Atrophic gastritis and recommended dietary nutrition. Atrophic gastritis with low acidity: diagnosis and treatment What can you eat with atrophy of the gastric mucosa

11.10.202027.05.2017

Causes and risk factors

The mechanism of occurrence of pathology is not fully understood. Exogenous reasons for the development of gastritis with low acidity include Helicobacter pylori infection, taking drugs that have an adverse effect on the gastric mucosa, poor nutrition, bad habits, ionizing radiation, and accidental or deliberate ingestion of toxic, irritating substances.

With timely diagnosis, timely and correct treatment, the prognosis is usually favorable, it worsens with the development of B12-deficiency anemia.

Among endogenous factors, genetic predisposition, pathologies of the pancreas and liver, gastroduodenal reflux, metabolic and endocrine diseases, sinusitis, renal failure, rheumatic diseases, and helminthic invasions are distinguished.

Improper treatment of acute gastritis can lead to chronicity of the pathological process. Hyperacid gastritis, in the absence of adequate treatment, eventually transforms into gastritis with low acidity.

In children, gastritis with low acidity often occurs in the first years of schooling, which is associated with a change in diet against the background of increased physical and mental stress.

Popular diet recipes

Milk pumpkin soup 400 gr. Pour pumpkins with water and cook until puree is obtained. Take another bowl, boil 3 cups of low-fat milk, add 2 tbsp. l. semolina, cook for 10 minutes, then add pumpkin puree. Salt, sweeten and cook for another 15 minutes.

shabby rice porrige on milk Prepare a handful of rice, grind with a blender or coffee grinder. Pour 1.5 cups of low-fat milk into a saucepan, boil and gradually lower the resulting rice grits. 5 minutes before cooking, add salt and sugar. The total cooking time is 15 minutes.

Potato and carrot salad Boil 4 medium potatoes and 2 large carrots. Wait until cool, peel, finely chop. In a small amount warm water dilute lemon juice, add sour cream and salt - this will be a salad dressing.

Forms of the disease

The main forms of chronic gastritis:

superficial (non-atrophic);
atrophic;
special forms (radiation, reactive, granulomatous, eosinophilic, hypertrophic, etc.).

Depending on the etiology, gastritis is:

autoimmune (type A);
bacterial (type B);
chemical (type C);
mixed;
alcoholic;
medication; etc.

Depending on the localization of the pathological process:

gastritis of the antrum;
gastritis of the fundus;
pangastritis.

Chronic gastritis with low acidity may be in remission or exacerbation. In addition, the disease can be uncomplicated and complicated (bleeding, malignancy).

Prohibited Products

Now we give a list of foods that can not be eaten with an atrophic form of gastritis:

fatty meats - pork, goose, duck;
fatty fish - mackerel, trout, etc. You can not eat salted or smoked fish;
sausages and meat delicacies;

canned food;
barley and barley are prohibited from cereals;
you can not eat legumes - beans, peas;
some vegetables will not bring benefits, you need to give up radishes, radishes, garlic. White cabbage is used with caution;
freshly baked bread, muffin;
confectionery - cakes, chocolate, ice cream;
strong coffee, cocoa;
you will have to give up drinks containing alcohol.

Gastritis with low acidity long time may be asymptomatic. In other cases, its leading manifestation is dyspeptic syndrome, which is due to a pronounced violation of the functional activity of the stomach. Pain in this form of the disease is associated with distension of the stomach, and not with muscle spasm. Typically, patients complain of dull aching pain that appears or worsens after eating (the so-called satiety pains, in contrast to the hungry pains characteristic of gastritis with high acidity). The intensity of pain correlates with the quantity and quality of the food eaten - the pain increases with the use of spicy, spicy dishes. Dyskinetic disorders cause the alternation of constipation and diarrhea, the development of dumping syndrome, flatulence, and bloating.

During the period of remission, the disease usually does not manifest itself. During an exacerbation, there is a feeling of bitterness in the mouth, bad breath, increased salivation, belching with rotten or air, a feeling of heaviness in the epigastric region, nausea. Appetite is reduced until the complete refusal of food.

Gastritis with low acidity is recorded in all age groups, but more often found in the elderly, men and women are equally affected.

Atrophy of the gastric mucosa, which develops with gastritis with low acidity, causes a violation of the absorption of nutrients and vitamins with the further development of protein-energy deficiency, hypovitaminosis, anemia. The patient has a decrease arterial pressure, dizziness appears after eating, dry skin, brittle hair, bleeding, fatigue, depression. Significantly reduced body weight. Lactose intolerance may develop. With a long course of the disease, inflammation of the tongue and gums develops (glossitis and gingivitis).

Approved Products

Let's figure out what you can eat if gastritis of an atrophic form is diagnosed. Using the list of allowed products, it will be possible to create a menu for the day or for the week. So, patients can eat:

Bakery products. Only white bread of yesterday's baking, lean pies (occasionally), simple biscuit cookies.

Meat. Only low-fat varieties and preferably chopped. Allowed veal, beef, turkey, rabbit, chicken (preferably breast).
Fish. Low-fat varieties of sea and river fish - cod, hake, pollock, pike perch, pike.
Kashi. You need to cook porridge on water, using allowed cereals (buckwheat, rice, oatmeal).
Dairy. Low-fat cottage cheese (mainly for cooking, for example, for casseroles) and cheese. With good tolerance - low-fat milk and sour-milk drinks.
Eggs. Chicken and quail eggs, boiled soft-boiled or in the form of an omelette.
Vegetables and fruits. Vegetables are boiled or baked, with good health, you can eat fresh salads. Allowed - potatoes, carrots, beets, broccoli and cauliflower, pumpkin, tomatoes, zucchini. From fruits you can bananas, non-acidic apples, watermelon, melon, persimmon, cherries, strawberries.
Pasta. Products should be selected from durum varieties and cook them until soft. It is better to choose thin products - vermicelli, noodles, spaghetti.

Fats. Butter and vegetable oil are used, they are used for dressing dishes in limited quantities.
Beverages. Chamomile tea and mineral medicinal water are very useful. You can drink compotes, fruit drinks, kissels, as well as black or green tea, brewed weakly.

Advice! The choice of therapeutic mineral water should be discussed with gastroenterologists, as much depends on individual indications.

Dessert. Marshmallows, marmalade, jam, honey, caramel are allowed in a small amount.

Features of the course of gastritis with low acidity in children

In children, the disease is manifested by intense pains in the abdomen, which are diffuse in nature and appear after eating any food. Palpation in the epigastric region is painful. In addition, signs of gastritis with low acidity in children are nausea and vomiting that occur a few hours after eating, and intolerance to certain dishes. Children become easily excitable and emotionally unstable.

This age group superficial gastritis predominates, glandular damage is possible, but the atrophic process usually does not develop.

The diet is made up depending on the subspecies of the disease. Therefore, before choosing a menu, consult your doctor. The specialist will issue appropriate recommendations. If such gastritis is not treated, the stomach will stop working. After all, its walls gradually “die off”, become thinner. Erosions and sores appear on atrophied tissues. Because of this, there are problems with digestion and the production of gastric juice. The food won't go well. Intoxication and anemia will begin.

Diet therapy is needed not only to eliminate inflammation. With proper nutrition, the body will receive nutrients, and the digestive system will recover. Eat small meals, but often. So that you don't feel hungry. Eat at least once every 3 hours. But don't overeat or snack on the run. Grind or grind all products so as not to overload the stomach. Eat slowly, without distraction. Do not reheat or cool food. Food must be warm. This also applies to drinks - no hot tea or ice water.

You need to consume about 2500 - 3000 calories per day. Diet for atrophic gastritis of the stomach should include:

up to 400 grams of carbohydrates;
about 100 grams of vegetable fats;
protein food - 100 grams, 50 of them are vegetable proteins;
up to 15 grams of sea salt.

Do not drink a lot of liquid - a maximum of 1.5 liters per day. It means not only water, but also soups, broths, decoctions. This does not mean that you have to suffer from thirst. Just watch how much you drink.

All dishes are boiled, stewed or steamed. Some can be baked, but eat them without a “ruddy” crust.

Atrophy with such gastritis leads to the death of the tissues of the stomach. This could end very badly. A gastroenterologist will tell you which diet to choose and how long to sit on it. It depends on the diagnosis and related factors. Treatment is a long process. Most likely, therapy will continue for at least six months. Even if the symptoms no longer bother you, this does not mean that the disease has receded. Yes, and after recovery, you need to eat healthy food.

Diagnostics

The diagnosis of gastritis with low acidity is made on the basis of complaints, history taking, as well as the results of instrumental and laboratory studies. Ultrasound of the abdominal organs is performed, as well as endoscopic examination - esophagogastroduodenoscopy, during which pH-metry and biopsy are also performed. Measurement of the acidity of gastric contents, or pH-metry, allows you to reliably establish a decrease in the production of hydrochloric acid and pepsin.

In the general structure of gastrointestinal pathology, the share of chronic gastritis is 90%, of which gastritis with low acidity accounts for about 25%.

If it is impossible to perform gastric sounding, a laboratory determination of the content of uropepsinogen in the urine is performed. To identify an atrophic form of gastritis with low acidity, the levels of pepsinogen I and II and their relationship to each other are determined in the patient's blood. Atrophic gastritis is determined in approximately 85% of cases of a pronounced decrease in the level of pepsinogens. Carry out the determination of markers of autoimmune pathology (antiparietal antibodies, and antibodies to the Castle factor).

Detection of Helicobacter pylori in gastritis with low acidity can be carried out by the methods of polymerase chain reaction, enzyme immunoassay, urease breath test for Helicobacter pylori, etc.

Differential diagnosis is carried out with stomach cancer, pellagra (deficiency of vitamin PP), sprue (impaired absorption of fats, glucose and vitamins in the gastrointestinal tract), hiatal hernia, dyskinesia of the gallbladder and biliary tract.

