Can adults eat baby food with gastritis? Proper nutrition of children with gastritis - what is possible and what is not? Oils and fats

An unbalanced diet and a violation of the regimen are the most common causes of gastritis. In recent years, the disease is increasingly common among schoolchildren and preschoolers.

A properly composed diet menu for gastritis in children will prevent exacerbation.

In addition, it will help to instill in the child a love of healthy food.

Diet Basics

In childhood, the main method of treating gastritis is diet therapy. Compliance with the nutrition prescribed by the doctor will avoid the development of chronic gastritis and quickly eliminate the acute form of this disease. As a rule, the main difficulty in treatment is to convince the child that some of his favorite foods must be abandoned. Sweet soda, chocolate bars, chips and fast food are consumed by many children almost daily. There is no place for products of this kind in the diet menu for children with gastritis, so try to initially set the child up for the fact that such food can seriously harm his health.

The next important point of diet therapy for gastritis is strict adherence to the diet. A child with such a diagnosis should eat at the same time every day, and not only during an exacerbation of the disease. The number of meals per day is 5 times, including two breakfasts, lunch, afternoon tea and dinner. The break between meals should not exceed more than 3-4 hours. When compiling a diet menu for children with gastritis, gastroenterologists draw the attention of parents to the fact that all food prepared for patients must necessarily consist of fresh products. The method of cooking is also important: steam treatment or stewing over low heat, baking in the oven without oil is recommended.

In addition, with gastritis, it is unacceptable to use additives such as sugar, flavors and artificial flavor enhancers, spicy seasonings, and refined foods. The diet for gastritis in children also provides for the inclusion of food that has a beneficial effect on the gastrointestinal mucosa. Mucous cereals with milk or cream (rice, buckwheat and barley, oatmeal or semolina) are included in this group. The liquid consistency of such dishes gently envelops the walls of the stomach, protecting it from aggressive influences. Also among the useful products for gastritis include:

• Zucchini;
• Potato;
• Carrot;
• Cauliflower;
• Beet.

Vegetables on the diet menu for gastritis in children can take on a different look: they can be served as a side dish, added to soups, and also mashed. However, the bulk of the diet should still be raw (raw) vegetables. With exacerbation of gastritis, they should be replaced with more gentle food.

Prohibited Products

From year to year, treating children's gastritis, doctors continue to learn amazing facts about this disease, which helps to optimize the process of treating young patients. So it has long been known which products should be categorically abandoned in acute and chronic gastritis:

• Canned food, marinades and pickles;
• Fried and fatty foods;
• Sausage;
• Coffee and strong tea;
• Bakery and confectionery;
• beans;
• Lemonade and packaged juices;
• Fast food and snacks;
• Citrus fruits and sour berries (cranberries, sea buckthorn, currants);
• Radishes, radishes, white cabbage and spinach.

Menu for gastritis

• Breakfast: tea with milk, a steam omelet from 2 eggs and a dried piece of black bread;
• Second breakfast: oatmeal in milk with butter, a glass of cocoa;
• Lunch: vegetable broth soup, steamed chicken meatballs and boiled pasta, tea;
• Snack: cottage cheese with fruits;
• Dinner: a portion of stewed vegetables, boiled chicken breast and a slice of yesterday's bread.

Menu for chronic gastritis

• Breakfast: buckwheat porridge with milk, green tea;
• Second breakfast: soft-boiled egg, a slice of bread and cocoa;
• Lunch: soup with meatballs, boiled chicken with rice;
• Afternoon snack: a glass of kefir and a cracker;
• Dinner: pancakes with cottage cheese and sour cream, tea or jelly.

Prevention of gastritis

In order not to have to adhere to the diet menu for gastritis in children for a long time, try to prevent the development of a chronic form of the disease. For this, the patient needs

General rules

V modern conditions diseases of the gastrointestinal tract, which were characteristic only for adults, began to be observed in children. Often the onset of the disease occurs in preschool age. It is not uncommon for children gastritis, esophagitis and duodenitis and the number of children suffering from them has increased. If earlier erosive esophagitis was considered an “adult” disease and not typical for children, now it is often diagnosed in schoolchildren and preschoolers. An important feature of gastrointestinal diseases in children is the combined nature, when several sections of the digestive tract are involved in the process.

Acute gastritis, which is associated with the use of low-quality products, poisoning with household fluids (often in children under one year of age with the accidental intake of various detergents), proceeds rapidly, does not go unnoticed and often requires hospitalization. A feature of chronic diseases of the stomach in children is the low-symptomatic and erased nature of the course, and this complicates their diagnosis.

The reasons for the chronization of the process are:

• Unhealthy diet and wrong eating habits. Often the proportion of fast food in the children's diet increases. Families do not always pay due attention to healthy eating. If you offer a child a bowl of soup and a burger, then his choice will fall on the latter. A child from an early age is accustomed to food with a high content of flavor enhancers, fats, sugar: carbonated drinks, juices with preservatives, sausages, semi-finished products, cream cakes, long-term storage confectionery. All these products adversely affect the condition of the gastric mucosa.
• Violation of the diet, which is very important for the harmonious functioning of the digestive system. Eating at the same time teaches the digestive organs to work out a certain rhythm of the secretion of enzymes, juices, work synchronously and digest food with high quality. In the absence of a regimen, the digestive system cannot fully cope with the incoming products, especially if it is loaded with fried or fatty foods.
• Helicobacter pylori infection. It is generally accepted that this infection predisposes to chronic inflammatory process. The bacterium is detected in children up to a year and older. Infection of children occurs from parents, and treatment requires the mandatory appointment of anti-Helicobacter therapy.
• Stress and anxiety, anxiety, overload at school and lack of sleep.
• Hormonal changes during puberty.

At gastritis the child has pain in the upper abdomen. Young children cannot indicate the location of the pain, more often they characterize their condition as “a stomach ache”. In some children, this symptom is not very pronounced, and nausea, poor appetite and vomiting predominate.

Older children may complain about heartburn, belching sour or with an unpleasant aftertaste. There may be general weakness and drowsiness and indigestion (diarrhea, bloating). In a chronic course, it develops avitaminosis.

Treatment of chronic gastritis and gastroduodenitis includes taking antacids, anti-helicobacter and antisecretory drugs. Nutritional treatment for gastritis in children is referred to as the main method of rehabilitation.

Baby food should be clearly organized:

• Eating on a fixed schedule.
• The use of only fresh and natural products prepared at home or at the catering unit of the kindergarten.
• Cooking food in accordance with the principles of dietetics. It is advisable for this disease to cook in the form of boiling, stewing and steaming, according to indications - in a pureed form. This provides mechanical and chemical sparing of the mucosa.
• Diversify the diet - include products of animal and vegetable origin so that the child receives all the necessary components.
• Establishing a daily routine - lessons, additional circles, rest and games in the air.
• Use a minimum of salt and sugar in cooking.
• Exclusion from the diet of sweet fruit waters, fast food, sweets, chocolate, sweets, semi-finished products, black bread, smoked meats, fatty and spicy foods, mushrooms, coffee, cocoa, sauces, ketchup, vinegar, mayonnaise and various spices.

Food according to the composition and quantity of all components must meet the needs of the body and meet age standards. Depending on the stage of the process, diets are used in which the degree of mechanical and chemical sparing is successively reduced.

During the period of exacerbation, if there is such a need, the most sparing treatment is prescribed for children. Diet number 1A. During this period, food is given only in liquid form or mushy. The amount of food consumed at one meal is significantly reduced. Excluded the use of bread and any vegetables. Since there are significant dietary restrictions and it is not balanced, it can only be used for 3-4 days.

