What kind of nutrition is recommended for cholelithiasis? Making a menu for dinner

Gallstone disease is a kind of deposits in the form of stones that settle on the walls of the gallbladder and ducts. The progression of the disease and its development is determined
a sedentary lifestyle, eating fatty foods, or it can be inherited. Getting rid of stones without surgery is quite difficult and the process takes a lot of time. But still the diet cholelithiasis can help in treatment if strictly followed.

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Stages of development of the disease

Chemical stage. Characterized by increased secretion cholesterol. After certain processes associated with the formation of stones have occurred (which may last several years), the next stage begins.
Asymptomatic stage (stone bearing). The bile stagnates and more and more new stones are formed. The stage is quite long and can last for several years.
Clinical stage. The time when the stones make themselves felt, you may feel pain in the right side and general malaise, bitterness in the mouth and other symptoms. Do not ignore the signals sent to you by your body, consult a doctor.

Diet 5 p

Acceptable and unacceptable products

What not to eat if you have gallstone disease:

bread (soft, fresh);
dough products;
fried food (potatoes, pies, meat);
fatty foods (rich broths, fatty meats and dairy products);
sour berries and fruits;
some herbs (parsley, sorrel);
smoked products (sausage, fish, balyk);
alcoholic and carbonated drinks;
drinks containing caffeine.

What can you eat during gallstone disease:

black bread (dried)
crackers (without seasoning, white or black bread can be used);
butter;
eggs (steamed or boiled);
lean fish (baked or boiled);
lean meat (baked or boiled);
various cereals (oatmeal, buckwheat, rice);
compotes from various fruits, jelly, tea.

Proper nutrition

To eat properly, you need to cook according to certain rules. Since all food should be non-greasy, use vegetable broth. Avoid any dishes that contain pasta. Dairy products can be consumed, but only if they are low-fat.

Cooking is carried out using vegetable oil, this helps eliminate animal fats. You can add a small amount of butter to soups, which is easily absorbed by the body. Do not give in to temptation, follow a diet and do not drink alcohol, all this will help you recover in the shortest possible time.

All diets for the treatment of gallstone disease are similar to each other and have some special features, distinguishing them from other diets. First hallmark– you need to eat little by little and regularly (5 – 6 times a day). Fractional meals will exclude excessive loads on the organs of the digestive tract. The second distinctive feature is that the stomach should not receive any food 120 minutes before bedtime, in other words, go to bed without full belly. The third distinctive feature is that all dishes are prepared in three ways (boiled, stewed or baked).

Proper nutrition for gallstone disease and following a diet is necessary in order to normalize chemical composition bile and prevent the formation of new stones. In addition to the above canons of proper nutrition, you should also exclude spices from your diet and consume more low-fat cottage cheese, lean meat and cereals.

The basis for the construction of new cells, liver tissue and digestive organs are fats and carbohydrates. If you follow a diet, the consumption of both is regulated and calculated by grams. Vegetable fat consumption is limited to 30–50 grams per 24 hours. You can get carbohydrates from bread (dried), boiled potatoes and rice. The amount of sugar is also rationed and limited to 75 grams per day.

It is worth noting that the diet for gallstone disease in women and men is no different. It all comes down to following the same nutritional rules and including only a strictly limited list of foods in your diet.

Table No. 5

At critical conditions a person experiences gallstone disease severe pain and eating any food at the initial stage of treatment is prohibited. For three days, no food enters your body, only liquid, this makes it possible to eliminate the load on the pancreas and gall bladder.

After improvements and consultation with a doctor, diet No. 5 comes into force. But even now you can’t eat everything; at first you will have to do without meat (even boiled) and broths. All food is first served in a ground form, and after 7 days, foods allowed by the diet are returned to the diet. The key part of this diet is getting rid of high-calorie foods and a completely new diet, the basis of which is cereals, soups and fruits (vegetables).

Regarding the diet menu, it is designed so that people suffering from various ailments, including cholelithiasis, could receive sufficient amounts nutrients without unnecessary stress on the body. The dishes are quite varied; for breakfast, for example, they serve mashed potatoes(or vegetable) and steamed cutlets, or rice with carrot cutlets, tea or compote.

Before lunch you need to eat some fruit (one baked apple or fresh) or use it as a second breakfast. vegetable salad. The dinner table includes several dishes - this light soup(without frying), pilaf and vegetable stew, or milk porridge, cottage cheese. You can wash it all down with jelly, compote or just tea.

Afterwards, before dinner, comes the next meal - afternoon tea. For afternoon tea, tea and cookies (biscuits) or kefir and cottage cheese are served. Dinner is boiled fish with rice (buckwheat, oatmeal) or fruit pilaf and compote, or vegetable casseroles and tea. Before going to bed, doctors recommend drinking 200 grams of kefir.

Need for magnesium

Food containing a large amount of magnesium is useful for exacerbations of cholelithiasis. Products containing magnesium include:

nuts (almost all types);
various cereals (oatmeal, buckwheat, barley);
all legumes;
cabbage.

As with diet No. 5, food intake is prohibited in the first days of treatment. A way out of this situation can be juice (from fruits and vegetables, diluted with water) or decoctions using rose hips. The liquid limit is 600 grams per day.

After 48 hours, foods containing magnesium and cereals are added to the diet, and after a few days the skim cheese, boiled fish and lean meat.

Sample menu for gallstone disease for 1 day:

1. Breakfast – carrot casserole, tea (with lemon).
2. Second breakfast – porridge (buckwheat or oatmeal, no more than 200 grams).
3. Lunch – lean borscht, tea or rosehip broth.
4. Afternoon snack – dried crackers, tea or juice.
5. Dinner – vegetable salad (mostly grated carrots), boiled meat or oatmeal with milk and kefir.

Diet after stone removal surgery

As mentioned above, sometimes, after surgery to remove gallstones, the patient is prohibited from eating for three days. After this, if the body has recovered from the operation, you can eat boiled meat, dried bread, and vegetables.

Postoperative menu:

1. Breakfast – protein omelet (you can find the recipe in the article below).
2. Second breakfast – low-fat cottage cheese, tea.
3. Lunch – carrot and potato puree (recipe below) or oatmeal soup.
4. Afternoon snack – grated apple (no more than 200 grams).
5. Dinner – vegetable stew and boiled fish, tea. Kefir before bed.

Healthy recipes

It was discussed above approximate nutrition for gallstone disease, and now we will provide you with a list of recipes for dishes that you can include in your diet. But be sure to confirm the use of this or that dish with your doctor.

Potato soup:

Wash half a kilogram of potatoes, peel and finely chop. Pour 400 grams of water and put on fire. After the water boils, add pre-peeled and finely chopped carrots and onions. Cook for half an hour, then add dill, butter and add a little salt.

Carrot and potato puree:

We peel the potatoes and carrots, cook them separately from each other, and then grate them. Mix both ingredients and beat with a mixer until light (while whisking, add hot milk). Add a little salt to everything and boil for another minute, stirring well.

Protein omelet:

Beat the previously separated whites from two eggs in a mixer with the addition of milk (no more than 120 grams), adding a little salt, put the mixture in a double boiler or cook in a water bath.

Steamed cottage cheese soufflé:

Mix low-fat cottage cheese (200 grams) with 1 yolk and half a tablespoon of sugar, add 100 grams of milk and 50 grams of sour cream. Beat the resulting mixture in a mixer and place everything in a double boiler for 30 minutes. The baking dish must be pre-treated with butter.

Rice soup:

Cook rice (no more than 50 grams) and separately cook potatoes (no more than 100 grams) and carrots. Grind and mix all this, add a little butter, pour in 500 grams of water and bring to a boil.

Soup with oatmeal and zucchini

Boil 30 grams of oatmeal, then grind it. Peel the zucchini, chop them finely and mash until pureed, add them to the oatmeal broth, add 200 grams of milk, a little sugar and salt. Bring the mixture to a boil and add butter.

First, boil rice (100 grams). While the rice is cooking, finely chop the carrots and parsley and simmer. Combine everything together and add 100 grams skim milk. Place everything in the oven, after greasing the baking dish with butter and breadcrumbs. Cook for half an hour at a temperature of 150 degrees.

Spinach meatballs:

Squeeze a little onto the fish lemon juice. Afterwards, send the fillet, along with soaked bread and pre-cooked carrots, into a meat grinder (you can add spinach or dill). Add a tablespoon of bran, grind everything and form meatballs from a homogeneous mass. Throw them into boiling water and cook for a few minutes.

Folk remedies (herbs) in the treatment of pathology

The effect of such treatment is not clear-cut. Before starting any of the procedures below, consult your doctor.

Marshmallow root in the amount of two tablespoons is poured into 1000 ml of dry white wine and cook for several minutes. Afterwards, the mixture is filtered and drunk every hour, 1-2 sips.
Boil watermelon rinds, having dried them in the oven in advance. After 30 minutes of boiling, the decoction can be consumed before each meal.
Drink a decoction of birch leaves. Dried leaves are poured with boiling water, infused for 20 minutes and taken in the morning and before bed.

Results and conclusions

A strictly followed diet for gallstone disease will help you to be almost completely cured. Select menus and products together with a nutritionist. As you may have noticed, the diet for gallstone disease is quite varied. After some time, when positive tests and the absence of progression of the disease, you will be able to return to your normal diet.

Basic nutrition rules

The diet for gallstone pathology is based on adjusting foods:

The amount of carbohydrates and fats of animal origin is reduced.
Transgenic fats are excluded - sauces, ketchup, mayonnaise, margarine, semi-finished products, refined oil and dry concentrates.
During an exacerbation, do not eat fatty meats, fish, lard, yolks, or fat-based broths.
IN large quantities Plant foods rich in fiber should be consumed. Thanks to butter, which contains lecithin, the cholesterol components do not bind to each other.

The body must be filled with various minerals and salts that dissolve cholesterol. This is done using minerals alkaline waters. It is better to use water of the fourth class, maximally enriched with ions. The most popular are Borjomi and Essentuki. Mineral water It is recommended to drink on an empty stomach or an hour before meals. The liquid is drunk in large sips, at least 150 ml at a time. The mineral water is preheated to 45 degrees. To avoid the negative effect of gases, they are first released from the bottle.

Approximate daily nutritional composition of the diet:

proteins - 100 grams;
fats - up to 70 grams;
carbohydrates - 400 grams.

Salt is limited as much as possible (no more than 10 grams per day), and food is distributed into several servings per day. The fractional mode will reduce the load on the gallbladder. Total clear liquid without soup or broth should be at least 2000 ml per day

By following the right diet, the functionality of the gallbladder improves significantly. There is a regular and uniform outflow of bile. Fractional but nutritious portions have a good effect on all organs of the digestive tract.

Authorized Products

There are many foods that you can eat:

vegetables fruits;
cream, sour cream, butter;
berries (only after heat treatment);
bread products with bran, rye flour;
callous bakery products, biscuits, crackers, dried cookies;
oatmeal, buckwheat, rice (liquid), semolina, boiled in water;
pasta;
rabbit meat, veal, chicken fillet, young lamb;
sausages with added milk (for children);
lean fish;
various seafood with increased content iodine;
nuts, seeds;
tea with added milk;
compote, rosehip infusion, juices diluted with water;
vegetable, milk soups without meat broth;
beets, pumpkin, potatoes, carrots, cauliflower, Bell pepper, zucchini and cucumbers;
sweet apples (baked), bananas, pomegranate;
jelly sweets;
marmalade, pastille, marshmallows, jelly, pudding;
lactic acid products;
steamed protein;
any types of mild cheeses.

Prohibited Products

Patients with gallstone pathology need to completely exclude some foods. This category includes products that promote increased secretory activity and contain essential oils or refractory fats. Do not consume products containing nitrogenous substances, oxalic acid and extractive components. After processing, they are transformed into small grains of sand, which later become stones.

It is forbidden to eat food that promotes increased gas formation and putrefactive processes in the intestines. Simple carbohydrates are reduced as much as possible.

These include:

fresh baked goods, baked goods, fried dough;
cheeses containing pepper and salt;
fatty cottage cheese, fermented baked milk;
boiled yolk, fried eggs;
lard, cooking fat;
broths made from fatty meat;
any mushroom dishes;
meat okroshka;
White cabbage;
spinach, sorrel;
rhubarb, onions;
radish, radish;
fatty fish, offal;
canned meat, smoked meats;
various sausages;
caviar;
fast food;
sushi;
herbs, spices;
creams, chocolate;
ice cream;
raw berries and fruits;
coffee;
any fatty meat.

Food processing

Food is consumed pureed. Boiled, steamed or baked foods without added fat are allowed. You can eat once or twice a week vegetable stew. During frying, the formation of oxidized fats begins in any food. If you consume such foods during an exacerbation, this will intensify the spasm in the ducts.

The optimal temperature of food is not lower than 15 and not higher than 65 degrees. Products containing alcohol are prohibited for consumption. A sharp relaxation and contraction of blood vessels leads to a deterioration in the outflow of bile.

Sample menu for the week

It is not always possible to develop a diet for cholelithiasis together with a nutritionist. In most cases, the patient is simply given a list of foods that should not be consumed.

Despite significant restrictions, you can create an excellent full menu based on the permitted products:

Monday

First breakfast: omelette made from steamed egg whites and buckwheat, cooked in the oven (50/50 milk and water). Warm, weak tea with milk.
Second breakfast: cheese, bran bread, kefir.
Lunch: vegetable soup with rye bread. Steamed cutlets with boiled pasta, tea.
Dinner: mashed potatoes without adding milk, boiled fish, milk tea.

The last meal is taken two hours before. You can eat a baked apple or drink a glass of kefir.

Tuesday

First breakfast: semolina on water, jelly with biscuits.
Second breakfast: a handful of nuts.
Lunch: chicken broth with rye bread, oatmeal, steamed rabbit meatballs. For dessert, marmalade with milk tea.
Dinner: Vegetable casserole seasoned with cheese. Compote with biscuits.

Wednesday

First breakfast: liquid rice porrige on water with milk, milk tea.
Second breakfast: salad of boiled carrots, beets and walnuts, flavored with unrefined oil.
Lunch: millet soup with pieces of chicken fillet, pudding, weak tea.
Dinner: mashed potatoes, cauliflower casserole.

Thursday

First breakfast: buckwheat porridge, kefir.
Second breakfast: rye bread, kefir, low-fat cottage cheese.
Lunch: buckwheat soup with pieces of rabbit meat, warm vegetable puree. For dessert - marmalade and milk tea.
Dinner: fish casserole, kefir.

Friday

First breakfast: wheat porridge, vegetable gravy with chicken. Tea with milk and dried biscuit
Lunch: Rye bread, 15 grams of butter, tea.
Lunch: beef broth with vegetables, boiled pasta casserole. For dessert - unsalted cracker, compote.
Dinner: boiled cauliflower casserole with cheese.

Saturday

First breakfast: low-fat cottage cheese casserole with apples, compote.
Second breakfast: biscuits, jelly.
Lunch: rice soup with vegetables, mashed potatoes, boiled fish with carrots. For dessert - marshmallows with tea.
Dinner: steamed egg white omelet.

Sunday

First breakfast: corn porridge, piece of beef, compote.
Second breakfast: a handful of nuts
Lunch: beetroot soup, rice cutlets, boiled chicken. For dessert - mousse and tea.
Dinner: casserole of boiled macaroni, cheese and vegetables.

You can learn about nutrition for gallstone disease and its effect on recovery from this video, as well as what will happen if you do not adhere to this diet.

It is believed that errors in diet are perhaps the main factor leading to disruption of the liver and biliary system. For the purpose of prevention, it is important to adhere to a diet that would not only facilitate the work of the liver and gallbladder, but would also contribute to the establishment of normal bile secretion during the treatment of cholelithiasis. An excessively large portion of food - lunch and dinner at once - causes truly “extraordinary” activity of the gallbladder: more bile is excreted than normal. But this is often not enough. The pancreas also functions rapidly: an excess of the enzymes it secretes is just as important to the body as a deficiency. With a lack of bile and pancreatic juice, food is not digested and, irritating the intestines, causes functional and then organic disorders. With an excess of bile and pancreatic juice, an extremely unfavorable process of self-digestion of the duodenal mucosa can occur, ulcerations and erosions develop.

This is why, as you know, it is recommended to eat regularly, three to four times a day at the same time.
But is it possible to give universal advice on what exactly and how often to eat? Impossible. There are so many people, so many tastes; in addition, there are local and national dietary habits. Although there are some general principles therapeutic nutrition which are recommended for certain diseases.

First of all, the frequency of food intake plays a preventive role. After all, every meal is a release of bile into the duodenum and, accordingly, prevents stagnation in the gallbladder. Consequently, rare meals, one or two meals a day contribute to the stagnation of bile. Therefore, it is advisable to supplement the traditional triad (breakfast, lunch, dinner) with tea during the longest break between meals. For example, if breakfast is at 7.30, lunch at 2 pm, and dinner at 8 pm, it is advisable to drink a glass of tea or compote, juice or kefir between lunch and dinner (at 5-6 pm).
It is also necessary to avoid having dinners that are too early. There is a misconception that the last time you eat before going to bed is around 18-19 hours. This diet is actively promoted in popular science information sources.

