Ulcerative colitis is a serious disease that requires adherence to a strict diet, which is prescribed during drug treatment. Diet for ulcerative colitis 4a is designed for 1 month. During this time, remission occurs and a clear improvement in the general condition of the body.
Diet goal table 4a
Symptoms of the disease are manifested in frequent urge to go to the toilet, accompanied by the release of feces mixed with blood and purulent discharge, pain syndrome mainly in the left part of the abdomen, dehydration due to diarrhea, fever, sometimes constipation, weight loss, etc. This condition is caused by a violation of the intestinal microflora , as a result of which focal inflammation begins in the colon and rectum.
Diet 4 and 4a, developed by Mikhail Pevzner, is prescribed during the treatment period in order to reduce irritating factors to the intestines. During the period of following this type of diet, food does not put pressure on the lesions, and it is easier for the body to cope with the disease.
The purpose of the diet is to restore normal intestinal microflora, which has been damaged as a result of poor nutrition, abuse of spicy, salty, fried foods, smoking and excessive alcohol consumption. The disorder can also be caused by viruses and bacteria, as well as due to genetic predisposition.
Reverse the disease and restore intestinal absorption
For three long years the girl was treated unsuccessfully for ulcerative colitis. The child received corticosteroids, sulfonamides and numerous other medications. By age eight, surgery seemed inevitable. It was then that the girl was given a specific carbohydrate diet. It took two years for the intestinal symptoms to completely disappear.
However, completely different symptoms disappeared first. It turns out that in addition to intestinal disorders, the girl almost every night after falling asleep, to the horror of her parents, had convulsive twitching and delirium that persisted for about an hour. After a radical change in diet, all neurological disorders stopped quite quickly and never reappeared. And this girl is the daughter of Elaine Gottschall, the author of the above-mentioned diet.
In the process of counseling patients with Crohn's disease, ulcerative colitis and other forms of chronic diarrhea, Elaine drew attention to the fact that in parallel with intestinal disorders, patients experienced mental disorders such as epilepsy, schizophrenia, confusion, poor memory and inappropriate behavior. For example, during a consultation with a young woman with ulcerative colitis, the patient’s mother said that her daughter was also under the supervision of a psychiatrist, because When she sleeps she barks like a dog. She was even prescribed a strong psychotropic drug for this symptom. After starting treatment with a specific carbohydrate diet, the nocturnal attacks stopped, and for the first time in many years, the encephalogram (a recording of the electrical potentials of the brain) returned to normal.
Observant psychiatrists have long noticed that their patients often suffer from digestive system disorders.
Why does the nervous system suffer with the syndrome of impaired intestinal absorption? Firstly, patients simply do not absorb the nutrients, vitamins and microelements necessary for functioning. Secondly, the intestines of such patients are inhabited by numerous pathogenic bacteria, viruses and fungi. Their waste products are absorbed into the blood and have a toxic effect on the central nervous system. For example, Dr. C. Orian Truss believes that the cause of the mental symptoms of schizophrenia and neuroses is a fungal infection.
I would like to draw the attention of teachers and parents. The number of children with symptoms of attention deficit hyperactivity disorder (ADHD), learning disabilities, impaired motor coordination, autism, depression and other mental and psychological problems is growing. It is not easy for those who work or live with such children. Paying attention to neurological symptoms, few people think that such children, as a rule, have impaired digestion. Many of them will benefit from a specific carbohydrate diet.
Here is a letter from a woman who cured her husband. “For over 40 years, my husband was treated in various mental hospitals. He was exhausted and periodically experienced intestinal bleeding and vomiting. As his physical condition worsened, his mental symptoms also worsened. Luckily for me, I read about the Specific Carbohydrate Diet in the newspaper and bought the book. A miracle happened! After 4 months on a diet, my husband gained 18 kg. His mental health has improved so much that he can drive and do housework again for the first time in many years. Your diet may help other people suffering from similar disorders."
Types of diet
Inflammation develops in several stages, for each of which a specific diet is selected. In the chronic course of the disease, when it is in the quiescent stage, table No. 4 according to Pevzner is prescribed, in which the diet consists of 130 g of protein, 60 g of fat and 200 g of carbohydrates.
A similar diet is prescribed during an exacerbation, the main symptoms of which are characterized by diarrhea or constipation, muscle weakness and nausea. With constant stagnation, the diet for UC is called table 4a. It consists of the most pureed products and purees. Fats are increased to 100 g to provoke intestinal motility.
When the patient gets better, dysbiosis goes away, and the intestinal mucosa is restored, after 4 weeks, diet 4a is returned to diet 4, gradually transferring the person to a normal diet.
When is the best time to eat bananas?
It is better to eat the fruit in the morning on an empty stomach; the pulp envelops the stomach from the inside, preventing the effects of aggressive gastric juices, preventing the development of ulcers. If bloating and discomfort occur when consumed on an empty stomach, it is recommended to eat a banana after eating a few hours later and not drink liquid for an hour.
For heartburn, take medications prescribed by your doctor:
- gastal;
- almagel.
It is permissible to make a banana smoothie that will soothe the stomach lining and relieve a person from heartburn thanks to its natural properties. If the cocktail is made with milk and banana, the antacid properties in combination with milk will appear more clearly.
General rules of diet for ulcerative colitis
During the treatment period, the patient should limit physical activity and avoid emotional shock and stress as much as possible. This causes an exacerbation of the disease, and worsens the condition even during remission.
Cooking conditions
Diets for ulcerative colitis should be prepared in such a way that the inflamed mucous membrane is not irritated and the walls are not injured. You should avoid frying foods, smoking, steaming, boiling or baking all dishes.
You need to grind the food as much as possible, bringing it to a puree state. At the same time, pearl barley and wheat porridge should not be consumed. It is not recommended to wash down food during a meal; solid pieces of food must be chewed thoroughly and moistened with saliva. This way the product will enter the stomach in the most prepared form. The pancreas will not need to secrete a significant amount of the enzyme, which in this disease irritates the walls of the stomach and intestines.
Dishes should not be from the refrigerator and should not be heated to boiling water. It is best to serve food at room temperature. In other words, food should be prepared as if it were being served to a newborn.
Minimum fiber in the diet
Fiber, contained in wheat and pearl barley porridge, bran, raw fruits and vegetables, is difficult for the digestive system to absorb. It takes a long time to digest and requires the release of more gastric juice to break down food. Vegetables can be consumed boiled and chopped, in the form of puree.
The right carbohydrates
Glucose plays a significant role in diet 4a for ulcerative colitis. The maximum amount of carbohydrate-rich food should not exceed 300 g per day. You should choose only natural sugar and fructose found in sweet berries and fruits. It is allowed to use jam, jelly and jelly.
You should not consume sugar in its pure form, cakes, sweets, baked goods, that is, anything that was cooked in heated oil containing trans fats. You can drink tea with condensed milk or jam. Honey is prohibited because it causes fermentation.
Increase in proteins
When the body's tissues are injured, in this case by ulcers, it requires significant amounts of protein to grow new fibers. During this period, it loses a huge amount of amino acids responsible for this recovery process. Therefore, proteins in ulcerative colitis should be increased to the maximum.
It is allowed to eat cottage cheese 3%, eggs, kefir, fermented baked milk. It is prohibited to drink fresh milk. The body needs to spend 4 hours to digest it. For meat products, it is recommended to cook beef, chicken, turkey, rabbit and veal in the form of cutlets, pate and meatballs. You can also eat lean fish in the form of cutlets. Only home-made sausage made from natural meat is allowed to be consumed.
Fractional meals
Long breaks between meals should not be allowed. During treatment, 3 meals a day must be divided into 6 meals a day in small portions. If you feel hungry before bed, it is better to eat something light than to go to bed hungry. Hunger is the first enemy with ulcerative colitis.
Gastric juice should not be allowed to secrete without eating. Low-fat cottage cheese, a piece of dried bread or 1-2 apples, chopped in a blender, are suitable as an evening snack. Baby food, vegetable and meat purees will come in handy.
The benefits and harms of bananas
Beneficial properties include:
- restoration of acid-base balance;
- cleansing the body of toxins;
- improves microflora in the intestines;
- relieves inflammation;
- helps relieve stress;
- strengthening bones;
- cancer prevention;
- removal of toxins;
- treatment of anemia;
- help with diarrhea;
- help with seizures;
- normalizes blood pressure;
- is a dietary fruit.
The fruit is perceived as almost a panacea for peptic ulcers: it has an anti-inflammatory effect, relieves symptoms of dysentery and liver damage.
The disadvantages include the fact that when sedentary, obese people consume the fruit on an empty stomach, a banana causes stomach discomfort and bloating.
Diet for diarrhea
If the disease is accompanied by diarrhea, then fats in the diet should be reduced to 60 g per day. Vegetable oil, butter and lard also fall into this list. Fatty foods increase intestinal motility, causing diarrhea. Along with diarrhea, the body becomes dehydrated, so you need to increase your fluid intake to 1.5 liters per day.
Banana composition
Includes:
- vitamin E;
- vitamin C;
- vitamin B6;
- potassium;
- sugar;
- sodium;
- phosphorus;
- iron;
- calcium;
- cellulose;
- as well as many microelements.
The composition contains a substance that is destructive to the bacteria that causes ulcers and promotes the healing of existing ulcers.
Prohibited Products
The diet for nonspecific ulcerative colitis should be compiled with the exception of the following list of products:
- products made from bran;
- puff pastry;
- sunflower and pumpkin seeds;
- nuts;
- raw vegetables, except cucumbers and tomatoes;
- dried fruits;
- plums and apricots;
- turnips, radishes and radishes;
- onion and garlic;
- fatty meat of animals and fish, as well as broths made from pork, lamb and goose;
- smoked sausages;
- canned foods;
- borscht, okroshka, rassolnik;
- pasta;
- millet, pearl barley and egg;
- legumes;
- mushrooms;
- fresh milk;
- heavy cream and sour cream;
- black tea and coffee;
- alcohol;
- flour products and baked goods;
- black bread;
- any fast food;
- store-bought sweets;
- carbonated drinks;
- fried eggs;
- hot spices: horseradish, mustard, hot pepper, vinegar;
- sorrel, spinach and wild garlic.
You should not exclude your own intolerance to a particular product. If, while eating even permitted foods, the patient feels fermentation, heartburn, heaviness, cutting pain, flatulence and bloating, then it is necessary to determine what causes this effect and completely exclude this food from the diet for the duration of treatment.
Authorized Products
It is worth remembering that even permitted foods during an exacerbation should be consumed according to the daily intake of proteins, fats and carbohydrates. They can only be prepared using acceptable methods, such as boiling, stewing, steaming and baking. Allowed to use:
- chicken eggs;
- rice, buckwheat, semolina and oatmeal, cooked in water and ground to a coarse flour;
- dairy products other than milk itself;
- lean meat;
- cucumbers and tomatoes;
- fresh ground berries without seeds;
- apples and pears in the form of puree;
- dried white bread;
- dried cookies, biscuits;
- green tea;
- Herb tea.
