Therapeutic diet for gallstone disease: how to eat properly before and after surgery, what to do during an exacerbation


DietHave you been struggling with GASTRITIS and ULCERS for many years without success?
“You will be amazed at how easy it is to cure gastritis and ulcers just by taking it every day...

Read more "

GSD is a pathology in which stagnant processes occur in the gallbladder. Due to significant thickening of the bile, stones begin to form that can block the ducts.

When treating patients, nutrition plays a huge role in gallstone disease, thanks to which it is possible to speed up the healing process. Otherwise, patients will have to undergo a course of drug therapy prescribed by gastroenterologists for quite a long time. Also, non-compliance with nutritional therapy can lead to the development of serious complications, some of which can only be eliminated surgically.

Turmeric

This is an excellent preventative against the formation of gallstones.

Turmeric reduces the likelihood of stones

Curcumin contained in turmeric enhances the secretion of bile, which improves the absorption of fats. The likelihood of stones also decreases, the concentration of lipids decreases, and the components that serve as the basis for the formation of stones in the gall bladder are destroyed.

The amount of turmeric consumed can range from 1 teaspoon to 1 tablespoon per day.

General recommendations

If during the study gallstones were found in the gall bladder, then the patient should refuse to eat foods that contain “bad” cholesterol, a lot of fats and carbohydrates, and also need to adhere to a meal schedule. In the early stages of the disease, a therapeutic diet can completely correct the physicochemical parameters of bile and prevent the growth of stones, and medications can dissolve stones.

Even if the disease is advanced, then by adhering to dietary nutrition you can minimize the risk of stones passing into the ducts (biliary colic). If the functions of the hepatobiliary system are impaired, dietary table No. 5 and its variations are prescribed. Which diet will be recommended for cholelithiasis (GSD) depends on the stage of the disease and the composition of the stones.

Cholesterol stones, as a rule, appear in people who overeat and consume a lot of animal fats, in particular fatty meats, eggs, and caviar. Foods high in cholesterol, spicy and fatty foods should be excluded from the diet; the use of vegetable oils is limited (but not excluded), since they have choleretic properties and can cause exacerbation of cholelithiasis.

For gallstone disease, dietary recommendations are as follows:

  • limit the consumption of fats to 70–80 g (of which 75% should be of animal origin) and carbohydrates to 350–400 g;
  • eat a lot of vegetables and fruits, as it is necessary to increase the amount of dietary fiber in the diet;
  • add foods rich in magnesium salts to your diet;
  • drink alkaline mineral waters (“Borjomi”, “Polyana Kvasova”, “Essentuki”) so that cholesterol in the bile is dissolved;
  • adhere to fractional meals (eat small portions every 3 hours so that bile is released evenly);
  • exclude alcohol;
  • if you are obese, then you must adhere to a low-calorie diet, since weight loss helps improve the functions of all body systems;
  • To eliminate the lithogenicity of bile, you need to take chenodeoxycholic and ursodeoxycholic acid for a long time.

At the initial stage of development of the disease, there are no restrictions on the consumption of any foods, but it is recommended to eat food at regular intervals to stimulate the separation of liver secretions and contraction of the gallbladder.

During the period of remission, moderate sparing of the hepatobiliary system is required, therefore dietary table No. 5 is prescribed. This therapeutic nutrition replenishes the physiological needs of the body in chemical elements, and therefore can be recommended for a long period of time. A patient can consume no more than 2400–2600 kcal per day. The diet should be limited to 80 g of protein, 80 g of fat and 400 g of carbohydrates, and consume no more than 10 g of salt.

Cream soup
All dishes are prepared in a steamer or boiled

In case of illness, it is necessary to ensure that there is a regular moderate outflow of bile, which means that you need to adhere to fractional meals, avoid foods that stimulate bile secretion, as well as those containing cholesterol.

Fruits and vegetables

They are advised to be used to prevent the crystallization of cholesterol and calcium.

Eating lemons, apples, beets, celery and tomatoes reduces inflammation and neutralizes toxic substances.

Fruits neutralize toxic substances

Freshly squeezed fruit and vegetable juices are useful for the same reason. Unclarified (unfiltered) fresh apple juice contains a lot of pectin, which softens existing gallstones and prevents the formation of new ones.