The child can use:

• Mucous soups (decoctions of semolina, oatmeal or rice groats) with the addition of a beaten egg, cream, butter.
• Meat, poultry and fish in the form of mashed potatoes, passed through a meat grinder several times and brought to a mushy state with boiled water.
• Milk, steamed fresh curd soufflé, cream in dishes.
• Steam omelet and soft-boiled eggs.
• Liquid pureed porridge (rice, buckwheat, oatmeal) in milk or porridge made from cereal flour with milk, butter or cream.
• Kissels from sweet berries and jelly of sweet pureed fruits.
• Diluted juices (carrot, apple, pumpkin), weak tea, herbal decoctions.

During the subsidence of manifestations gastritis appointed less sparing Diet 1B. Pureed soups and pureed milk porridges, mashed vegetables and fruits are introduced into the diet. Meat and fish dishes are enhanced with steamed quenelles and cutlets. In general, the amount of food consumed per day increases. On such food the child can be up to one month. During the period of recovery and remission, a transition to the main table is recommended, which will be discussed below.

These diets, replacing each other, are recommended to be followed from three months to 1 year. However, even an expanded version of a child’s nutrition should not contain lamb, pork, all kinds of smoked meats, canned meat, fish and vegetables, mushrooms, ready-made confectionery products with preservatives and dyes.

Approved Products

Diet for gastritis in children involves the use of:

• Lean meat and poultry. For cooking, you can take beef, veal, chicken or turkey. Mostly dishes are prepared from minced meat or minced meat - soufflé, pates, meatballs, zrazy, meatballs, dumplings. Tender meat can be offered as a piece, as well as cooked in the oven using foil.
• Soups on vegetable broths or water, to which oatmeal, semolina, buckwheat, cereals and rice are added.
• Soups can be wiped or not, finely chopped vegetables can be added to them. To improve the taste, the first courses are flavored with cream, a beaten egg and butter are added, meatballs or rolled boiled meat are added.
• Fish in the form of steamed or stewed chopped products: meatballs, meatballs, dumplings, lumpy fish. For cooking, I use low-fat dietary fish (pike, pike perch, hake, cod, pollock, pollock, ice, blue whiting).
• Potatoes, young green peas, carrots, zucchini, pumpkins - they are prepared in the form of mashed potatoes with the addition of cream and butter.
• Dried wheat bread, white bread crackers, lean pastries with cottage cheese or apples.
• Homemade sauces - milk, sour cream or cream.
• Groats and flour from buckwheat, oatmeal, semolina, rice, from which porridge is prepared with milk or water, depending on the preference of the child.
• Milk, non-sour semi-liquid cottage cheese, cottage cheese soufflé, milk jelly. The child can drink warm milk if well tolerated.
• Soft-boiled eggs or steam omelette.
• Berry jelly and jelly, baked apples, which after cooking can be watered with honey.
• Butter.
• Weak tea with milk, diluted berry juices, carrot and pumpkin juice.

Table of allowed products

Wholly or partially restricted products

An exception is needed:

• Millet, pearl barley, corn barley, groats, because they are coarse and difficult to digest.
• Broths, animal fats, fried foods, fatty meats, sausages, pickled and pickled vegetables, smoked meats, rough meats and rough vegetables, mushrooms.
• Irritating foods (onion, garlic, ginger, radish, radish), legumes and cabbage, which contain a lot of fiber and cause bloating.
• Sour-milk drinks, acidic undiluted juices that can irritate the mucous membranes.
• Drinks with gas, cocoa, kvass, strong tea.
• Peppers and spices, hot sauces, ketchup, mayonnaise, vinegar as part of dishes.

Table of prohibited products

* data are per 100 g of product

Nutrition menu for gastritis in children (Diet)

The basis of the diet, depending on the severity of the exacerbation and the recommendations of the doctor, is not pureed or pureed dishes: cereals, soups, meat and fish. With gastritis, you can often cook milk soups and cereals if the child has previously eaten dairy dishes well.

You can steam soufflé (meat or fish), omelettes, puddings, egg porridge, sauces. Dairy products and egg dishes are preferred because their protein is easier to digest.

