2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
Diet for ascites
Since ascites is not an independent disease, but one of the symptoms of various pathologies, the choice of diet for ascites is due to the characteristics of the underlying disease. Diet for ascites is one of the treatments along with drug therapy. A properly organized diet significantly improves the patient's quality of life in the early stages of ascites, although it does not replace medication.
The basic principles of nutritional therapy:
- Salt with ascites actively retains fluid in the tissues of the body, therefore it is not used at all in the diet of patients;
- It is forbidden to consume fried and smoked foods, fatty fish and meat, bacon, margarine, canned food, sausages, instant food;
- To avoid the need to drink a lot of fluids, you can not eat pickles, spicy and spicy dishes, sour foods;
- The optimal amount of water is only 700 ml per day. This includes the liquid that is found in soups, jelly, compotes;
- For the prevention of flatulence, do not use legumes, cabbage, mushrooms, turnips, radishes, garlic, onions in cooking;
- With ascites, it is not recommended to drink carbonated drinks, coffee and cocoa;
- Confectionery, pastries, fresh bread made from wheat flour are forbidden products for a patient with ascites.
Alcoholic drinks of any strength accelerate the development of ascites, therefore, they are absolutely unacceptable for this pathology.
Content:
- What can you eat with ascites?
- Features of the diet for ascites
- Diet number 10 with ascites
What can you eat with ascites?
All food products for a patient with ascites undergo gentle culinary processing - they are boiled, stewed or baked. The diet should contain all the basic elements of food: proteins, fats, carbohydrates, but their proportions are adjusted. Composing the menu, they give preference to complex carbohydrates and vegetable fats. They are found in vegetables, oatmeal, millet and buckwheat. If ascites is caused by cirrhosis of the liver, the presence of easily digestible proteins in the diet is important.
Foods recommended for ascites:
- Chopped or ground veal, lean chicken, rabbit, steamed turkey.
- Vegetable puree soups with essential ingredients such as parsley, marjoram, fennel.
- Low-fat fish, steamed or baked in the oven without salt.
- One protein egg omelet can be eaten 3 times a week;
- Various cereals cooked in water with a minimum addition of milk in a ratio of no more than 3: 1.
- Nuts mixed with honey (hazelnuts, peanuts, walnuts).
- Marshmallows and fruit jellies as desserts.
- Pomegranate juice diluted with water, dried fruits.
-
Diuretic drinks and juices with potassium-saving properties: birch, carrot and pumpkin juice, infusion of figs and dried apricots, tea from currant leaves.
- Cottage cheese, sour cream for dressing dishes.
- Vegetables: eggplant, zucchini, pumpkin, carrots, tomatoes, cucumbers.
Features of the diet for ascites
The number of meals for ascites is 6-7 times a day. It is necessary that there is a time interval of no more than 3 hours between them. Portions should be small and the temperature of the food should be slightly warmer than room temperature. The food should be neither too cold nor too hot. Almost all products are cooked, with the exception of sweet fruits, and even those, if possible, are made part of oven-baked desserts.
It is undesirable to impose large portions and overeat. The purpose of the diet for ascites is to mitigate such negative manifestations of pathology as tissue edema and fluid accumulation in the abdominal cavity. It is advisable that a dietary planner compiles the menu for the patient, who will take into account individual characteristics and the existing diagnosis. Diet number 10, created in Russia by the doctor Pevzner, is more suitable for ascites. When the patient feels better, he goes to table No. 10a.
Diet number 10 with ascites
Prohibited and permitted foods with this diet correspond to the above recommendations for the nutrition of patients with ascites. In addition to this category of patients, table number 10 is recommended for people with ischemia of the heart, arterial hypertension, after myocardial infarction, with cirrhosis of the liver.
Features of table number 10:
- Daily calorie content - 2300-2600 kilocalories;
- The total amount of salt, together with the salt contained in the products, does not exceed 5 g per day;
- The daily amount of fat (up to 70 g), carbohydrates (up to 350 g), proteins (up to 90 g) has been reduced.
A sample menu for ascites in accordance with the requirements of the diet:
- Morning - oatmeal with diluted milk or steam protein omelet with boiled beef, cottage cheese with sour cream. Tea with croutons or biscuit biscuits;
- Second breakfast - curd cheese or apple with banana;
- Lunch - vegetarian soup with potatoes, steamed chicken with rice or steamed cutlet with pasta, compote;
- Dinner - boiled fish and salad or a portion of charlotte;
- Before going to bed - kefir or yogurt.
The result of a carefully observed diet for ascites will be an improvement in blood circulation, restoration of normal metabolism, a gentle attitude to the digestive organs, heart and blood vessels.
The author of the article: Volkov Dmitry Sergeevich | c. m. n. surgeon, phlebologist
Education: Moscow State University of Medicine and Dentistry (1996). In 2003 he received a diploma from the Educational and Scientific Medical Center of the Presidential Administration of the Russian Federation.
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