Can adults eat baby food with gastritis? Proper nutrition of children with gastritis - what is possible and what is not? The child has gastritis what can I eat.

The leading complaint of babies is pain in the abdomen. In most cases, discomfort causes gastritis in children. Symptoms and treatment should be discussed with the pediatrician. It is very dangerous to fight the disease on your own. Indeed, sometimes the disease is the initial stage of an ulcer. Only a doctor can conclude whether the damage to the gastric mucosa is superficial or massive.

Doctors, carefully examining gastritis in children, its symptoms and treatment, have selected many modern methods to cope with the disease. But only if the little patient will strictly comply with all prescribed appointments.

Causes of gastritis

Most people believe that the only culprit of the disease is malnutrition. However, the causes of gastritis in children are very diverse and lie not only in dry snacks. Consider those that in most cases lead to the development of the disease.

Types of gastritis

The disease is classified according to various criteria. Today, medicine distinguishes many varieties of such a disease as gastritis in children. The symptoms and treatment of each form differ accordingly. That is why it is quite important to consult a doctor if you suspect the development of an ailment.

In the course of the disease, gastritis is:

Acute. Typical shape. It has pronounced symptoms. It provokes its occurrence with the wrong food, drugs, chemicals or mechanical damage. A bacterial source cannot be ruled out. As a rule, it always begins with the acute phase of the development of such an ailment as gastritis. Symptoms, treatment in children, ignored or misinterpreted, lead to the development of a chronic form. Such a transition can also provoke incorrect methods of dealing with the disease. An untreated disease also entails a more serious stage.
Chronic. The form in which the course of the disease occurs almost asymptomatically. At the same time, chronic gastritis in children is characterized by morphological changes in the mucosa. Gradually, the regenerative ability of cells is lost. This leads to atrophy. The normal composition of hydrochloric acid, pepsins is disturbed. This immediately affects digestion.
atrophic. Chronic gastritis in children, long time untreated, goes to the next stage. The atrophic form has no acute stages. It is, however, quite dangerous. The walls of the stomach become thinner and cease to regenerate. Soon the body may stop digesting food altogether.

According to acidity, gastritis is distinguished:

with increased;
with reduced;
saved.

Symptoms of an acute form of gastritis

The signs that characterize the disease are very multifaceted. Among them are common, accompanying in children. However, there are specific signs that indicate the development of a particular form.

The acute stage is characterized by:

Pain in the abdomen. It can be observed as paroxysmal, sharp form, and constant, dull. Feeling worse on an empty stomach.
Heartburn, sometimes acid belching after eating.
Nausea, often vomiting. The masses have a sour taste and smell. In some cases, the baby vomits bile.
Dry mouth or increased salivation.
Defecation disorder. May present as constipation or diarrhea.
Weakness of the body, accompanied by dizziness and pain.
Sweating, fever.
Decreased blood pressure and increased heart rate.

General symptoms of the chronic form

As previously noted, a neglected disease acquires such a stage. Sometimes signs of development of this form are not very pronounced. Therefore, it is very important to carefully consider all manifestations.

In general, if the following is suspected in children:

After eating (within 20 minutes) there is a slight dull pain.
Lack of appetite, after eating, nausea occurs, a feeling of bloating or fullness appears.
Belching accompanied by a putrid odor.
Unpleasant taste in the mouth.
Chair disorder. The child suffers from constipation and diarrhea.
The surface of the tongue is covered with a gray coating.
Anemia is diagnosed by a blood test.
Hair becomes brittle, dry, nails begin to exfoliate.
There is a general weakness. Often it is accompanied by increased drowsiness. Unreasonable irritability appears.
Possible weight loss.

Treatment of gastritis

If the disease is caused by the bacterium Helicobacter pylori, then they begin with the elimination of the infection from the body. Before treating gastritis in children, the doctor will prescribe tests and recommend an examination. This will make it possible to establish the type, form of the disease. Therefore, to choose a set of effective measures to combat the disease.

When wondering how to treat gastritis in children, it should be understood that the basis of all methods is dietary nutrition. However, depending on the species, the acidity of the diet will vary.

For the stage of exacerbation is required. In some cases, this method manages to overcome all the accompanying gastritis symptoms. Treatment in children occurs even without the connection of medications. The dietary table simply makes it possible to "rest" the stomach and restore the mucous walls.

Physiotherapy is often connected to the correct one, special mineral waters are prescribed. If necessary, treatment is supplemented with enzyme preparations, antispasmodics. Their action is aimed at correcting vegetative disorders. Sedative therapy may be used.

Diet principles

Children should be based on the observance of certain rules.

Regime diet. The child should eat 5 times a day. At the same time, it is important that the baby receives food strictly according to the schedule.
Products and processing methods. All food offered to the child must be freshly prepared. All artificial additives, refined foods, sugar should be excluded from the diet. The most preferred processing methods are stewing, steaming and baking in the oven (without crust).
Healthy foods. If acute gastritis is diagnosed in children, symptoms and treatment require a sparing diet. Preference is given to "mucilaginous" porridges. This is rice, barley, buckwheat. Semolina, oatmeal are also suitable. Excluded in the acute stage raw vegetables and fruits. For any form of the course of the disease, it is forbidden to include canned food, fried foods, coffee, sweet teas in the diet. The following products are excluded from the child's menu: radish, white cabbage, spinach, radish, legumes.

Features of the diet in acute form

At this stage, the baby may experience dehydration as a result of vomiting. Therefore, it is very important to solder the child. The first 6-12 hours a small patient should receive only water and tea drinks. No juice!

Further nutrition for gastritis in children involves the inclusion of various soups ("mucous"). They must be ground with a blender. In the presence of heartburn, potatoes should be excluded.

After 3-4 days, the diet can be varied with steamed meat dishes - cutlets, meatballs. It is allowed to enter boiled fish in the menu.

On the 4-5th day, dairy food is connected. The child is allowed fruit juices.

Approximate diet

After recovery, the child is assigned table number 1. Below is an approximate diet for gastritis in children.

Breakfast. Weak tea, you can with milk. Steamed omelette with a slice of yesterday's bread (white).
Lunch. Rice (oatmeal) milk porridge. It is allowed to add butter - 0.5 teaspoon. A glass of cocoa or milk.
Dinner. "Slimy" soup with vegetables. An egg is added if desired. Cutlets (meatballs) are exclusively steam. Small pasta. The food is washed down with weak tea.
afternoon tea. Curd with fruit.
Dinner. Chopped vegetables, rubbed through a sieve. Boiled chicken with a slice of yesterday's bread.

Diet for chronic gastritis with low acidity

The diet is signed by the doctor, usually for a week. If children with then the following diet is recommended.

Breakfast. Buckwheat porridge, tea (not strong) with milk.
Lunch. Boiled (stewed) vegetables. Rice cutlets with fruits. Cocoa.
Dinner. Cereal soup on a "slimy" broth. Stewed meat with vegetables. Kissel.
afternoon tea. Unsweetened cookies with a glass of yogurt.
Dinner. Pancakes with cottage cheese or meat. Kissel (tea).

Approximate diet for high acidity

It should be understood that the diet for gastritis in children is compiled by the attending physician based on the diagnosis. Below is an approximate diet for reference.

Breakfast. "Slimy" porridge. Tea.
Lunch. Soft boiled egg. Fritters vegetable or steam cutlets.
Dinner. Soup "slimy". Veal boiled with vegetables. Kissel or compote.
afternoon tea. Sandwich with jam (cheese). A glass of milk.
Dinner. Vareniki (pancakes) stuffed. Tea.

Conclusion

It is unpleasant, but not fatal, if gastritis is diagnosed in children. Symptoms and treatment require only an integrated approach. In addition to drugs, the child needs strict adherence to dietary nutrition. This will save the baby from pain attacks and will contribute to a speedy recovery.

General rules

In modern conditions, diseases of the gastrointestinal tract, which were characteristic only for adults, began to be observed in children. The onset of the disease often 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 old with 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 specific gravity fast food in the children's diet is increasing. Families do not always pay due attention to healthy eating. Offering a bowl of soup and a burger to a child will choice will fall for the last one. 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 a 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.
Changes hormonal background 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 kindergarten's food unit.
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 dishes, 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 expanded with steam 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

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
zucchini	0,6	0,3	4,6	24
cauliflower	2,5	0,3	5,4	30
potato	2,0	0,4	18,1	80
carrot	1,3	0,1	6,9	32
beet	1,5	0,1	8,8	40
pumpkin	1,3	0,3	7,7	28
Fruit
apricots	0,9	0,1	10,8	41
bananas	1,5	0,2	21,8	95
nectarine	0,9	0,2	11,8	48
peaches	0,9	0,1	11,3	46
apples	0,4	0,4	9,8	47
Berries
Strawberry	0,8	0,4	7,5	41
raspberries	0,8	0,5	8,3	46
Cereals and cereals
buckwheat (unground)	12,6	3,3	62,1	313
semolina	10,3	1,0	73,3	328
oat flakes	11,9	7,2	69,3	366
white rice	6,7	0,7	78,9	344
Flour and pasta
noodles	12,0	3,7	60,1	322
Bakery products
white bread crumbs	11,2	1,4	72,2	331
Confectionery
jam	0,3	0,2	63,0	263
jelly	2,7	0,0	17,9	79
marshmallow	0,8	0,0	78,5	304
meringues	2,6	20,8	60,5	440
paste	0,5	0,0	80,8	310
maria cookies	8,7	8,8	70,9	400
Raw materials and seasonings
honey	0,8	0,0	81,5	329
sugar	0,0	0,0	99,7	398
milk sauce	2,0	7,1	5,2	84
Milk products
milk	3,2	3,6	4,8	64
cream	2,8	20,0	3,7	205
sour cream	2,8	20,0	3,2	206
curdled milk	2,9	2,5	4,1	53
Cheese and cottage cheese
cottage cheese	17,2	5,0	1,8	121
Meat products
boiled beef	25,8	16,8	0,0	254
beef liver	17,4	3,1	0,0	98
boiled beef tongue	23,9	15,0	0,0	231
boiled veal	30,7	0,9	0,0	131
rabbit	21,0	8,0	0,0	156
Bird
boiled chicken	25,2	7,4	0,0	170
Turkey	19,2	0,7	0,0	84
Eggs
chicken eggs	12,7	10,9	0,7	157
Oils and fats
butter	0,5	82,5	0,8	748
ghee	0,2	99,0	0,0	892
Soft drinks
mineral water	0,0	0,0	0,0	-
coffee with milk and sugar	0,7	1,0	11,2	58
black tea with milk and sugar	0,7	0,8	8,2	43
Juices and compotes
apricot juice	0,9	0,1	9,0	38
carrot juice	1,1	0,1	6,4	28
pumpkin juice	0,0	0,0	9,0	38

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.
Irritant foods (onion, garlic, ginger, radish, radish), legumes and white 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

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
legume vegetables	9,1	1,6	27,0	168
swede	1,2	0,1	7,7	37
cabbage	1,8	0,1	4,7	27
sauerkraut	1,8	0,1	4,4	19
green onion	1,3	0,0	4,6	19
onion	1,4	0,0	10,4	41
cucumbers	0,8	0,1	2,8	15
canned cucumbers	2,8	0,0	1,3	16
white radish	1,4	0,0	4,1	21
turnip	1,5	0,1	6,2	30
canned tomatoes	1,1	0,1	3,5	20
horseradish	3,2	0,4	10,5	56
spinach	2,9	0,3	2,0	22
sorrel	1,5	0,3	2,9	19
Mushrooms
mushrooms	3,5	2,0	2,5	30
Cereals and cereals
corn grits	8,3	1,2	75,0	337
pearl barley	9,3	1,1	73,7	320
millet groats	11,5	3,3	69,3	348
barley grits	10,4	1,3	66,3	324
Confectionery
candy	4,3	19,8	67,5	453
Ice cream
ice cream	3,7	6,9	22,1	189
Cakes
cake	4,4	23,4	45,2	407
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
ginger	1,8	0,8	15,8	80
ketchup	1,8	1,0	22,2	93
mayonnaise	2,4	67,0	3,9	627
ground black pepper	10,4	3,3	38,7	251
chilli	2,0	0,2	9,5	40
Milk products
kefir	3,4	2,0	4,7	51
Meat products
pork	16,0	21,6	0,0	259
ham	22,6	20,9	0,0	279
Sausages
sausage with/dried	24,1	38,3	1,0	455
sausages	10,1	31,6	1,9	332
sausages	12,3	25,3	0,0	277
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
smoked duck	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Fish and seafood
dried fish	17,5	4,6	0,0	139
smoked fish	26,8	9,9	0,0	196
canned fish	17,5	2,0	0,0	88
Oils and fats
animal fat	0,0	99,7	0,0	897
culinary fat	0,0	99,7	0,0	897
Soft drinks
bread kvass	0,2	0,0	5,2	27

* 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 taken 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. He goes to 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 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 diseases of the gastrointestinal tract, the child has his own important nuances in particular relating to 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, 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 a quick recovery without going into a chronic course.

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 regularly appears 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 - with an acute form of gastritis and chronic during an exacerbation (until the pronounced clinical manifestations disease);
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, homemade cakes are allowed - 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, fermented milk products, citrus, 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 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% saline solution). 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 in your diet, boiled chicken(without skin), thicker cereals and vegetable puree (potato, carrot). 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 irritant 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 onion, radish, turnip, radish, wheat porridge, black bread, pies, pastries from sweet dough, 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).

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 are introduced into the diet, boiled vegetables, fresh non-acid fruits, dried fruit compote. 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)

Feeding	Name of the dish	Serving, g, ml
Feeding	Name of the dish	3-6 years old	7-10 years old	11-14 years old
After sleep 20-30 minutes before meals
First breakfast	fish pudding Liquid potato puree
Lunch	Milk jelly
20-30 minutes before lunch
	Creamy oat milk soup Steam meat cutlets mashed rice porridge Kissel from dried fruits White bread crackers
	Curd cream
	Pureed buckwheat milk porridge Soft-boiled egg White bread crackers

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)

Feeding	Diet number 1 pureed	Diet number 1 unmashed	Serving, g, ml
Feeding	Diet number 1 pureed	Diet number 1 unmashed	3-6 years old	7-10 years old	11-14 years old
After sleep 20-30 minutes before meals	Infusion of yarrow, chamomile and plantain	Infusion of yarrow, chamomile and plantain
First breakfast	Natural steam omelet Carrot puree Surrogate coffee with milk White bread with butter	Natural steam omelet Salad of boiled carrots with vegetable oil Surrogate coffee with milk White bread with butter
Lunch	Baked apple with sugar	Baked apple with sugar
20-30 minutes before lunch	Cabbage or potato juice	Cabbage or potato juice
	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote, grated White bread	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote White bread
	Cookies	Cookies
	Tea with milk White bread with butter and grated cheese	Porridge from oatmeal"Hercules" dairy Tea with milk White bread with butter and cheese

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

You need to start by drawing up a daily routine for the child.
During the day, the child should eat 5-6 times.
Meals should be at room temperature. Never give your child hot or cold food.
Products must not contain harmful substances. The child should consume fresh and high-quality products.
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.
It is necessary to exclude fatty, spicy and salty foods, carbonated drinks from the child's diet.
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:

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.
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.
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.
Fruit. You can include only licorice fruits in the child's diet. Before serving, the fruit must be peeled.
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.
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.
Bread. You can only consume stale white bread, crackers.
A fish. For children, you only need to take 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.
Lunch: vegetable soup and compote.
Snack: white croutons with milk.
Dinner: boiled fish with vegetables and cottage cheese casserole with tea.

The appointment of a strict diet during exacerbation of chronic gastritis, even in adults, often causes a negative reaction. What can we say about children who find it difficult to explain the need for rational nutrition.

Stands in front of parents difficult task. After all, if dietary meals cause rejection and stress reactions in a child, this will only exacerbate the problem.

Meanwhile, statistics indicate the prevalence of juvenile (children's) gastritis. Among all diseases of the gastrointestinal tract, chronic gastroduodenitis is 45% in younger students, 73% in middle school students and 65% in adolescents. At the same time, the decrease in the percentage of morbidity among schoolchildren of the older age group is associated with the transformation of the inflammatory process into peptic ulcer disease.

What can a child with inflammation of the stomach?

Compliance with the regimen and frequency of meals. Meals should be 4-6 times a day, not too plentiful, so as not to cause a feeling of overeating. It is very important to explain to the child the need to arrive on time for lunch or afternoon tea from a walk, to organize adequate meals at school or preschool educational institutions.
Thermal, mechanical, chemical sparing of the affected organ. It is necessary to exclude from the diet all products containing substances that irritate the stomach: fried foods (including french fries), fast food, chips, spices, chewing gum, store juices, replete with preservatives, flavors, flavor enhancers. Any carbonated drinks are prohibited due to the negative effect of carbon dioxide on the mucous membrane, as well as confectionery. Cakes, pastries, pastries are considered indigestible, heavy food, and ice cream is too cold for a sensitive mucous membrane. It is better to replace all these desserts with fruits, jellies, puddings, pastries, marshmallows or marshmallows, and ice cream with a milkshake with fruit.
Giving visual appeal and positive taste diet meals. This is especially important for young children, for whom the concepts of “beautiful” and “tasty” are on the same plane.
Providing the growing organism with a full-fledged complex of nutrients, adequate to age-related needs. At this point, general dietary recommendations for gastritis vary somewhat for different age groups.

Nutrition for 4-6 years old

During the period of exacerbation, the Pevzner diet No. 1a is recommended, which includes liquid, semi-liquid, pureed dishes. The daily calorie content of this diet is at the lower limit of the norm, so as not to overload the stomach. Eating this way for longer than 3 days is undesirable.

After the completion of the most acute stage of the disease, diet No. 1b is recommended. The basic principles of nutrition (chopped warm sparing food) remain the same, the diet expands slightly, the overall energy value of dishes increases. This diet is more complete, balanced, so if necessary, it can be observed for up to one and a half months.

After the onset of remission, a small patient is gradually transferred to table No. 1 with hyperacid gastritis. It is permissible to reduce the frequency of meals, increase the calorie content of dishes. It is no longer necessary to grind everything to a puree state, and serve the meat only in the form of minced meat. However, you need to explain to the baby the need to chew food thoroughly and take your time while eating. Foods that stimulate gastric secretion are prohibited (most raw vegetables, fruits, chocolate, cocoa, smoked meats).

If the acidity of gastric juice is reduced (which is quite rare at a young age), then it is advisable to transfer the baby to table number 2, which involves the use of lighter, quickly digestible foods (vegetables without coarse fiber, lean meat and fish).

Advice from experienced parents It is better to explain to kids the importance of healthy nutrition in a playful way. For example, you can compose and act out a fairy tale about a sick stomach that feels bad when chocolates or cakes come to visit. And then show how the stomach rejoices at the meeting with milk, potatoes, apples.

The daily calorie content of diet No. 1 for children 4-6 years old with gastritis is 2084 kcal, protein content - 71 g, fat - 75 g, carbohydrates - 281 g.

Nutrition for 7-10 years old

All the principles of nutrition described above, depending on the severity of symptoms of gastritis, are similar for primary and secondary school age.

The problem lies precisely in the organization of dietary nutrition in an educational institution. In each case, the issue is resolved individually.

It is possible for the student to prepare dishes of the corresponding dietary table directly in educational institution. This usually requires the conclusion of a pediatrician or gastroenterologist with appropriate recommendations. Sometimes parents cook school lunches at home.

It all depends on the food conditions at the school. In any case, you need to give your child dietary cookies, pies, marmalades for a snack. You need to eat more often with gastritis, and the products bought at the school cafeteria, as a rule, do not comply with the principles of clinical nutrition.

Energy value per day for children 7-10 years old: 2343 kcal, proteins - 82 g, fats - 87 g, carbohydrates - 335 g.

Nutrition for 11-15 years old

Explaining the need for a diet to teenagers is even more difficult than to preschoolers. Firstly, during this period, children do not want to "fend off the team", including in relation to nutrition, and secondly, the spirit of contradiction and the decrease in parental authority play their role.

It is very important that a teenager does not feel disadvantaged due to the need to follow a diet. For example, you can cook homemade chips without harmful additives, elegant, delicious fruit and vegetable cocktails, and replace hamburgers with toasted bread sandwiches with dietary ingredients.

Daily calorie content for children from 11 to 15 years old suffering from gastritis should correspond to 2800 kcal, protein content - 96 g, fat - 98 g, carbohydrates - 384 g.

Briefly about allowed products

Once again, we will dwell in more detail on what can and cannot be eaten with juvenile gastritis.

Allowed:

vegetable, pureed, cereal soups;
weak broths;
most cereals (rice, semolina, oatmeal, buckwheat);
pasta;
lean tender meat (beef, chicken, rabbit, turkey);
seafood (shrimp, squid, perch, hake, tilapia, flounder, trout);
thermally processed vegetables (beets, melons, potatoes, carrots);
non-acid fruits (apples, pears, persimmons, bananas);
sweets (natural marmalade, marshmallow, mousse, jelly);
inedible pastries;
rosehip broth, fresh fruit, vegetable juices and smoothies, jelly, weak tea;
whole milk, dairy products.

Forbidden:

filling, spicy soups;
rich broths;
fatty meat (lamb, pork, duck) and fish (sturgeon, halibut) products;
some cereals (millet, corn);
smoked meats, marinades;
indigestible vegetables (turnips, legumes, corn, radishes, fresh onions and garlic);
sour fruits (citrus, pomegranate, grapes);
cakes, pastries, ice cream, chips, chocolate;
gas-water, coffee, cocoa, infused black tea.

Menu examples

Consider several menu options for the day for children of different ages.

For 5 years old

Breakfast: oatmeal in milk with apple slices.

Lunch: cheesecakes with low-fat sour cream.

Dinner: pumpkin cream soup, hedgehogs from veal and rice, stewed mix of cauliflower and broccoli, apple jelly.

Afternoon snack: croutons with soft cheese, rosehip drink.

Dinner: baked fish pie with hake, marmalade, chamomile tea.

Before bedtime: a glass of milk.

For 10 years old

Breakfast: semolina porridge on a fruit broth.

Lunch: cottage cheese casserole with persimmon.

Dinner: milk noodle soup, tilapia under a potato coat, dried fruit compote without berries.

Afternoon snack: lean apple pies, weak tea.

Dinner: zucchini boats with lean minced meat, fruit jelly, pumpkin juice.

Before bedtime: banana milkshake.

For 13 years old

Breakfast: buckwheat porridge with pumpkin.

Lunch: mannik, diluted tea.

Dinner: vegetable soup with beef meatballs, pasta with chicken fillet in creamy sauce, fruit and berry jelly.

Afternoon snack: natural potato chips, fruit smoothie.

Dinner: squid stewed with vegetables, vanilla marshmallow, herbal tea.

Before bedtime: a glass of ryazhenka.

Everything delicious for kids

We bring to your attention recipes from the children's menu that can be enjoyed by kids and teenagers.

Advice. For younger children, pay special attention to the beautiful design of dishes: decorate with herbs, cut out figures from vegetables, draw funny faces on sandwiches.

Tilapia under a potato coat

You will need:

6 pcs. tilapia fillet;
6 potatoes;
1 carrot;
1 egg;
1 st. l. fat-free sour cream;
60 g of mild cheese;
salt to taste;
1 st. l. olive oil.

Cooking:

Boil potatoes and carrots, grate on a coarse grater.
Add salt, sour cream, egg to vegetables. To mix everything.
Coarsely grate the cheese.
Salt the tilapia fillet, drizzle with oil, put on a baking sheet.
Place the vegetable mixture on each fish and press lightly.
Sprinkle cheese on top of each piece and put in the oven for 30-40 minutes, temperature - 180 °.

Natural potato chips

Ingredients:

500 g potatoes;
2-3 tbsp. l. olive oil;
salt to taste;
2 sprigs of dill;
2 sprigs of parsley.

Action plan:

Peel potatoes, cut into thin slices. Potatoes should be chosen not too watery varieties, with a high content of dry matter.
Finely chop the greens.
Salt potatoes, add dill with parsley, olive oil. Let it brew for half an hour.
Put the potato slices on a sheet and place in the oven, preheated to 200 degrees.
Cook for 15 to 30 minutes depending on the desired degree of drying.
Serve with low fat sour cream.

When a child has health problems, it is important for parents not only to follow all recommendations for treatment and lifestyle changes, but also to take care of the emotional state of their son or daughter. So that the need to follow a diet does not negatively affect the psychological status of the child, it is important to learn how to cook the allowed dishes deliciously and present them appetizingly.

Useful video

We offer you to learn the secret of ideal cheesecakes from the video recipe.

After normalization of the condition, the diet can be gradually expanded. And in all doubtful cases, it is better to consult a doctor. He will help you choose a diet and advise what foods you want to add to your diet.

Article last updated: 04/10/2018

In the nursery medical institution you can always see many small children in the queue to see a specialist in gastroenterology. Why does gastritis occur in these crumbs? How to treat gastritis in children? And what measures to take to avoid this disease? Gastritis in a child often manifests itself at school age, when the student is in contact with a large number of people, does not always eat right, and experiences stress.

Pediatrician, gastroenterologist

The surface inside the stomach is covered with a mucous membrane. And sometimes the mucous membrane is involved in the inflammatory process. This process is called gastritis.

Forms of gastritis

The disease is classified according to various criteria. Today, medicine distinguishes between several types of gastritis. The symptoms and treatment for each type are different. That is why it is necessary to consult a specialist if you suspect a disease.

1. According to the course of the disease, children's gastritis is divided into acute and chronic gastritis.

2. Types of gastritis by acid release:

gastritis with high acidity;
gastritis with low acid production;
gastritis with normal secretion.

Common to all forms signs of gastritis in a child:

Pain. As a rule, children with gastritis have pain in the upper abdomen (near the stomach). The intensity of pain depends on the degree of inflammation and the pain threshold of the individual child. Therefore, the pain may be mild, not intense, or too severe.
Heaviness and discomfort in the abdomen. It occurs as an isolated symptom, and in combination with pain.
Heartburn. Its strengthening is noted in children when the body is tilted and physical activity. The symptom is described as a burning sensation in the region of the upper stomach and behind the breasts. Some children may experience a burning sensation all the way down the esophagus to the level of the throat, followed by a sour taste in the mouth.
Belching and reflux. In this case, the child has an unpleasant odor in the mouth.
Poor appetite and refusal to eat.
Nausea and vomiting. Both of these manifestations either complement each other or appear separately.
Violation of the digestive processes. Due to gastritis, the first stage of food processing is disrupted. This leads to disturbances at all stages of the digestive process. The child has bloating, diarrhea or constipation, anemia, hypovitaminosis, and other signs of nutrient malabsorption.
External changes. Paleness of the skin, a tongue with a grayish or whitish coating may indirectly indicate the existence of gastritis with impaired digestion.

The signs that characterize the disease are very extensive. But there are specific symptoms that indicate the development of a certain form.

Signs of an acute form of gastritis in a child:

Abdominal pain. Both severe spasmodic pain and constant aching can be observed.
Heartburn, sometimes acid reflux after eating.
Frequent nausea, vomiting. The vomit has a sour smell. Sometimes the child vomits bile.
Excessive salivation or dry mouth.
Chair disorder. Appears as or .
Weakness of the body, which is accompanied by dizziness and headache.
Strong sweating.
Low blood pressure and tachycardia (rapid heartbeat).

Common signs of chronic gastritis

Sometimes signs of this type are poorly expressed. So pay attention to all the symptoms:

The specifics of the manifestation of the atrophic form of gastritis:

In the foreground, not painful, but dyspeptic syndrome in the form of heaviness in the abdomen, a violation of the digestive process and the absorption of nutrients.
The atrophic form of gastritis disrupts the general condition of the child, causes anemia and hypovitaminosis.

Symptoms of gastritis with high acidity, when excess gastric secretion occurs:

Pain is the main symptom. It can be triggered by food or physical activity of the child.
Heartburn and belching sour.
The condition of the child as a whole is rarely disturbed.

infectious gastritis;

Not everyone knows that gastritis is a contagious disease. Previously, it was believed that all varieties of this disease are not infectious. As it became known recently, this statement is not true. With inflammation or infection in the child's body, an allergic reaction and gastritis may occur.

In turn, infectious gastritis in children is caused by bacteria or viruses.

Helicobacter pylori (H. Pylori). This is a common cause of gastritis. In the occurrence of chronic gastritis, the role of Helicobacter pylori has been accurately proven. This microorganism can only exist in the stomach with high acidity.

Therefore, the bacterium is the cause of chronic gastritis only under the condition of increased production of gastric juice and hydrochloric acid. Inflammation of Helicobacter pylori with reduced secretory activity of the stomach is impossible.

Viral gastritis in children- This is an inflammation of the mucous surface of the stomach caused by viral infections, such as cytomegalovirus, herpes, and so on.

malnutrition of the child;

Ideally, all babies should be fed. But sometimes a mother is unable to breastfeed her baby. And it's good if you can immediately find a mixture that is suitable for your baby.

The first year of the baby is the most responsible. Frequent changes in infant formula, the wrong choice of baby food, untimely or incorrect introduction of additional products - all this leaves its mark. Given that the child's digestive system is still immature, the load becomes serious.

Further, at an older age, irregular meals, refusal of the first meal, a snack instead of a full meal, a diet devoid of nutrients, very hot or, conversely, too cold dishes are a direct path to the development of the disease.

Remember that chocolate, cookies and even plain caramel contribute to gastritis. Children's doctors forbid offering any sweets to children until at least three years of age. This also applies to cookies. The exception is specially prepared for young children.

stressful situations;

Gastritis often develops due to stress. The stress in the life of a child is no less than that of adults. And sometimes even more.

Among the most common stresses in children are moving to another city, moving to a new educational institution, the appearance of a younger brother or sister, unfavorable interpersonal relationships v kindergarten or at school. Especially strong stress for those children whose parents often swear with each other.

And don't forget another important factor. What is the child watching on TV? What games does he play? And how many times a day? Remember that even good cartoons and fairy tales in large quantities have a very serious impact on the children's nervous system.

food poisoning;

Toxins have a destructive effect on the lining of the stomach, provoking its inflammation. And inflammation is gastritis.

Carefully monitor the quality of children's products. Pay attention to the date of manufacture and temperature storage conditions.

other diseases;

Sometimes gastritis occurs as a result of existing childhood diseases, such as hepatitis, cholecystitis.

Therefore, if the crumbs in the body have a source of chronic infection - nephritis, sinusitis, dental caries - the risk of gastritis increases significantly.

In addition, gastritis can be caused by the presence of Giardia and other intestinal worms in the child's body. They severely damage the gastric mucosa, causing irritation and inflammation.

medicines;

Gastritis can cause a variety of pharmacological agents. Medicines often cause severe irritation and inflammation of the gastric mucosa. It is unlikely that a single use of the drug will lead to gastritis. But the systemic use of certain drugs can provoke inflammation of the gastric mucosa.

However, in some cases this cannot be avoided. For example, when a child gets sick and needs a course of treatment with some aggressive drugs. The doctor must take into account the threat of gastritis and try to prevent it. But very often it is the parents who are the culprits of such gastritis.

Often, adults treat the child on their own, giving him certain medications without consulting a doctor. And as a natural result - the development of gastritis. All drugs should be prescribed only by a pediatrician.

genetic factors.

It is known that many diseases tend to be inherited. Gastritis is no exception. If the mother, father or one of the closest relatives of the child has gastritis, only the slightest provocative aspect is needed (for example, a small mistake in the diet), and the gastritis will immediately declare itself.

Clinical symptoms and complaints of the child will push the doctor or parents to the assumption of the presence of gastritis. Since a more dangerous disease of the stomach or other organs can be hidden under the guise of ordinary gastritis, such a child needs detailed diagnosis and careful observation.

How can you tell if your child has gastritis?

The methods used to treat gastritis differ depending on the aspects that caused the condition. Therefore, the treatment of chronic gastritis may be slightly different from the treatment of acute gastritis, as their causes are usually different.

Since chronic gastritis is caused by the H. pylori bacterium, treatment of the chronic form should be aimed at eradicating the bacteria.

On the other hand, acute gastritis is usually the result of food poisoning or overuse of non-steroidal anti-inflammatory drugs. Most doctors advise taking medications to regulate stomach acids so that the symptoms of the disease remain under control.

Medications that are part of the treatment for gastritis:

Antacids to neutralize stomach acids.
Medications to block acids and promote healing.
Antibiotics to kill H. Pylori bacteria.
Medications to reduce acid production.

How and how to treat various forms of gastritis in a child?

The treatment regimen for acute gastritis consists of several steps:

Gastric lavage using a probe or by drinking plenty of water with further provoking vomiting.
The use of sorbents (activated carbon, Smecta, Enterosgel).
Taking antacids (Venter, Almagel, Phosphalugel, Maalox).
With a long course of the inflammation process, a decrease in the production of gastric acid is recommended (Famotidine, Ranitidine).
Enzymatic medicines (Creon, Pancreatin).
Diet food. Gentle products that do not irritate the gastric mucosa.
With severe pain, antispasmodics are indicated (Baralgin, Papaverine, No-shpa).

Never give your child any medication on your own. Medicinal treatment should be carried out exclusively under the strict supervision of a specialist. And, of course, only by prescription. Therefore, doctors prefer to treat children's gastritis in a hospital setting.

Treatment of gastritis in a child depends on what exactly caused the disease. Successful treatment is possible when the causes are eliminated. Otherwise, the disease will return.

But there is general provisions relevant for all cases. If they are not followed, the treatment will not be successful.

Psychological atmosphere

Remember that all types of stress are the most fertile soil for gastritis. Thus, these stresses need to be eliminated. It is necessary to create the most comfortable psychological situation for the child.

Gastritis cannot be cured without changing the child's diet. Talk to your doctor. This will help you choose the menu that is perfect for your baby.

In any form childhood gastritis particular importance is attached to dietary nutrition. The duration of treatment depends on the severity of the disease and the duration of the relapse-free course of chronic processes.

Nutrition tips for children with gastritis:

This problem worries many parents whose child with overweight and chronic gastritis restricts food for a long time and cannot lose it. This question also applies to those who lose weight with an acute form of gastritis, but after a while they begin to get fat sharply.

Sample menu for one day:

When a child is diagnosed with gastritis (and it does not matter what form), do not be upset and do not be afraid that a full-fledged, healthy life ended. It just takes time to review the principles of nutrition and the level of physical activity in the family.

How to prevent gastritis? Prevention of gastritis in children:

Keep batteries and similar items out of the reach of children. Button batteries are easily swallowed and can cause serious harm. Keep all batteries and toxic artifacts out of reach of children. Use child locks to protect children from dangerous objects.
Do not give your child foods that cause irritation. Foods such as oranges and other citrus fruits can cause burning or even pain. Give your child a variety of healthy foods. Examples: fruits (not citrus fruits), vegetables, low-fat dairy products, beans, whole grain bread, lean meats and fish. Encourage your child to eat small meals and not drink water with meals. Don't let your child eat 3 hours before bed.
Do not smoke around the child. Nicotine and other substances in tobacco products can aggravate symptoms and cause lung damage.
Help your child relax and reduce stress. Nervous strain can increase the amount of stomach acid and make gastritis more pronounced.

Thus, when a child is diagnosed with gastritis, it is unpleasant, but not fatal. Treatment must be approached comprehensively. In addition to medicines, the baby must strictly follow a diet. This will prevent the occurrence of pain attacks and accelerate the healing of the mucosa.

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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% saline solution). 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. 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 irritant 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.

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)

Feeding	Name of the dish	Serving, g, ml

After sleep 20-30 minutes before meals
First breakfast	fish pudding Liquid potato puree
Lunch	Milk jelly
20-30 minutes before lunch
	Creamy oat milk soup Steam meat cutlets mashed rice porridge Kissel from dried fruits White bread crackers
	Curd cream
	Pureed buckwheat milk porridge Soft-boiled egg White bread crackers

Feeding	Diet number 1 pureed	Diet number 1 unmashed	Serving, g, ml

After sleep 20-30 minutes before meals	Infusion of yarrow, chamomile and plantain	Infusion of yarrow, chamomile and plantain
First breakfast	Natural steam omelet Carrot puree Surrogate coffee with milk White bread with butter	Natural steam omelet Salad of boiled carrots with vegetable oil Surrogate coffee with milk White bread with butter
Lunch	Baked apple with sugar	Baked apple with sugar
20-30 minutes before lunch	Cabbage or potato juice	Cabbage or potato juice
	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote, grated White bread	rice milk soup Steam meat cutlets Mashed potatoes Dried fruit compote White bread
	Cookies	Cookies
	Tea with milk White bread with butter and grated cheese	Oatmeal porridge "Hercules" milk Tea with milk White bread with butter and cheese

medbe.ru

Diet for gastritis in children: what to feed, proper nutrition

At the end of the twentieth century, it was generally accepted that gastritis was widespread only among students, as well as in adults. But today, cases of the development of inflammation of the stomach are also recorded in children: every day there are more and more of them. Mainly at a younger age, the disease progresses due to unhealthy diet and negative emotions that arise as a result of difficulties in kindergarten or school. Gastritis can occur both in adolescence and at 1 year. As a rule, gastritis is also common among schoolchildren. Lack of time for rest and food affects the work of the stomach. In addition, in many schools the food is not good enough, from which the child prefers to snack on other snacks. Therefore, today gastritis most often occurs at the age of 10.

During gastritis, children often lose their appetite, and eating food causes discomfort. Also, pains are noted during hunger, they are localized in the abdomen. Sometimes there may be signs such as sour belching and heartburn. In addition, gastritis is characterized by an increase in the level of acidity of gastric juice, which causes other health problems. In this regard, many parents have a question, what to feed?

With symptoms of gastritis, you should consult a gastroenterologist. Based on the data obtained from the examination, he prescribes treatment. Therapy of gastritis is carried out in various ways, including with the help of a diet. In particular, proper nutrition blocks the development of complications in the stomach, and is also an important point in the prevention of gastritis.

Principles of Diet Therapy

With gastritis, it is recommended to contact not only a gastroenterologist, but also a nutritionist, so that he prescribes what can be eaten. It is important to adhere to a special diet. And this applies not only to periods of exacerbation of the disease. As practice shows, children who adhere to proper nutrition are less prone to indigestion. You should eat at least 5-6 times a day, while eating should be done at the time set for this. The child needs to have two hearty breakfasts, lunch, afternoon tea and dinner. This is the first principle of dietary treatment.

The second principle is that all products must be fresh and prepared in a special way. It is not allowed to take the food that was cooked a few days ago. During cooking, you can not add various artificial food additives to food. You can replace them with any natural products: fruits, vegetables or herbs. The most useful way cooking is considered steam, you can also stew food on low heat with the addition of water or use the oven. But in the process you need to watch so that a crust does not appear on the food.

When cooking all types of soup, it is advisable to use a slimy decoction. It envelops the walls of the epigastrium, favorably affecting the work of the stomach. Great for soups different types cereals and vegetables. As a filling, it is recommended to use cream or butter. Naturally, it is allowed to feed the child with meat, and with a diet, meat dishes are allowed. In this case, it is worth considering how to cook it. If the meat is soft, it should be boiled, but hard varieties should only be used when cooking minced meat, meatballs or meatballs.

The essence of the third principle of diet therapy is that healthy foods must be included in the diet. Favorably on the body of a child with gastritis, mucous porridges will act. Barley, rice and buckwheat are distinguished among them: it will not be harmful to cook these types together. Do not forget about oatmeal, it is very useful for the body, especially in combination with milk.

Also, it will be useful for the child to eat vegetables. They can be served both fresh and cooked in the form of soups. The main thing is that all vegetables are washed. Doctors recommend washing some of the vegetables with a sponge. At 2 years old, it is desirable to serve them in a pureed form.

Nutrition for inflammation of the epigastrium excludes any canned food, fried foods, strong drinks, as well as foods high in sugar. In addition, not all vegetables can be eaten, so white cabbage, radish and beans should be excluded. A diet for gastritis in a child allows for the presence of peas, but only in the form of mashed potatoes.

In the menu of a child with gastritis, most of the products should be vegetables, fresh or cooked. But in the event that the disease has worsened, you can not eat raw vegetables. Staying on a diet is worth it until you fully recover.

Diet therapy for acute gastritis

A diet for acute inflammation is prescribed in order to facilitate the work of the stomach. A special diet is considered important point in treatment. Baby food should have a beneficial effect on the gastrointestinal tract and not cause irritation on the prostrate gastric mucosa. Doctors recommend the first days of treatment to try not to eat. This rule does not apply to children under 8 years of age. The absence of food allows the mucous membrane to return to normal without being constantly exposed to any irritants.

When the disease begins to manifest brighter than before, the patient should adhere to a water diet. This is explained by the fact that in the acute form of inflammation of the epigastrium, children may experience nausea or vomiting, due to which a sufficient amount of fluid is lost. This comes with a risk of getting dehydrated, so kids need to drink plenty of water.

For the first part of the day, the child is advised to strictly maintain a diet of water and tea. Sometimes it can last about six hours, especially for children under 7 years old. During this period, the child should be served chilled tea, but not strong. The water must be boiled. You can't drink juice. If dehydration occurs, the child must take special solutions. The doctor prescribes the exact amount of fluid, assessing the current state of the patient's body.

After twelve hours, it is allowed to eat liquid food. It is usually represented by various mucous soups, the components of which must be crushed. If heartburn is present among the symptoms of the patient, potatoes are contraindicated for him, especially mashed potatoes. After 3-4 days, the child can start eating steamed meat dishes. After another day or two, meals with the addition of milk, as well as fruits and juices, are included in the diet.

When acute gastritis is completely cured, the child should continue to adhere to a special diet. So in his diet there should be no fatty, spicy and salty foods. Nutritionists believe that table number 1 is best suited for the body during this period.

Table number 1

When the symptoms of gastritis disappear, doctors recommend sticking to table number 1. This diet minimizes the presence of table salt in food, and also eliminates food from the menu that can damage the organs of the digestive tract. Eating should be done fractionally: at least five times a day, small portions. For children, this diet does not harm, but rather contributes to a complete recovery.

In the morning, children should drink cooled weak tea. Omelet should be cooked without adding oil, only steamed. Dried white bread is allowed. After a while, milk porridge or rice is served with the addition of a small amount of butter. From drinks milk or cocoa are recommended.

Lunch includes various vegetable soups cooked in a slimy broth: they should not contain white cabbage. Children with gastritis are allowed to feed boiled eggs. You can also serve meat dishes, especially steamed cutlets, you can cook pasta with them. The tea should not be strong. The afternoon snack consists of fruits and curd products.

For dinner, the child should eat vegetables in the form of mashed potatoes. The chicken should be boiled and the skin removed. A slice of yesterday's bread is allowed.

If the pain begins to return, the child should stick to table number 1a. It almost does not differ from table number 1, but there is one difference. Table number 1a excludes any vegetables and fruits from the diet.

Diet for chronic gastritis

Nutritionists pay special attention to the chronic form of gastritis. It is believed that when choosing a diet, it is necessary to take into account the ability of the stomach to form acid. There are two types of inflammation: in one of them, the acidity is high, in the other, it is low. In the event that a child suffers from gastritis with a low level of acidity, his stomach can hardly cope with a large amount of food, in this case, foods that take a long time to digest will have to be excluded from the menu. Nutrition for gastritis should facilitate the work of the digestive organs, as well as promote the secretion of gastric juice.

During gastritis with increased secretion, the stomach, on the contrary, produces too much hydrochloric acid. The main goal of diet therapy is to neutralize the negative effects of gastric juice on the body. It is important to remove rough foods from the diet, bread, vegetables are distinguished among them, and fried foods should also not be consumed. Those products that provoke the release of acid are also prohibited, namely carbonated drinks, meat broths and spices. It is forbidden to eat dishes with a high temperature, so as not to cause even more damage to the gastrointestinal tract, but they should not be too cold. An acceptable temperature is considered to be not less than 20 and not more than 40 degrees.

Gastritis with low acidity

Feeding a child with gastritis eliminates spicy, fried and salty foods, any canned food, carbonated drinks, coffee, raw fruits and vegetables. At the same time, malnutrition should not be allowed. Food should be served at a set time so that there is no pain in the abdomen.

As a rule, a nutritionist first prescribes a diet for the first 9 days. The menu should include meat and fish dishes, but without fat. It is recommended to cook food by steaming, stewing or baking. Vegetables and fruits should be carefully processed, the child should not eat them raw.

If gastritis in children is characterized by increased secretion, the doctor prescribes a diet that includes mucous cereals and vegetables containing some fiber. When the symptoms of the disease are most acute, the child is forbidden to eat raw vegetables. It is advisable to bake them or cook them as mashed potatoes. In addition to slimy cereals and vegetable dishes, it is allowed to eat yesterday's bread, various soups, small pasta, meat and fish without fat, boiled eggs, but no more than three per week, steamed omelettes, peas, non-acidic berries, dishes containing milk. From drinks, sweet juices, compotes, milk and cool weak tea are allowed.

It is forbidden to add to the menu such products that can reduce the effectiveness of diet therapy or contribute to the deterioration of the child's condition. Among these, baked bread, any high-fat dishes, spicy spices, mayonnaise, mushrooms, beans, smoked foods, canned food, some types of vegetables, overly sour fruits, and sweets are distinguished. It is undesirable to drink strong tea, coffee and sparkling water.

Why diet is good

A diet for gastritis in children is considered an indispensable way in the fight against ailments, but before you radically change the diet of a child, you should visit a gastroenterologist for a thorough examination, and after that it will be prescribed proper diet.

A healthy diet not only effectively fights the disorder in the work of the gastrointestinal tract, but also protects the body from the further development of the disease. In this regard, every parent needs to instill in the child the habit of eating right from childhood. Today, gastritis is considered one of the most common diseases, so it is important to prevent its development in advance.

gastrotract.ru

Gastritis in children treatment: nutrition and diet

For all pathologies of the gastrointestinal tract in children aged 5-10 years, there is main principle Nutrition: during the day, food is taken in small, frequent portions. The exception is acute pancreatitis (sometimes also cholecystitis, symptoms are acute pain and vomiting), in which the patient must completely starve for three to five days. Fasting treatment relieves inflammation of the pancreas and painful symptoms.

Naturally, such products as chips, chocolates, soda, nuts, sandwiches with fresh muffins are contraindicated for a sick child. If an adult patient can refuse them, then it is difficult for a child to explain how important diet is for health. Therefore, it is necessary to speak with him calmly and confidently, give some understandable examples, etc.

The diet itself in children is the main treatment, and differs little from it in the adult version. Food should remain soft and warm (not below room temperature, but not hot), coarse fiber and solid food are contraindicated. Spicy foods and spices are prohibited. Fatty, fried, smoked will be poison for the stomach with gastritis. Recipes for steamed, baked dishes can be found on any cooking site.

Chemical sweets, juices, fruits (except baked apples) and fruit drinks provoke the production of gastric juice. This is detrimental to the affected organ of the child. Many people think that homemade jams, marinades, canned food are healthy. This is not true. For the stomach, they are actually not much different from store-bought ones and are harmful to health. You can use them only for those who do not have any problems with the gastrointestinal tract, and then in limited quantities.

One more important rule on which treatment is based: the diet for gastritis should be balanced, contain mainly stewed and steamed foods. Strong tea and coffee should not be drunk. Limit the use of salt, but within reasonable limits (a complete rejection of salt or sugar leads to dire consequences). Chewing gum provokes serious complications of gastritis.

Diet for gastritis in a child

The diet for inflammation of the gastric mucosa in children aged 3-10 years is the “table number five” that has been proven for decades. Porridges, steamed cutlets (many recipes for steamed dishes are very interesting), light salads and baked apples have all been known to us since childhood: this is often how they fed in sanatoriums. Such a sparing diet is used as a treatment, also for cholecystitis, chronic pancreatitis. By and large, all children should eat this way, for the purpose of prevention.

But with gastritis, nutrition has its own characteristics due to differences in the forms of inflammation: the acidity of the stomach can be both low and high.

Gastritis with high acidity

Symptoms of this type of pathology are sour belching, pain. In this case, it is necessary to reduce the production of gastric juice. Medication is not as important as diet. The following foods should be excluded from the diet:

with coarse fiber (radish, fish with cartilage, muesli, meat with veins, turnips and rutabaga, "gray" bread (with bran);
citrus;
coffee;
alcohol;
carbonated drinks;
black bread;
cabbage (fresh, white);
sauces;
mushrooms.

The temperature of the products should not exceed 50-60 degrees, but not be cold (below 16-20 degrees). Sample menu for gastritis with high acidity in children (recipes from our childhood):

buckwheat, oatmeal;
lean rabbit;
River fish;
boiled homemade milk;
spinach, zucchini, pumpkin, carrots and beets (of which excellent salad recipes);
baked apples, raspberries;
chamomile tea (not strong).

Gastritis with low acidity in a child

With this pathology, the symptoms are as follows: aching pain, food is digested slowly and poorly, not of sufficient quality. In order to increase the production of the necessary substances in the stomach, it is recommended to drink Essentuki-17 water before meals (from 9-11 years old), take a portion slowly (half an hour), and eat baked fruits at the same time.

Tea with sugar for this disease is allowed to be introduced into the diet. You can also drink fermented milk, but regular milk is prohibited.

Video “Gastritis: causes, symptoms and treatment. Diet for gastritis

Approximate child's diet

Not only for diseases of the gastrointestinal tract in a child, but also for the purpose of their prevention, children from 5-10 years old should follow a certain diet.

Feeding a small patient correctly is the main treatment for such diseases. Naturally, at school with friends, the child will still probably eat buns and chocolates, but at least at home, the correct sparing menu will be waiting for him.

The diet for gastritis in children is described in great detail. A nutritionist, a dermatologist (after all, malnutrition provokes the appearance of rashes on the skin), a gastroenterologist will advise right nutrition. Here are the main theses:

from meat products allowed: lean pork, beef, rabbit, chicken. Fatty foods, sausages, canned food, etc. are strictly prohibited;
Bread must be bought rye, sometimes black. Long loaf, pies and cookies, homemade and shop pies, pastries - you can not eat;
fish is allowed to cook only lean (boil, bake);
soups should not be greasy. Vegetable, borscht, without frying - you can (there are recipes in any cookbook or the Internet);
it is also forbidden to feed: fatty cream and milk, fatty cottage cheese and fermented baked milk, fatty cheese (or too salty). Other dairy products in moderation can be added to meals or consumed separately;
egg white is a strong allergen, it is better to refuse it;
of sweets, only marmalade is allowed (1-2 pieces per day, no more), dried fruits and compotes from them (uzvars), tea with sugar;
coffee, cocoa, strong tea and iced drinks, as well as soda and sweet water are strictly prohibited.

Some deviations from the recommended diet in children from 10 years of age are allowed during periods without exacerbations and for a short time (half a day, maximum a day). Not only the state of the organs of the gastrointestinal tract depends on nutrition, but also the composition of the blood, the health of the heart, skin, lungs, as well as the presence of severe allergies. The treatment of all these pathologies in a child of any age is much more difficult than diet therapy in the initial stages of gastritis.

Video "What to do with gastritis in a child"

To understand how to treat this disease, you need to familiarize yourself with its nature and primary causes. The following video will help you with this.

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Diet for gastritis in children

Diet for gastritis in children is no less important than treatment. Gastritis can be acute or chronic. This disease affects boys and girls aged 5 to 12 years. At this time, there is an intensive development of all systems of the child's body, so the child may be vulnerable to various diseases. During puberty, gastritis often develops in girls. Perhaps this is due to the restructuring of the hormonal background and excessive emotionality.

Acute gastritis refers to inflammation of the gastric mucosa. The causes of the disease can be many. The main ones are:

abuse of unhealthy food;
irregular meals (long periods of time between meals);
systematic use of spicy foods;
reception medications, irritating the walls of the stomach;
chemical poisoning;
infection with Helicobacter pylori (Helicobacter Pylori);
excessive physical activity and stressful situations.

Sometimes gastritis occurs against the background of allergies or other diseases. Helicobacter pylori is a spiral-shaped microorganism that enters the stomach or duodenum and causes not only gastritis, but also other serious diseases.

Description of the symptoms of childhood gastritis

Symptoms of the disease depend on its type and degree of damage to the walls of the stomach. The main symptom is pain. With gastritis, children experience pain in the upper abdomen. The intensity of the pain depends on the degree of the inflammatory process, so the pain can be mild, aching, intense or excruciatingly strong.

In addition to pain manifestations, gastritis is accompanied by heaviness in the stomach, a feeling of fullness and unpleasant pressure. Such manifestations can be both isolated and combined simultaneously with pain. Gastritis also manifests itself:

belching;
bad breath;
nausea;
vomiting;
elevated temperature body;
constipation
anemia
liquid stool;
pallor of the skin.

A sign of the disease is a plaque on the tongue of a grayish-white color with an unpleasant odor. The child may refuse food, act up. In acute gastritis, body temperature can rise to 39 degrees. Anemia in this disease occurs due to malabsorption of nutrients. In addition to pallor, there is lethargy, fatigue against the background of general intoxication of the body.

Heartburn in a child is aggravated by bending or physical exertion. Some children complain of a burning sensation throughout the esophagus. When jumping, running, in addition to heartburn, pain also intensifies.

Unlike acute gastritis, chronic gastritis differs in that the symptoms are not so pronounced. With this form of the disease, periods of exacerbation and remission are observed. Some children have almost no complaints.

At times, belching, heaviness and not strong pain can be observed. Chronic gastritis can develop from acute, especially if the treatment has not been completed.

How is gastritis in children treated?

Treatment of the disease is prescribed after the diagnosis, which includes ultrasound of the abdominal cavity, fibrogastroduodenoscopy and blood tests. After the diagnosis and confirmation of the disease, it is required to immediately begin treatment procedures. In the treatment of acute gastritis prescribe:

antispasmodics;
enzymes:
drugs that reduce the secretory activity of the stomach;
sorbents;
gastrocytoprotectors.

Acute gastritis requires a strict diet. At the beginning of treatment, gastric lavage is required. Some doctors advise to refrain from eating on the first day. Since chronic gastritis can be caused by the pathogen Helicobacter Pylori, antibiotic therapy is required.

For pain, antispasmodics are also prescribed. In addition to dieting, the child is recommended to drink mineral waters (Borjomi, Truskavets Essentuki).

Any form of disease cannot be cured unless the diet is followed. Therefore, mothers need to pay great attention to the diet of the child. As you recover, the diet can be replenished with various dishes.

When choosing products, it is necessary to take into account the acidity of the stomach. It is either high or low. What is allowed with low acidity is prohibited with high acidity.

Basic principles of nutrition

In diet therapy, there are several principles that parents should consider. Children who have been diagnosed with this or that form of gastritis should eat at the same time. Meals should be frequent, and portions should be small. Food is divided into 5-6 meals during the day: 2 breakfasts, lunch, afternoon tea and dinner. This is the first principle of proper nutrition.

The second principle is the selection of fresh products and the method of their preparation. Do not give a sick child food that has stood in the refrigerator for several days. During cooking, it is not recommended to add artificial additives and flavor enhancers, spicy seasonings. Dill, parsley, bay leaf can be added to soups. You need to cook food for a couple. You can eat baked dishes or stews over low heat. If the dish was baked in the oven and a crust has formed, it must be removed. Soups are prepared with a slimy decoction, which has an enveloping effect. Soups can be prepared with different cereals, vegetables, and seasoned with cream or butter.

It is better to buy chicken, rabbit or young veal meat. Avoid fatty meats and fish. Twist tough meat in a meat grinder and make steamed cutlets or meatballs.

The third principle concerns the combination useful products. With this disease, it is recommended to cook porridge. It will be useful for the child to eat barley, rice, buckwheat porridge. oatmeal and semolina porridge you can cook with milk. From vegetables it is permissible to give:

zucchini;
carrots;
potato;
cauliflower;
beets;
pumpkin.

All vegetables should be mushy and served whole. It is better for small patients to wipe the cooked vegetables in a puree. Do not give children with gastritis too cold or hot food. During the period of exacerbation of chronic gastritis, it is forbidden to give raw vegetables and fruits. Apples should be baked in the oven. The doctor and scientist Manuil Isaakovich Pevzner developed special diets for children with gastritis. For diseases of the gastrointestinal tract, the diets "Table No. 5" and "Table No. 1" are shown.

What is forbidden to eat with gastritis?

Diseases of the gastrointestinal tract require exclusion from the menu of fried, spicy, salty, sour foods. Do not give your child fresh bread, cream cakes, buns and other fresh pastries. Cheesecakes, pancakes, pancakes are prohibited. From dairy products, it is allowed to eat fresh sour cream, non-acidic kefir, low-fat cottage cheese casseroles. Avoid fatty and spicy cheeses. You can not cook soups on steep, rich broths from meat and fatty fish. Do not give fried omelets, hard-boiled eggs. If your child loves omelets, steam them. Soft-boiled eggs can be given 2-3 times a week.

It is forbidden to give pickled vegetables, radishes, raw onions, garlic, horseradish. Fresh cucumbers need to be peeled so that the child does not eat a tough peel. With gastritis, you should not give your child sour and unripe berries and fruits. The acid will irritate the affected gastric mucosa even more and the healing process will be delayed.

Kissels from non-acidic berries or mousse have a good effect on the work of the stomach. You can give honey if there is no allergic reaction to it. From drinks it is permissible to use milkshakes, weak tea, cocoa brewed in milk. Mineral waters must be without gas.

Taking care of children during illness requires attention, effort and time.

Therefore, as soon as the child will go on the mend, parents should take care of the prevention of the disease in order to avoid frequent relapses.

This means that healthy eating should become the norm in the family.

Explain to your child why you should not buy chips, crackers and fast foods. Sweet carbonated drinks are also very harmful. You can not take long breaks between meals. The child should continue to eat regularly. Prepare cheese sandwiches for him at school, while avoiding the use of smoked meats. If gastritis is caused by stress, it is necessary to provide the child with a healthy emotional environment.

Can adults eat baby food with gastritis? Proper nutrition of children with gastritis - what is possible and what is not? The child has gastritis what can I eat.

Causes of gastritis

Types of gastritis

Symptoms of an acute form of gastritis

General symptoms of the chronic form

Treatment of gastritis

Diet principles

Features of the diet in acute form

Approximate diet

Diet for chronic gastritis with low acidity

Approximate diet for high acidity

Conclusion

Table of allowed products

Vegetables and greens

Fruit

Berries

Cereals and cereals

Flour and pasta

Bakery products

Confectionery

Raw materials and seasonings

Milk products

Cheese and cottage cheese

Meat products

Bird

Eggs

Oils and fats

Soft drinks

Juices and compotes

Table of prohibited products

Vegetables and greens

Mushrooms

Cereals and cereals

Confectionery

Ice cream

Cakes

Raw materials and seasonings

Milk products

Meat products

Sausages

Bird

Fish and seafood

Oils and fats

Soft drinks

Acute or chronic form?

Violation of the acid-forming function

Diet tables according to Pevzner

Diet Basics

Diet for acute gastritis

Diet at the stage of unstable recovery

Diet for chronic gastritis

Nutrition for acute gastritis (OG)

Nutrition for chronic gastritis (XT)

Proper nutrition for gastritis in children

Complications of gastritis in children

Proper nutrition for gastritis in preschool children

Menu for gastritis in children

What is good and what is bad for gastritis

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

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

What can a child with inflammation of the stomach?

Nutrition for 4-6 years old

Nutrition for 7-10 years old

Nutrition for 11-15 years old

Briefly about allowed products

Menu examples

For 5 years old

For 10 years old

For 13 years old

Everything delicious for kids

Tilapia under a potato coat

Natural potato chips

Useful video

Forms of gastritis

Signs of an acute form of gastritis in a child:

Common signs of chronic gastritis

The specifics of the manifestation of the atrophic form of gastritis:

How and how to treat various forms of gastritis in a child?

Psychological atmosphere

How to prevent gastritis? Prevention of gastritis in children: