What can you eat with cholelithiasis menu. Diet for cholelithiasis during an exacerbation and after surgery for stones

Prohibited foods and dishes

A complete diet requires the elimination of foods high in fat and cholesterol.

Any sausages and sausages should be excluded in the first place.
Fatty meats are also banned. You can not eat pork, goose, duck meat. Offal and lard are also prohibited.
Fatty meat and fish broths.
Marinades, preserves, pickles.
Egg yolks are a powerful source of cholesterol.
Barley, corn, barley and millet groats.
Any fast food, sushi, pizza.
Fatty fish species (saury, herring, sabrefish, burbot, catfish, salmon, sturgeon).
Dairy products that are high in fat: cream, blue cheese, full fat milk.
Pancakes, pies, bread from white varieties, muffins in case of illness are strictly prohibited.
Sweets with rich cream, eclairs, buns, cakes, chocolate and ice cream.
Mushrooms are an extremely heavy food. They should not be consumed in any quantity.
, mustard, horseradish, mayonnaise, spicy ketchup.
Sour fruits and vegetables.
Coffee, carbonated drinks, strong tea, alcohol.

All of the listed foods and drinks negatively affect not only the state of the urinary system, but also cause irritation of the gastrointestinal tract.

Allowed foods for gallstone disease

Despite the large number of prohibitions in case of illness, the therapeutic diet can be varied, and the food is delicious. From the allowed products, you can cook almost any dish that a person is used to. When dieting, you can eat:

Oatmeal, rice, semolina.
Boiled pasta with a drop of oil.
Crackers, bran bread, biscuits, crispbread, crackers.
Low-fat and dietary meat (chicken, beef, turkey, rabbit meat). Meat in clinical nutrition is best consumed in the form of minced meat.
Seafood high in iodine (oysters, shrimp, octopus, squid, seaweed).
Butter and vegetable oils in reasonable quantities.
Nuts, seeds, dried fruits, marshmallow, honey (in moderation).
Soups on vegetable broths, milk soup.
Vegetables (cucumbers, carrots, bell peppers, cabbage).
Fruits (, apples, apricots).
Egg whites (omelet).
Fresh dairy products with a low percentage of fat content (cottage cheese, kefir, yogurt, store milk).
Tea or coffee with milk, still mineral water.

A well-composed diet with the use of these products will not only help the gallbladder at the time of an exacerbation of the disease, but will also have a positive effect on the body as a whole.

The role of vitamins in the treatment of gallstone disease

Lead to the formation of stones and may lack of vitamins in the body. This is not the determining cause of the development of the disease, but with beriberi it is much more difficult to deal with it. Therefore, in the diet for cholelithiasis, it is important not only proper nutrition, but also additional enrichment with vitamins.

An important vitamin that is involved in metabolic processes is vitamin C. , as it significantly reduces the risk of disease. It can be obtained from:

currants;
kiwi;
citrus;
green peas;
cabbage.

With severe beriberi, it is not always possible to get by with some products, so vitamin C can be bought at a pharmacy in the form of tablets or powder, but after discussing this with your doctor in advance.

Vitamin E necessary for a person with gallstone disease, to reduce the level of cholesterol in bile. Such a vitamin cannot be formed in the body, but it can be obtained by eating:

nuts;
sunflower seeds;
soya beans;
olive oil.

Nutrition for gallbladder disease

Keeping up with the regimen and following the rules for gallstone disease can be difficult. Usually the most difficult thing is to eat fractionally, but since the stomach begins to decrease, you can get used to this regimen in one week and the body itself will not want to take more food.

With such a disease, it is important to monitor the hours of eating. Dinner, while following a diet, should be no later than 2 hours before bedtime, so that the stomach is empty before bedtime. A glass of kefir is ideal for this.

Treatment of the disease will not bring results if the correct composition of bile is not achieved. Therapeutic diet involves a large intake of proteins. They are found in the greatest quantities in meat, egg white and dairy products.

After the diet, you can not pounce on the coveted sausages and bacon. From this, not only the gallbladder, but the whole body will experience severe stress. Introduce familiar foods into the diet should be gradual and in small quantities.

People suffering from cholelithiasis should continue to eat fractionally and consider the diet not as a temporary phenomenon, but as a way of life. Therefore, after treatment, you can not eat only harmful foods again, this can quickly lead to a relapse.

