Diet for irritable bowel syndrome with diarrhea: menu for treatment

Irritable bowel syndrome (IBS) is a functional disorder accompanied by a characteristic clinical picture. Symptoms of the disease are intestinal colic, changes in stool consistency associated with the development of pain, gas formation, mucous inclusions in the stool, and a feeling of incomplete evacuation.

The pathology must be differentiated from other intestinal diseases accompanied by abdominal pain, for example, colitis. If a person has not identified any characteristic signs of pathology, then a diagnosis of IBS is made. With irritable bowel syndrome, diet is the main component of successful treatment.

General rules

The irritable bowel (IB) diet has the task of gradually restoring the functioning of the digestive system. Following simple rules will help solve it. For RK syndrome with diarrhea, it is necessary:

• Avoid drinking alcohol and foods that irritate the intestines;
• steam, boil, bake;
• eat dishes at room temperature;
• give preference to pureed soups, porridges with water, decoctions of oats, rice;
• avoid coarse fiber - nuts, fresh vegetables, fruits;
• exclude semi-finished products;
• Grind the products before use.

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In case of RK syndrome, the main symptom of which is diarrhea, when preparing a diet it is important to follow the principles of nutrition:

• keep a diary where you record everything you eat and your body’s reaction to foods;
• eat regularly;
• strive to eat at the same time;
• Don’t skip meals – organize meals at work;
• chew food thoroughly;
• have dinner 3 hours before bedtime;
• eat small portions, 6 times a day;
• drink up to two liters of water per day;
• the interval between meals should not exceed three hours.

Behavior strategy for gastritis

A number of behavioral strategies should be implemented to accompany drug therapy and diet in order to reduce the symptoms of gastritis or prevent their occurrence.

For example:

• Avoid alcohol and smoking cigarettes, which have an irritating effect on the gastric mucosa and can lead to increased acid secretion.
• Eliminate or reduce the use of medications such as aspirin, painkillers, tranquilizers. These drugs cause changes in the lining of the stomach, leading to increased sensitivity to acid.
• Avoid eating in situations of anxiety and stress, for example, avoid discussions while eating.
• Avoid consuming food in abundance. To do this, it is recommended to introduce a modest snack of fruit or some unleavened flatbread between breakfast and lunch, lunch and dinner.
• Do not go to bed immediately after eating, go for a short and calm walk - this facilitates the digestion process.
• Eat slowly, chewing your food thoroughly. Proper chewing reduces gastric transit time and makes food easier to digest.
• Avoid quick meals (such as fast food) or other take-out foods if possible.
• Avoid processed foods and sauces.
• Avoid undercooked foods, which are difficult to digest, and very cold or very hot drinks, especially on an empty stomach.
• If very acute symptoms appear, then on such days a liquid diet based on permitted juices (for example, apple or pear), vegetable purees, such as boiled and pureed carrots, and soothing herbal teas such as chamomile is recommended.

In conclusion, if you suffer from gastritis, regardless of the cause (stress factor, medications, etc.) or the type of gastritis (acute or chronic), it is important to pay attention to nutrition to avoid worsening the problem .

What can you eat if you have irritable bowel syndrome?

There are recommendations for proper nutrition in case of IBS accompanied by diarrhea. Food is prepared by baking, boiling or steaming. It is important to eat foods that strengthen the stool and stop the processes of decay in the intestines. Berries rich in tannin, which has an astringent effect, are useful - bird cherry, black currant. For RK syndrome with diarrhea, the diet includes:

• porridge with water from buckwheat, millet, pearl barley;
• low-fat fish and meat soups;
• egg white omelet;
• baked apples;
• dried bread;
• daily kefir.

In order not to provoke an exacerbation of the disease, it is recommended to use the following products for daily nutrition during the diet:

• lean beef;
• poultry, rabbit meat;
• boiled pasta;
• berry juices;
• cocoa on water;
• compote;
• strong tea;
• low-fat fish - pike, cod;
• vegetable oil;
• inconvenient dry biscuits;
• oatmeal, rice water;
• jelly;
• rosehip decoction;
• butter;
• infusions of herbs with honey;
• boiled, baked vegetables - carrots, zucchini.

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Foods to avoid if you have gastritis

Some foods should be excluded from the diet so as not to worsen the inflammatory picture. In the case of acute gastritis, they should be avoided to relieve symptoms and speed up recovery, in the case of chronic gastritis, to avoid an acute attack.