Eggs and cottage cheese can be entered into the menu every day. For constant nutrition during the remission period, a child can cook steamed or stewed meat and fish dumplings, meatballs, soufflés and zrazy (with mashed potatoes). Fish or meat dishes should be consumed twice a day.

Pros and cons

Reviews and results

For children who have been diagnosed gastritis, dietary nutrition is of great importance in the treatment of the disease. Feedback from parents testifies to its necessity and effectiveness. The main table can be performed for a long time, since it includes the required amount of proteins, fats and complex carbohydrates. Parents should choose recipes for those dietary dishes that are more acceptable to their child, taking into account his preferences.

The only difficulty is the lack of factory-made confectionery products in the diet, which contain trans fats, preservatives, flavor enhancers and food coloring. You can replace them with homemade low-fat pastries: biscuits, cookies, muffins, at least they will not contain chemicals.

• “... A child at the age of 4 began to be disturbed by vomiting and poor appetite. Whatever he eats - nausea, and then vomiting. They examined the stomach, did an ultrasound scan - the liver and pancreas were enlarged. Until stopped on gastritis. Before that, my daughter did not eat sausage, mayonnaise, cookies with dyes and chocolate. I can say that I cooked for her separately by 70%. The food was almost dietary: soups, porridge 2 times a day, boiled meat, purchased purified water, curds and juices for baby food. Walks in Kindergarten- there is food for children. Ate sweets, but within reasonable limits. I have no idea why this happened. Until the age of 8, every spring and autumn she was in the hospital, where there was a strict diet and medication. At home all these years I cooked in a double boiler. For the past two years, nothing has bothered her”;
• “... My daughter, 9 years old, was diagnosed with chronic gastritis of the proximal part of the stomach for FGDS. They did a test for Helicobacter - several times higher than the norm. Immediately prescribed Diet No. 5 and treatment for 2 weeks. I began to use a slow cooker, in which I immediately stewed vegetables, chicken or turkey, cooked omelettes, biscuits. Soups were cooked in the usual way. After 2 weeks, the condition improved significantly - there was no nausea and pain, and appetite also improved. When repeating the tests for bacteria, the response was within the normal range. The diet was followed for 2 months. Now the doctor recommends a more sparing diet in the autumn-spring period, if there is pain, then take De-nol and Lansoprozol. Everything must be done, since the child is only 9 years old and his whole life is ahead of him”;
• “... Stomach problems began with my son in the fifth grade, when the workload increased, and he had to stay at school for up to three hours. At school, food in the buffet is dry, he does not want to take food with him. Even if I took it, it's still not soups or warm cereals. Eating badly in the morning too. The doctor said correctly when he recommended dietary nutrition. On those days when the son is at home (holidays or vacations), he manages to eat right and follow the regime, and improvement is immediately noted. It is also important that he rests, sleeps well and is not in a hurry. He enjoys eating milk porridge, cottage cheese casseroles, cheesecakes in a slow cooker and soufflé. I make steam cutlets, but I prepare bechamel or sour cream sauce for them - this significantly improves the taste. I cook soups in water and do not fry. During this period, the whole family adheres to proper nutrition.

Diet price

This food is affordable in terms of food content and not very expensive. The cost of a weekly diet is 1500-1600 rubles.

NOTE! Information about diets on the site is a general reference, collected from publicly available sources and cannot serve as a basis for making a decision on their use. Before using the diet, be sure to consult a dietitian.

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

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

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

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

The decisive role can be played by:

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

Acute or chronic form?

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

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

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

Violation of the acid-forming function

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

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

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

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

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

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

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

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

Diet tables according to Pevzner

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

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

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

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

Diet Basics

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

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

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

Diet for acute gastritis

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

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

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

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

Sample menu for diet No. 1a

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

Diet at the stage of unstable recovery

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

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

Sample menu for diet No. 1b

Diet for chronic gastritis

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

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

Sample menu for diet number 1

Diet for gastritis with low acidity

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

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

Sample menu for diet number 2

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

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

Nutrition for acute gastritis (OG)

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

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

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

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

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

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

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

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

Nutrition for chronic gastritis (XT)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

During the period of exacerbation of chronic hepatitis with normal or increased secretory function of the stomach in the first week, the child is given food 6-8 times a day, slightly reducing its total volume and set of products. The basis of the diet at the beginning of an exacerbation of chronic hepatitis is milk, the volume of which increases to 1 liter per day.