Video: Nutrition for gallstone disease

Gallstone disease is characterized by stagnation of bile, which later leads to the appearance of stones. In this case, there is a violation of metabolism and a change in cholesterol metabolism. As a result, the whole human body begins to suffer. Therefore, at such a moment, it is especially important to follow a special diet that can normalize the work and impaired functions of the main biliary tract, as well as prevent the occurrence of new stony deposits.

The essence of the diet for gallstone disease

The essence of such nutrition is to increase the proportion of healthy carbohydrates and proteins in the diet, and reduce the intake of unhealthy fats. What to follow:

Meals must be fractional. The ideal option would be six meals, this will contribute to the constant and proper separation of bile, as well as better absorption of incoming food.
In this case, the daily calorie content should be approximately 2100-2400 kcal.
Also, experts advise to have lunch and dinner at the same time.

This, in turn, will help set the gallbladder to secrete bile at certain hours without causing colic.

Healthy nutrition rules

Nutrition of a person with cholelithiasis should be based on the following recommendations:

Dishes, if possible, are best served on the table in a grated or chopped form.
It is advisable to cook all products in a boiled or lightly baked form, but without the formation of a crust. You can steam, occasionally a little stewing is allowed and never frying, during which dangerous oxidized fats appear, which adversely affect the course of an existing disease.
The temperature of cooked food should not be too warm or too cold so as not to irritate the receptive gastric mucosa.
Salt intake will have to be limited to 10 g per day. At the same time, you need to observe the drinking regimen, which implies the intake of at least two liters of water into the body. This will help remove toxins and bile salts.
It is advisable to completely refuse to take alcoholic beverages. Alcohol causes a strong spasm of the biliary tract and their bladder, which leads to the formation of hepatic colic.
Add alkaline water to your diet.
Reduce the intake of carbohydrates and animal fats, increase plant foods.

Nutrition for cholelithiasis implies a daily diet made up of permitted foods that are rich in pectins and nutrients. But it will be necessary to completely abandon those products that further stimulate the production of bile and load the internal organs.

What is possible?

What is impossible?

yesterday's second-milled bread, biscuits and lean crackers, dried biscuit;
rice, oatmeal, buckwheat and semolina porridge (boiled);
pasta well cooked;
lean meats (skinless poultry, rabbit, lean beef and veal);
dairy baby sausages and ham;
fish of less fatty varieties;
sea kale and frozen seafood (squid, shrimp);
nuts and pumpkin seeds;
wheat bran;
you can have a little butter and vegetable oil, which is added to ready meals;
all soups in vegetable broth;
beets, carrots and pumpkins, peppers and fresh cucumbers, baked potatoes, cauliflower and young zucchini;
bananas, baked apples, pomegranate;
egg white;
slightly salted cheeses, but in small quantities;
fat-free kefir, milk, yogurt, low-fat sour cream and low-fat cottage cheese;
dried fruits, natural marshmallow and unsweetened marmalade;
jelly, fruit mousses and kissels.
from drinks, alkaline waters, compotes from mashed fruits, juices diluted with water, tea and coffee with the addition of low-fat milk, rosehip broth are allowed;
Esentuki No. 4, No. 17, Smirnovskaya, sulfate Narzan 100-200 ml warm 3 times a day 30-60 minutes before meals.

bread of the first freshness, long loaf, rich and sweet pastries;
pancakes, butter and cream cakes, fried pies;
salty and spicy yellow cheeses, fatty cottage cheese;
fermented baked milk, 20% cream, rustic sour cream and milk;
chicken yolk;
margarine, lard, animal fat;
rich soups in meat or fish broth;
mushrooms and mushroom soup;
pearl barley, barley and millet;
sausage products, shop sausages and pork sausages;
meat offal (kidneys and liver), various smoked meats, as well as corned beef;
canned food in any form;
fast food, chips, salted nuts, crackers;
sorrel and spinach, Brussels sprouts and white cabbage;
beans and peas;
radish, turnip and radish;
garlic and onions;
fatty and salty fish;
herbs (basil, dill, thyme, parsley);
mayonnaise, horseradish, mustard, ketchup, vinegar;
berries and fresh fruits, especially grapes, lingonberries and raspberries;
fatty meats (duck, goose, pork);
beverages such as coffee, cocoa and strongly brewed tea.

Day	Menu
Monday	Breakfast: tea with milk, vinaigrette seasoned with low-fat sour cream, a piece of dried rye bread. Snack: breakfast 150 g of baked chicken (fillet) and 100 g of crumbly buckwheat porridge. Dinner: pumpkin, bell pepper and celery soup, a piece of boiled fish and boiled potatoes. You can add some sauerkraut. afternoon tea: a glass of compote and one yesterday's bun. Dinner: pasta casserole with cottage cheese, as well as cabbage cutlets baked in the oven. A little later, you can drink a glass of jelly.
Tuesday	Breakfast: oatmeal filled with natural yogurt, green tea are allowed. Snack: one orange and a glass of compote. Dinner: cod baked with asparagus in foil, steamed vegetable salad, bran bread. afternoon tea: one baked apple. Dinner: 200 carrot pudding, and a little later a glass of biokefir.
Wednesday	Breakfast: oatmeal with the addition of soaked prunes, tea with milk. Snack: cottage cheese pudding. Dinner: zucchini vegetable stew, boiled veal, a slice of wholemeal bread. afternoon tea: puree of two baked apples. Dinner: Hercules soup and a glass of berry juice.
Thursday	Breakfast: buckwheat crumbly porridge with pumpkin seeds, currant leaf tea. Snack: fruit jelly. Dinner: steam omelette with two chicken proteins, herbs, zucchini and carrots, as well as bread and rosehip broth. afternoon tea: kefir and three biscuits. Dinner: vinaigrette with olive oil, a piece of boiled chicken fillet, chamomile tea.
Friday	Breakfast: 200 g low-fat crumbly cottage cheese with grated banana, tea with milk, one cracker. Snack: baked pear and marshmallow bar. Dinner: well-cooked pasta, some fresh vegetables and pureed tomatoes. afternoon tea: a piece of baked pumpkin with nuts and dried apricots. Dinner: it is better to choose cauliflower puree soup, 150 g of baked hake, a slice of grain bread with cheese.
Saturday	Breakfast: 200 g semolina, green tea and a bun. Snack: egg white omelet. Dinner: vegetable and rice soup, turkey slice, buckwheat porridge. afternoon tea: jelly milk dessert. Dinner: mashed potatoes (170 g) and a piece of white fish, a little later a glass of kefir and an apple.
Sunday	Breakfast: soft-boiled egg, bran bread toast, viscous oatmeal. Snack: a little curd pudding. Dinner: beetroot and prunes salad, two steamed chicken cutlets, tea with milk. afternoon tea: a glass of alkaline water and two biscuits. Dinner: three boiled potatoes and a carrot and cod casserole.

To make it easier to understand the principle of therapeutic nutrition for cholelithiasis, you can use a ready-made menu, which consists of the right dishes and products.

Gallstone disease (GSD) is a common and dangerous disease. “Thank you” for it must be said to our lifestyle, dietary habits and neglect of our own health. As a rule, residents of economically developed countries are susceptible to it, and in the absence of adequate and effective treatment, the patient may suddenly develop acute cholecystitis or obstructive jaundice.

Treatment of cholelithiasis is long and depends on the size of the stones, their localization, the general condition of the patient and the timeliness of contacting a doctor. In some cases, conservative therapy turns out to be ineffective, and then one has to resort to surgical intervention with all the “bonuses” that are due in the form of complications, a long period of rehabilitation and a serious restriction in food.

There is little pleasant in this, and if you do not want to register in the gastroenterologist's office for a long time and become a regular customer in the pharmacy, you should take care of your own health. Once again, we will not call on the reader to give up bad habits, minimal observance of the daily regimen and a responsible attitude to medical recommendations, but we should understand the basic principles of proper nutrition. Believe me, it is better to give up certain products and lead a fulfilling life than to suffer from pain for years..

