for him at school, while avoiding the use of smoked meats. If gastritis is caused by stress, it is necessary to provide the child with a healthy emotional environment.

Gastritis is a disease of the gastrointestinal tract that occurs in both adults and children. With an internal inflammatory process of the digestive organ, the child should not only comply with drug therapy, but also adhere to proper nutrition to relieve unpleasant symptomatic signs and avoid recurrence of the disease.

Causes of gastritis

Inflammation of the gastric mucosa in a child is associated with external and internal causes:

unformed digestive system (in children under 7 years old);
period rapid growth- from 5 to 6 years, from 10 to 15 years;
reduced immunity;
consumption of adult food;
wrong mode;
taking medications;
dry food, quick snacks;
fast swallowing of food;
fasting, overeating;
nervous, physical tension, stress;
infection, pathogens;
the presence of worms;
diseases of the endocrine system, pathology of the digestive system;
untimely treatment of a chronic variety of gastritis.

Non-compliance with the diet occurs during the transition of the child to Kindergarten or an educational institution, when parents lose control over the quality, quantity of food consumed.

When the first symptomatic signs appear (pain in the epigastric region, nausea, vomiting, flatulence, bloating, unstable stools, weakness, malaise), you should immediately seek help from a specialist for a complete diagnosis. The examination will determine the degree, form of the disease.

The principles of proper nutrition

For the treatment of diseases of the gastrointestinal tract, it is necessary to organize a healthy diet in children. The diet for various forms of gastritis in a child should be balanced, varied, including foods with the necessary amount of fats, proteins, carbohydrates.

There are ways to organize proper nutrition in children:

the establishment of a strict regimen - eating food every day after a certain period of time;
fractional nutrition - frequent meals in small portions;
avoidance of overeating, starvation;
eating only freshly prepared food;
inclusion in the diet of only thermally processed foods;
Food should not be too hot or cold.

The menu for gastritis should consist of permitted products: rice, barley, buckwheat, oatmeal, semolina porridge, vegetables (zucchini, carrots, beets, cauliflower, potatoes), sour-milk products, light broths, lean meats or steamed fish.

From the menu for each day it is necessary to exclude:

sweet products;
rich broths from fatty meats;
canned foods;
smoked, spicy, fried foods;
sauces, spices, seasonings, spices;
legumes (beans, peas);
mushrooms;
porridge from millet, corn;
sour fruits;
vegetables (white cabbage, radish, spinach, radish);
sweet products;
strong tea, coffee, what, drinks with gases.

You need to feed the child with fresh, thermally processed food. Products should be easily, quickly absorbed, not damage the inflamed areas of the stomach walls.

When gastritis is detected, children should definitely go in for sports, perform physical exercises for fast digestion of food, activation of metabolism in the body.

Features of proper nutrition

The diet in the presence of gastritis in children depends on the form of the disease of the digestive organ. For each type of inflammatory process, which differs in the focus of distribution, the severity of damage, nutrition has its own characteristics.

Acute gastritis

An acute form of inflammation of the mucous membrane of the digestive organ occurs as a result of malnutrition, the use of low-quality, stale foods. Exacerbation is accompanied by pain syndromes, nausea.

In acute gastritis, it is necessary to minimize the load on the inflamed areas of the gastric mucosa. During the period, it is recommended to refuse to eat. But this rule should not apply to babies who need food for full growth and development.

Refusal to eat food in the first hours will avoid mechanical damage to the stomach, and as a result, it will contribute to the natural restoration of the inflamed epithelium.

With an exacerbation of gastritis, it is useful to drink a lot of liquid in different forms, except for carbonated, alcoholic drinks. The acute form of the disease is accompanied by nausea, vomit, which leads to dehydration. To maintain the water balance, you should drink boiled water, tea, herbal decoctions, compotes, jelly. Children need to be given special solutions to avoid washing salts out of the body.

24 hours after the exacerbation, you can eat liquid food: vegetable, low-fat broths in crushed or grated form, berry, herbal decoctions. The menu for children with acute gastritis should include foods consisting of proteins.