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

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

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

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

Below are exemplary one-day menus for children with CG with normal or increased secretory function of the stomach during an exacerbation (diet No. 16; Table 20) and without an exacerbation (diet No. 1 pureed and No. 1 non-purified; Table 21).

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

Table 21. Approximate one-day menu for a child suffering from chronic gastritis with normal or increased secretion or peptic ulcer of the stomach or duodenum, in the stage of fading exacerbation (wipe diet No. 1) and in the period without exacerbation (wipe diet No. 1)

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

V.G. Liflyandsky, V.V. Zakrevsky

Parents often cannot understand what is happening to their child. He eats poorly, constantly complains of pain, irritable. Therefore, at the first signs of gastritis, you need to go to the doctor. Gastritis can occur even in children of two years of age. However, most often it occurs in children 5-6 years old and 9-12 years old. The most common causes of gastritis are allergies, constant stress, infection and malnutrition. Since the digestive system of babies is not yet fully developed, it is not able to digest certain types of foods. In addition, low-quality products are very harmful for children, they irritate the gastric mucosa, which can cause gastritis.

Proper nutrition for gastritis in children

With gastritis, children should consume a balanced diet in small quantities. During the day, the child should eat up to six times. Snacks should not be allowed, the child should eat regularly at a certain time. You also need to make sure that the child does not overeat. During the day, the child needs to drink plenty of fluids. It is better to give preference to mineral non-carbonated water. You can read more about nutrition for gastritis in this article.

Complications of gastritis in children

1. You need to start by drawing up a daily routine for the child.
2. During the day, the child should eat 5-6 times.
3. Meals should be at room temperature. Never give your child hot or cold food.
4. Products must not contain harmful substances. The child should consume fresh and high-quality products.
5. In the child's menu, you need to include boiled foods and in the form of mashed potatoes. Such food is easier to digest, so it does not irritate the stomach. You can read more about the menu in this post.
6. It is necessary to exclude fatty, spicy and salty foods, carbonated drinks from the child's diet.
7. You need to make sure that the child chews food thoroughly. The child should eat a portion of the dish within 15-20 minutes. Be sure to read to become "proper nutrition for gastritis."

Proper nutrition for gastritis in preschool children

Menu for gastritis in children

Before compiling the menu, you need to determine the products that caused gastritis, they must be excluded from the menu. In the diet of the child, you need to include only high-quality and fresh products. Food should be light, well chopped. It is not advisable for children to give solid and rough food; it greatly irritates the gastric mucosa. Preference should be given to food that is steamed, in the oven and boiled dishes. Be sure to review the article "Therapeutic nutrition for gastritis."

What is good and what is bad for gastritis

When compiling a menu for children with gastritis, you need to include healthy foods and exclude harmful ones.

Products that need to be included in the menu of a child with gastritis:

1. Soups. It is advisable to cook them in vegetable broth. To prepare the soup, you can take cereals, fish, meat. Soup should not be greasy. For children suffering from gastritis, milk soups can be prepared.
2. Milk products. Children can be given milk, yogurt, cheese. Dairy products should be taken with a low fat content. You can also cook various cottage cheese casseroles, cook milk porridge.
3. Kashi. They must be included in the diet of children suffering from gastritis. It is necessary to give preference to oatmeal, rice and buckwheat porridge. They can be cooked in milk and add honey, dried fruits, cinnamon.
4. Fruit. You can include only licorice fruits in the child's diet. Before serving, the fruit must be peeled.
5. Vegetables. You can include potatoes, cauliflower, carrots, and beets in your child's diet. It is advisable to cook vegetables in the form of mashed potatoes. In this form, they are easier to digest and digest.
6. Meat. Only lean meats can be included in the child's diet. It can be chicken, beef, rabbit meat. From meat it is best to cook steam cutlets. Boiled meat can be served to a child only chopped.
7. Bread. You can only consume stale white bread, crackers.
8. A fish. For children, you need to take only lean fish. Fish dishes can be boiled and steamed. In no case should you include fried fish in your child's diet. You can view our special article "nutrition for gastritis recipes".

