Acute gastritis (inflammation of the gastric mucosa) can occur in children due to gross nutritional disorders: consumption of poor-quality foods, intake of large amounts of fatty or coarse foods rich in plant fiber (unripe fruits, berries), violation of the diet, food hastily or dry food.

Acute gastritis is manifested by nausea, sometimes vomiting, belching, pain, a feeling of heaviness in the epigastric region.

The best medicine for OH is abstinence from food for the first day.

In this case, the inflamed gastric mucosa rests, which is a kind of protective measure, since the secretion of digestive juices during the inflammatory process sharply decreases.

It is only necessary to water the child often and in small portions during this period with warm weak tea, boiled water, weak decoctions of herbs without sugar, 5% glucose solution in combination with physiological solution (0.9% sodium chloride solution). The total amount of fluid is determined by the degree of thirst in the patient..

The day after fasting, fruit and vegetable and cereal decoctions, rosehip decoction are allowed. From the third day of illness, the child is transferred to liquid food: weak fat-free broth with white croutons or slimy grated soup, jelly, liquid cereals.

Only from the fourth day in the diet include steamed meat dishes (meatballs, meatballs), boiled fish, various puddings. On the fifth day, you can already use milk soups, boiled chicken (without skin), thicker cereals and vegetable puree (potato, carrot) in your diet. Then the child is gradually transferred to a regular diet in accordance with age, expanding the ways of cooking food. Steam dishes are replaced with boiled ones, instead of jelly they are given fresh fruit puree, fruit juices, baked apples.

To prevent chronic gastritis for several weeks, spicy and salty foods and hard-to-digest fatty foods should be excluded from the diet of a child who has recovered from OH.

Nutrition for chronic gastritis (XT).

Chronic gastritis occurs mainly in preschool and school children. With chronic hepatitis, the stomach glands, which produce hydrochloric acid, pepsin and mucus, are affected.. As a result, the activity of the stomach is disrupted..

Moreover, violations can be of two types: in one case, the level of hydrochloric acid rises (CG with increased secretory activity), in the other - decreases (CG with reduced secretory activity).

The main manifestation of chronic gastritis is pain in the epigastric region, most often after eating, accompanied by heartburn or sour belching with increased acidity of gastric juice, nausea, decreased appetite and belching with air - with low acidity.

It should be noted that in conditions of inflammation and atrophy of the gastric mucosa, its absorption capacity increases.. At the same time, large molecules of nutrients begin to be absorbed, which leads to intoxication and allergization of the body.. In children, the general state of health worsens, they quickly get tired, food allergies appear or intensify.

In chronic hepatitis with normal or increased gastric secretory function, the child should eat 6-7 times a day in small portions, as a result of which free hydrochloric acid, which irritates the stomach, does not have time to form..

At the same time, foods and dishes that have a local irritating effect on the inflamed gastric mucosa, as well as those with a strong sokogonny effect, are excluded from the diet of a sick child: meat, fish, strong vegetables, especially mushroom broths, cabbage broth, fried meat and fish, raw unpolished vegetables.

Dishes are prepared from boiled products and served mashed. Meat and fish are boiled in two waters and passed through a meat grinder, porridge and vegetables are rubbed.

Valuable food for such patients are milk (3-4 glasses of warm milk to reduce the acidity of the stomach contents), cottage cheese, eggs.

In their diet, it is not necessary to limit fats, but dishes containing simple carbohydrates (sugar, sweets) should be somewhat reduced in the diet of such children..

From raw vegetables, it is allowed to use only grated carrots and finely chopped tomatoes, seasoned with sour cream or vegetable oil, as well as raw, finely chopped greens. The rest of the vegetables should be boiled and salads should be prepared from them, but without adding onions.

The first courses are prepared in the form of vegetable puree soups (except cabbage) on cereal broth or milk soups with grated cereals or noodles with the addition of vegetables. For the preparation of second courses, use chicken, low-fat beef, fish, boiled in water or steamed.

To improve the taste after boiling, they can be lightly baked in the oven.. For the preparation of second courses, eggs, cottage cheese, sour cream, cream are used. As side dishes for meat and fish dishes, you can offer mashed potatoes and carrots, boiled cauliflower, beets, stewed or mashed squash and pumpkin, as well as boiled noodles, noodles, cereals. The latter are also given as an independent dish for breakfast or dinner.. The dishes are seasoned with butter or vegetable oil, you can use sour cream and milk sauces.

For breakfast and dinner, in addition to the named dishes, it is recommended to steam various puddings, omelets, casseroles, as well as milk porridge. From bread products, white wheat stale (yesterday's) bread, white crackers, uncooked biscuits, biscuit are used.

Food for children with chronic hepatitis with normal or increased gastric secretion should be slightly undersalted, and spices should be excluded altogether.

Depending on the child's age, it is recommended to include 650-800 ml of milk, 35-50 g of butter, 25 g of vegetable oil, 50-60 g of sugar, 110-120 g of fresh fruit, 140-210 g of potatoes,. Cottage cheese is given 3-4 times a week, 45-65 g per day, mild cheese is used on those days when there are no cottage cheese dishes on the menu. Cheese is usually added in pureed form to butter, preparing a sandwich for breakfast or dinner (weekly rate 45-55 g).

In the period of exacerbation of chronic hepatitis with normal or increased secretory function of the stomach in the first week, the child is given food 6-8 times a day, somewhat reducing its total volume and set of products. The basis of the diet at the beginning of exacerbation of chronic hepatitis is milk, the volume of which increases to 1 liter per day.

You can also use cream, soft-boiled eggs or in the form of a steam omelet (1-1.5 pcs.. per day), butter (15-25 g per day), mashed cottage cheese (30-45 g per day), slimy grated cereal soups, mashed milk porridges, steam puddings, meat and fish souffles and gachet made from boiled products, white crackers. Less salt is added to food than for healthy ones.

Such a diet (see. lower diet number 16) the sick child is prescribed for 1-2 weeks. But since it is close to physiological and almost completely satisfies the needs of the child's body for proteins, fats and carbohydrates, in the case of a slowed down course of recovery processes (as evidenced by continuing pain, heartburn and other disorders), it can be extended for another week.

From the third or fourth week of treatment, the menu of a sick child is gradually expanded, the number of feedings is reduced to 5-6, and the calorie content of the daily diet is increased. In nutrition, the volume of milk is gradually reduced and the content of butter, cottage cheese is increased. Vegetable oil, stale wheat bread, boiled vegetables, fresh non-acidic fruits, dried fruit compote are introduced into the diet.

All food is given in mashed form..

Then 6-12 months, the child should eat the same foods and dishes, but cooked without wiping and sharp mechanical grinding. Several times a week, you can eat well-baked buns, cheesecakes with cottage cheese, pies with apples, boiled meat or fish, eggs. It is not contraindicated to use milk sauce as a gravy (without saute flour) with the addition of butter, sour cream, as well as fruit and milk-fruit sauces.

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