Nutritional Features

A gentle diet has been developed for people with pathologies of the gallbladder, biliary tract and liver. It provides meals that are not low in calories, but limit the consumption of harmful foods.

The diet prescribes:

  • eat 4 to 6 times a day;
  • do not overeat;
  • do not drink after meals, so as not to impair digestion;
  • eat a lot of vegetables;
  • do not mix different types of dishes at the same time;
  • grind foods to facilitate the functioning of the gallbladder;

Therapeutic nutrition is prescribed for the following purposes:

  • prevent digestive disorders;
  • reduce cholesterol levels;
  • eliminate fermentation processes in the intestines.

It is extremely important to limit your intake of foods rich in cholesterol.

Eliminate from food:

  • Carbonated drinks, coffee and alcohol;
  • Fried foods, fatty foods;
  • Legumes, mushrooms;
  • Lard, offal and sausages;
  • Fresh bread, cookies;
  • Pearl barley and wheat porridge;
  • Meat broths;
  • Garlic, radish, sorrel.

Following such a diet is a wonderful prevention of gallstone disease and will help people with small gallstones.

Diet for chronic cholecystitis is a necessary condition in the treatment of the disease. The patient is recommended to eat a nutritious, varied diet containing proteins; carbohydrates, mineral salts and vitamins. Fats should be limited. Main sources of protein: meat, fish, cottage cheese, milk, cheese, bread. All these products are useful when following a diet for patients with chronic cholecystitis, but it is recommended to include lean varieties of meat and fish (beef, chicken, cod, pike perch, carp, navaga, pike) in the menu. Treatment with folk remedies is carried out using various herbs, which we will discuss below. The method of preparing dishes is of great importance. Meat and fish dishes should be cooked in water or steamed. Then the extractive substances that irritate the liver go into the broth, which cannot be eaten during an exacerbation. Broths are allowed only when there is no exacerbation and, moreover, only once or twice a week. Veins, tendons, and covering films are first removed from the meat. Poultry meat is freed from fatty skin. The meat of young animals and birds is more tender than beef. Why is it not recommended for those suffering from gallbladder diseases? Because it contains more organic substances, so-called purine bases, which irritate the liver and worsen salt metabolism. Meat prepared in pieces should be beaten well with a special hammer and the fibers should be loosened. If you want to preserve extractive substances, then meat or fish is immersed in hot water. In cold water, which then gradually comes to a boil, extractives and mineral salts are most completely removed. What is the advantage of steaming food? They leach less and retain a pleasant taste. To improve the taste, minced meat dishes cooked in steam or water can be baked in the oven. All these dishes diversify and enrich the table, but the patient can use them only at a time when he does not have a sharp exacerbation of cholecystitis.

An approximate one-day menu for a patient during an exacerbation

First breakfast. White stale bread with 5 grams of butter; oat milk porridge; curd paste; tea with sugar and lemon. Lunch. Apple puree; rosehip decoction with sugar; cracker. Dinner. White stale bread; puree soup from grated carrots or potatoes; boiled fish or steamed meat soufflé with boiled vermicelli or mashed potatoes; jelly, jelly, compote or juices. Afternoon snack. Rosehip decoction or fruit juice, white bread croutons. Dinner. White stale bread; protein omelet or steam cutlet, or cottage cheese soufflé; rosehip decoction or berry jelly. Before bedtime. A glass of kefir, yogurt or milk. A proper diet (eating 6 times a day) plays a particularly important role during the period of exacerbation of chronic cholecystitis. Food during this period should be prepared more carefully, wiped and cooked more carefully. Only white, stale bread is recommended. Vegetables - in the form of puree, even fruits and berries are boiled or baked; meat, fish - boiled, pureed. During an exacerbation, you need to add less salt to the prepared dishes. When a person feels relief as a result of the measures taken, you can return to a more nutritious diet, but it must be expanded gradually as directed by your doctor.