List of allowed and prohibited products

Can	It is forbidden
Vegetable or butter	Preservation, pickles, marinades
Fruit juices, preferably homemade	Alcohol, carbonated water, coffee
All vegetables except prohibited	Fish and meat broths
stale pastries	Pastries from sweet and puff pastry
Kasha, better digested	Grape
Dairy products	Fatty meat or fish
Omelette	Lard, animal fats
dried bread	Fresh baked goods
Soups with vegetable or low-fat chicken broth	Smoked and spicy dishes
Well cooked pasta	Hard boiled eggs
low fat milk	Whole raw vegetables - pureed only
Red lean fish, poultry meat - turkey, chicken	Rutabaga, radish
ground berries	bell pepper
Decoctions - wild rose, thyme, St. John's wort	Legumes

Treatment of gastritis with low acidity

Treatment of gastritis with low acidity is complex, selected individually depending on the form of the disease, the severity of secretory insufficiency, the presence of concomitant diseases and complications. The objectives of the treatment of gastritis with low acidity are:

elimination of inflammation;
cessation of the progression of atrophic processes in the gastric mucosa;
restoration, as far as possible, of the motor and secretory functions of the stomach.

Treatment of the disease is usually carried out on an outpatient basis, however, in some cases (severe symptoms, the need for a thorough diagnosis), hospitalization may be required.

For the eradication of Helicobacter pylori are used antibacterial drugs, as well as proton pump inhibitors (with an anacid condition characterized by pH ≥ 6, proton pump inhibitors are not prescribed).

According to indications, gastroprotectors, enveloping and astringent preparations, acid-stimulating agents, vitamin-mineral complexes are used. Substitution therapy for gastritis with low acidity consists in taking natural gastric juice and gastric enzymes.

The main treatment of chronic gastritis with low acidity can be supplemented by physiotherapy (UHF therapy, magnetotherapy, inductometry, electrophoresis with drugs, ozocerite and paraffin applications, etc.).

Menu for atrophic gastritis for a week

Dietary nutrition for inflammation of the stomach is carefully compiled, if not by a gastroenterologist, then by the patient. To do this, take as a basis a ready-made version of the menu. Otherwise, they do not make their own changes to the compiled diet. The menu is planned for a week and used throughout the treatment.

A common healthy eating option is to eat a steamed omelette with 1 slice of bran bread for breakfast on Monday. From drinks they drink berry or fruit compote. Eat in the afternoon vegetable salad. Cucumbers and tomatoes are suitable for this. At noon, they eat steamed fish or boiled cereals. In the evening it is recommended to eat fat-free cottage cheese and drink tea.
The morning table on Tuesday consists of a salad with fruit. This dish is washed down with carrot juice (depending on the form and acidity of gastritis). Lunch is served with boiled or baked dietary fish. For lunch, mashed potatoes with chicken are prepared. For dinner on this day, you should eat vegetables.
Wednesday morning starts with a breakfast of steamed scrambled eggs with vegetables. Wash down the dish with weak tea. Snack is made from fruit. Lunch consists of pumpkin puree soup. Boiled beef is added to the dish. For dinner, it is recommended to eat fat-free cottage cheese with fruit. They can be eaten together or separately.
Thursday breakfast is served oatmeal. From drinks they drink a glass of compote from berries. This can be replaced with jelly. Roasted fruits are prepared for lunch. Lunch should be vegetable soup or pasta. Meatballs serve as an additional dish. In the evening it is recommended to eat boiled fish with vegetables.
On Friday morning, prepare a salad of tomatoes and cucumbers. Otherwise, replace with an omelette for a couple. As a snack, use mashed potatoes. On this day, you can drink a low-fat fermented milk product, kefir is suitable. Cooking for lunch buckwheat porridge with cutlets for a couple. The evening meal consists of homemade yogurt and bananas.
For breakfast on Saturday, they eat boiled fish. From drinks they drink weak green tea or rose hips. During lunch, they make a vegetable salad. At lunchtime, soup from allowed root crops is consumed. This dish is replaced with vegetable stew. Dinner consists of fat-free cottage cheese.
On Sunday, a banana and apple salad is prepared for breakfast. Snack consists of boiled chicken. Lunch is a rice dish with fish. Wash down food with weak tea. They have supper on Sunday evening with mashed potatoes and meatballs.

The diet menu must be followed. You can make adjustments to it. It depends on the gastropathy and the type of atrophic gastritis. If the treatment goes wrong or the recommendations are not followed, then complications arise. These include erosive gastritis and stomach ulcers. In this case, the diet will be different. Exacerbation of gastritis occurs in women during pregnancy. This factor must be taken seriously.

Proper nutrition is also used in the prevention of disease. Recipes and permitted products must be adjusted in daily allowance chemical composition.

Diet for gastritis with low acidity

One of the main methods of treating gastritis with low acidity is diet therapy. The success of drug therapy largely depends on how it will be observed.

Fractional nutrition is recommended - meals at least 5-6 times a day at approximately equal intervals of time, in small portions. Food should be at a comfortable temperature (warm), as cold or hot food irritates the gastric mucosa. Dishes are prepared in dietary ways (boiling, steaming, baking or stewing).

The diet should include dairy products, cereals, lean fish and meat, vegetables and meat soups, pasta, eggs, vegetables, fruits, fruit juices, tea with lemon. Exclude smoked, fatty, fried foods, confectionery, whole milk, fresh pastries, cabbage, grapes, carbonated drinks, alcohol.

Gastritis with low acidity develops less often than others clinical forms, but more often than others leads to serious complications.

Diet #2

With atrophic gastritis of the stomach, gastroenterologists and nutritionists prescribe a special diet No. 2, aimed at replenishing important useful substances for normal human life, for the normalization of the digestive system. The diet is subject to certain principles of nutrition.

Diet Principles #2

Approved Products

Foods approved by nutritionists:

slightly stale wheat bread, biscuits, crackers, dried biscuits;
dietary meat options (beef, turkey, rabbit, chicken, tongue, pates);
low-fat varieties of fish (pink salmon, pollock);
boiled eggs, steamed omelet;
rice, buckwheat, semolina, hercules;
cottage cheese, cheese, butter, dairy products containing low level fat content;
vegetable oil;
potatoes, cabbage, carrots, beets, pumpkins, cucumbers, tomatoes;
fresh juices;
honey, marmalade, marshmallow, marshmallow, fruit puree;
weak tea, cocoa, compote, jelly;
fresh greens.

Prohibited Products

Diet number 2 provides a strict ban on the menu for foods that take a long time to digest, irritate the gastric mucosa, lead to a feeling of heaviness, pain, discomfort. These include:

rye flour bread, muffin;
sausages, sausages;
spicy, spicy, fried;
barley groats, millet, barley;
fatty meats (especially pork) and fish, lard;
smoked meats;
pickles;
conservation;
rich broths, sour soups, okroshka;
spicy sauces, mustard, horseradish;
peas, beans, beans;
scrambled eggs, hard-boiled eggs;
drinks with gases, coffee.

You can not eat foods that include chemical components - sweeteners, stabilizers.

Of course, the ban applies to bad habits - alcohol and cigarettes often become the root cause of pathological changes.

Usually, these rules apply to all patients with atrophic gastritis, but the doctor in charge has the right to say exactly what is permissible to eat and what needs to be excluded.

Nutrition for focal and diffuse gastritis

Focal or subatrophic gastritis differs in that only a certain zone of the stomach is affected. With such a course of the disease, especially in the first days of the disease, diet No. 1 is recommended, and after a while they switch to diet table No. 2. The main difference between such a diet is the complete restriction of the consumption of fruits, berries and vegetables, cabbage and sugar, as well as any drinks other than herbal decoctions and infusions.

The diagnosis of a diffuse form of atrophic gastritis of the stomach means the defeat of several departments of this organ. In fact, only a superficial lesion of the mucosa occurs, but areas of atrophy have already formed. The recommended diet is diet number 2.

What is atrophic chronic gastritis?

Atrophic chronic gastritis of the stomach is inflammatory process which results in cell transformation.

Atrophic gastritis at the initial stage, while the appearance of a violation of the functioning of the stomach lies in constant discomfort, which is located in the abdomen.

After erosion begins to form on the walls of the stomach, the production of enzymes is disrupted and this negatively affects the functioning of the digestive system.

At the last stage, erosion occurs, the work of the pancreas, intestines and gallbladder is disrupted.

All these manifestations negatively affect the work of the body. They interfere with his normal life.

It is necessary to undergo a long course of rehabilitation and rehabilitation therapy in order to improve performance gastrointestinal tract.

Diagnosis

Diagnosis and treatment of gastritis with low acidity is carried out by a gastroenterologist and an endoscopist. The specialist examines the patient and conducts a series of examinations:

esophagogastroduodenoscopy;
endoscopic biopsy;
gastroscopy;
morphological studies;
radiography of the stomach;
probing of the stomach with intragastric pH-metry;
study of gastric juice;
determination of the level of pepsinogen;
diagnosing Helicobacter pylori using fecal ELISA, PCR studies, detection of antibodies in the blood and a breath test for this microorganism.

The purpose of these studies is not to confuse the disease with other pathologies, and to make an accurate diagnosis.

Based on the results of examinations, the gastroenterologist prescribes a treatment regimen. If required, the attending physician refers the patient to a consultation with a nutritionist, who prepares an appropriate diet. In some cases, to eliminate concomitant diseases, consultation of other specialists of a narrow focus (cardiologist, therapist) is required.

During the period of remission

Nutrition for atrophic gastritis of the stomach during remission involves the use of soups cooked in meat or fish broths. During their preparation, roasting is not provided, instead of which a mixture of eggs and milk is used. When the dish is ready, put a small amount of vegetable oil or cream.

Meat is used in low-fat varieties, without fascia and tendons. Before you cook the chicken, be sure to remove the skin from it. It is recommended to include offal in the diet - tongue or liver. The composition of seafood and fish includes proteins, phosphorus, iodine, calcium, so they must supplement the diet.

It is advisable not to eat bread or eat it in limited quantities. It must be necessarily dried or stale, because. fresh can cause fermentation. You can eat biscuits, dried biscuits, pastries from unleavened dough. It is allowed to eat pasta, but only without using spicy seasonings.

Grains are sources of carbohydrates that are slowly digested. After their use, a feeling of fullness remains for a long time. Grains after cooking must be crushed. Milk or water is used to make porridge.