Rules for a healthy diet with cholelithiasis

Minimize your intake of foods high in cholesterol. Under the ban should be fatty meat and fish, animal fat and any offal from beef, pork and lamb (heart, liver, brains).
Drink as much liquid as possible. This stimulates the excretion of bile, reduces its concentration and helps relieve the liver. Healing mineral water (Truskavetskaya, Essentuki No. 17) has a beneficial effect on the body, but ordinary juices, tea with milk, compotes and fruit drinks are also suitable.
Do not forget that stool problems provoke the development of cholelithiasis, so be sure to include foods that stimulate bowel function in your diet. These are drinks based on sour milk, prunes, beets and honey. It is also recommended to consume vegetables and fruits containing coarse fiber.
Remember that excess weight affects the figure and most negatively affects cholesterol metabolism. Therefore, it is worth significantly reducing the consumption of easily digestible carbohydrates by including fasting days in the weekly schedule. Depending on personal preferences, they can be cucumber, oatmeal, kefir, cottage cheese or apple.
Eat foods rich in magnesium, as this helps to lower blood cholesterol levels and remove its excess from the body. The best way to achieve this is to eat more cereals (millet, oatmeal and barley), vegetables, fruits and legumes.
Instead of the traditional 3 meals a day, switch to a fractional meal. It is better to sit down at the dinner table 5-6 times a day and eat a little, than to absorb the entire daily portion at once, and then swallow painkillers.
Completely give up any alcoholic beverages, marinades, spicy and salty dishes, smoked meats, decoctions of mushrooms, fatty broths, sour berries and fruits, cocoa, chocolate and coffee.
The presence in the daily diet of the required amount of vegetable oils, vitamins and complete proteins is a necessary condition for a speedy recovery. This can be provided by lean meat, cottage cheese, sunflower and olive oil, as well as the regular intake of specially selected vitamin complexes.
Foods high in calcium prevent the formation of stones, shift the reaction of bile to the alkaline side and normalize metabolic processes in the body. Therefore, pay attention to sour-milk cuisine (cottage cheese, kefir, cheese, yogurt), as well as vegetables, berries and fruits.

The main task of the diet is the normalization of cholesterol metabolism, the exclusion from the diet of foods that contribute to the formation of stones and the overall improvement of the patient's quality of life. In many cases, this allows you to stop the symptoms and avoid radical surgery, but the decision on choosing the best treatment tactics is up to your doctor!

Diet number 5

Breakfast. Lean cottage cheese pudding (140 g), buckwheat porridge with vegetable oil (170 g), tea with milk (200 ml).
Lunch. 1-2 fresh non-sour apples.
Dinner. Vegetable oil soup (vegetarian, 500 ml), meat with milk sauce (boiled or steamed, 50 g), carrots stewed in olive oil (150 g), dried fruit compote (250 ml).
afternoon tea. Rosehip broth or compote (250 ml), lean croutons (25–30 g).
Dinner. Boiled low-fat fish seasoned with vegetable oil (85 g), carrot-cabbage cutlets (200-220 g), boiled potatoes (150-170 g, can be seasoned with dill or a little green onion), tea.
Second dinner. Kefir or fermented baked milk (180–200 ml).

During the day, you can also eat a maximum of 10 g of butter, 30 g of sugar and 300 g of wheat bread.

Diet No. 5A

Breakfast. Semolina porridge with low-fat milk (150–170 g), two-protein omelette (100 g), tea with milk (weak, 250 ml).
Lunch. Steamed meat cutlets (120–130 g), buckwheat porridge with vegetable oil (160 g), bread (2 slices), tea (250 ml).
Dinner. Rice soup with chopped vegetables (about 300 ml), thoroughly boiled chicken (130 g), pureed buckwheat porridge (140 g), milk jelly (110–120 g).
Dinner. Boiled fish (90 g). Mashed potatoes (160 g), tea with milk.

Such a diet is prescribed during the rehabilitation period for one and a half to two weeks, after which they switch to diet No. 5 and follow it for about 2 more years. If the patient is diagnosed with bile stasis or a weakening of the normal function of the gallbladder, it is recommended to adhere to a lipotropic-fat diet.

magnesium diet

It is prescribed when the patient's condition normalizes, if as a result of therapy insufficient bowel movement is detected. With an energy value of about 3000 kcal, it provides:

The required amount of proteins (100 g) and carbohydrates (450 g).
Reducing the amount of fat (80–90 g).
A fourfold increase in the volume of magnesium entering the body (approximately 1300 mg).
The necessary portion of vitamins (ascorbic acid, retinol, thiamine).