In short: “How does gastritis, stomach and intestinal ulcers appear”

Products that should not be included in the menu of a child with gastritis:

• black bread;
• meat and fish canned food;
• vegetables (white cabbage, onion, radish, garlic);
• ice cream;
• cold and carbonated drinks;
• chocolate products.

Sample menu for gastritis in children:

• Breakfast: milk porridge and cocoa.
• Second breakfast: juice from a stale bun.
• Dinner: vegetable soup and compote.
• Snack: white croutons with milk.
• Dinner: boiled fish with vegetables and cottage cheese casserole with tea.

Treatment of inflammation of the mucous membrane of the walls of the stomach, in addition to drug therapy, involves compliance proper diet, the recipes of which will protect the child from attacks of pain and will help prevent relapses of the disease.

Three principles of diet therapy

1. Everyone remembers the famous phrase of the hero of the animated series "Dunno on the Moon" Donut: "You can't break the diet!". And indeed it is. Children suffering from gastritis should receive food at a strictly defined time, and not only during an exacerbation of the disease, but always. A child needs to eat five times a day - he should have 2 light breakfasts and a full lunch, afternoon snack and dinner.
2. The freshness of products, the right recipes and the technology for their preparation is another principle that promotes the treatment of gastritis with a diet. Food for the baby should always be fresh, food prepared a few days ago is unacceptable to feed the baby. Dishes should not contain refined products and flavors of artificial origin. The latter can be successfully replaced with natural vegetables, fruits and herbs.
   The best cooking options for a disease such as acute or chronic gastritis are steaming, stewing over low heat, or cooking in the oven without crusting.
   Recipes for the preparation of soups involve the use of mucous decoctions that envelop the inner surface of the stomach. First courses can be cooked with various vegetables and cereals, using butter or cream as a dressing. The diet must necessarily include meat, soft and tender varieties of which can be boiled, hard and coarse - used for cooking steam meatballs or meatballs.
3. Diet treatment involves the inclusion in the diet of the child useful products. It can be:
   • mucous porridges - rice, barley, buckwheat and their combinations;
   • oatmeal and semolina porridge with milk or cream;
   • vegetables - carrots, zucchini, beets, cauliflower, potatoes - in the form of mashed potatoes or mashed soups.

From the menu should be completely excluded:

• canned food and marinades;
• sweets;
• coffee and strong tea;
• vegetables such as spinach, radishes, radishes, cabbage, and legumes.

Nutrition for acute gastritis

The goal of diet therapy in the diagnosis of "acute gastritis" is the maximum unloading of the stomach and sparing its inflamed mucosa. Some gastroenterologists recommend not eating at all during the first 24 hours of a flare-up, but this should not be the case for young children. Fasting treatment provides an opportunity to protect the gastric mucosa from mechanical and chemical irritants.

Also during this period, special attention should be paid to maintaining the water balance. Acute gastritis in children is often accompanied by constant nausea and vomiting, with which a large amount of fluid is excreted from the body. Therefore, in order to exclude dehydration of the child, it is necessary to solder it, observing a water-tea diet: as a drink, the baby can be given cool (but not cold!) Boiled water or weak tea. Treatment of a severe form of the disease involves the appointment of special solutions to the child.

A day later, liquid food is introduced into the child's diet, consisting of mucous soups, rubbed through a sieve or crushed with a blender. If the baby is suffering from heartburn, then you should not feed him potatoes at this time, especially in the form of mashed potatoes.