What happens in this case? In the evening and night hours, the process of secretion of digestive juices actually slows down somewhat, but does not stop completely. It must be remembered that gastric juice contains hydrochloric acid, bile - bile acids, and pancreatic juice - trypsin, which promotes the digestion of dense components food such as connective tissue and protein found in meat and fish. By 23 o'clock the stomach and duodenum are freed from food taken at dinner, but irritant effect bile, pancreatic and gastric juices on the mucous membrane of the stomach and duodenum continues (albeit to a lesser extent).

Therefore, a “easy” dinner 1.5-2 hours before bedtime, during which you can drink a glass of kefir, yogurt or yogurt, is quite justified.
Quality food A healthy person implies a sufficient and balanced amount of proteins, fats, carbohydrates, vitamins, salt and liquid in the diet. In old age, it is advisable to slightly reduce the caloric content of food.

However, many doctors are categorically against so-called “starvation diets” with the exclusion of one or another component: meat, fats, etc. The energy value of the diet should be about 3000 kcal. As medical experience shows, a sharp reduction in total calorie content, and in particular the complete exclusion of vital ingredients, in particular protein and fat, leads to a significant disruption of metabolic processes and can contribute to the development of biochemical changes in bile and the formation gallstones. Keep in mind: it is extremely important to observe the ritual of eating, not to eat on the go, in a hurry, or distracted by arguments or conversations. Well-chewed food, a food bolus soaked in saliva, passes more easily through the pharynx and esophagus, and is more fully processed in the stomach and duodenum. It is worth emphasizing once again that only fresh foods that have not been refrigerated can be consumed with benefit.
Well, what if there are already detected in your liver or gall bladder? pathological changes, then nutrition turns into special problem. Its essence is that nutrition should become therapeutic.

Therapeutic nutrition for cholelithiasis
So, therapeutic nutrition is, first of all, regular nutrition: the frequency of meals should be at least 5-6 times a day. This diet is called fractional (more often and little by little without increasing the quantity). Small portions are better digested, and since the function of the digestive glands is somewhat weakened or impaired, large and even ordinary portions are burdensome for the activity of the liver, gall bladder and pancreas. During exacerbation chronic cholecystitis or in case of acute cholecystitis, the energy value of the diet is limited to 2300-2500 kcal.

Considering that the mucous membranes of the duodenum and common bile duct are especially sensitive during superficial catarrhal inflammation (accompanying cholecystitis), the principle of your therapeutic nutrition is to adhere to the so-called gentle diet.

The use of mustard, pepper, horseradish, other hot spices, marinades, pickles, and smoked meats is excluded. Can also cause harm fried foods: When frying, fatty acids are formed that irritate the mucous membranes. This circumstance must be taken into account when cooking products. For example, when preparing soups, you should not add fried onions and vegetables, or flour for dressing.
Remember that food should not be too hot or too cold.
A qualitatively complete diet provides required amount protein-containing products. A sufficient amount of protein is extremely important for maintaining the optimal structure of bile from a biochemical point of view (normal content of complex compounds - lipoproteins, association bile acids). This is a barrier to stone formation. It is generally accepted that an approximate ratio of 1.5 g of protein per 1 kg of body weight is sufficient. But such a relationship is not a dogma. So, people with overweight body this proportion may look like 1:1. This ratio is certainly influenced by local and national characteristics and dietary traditions. But, in any case, even if the content of complete protein in the daily diet is reduced, it should not be completely excluded - extremes are not recommended in the diet.

It is desirable that 50-60 percent of fats are of animal origin.
Protein products include cottage cheese, mild cheeses, lean fish, lean meat (poultry and beef), buckwheat and oatmeal, soy. Seafood products are very useful: squid, seaweed, scallops. There is also a lot of protein in mushrooms: porcini mushrooms, boletus mushrooms, and boletus mushrooms. Boiled mushrooms, mushroom soups- tasty and healthy dishes. At the same time, it is recommended to exclude meat broths, especially strong ones, from the medical diet of patients. Vegetable soups with the addition of fish or meat balls are better absorbed and act on the digestive glands. Soft-boiled eggs and steamed egg white omelette are best consumed 1-2 times a week.

As you know, fats are the most important “building” material for the cells of the central nervous system, endocrine glands, liver. However, it is inappropriate to either overload the diet with fats or completely exclude them: a violation of the normal ratio of bile acids and cholesterol in bile contributes to the development of “prestone” conditions and the formation of gallstones.
Give preference to vegetable oil (sunflower, olive, etc.), especially unrefined, which contains a lot of phosphatides and has choleretic effect. Daily norm vegetable fats- 25-30 g. They are best consumed as additives to porridges, dressings for vegetable dishes. Dairy fats, as the most complete ones, in the form of butter are recommended in an amount of 30-50 g (daily requirement).
As for dairy products, it is better for you to use homemade yogurt, fresh (not very sour) kefir, and also a small amount of cottage cheese (excess cottage cheese does not help normal metabolism substances).

You can’t do without 300-400 g of carbohydrates in your daily ration. Useful various cereals, “yesterday’s” or slightly dried White bread, honey, sugar. Glucose is no less important than fats, a component of cells, organs and systems. But with tea, compotes, and jelly, you should consume no more than 50-75 g of sugar per day. The terrifying slogan “sugar is white death” cannot be taken seriously. The amount of carbohydrates should be limited mainly through easily digestible confectionery and baked goods.