Dishes that should be on the daily menu

Dietary borscht based on bran decoction. Pour 40–50 g of bran into 450 ml of water, boil for 10–15 minutes and pass through a sieve. Add a little shredded cabbage, grated beets (50 g), browned white roots (20 g) and onions (10 g). Keep on fire for 10-15 minutes.
Oatmeal soup with vegetables. Prepare a decoction of bran (see the first recipe). Add chopped carrots (50 g), pumpkin and zucchini (30 g each), sautéed onions (10 g) to it. Boil for 5-10 minutes, then add finely chopped dill and parsley for flavor.
Rice soup with vegetables. You will need 20 g of rice, 30 g of carrots, 70 g of potatoes, 150 ml of milk, 5 g of butter, 10 g of sour cream and about 1/2 liter of water. Rinse the grits thoroughly, pour boiling water over and cook until tender, stirring constantly. We clean the vegetables and cut into slices, then cook in a small amount of water and pass through a sieve. In the resulting broth, add hot milk, pre-prepared vegetables and butter. If you really want, you can salt a little. Bring to a boil, and when serving, season the dish with sour cream.
Cereal meatballs with cottage cheese. Boil buckwheat porridge with milk (ratio 6:15), let it cool and add cottage cheese (30 g) first, and then one boiled egg. Mix well, mold the meatballs, breaded and lightly fry in butter. Before serving, you can add sour cream.
Cabbage apple cutlets. Stew chopped cabbage (150-200 g) until half cooked, add 40 g of peeled apples to the pan, mix everything and bring to readiness over low heat. Add 15–20 g of semolina and heat over low heat for another 10 minutes. When the cabbage has cooled down, add 1-2 eggs to it, mix well, fashion cutlets, bread them and bake in the oven.
Millet porridge with dried apricots. You will need 75 ml of water, 50 g of millet, 10 g of butter, 25 g of dried apricots and some sugar. Pour millet into a container with water and cook until half cooked. Add butter, dried apricots and sugar to the porridge. Boil in a water bath until fully cooked.
Meat pudding with semolina. We cook semolina (150–200 g) in water, season with a small amount of oil and cool. We pass the chicken fillet first through a meat grinder, and then through a sieve, add the previously obtained porridge, egg and milk to taste. Beat the mass well and cook in a form previously smeared with butter (45-50 minutes).

Video: "Conversation with Associate Professor Garmash about nutrition for cholelithiasis"

Without treatment and adherence to the diet, this pathology can be complicated by jaundice or acute cholecystitis - conditions that require urgent surgical intervention.

Basic principles of nutrition

It has been proven that the process of formation of insoluble stones in the gallbladder is directly related to the violation of cholesterol metabolism, hormonal imbalance in the body and stagnation of bile against the background of concomitant pathologies of the gastrointestinal tract.

More often, cholelithiasis develops in people suffering from obesity, diabetes mellitus, gastritis, pancreatitis, as well as during pregnancy and in women who take hormonal contraceptives for a long time.

Nutrition should be balanced based on the following principles.

Rejection of cholesterol. Since the process of cholelithiasis is directly related to excess cholesterol entering the body from the outside, it is necessary to limit or completely abandon foods rich in it - egg yolks, liver, fatty fish and meat.
Magnesium. Magnesium salts contribute to the accelerated removal of harmful products of fat metabolism from the body. That is why patients with cholelithiasis or patients at risk are shown a magnesium diet. The most rich in this mineral are apricots, peaches, and buckwheat porridge.
Alkali. The diet for cholelithiasis must necessarily contain alkaline foods. They dissolve small stones, thin thick bile. To achieve a good result, you need to consume more fresh vegetables, herbs, as well as mineral water.
Mode . With calculous cholecystitis, you need to eat often, fractionally, that is, the volume of servings should be small. This will prevent the stagnation of bile, which is secreted into the lumen of the duodenum in response to incoming food.

To prevent complications, it is necessary to adhere to, during and after an attack, nutrition should be stricter - selected by the doctor individually. The daily diet should be sufficient in calories, contain an average of 100 g of protein, 400-500 g of carbohydrates and 50-70 g of fat. You need to drink at least 2 liters of fluid per day.