Among the foods to avoid we have:

• Cheeses: All fatty and sharp cheeses such as gorgonzola, provolone, pecorino should be avoided.
• Fish: Fatty fish such as salmon, eel, mackerel and canned fish such as tuna in oil should be avoided.
• Meat: Avoid fatty meats such as pork and red meat, and all cured meats, canned meats and cured meats.
• Fried foods: Eating fried foods is not recommended. When you fry food, it forms a substance called acreolin, which has an irritating effect on the stomach lining.
• Drinks: All alcohol, theine-based drinks and caffeine should be avoided. All these substances have an irritating effect on the gastric mucosa.
• Vegetables: It is recommended to avoid consuming raw vegetables, which can irritate the stomach lining, and acidic vegetables, which stimulate the secretion of gastric juices, such as tomatoes, garlic, onions and peppers.
• Fruits: Avoid very sour fruits, in particular oranges, lemons, grapefruits, strawberries, pineapples, black currants, kiwis and all unripe fruits. Nuts should also be avoided due to their high fat content.
• Prepared foods: All ready-to-eat foods such as sausages, canned meats, canned fish, broths, ready-made soups, marinades and so on should be avoided due to the high salt content, various preservatives and glutamate substances that can aggravate irritation stomach.
• Condiments: Avoid fats such as butter or margarine, cream, béchamel sauce, and all acidic condiments such as ketchup, vinegar, lemon. All spices such as pepper and chilli should also be avoided.

Foods that irritate the intestines

If IBS is accompanied by diarrhea, it is necessary to remove foods that cause flatulence and pain from the diet. Dishes on the menu should not irritate the intestinal mucosa. During the diet the following are prohibited:

• alcoholic drinks;
• fruits, vegetables that provoke fermentation processes - grapes, cabbage, legumes;
• coarse fiber - apple peel, prunes;
• marinades;
• salted preparations;
• fat meat;
• smoked meats;
• sweets;
• carbonated drinks;
• kvass.

Nutrition for irritable bowel syndrome with diarrhea must be organized with a limitation of salt, sugar, and coffee. Doctors do not recommend that patients eat cold foods. When on a diet you cannot eat the following foods:

• salted fish;
• baking;
• milk;
• black bread;
• raw vegetables, fruits;
• fresh dairy products;
• spices;
• spicy seasonings;
• semi-finished products;
• sausages;
• baked goods;
• chocolate.

Permitted and prohibited products

The diet plan for patients with IBS and flatulence has much in common with the diet prescribed for gastritis.

Authorized products include:

• broths and soups: vegetable and lean meat;
• lean fish;
• chicken fillet or breast, rabbit meat, veal;
• any cereal porridge, except pearl barley and millet;
• natural fermented milk products;
• dried or yesterday's bread;
• pumpkin and products based on it: porridges, soups, casseroles;
• soft-boiled eggs, omelet, poached eggs;
• greens of any kind;
• carrots, beets;
• tea, cocoa, juices, mixed halfway with water.

Prohibited products:

• all legumes - peas, beans, etc.;
• pearl barley;
• Rye bread;
• nuts: especially peanuts;
• prunes, raisins and other dried fruits (especially in large quantities);
• products containing textured soy protein and other soy additives;
• radish, turnip, radish, cabbage, potatoes;
• raw apples, grapes, pears, peaches, bananas (especially with milk);
• mushrooms (marinated, boiled and fried);
• onion and garlic;
• fatty meat and fish;
• fried foods;
• semi-finished products: factory dumplings, sausages, shawarma, etc.;
• marinades (including home preserves), pickles;
• smoked and salted fish and meat;
• whole milk, desserts based on it and ice cream;
• baked goods, especially yeast baked goods;
• carbonated drinks and packaged juices;
• any alcoholic drinks: especially wine and beer;
• energy drinks with added psychostimulants like guarana or caffeine;
• sweeteners: xylitol, sorbitol, etc.

Recommended Products

It should be noted that therapeutic nutrition for irritable bowel syndrome must be complete and consistent with the diet. That is, the diet includes foods rich in proteins, carbohydrates, fiber, and fats should be in moderation.

For patients with IBS, the attending physician (gastroenterologist or therapist) must provide a list of foods and dishes approved for consumption.:

• Low-fat meat, fish and vegetable broths and dietary soups based on them with cereals and permitted vegetables;
• Dietary meats : turkey, chicken, rabbit, lean beef. Meat can be boiled, baked, steamed cutlets;
• Cereals : pearl barley, buckwheat and wheat. You can prepare both a crumbly side dish and porridge with water;
• Vegetables must be thermally processed . Boiled and baked dishes from potatoes, carrots, cauliflower are recommended;
• White bread crackers;
• Baked apples;
• Fermented milk products with low fat content (cottage cheese, fermented baked milk, kefir, natural yogurt). These products must be fresh. If a fermented milk product has an unpleasant smell, taste or consistency has changed, then you should not consume it;
• Butter and chicken eggs in limited quantities . Oil can be added to porridge. Eggs can be steamed or hard-boiled;
• Drinks: rosehip decoction, fruit drink, jelly, green and weak black tea.

The list of permitted products may be slightly expanded or narrowed depending on the prevailing symptoms of IBS and the individual characteristics of the human body.

Diet for IBS with flatulence: an overview of all available products

A proper diet for irritable bowel syndrome with flatulence is a quick and only way to get rid of the pathological condition for a long time. No medicine can cure IBS, and all anti-flatulence pills only temporarily reduce the symptoms without eliminating the causes of discomfort.