During the diet, salads are prepared from various vegetables, seasoned with sunflower oil. You can use zucchini, pumpkin, cauliflower, peas, potatoes.

Benefits bring cottage cheese and milk. The consumption of cheeses is limited, mild varieties are consumed once a week, for this rubbing them. Steam omelettes are prepared from eggs or soft-boiled.

With remission of pathology, the following are allowed:

beef ham;
liver pate;
boiled sausage.

The diet should contain various berries and fruits: raspberries, strawberries, bananas, apples, pears, apricots, which are consumed ripe.

freshly prepared juices;
herbal tea;
compote;
jelly.

Rosehip decoctions bring great benefits to the body.

Causes

The exact reason for the loss of the ability of the secretory apparatus of the body of the stomach to produce gastric juice, the main component of which is hydrochloric acid, is unknown. The spread of the disease among close relatives led to the belief in the hereditary inferiority of epithelial cells. As a result, they do not withstand the effects of food, die and recover very poorly.

Another possibility is a phase of increased acidity and re-irritation of the epithelium, followed by inflammation of the stomach. In the absence of treatment, the process becomes irreversible. And with the death of functioning glandular cells, acidity decreases. Some factors have an additional negative effect.

These include:

These factors not only reduce the production of acid in the stomach, but also contribute to the development of the atrophic process.

Alcohol abuse (including beer), intake of nicotine with smoking aggressively affects the production of gastric juice

Proper nutrition for antral gastritis

Antral gastritis is characterized by involvement in the pathogenic process of only the lowest part of the stomach, where it borders on the duodenum. To reduce the manifestation of unpleasant symptoms, dietary table No. 1a is shown, the main goal of such nutrition is to reduce irritation of the mucous membrane of the affected organ. Foods that stimulate the release of hydrochloric acid are completely excluded from the diet. The structure of the dishes should be liquid or puree. The basis of the diet should be cream soups, viscous cereals and dishes based on dairy products.

After diet table No. 1a, they switch to diet No. 1, as in subatrophic gastritis, which is aimed at restoring the mucosa. This is an expanded version of the previous table, however, products with a high content of fiber remain banned, as well as raw vegetables and fruits.

Chronic gastritis is a pathology that lasts at least 3-4 months without proper treatment. The results of the therapy have to wait quite a long time. The provocateur in the development of the disease is not proper nutrition, alcohol abuse and uncontrolled medication.

The main point on the path to healthy digestion is the observance of a strict diet. As with the focal form of gastritis, it is necessary to follow simple rules: fractional frequent meals, grated food, amenable to heat treatment, rejection of bad habits, canned food, fatty and fried foods, smoked meats, pickles.

The prohibition of alcohol is an important condition for the restoration of the body

Medical treatment of atrophic gastritis

Atrophic chronic gastritis of the stomach is treated for a long time. Treatment is aimed at eliminating acute symptoms:

It is necessary to take drugs in order to reduce the production of hydrochloric acid. This is especially important if there is atrophic gastritis of the stomach of the initial stage.
With a reduced amount of hydrochloric acid production, a violation occurs in the functioning of the pancreas. It does not produce enough enzymes.
The doctor prescribes medications that are necessary to improve intestinal motility.
You need to take vitamins. In the presence of atrophic gastritis, there is a lack of vitamins and essential trace elements in the body. In this case, you need to take vitamin complexes, folic acid and cyanocobalamin.

In many ways, the treatment of atrophic gastritis of the stomach depends on the cause of the appearance.

In most cases, the cause is the presence of an inflammatory process, which is caused by the presence of the bacterium Helicobacter pylori.

It is necessary to take drugs to eliminate the bacteria, as well as to improve protection against hydrochloric acid.

Treatment is carried out for a week with antibiotics. After this time, it is necessary to pass tests.

You can eliminate pain with the help of drugs - antispasmodics and anticholinergics.

These medications can only be taken by a doctor. Otherwise, the patient's condition may worsen dramatically.

Treatment of atrophic gastritis also consists in taking drugs to normalize acidity. It is also important to improve the regeneration of stomach cells.

Basic diet rules

The same diet for each patient may be slightly different. The diet for atrophic gastritis corresponds to the treatment table No. 2. The specialist can adjust the diet, taking into account the individual characteristics of the body.

The diet for atrophic gastritis is based on several general recommendations:

Food intake should be fractional. About 5 or 6 doses should be made per day, each of which is limited to small portions.
Hot and very cold food is excluded so as not to damage the mucous walls of the stomach.
You can not use products from coarse fiber.
The temperature regime for cooking should not exceed 50 degrees.
Food can be eaten steamed, it is recommended to boil, stew in a slow cooker. It is allowed to fry dishes, but so that a crust does not form.
Products must be crushed to eliminate mechanical stress on the digestive system and stimulate the enzymatic function of the stomach.

Types of treatment

With atrophic gastritis, only conservative treatment is carried out:

it does not make sense to remove anything, since the areas of atrophy are located in large or smaller foci;
before the cells become cancerous, they can (and should) be brought back to life;
only with the help of conservative methods, it is possible, by gently encouraging the gastric mucosa to recover, to feed the food necessary for the establishment of metabolism into the further lying sections of the digestive tract.

Conservative treatment of chronic atrophic gastritis is based on "three pillars":

Diet: Foods must be defined, and also prepared in a special way, so that the intestines not only do not suffer from the fact that they were not properly treated with hydrochloric acid, but also be able to take from them everything that the emaciated body needs.
Medical treatment. In this case, the doctor decides how to treat atrophic gastritis of the stomach according to the results of the studies:
determining the presence of Helicobacter pylori as the cause of gastritis (the test is usually performed simultaneously with FEGDS);
probing the stomach to determine the acidity in it.
Therapy with folk remedies. They, being selected by a doctor who is familiar with the "picture of the stomach", help to achieve the goals of treatment without overloading the body with chemical compounds.

Can atrophic gastritis be cured? It is possible if minimal focal changes have occurred in the stomach. If a person asked for help already at the stage of diffuse atrophy, then with the help of a long-term diet, he can only restore some parts of the mucous membrane and stop the further progression of the disease.

Medical therapy

The spiral-shaped bacterium Helicobacter pylori, is fixed in the gastric mucosa and begins to dissolve its cells with the help of its enzymes and its own hydrochloric acid

Treatment of both focal atrophic gastritis and its diffuse variant is carried out as follows:

Drugs are prescribed to improve the movement of food from the stomach into the intestines. They also effectively fight nausea.
If there is a decrease in the production of hydrochloric acid, preparations containing natural gastric juice are prescribed.
Since a reduced amount of hydrochloric acid reduces the production by the pancreas of its enzymes necessary for digestion, such enzymes are prescribed in the form of synthetic preparations.
Violation of food processing in the stomach leads to vitamin deficiencies. The exchange of B12 and folic acid, which also reduces the level of hemoglobin. To correct this condition, not only vitamin complexes are used, but also separately cyanocobalamin and folic acid.

The specifics of the therapy of atrophic-hyperplastic inflammation

Treatment of atrophic hyperplastic gastritis depends on the cause of the disease:

Most often, such an inflammatory process on the gastric mucosa is caused by the bacterium Helicobacter, so specific therapy is immediately prescribed. It consists of two antibacterial agents, as well as agents that protect the stomach from hydrochloric acid. Such treatment is carried out for 7 days, after which tests are repeated for the presence of Helicobacter in the stomach.
To eliminate pain in the stomach, a combination of antispasmodic drugs and anticholinergics is used.

Warning! The drugs of these two groups are prescribed only by a gastroenterologist after examination and other studies.

If there is an increase in the pH of the stomach, drugs are prescribed that stimulate the production of hydrochloric acid. If the acidity is high, blockers of its production are prescribed.
It is necessary to take drugs that improve the regeneration of the gastric mucosa.

How to eat with atrophic gastritis

The diet for atrophic gastritis of the stomach is called 1A, with a gradual transition to table number 2. These numbers indicate that the food should be such as to exclude mechanical, thermal and chemical injury to the gastric mucosa. In addition, there should not be an overflow of the stomach with an abundant amount of food, so you need to eat often and little by little, while the total energy value (number of calories) should be at least 2500 kcal / day.

Nutrition for atrophic gastritis of the stomach should be carried out according to the following rules: The basis of the diet:

Nutrition for atrophic gastritis should serve as an acidity regulator, as well as provide a person with the necessary nutrients
puree soups cooked in a second meat or vegetable broth;
steam, boiled or baked meat or fish of low-fat varieties, chopped;
cereals on water or dairy: semolina, rice, oatmeal, corn;
eggs;
vegetables and fruits - boiled or baked;
salt is best with sea or iodized salt;
unleavened crackers and white bread;
dairy products: kefir, low-fat sour cream, cottage cheese and low-fat, non-spicy cheese;
sweets: kissels and mousses from non-acidic berries and fruits, honey, marmalade, jelly;
vegetable oil: olive or sunflower;
butter;
rose hip.

Exclude:

spicy dishes;
food prepared by frying;
pickled foods;
alcohol;
coffee;
chocolate;
cakes;
candies;
breaded fish;
legumes;
canned food;
mushrooms.

A diet with focal atrophic gastritis allows a person to eat:

chicken broth with noodles;
meatballs;
baked pumpkin with honey;
cheese casserole;
omelette;
mashed potatoes;
boiled fish;
egg and milk sauces;
cocoa;
weak tea;
boiled veal;
rabbit cutlets;
mousses, jelly, honey;
sandwiches from a dried piece of bread (up to 400 g / day) with low-fat cheese and butter (up to 25 g / day).

What does traditional medicine offer?