Menu during the recovery period

First breakfast. White or black bread, 5 grams of butter; soaked herring or boiled fish with boiled potatoes; buckwheat porridge with 5 grams of butter; weak natural coffee with milk and sugar or tea with sugar and lemon. Lunch. White bread is stale; cottage cheese with sugar and 10 grams of sour cream or cheese, or mild cheese; apple; a glass of rosehip decoction. Dinner. White and black bread; vegetarian vegetable soup; boiled meat or steam cutlet with green peas and stewed carrots; fresh or dried fruit compote. Afternoon snack. Tea with sugar and lemon; croutons from a city loaf or roll, or soft cookies. Dinner. Stuffed cabbage rolls stuffed with rice and boiled meat, or cottage cheese casserole; soaked prunes; a glass of rosehip decoction or tea with jam or honey. Before bedtime. A glass of kefir or yogurt. The diet of a patient with cholecystitis uses only fresh, frozen and steamed fish. Frozen fish is pre-thawed at room temperature. It is not recommended to soak it in water for a long time, as it will lose a lot of nutrients. When the fish is cooked in pieces, it is poured with boiling water, and if it is necessary to get rid of the extractive substances contained in it, it is better to steam the fish. Bread is healthy and necessary: ​​it contains proteins of plant origin. But not all bread is useful, but dried or stale bread. It is easier to digest, especially if made from wheat flour. Rye bread is coarser and contains more plant fiber necessary for normal intestinal function. Plant fiber from bread, vegetables and fruits promotes bowel function and gallbladder emptying. This is very important, as unwanted stagnation of bile is eliminated. Based on all this data, rye bread, raw and boiled vegetables and fruits are recommended for patients with chronic cholecystitis. But during the period of exacerbation of cholecystitis, you have to eat white bread, and only boiled and chopped vegetables and fruits. A patient with cholecystitis can benefit from vegetable dishes and vegetable soups. They are recommended without limitation. How to cook them correctly? When preparing soups, peel or scrape as thin a surface layer as possible from vegetables. It is here, in the crust, that many healthy vitamins are contained, and we strive to preserve them. Do not soak vegetables and herbs washed in running cold water, but immediately chop them and place them in the pan in which you are preparing the soup. Soaking vegetables lose vitamins and mineral salts. When the soup boils, leave it on low heat in a covered pan. In contrast to vegetable soups, milk and cereal soups can be cooked with the lid open.

Eating eggs and dairy products

Now we have come, it seems, to a question that is especially troubling to many: are eggs harmful to a patient with cholecystitis? No one will doubt if I say that you can make an omelet from proteins every day, and also use whipped proteins to prepare a soufflé of meat, fish, cottage cheese, vegetables and mousses from berries and fruits. Well, what about the yolk? Should it be abandoned completely? If the patient does not have an exacerbation, he can eat one yolk a day, or rather, one whole egg. This egg is best used for preparing various dishes. Why do we dwell in such detail on the use of eggs? Because it is a valuable product. The yolk contains proteins, fat, and vitamins that are beneficial for the body. What complicates matters is that it contains a fat-like substance - cholesterol, which promotes the formation of gallstones and has a harmful effect on the functioning of the liver. But for the same reason, the patient’s diet is limited in the amount of animal fats - lard, butter and ghee. But here is a product about which we can only speak positively: we are talking about milk and products made from it, especially cottage cheese. Doctors recommend whole and condensed milk, dry milk, yogurt, kefir, acidophilus, and mild cheeses. It would be a good idea to eat 100 - 150 grams of cottage cheese during the day. Cottage cheese, as well as oatmeal and cod, contain so-called lipotropic substances that improve liver function. Similar substances are found in herring, vegetable oil (olive, corn, sunflower) and some other products. But it is impossible to completely give up fat, and it is not advisable. Many plant and animal products contain fat. Taking this into account, a patient with cholecystitis is recommended to take no more than 30-40 grams of oil per day. Of this amount, part is served at the table, and the other is used for cooking. Do not keep food on fire for a long time. Under the influence of high temperature, substances are formed in the oil that irritate the liver and gall bladder. Lately there has been a lot of talk, and rightly so, about the benefits of vegetable oil. It is also useful for cholecystitis. Vegetable oil has a choleretic effect and does not contain cholesterol; Therefore, doctors sometimes recommend drinking it one tablespoon 1-2 times a day before meals. A patient with cholecystitis can eat sour cream, but, as you know, it contains a lot of fat and therefore it is much healthier to use it for baking dishes. It is also better to add vegetable oil and sometimes sour cream diluted with milk or kefir to salads. A person suffering from gallbladder disease needs a lot of carbohydrates to help restore normal function of the bile ducts and liver. Carbohydrates are found in sugar, honey, jam, bread, cereals, vegetables, fruits and berries. And how variously you can vary different dishes and side dishes from flour, cereals, pasta (porridge, puddings, casseroles). Carbohydrates have to be limited only if the patient is also obese. Vitamins improve the patient's condition. Vitamin A is found in milk, cottage cheese, and butter. B vitamins are found in meat, fish, bread and other foods. Vitamin C, which is abundant in vegetables and fruits, is especially useful for cholecystitis. Folk remedies for cholecystitis: Rosehip decoction is very useful. Rosehip berries are poured with boiling water (one glass of water per 20 grams of berries) and left in an enamel or aluminum container with a tightly covered lid. Place the dishes on the fire and boil for 10 minutes from the moment of boiling. Then the drink should be kept at room temperature under the lid for about a day, then strain through cheesecloth. Drink it 1-2 glasses a day. It should be noted that a patient with chronic cholecystitis benefits from drinking plenty of fluids, so fluid intake is not limited unless there are concomitant diseases of the cardiovascular system. A healthy person needs 1.5 liters of liquid per day along with soup, compote, milk, tea and other drinks. A patient with cholecystitis is usually allowed to drink more - up to 2 liters or more. This helps to dilute the bile and allow it to flow more freely. Tea, tea with milk, weak, natural coffee with milk, fruit and berry juices, tomato juice, rosehip decoction, heated mineral waters (Essentuki No. 17, 4, 20, Borjomi, Jermuk) - this is an incomplete list of healthy drinks.

Dietary restrictions

What is strictly prohibited for a patient with cholecystitis? Pastry products, soups with strong meat and fish broths, strong vegetable broths, mushrooms and mushroom soups, fatty meats, poultry and fish, fried meats, fish and vegetables, caviar, canned snack foods, smoked meats, semi-smoked sausages, radishes, radishes , sorrel and raw onion, spices (cinnamon, cloves, black pepper), ice cream. You cannot drink cocoa or alcoholic beverages. Doctors always emphasize the importance of diet and nutritional rhythm for human health. All this is especially important for a patient with cholecystitis. You need to eat 4-6 times a day, preferably at the same hours. Regular nutrition promotes proper functioning of the digestive organs and better flow of bile. It is very important to prepare and serve dishes beautifully. The appearance and table setting stimulate the appetite, and therefore improve the separation of digestive juices and bile. You should eat slowly, chewing your food thoroughly. The condition of the oral cavity, stomach, intestines - all digestive organs is of great importance. In time, you need to see a dentist to have your teeth treated. If a person has constipation, prunes soaked in boiled water, boiled beets, fresh curdled milk, honey, and rhubarb dishes have a good effect on intestinal activity. The body quickly gets used to laxatives and they stop working properly. Among mildly acting choleretic agents, various sets of herbs containing immortelle flowers, corn leaves, trefoil, mint leaves and others are popular. For obesity, it is useful to combine these herbs with laxatives and dill seeds, which reduce bloating. Mineral waters can also be of great benefit; they are taken for several weeks. Solutions of magnesium sulfate have a choleretic effect. Patients with chronic cholecystitis are usually recommended to use vacation not only for relaxation, but also for treatment. Spa treatment is effective if it is recommended by a doctor after a thorough examination of the patient: after all, a person may have concomitant diseases. Patients with chronic cholecystitis are successfully treated in sanatoriums in the central part of the country - wherever therapeutic nutrition and treatment are organized. You should avoid strong tension in the abdominal muscles (abdominal muscles), which usually causes an exacerbation of the disease. But exercise itself is beneficial.

Therapeutic nutrition for patients with removed gallbladder

Diet therapy after surgery is recommended according to the following scheme: day 1 - fasting, days 2-4 - diet VI-0, then diet II-1.

Diet VI-0 – take 100-150 ml of oatmeal jelly during the day.

Brief description of diet II-1.

This diet should be followed for 1-3 months after surgery (depending on the age of the patient and the presence of complications and concomitant diseases).

Meals are frequent, split meals, since bile, in the absence of a reservoir (gallbladder), is secreted in a small volume and in an unconcentrated form, sometimes during the interdigestive period.