After 3-4 days, recipes for a sick child may include:

• dairy dishes;
• steam meatballs or cutlets from meat and fish;
• fruit juices.

Salty, spicy and fatty foods remain banned, food corresponds to table number 1.

Nutrition for chronic disease

When compiling a diet for children with chronic gastritis, it is necessary to take into account the acid-forming ability of the stomach: inflammation of the gastric mucosa with low and high levels of acidity is distinguished.

1. Treatment of gastritis with reduced secretion. With this diagnosis, the secretion of hydrochloric acid is reduced, and the children's stomach is not able to cope with a large amount of food. Because of this, long-digesting dishes should be completely excluded from the child’s menu, as well as:
   • raw vegetables and fruits;
   • spicy, fried and salty foods;
   • coffee and carbonated drinks;
   • preservatives.
     To exclude the appearance of hunger pains, the child should receive food in a timely manner.
     When compiling a diet, parents must necessarily use recipes that provide for the use of low-fat meat and fish dishes, the cooking methods of which are steam processing, baking without a crust, stewing.
2. Treatment of gastritis with reduced secretion. The purpose of the diet of this form of the disease is to reduce the secretion of gastric juice. At the same time, products are excluded from the diet:
   • with coarse fiber - vegetables, foods fried in vegetable oil, bread;
   • stimulating the production of hydrochloric acid - citrus fruits, black bread, spicy meat broth.
     Food should be at an average temperature of 20 to 40º.

Approximate child's diet

Sample menu for acute gastritis:

• First breakfast: steamed omelet with a slice of yesterday's bread, a glass of weak tea with milk.
• Second breakfast: Hercules porridge boiled in milk with a little butter, a cup of milk.
• Lunch: soup with egg and cauliflower in a slimy broth, steamed meatballs with vermicelli, weak tea.
• Snack: baked apple with raisins and cottage cheese.
• Dinner: carrot puree with boiled rabbit and juice.

• First breakfast: buckwheat porridge, a glass of milk.
• Second breakfast: rice cakes with fruit, biscuits with jam and a cup of cocoa.
• Lunch: soup with cereals in vegetable broth, beetroot meatballs with boiled chicken, fruit jelly.
• Afternoon snack: vegetable pudding and strawberry mousse with cookies.
• Dinner: pancakes with cottage cheese and a glass of kefir with crackers.

Sample menu for gastritis with low acidity:

• First breakfast: boiled egg, stale bread toast with jam and tea.
• Second breakfast: vegetable pancakes with liver pate, thick fruit jelly.
• Lunch: soup in a slimy broth with meat and pasta, mashed potatoes with fish cakes, cocoa.
• Afternoon snack: sandwich with butter and cheese, a glass of tea.
• Dinner: dumplings with cottage cheese and milk.

A diet for gastritis for children is an essential component of a successful fight against the disease, but before organizing proper nutrition, it is necessary to conduct a complete examination of the child and coordinate the treatment and all recipes for the children's menu with a gastroenterologist.

Useful video about gastritis in children

The appearance of gastritis in children always alarms parents, forcing them to look for the causes of such violations in the work of a young organism. Since with acute gastritis, many children are deprived of the opportunity to take pharmaceutical medicines, dietary nutrition remains the only way out for healing. What is the diet for gastritis in children, and what foods are mostly included in it? We tell.

Causes of gastritis at a young age

Baby food for gastritis should be balanced, but it is not recommended to ignore healthy foods before that. The thing is that poor nutrition and the lack of healthy foods in the diet are one of the most common causes of the development of this disease at a young age.

Among the most popular reasons for the appearance of this diagnosis are the following:

• hereditary predisposition;
• frequent emotional and physical stress;
• infections caused by the vital activity of the bacteria Helicobacter pylori;
• eating dry food or long intervals between meals.

It is necessary to feed the child not only balanced, but also often, while not making too large portions and giving preference to fractional nutrition. Doctors recommend monitoring how the baby eats, since eating food without washing it down with liquid, poor chewing of food - all this invariably leads to alarming symptoms.