A balanced diet and the absence of foods that cause intestinal irritation and flatulence is the best way to avoid exacerbation of the disease. The diet for TBS is based not only on lists of acceptable and prohibited foods, but also on some nutritional rules.

Principles of diet for IBS with flatulence

The diet for correcting the condition of irritable bowel syndrome is similar to the rules of proper nutrition and does not contradict them:

• one of the most difficult components of diets is maintaining a diet with eating at the same time, preferably at equal intervals;
• portions should be small, but you should eat not 3 times a day, but at least 5;
• You can’t eat on the run, or constantly chew something a little at a time;
• acceptable sweet foods must be consumed separately from other foods;
• you can’t chew gum;
• You need to drink at least 3 glasses a day to maintain digestion and metabolism;
• try to minimize the impact of stress on the body;
• It is not recommended to drink food while taking it;
• It is better to serve food chopped (small pieces);
• the last meal should not be later than 3 hours before bedtime;
• It is necessary to regularly record what a person eats in a food diary in order to identify dangerous foods and allergies in a timely manner.

Flatulence is formed under the influence of products that provoke strong fermentation in the intestines. Following a diet for irritable bowel with flatulence requires taking into account foods that cause gas, as well as foods that irritate the mucous membrane.

Prohibited foods for IBS

To make it more convenient to exclude dangerous foods, you can divide all foods into groups and print a table. Then it needs to be placed in several places, for example, in the kitchen and next to the desktop. Additionally, you can copy the list of prohibited products to your smartphone.

But even with large restrictions in the diet, you can choose a full menu of acceptable products.

Diet foods for flatulence and IBS

Among the approved foods for the diet for irritable bowel syndrome with flatulence, there are both tasty protein and carbohydrate ingredients. There are also supplements containing animal or vegetable fats in small quantities. Here's what doctors recommend including in a patient's diet:

1. Meat and fish. Lean chicken and turkey, sea fish, and beef in small quantities are suitable for a natural diet.
2. Dairy products. You can eat cottage cheese in limited quantities for breakfast or lunch.
3. Fruits . It is allowed to eat pomegranates, apricots, prunes
4. Vegetables and greens. You can eat any greens. Beetroot, pumpkin and carrots are good for maintaining strength and improving intestinal function.
5. Beverages. Cocoa in water and herbal teas are allowed.
6. Soups. Light soups with secondary broths.
7. Fats. From fats, 10 g of butter per day and 1-2 tbsp. l. unrefined olive oil.
8. Other. Steam omelet and soft-boiled eggs will complement the diet. You can eat cereals, especially rice and oatmeal. The diet includes crackers and dried wheat bread.

You can also make puree from baked pears and apples, but eat no more than 100 g per day.

Start of the diet: 1-3 days

These days, it is necessary to reduce the load on the stomach and intestines as much as possible, since they begin to eat according to the treatment program after an exacerbation of the disease:

• for breakfast, 200 g of porridge without milk, a piece of butter;
• low-fat cottage cheese for lunch;
• for lunch - steamed cutlets with rice, broth, carrot puree and apple compote;
• snack – a few crackers without raisins and tea;
• grated buckwheat for dinner, maybe a piece of boiled fish;
• before bed – jelly.

Dairy products, except cottage cheese, are strictly prohibited in the first 3 days.

It is best to grind buckwheat and rice a little with an immersion blender before serving.

Compotes can be replaced with rosehip decoctions. In the following days, the cutlets can be replaced with meatball soup.

Nutrition rules

Although not all the mechanisms of development of the disease are fully known, taking into account proven factors, the diet for irritable bowel syndrome should be built according to the following rules:

• exclude potential irritants (spicy, fried, smoked foods, canned food);
• establish individual tolerance;
• enrich the diet with natural sorbents - plant fiber;
• restore intestinal microflora with the help of lactic acid bacteria;
• take into account the laxative and astringent properties of products to regulate intestinal motility;
• follow the meal schedule - at least 5 times by the hour, in fractional quantities;
• do not use many ingredients for cooking;
• Avoid industrially processed foods with dyes, preservatives and flavoring additives.

Features of the diet for individual symptoms

It should be noted that nutrition for different symptoms is different. Therefore, when prescribing a diet for irritable bowel syndrome, the gastroenterologist takes into account the leading pathological symptom complex.

Irritable bowel syndrome with flatulence

Diet for irritable bowel syndrome with flatulence

:

• Between meals, you must drink clean drinking water. The total volume of water drunk per day should be at least 1.5 liters;
• Food should be warm so as not to irritate the mucous membrane of the digestive tract;
• It is imperative to exclude from the diet foods that contribute to increased gas formation: rye bread, white cabbage, legumes, kvass, carbonated drinks, alcohol, whole milk;
• Natural yogurt helps normalize intestinal microflora . Often the cause of flatulence is a violation of the microflora (when the ratio of beneficial and pathogenic microorganisms changes in favor of pathogenic ones);
• It is recommended to eat low-fat fish and meat dishes;
• You should also give up nuts and baked goods.