Diet for chronic pyelonephritis
Pyelonephritis is a kidney disease of an infectious and inflammatory nature. Compliance with a diet for this disease is an essential condition for the patient's recovery. Dietary nutrition will need to be adhered to both in the stage of exacerbation of the disease and during its remission.
The diet for chronic pyelonephritis in adults is based on the following principles:
- Organization of the most gentle working conditions for the kidneys by reducing the load from them;
- Bringing the patient's metabolism back to normal;
- normalization of blood pressure, which is often increased in chronic pyelonephritis;
- Reducing the severity of edema, if any;
- Excretion of pathogenic agents and toxic products of their vital activity from the body and, first of all, from the kidneys.
Doctors most often with chronic pyelonephritis recommend sticking to table number seven according to Pevzner. It boils down to a slight decrease in the amount of protein. In this case, carbohydrates and fats must fully correspond to the physiological norm of a healthy person. It is equally important to include in the diet foods that contain a sufficient amount of vitamins.
The maximum daily calorie content can reach 2700 - 2900 kcal.
Content:
- Diet basics for chronic pyelonephritis in adults
- What foods are prohibited for chronic pyelonephritis in adults
- What foods are allowed for chronic pyelonephritis in adults
Diet basics for chronic pyelonephritis in adults
- Food processing methods. During an exacerbation of the disease, it is advisable to use only gentle methods of processing food: casserole, cooking and steaming. During persistent remission, moderate frying of foods can be allowed. Do not crush or twist food.
- Meal mode. In order for the patient not to experience a deficiency in beneficial trace elements and nutrients, food intake should be regular. The number of approaches is equal to five. Regular nutrition allows the kidneys to more easily remove metabolic products from the body and normalizes the patient's condition as a whole.
- Salt. Any inflammation in the kidneys, including chronic pyelonephritis, contributes to the fact that their filtering and excretory potential suffers. That is, toxic decay products remain in the body longer, exerting a negative effect on it. This is further facilitated by excessive salt intake, large doses of which cannot be excreted by diseased kidneys. As a result, a person may experience swelling and increase blood pressure, as well as form calculi in the kidneys. At the discretion of the treating doctor, he gives his patient advice on salt restriction. As a rule, its daily dose should not exceed 6 g, it is worth refusing to add salt to products without their preliminary sample.
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Alcoholic drinks. Any alcohol with this inflammatory disease is strictly prohibited. It increases the load on the affected organs, slows down the elimination of decay products, increases edema and contributes to the exacerbation of chronic pyelonephritis. Therefore, alcohol is contraindicated in any, even minimal dosages.
- Thermal component. In this regard, there are no restrictions. The temperature of food does not differ from that for healthy people without a history of chronic pyelonephritis.
- Alkalizing products. To reduce the acidity of urine, you should eat foods that help alkalize it. These are dairy products, milk, vegetables and fruits. Therefore, a dairy-plant diet for adults with chronic pyelonephritis is preferred.
What foods are prohibited for chronic pyelonephritis in adults
Diet for chronic pyelonephritis provides for a ban on any foods that irritate the urinary tract, and also contribute to over-excitation of the nervous system.
Protein products, in particular fish and meat, are subject to some restrictions. This is due to their ability to shift the composition of urine towards an increase in acidity.
Products containing essential oils, oxalic and lactic acids are subject to complete exclusion.
Easily digestible carbohydrates create a favorable environment for bacteria to grow. Any legumes have a similar effect. Therefore, peas, beans, chickpeas, etc. are banned.
The complete list of prohibited foods for chronic pyelonephritis is as follows:
- Any rich broths, including those based on mushrooms. Therefore, after the meat or fish boils in water, the liquid must be drained, and the base for the soup should be placed in clean water.
- Fatty fish, especially smoked and salted fish, should be banned, the same applies to seafood.
- All fatty meats.
- Any semi-finished products: sausages, sausages, caviar, canned food.
- Smoked food and grill.
- Onions, garlic, any legumes, spinach and sorrel, radishes and radishes.
- Pickles and marinades, sauerkraut.
- Mushrooms, regardless of how they are prepared.
- Horseradish, mustard, pepper sauce.
- Pork lard and any cooking oils, especially margarine.
- Fatty or spicy cheeses and cheese products.
- Strongly brewed coffee or strong tea, cocoa.
- Confectionery and baked goods should be limited, and completely excluded during an exacerbation of the disease.
What foods are allowed for chronic pyelonephritis in adults
The patient should eat those foods that reduce the acidity of urine and its alkalinization. This contributes to the fact that the kidneys are normalized and it is easier for them to cope with pathogenic microorganisms. In addition, in the alkaline environment of urine, bacteria die much faster.
It is strictly forbidden to reduce the volume of fluid in chronic pyelonephritis, especially if the doctor did not give such recommendations. It flushes the urinary tract, promotes the removal of infection from the kidneys in large quantities. In addition, the body is freed from toxic waste products and decay.
Therefore, the list of permitted foods and drinks includes:
- Fruit drinks, and cranberry fruit drinks are especially popular. You can drink non-brewed herbal tea, green and black tea, compotes, jelly, rosehip decoction.
- You can include in the diet baked goods based on yeast dough, as well as unsalted bread, preferably yesterday's.
- You can eat lean meats: poultry, fish, beef. Better to boil or bake it.
- Milk soups, cereal soups, vegetable soups are useful.
- Vegetables such as pumpkin, zucchini, cucumbers, dill and parsley, beets, and carrots have a diuretic effect.
- For eggs, don't eat more than one egg a day.
- Any dairy products and milk are useful.
- You can eat pasta, cereals, melons and gourds.
- Vegetable and butter, but not salted butter.
- Sauces must be prepared based on milk, sour cream or vegetable broths. It is possible to add vinegar or citric acid to them.
If a person is being treated in a hospital, then he can bring berries and fruits to provide the body with a supply of vitamins.
Compliance with the diet will extend the time of remission, accelerate the patient's recovery. If you refuse to comply with it, then the likelihood of developing serious complications increases significantly. In addition, in patients who do not adhere to a diet, the symptoms of chronic pyelonephritis increase.
Once a week, patients can have fasting days. They can be based on fruits, vegetables, dairy products or cereals.
The author of the article: Kuzmina Vera Valerievna | Endocrinologist, nutritionist
Education: Diploma of the Russian State Medical University named after NI Pirogov with a degree in General Medicine (2004). Residency at Moscow State University of Medicine and Dentistry, diploma in Endocrinology (2006).