The doctor prescribes the intake of decoctions of herbs that stimulate the production of gastric juice

Treatment of atrophic gastritis with folk remedies includes the use of such recipes:

Drink 100 ml of warmed freshly squeezed white cabbage juice half an hour before meals.
Take 30 ml of potato juice three times a day, before meals. This remedy has been successfully used to treat inflammation of the gastric mucosa by more than one generation of supporters. traditional medicine. Read the article about potato juice for gastritis and learn about all of it medicinal properties, about the nuances of preparation, as well as contraindications.
For breakfast, there is a grated raw green apple (200 g), mixed with grated raw pumpkin (600 g), ¼ cup lemon juice and 1 tsp. honey. After that, there is nothing for 3-4 hours.
Eat 1 tsp of fresh blueberries grated with sugar before breakfast.
In equal parts, 50 g each, take the leaves of the triad, immortelle, sage leaves, mint, St. Then take 1 tbsp. mixture and pour it with a glass of boiling water, leave for 3 hours, strain and drink before meals. This should be done three times a day.
Take a decoction of chamomile, bought at a pharmacy, prepared according to the recipe indicated on the box.
Take 50 g of calamus root, dandelion, sage, peppermint, calendula flowers, St. John's wort, chamomile, plantain leaves, chop everything, mix. 4 tbsp pour a liter of boiling water, take 100 ml three times a day.

Thus, it is possible to stop the progression of atrophy of the gastric mucosa and avoid the development of cancer by following a diet and taking the necessary medications. Such therapy will be supplemented by the intake of various decoctions and infusions of herbs.

If gastritis turns into a chronic pathology, it can cause the death of the glands of the stomach walls responsible for the production of enzymes, gastric juice and lead to such a serious disease as atrophic gastritis. The disease requires constant attention, a strict diet, regular medical procedures. In this article, we will tell you in more detail how to restore the gastric mucosa in atrophic gastritis, how to detect and treat the disease.

What is allowed and what is forbidden to use

Table of products allowed and prohibited in the chronic form of the disease:

Approved Products	Prohibited Products
Stale white bread, croutons, toasted biscuits, biscuits	Fresh baked goods, Rye bread
Lean poultry, rabbit, veal, tongue, liver	Fatty meats, especially pork and lard
Lean fish: pollock, hake, cod, tilapia	Sausages, especially smoked
Chicken eggs (boiled or scrambled)	Oily fish, smoked, salted, dried
Dairy and sour-milk products of low fat content	Any canned food
Cereals: rice, buckwheat, oats, semolina	Cereals: barley groats, barley, millet
Vegetable oil of any kind	Pickles, marinades
Freshly squeezed fruit and berry juices	Strong broths: fish, meat, mushroom
Any root vegetables, pumpkin, cabbage	Sour soups: borscht, hodgepodge, okroshka, etc.
Cucumbers, tomatoes, parsnips, celery, herbs	Legumes: beans, peas, lentils, beans
Honey, jam	Goose, duck, chicken eggs in the form of fried eggs
Pastila, marshmallow	Mustard, horseradish
Weak tea, cocoa with milk	Mayonnaise, ketchup, sauces based on them
Compotes, kissels	Carbonated drinks
Strong tea, coffee
Alcohol
Confectionery: cakes, pastries, sweets, chocolate
hot spices
Fats: lard, margarine

Fatty, fried, spicy, salty, semi-finished products are completely excluded - food must be strictly home-cooked.

Prohibitions

Nutrition for atrophic gastritis of the stomach is mainly prohibitions and restrictions. But if you make exceptions, you won't be cured. You will have to change your lifestyle and give up many dishes.

You can not eat:

fatty, fried, spicy, smoked, salted, lightly salted, pickled, canned, pickled;
hard boiled eggs, scrambled eggs;
beans, peas, beans;
raw vegetables and fruits;
onion, garlic, radish;
fresh bakery products and pastries;
some cereals: barley, wheat;
indigestible foods: nuts, seeds;
almost everything is sweet, in particular, chocolate and ice cream;
spices, sauces, seasonings, dressings, vinegar;
fast food and other junk food.

You can not drink:

alcohol;
soda (including mineral water with gas);
coffee, strong tea;
fatty milk and products from it;
undiluted juices from sour berries or fruits.

It hurts there and it hurts there

Atrophic gastritis develops slowly and asymptomatically, sometimes patients get to see a doctor already with advanced forms that are not so easy to treat. Changes in the gastrointestinal tract come to the fore. A person complains of pain in the upper abdomen, heartburn, loss of appetite, belching, nausea, vomiting, diarrhea, flatulence. As the process progresses, anemic syndrome joins due to malabsorption of vitamins and trace elements. There is unmotivated weakness, fatigue, irritability. A person loses weight, notes pallor and dryness of the skin, a change in the sensitivity of the legs, hands, a burning sensation in the tongue. The tongue becomes as if varnished ("crimson tongue"). Hair and nails also suffer. The former quickly fall out, while the latter break even with minor injuries. A person may feel a change in heartbeat, shortness of breath, aching pain in the chest.

Treatment of atrophic gastritis with folk remedies

Many herbs and foods can have a beneficial effect on the inner lining of the stomach, causing it to produce more of the necessary enzyme, and reduce inflammation and pain. In the treatment of atrophic gastritis with folk remedies, it is important to strictly follow the diet, monitor the course of the disease and regulate the list of therapeutic agents together with the doctor. Which folk recipes can be applied:

Blueberry. Restores bacterial balance, soothes diarrhea and intestinal pain. You need to grind blueberries with sugar and take 1 tsp. every morning on an empty stomach: jam is not suitable for this, only fresh berries.
Bananas for inflammation. You can eat several fruits every day.
Burdock, plantain, thyme, St. John's wort. Grind the herbs, pour boiling water (1 tablespoon of herbs per glass), place in a thermos and insist overnight. Strain in the morning and drink throughout the day.
Rose hip. Pour 2 tbsp. l. fruits with a glass of boiling water, boil for 20 minutes, strain, drink a day, in 3 divided doses.
Potato juice - This drink can be a daily stomach aid. Take 0.2 juice 30-60 minutes before meals.
Vegetable juices: cabbage + beets, cabbage + potatoes + carrots. Drink before meals.

Folk recipes that increase acid levels

A doctor in combination with drugs prescribes treatment with traditional medicine. The following may have a positive effect on recovery:

Decoctions - collections of herbs, mint, lemon balm, chamomile, linden and elderberry. They are drunk three times a day to combat atrophy;
Honey - to increase the acidity after honey, it is better to drink a glass of cool water;
Green tea - drinking a cup of tea before a meal will help in the digestion process, while during or after a meal, on the contrary, it will have a negative effect in the long run, do not make such a habit;
Flax seeds - used in case of exacerbation of atrophic gastritis with low acidity;
Potato juice - it is used in cases acute symptoms gastritis, replacing painkillers;
Infusion of parsley root - insists on water for a day. A tablespoon before meals stimulates the stomach;
Rosehip decoction - improves immunity undermined during the disease and helps the body produce acid;
Cabbage juice - assists in the regeneration of atrophied cells;
Horseradish - pure or grated, small doses help to increase the secretion of gastric juice, but this root should be used with extreme caution and not used in case of high level acids!

By combining the methods of traditional medicine, with properly prescribed medications and supporting this with a moderate diet, even such a serious ailment as atrophic gastritis with low acidity can be overcome. But on the way to recovery, the first step is the correct diagnosis of the disease.

Atrophic gastritis is a dangerous and insidious variety of chronic gastritis. The fact is that with this diagnosis, the glands responsible for the production of gastric juice atrophy. In the course of the disease, they change and die, and instead of them, new tissues are formed, and this process is rather poorly controlled by the body. And it is precisely these new cells that very often turn into cancer cells.

Atrophic gastritis can occur both with increased and normal, and with reduced acidity of gastric juice. Today we will look at how to treat atrophic gastritis with low acidity.

How to properly balance the menu

A table of allowed and prohibited foods will help you make the right diet for a patient suffering from atrophic gastritis

The menu for a week for a patient with a sick stomach is not as monotonous and boring as many people think. This is not only unleavened porridge and pureed soup with oatmeal jelly for dessert. It looks like this:

Breakfast	Lunch	Dinner	afternoon tea	Dinner
Monday	buckwheat on the water biscuit cookies weak tea sweetened with honey	vareniki cocoa with milk	soup with vegetables on the water steam chicken cutlet baked potato	casserole berry kissel	pilaf with vegetables Herb tea
Tuesday	semolina with added milk baked apple	steam syrniki weak tea	noodle soup with carrots on the water veal steam schnitzel rosehip decoction	baked pumpkin, pear, banana puree	piece of baked fish with spinach dry biscuit
Wednesday	oatmeal with butter and jam Herb tea	milk fruit jelly biscuit cookies	soup-puree of zucchini, cauliflower with wheat croutons steamed turkey meatball with rice	dry biscuit yogurt	boiled tongue salad with beets and vegetable oil
Thursday	rice pudding cocoa	kefir biscuit cookies apple or pear	lean cabbage soup steamed fish cakes Herb tea	soft-boiled egg dried wheat bread with a slice of low-fat cheese	cottage cheese casserole with vermicelli
Friday	omelette for a couple weak tea	oatmeal kissel cracker	potato soup baked chicken breast carrot salad rosehip decoction	lazy dumplings fruit juice	baked fish cucumber and tomato salad
Saturday	buckwheat porridge fermented baked milk	low-fat cottage cheese with berries	soup with rice and vegetables boiled tongue fruit juice	steam omelet cocoa	liver soufflé herbal decoction
Sunday	steam cheesecakes cocoa	kissel dried biscuit	pumpkin soup with croutons fish dumplings with mashed potatoes Herb tea	rosehip decoction semolina pudding with banana or apple	vinaigrette of beets, potatoes, carrots with vegetable oil

It is better to plan the menu for every day in advance so that the table is varied, nutritious, but at the same time sparing. Remember that portions should be small and food should be at room temperature.

Preventive actions

As a prevention of pathology with reduced acidity, it is recommended to follow proper nutrition and not abuse junk food. People who often take alcoholic drinks and smoke, are advised to reduce the dose of harmful substances or abandon them.

If other diseases of the gastrointestinal tract occur, they must be treated immediately. For complete confidence in the state of health, you should undergo a preventive medical examination once a year. This will reduce the risk of developing serious pathologies.

How is hypoacid gastritis treated with folk methods

The use of recipes from folk healers is recommended for hypoacid gastritis by gastroenterologists. But only on one condition that they were previously agreed with the attending physician. Below are the most effective means, which have a beneficial effect on the stomach and its ability to produce hydrochloric acid.

