After removal of the gallbladder is very important to carefully follow the recommendations of the doctor on nutrition. Within a few days after the surgery the patient should eat only clear liquids such as broth, apple juice, tea. Then, if doctors believe that the recovery is normal and the patient is not sick, you can gradually introduce solid foods into the diet.

Usually begins with mashed potatoes, yogurt and other food that is easily digested.

More than half of the patients for some time after removal of the gallbladder there are problems with the processing of fats. This is due to the fact that no more of the gallbladder, which optionally produces a certain amount of bile. Instead bile from the liver is now enters directly into the intestines - in small quantities and continually. It will take at least several weeks before the body gets used to these changes; during this time there may be symptoms such as diarrhea, bloating, flatulence. Therefore, include a diet rich food is recommended not earlier than one month after the removal of the gallbladder. However, even then it will need to monitor the quality of fatty foods - fat must be predominantly unsaturated. It is strongly recommended to exclude from the diet of trans fats.

For at least four weeks after removal of the gallbladder is not recommended to eat fatty foods the following:

• Fried dishes;
• Fatty meats such as sausages, bacon, minced;
• Dairy products with a high fat content, such as cheese, ice cream, cream, whole milk and cream;
• Pizza;
• Products which are used in the manufacture of fat or oil;
• Gravy;
• Chocolate;
• The skin of chicken or turkey.

The following foods cause flatulence, and they should also be excluded from the diet after gallbladder removal:

• Cereals;
• Nuts;
• Seeds;
• Legumes;
• Brussels sprouts;
• Broccoli;
• Cauliflower;
• White cabbage.

In addition, it is recommended to take time off from the sharp, spicy food - it can adversely affect the process of digestion.

Why, after removal of the gallbladder is necessary to follow a diet

After removal of the gallbladder bile nowhere to accumulate and irregular meal it starts to stretch the biliary tract and stagnate in the bile ducts. The high concentration of bile promotes the formation of the biliary tract in the bile duct, and it is much more dangerous than gallstones Gall bladder: structure and function .

For the regular emptying of the biliary tract after removal of the gallbladder requires eating five or six times a day, only in this case can prevent stagnation of bile.

In the presence of inflammatory changes in the biliary tract (and they can not occur after the removal of the gallbladder) disrupted the process and composition of the secretion of bile. Bile becomes more viscous, it reduces the amount of enzyme capable to break down fats, so these patients require foods containing a sufficient amount of proteins and complex carbohydrates (vegetables, cereals) in combination with vegetable fat and butter. Animal fats as fatty meat should be completely excluded.

Foods to avoid the reception after the removal of the gallbladder

After removal of the gall bladder diet should pursue the mechanical, chemical and thermal (temperature) sparing, so the diet should not be:

• dishes containing extractives and essential oils (pepper, mustard, horseradish, onion, garlic Garlic health: almost a panacea , Sorrel, radishes Benefits and harms of radish: what you need to know about this vegetable , Radish, smoked meat, mushrooms, salty foods, concentrated meat, fish, mushroom broth, hot sauce);
• refractory fats (mutton, pork, beef, goose and so on), as a result of violations of the composition of bile, the digestion of fat is broken;
• easily digestible carbohydrates (sweet biscuit) - these products can cause flatulence Flatulence - when too much gas   and violation of the rest of the digestion of food;
• foods rich in roughage (peas, beans, rye bread) - it also causes bloating;
• very cold food and beverages (ice cream, soda), which may cause spasm of the biliary tract and bile stasis in them.

Dishes that are recommended after removal of the gallbladder

For the preparation of meat dishes, use lean beef, chicken, lean river or sea fish. Marine fish rich in lipotropic factor - lecithin, which helps to digest fats.

Of great importance in the diet of these patients given the curd, which is a rich source of easily digestible high-grade animal protein containing another lipotropic factor - choline. In the daily diet must be present milk, best in the form of fermented milk products (some adults lack the enzyme that can cleave milk fresh water). Low-fat sour cream recommended in small quantities (e.g., a salad dressing).

Fats must be present in the diet of the patient, but only in the form of oil and butter. Every day you can also eat one egg.

From cereals are recommended buckwheat, oats, rice - they all contain lipotropic factors. Widely be used in the menu, a variety of vegetables, fruits and berries, except for sour varieties, as some of them have a choleretic effect. Especially useful carrots, pumpkins, watermelons, melons. As a recommended sweets candy, jellies, jams, preserves, honey - in moderation.

Cooking technologies for patients after gallbladder removal

Food for these patients should be prepared by boiling, stewing or steamed. Grilled dishes are excluded, as are retained extractives. In addition, under the influence of high-temperature fat is split to form products that irritate the stomach lining and biliary tract.

Proper balanced diet after gallbladder removal to ensure the normal flow of bile and warn inflammation and the formation of stones in the biliary tract.

Galina Romanenko

The development of gout, a painful form of arthritis, for a long time associated with power features, in particular excessive consumption of meat, seafood and alcohol. Therefore, we treat gout for a long time by changing the diet. Fortunately, there are medications that help to quickly relieve the symptoms of the disease and the need for strict restrictions disappeared, but the diet is prescribed for gout, it is an effective means of stabilizing the patient's condition.