Frequent stress can also cause the development of the disease. The child's body is extremely sensitive to any external influence, therefore, large intellectual loads, constant emotional instability will eventually lead to a weakening of the immune system and disorders.

As a result, the baby in early childhood will face such an unpleasant diagnosis as gastritis, and parents will be shocked by the need for treatment.

It is important to understand that ignoring the symptoms of the disease is not an option. The fact is that the disease, even at such a young age, can progress rapidly, and the acute stage easily turns into a chronic one. In addition, gastritis is an incentive for the development of such serious diseases as an ulcer.

The sooner adults develop a suitable nutritional model for the child, the sooner they will eventually be able to defeat the disease.

Principles of therapeutic nutrition

The diet for gastritis for children should not only be balanced, but also comply with certain rules. For example, food is recommended to be served only warm, as excessively cold or, conversely, too hot food can irritate the intestinal walls, worsening overall well-being.

Portions should not be large, while the child must carefully chew all incoming food. If he does not chew it, increased gas formation will also be added to the unpleasant symptoms of gastritis.

In acute gastritis, the diet is as limited as possible, it is mainly mashed vegetables and cereals on the water. At the same time, the child should drink enough water, on average up to two liters per day, which usually facilitates overall well-being.

Doctors note that if the diet is followed, the acute stage is quickly replaced by chronic or ordinary gastritis, and this implies relaxation in the diet.

What should a child eat to make anxiety symptoms disappear?

1. For breakfast, you can feed your baby an omelette or mashed vegetables.
2. For a second breakfast - oatmeal or buckwheat porridge with cream.
3. For lunch, you can eat meat or fish puree, pureed vegetables, broths, but not fatty ones.
4. For dinner, fish or mashed meat is consumed along with vegetable puree or a side dish of cereals.
5. In the evening, you can give your child a glass of kefir or low-fat milk.

Thus, mashed vegetables, non-acidic fruits and pureed meat become the basis of the diet. Moreover, the meat should be boiled, but not fried. Doctors recommend eating food slowly, chewing it thoroughly, so as not to face a sharp deterioration in overall well-being.

It is recommended to pay attention to the type of gastritis. The products listed above are most suitable for gastritis with high acidity. If a child has low acidity, he should eat the following foods:

• cottage cheese and kefir;
• baked apples;
• soups in meat broth with the addition of vermicelli;
• mashed potatoes;
• steamed fish and meat cutlets;
• you can also eat white bread crackers;
• some vegetables, such as sweet peppers and cucumbers, are also allowed.

The listed diets are suitable for both a nursing mother and a baby at any age. We must not forget about the individual characteristics of the body: if after eating some products the state of health worsens, they should be removed from the diet.

A diet for gastritis in a child must be observed as strictly as possible, while not forgetting the list of prohibited foods. It is quite wide, and usually doctors include the following products in it:

It is important to understand that the child's body is extremely weakened, and the digestive system functions with difficulty. That is why, giving preference to heavy meals, parents can harm the overall well-being of the child.

An unbalanced diet leads to severe abdominal pain, progression of symptoms, constipation and general weakness of the body. For a child with gastritis, you need to choose healthy and as light products as possible, which are also saturated with vitamins. At the acute stage of the development of the disease, no relief is allowed. They are also unacceptable during exacerbation of a chronic disease.

If gastritis has just begun to appear and the parents noticed the symptoms in time, occasionally you can let the child eat something “harmful”.

To make it easier for a child to refuse a variety of harmful goodies, doctors recommend that the whole family switch to the right diet. From sweets, the baby sometimes smears natural marmalade, as well as dried fruits. You can please him with homemade sweet drinks, for example, jelly and non-sour compotes.

It is quite difficult to introduce restrictions into the life of a child at a young age, but in the case of gastritis, we are talking about his normal future. The disease, which manifested itself so early, will not disappear anywhere. This means that the more often the child eats mashed potatoes and allowed foods, the better he feels in the end.