After symptomatic symptoms have been eliminated, after a few days it is recommended to adhere to table number 5 or table 1: you can cook dishes with milk (cereals), boiled or steamed meat, fish, omelettes, jelly, herbal decoction.

Chronic gastritis

In a child of preschool, school age, chronic gastritis is more common than in other categories of children. The symptomatic signs of the disease are:

spasms in the pancreas after eating;
heartburn;
sour belching;
nausea;
lack of appetite.

In the chronic form of the disease, there is an unstable level of hydrochloric acid, pepsin, intoxication of the body due to increased absorption capacity with a damaged stomach lining. For compiling sample menu it is necessary to take into account the peculiarities of the course of gastritis, which is characterized by increased or decreased secretion.

The diet provides for the inclusion of dishes to increase the production of hydrochloric acid. Prohibited foods for low acid disease include:

raw vegetables and fruits;
spicy, fried, salty, smoked food;
canned food;
foods containing fiber - bread and other pastries.

With low acidity, you can use vegetable, meat (from lean varieties) broths, sour and sweet berries, cottage cheese, cereals in milk, cocoa. Chronic gastritis is observed in autumn or spring. In order to avoid possible seasonal exacerbations, it is recommended to observe prevention in the form of organizing proper nutrition.

With gastritis with high acidity, the child should eat at least 6 times a day. Frequent food intake does not contribute to the abundant release of hydrochloric acid, which irritates the damaged walls of the digestive organ. With gastritis of this form, you need to eat right, so the diet should be absent:

rich vegetable, meat, fish broths;
fried, smoked food;
mushrooms;
canned food;
sausages;
fresh vegetables, fruits, except carrots, tomatoes;
pastries (rolls, bread);
ice cream;
sour berries.

Dishes should be in the form of mashed potatoes, mashed or chopped. It is recommended to use only boiled, steamed foods. At elevated level acids, it is desirable to include milk, cottage cheese, eggs, sour cream, cream in the menu. Products should be saturated with proteins, fats, and dishes containing a large percentage of carbohydrates are not recommended. When cooking, you should limit the addition of salt, seasonings, spices.

It is advisable to follow a diet with high acidity for several weeks. After 2 weeks, you can gradually introduce wheat bread, raw fruits, reduce the amount of dairy products consumed.

For the prevention of chronic gastritis, it is recommended to adhere to proper nutrition for several months, gradually including solid food, bakery products, vegetables, fruits.

diet

What to give a child with a disease of the stomach or duodenum worries every parent. To do this, you need to create a menu to know what to cook for breakfast, lunch, dinner for a week with recipes.

Breakfast

In the morning, they eat a steamed omelette, an egg or milk porridge with a low level of secretion. As a drink, you can use weak tea with the addition of milk, cream. For dessert, if desired, it is recommended to eat a cracker, a piece of stale bread with the addition of unsweetened fruit, berry jam.

Dinner

In the afternoon, you can eat a second breakfast, for example, baked fruits, cookies, jelly, and after a few hours, eat lunch. It should consist of vegetable or low-fat broth, steam cutlets with side dishes of boiled vegetables, cereals, milk porridge.

Snack

For an afternoon snack, you can give preference to drinks, for example, herbal decoctions, jelly, tea with crackers, as well as cottage cheese with the addition of dried fruits or unsweetened jam.

Dinner

In the evening, you should eat cereals, boiled eggs, meat or fish of low-fat varieties, steamed or baked in the oven. A few hours before bedtime, you can drink milk, jelly, tea with honey.

If inflamed areas of the gastric mucosa are found, it is necessary to start treating gastritis with proper nutrition. For children, special diet therapy rules have been developed that allow them to eat correctly and balanced without harm to health.

There is a menu (table 5.1), which includes useful products necessary for full growth and development. Compliance with the diet will help to avoid the recurrence of the disease of the gastrointestinal tract in young children and adolescents.

The information on our website is provided by qualified doctors and is for informational purposes only. Do not self-medicate! Be sure to contact a specialist!

Gastroenterologist, professor, doctor of medical sciences. Prescribes diagnostics and conducts treatment. Expert of the group on the study of inflammatory diseases. Author of more than 300 scientific papers.