In case of diseases of the liver and biliary tract, the body should not experience a need for vitamins, because it is vitamins that ensure the normalization of all biochemical processes in the body, which means they have a beneficial effect on metabolic processes. The content of vitamins C and E in the diet is especially important. Vitamin C ( ascorbic acid) belongs to the category of water-soluble, it cannot be accumulated by the body, so its reserves must be replenished. The most vitamin C is found in citrus fruits, black currants, sweet peppers, cabbage, spinach, melons, and also in the liver. Vitamin E (to-copherol) is fat-soluble. Its sources are all types of vegetable oil, as well as raw nuts. It reduces the cholesterol content in bile.
These two vitamins must be present in the body in excess. But we should not forget about other vitamins and microelements, the lack of which can also lead to the development of the disease. Plants such as sea buckthorn, rose hips, black currants, nettles, lemon, garlic, onions, and all types of nuts are rich in vitamins. In some fruits or vegetables biologically active substances and other elements are contained in a balanced form, which helps them rapid absorption. Therefore, for diseases of the gallbladder, it is recommended to eat cherries, pumpkin pulp, blueberries and strawberries.

Gallstone disease, as a rule, is accompanied by constipation, therefore, in order to increase intestinal motility, be sure to introduce fiber-rich foods into your diet: boiled cabbage, beets, buckwheat, oatmeal and pearl barley.
Salt dishes in moderation. The amount of liquid consumed per day should not be burdensome - approximately 1.5-2 liters per day.
As you understand, we are talking about a schematic therapeutic diet, and it can be expanded somewhat. But whatever the local or national characteristics of your diet, remember that onions, spinach, sorrel, which contain irritating substances and essential oils, should be excluded from the diet. It would be useful to add: alcohol is contraindicated; smoking has an extremely harmful effect on the mucous membranes. There is no doubt that a violation of the diet will cause an exacerbation pathological process and various complications.

During the period of exacerbation of the disease, the same gentle diet is prescribed, but with restrictions. meat dishes. Meat is excluded for 2-3 days, then it is consumed pureed. Recommended are pureed porridges, pureed vegetable soups, jelly, jellies, compotes, fruit and berry juices, day-old white bread, butter (30 g), and dry biscuits.
The principles of therapeutic nutrition for cholelithiasis are well outlined in the book by V. A. Galkin “Prevention of cholelithiasis” (M.: Znanie, 1988. P. 68). Here are his recommendations.

Therapeutic diet for diseases biliary tract
Monday
First breakfast
Meat “curd”: meat (minced meat) - 70 g, butter - 10 g.
Milk semolina porridge: butter - 5 g, milk - 150 ml, semolina - 50 g, sugar - 5 g, water - 150 ml.
Tea with milk.
Second breakfast Fresh apples - 100 g. Tea with lemon.
Dinner
Vegetarian noodle soup: butter - 10 g, 1/4 egg, flour - 40 g, carrots - 25 g. Bread - 20 g, butter - 5 g. Apple compote: apples - 80 g, sugar - 20 g.
Afternoon snack
Crackers with sugar: wheat bread - 50 g, sugar - 5 g.
A glass of rose hip decoction.
Dinner
Zrazy from carrots and cottage cheese: carrots - 150 g, cottage cheese - 50 g, semolina - 15 g, sugar - 10 g, 1/2 egg, butter - 3 g, flour - 5 g, milk - 30 ml.
Pie with apples: butter - 10 g, 1/4 egg, milk - 25 ml, sugar - 20 g, flour - 50 g, apples - 60 g, yeast - 4 g.
Tea with milk.

Tuesday
First breakfast Boiled tongue - 90 g.
Powdered buckwheat porridge: butter - 10 g, buckwheat - 70 g. Tea with milk.
Lunch
Curd pudding: butter - 5 g, 1/4 egg, milk - 25 ml, sugar - 20 g, semolina - 10 g, cottage cheese - 100 g, sour cream - 20 g.
Tea with lemon.
Dinner
Vegetarian borscht: butter - 10 g, sour cream - 20 g, sugar - 5 g, flour - 5 g, tomato - 10 g, onion - 10 g, carrots - 25 g, potatoes - 50 g, cabbage - 50 g, beets - 80 g, greens - 5 g.
Beef Stroganoff from boiled meat: meat - 90 g, milk - 50 ml, sour cream - 15 g, butter - 5 g, flour - 5 g, tomato - 5 g, herbs - 5 g.
Boiled potatoes: potatoes - 150 g, butter - 5 g.
Fruit jelly made from juice: sugar - 20 g, grape juice - 50 ml, potato flour - 10 g.
Afternoon snack Tea with lemon. Cracker.
Dinner
Boiled fish - 100 g.
Mashed potatoes: potatoes - 150 g, butter - 5 g.
Tea.
At night, a glass of kefir.

Wednesday
First breakfast
Soaked herring - 50 g, green onion - 10 g. Boiled potatoes: potatoes - 150 g, butter - 10 g.
Tea with milk: milk - 50 ml.
Lunch
Cabbage and carrot salad: sour cream - 20 g, sugar - 5 g, lemon - 5 g, cabbage - 60 g, carrots - 70 g. Tea.
Dinner
Milk soup with noodles: milk - 300 ml, 1/2 egg, sugar - 5 g, butter - 5 g, vermicelli - 40 g.
Boiled chicken with white sauce: chicken - 150 g, sour cream - 15 g, 1/2 egg, butter - 10 g, flour - 5 g.
Baked carrot cutlets: butter - 15 g, milk - 30 ml, 1/2 egg, sugar - 5 g, semolina - 15 g, carrots ~ 200 g, crackers - 10 g, sour cream - 20 g.
Strawberry jelly: strawberries - 50 g, sugar - 20 g, gelatin - 3 g.
Afternoon snack
Crackers with sugar: wheat bread - 50 g, sugar - 6 g.
A glass of rose hip decoction.
Dinner
Rice pilaf with fruits: butter - 15 g, sugar - 20 g, rice - 50 g, prunes - 15 g, apples - 20 g, raisins - 10 g.
Cheesecake with cottage cheese: butter - 10 g, 1/4 egg, milk - 25 ml, sugar - 20 g, flour - 50 g, cottage cheese - 50 g, yeast - 4 g.
Tea with honey.
Before bed A glass of kefir