With pathologies of the gallbladder and liver, it is better to drink Borjomi, Luzhanska, Polyana Kvasova.

Approved Products

In general, this diet is varied. Allowed foods and dishes contain a sufficient amount of calories, vitamins and minerals.

Flour products. Yesterday's gray, white and black bread, croutons without salt and spices.
First meal . Lean soups, low-fat vegetable broths.
Side dishes. Cereals on the water (, oatmeal, rice, bulgur,), pasta from durum wheat, legumes (lentils, chickpeas, peas).
Meat . Chicken, turkey, veal, beef. Meat products should be boiled, steamed or stewed.
Vegetables . You can use any seasonal vegetables in raw, baked, stewed form. Carrots and beets are especially useful for cholelithiasis and cholecystitis.
Fruits . You can use without restrictions. To speed up the removal of bad cholesterol, it is better to eat apricots, watermelons, melons.
Dairy. Skimmed milk, low-fat cottage cheese and sour cream, kefir, natural yogurt, curdled milk.
Sweets . Patients with diseases of the hepatobiliary system can eat homemade jams, jams, marmalade, marshmallows and marshmallows.
Beverages . Weak black and green teas, jelly, compotes.

If you follow the right diet, such unpleasant symptoms of cholelithiasis as discomfort after eating, heaviness in the right hypochondrium, heartburn and a feeling of bitterness in the mouth are reduced.

Table number 5, shown for cholecystitis and gallstones, can be used in children and adults. It is suitable for pregnant and lactating women. And also for weight loss with overweight.

Prohibited Products

If the diet is violated, the pathology may worsen or lead to complications. Do not eat the following foods.

Muffin. Fresh bread, pies, pies, pancakes.
Meat products . Fried meat, lamb, sausages, smoked meats, pates.
Soups. Fatty, rich meat broths, hodgepodge, borscht.
Vegetables . Fried potatoes, vegetable stew with butter.
Sweets . Butter and protein cakes, pastries, ice cream, chocolate.
Beverages . Coffee, strong tea, energy drinks, sweet sparkling water, spirits.

It is necessary to exclude sour fruits and berries (lemons, oranges, red currants, gooseberries). They irritate the intestinal mucosa, which negatively affects the process of bile secretion. It is important to minimize the amount of salt and spices.

Diet for cholelithiasis

An approximate nutritional pattern for gallstones is as follows.

Breakfast . Oatmeal with the addition of a small amount of olive oil or cottage cheese with dried fruits, tea.
Second breakfast. Baked apple or fruit salad.
Dinner . Vegetarian cabbage soup, stewed vegetables with boiled chicken, compote or lean soup, rice, steam cutlets.
Afternoon snack. Tea with dry biscuits or crackers.
Dinner . Boiled potatoes, baked fish, steamed vegetables or salad.
Second dinner. A cup of kefir or natural yogurt.

During the period of exacerbation, the diet is stricter - legumes, mushrooms, sour vegetables, fruits, cheese and cottage cheese are excluded at this time. One or two days after the attack (with normalization of the condition), you can expand the menu and return to the treatment table No. 5.

Menu after surgery

Nutrition before the operation should be sparing, based on the principles of diet number 5.
After cholecystectomy, the diet is built as follows.

First hours. After surgery, you can not drink, you can only moisten your lips with water.
First day. You can drink purified water, herbal decoctions, rosehip infusion.
In a day and a half. You can drink kefir, yogurt, dried fruit compotes.
On the third day. You can eat vegetable broths, mashed potatoes, juices.
In five days. Patients are allowed cereals on the water (oatmeal, rice), vegetables, baked apples.

In the future, you can gradually expand the diet and switch to table number 5. With its strict observance, the recovery process is faster.

Diet is the key to good health and the absence of exacerbations. At the same time, you can take folk remedies. So, decoctions, mountain ash, as well as moderate consumption of vegetable oil contribute to the dissolution of stones.

Gallstone disease is a pathology, which is based on a metabolic disorder, and, mainly, a change in cholesterol metabolism. This substance, essential for the body in small quantities, becomes the main substrate not only for atherosclerotic plaques, but also for choleliths in the biliary tract.

The main principle of the diet is to exclude fried and fatty foods.

