To date, reflux esophagitis occurs in ¼ of the entire population of the planet, while as a separate disease it is quite rare. The condition is characterized by an inflammatory process on the walls of the esophagus. Men suffer from this disease 50% more often, between the ages of 25 and 40.
Features of the disease
There are many causes of esophagitis. These can be anatomical features of the human structure. Congenital or acquired diseases of the esophagus, connective tissue deficiencies or hernia of the diaphragm. There is also a number of provoking factors that lead to the appearance of pathology and completely depend on the patient’s attitude to himself and his health. These include:
- passion for fatty, hot and spicy dishes;
- alcohol abuse;
- trauma to the esophagus;
- frequent consumption of coffee and drinks with caffeine;
- viral and bacterial diseases of the stomach and esophagus;
- weakened immunity;
- abuse of medications, in particular hormonal drugs, NSAIDs, containing morphine and barbiturates.
Often, pathology appears against the background of pregnancy, due to the displacement of internal organs.
The symptoms of the disease are quite extensive. The most characteristic signs of the presence of pathology include:
- heartburn, especially at night and in the morning;
- strong salivation ;
- belching with a bitter taste;
- pain in the epigastric region;
- nausea, up to vomiting;
- pain when swallowing food;
- caries and stomatitis;
- hoarseness and unproductive cough.
If you suffer from respiratory diseases, caries is present, then this is also a reason to contact a gastroenterologist.
If the disease is mild, without complications, then the treatment consists of correcting nutrition and getting rid of bad habits. During an exacerbation, drug therapy is connected. No more than 1% of all patients are decided on surgical intervention.
The general principles of a diet for esophagitis completely overlap with the rules of a healthy diet and consist of:
- Cancellation alkogolesoderzhaschih beverages;
- getting rid of obesity;
- cessation of smoking ;
- refusal from any drinks with gas;
- night snacks are prohibited;
- compliance with the drinking regime;
- a ban on taking a horizontal position after eating.
In addition, it is necessary to adhere to fractional nutrition and eat at least 4 times throughout the day. Food should be predominantly liquid and finely ground. In no case should you eat fried foods. It is unacceptable to starve; at the slightest feeling of hunger, you should immediately have a snack. All food must enter the body warm.
It is recommended to drink a glass of water before each meal in order to reduce the concentration of hydrochloric acid to a minimum. In no case should you go to bed after the end of the meal, it is best to walk a little. Eat slowly and chew everything thoroughly. The meal should not flow near the TV or computer, during the conversation.
If the disease is at the stage of exacerbation, then tight and tight clothing is prohibited.
The energy value of the diet is 2200-2500 kcal.
Why you need a diet for reflux esophagitis
Diet with esophagitis is designed to alleviate the patient’s condition and eliminate symptoms. In the early stages, it can even completely rid the patient of pathology.
During an exacerbation, a diet table number 1A according to Pevzner is prescribed. It is strict, but if it is observed, the symptoms disappear very quickly. After improvement of the patient’s condition, the patient was transferred to diet No. 1B. It is more extensive and nutritious.
If the disease has become chronic, then periodically you will have to adhere to a diet, give up junk food and regularly undergo medical examinations, spa treatment in order to avoid the development of more serious diseases.
Reflux esophagitis in a neglected form is fraught with the development of an erosive form, which is quite difficult to detect even with a thorough medical examination.
Diet therapy for exacerbation
The acute form of the disease is characterized by severe pain in the esophagus during the passage of food through it. As a rule, the disease is accompanied by other stomach pathologies. During an exacerbation, the body temperature may even rise, pain in the neck may appear, during swallowing. During this period, diet number 1A is prescribed.
The main purpose of nutrition is to reduce stomach irritability, irritation and inflammation. Food is prepared in the most gentle way possible. That is, all dishes are served to the patient only in a mushy form. The amount of food for each meal is limited, and the number of meals, on the contrary, is increased up to 6 times.
Fats and proteins in the diet are reduced to the lowest possible physiological norm. Salt is excluded or limited as much as carbohydrates. The nutritional value of the diet does not exceed 1900 kcal. Fat per day should not exceed 90 g, carbohydrates up to 200 g, proteins up to 80 g.