Calamus Root Infusion

The plant is endowed with incredibly healing power for the stomach - it effectively relieves pain, has astringent and enveloping properties, is a good natural antibiotic, regenerates damaged tissues, but most importantly, stimulates the gastric glands that produce hydrochloric acid.

A healing potion is prepared as follows: you need to grind the dry root part of the plant, then pour 1 tbsp into a thermos. a spoonful of raw materials and steam 250 ml of boiling water. It is necessary to tighten the container tightly, and let the product brew for at least 1 hour. After an hour of exposure, the medicinal liquid should be decanted. Reception is carried out before meals throughout the day in 4-5 doses. One serving is 1/4 cup.

St. John's wort decoction

This remedy is taken as a third dish - tea. St. John's wort is considered one of the best medicinal plants, capable of normalizing biological processes in the gastric region and affecting the increase in the level of acid in the enzymatic fluid.

To make tea from St. John's wort useful for digestion, pour 0.5 liters of boiling water over the crushed dry grass of the plant and send it all to a water bath. It is necessary to simmer the broth for about half an hour. And then, skip the healing herbal solution through a strainer. You can drink this tea up to 4 times a day. The volume of one serving is 150 ml.

Aloe leaf juice

indoor flower, which is inconspicuous in appearance, inside it hides a powerful medicinal composition, which has a beneficial effect on the state of the gastrointestinal tract: it corrects the level of acidity to a normal value, regenerates the epithelial tissues of the organ affected by gastritis, disinfects the stomach cavity from infections, and improves digestion.
used medicinal flower for making juice. To squeeze the useful part out of the plant, you first need to finely chop the aloe leaf. After that, the slurry is placed in a piece of gauze and the healing liquid is squeezed out well. It should be consumed only 15 minutes before the start of any meal. The norm of one serving of juice for internal use is 1 teaspoon. The frequency of daily treatment is 3 times. The duration of the therapy cycle is 21 days.

pomegranate solution

This recipe involves the use of purely fresh juice from pomegranate seeds, which is dissolved in purified water. The use of this remedy well excites the secretion glands responsible for the entry of hydrogen chloride into the gastric juice.

So, first, in any convenient way, you need to squeeze pomegranate juice from ripe fruit. After that, the concentrated liquid in the amount of 1 dessert spoon is diluted in 0.5 liters of water. Its temperature should be slightly warmer than room temperature. The resulting solution is used for drinking before the main meals. The dose of one serving is 120 ml. The number of doses of the solution per day - 3 times, can be increased up to 4 times.

Symptoms

Doctors discovered the fact that in the first stages of the occurrence of atrophic gastritis of the stomach, the appearance of uncomfortable and painful sensations is not observed.

After a certain time, when the walls of the stomach are increasingly damaged and atrophied, symptoms appear that cannot be confused with another disease.

Symptoms of atrophic gastritis of the stomach

The feeling of overeating that occurs even if the person has not eaten very much.
Nausea. In some cases, vomiting occurs, but after it there is no relief.
Unpleasant taste in the mouth.
Constipation or diarrhea. Sometimes there is an "irritable bowel syndrome".
Appetite drops sharply, a person begins to lose weight dramatically.
Bloating.

The very first cause of stomach gastritis is an increase in acidity. But these symptoms may be present in the initial stage of gastritis.

For example, in the elderly, on the contrary, a decrease in the level of acidity is observed.

Doctors have found that these symptoms may appear in the presence of such disorders:

Diseases of the digestive system. For example, problems in the functioning of the gallbladder, pancreas and duodenum.
Wrong nutrition.
Overdose when drinking alcoholic beverages or medicines. In this case, intense toxicity of the body occurs.
Long term use of medications. Especially when taking blood thinners.
In the presence of the bacterium Helicobacter pylori.

Functions of the stomach are normal and symptoms of hypoacid gastritis

Main functions of the stomach:

Deposition and partial digestion of food. Depending on the nature of the food, it can stay in the stomach for up to 10 hours. During this time, it is well saturated with acid, pepsin and begins to be digested (partial breakdown of proteins). If the acidity is low, then pepsin remains in an inactive state and cannot break down proteins. In addition, the absorption of alcohol, water, and certain drugs can occur directly in the stomach.
Neutralization of the food bolus. Hydrochloric acid has a detrimental effect on various pathogens. With a decrease in the acidity of gastric juice, dysbacteriosis will develop accordingly.
Delivery of food to the duodenum.
Participation in hematopoiesis (production of the internal factor of Castle, without which the absorption of vitamin B12, which is necessary for normal hematopoiesis, does not occur already in the small intestine).

The more acidity is reduced with hypoacid gastritis, the more clearly the following symptoms will appear:

Dyspepsia - loss of appetite, feeling of heaviness or fullness in the stomach, belching of rotten food, bad breath (cocosmia), unpleasant aftertaste, nausea.
Signs of bacterial overgrowth are rumbling, loose stools, milk intolerance, and bloating. If gastritis is accompanied by frequent diarrhea, then weight loss may occur, signs of deficiency of minerals or vitamins may develop.
The development of anemia due to a decrease in the absorption of iron and vitamin B12 (due to the Castle factor).
Dull, aggravated after eating, without a clear localization, aching pain that occurs due to distension of the stomach.
Dystrophy - signs of a deficiency of vitamins of group B, as well as C, E, D, protein deficiency (weight loss, "polished" or tongue coated with a thick white coating).

Since inflammation of the stomach also affects other parts of the digestive system, hypoacid gastritis is often accompanied by diseases such as enterocolitis, cholecystitis, and pancreatitis.

Can eat

The menu for atrophic gastritis consists of foods that are easily digested and do not burden the stomach. At the same time, you get vitamins and trace elements in sufficient quantities. You can eat:

Light soups or low-fat broths.
Lean varieties of meat, fish, poultry.
Carrots, potatoes, zucchini. Not raw: stewed or boiled.
Soft-boiled eggs, steamed omelettes.
Semolina, buckwheat, rice, oatmeal. Prepare viscous porridges or soups from them.
Non-acidic or baked fruit without skin.
Non-acidic berries.
Low-fat cottage cheese, cheese, sour cream.
Well cooked pasta.
Dried bread, crackers, biscuit cookies - in a small amount. All from wholemeal flour.
Honey, natural "homemade" marmalade, puddings, soufflé.

To make the meat soup diluted, pour out the “first broth” and cook on the second one.

You can drink:

water;
green tea;
kissels and compotes;
mineral water without gas, but do not drink it too often;
low-fat milk, kefir, fermented baked milk;
decoctions and settings from herbs.

These products are the basis of dietary nutrition and an important part of the treatment. They will help relieve inflammation and restore damaged tissue. If you eat only what the doctor has allowed, severe abdominal pain is unlikely to bother you. Over time, the diet will be expanded, new dishes will be added to it.

Atrophic gastritis is a pathological process that affects the gastric mucosa. This is one of the types of chronic gastritis, which is almost always regarded as a precancerous condition of this organ. The disease does not manifest itself at first. The patient does not feel any significant deterioration in well-being, the disease is not distinguished by a vivid clinical picture.

Atrophy is of key importance in the disease. With this form of pathology, the cells of the stomach lining, which make up the secretory gland, gradually lose the ability to function stably. As a rule, atrophic antral gastritis is formed against the background of low acidity in the gastrointestinal tract.

The development of the disease depends on many factors and processes that occur in the body. There are such causes of atrophic gastritis:

the use of dishes with heavy components - spicy, spicy, very cold or hot food;
chemical poisoning;
negative habits;
Helicobacter pylori;
ejection of intestinal contents into the stomach;
drug abuse.

Often the cause of the disease becomes an infection in the stomach. It forms a superficial atrophic gastritis, which, in case of complications, can be transformed into atrophic.

Classification

The aforementioned etiology of atrophic gastritis of the stomach manifests itself in various forms of the disease. Clinicians distinguish the following types of illness:

atrophic hyperplastic;
moderate;
spicy;
chronic;
focal;
surface;
antral;
diffuse gastritis;
expressed;
forms of pathology that are accompanied by the formation of cysts and fatty degeneration.

Symptoms

Symptoms of atrophic gastritis are little manifested and almost invisible. Throughout the disease, the patient does not feel pain, which complicates the process of diagnosis. Complaints about the stomach with atrophic gastritis from patients practically do not come. Symptoms are similar to the general clinical picture of ordinary gastritis. The patient may complain about:

Non-GI symptoms include the following:

a sharp decrease in weight;
insufficient amount of vitamins;
unstable hormone metabolism.

Atrophic gastritis manifests itself in different ways, so the symptoms and treatment differ in women and men. Acute gastritis is formed from a chronic disease in which the walls of the stomach become inflamed. Combined research methods can determine the following signs of the disease:

swelling of the stomach lining;
plethora of blood vessels;
accumulation of leukocytes;
destruction of epithelial cells, sometimes erosion.

The acute type of atrophic gastritis also has general symptoms that apply to any other anomaly of the body:

severe pain;
vomiting manifestations;
heat;
fainting and coma.

A chronic disease is a type of ailment that is not converted from any other disease. It usually develops against the background of atrophic gastritis with low acidity of the gastric juice. By general signs, it is impossible to recognize the disease. The doctor can make the correct diagnosis only after research. During diagnostic examinations, the following symptoms are detected:

thinned wall of the stomach;
smoothed mucosa;
large gastric dimples;
compaction of the epithelium;
reduced secretory rate of the gland;
moderate accumulation of leukocytes;
deterioration of the cells of the gland.

The focal form of the disease is no different from the course of ordinary gastritis. The doctor can make an accurate diagnosis only after passing the tests. But the moderate type of gastritis is expressed in severe pain in the epigastrium after eating.

Superficial gastritis is the first symptom of the development of serious atrophic inflammation of the organ. In the study, physicians distinguish the following signs of the disease:

normal organ thickness;
weakened degeneration of the epithelium;
increase in the secretory function of cells.

Antral atrophic disease is characterized by diseases of the duodenum. With it, the following symptoms are distinguished:

dull pain in the solar plexus;
morning sickness;
poor appetite;
weight loss;
weakness.

Diffuse atrophic gastritis is an intermediate stage of the disease. Due to the development of the disease, dystrophic lesions of the walls are formed. Signs of such a disease:

the formation of rollers on the walls of the organ;
an increase in gastric pits;
minor cell defects.

Atrophic gastritis does not have pronounced symptoms and treatment with folk remedies is possible only after passing a complete diagnosis.

Diagnostics

For determining accurate diagnosis the doctor can resort to laboratory, functional and instrumental types of examination. Most effective method inspection - endoscopy. The doctor examines the surface and condition of the stomach, duodenum and esophagus.

In addition, the following diagnostic procedures are carried out:

x-ray;
fibrogastroduodenoscopy;
immunology of blood composition;
determination of the acidity of the juice in the stomach.

During the detection of pathology, patients wonder whether it is possible to cure atrophic gastritis. It depends on the correct diagnosis and treatment.

After conducting all the necessary examinations and making a diagnosis of "atrophic gastritis", the doctor can prescribe the appropriate treatment. It must consist of proper diet and drugs to restore the gastric mucosa and motility.

Treatment of the disease manifests itself in several ways:

etiotropic therapy;
pathogenetic;
diet therapy.

This traditional way treatment of the disease. It is based on the impact on main reason diseases - the bacterium Helicobacter pylori. The doctor prescribes antibiotics that can cope with the infection and pathological processes, relieve inflammation of the mucosa.

Also allocate drug treatment for pathogenetic therapy. Drugs that help keep the body in good shape:

tablets to improve digestion;
vitamin B12;
medicines to relieve inflammation;
to protect the mucosa;
tablets for regulating motor function.

An important point during therapy is nutrition for atrophic gastritis of the stomach. In case of pathology, doctors advise adhering to one of the proposed diets. For adults, there are 4 types:

basic diet number 2 - the patient can be given boiled, slightly fried, stewed and baked dishes. It is allowed to eat meat and fish, dairy products and flour, hard-boiled eggs or scrambled eggs. You can also eat vegetables and fruits;
with increased pain, the patient is prescribed diet No. 1a - it is prescribed at the first stage of the disease. The patient can eat mashed potatoes, boiled and pureed dishes. If the patient tolerates milk well, then whole milk, cream and cottage cheese can be given;
after an exacerbation, the attending physician prescribes diet No. 1 - dietary restrictions contribute to the normalization of the gastric mucosa. The patient should not eat hot or very cold dishes. It is also not recommended to eat with big amount fiber;
diet number 4 is used for severe enteral syndrome - based on the absence of milk dishes. It helps to normalize the functions of the stomach.

Only the following products are completely excluded from the diet:

too sour and spicy dishes;
mushrooms;
animal fats;
radish, radish, turnip;
lentils and bulgur, all legumes;
alcohol, carbonated drinks.

As you can see, the restrictions on the composition of the diet for atrophy are not too significant, so the patient's diet is quite diverse. Most foodstuffs are allowed to be consumed, so the menu for diet number 2 almost corresponds to the diet of a healthy person.

Important! Atrophic gastritis is almost always accompanied by a decrease in acidity, so the menu is designed to stimulate the production of HCL. There is no fundamental difference in nutrition for patients with reduced and zero acidity. Zero acidity is corrected medically with hydrochloric acid preparations.

What products can

The list of products that are allowed for atrophic gastritis is quite large, so we will consider it, dividing it into small groups.

Diet option

Sample menu for the week.

Semolina porridge, protein steam omelette or soft-boiled egg, rosehip broth.
Apple soufflé or unsweetened homemade cakes without sugar, kefir.
Rice or vermicelli soup, boiled lean meat, vegetable stew, jelly.
biscuits or pasta casserole, Herb tea.
Cottage cheese, yogurt without additives, curdled milk.
Kefir.

Oatmeal or curd mass, weak tea.
Lenten cookies or a small piece of homemade cheese, compote.
Soup with meatballs or broth with egg, mashed potatoes with lean meat, jelly or carrot juice.
Baked apple with cottage cheese or honey, compote.
Cottage cheese or boiled vegetable salad, tea.
Yogurt.

Rice or muesli casserole, green tea.
Berries with honey.
Beetroot or chicken soup, lean meat or fish, compote.
Fruit puree, tea.
Boiled fish, stewed potatoes, jelly.
Drinkable yogurt without additives.

Vermicelli or semolina, tea.
Fruit pudding.
Soup with rice or meatballs, buckwheat cutlets, boiled vegetables, compote.
Homemade marmalade or low-fat cottage cheese, green tea.
Fish casserole without a crust or baked potatoes, tea.
Kefir.

Lazy dumplings or oatmeal, boiled vegetable, herbal tea.
Berry mousse, compote.
Puree soup, steam cutlet or lean fish, vegetables, compote.
Fruit and vegetable salad.
Natural milk sausage, vegetable or rice garnish, tea.
Yogurt.

Steam omelette or soft-boiled egg, berry compote.
Fruit puree.
Vegetable soup, stew or potato cutlets, jelly.
Marshmallow, curdled milk.
Cheesecakes or boiled tongue, compote.
Kefir.

Cheese casserole or vegetable cutlets, jelly.

Atrophic gastritis is not just unpleasant, it is a deadly disease of the digestive tract. The stomach loses the ability to produce the secret necessary for the digestion of food, and begins to slowly decompose. Because of nutrients from the incoming products are not absorbed, almost all internal organs begin to suffer. The main danger is that atrophic gastritis can turn into oncological diseases. Modern methods treatment, new generation drugs, surgery can stop the process. But the wrong diet can drastically speed it up.

special diet food will help restore tissues and stimulate the functions of the secretory glands

Diet is not a panacea, just like folk remedies using garden vegetables and herbs. But it is necessary to adhere to it in order not to nullify drug treatment and prevent the transition of the pathology to a difficult, already irreparable stage.

The disease can be acute or chronic. All this is reflected in the diet. With exacerbation of atrophic gastritis, you can not take any food for several days. You should come out of fasting gradually, gradually introducing the most sparing foods into the diet. Next, a diet is prescribed, according to the form and stage of the disease. In the first three to four weeks after an exacerbation, you should strictly adhere to the recommended diet. As the condition stabilizes, the diet may relax a little, but the patient will not be able to completely return to the previous diet even with a stable remission.

Note: in clinical nutrition it is imperative to observe a clear regimen so that the stomach is not overloaded, but does not remain empty. Breakfast should certainly be, preferably at the same time, from late dinner must be abandoned. During the day, meals are fractional, every 3-3.5 hours.

Principles of a therapeutic diet

It is important not to return to old eating habits, to prevent violations leading to a sharp progression of the pathology - the list of prohibited foods must be remembered by heart

With atrophic gastritis, a special diet No. 2 has been compiled. For each individual form of the disease, it is modified, but the basic principles remain unchanged:

Products are subjected to gentle heat treatment: boiling in water, steaming, stewing, baking without oil.
Ready meals are crushed: ground, passed through a meat grinder or punched with a blender.
Soups are prepared on the second weak broth, vegetable broth, on water.
Uses a minimum of spices.
Porridges are preferably boiled in water, and milk and butter are added after cooking.
You can not eat fresh bread, yesterday's unleavened pastries are allowed.
Be sure to introduce foods rich in vitamin C into the diet to stimulate the secretion of the stomach.
Tea, compotes, juices should be drunk between meals, not before, and not after it.
Fresh fruits are included in diet table number 2, but they must be fully ripe. Citrus fruits should not be abused, although they contain vitamin C. Lemon acid aggressively affects the inflamed stomach.

Features in different forms of the disease

Low-fat dairy products, ripe fruits should appear on the patient's table daily, regardless of the form of the disease

Depending on the type of atrophic lesions of the stomach, gastroenterologists and nutritionists have compiled an optimal therapeutic diet.

chronic course

This form is characterized by a sluggish process, the gastric secret is produced poorly, the walls of the organ are thinned and inflamed. The purpose of the diet: to help repair damaged tissue, stimulate the production of juice, but not aggravate the condition.

Chronic atrophic gastritis is prone to exacerbations. During these periods, you should sit on strict diet, in the remission stage, the menu is allowed to diversify.

Usually, exacerbations occur precisely because of a violation of dietary nutrition. The patient himself must realize the importance of diet.

Focal lesion

Drinking mineral water half an hour before meals perfectly stimulates gastric secretion, preventing acidity.

With this form, certain parts of the stomach are affected, so the symptoms can appear acutely at times, sometimes completely go away. The purpose of the diet is to help the affected areas recover, prevent the formation of new foci of inflammation, and support the production of gastric secretions.

What to do for this:

at least half an hour before meals, drink mineral water that stimulates gastric secretion;
the main component of the diet is light pureed soups with vegetables, boiled lean meat;
between meals, you should drink tea from medicinal herbs with anti-inflammatory and restorative properties.

If the focal form is accompanied by an increase in acidity, then enveloping foods and dishes are introduced into the menu that prevent irritation of the epithelium by excess gastric juice. These are mucous soups, kissels, it is useful to eat bananas, pears in the form of mashed potatoes.

Focal gastritis is manifested by pain. In this case, table number 1 is assigned, the use of liquid, puree-like dishes from the lightest, most gentle products is shown.

diffuse form

Cereals occupy an important place in the diet, but not all in a row. Soups, cereals, casseroles are made from rice, oats, buckwheat. Millet, pearl barley, cells are too aggressive and rough

With this type of disease, the glands responsible for the production of gastric secretions are primarily affected. It is important to stimulate the process; for this, rosehip broth, fermented milk products, a variety of viscous cereals on water (serve strictly slightly warm), vegetables and fruits are used daily. Be sure to drink mineral water regularly.

Antral form

Antral atrophic gastritis is also often accompanied by severe pain. Doctors in the acute stage prescribe table No. 1 or 1a, after 2-3 weeks it is allowed to switch to the Pevzner diet No. 2, but cucumbers, as well as tomatoes, black tea, and meat broths should be excluded. Dishes are served at a comfortable temperature in a pureed form, meat and fish - pate, soufflé.