This diet is very similar to the correct, balanced diet, stick to which is recommended for most people. It not only helps to control symptoms of gout Gout - the "disease of kings" But also maintain a healthy weight and avoid exacerbation of certain chronic diseases.

Gout develops when due to elevated levels of uric acid in the blood formed crystals that are going around the joints. The body produces uric acid, splitting purines. Purines are produced naturally in the body, but can also be obtained from some foods such as meat, anchovy, herring, asparagus and fungi.

Special diet for gout helps control the production and excrete uric acid Uric acid - a normal level? That can prevent gout and make them less severe.

Obesity is another risk factor for the development of gout. To lose weight through diet, may reduce the frequency and intensity of attacks.

Dietary

Diet for gout involves reducing the consumption of purines, promoting the development of lactic acid. If gout is associated with obesity, diet should be designed to reduce excess weight. At the same time, to avoid starvation and too rapid weight loss, as it can contribute to the development of gout attacks. In addition, patients with gout is not suitable protein diet, as they can cause hyperuricemia - a condition characterized by excessive production of uric acid. Drink plenty of fluids to flush out uric acid from the body.

Terms diet for gout:

• Limit consumption of meat, poultry and fish. Animal proteins are very rich in purines. Especially strictly should limit consumption of red meat, oily fish and seafood. Patients with gout is recommended to use no more than 110-170 grams of meat a day.
• Eat more vegetable protein. Proteins you still need, and you can get them from plant foods such as legumes. It will also help reduce the consumption of saturated fats, which will get rid of excess weight.
• Limit alcohol consumption or abstain entirely from him. Alcohol inhibits the excretion of uric acid from the body. Drinking beer in particular is often associated with gout. During an attack of gout should avoid alcohol. At other times, it is necessary to significantly limit the consumption - 148 ml of wine a day is considered safe dose of alcohol for patients with gout.
• Eat low-fat products. Experts believe that eating low-fat milk, yogurt and other dairy products with reduced fat content significantly reduces the risk of developing gout. Furthermore, it is necessary to consume dairy products in sufficient quantities: for an adult is 430-719 ml per day.
• Eat complex carbohydrates. Eat whole grains, fruits and vegetables, and avoid refined carbohydrates that are contained in the various baked goods, candy and chocolate bars.

Result

Diet for gout does not cure the disease, but it helps to alleviate the symptoms and the frequency of their occurrence. Constant follow this diet allows you to control the disease and maintain a healthy weight.

Why diet for gout - the main type of treatment

Gout is violated decay process (catabolism) of purine nucleotides. As a result, there is an accumulation of intermediates decay - uric acid and its salts.

People with gout should limit foods rich in purine bases. Therefore, for gout diet excludes from the liver, kidneys, brains, sardine pate, herring, meat broths, sprats, nuts, chocolate, beans, peas, beans, lentils, cocoa, coffee, alcoholic beverages. We do not recommend the use of meat and young animals. Meat and fish can be eaten no more than three times a week in the form of boiled (after which it can be put out or fry).

Almost do not contain purines cereals, fruits, eggs, rice, milk, potatoes. Of great importance is alkalizing lacto-vegetarian diet. Also shown are fasting days - fruit, potato, lactic acid.

Dieting reduces the total amount of uric acid in the body.

Fasting days

Fasting days are recommended once a month, it is better on certain days. During fasting days should drink more alkaline drinking - weakly alkaline mineral water, juices, and just water. After unloading the day's metabolism Improves metabolism and losing weight without dieting   He gets a good jolt to work with a vengeance, and the patient is experiencing a surge of strength and energy:

• dairy fasting days - for them, you can use yogurt; 1, 5 liters of buttermilk is separated into 5-6 doses throughout the day;
• fruit or berry fasting days - they are very convenient to carry in the summer and autumn; suitable apples, bananas, apricots, cherries, cherry, raspberry, strawberry, currant, watermelon, grapes and so on; better to use than a certain kind of fruit, and a few, combining them with fresh juice; during the fasting day you can eat 1-1, 5 kg of fruit or berries in small portions and better in the form of salads (fruit finely cut or rubbed on a grater), flavored with lemon or orange juice;
• unloading potato diet - potatoes for all meals should be cooked in their skins and then be cleaned; Potatoes can be eaten baked, boiled, mashed, diluted with milk; during the day it is eaten five medium potatoes.

The daily menu for gout patients

• Breakfast: a cup of yogurt or sour milk, a sandwich with butter and cheese, egg.
• Second breakfast: apple, banana Bananas: the benefits and harms health   or orange.
• Lunch: vegetable soup, a piece of boiled chicken or fish (no more than three times a week), other days - steamed vegetables, cottage cheese casserole, muffins, cheesecakes, and so on; glass of fresh fruit juice.
• Afternoon snack - fruit salad, seasoned with lemon juice.
• Dinner - mashed potatoes with butter or vegetable oil and milk, or steamed vegetables, a glass of kefir or sour milk.