The diet for cholelithiasis is aimed at normalizing cholesterol metabolism and related processes. Without following the principles of nutrition, the stones will increase in volume and quantity; and even removal of the gallbladder will serve only as a temporary measure.

Diet Basics

Approximately 68% of the stones formed in the gallbladder are made up of cholesterol; about 7% are divided between pure pigment and pure calcium stones, about 22-23% are stones of a mixed composition - cholesterol, which, as a result of inflammation of the biliary tract, turned out to be covered with calcium salts.

If stones of a one-component composition of bilirubin or calcium are formed for reasons beyond human control, then stones consisting of cholesterol are 90% the “merit” of their owner: an excess of this fat-soluble alcohol comes only with food. Therefore, the diet for cholelithiasis is based on the following principles:

reduce the amount of incoming carbohydrates and animal fats;
abandon cholesterol-containing foods: fatty meats and fish, lard, egg yolk, beef and pork broths;
so that cholesterol in bile does not precipitate, but is in a dissolved state, you need to gradually consume alkaline waters: Borjomi, Polyana Kvasova;
herbal products are an essential component of the diet;
the liquid taken orally contributes to the dilution of bile, which indirectly reduces its ability to form stones;
foods that have lecithin also help keep cholesterol dissolved. This is butter, cream, sour cream;
during an exacerbation, it is necessary to provide rest to the sick gallbladder.

Advice! The daily composition of the diet: proteins - about 100 g, fats - 50-70 g, carbohydrates - 400 g, salt - no more than 10 g / day. You need to eat at least 6 times a day. Liquid - in a volume of at least 2 liters. It is called diet table number 5.

Approved Products

Nutrition for gallstone disease should consist of the following products:

The diet requires the presence of foods rich in calcium: fish and meat, dairy products, if tolerated, boiled eggs or steam omelettes.

To improve the contractility of the gallbladder (this will reduce stagnation in it), foods rich in magnesium are needed: buckwheat porridge, rosehip broth, oatmeal and millet porridge, nuts, seaweed.

It is good to spend fasting days: curd-kefir, rice-compote, apple, watermelon, grape.

Prohibited Products

With gallstone disease, you can not eat:

fried foods;
pies;
fatty meat and fish;
muffin;
cakes;
spicy dishes;
spinach;
vegetables such as radishes, onions, radishes, garlic, turnips;
chocolate;
caviar;
coffee and cocoa;
alcohol;
offal.

Dishes should be eaten only in a warm form, without sprinkling them with seasonings.

If gallstone disease worsens

Warning! On the day when pain appeared on the right side under the ribs, nausea and bitterness in the mouth, you can’t eat. Only sweet black tea is allowed.

Oatmeal on the water - the main dish for exacerbation of gallstone disease

From the second day, mashed potatoes boiled in water, slimy rice porridge in water, lean boiled meat are added to the diet. Such a diet is observed for up to 10 days, and if the pain in the right hypochondrium is stopped, then they switch to the main diet.

Postoperative diet

The diet for cholelithiasis after surgery consists of the following nuances:

You can’t eat for the first 36 hours;
After this time, you can only drink: tea without sugar, kissels and compotes from dried fruits, low-fat kefir. The amount drunk per day is up to 1.5 liters. For 1 time you can drink no more than 150 ml. This diet is followed up to 3-5 days.
For 3-5 days, mashed potatoes, vegetarian soup with the addition of a teaspoon of butter or sour cream are added to the diet.
Gradually add boiled low-fat fish, steam omelette without yolk, pumpkin and apple juice without sugar, stale white bread.
After 7-8 days, liquid cereals are introduced: wheat, buckwheat, oatmeal, cooked or from cereals ground in a coffee grinder, or already grated with a blender in finished form; lean meat, low-fat dairy products.
After 8 days, steam cutlets, meatballs, meatballs are added. Soups can already be cooked on the second or third meat broth, in cereals - add milk diluted with water 1: 1.
Only 1.5 months after the operation, they switch to table No. 5, described at the very beginning.

As can be seen from the article, dietary nutrition in cholelithiasis plays a role that is very difficult to overestimate. This is understandable, because along with other factors, the formation of stones is closely related to what foods we eat. You can learn more about the nature and mechanism of development of this pathology from the article:.