Thursday
First breakfast
Curd soufflé: sugar - 10 g, flour - 10 g, 1/2 egg, cottage cheese -100 g.
Oatmeal: butter - 5 g, milk - 150 ml, sugar - 5 g, oatmeal - 50 g.
Natural coffee, weak with 50 ml of milk.
Lunch
Grated raw carrots: carrots - 150 g, sugar - 5 g.
Tea.
Dinner
Vegetarian potato soup: butter - 5 g, sour cream - 20 g, carrots - 25 g, greens - 3 g, parsley - 10 g, potatoes - 50 g.
Boiled meat, baked with bechamel sauce:
meat - 90 g, butter - 5 g, milk - 50 ml, 1/4 egg, flour - 5 g, sour cream - 15 g, sugar - 5 g.
Zucchini stewed in sour cream: butter - 5 g, sour cream - 30 g, flour - 5 g, zucchini - 200 g.
Prune compote: prunes - 40 g, sugar - 20 g.
Afternoon snack Fresh apples - 100 g.
Dinner
Potatoes baked with meat: meat - 80 g, potatoes - 150 g, 1/4 egg, milk - 50 g, cheese - 5 g, butter - 5 g, sour cream - 5 g.
Tea with lemon.
Before going to bed, a glass of kefir.

Friday
First breakfast
Salad with meat: boiled meat - 50 g, 1/4 egg, vegetable oil - 50 g, apples - 20 g, potatoes - 50 g, green peas - 30 g, fresh cucumbers - 40 g.
Oatmeal porridge: butter - 5 g, milk - 150 ml, sugar - 5 g, oatmeal - 50 g.
Tea with milk.
Second breakfast Fresh plums - 150 g. "
Dinner
Vegetarian pearl barley soup: butter - 5 g, sour cream - 20 g, pearl barley - 20 g, carrots - 25 g, potatoes - 50 g, greens - 5 g.
Meatballs: meat - 90 g, butter - 5 g, bread - 30 g.
Beets boiled with sour cream: butter - 5 g, beets - 150 g, flour - 3 g, sour cream - 15 g, sugar - 5 g, vinegar - 5 ml.
A glass of apple juice.
Afternoon snack Tea with lemon. Drying.
Dinner
Steamed chicken cutlets: chicken - 100 g, butter - 5 g, bread - 20 g, milk - 20 ml.
Carrot-apple balls (baked): butter - 5 g, milk - 50 ml, sugar - 10 g, 1/4 egg, flour - 5 g, semolina - 15 g, carrots - 150 g, apples - 50 g.
Tea with milk.
Before going to bed, a glass of curdled milk or yogurt.

Saturday
First breakfast
Steam protein omelette: eggs (white) - 2 pcs., milk - 60 ml, sour cream - 10 g, butter - 5 g.
Milk semolina porridge: semolina - 50 g, butter - 5 g, milk - 150 ml, sugar - 5 g.
Tea with milk.
Lunch
Cucumber and tomato salad: sour cream - 20 g, sugar - 5 g, fresh cucumbers - 50 g, tomatoes - 50 g. Tea.
Dinner
Vegetarian rassolnik: butter - 5 g, sour cream -10 g, carrots - 25 g, onions - 10 g, potatoes -50 g, pickled cucumbers - 40 g, greens - 30 g.
Boiled meat pilaf: meat - 90 g, butter - 15 g, carrots - 20 g, greens - 5 g, rice - 50 g, tomato - 10 g.
Lemon jelly: sugar - 20 g, 1/4 lemon, gelatin - 3 g.
Afternoon snack A glass of rose hip decoction with crackers. Bread - 50 g.
Dinner
Jellied pike perch: pike perch - 100 g, 1/4 egg, carrots - 5 g, parsley - 5 g, fresh cucumbers - South, lemon - 5 g, gelatin - 3 g.
Potato soufflé: butter - 5 g, milk - 50 ml, 1/2 egg, sour cream - 30 g, onion - 5 g, potatoes - 150 g. Tea.
Before bed A glass of yogurt.

Sunday
First breakfast
Omelet stuffed with meat, steamed: 1/2 egg (white), meat - 50 g, butter - 2 g, milk - 60 ml.
Fresh cabbage salad: cabbage - 150 g, sour cream - 20 g, sugar - 5 g.
Tea with milk.
Second breakfast Natural cottage cheese - 100 g. Tea.
Dinner
Dried apricot soup with semolina dumplings: dried apricots - 50 g, sugar - 10 g, milk - 100 ml, semolina - 20 g, sugar - 5 g.
Boiled meat - 90 g.
Boiled vermicelli: vermicelli - 40 g, butter - 10 g.
A glass of grape juice.
Afternoon snack A glass of rose hip decoction with crackers.
Dinner
Baked potato cutlets: butter - 5 g, 1/4 egg, sour cream - 10 g, potatoes - 200 g, flour - 3 g, milk - 30 ml, sour cream - 20 g.
Boiled cod - 100 g.
Blackcurrant jelly: sugar - 25 g, potato flour - 10 g, dry blackcurrant - 15 g.
Before bed A glass of kefir.
Note: daily portion of wheat bread - 300 g, sugar - 75 g.

Diet for gallstones is an integral part of treatment. This disease is characterized by the formation of stones due to disturbances in bilirubin and cholesterol metabolic processes. Affected by genetic predisposition, liver disease, diabetes, bile stagnation, excess weight, pregnancy in women and so on.

An unbalanced diet also plays a role: a deficiency of soft fibers and plant protein, an excess of carbohydrates and animal proteins. To prevent the formation of stones and speed up the removal of sand, you need to choose an appropriate diet and follow its rules.

General nutrition rules

Nutrition for stones in the organ must be carefully monitored. The main diet is No. 5. Depending on the type of disease, other varieties of the same diet are used.

The basic principles of the diet are as follows:

Increase the amount of food rich in magnesium salts and containing dietary fiber.
Reduce the amount of fat to 75–80 g, with substances of animal origin accounting for 75%, and the rest being vegetable.
The amount of protein should be up to 75–80 g.
Reduce the permissible amount of salt to 8 g maximum.
Monitor your drinking regime. You are supposed to drink 2 liters of liquid per day.
Switch to fractional meals. Eat in small portions, but up to 6 times a day. This will eliminate congestion in the organ.
Food can be boiled, steamed, or baked, but do not allow a crust to form. Vegetables cannot be sautéed.

In case of cholelithiasis, obesity should not be allowed. If you already have overweight, then you will have to reduce the amount of fat to 70 g, and a maximum of 300 g of carbohydrates per day is allowed. Losing weight will have a good effect on your health in case of gallstone disease.

In the first phase of the disease, there are no prohibitions on various foods, but you need to monitor your diet, since eating by the hour promotes the production of bile and improves bladder function.

If there is no exacerbation, then a moderately gentle diet is suitable to stabilize the excretion of bile and control the level of cholesterol concentration. Diet No. 5 is suitable for this. This diet is balanced. The number of calories per day ranges from 2400 to 2600 kcal.

A magnesium diet is also recommended for bladder stones, especially if the patient also suffers from constipation and dyskinesia. This diet is also based on table No. 5, but in addition you need to eat food that contains magnesium, for example millet and buckwheat, and bran. Vegetables, herbs, berries, fruits and dried fruits will be beneficial. All of them will help break down stones, accelerate the excretion of bile, and strengthen the functions of the intestines and bladder.

But such a diet is contraindicated for gastritis, enteritis, colitis, and diarrhea. During the period of exacerbation of cholelithiasis, such nutrition is also prohibited.

Diet during an exacerbation

If there is an exacerbation on the first day, it is necessary to switch to complete fasting, which is required to protect the digestive tract from complications. On this day it is allowed to drink non-concentrated tea, a drink made from rose hips. Juices will be beneficial, but they should be diluted with water in equal parts.

From the second day you need to switch to diet No. 5B. This version of table No. 5 is prescribed for inflammatory processes. It is recommended for acute cholecystitis. It is necessary to exclude any irritants. The duration of such a diet is a maximum of 5 days.

The amount of carbohydrates should be limited to 200 g. To do this, you need to give up jam, sugar, and honey. The volume of proteins and fats is 75–80 g each. You cannot add salt to the dishes. All food is supposed to be ground. Suitable for puree or soufflé.

You can make soups with a slimy consistency. Porridges should be viscous, not crumbly; they can be cooked with milk.

Will be beneficial vegetable juices and jelly, compotes. Boiled meat should be gradually introduced, but in small portions and only in chopped form. The same goes for fish. Cottage cheese and crackers are allowed. You can't add oil. The total calorie content per day is 1600 kcal. Be sure to drink 2 liters of liquid.

Then the food can be expanded. The patient is transferred to diet table 5A. Afterwards you can move on to basic nutrition.

With gallstones, the esophagus, stomach, pancreas, and duodenum are often affected. Pancreatitis additionally develops especially often. Most often this applies to obese people. If at the same time a person suffers from both pancreatitis and cholelithiasis, then a type of diet No. 5P is prescribed. In this case, the consumption of carbohydrates and fats is greatly limited. They create additional work for the pancreas.

We will have to limit extractive type substances. This applies to cabbage, fish, and meat broth. Vegetables containing coarse fiber are also not suitable. By reducing the amount of carbohydrates, the daily calorie content. All food should be consumed in small form. Cook only in a dietary way - steam or boil.

With cholecystitis of the calculous type, exacerbations often occur. Required surgical intervention. After the procedure begins recovery period when you need to monitor the patient's nutrition. Half a day after surgery you are allowed to drink still water, but only in small sips and no more than 0.5 liters per day. From the second day, kefir, non-concentrated tea without sugar, and jelly are allowed. Volume - no more than half a glass. Drink these drinks every 3 hours.

From the third or fourth day, mashed potatoes (liquid), mashed soups, protein steamed omelet, boiled fish (also mashed), jelly are allowed. You can eat up to 8 times during the day, but no more than 150 g. Among liquids, sweet tea and juice in diluted form are allowed, but only from apples or pumpkin.

From the 5th day, dried bread and biscuits are introduced into the diet. After a week, oatmeal, buckwheat porridge, and boiled meat are allowed (must be chopped). You can puree vegetables, drink kefir, classic yogurt. At the end, the patient is transferred to the 5A diet, and then to the standard one.

After surgery, damage to the bile ducts may appear. With cholangitis and choledocholithiasis, stones form in these ducts. Jaundice, colic, and chills appear. In such cases, table 5A or B is required. Products containing coarse fiber, cholesterol, and essential oils are completely removed. Anything that contains extractive compounds is also not suitable.

Food that causes flatulence is prohibited. Food should be consumed only in pureed form. Vegetables can only be consumed in the form of boiled puree. Fruits are allowed only for making jelly or compote. Apples can only be eaten after baking in the oven.

After removal of the gallbladder and with the simultaneous development of inflammation of the pancreas and duodenitis, the doctor prescribes a gentle version of the standard diet - No. 5Sh. Duration is 3 weeks until nausea, diarrhea and pain stop. Then you can move on to a basic diet.

If stagnant processes appear after such an operation, then a 5 L/F diet is prescribed. This diet involves reducing carbohydrates simple type and an increase in fat. Moreover, substances of plant and animal origin must be in equal quantities.

Snacks are allowed, but they cannot be salted or added with spicy ingredients.
Prepare dishes in a steamer or oven.
Porridge with a crumbly consistency and pasta are allowed.
Fruits are also allowed.
It is recommended to bake vegetables.
Food does not need to be chopped.
Frying food is prohibited.
You need to eat in small portions.

List of approved products

Before you start dietary nutrition, you need to remember what you can eat. The diet is allowed to include:

Sauces are recommended for any meat and fish dishes: vegetable, milk/sour cream. Drink with mineral water or green tea. You can drink juice from apricots, pumpkins, carrots, peaches, plums, and tomatoes. Decoctions of rose hips and wheat bran will be beneficial.

Prohibited Products

The following foods should be excluded from the diet:

Sample menu for the week

For gallstone disease during the period of remission, table 5 is prescribed. This diet is varied, since almost all products are allowed and processing methods are expanded (you can also bake in the oven).

It is required to alternate between different cereal, vegetable and protein dishes. It is best to create a menu for the week in advance so that the food is not monotonous.

Day	Menu for the day: Breakfast. Snack. Dinner. Snack. Dinner.
Monday	Buckwheat porridge, boiled egg. Cottage cheese. Soup with broccoli and zucchini, chicken breast, baked in the oven, and vegetable salad. Jelly and baked apple. Baked fish with potatoes, green peas.
Tuesday	Buckwheat and cheesecakes. Porridge made from pumpkin and millet. Vegetable soup, chicken breast with vegetables baked in the oven. Bran cookies. Oven-baked fish, millet porridge and fresh vegetable salad.
Wednesday	Steamed egg white omelette, cheese. Cottage cheese. Vegetable soup with noodles and meat, cabbage rolls. Pumpkin puree. Steamed fish and squash caviar.
Thursday	Steam omelette and buckwheat, low-fat cheese. Bran cookies. Barley soup, boiled chicken breast and vegetable salad. Cottage cheese with prunes. Steamed fish with vegetable salad.
Friday	Buckwheat and carrot pancakes. Apples baked in the oven. Cream soup with cauliflower, boiled meat, pumpkin puree with carrots. Cottage cheese. Boiled fish and potatoes.
Saturday	Oatmeal with milk, low-fat cheese. Cottage cheese casserole. Borscht, oven-baked meat and vegetable salad. Apples baked in the oven. Steamed fish cutlets and vegetable stew.
Sunday	Buckwheat with milk and water. Cheese casserole. Cereal soup, steamed meatballs, stewed vegetables. Apple baked in the oven. Stewed vegetables, steam omelette.

You can supplement it with bran or whole grain bread or biscuits. Wash it down with tea, but use sorbitol instead of sugar. Will do herbal decoction, rosehip infusion, compote, freshly squeezed juices. Before going to bed, it is additionally recommended to drink a glass of kefir, yogurt or natural yogurt without additives.

Dish recipes

There are many recipes that you can use to diversify your menu during a diet for gallstone disease.

Slimy oat soup

You will need:

oatmeal - 1 cup;
water - 3 glasses.

Preparation:

Bring water to a boil and add cereal.
Add a little salt.
Cook until the cereal swells.
The consistency should be homogeneous, liquid, slimy.

Cauliflower soup

You will need:

cauliflower - half a large inflorescence;
potatoes - 2 pcs.;
oatmeal - half a glass;
milk - 50 ml;
butter - 1 tbsp. l.

For preparation:

Boil the vegetables and grind through a sieve.
Add a little broth.
Boil oatmeal.
Grind, mix with vegetable puree, add milk, salt and butter.
It is recommended to serve this dish with croutons.

Cold Lithuanian borscht

You will need:

beets - 1 pc.;
fresh cucumbers - 2 pcs.;
egg - 2 pcs.;
kefir - 1 l;
sour cream - 1 tbsp. l.;
greens - to taste.

To prepare the dish you need:

Mix kefir with water, and 1 part of water is enough for 2 parts.
Boil and peel the beets.
Grind it on a grater along with cucumbers.
Pour in kefir mixture.
Add boiled eggs, sour cream and herbs.

Zucchini soup

You will need:

zucchini - 1 pc.;
onion - 1 pc.;
potatoes - 2 pcs.;
tomatoes - 2 pcs.;
carrots - 1 pc.;
butter - 1 tsp;
sour cream.

Cooking method:

Chop the onions and carrots, simmer, add water and add a little oil.
Mix with water.
Add chopped potatoes and cook for 20 minutes.
Add zucchini, tomatoes, salt.
At the end, sprinkle with herbs and season with sour cream.

Chicken and Zucchini Casserole

You will need:

chicken fillet - 500 g;
milk - 100 ml;
flour - 2-4 tbsp. l.;
butter - 1 tbsp. l.;
zucchini - 2 pcs.;
eggs - 2 pcs.;
salt - to taste.

Preparation:

Grind the meat in a meat grinder.
Mix milk and flour to make sauce.
Separate the white from the yolk and beat.
Mix it with meat and milk sauce.
Add chopped on a grater raw zucchini, salt.
Melt the butter and rub the baking dish with it.
Place the prepared mixture inside.
Pour the remaining milk sauce on top.
Bake in the oven until done.
At the end, if desired, sprinkle with grated cheese.

Pros and cons of the diet

The benefits of this diet include the following:

balanced menu, so that the diet can be used as food on a regular basis;
easy tolerability;
normalization of cholesterol concentration levels;
improving the functioning of the gallbladder, ducts, liver;
reducing the load on the pancreas;
preventing exacerbation and consequences of gallstone disease.

But such a diet requires you to cook often. different dishes, and this requires time and skill. Another disadvantage is the duration of such a diet.

As for the financial side of therapeutic nutrition, it is not considered high-cost. According to the menu given as an example, you will need approximately 1,500 rubles per week for 1 person.