With reduced acidity

fruit, vegetable juices with atrophic lesions of the stomach stimulate appetite, digestion, provide vitamins and minerals

Feature - the use of fasting water and fresh vegetable juices (cabbage, carrot, potato). The stomach does not cope well with the processing of food on its own, so the patient must learn to chew even grated mashed potatoes thoroughly. It is useful to drink chicory to increase the overall tone, stimulate metabolism. Otherwise, the diet does not change: cereals, soups, vegetable, fruit purees, lean meat, jelly, compotes.

With high acidity

Much more often diagnosed atrophic gastritis with high acidity of the stomach. With this form of the disease, all foods that stimulate the release of gastric acid are removed from the diet: onions, garlic, citrus fruits, sour berries, grapes, rye bread, kefir and high-fat fermented baked milk. The priority is viscous cereals on the water, pureed soups, kissels.

Any form is different and requires careful study.

What is allowed and what is forbidden to use

Table of products allowed and prohibited in the chronic form of the disease:

Approved Products	Prohibited Products
Stale white bread, croutons, toasted biscuits, biscuits	Fresh pastries, muffins, rye bread
Lean poultry, rabbit, veal, tongue, liver	Fatty meats, especially pork and lard
Lean fish: pollock, hake, cod, tilapia	Sausages, especially smoked
Chicken eggs (boiled or scrambled)	Oily fish, smoked, salted, dried
Dairy and sour-milk products of low fat content	Any canned food
Cereals: rice, buckwheat, oats, semolina	Cereals: barley groats, barley, millet
Vegetable oil of any kind	Pickles, marinades
Freshly squeezed fruit and berry juices	Strong broths: fish, meat, mushroom
Any root vegetables, pumpkin, cabbage	Sour soups: borscht, hodgepodge, okroshka, etc.
Cucumbers, tomatoes, parsnips, celery, herbs	Legumes: beans, peas, lentils, beans
Honey, jam	Goose, duck, chicken eggs in the form of fried eggs
Pastila, marshmallow	Mustard, horseradish
Weak tea, cocoa with milk	Mayonnaise, ketchup, sauces based on them
Compotes, kissels	Carbonated drinks
	Strong tea, coffee
	Alcohol
	Confectionery: cakes, pastries, sweets, chocolate
	hot spices
	Fats: lard, margarine

Fatty, fried, spicy, salty, semi-finished products are completely excluded - food must be strictly home-cooked.

How to properly balance the menu

A table of allowed and prohibited foods will help you make the right diet for a patient suffering from atrophic gastritis

	Breakfast	Lunch	Dinner	afternoon tea	Dinner
Monday	buckwheat on the water biscuit cookies weak tea sweetened with honey	vareniki cocoa with milk	soup with vegetables on the water steam chicken cutlet baked potato	casserole berry kissel	pilaf with vegetables Herb tea
Tuesday	semolina porridge with milk baked apple	steam syrniki weak tea	noodle soup with carrots on the water veal steam schnitzel rosehip decoction	baked pumpkin, pear, banana puree	piece of baked fish with spinach dry biscuit
Wednesday	oatmeal with butter and jam Herb tea	milk fruit jelly biscuit cookies	soup-puree of zucchini, cauliflower with wheat croutons steamed turkey meatball with rice	dry biscuit yogurt	boiled tongue salad with beets and vegetable oil
Thursday	rice pudding	kefir biscuit cookies apple or pear	lean cabbage soup steamed fish cakes Herb tea	soft-boiled egg dried wheat bread with a slice of low-fat cheese	cottage cheese casserole with vermicelli
Friday	omelette for a couple weak tea	oatmeal kissel cracker	potato soup baked chicken breast carrot salad rosehip decoction	lazy dumplings fruit juice	baked fish cucumber and tomato salad
Saturday	buckwheat porridge	low-fat cottage cheese with berries	soup with rice and vegetables boiled tongue fruit juice	steam omelet	liver soufflé herbal decoction
Sunday	steam cheesecakes	kissel dried biscuit	pumpkin soup with croutons fish dumplings with mashed potatoes Herb tea	rosehip decoction semolina pudding with banana or apple	vinaigrette of beets, potatoes, carrots with vegetable oil

What to cook

In fact therapeutic diet there is no reason to eat exclusively pureed soups and cereals, there are many safe snacks and desserts

With atrophic gastritis, it is permissible to modify classic recipes habitual dishes, remove harmful ingredients, add useful ones, use gentle cooking methods with a minimum of fats and spices. Surely please the patient delicious salad with pasta, vegetables, tongue. It is served as a main course for dinner or as a second course for lunch.

Pasta salad with tongue

A serving of salad contains everything you need: proteins (in the tongue), carbohydrates (in pasta), vitamins and minerals (in vegetables). The dish is a perfect substitute for a full meal.

Cooking Ingredients:

durum pasta (horns, spirals, bows) - 300 g;
boiled beef tongue - 100 g;
boiled carrot - 1 piece;
boiled broccoli - 100 g;
tomato - 1 piece;
yogurt for dressing - 1 jar;
salt;
chopped parsley if desired.

Cooking algorithm:

Put a pot of water on the fire, salt, boil, boil the pasta.
Cut the tongue, peel the carrots, also chop into cubes.
Break the broccoli into small pieces, wash the tomato, remove the seeds, cut the flesh into cubes.
Drain pasta, rinse with cold water.
Mix the ingredients, season with yogurt, sprinkle with herbs.

The tongue can be replaced with boiled liver, stomach, vegetables - any of the permitted list.

Summary: Atrophic gastritis is a disease in which the tissues of the stomach slowly die. You can fight the disease, but medicines alone will not help: it is extremely important to constantly remember about dietary nutrition. The list of products is not so meager, juices, some sweets, meat, fish are allowed. It is important to cook them correctly, not to overeat, to prevent breakdowns. The result will definitely show up.

A diet for atrophic gastritis of the stomach is necessary in order to reduce the level of acidity, as well as the load on the digestive system.

There are strict rules to follow. A specialist tells about them after he makes a diagnosis and prescribes treatment along with nutrition.

Eligible Products

Not everything can be eaten by a patient if he has atrophic gastritis. It is necessary to consult a doctor. He will tell you which foods are allowed to be consumed, and which are categorically contraindicated in such a disease.

Soup. For its preparation, you should use low-fat meat, as well as fish. The most suitable option is soup puree from fresh vegetables. It is recommended to make the broth not too strong, you can add pasta or meatballs or boiled cereals.
The use of bakery products is allowed, but not in all cases, the doctor will tell about this. They should be a little dried, and even better - yesterday. Occasionally, you can please yourself with baked pies stuffed with apples or jam. You can make pies with fish or meat, but do not get carried away with them.
As for cereals, wheat and pearl barley should be excluded from the menu. Experts recommend cooking cereals in a weak broth or water, you can also add a little milk. It is allowed in some situations to add some fruit to the dish.
As a dairy product for atrophic gastritis, the patient is allowed to add to diet menu kefir, curdled milk or fermented baked milk. Cheese is allowed only chopped, in small portions. Cottage cheese: raw, you can also cook cheesecakes, soufflés or lazy dumplings. Milk, cream, and sour cream are allowed only very little, provided that they are added to other dishes.
Meat is allowed only dietary, low-fat, so that there are no films, tendons, skin. Doctors recommend veal, turkey and rabbit. As for cooking, there are many recipes, you can cook, bake, steam, but rarely fry, without breading.
Patients with atrophic gastritis are allowed to eat doctor's, dietary or dairy sausages, as well as sausages.
It is allowed to cook low-fat fish, such as cod or hake, flounder or roach. It can be eaten in any form, but very little. Fry strictly without the use of breading.
Among vegetables, experts distinguish potatoes and cauliflower, beets or tomatoes. You can cook any dish - from a simply cooked product to puddings, casseroles. You can even cook cutlets, but avoid the formation of a crust.
Patients can eat eggs in any form. If frying, then so that a crust does not form.
With atrophic gastritis, doctors recommend eating berries and fruits. They are especially useful in grated form, but only ripe products are suitable for the dish. Of these, you can cook, for example, jelly, or cook compote, jam.
During the diet, sweets such as marshmallows, caramel or honey are allowed.

Drinks should not be drunk hot, so as not to irritate the stomach wall even more. The patient is advised to drink not only compote, but also light black tea with a slice of lemon. Cocoa or juice should be diluted with a small amount of water, you can drink a decoction of wild rose.

Prohibited foods for gastritis

Experts advise their patients to refuse those foods that are digested for a long period. Dietary nutrition for atrophic gastritis is an additional therapy that a specialist prescribes along with traditional drugs.

Each person should adhere to a sparing diet as soon as the first signs of malaise appear. With atrophic gastritis, the patient should absolutely not use:

fresh bread, pastries or buns, especially freshly prepared (the same goes for cakes and cakes with cream filling);
soups with peas or beans;
smoked or canned foods (meat, stew, lard);
high-fat fermented milk products, pure milk;
fatty, canned, salted or smoked fish, as well as with bones;
raw vegetables;
vegetable or animal fats;
salted, pickled, pickled products;
legumes;
sweets (ice cream, chocolate, nuts, products with cream);
carbonated or alcoholic drinks, kvass and grape juice.

Diet depending on the level of acidity

As a result of the disease, the cells in the stomach die, they cannot properly produce hydrochloric acid, which is so necessary for the digestion of food.

As a result of atrophic processes in the tissues of the stomach, a reduced level of acidity is observed. The degree is determined by the area of the affected area on the walls of the stomach. Besides, no digestive enzymes, due to which the assimilation of substances necessary for the body occurs.

A diet for atrophic gastritis with low acidity is necessary. It is complementary to traditional medicine means of treatment. The menu should include such products that will contribute to the work of the digestive glands.

This includes:

Fat-free meat and fish products.
Fresh juices with sourness.
Vegetable and fruit dishes.

There are certain foods that you should not eat with gastritis with reduced level acidity. This, for example, fresh pastries and whole milk.

The diet should contain a variety of healthy foods but you can't overeat. With atrophic gastritis, you need to eat small portions up to 6 times a day.

Thus, the food in the stomach will be better absorbed without weighing it down.

As for the disease with high acidity, the disease develops as a result of malnutrition. Therefore, for traditional treatment, the doctor prescribes a diet or adjusts the menu. It is necessary to remove spicy, fried, fatty foods from the diet. It is necessary to give up bad habits, the main requirement is to live without cigarettes and alcohol.

If the acidity level is exceeded, it is necessary to lower it. If there are also problems of an inflammatory nature with atrophic processes or bouts of vomiting, it is necessary to support the work of the glands that are still active.

That is why experts insist that the patient eat 5 times a day in small portions. If gastritis is at the stage of exacerbation, the diet will have to be followed for at least 3 months.

It is necessary to abandon foods that can harm the walls of the stomach or increase the level of acidity. An exemplary menu consists of low-fat fresh milk, boiled or steamed fruits.

You can cook mashed potatoes or compotes, cereals - rice, semolina, oatmeal. It is recommended to grind any products with a blender.

Diet regimen for patients with chronic form

It will take a lot of patience and time to fight the disease. It is the wrong diet that is one of the main reasons for the development of chronic atrophic gastritis. In addition, alcoholic beverages and cigarettes exacerbate the situation. And the chronic form develops as a result of prolonged and improper use of certain medications without a doctor's prescription.

Instead of self-prescribing therapy for yourself, you need to seek help from a qualified doctor. He will tell you why you need a diet and gastritis treatment.

Proper nutrition is very important, especially if the form of atrophic gastritis is chronic.. The changes that occur in the digestive system affect not only the walls of the stomach, but soft tissues. The production of hydrochloric acid is disrupted, as well as special substances that take part in the processing of food.

In addition, there is a failure in the contraction of the muscles of the hollow organs, and this leads to the fact that the movement of food in the stomach becomes impossible.

A diet for chronic atrophic gastritis is one of the stages in the treatment of the disease, which is prescribed by any gastroenterologist. As it happens, the doctor will insist that the patient stick to the diet.

It is enough to remember about sparing nutrition so as not to irritate the walls of the stomach even more and to promote the production of hydrochloric acid, to support the fermentation of the digestive system. It is necessary to ensure that all the necessary things enter the body with food.

sample menu

You can make a diet yourself, but consultation with a specialist is still recommended. Here sample menu for a week for a patient if he has atrophic gastritis.

Option 1

Eat boiled oatmeal with soft-boiled eggs for breakfast. Tea to drink black weak.
You can have a snack with milk prepared in the form of jelly, drink a cup of fresh fruit compote.
Dine on veal cutlets, which can be stewed with a small amount of milk sauce. Pasta with stewed vegetables. Wash down with fresh rosehip broth.
For an afternoon snack, prepare a dish of cottage cheese with low-fat cream. Bake 1 apple, add cinnamon and sugar.
For dinner: boiled buckwheat, steam-cooked chicken soufflé, and a cup of fresh jelly.

Option 2

For breakfast, it is recommended to boil rice milk porridge, add a little sugar, and also butter. Wash down with infusion of chicory with the addition of cream or milk.
For a snack, cottage cheese in the form of a soufflé is suitable, it is advisable to steam it. You can add 1 tbsp. a spoonful of sour cream. Drink a cup of black tea.
For lunch, cook a steamed fish cutlet, stewed carrots and onions, oatmeal broth.
For an afternoon snack, drink a glass of kefir, eating it with a piece of yesterday's bread.
For dinner, you can cook vegetables, rice and grated chicken breast, as well as a glass of fresh compote.

Option 3

As a breakfast, a fruit and berry salad, a steam omelet from two eggs with milk and a cup of chicory are suitable.
You can have a snack with fruit jelly and a rosehip drink.
For lunch, cook pasta, stew them with vegetables and chicken meatballs, drink green tea.
As an afternoon snack, you can cook a cottage cheese casserole with the addition of carrots, as well as oatmeal broth.
For dinner, fish, cut into small cubes, with stewed vegetables and mashed potatoes is suitable. For dressing, it is recommended to use butter or sunflower oil. Drink a cup of jelly.

The right diet helps you recover faster. Any, even a slight deviation from it, will lead to complications. Therefore, doctors recommend that you follow all the rules of the diet.

Pretty cunning. This is expressed in the fact that the disease is quite difficult to diagnose, and the subsequent treatment process is no less complicated. And all this against the background of what is most often initial stage the disease goes unnoticed. Reading this, the question may arise: what does nutrition have to do with atrophic gastritis?

And besides, most often the patient learns about his illness only after eating a certain food. Then what can a diet do? And with the help of a balanced diet, you can moderate the pain syndrome, which in turn will lead to the fact that the stomach will begin to work better. And that means getting more useful elements from food.

With this disease, dietitians prescribe diet number 2. The goal, which is to provide the patient's body with all trace elements, vitamins, fats and carbohydrates in the required amount.

There is a list of foods that should be completely eliminated from your diet. And first of all, this applies to the so-called "heavy" products - that is, those that are digested for several hours. These are all fatty foods, rye bread, pork, beef, all kinds of smoked meats and pickles, mushrooms in all forms. Also under the ban are oil dishes, canned vegetables, legume dishes, battered and breaded.

Only those foods that increase the patient's appetite and the production of gastric acid are allowed to be consumed. Food is recommended to be stewed or boiled.

Diet and its basics

Soups are best mashed. using meat, fish or herbal broth. For breakfast, doctors recommend cooking porridge for yourself - semolina, rice, oatmeal. It is allowed to use meat dishes in small quantities - lean beef, milk sausages, meat without fat, chicken, rabbit meat. Everything except sausages must be passed through a meat grinder.

Proteins can be replenished by eating seafood - mussels, shrimp, octopus. Allowed drinks are tea, cocoa, fruit and vegetable juices. Juices should only be freshly prepared. No baking, only crackers and bran bread. All fruits and berries must undergo the necessary heat treatment.

From sweets, mousses, honey, kissels, marmalade.

All meals are served warm.

In atrophic gastritis with low acidity, nutritional regulation is one of the milestones in the treatment of disease. Foods in the diet should stimulate acid production. This is lean meat, dishes from fruits and vegetables. You can not eat those dishes that can cause fermentation processes in the stomach - whole milk, pastries, especially fresh ones.

Nutrition for gastritis with high acidity also has its own characteristics. Fried, fatty foods are completely excluded from food. The patient also needs to give up cigarettes, alcohol and alcohol-containing drinks.

Menu for atrophic gastritis by day

Monday:

Breakfast - boiled potatoes and fish. Tea;

Lunch - fruit jelly;

Lunch - soup with meatballs, baked potatoes and tomato juice;

Snack - a decoction of wild rose berries;

Dinner - cheesecakes with sour cream. Tea with honey and lemon;

Late dinner - a glass of kefir.

Tuesday

Breakfast - semolina porridge cooked on water, soft-boiled egg, coffee with milk;

Lunch - a decoction of wild rose;

We have lunch with noodle soup, potato casserole with meat, berry compote;

Afternoon snack - baked apples;

Dinner - steamed potatoes and fish fillet, cocoa;

Late dinner - yogurt.

Wednesday

Breakfast - viscous rice porridge, tea with a slice of lemon;

Lunch - raspberry jelly;

Lunch - vegetable broth soup, meat soufflé, dried fruit compote;

Snack of baked apples;

We have dinner with cottage cheese with honey and sour cream, compote;

Before going to bed, a glass of kefir.

Thursday

Breakfast - steamed omelet from a couple of eggs, lean ham. Tea with lemon;

Lunch - blueberry jelly;

Lunch - rice puree soup with carrots, buckwheat porridge boiled on water, steamed meatballs;

Baked apples for an afternoon snack;

Dinner consists of mashed potatoes and meat baked in foil. Rosehip decoction;

Before going to bed, a glass of kefir.

Friday

For breakfast, viscous rice porridge with a piece of butter, coffee with milk;

Lunch consists of blueberry jelly;

Pickle for lunch. Meatballs made from chicken meat. Boiled potatoes. Dried fruits compote;

The afternoon snack consists of tea with lemon and marshmallows. The latter can be replaced with marshmallow;

You can have dinner with mashed potatoes, a portion of boiled beef tongue and a glass of tomato juice;

Causes and risk factors

Popular diet recipes

Forms of the disease

Prohibited Products

Approved Products

Features of the course of gastritis with low acidity in children

Diagnostics

List of allowed and prohibited products

Treatment of gastritis with low acidity

Menu for atrophic gastritis for a week

Diet for gastritis with low acidity

Diet #2

Diet Principles #2

Approved Products

Prohibited Products

Nutrition for focal and diffuse gastritis

What is atrophic chronic gastritis?

Diagnosis

During the period of remission

Causes

Proper nutrition for antral gastritis

Medical treatment of atrophic gastritis

Basic diet rules

Types of treatment

Medical therapy

The specifics of the therapy of atrophic-hyperplastic inflammation

How to eat with atrophic gastritis

What does traditional medicine offer?

What is allowed and what is forbidden to use

Prohibitions

It hurts there and it hurts there

Treatment of atrophic gastritis with folk remedies

Folk recipes that increase acid levels

How to properly balance the menu

Preventive actions

How is hypoacid gastritis treated with folk methods

Calamus Root Infusion

St. John's wort decoction

Aloe leaf juice

pomegranate solution

Symptoms

Functions of the stomach are normal and symptoms of hypoacid gastritis

Can eat

Classification

Symptoms

Diagnostics

What products can

Diet option

Principles of a therapeutic diet

Features in different forms of the disease

chronic course

Focal lesion

diffuse form

Antral form

With reduced acidity

With high acidity

What is allowed and what is forbidden to use

How to properly balance the menu

What to cook

Pasta salad with tongue

Eligible Products

Prohibited foods for gastritis

Diet depending on the level of acidity

Diet regimen for patients with chronic form

sample menu

Option 1

Option 2

Option 3

Diet and its basics

Menu for atrophic gastritis by day

Monday:

Tuesday

Wednesday

Thursday

Friday

Interpretation of sleep line in dream books

Online divination on Lenormand cards

Online divination on Lenormand cards