Recommended for use semolina mucous porridge, chicken in the form of mashed potatoes, steam soufflé from meat. Eggs are possible, but always in the form of an omelet or soft-boiled, and no more than 2 pieces throughout the day. Creamy, vegetable oil can only be added to food, it is forbidden to use it in its pure form.
Dishes from cereals are possible, but it is better to cook them in milk, only barley porridge is banned. You can make desserts, juices from berries and fruits, but be sure to dilute them with water in a 1: 1 ratio.
Any bakery products and bread are completely banned, fried foods, spicy and fatty foods, snacks, spirits, especially alcohol, are prohibited. Sauces, spices, vegetable juices and dishes are banned.
Despite the fact that esophagitis is associated with the stomach, the patient is still allowed a lot of food. The diet is based on food that acts like an alkali, namely:
- boiled soups with cereals;
- fish and meat soufflé;
- dairy and vegetable soups;
- fish, low-fat varieties, for example, carp, pike perch or hake;
- from meat you can turkey, chicken and beef;
- White bread;
- apples and pears;
- boiled potatoes, cooked in the oven;
- egg omelet, souffle;
- carrots, beets;
- vegetables in the form of porridge;
- dairy products, but always with low fat content, namely yogurt, milk and kefir.
Any spices and salt are minimized. From drinks allowed jelly, tea, always with the addition of milk, a decoction of rose hips, compotes, herbal infusions. It is recommended to drink mineral water, which helps to reduce stomach acidity.
Fully or partially limited products
First of all, if you have this type of disease, you will have to give up any fried foods. You cannot eat fresh baked goods and bread. Sour fruits, namely citrus fruits, pineapple and kiwi, are banned. From vegetables, you should not eat those that cause increased gas production:
The ban includes salty and pickled dishes, dairy products. Jam and honey, purchased sauces and juices, nuts are prohibited. There can be no question of drinking carbonated drinks and drinks with caffeine, fast food . You can not eat garlic, legumes.
If there is a strong feeling of hunger, then you should immediately eat a sweet fruit, for example, an apple or a pear. In just 10 minutes, the unpleasant symptoms of heartburn and nausea should go away.
After the onset of remission, the introduction of some prohibited products is allowed, but in limited quantities.
Reflux esophagitis menu. Diet
Despite the strict restrictions, the diet is not that difficult to formulate. The menu can be as follows:
|Breakfast||Oatmeal porridge, rosehip decoction|
|Dinner||Fish soufflé, soup with any well-boiled cereal|
|Afternoon snack||An Apple|
|Dinner||Grated carrots, boiled rice|
|one||Mashed potatoes, milk tea|
|3||Grated buckwheat porridge, meat souffle|
|five||Milk oatmeal, fruit juice, diluted with water|
|one||Steam omelet, fruit compote|
|3||Slimy soup with cereals, fish soufflé|
|five||Boiled fish and crushed to a mushy state|
|one||Boiled semolina porridge, rosehip decoction|
|2||Soft-boiled eggs, tea|
|five||Soufflé with steamed meat, jelly|
|one||Grated buckwheat, tea with milk|
|2||Milk with honey|
|3||Grated boiled beef, oatmeal|
|five||Boiled zucchini, turkey souffle|
|one||Soft-boiled 2 eggs, milk with honey|
|3||Oatmeal soup, carp soufflé|
|4||Baked apples with honey|
|five||Meat pate, pasta, milk tea|
|one||Oatmeal, berry compote|
|2||Milk with honey|
|3||Meat broth, buckwheat porridge|
Naturally, this is an approximate diet that does not take into account the individual characteristics of the patient. Ideally, the diet should be compiled by a doctor.
It should also be remembered that the treatment of reflux esophagitis is a lengthy procedure that requires the patient to strictly follow all the recommendations of the attending physician. The patient’s diet should be thought out for a whole week. If the condition worsens, you should immediately consult a doctor for help. In the absence of proper treatment and non-compliance with the diet, the condition will only worsen, provoking the emergence of new, more serious gastrointestinal diseases.