A diet with a normal amount of protein, a reduced amount of fat with the exception of refractory fats (pork and lamb), free fats (sandwich with butter, cheese, lard and sour cream in portions) and vegetable oils, limiting carbohydrates due to simple easily digestible carbohydrates (sugar, honey, jam, sweets). A sufficient amount of protein in the diet is possible only through protein products of animal origin with a low fat content (beef, chicken, pollock, cod, haddock, pike perch, cottage cheese, eggs). It is recommended to consume dishes from these products 3-4 times in small portions.

Foods and dishes that cause bloating, increased gas formation, that is, the phenomenon of fermentative intestinal dyspepsia, are excluded from the diet. Such products include bread and bakery products, fresh vegetables and fruits, potatoes, dairy products as tolerated, nuts, seeds.

It is unacceptable to consume dishes and products that contain extractive substances (meat, chicken, fish, mushroom broths, onions, garlic, etc.).

We recommend porridges made from cereals that produce mucus when cooked (preferably, especially at first, rice, Hercules, buckwheat), preferably boiled in water. And only during meals, if well tolerated, can you add milk, yogurt, sour cream, butter or cream.

Easily digestible carbohydrates (especially with concomitant chronic pancreatitis) are limited to the point of exclusion.

Regulation of bowel emptying function is carried out by eating boiled and baked vegetables and fruits.

Expanding the diet 0.5-1 year after the operation is possible by increasing the fat content of protein products of animal origin, taking fresh vegetables and fruits (with the exception of grapes, watermelon and melon), including dairy products (preferably fermented milk) in the menu as tolerated, and sweets (at a young and mature age in the absence of pancreatitis), preparing stewed and baked dishes. Products made from flour (butter and unleavened), fried foods, as well as dishes cooked in vegetable oil, and drinking excessive amounts of alcoholic beverages are not recommended.

If you have cholecystitis, diet should become a way of life. Proper nutrition protects against the transition of the disease to the chronic stage and exacerbations during its chronic course. Natalya Meshikhina, a nutritionist of the highest category, talks about recommendations for choosing products and creating a daily menu.

Cholecystitis is an inflammatory process in the tissues of the gallbladder. It occurs due to a violation of the outflow of bile. If it is too thick, it cannot clear the bile ducts, and if it remains in them, it forms stones and provokes inflammation.

It is believed that cholecystitis is a disease of older people. This is not true. According to statistics, the main patients of gastroenterological departments in Russia with attacks of acute cholecystitis are young people. Poor nutrition leads to illness:

  • love for fast food;
  • habit of snacking on the run;
  • drinking soda;
  • frequent drinking of alcohol;
  • lack of breakfast and overeating at dinner.

It is necessary to stop an attack of cholecystitis in a hospital setting. It is accompanied by acute pain, so the patient has no doubt about the need to call an ambulance. The diet for cholecystitis begins from the moment the disease develops. In the first days it is a complete refusal to eat, only drinking plenty of fluids.

Diet rules for adults and children with cholelithiasis of the gallbladder

healthy liver

The diet for cholelithiasis, as well as for cholecystitis, includes many restrictions. Its goal is not only to provide adequate nutrition for the patient, but also to facilitate digestive processes and prevent congestion.

A diet for gallstone disease allows patients to achieve the following results:

  1. The liver begins to function in a gentle manner.
  2. The work of the bile ducts is normalized.
  3. The development of new stones is prevented.
  4. Weight loss.
  5. General well-being improves.

This category of patients is prescribed a diet for cholelithiasis, related to table No. 5. Patients must adhere to certain dietary rules.

The daily menu should contain the following amount of nutrients (daily requirement from 2,170 to 2,480 Kcal):

Belkov G 85 – 90 Animal origin 45 – 50
Zhirov G 70 – 80 Vegetable origin up to 30
Carbohydrates G 300 – 350 No more sugar 70 – 80
table salt G to 10

what to eat

When preparing meals, patients should adhere to the following recommendations:

  1. All dishes for the patient must first be crushed or ground. You can puree them using a kitchen blender. Thanks to this consistency, you can significantly reduce the load that will be placed on the bubble. As a result, it will begin to gradually decrease in size and will not produce excessive amounts of bile. Accordingly, there will be no stagnation in the bubble.
  2. Dishes that are prepared for this category of patients should be steamed, baked in the oven (without a golden brown crust), or boiled. In rare cases, patients can treat themselves to stewed food.
  3. It is strictly forbidden to fry foods, since with this cooking method the formation of oxidized fats occurs, and they, in turn, have a negative effect on the course of cholelithiasis.
  4. The food served to the patient should have a temperature ranging from 15°C to 65°C. If the patient eats too hot or cold foods, they will irritate the gastric mucosa and stimulate the process of bile production.
  5. Patients must adhere to fractional nutrition, which includes up to six meals per day. Thanks to the constant supply of food at the same time, the functionality of the bladder is normalized, and the processes of bile removal are stabilized.
  6. Patients should limit the amount of salt. The permissible daily dosage should not exceed 10g.
  7. As for liquids, this category of patients needs to drink at least 2 liters of clean water daily.
  8. Drinks containing alcohol are strictly prohibited, as they will provoke spasms of the bladder and the occurrence of hepatic colic.
  9. The process of food absorption should be slow. The patient at this moment should be in a calm environment. He should chew each piece thoroughly. Thanks to this, rapid saturation will occur and the person will not be able to consume excessive amounts of food.

Indications for gastrointestinal surgery:

  • chronic calculous cholecystitis:
  • cholesterosis and polyposis of the gallbladder;
  • acute cholecystitis;
  • asymptomatic cholecystolithiasis.

The operation is prescribed only after a thorough examination and requires a well-trained surgeon and special technical equipment. Experienced surgeons remove the gallbladder through mini-punctures with minimal blood loss, leaving no scars. The patient recovers quickly and returns to his usual routine within 2 days. In comfortable conditions and with attentive care from the staff, the time spent in the hospital flies by quickly and unnoticed.

But for the first time after surgery, it is important to remember the doctor’s recommendations and diet.

Nutrition during relapse

Following a diet promotes rapid recovery and also reduces the risk of new attacks of acute pain. By adhering to all the recommendations, a person quickly recovers.


Chicory - not very tasty, but healthy drink

During the first 72 hours, eating is strictly contraindicated. The main requirement is strict adherence to the drinking regime.

A woman with gallstones is allowed to drink:

  • water (distilled, still);
  • rosehip decoction (unsweetened, warm);
  • beet juice (freshly squeezed, mixed with warm water);
  • strawberry or apricot jelly;
  • good tea (brew weakly, add a small amount of honey), it is advisable to choose varieties with a low concentration of caffeine;
  • chicory.

It is useful to drink mineral water while dieting. Recommended products – “Essentuki No. 4”, “Essentuki No. 17”. Before use, you need to open the bottle and release the gas.

The consumption of coffee and alcohol-containing products is strictly prohibited.

The need to follow a diet

Following a diet for cholecystitis is the basic principle of treating the disease.

The treatment table not only alleviates all the unpleasant signs of inflammation of the gallbladder, but also normalizes the functioning of the gastrointestinal tract as a whole, eliminating problems with the stomach (gastritis) and intestines (constipation, diarrhea).

Proper nutrition for cholecystitis helps to lose excess weight, which plays an important role in the causes of the disease, activates the growth of beneficial microflora in the intestines, strengthens the immune system, and, most importantly, prevents the development of complications.

Why do you need a diet?

Women who have problems with the gallbladder are concerned with 2 questions: how to eat when they already have stones, and how to prevent their appearance by preventing surgical intervention.

Note! It is believed that the diet after surgery, during which this organ is removed, is unbearably strict.

That is, the diet for stones is intended to alleviate symptoms. The main task of dietary nutrition after surgery is to compensate for the absence of this organ.

Malnutrition leads to the formation of stones in women. In 90% of cases, the disease develops against the background of an incorrect diet and certain anatomical features. Almost always this is dyskinesia, or a bend in the bladder. All together this provokes stagnation of bile. The result is the precipitation of salts. Cholesterol activity increases. This leads to the formation of stones.


A properly selected diet helps improve metabolic processes in a woman’s body

The diet helps normalize metabolic processes, improve the clinical picture and prevent the risk of exacerbation of the pathological condition.

A woman should not self-medicate and blindly follow advice from the Internet. You can choose the right list of products and create a menu only after an examination, together with a doctor.

Rating
( 2 ratings, average 4.5 out of 5 )
Did you like the article? Share with friends: