Diet For Irritable Bowel Syndrome

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-17 02:10

A diet for irritable bowel syndrome must necessarily be aimed at normalizing the digestive process and eliminating existing problems with the gastrointestinal tract. It must be adhered to for at least three months, most often during this time it is possible to put the body in order.

The essence of nutrition in irritable bowel syndrome is to ensure that a person receives adequate nutrition and at the same time has the opportunity to reduce the negative symptoms of the existing pathology. It is important to highlight those foods that stimulate the onset of a feeling of discomfort, provoke constipation, diarrhea, or bloating. Such food should be eliminated from the diet. This is especially true in the presence of intolerance to milk sugar and gluten.

The diet for irritable bowel syndrome is divided into 2 types, depending on the main symptom:

If diarrhea predominates, food should be properly prepared, it is best to grind it. You need to focus only on the permitted list of products. Experts with diarrhea recommend taking dietary table No. 4 as the standard of nutrition. It helps to strengthen the motor function of the irritable bowel, reduce the urge to defecate.
If a person suffers from constipation, then it is also important to revise the diet, to include foods that stimulate the intestines. In this case, experts recommend contacting the dietary table No. 3 according to Pevzner.

You should not give up diet food if it was recommended by a specialist. From any suggested list of foods, you can prepare many interesting dishes that will also have a healing effect and improve the quality of life of a person with irritable bowel syndrome.

Diet number 3 according to Pevzner

Diet No. 3 according to Pevzner is aimed at eliminating and preventing constipation, if similar symptoms prevail in patients with irritable bowel syndrome. In addition, adhering to the proposed diet and eliminating prohibited foods from your menu, you can ensure that pain caused by increased gas production in the intestines will be completely eliminated. After all, doctors recommend sticking to the table under number 3 for people with flatulence. (read also: Types and causes of flatulence)

Including permitted foods in the menu, it will be possible to gently stimulate the intestines, speed up the process of its natural emptying.

Diet number 3 does not imply restricting a person's calorie content, it must correspond to his body weight and age needs. The number of kilocalories varies from 2900 to 3600. In this case, carbohydrate food should prevail - up to 450 g of carbohydrates per day.

By following all the recommendations, you can get the following effect:

Bring the digestion process back to normal.
To activate the absorption capacity of the stomach.
Strengthen the production of enzymes in the digestive gland.
Increase intestinal motor activity.
Achieve painless and regular bowel movements.

Diet No. 3 according to Pevzner is a full-fledged diet plan, which is rich in foods with coarse plant fiber that stimulate intestinal motility.

Permitted foods of diet No. 3 according to Pevzner

Permitted products of the Pevzner diet No. 3 are included in the following list:

Vegetables: pumpkin, tomatoes, beets, cauliflower, cucumbers, zucchini, carrots. In boiled form, you can white cabbage and green peas.
Fermented milk products in the absence of individual intolerance: low-fat sour cream, yogurt, cottage cheese, regardless of its calorie content, yogurt, not spicy cheese, cream, fermented baked milk. Milk and drinks based on it.
Groats: buckwheat, yachka, millet, pearl barley. It is advisable to cook them in the form of crumbly cereals.
Boiled eggs, soft-boiled, in the form of a steamed omelet, but not more than 2 pieces per day.
Lean meat, lean fish, dairy sausages. It is better to boil meat products in lumpy form, sometimes minced meat can be used.
Seafood: shrimp, squid, mussels.
Not sweet pastries, yesterday's bread. Bread can be rye, bran, wheat.
Soups are best cooked with vegetable broth. It can be beetroot, okroshka, cabbage soup, borscht.
Offal, jellied meat, jelly.
Seaweed.
Sweet fruits, berries: pineapple, oranges, bananas, grapes, blueberries, melon, kiwi, strawberries, cranberries, lemon, raspberries, tangerines, papaya, rhubarb, blueberries.
Homemade jams, purchased marmalade without emulsifiers and artificial colors, any kind of honey.
Wheat bran broth.
Dill, celery, parsley, bay leaves as spices. Sauces can be made on a tomato and sour cream basis, or on a weak fish or meat broth.
From fats, it is allowed to add vegetable oils to dishes, you can include butter and soft margarine in food.
Nuts: everything except pistachios, peanuts and cashews, but in small quantities, sunflower and pumpkin seeds;
Black and green tea, herbal teas, fruit, compotes. In addition, almond, oat, soy and rice milk is allowed.
Sugar-containing foods: glucose, maple syrup, stevia, sugar (in limited quantities), chocolate (dark and milk)

Prohibited foods

Although diet number 3 according to Pevzner proposes to completely exclude the following prohibited foods from the menu:

Butter dough, puff pastry, bread made from premium flour.
Fatty meat, goose and duck are prohibited from poultry. Semi-finished products, refined products.
Smoked and any canned food (including fruits).
Salted and smoked fish, as well as fatty fish.
Eggs cooked as scrambled eggs.
Semolina, vermicelli, legumes, wheat, rye, barley are banned from cereals;
Dairy Products: Soft cheeses, as well as all dairy products except those that do not contain lactose.
Pasta.
Vegetables should not be included in the menu: turnips, onions, garlic, radishes, radishes, mushrooms. Potatoes should be limited.
Any products containing creams and jelly should not be used as desserts.
From fruits and berries, you should not eat: apricots, watermelons, cherries, pomegranates, grapefruit, pears, mangoes, nectarines, peaches, plums, persimmons, cherries, apples.
Sweeteners: Corn syrup, honey, sugar alcohols (xylitol, maltitol, sorbitol), agave syrup, fructose.
Sauces should not be fatty, spicy, based on mustard.
Strong brewed tea (including chamomile tea), coffee and cocoa, whey, alcohol, fruit juices are banned from drinks.
Fats such as beef, lamb and all cooking oils are prohibited.
Nuts (peanuts, cashews, pistachios), dried fruits, canned fruits;

Sample menu

Steamed omelet. Cauliflower salad with vegetable oil. Green tea.	Permitted fruits	Borsch with sour cream. Stewed meat with cabbage. Compote.	Ryazhenka	Cabbage rolls with minced meat. Buckwheat with cottage cheese in the form of a croup. Black weak tea.
Second option	Millet porridge with milk. Pear. Rosehip decoction.	Permitted fruits	Hake ear. Salad with tomatoes, carrots and cucumber in vegetable oil. Boiled meat.	Zucchini caviar, cheese, bread. Kefir.	Minced meatballs with tomato sauce. The vinaigrette. Rosehip decoction.

Diet number 4

The priority task of diet number 4 is to provide adequate nutrition for a person suffering from diarrhea. It is this condition that often accompanies irritable bowel syndrome, therefore, doctors often recommend table number 4 as an adjunct to the main treatment. Adhering to the existing recommendations, it will be possible to reduce inflammation, prevent the development of putrefactive and fermentative processes in the intestine, normalize its work, and bring the functioning of all organs of the gastrointestinal tract back to normal.

Diet No. 4 assumes some reduction in caloric intake, which is provided by reducing the amount of carbohydrates and fats entering the body, while the amount of protein remains unchanged. It is necessary to exclude as much as possible all chemical, mechanical and thermal effects on the irritated organ. They remove foods that can stimulate the secretory function of the digestive system.

Dishes are boiled or steamed. Their consistency is liquid, semi-liquid or wiped. It is important not to eat food that is too hot or too cold. Salt is consumed per day no more than 10 g, calorie content should not exceed 1700 kcal. It is important to adhere to the principle of fractional nutrition and eat at least 5 times a day, but in small portions.

Permitted foods of diet # 4

From flour products, crackers are allowed, made exclusively from premium wheat bread. It is important that they do not have a crispy crust, and that the volume does not exceed 200 g per day.
Soups are cooked in a second meat or fish broth. That is, after boiling, the water is drained.
From cereals allowed: buckwheat, corn, oatmeal, millet, rice, sago, sorghum, gluten-free pastries. If the cereal is prepared in the idea of porridge, then milk cannot be added to it during cooking. Cooking with water only.
The meat is lean, in the form of dumplings or meatballs. You can use lean beef, chicken, turkey, rabbit, veal. Be sure to remove the skin from poultry meat.
The fish is low-fat, prepared either in chunks or chopped.
Unleavened cottage cheese is allowed from dairy products.
You can eat no more than 1 egg per day. The correctness of its preparation is important: either soft-boiled, or steamed, or in the form of egg flakes in soup.
They don't eat vegetables, they can only cook broths.
For dessert, jelly and jelly from quince, pears, bird cherry, blueberry, dogwood are prepared. Sugar added is limited.
Butter is used as a dressing for dishes, the sauce is fat-free broth. The amount of oil per serving should not exceed 5 g.
Green tea is allowed from drinks. You can cook decoctions of black currant, rose hips, quince.

Prohibited foods

All baked goods, except for dried wheat bread. All baked goods and other flour products are prohibited.
Soups on strong fish and meat broths, with cereals, milk soups are not allowed.
Whole milk and other dairy products are excluded.
Fish is prohibited: fatty, fried, salted, canned. No caviar and seafood.
Do not fatty meat - pork and beef, goose and duck. Lumpy, especially sinewy meat is not allowed. By-products and semi-finished meat products are prohibited.
Do not raw eggs, hard-boiled eggs, scrambled eggs.
From cereals, the following is prohibited: yachka, millet, pearl barley, all legumes. No pasta.
Any sauces, mayonnaise, mustard, tomato and sour cream sauces are not allowed.
Dried fruits, fruits without preliminary processing, berries are prohibited.
Jam and honey are not allowed, as they have a laxative effect. Do not use confectionery as a dessert.
Cocoa and coffee with milk, compotes, any carbonated drinks are prohibited.
Any oils and fats are prohibited, except for fresh butter in limited quantities.

Sample menu

Dinner	Afternoon snack	Dinner
First option	Oatmeal on the water. Green tea.	Permitted fruits	Meat broth with oatmeal. Steam dumplings, rice on water. Black tea with sugar.	Kissel from black currant.	Steam hake cutlets. Mashed buckwheat porridge with butter. Rosehip decoction.
Second option	Buckwheat on the water. Cocoa without milk with sugar.	Permitted fruits	Chicken broth with rice. Boiled rabbit meat with pureed buckwheat porridge. Pear jelly. Black tea with sugar.	Rusks with oatmeal jelly.	Steamed pollock dumplings, poached egg. Cottage cheese casserole. Green tea.

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).