Diet for bulbitis: recipes and sample menu for the week

Complex therapy for inflammatory diseases of the stomach and intestines involves a number of measures aimed at speedy recovery of the patient. The effectiveness of medication directly depends on the correct diet. When prescribing a menu, the gastroenterologist takes into account the type of pathology, the stage of the process and the severity of the condition.

The diet for erosive bulbitis of the duodenum has its own characteristics. The main tasks are the elimination of unfavorable symptoms, the creation of gentle conditions to ensure normal acidity and epithelization of the mucous membrane, and normalization of the motor function of the upper digestive tract. Therefore, drawing up a detailed diet is an important stage of treatment.

Causes of inflammation of the duodenal bulb

Bulbit is often associated with gastritis. Therefore, the causes of this disease in many cases are similar:

• Helicobacter pylori infection (especially for catarrhal bulbitis);
• unhealthy diet (overeating, dry food, spicy, smoked, fried foods);
• alcohol consumption;
• too hot food;
• taking certain medications, especially anti-inflammatory drugs, and chemicals (for example, acetic acid or alkalis).

Accidental or intentional ingestion of any objects can lead to focal bulbitis - what does this mean: a foreign body lingers in the bulb and compresses its wall, a local inflammatory reaction develops under and around it. Giardia and helminths can also cause inflammation of the bulb, especially in children.

Rarely, duodenal bulbitis becomes a manifestation of Crohn's disease. This pathology can affect any part of the digestive tract, from the oral cavity to the anus. In particular, Crohn's disease can begin to develop precisely in the duodenal bulb.

Recipes

The diet for bulbitis and gastritis is quite similar and has a wide variety of dishes. In order not to harm the inflamed organ and not aggravate the course of the pathology, you need to know how to properly prepare food. Let's look at the most common recipes:

• Slimy rice soup. Pour the cereal into boiling water and keep it on the stove until completely boiled. Then strain the liquid and rub the rice through a sieve. After this, you can add a mixture of milk and eggs and butter to the dish. Salt after cooking.
• Potato casserole. Boil the fruits and grate them along with low-fat cottage cheese. Then add raw egg and butter to the ingredients, add a little salt. Place the mixture on a baking sheet, spread sour cream on top and bake in the oven until a crust forms.
• Beet salad. Boil the vegetable and grate it. Then add green peas and season with sunflower oil.
• Berry jelly. Rinse the fruits well, place in water and put on fire. After boiling, add sugar (to taste) into the pan. Allow the broth to cool, then strain and, stirring, slowly pour in the pre-dissolved gelatin. Next put it in the refrigerator for 4-5 hours.

It should be noted that a diet for bulbitis is only one of many methods of treating it. For a speedy recovery and to prevent the development of complications, it must be combined with medications and other methods of therapy.

Symptoms of bulbitis

The main manifestations of acute bulbitis:

• intense pain in the epigastric region;
• general weakness, drowsiness;
• decreased appetite;
• nausea, vomiting;
• pain on palpation in the stomach area;
• increase in body temperature.

The most common symptoms of chronic inflammation are:

• pain on palpation in the epigastric zone;
• heaviness in the epigastrium after eating;
• belching sour or rotten, possible belching of air;
• tendency to constipation or diarrhea; unstable stools are also possible, manifested by alternating constipation and diarrhea;
• flatulence, spastic pain in the abdominal area;
• weight loss;
• periodically occurring pain (“hungry”, night, early or late, diffuse girdling or clearly localized, in the epigastric region or in the hypochondrium, which depends on the clinical course of bulbitis), relieved by eating, antacid or antisecretory medications;
• additional symptoms in the form of general weakness, sweating, palpitations, shortness of breath, tremor (possible with the neuroendocrine version of bulbitis).

In some cases, bulbitis can be asymptomatic, being detected accidentally during an endoscopic examination for other diseases or at the stage of complications.

Superficial bulbite

This is inflammation of the duodenal bulb, the mildest form of inflammation. The symptoms are the same as in most diseases of the gastrointestinal tract. Severe stabbing pain in the abdomen and in the navel area. The disease is manifested by vomiting and belching with a bitter aftertaste. Pain occurs an hour or two after eating or with a large time gap between meals. The main treatment is a therapeutic diet for a month, after which you can return to your usual diet.

Dish recipes

Often a strict diet becomes an ordeal. Because it is necessary to give up your usual diet for a long period of time. But with bulbitis, you can cook different dishes from simple products. It will be tasty and will benefit the patient.

Attention!

Food is served warm so as not to irritate the digestive tract.

First meal

The diet for bulbitis necessarily includes a liquid form of food. It does not irritate the stomach and intestines, is quickly absorbed, and helps normalize motor function.

You can eat soups based on vegetables and cereals. The components are finely grated or crushed with a blender. Recipes for the dietary first course are presented in the table.

Table 2. Recipes for first courses

Second courses

Side dishes for inflammation of the duodenal bulb are boiled, stewed, or cooked in a double boiler. The menu includes porridges, vegetable stews, soufflés and casseroles, which are combined with meat products. So you can eat healthy and enjoy your food at the same time.

Examples of recipes for second courses are presented in Table 4.

Table 4. Recipes for main courses

Dessert

Proper nutrition includes not only first and second courses, but also sweets. When bulbitis worsens, desserts complement the main diet, being sources of nutritional components. They are served as an afternoon snack, second breakfast or dinner. You can prepare delicious food at home using the following recommendations.

Table 5. Dessert recipes

Beverages

The drinking regime must be observed both during the period of exacerbation and during remission. A sufficient amount of liquid improves metabolic processes, restores the motor function of the digestive tract, and prevents dehydration. Water consumption should be at least two liters per day. If vomiting or other pathological fluid losses are noted, the volume is increased. In this case, the doctor performs the calculation.

If fresh erosions occur, water and electrolyte solutions containing mineral salts, citrate or glucose are recommended. As the mucous membrane heals, you can drink:

• weak tea;
• dried fruits compote;
• apple broth with raisins.

Convalescents are allowed cocoa, coffee with milk, and fruit jelly. For atrophic processes and hypoacid conditions, juices diluted with water are added. Do not drink alcohol, soda with artificial additives or dyes.

Reviews about the diet for bulbitis

Natalya, 38 years old:
The fast pace of life did not allow me to see a doctor on time, although I had been bothered by periodic abdominal pain after eating for a long time. After the next feast, I felt unwell, with vomiting, bloating, and discomfort in the epigastric region. During gastroscopy, erosive bulbitis of the duodenum was discovered. Treatment and diet were prescribed. At first it was hard to get used to the food. However, thanks to recipes from the Internet, I diversified my diet and quickly began to recover.

Konstantin, 40 years old:

They took me away from work when I became ill. There was vomiting with blood, weakness, sharp pain in the abdomen. An endoscopy was performed. It turned out that it was ulcerative bulbitis. Several years ago I went to a gastroenterologist with problems with the duodenum and gastritis, but abandoned treatment. After the operation it took a long time to recover. He ate only liquid food and drank water. Then they were allowed to eat other foods, but they only steamed, stewed or boiled them. Gradually the condition improved. However, I had to give up alcohol and strong coffee.

Sergey, 42 years old:

The doctor suspected acute stomach gulbit because he was worried about pain after eating, nausea, and belching mixed with bitterness. The specialist recommended diet and drug therapy. After a few weeks, my health improved and the unpleasant symptoms disappeared. After repeated administration, the diet was allowed to expand. My wife tries to cook different recipes, so she likes the new menu. I didn’t think that diet food could be tasty too.

Elena, 48 years old:

Recently I was diagnosed with nodular gastroduodenitis, hypertrophic bulbitis. For many years I have been suffering from chronic gastritis, duodenitis with high acidity. Treatment with drugs helps. However, as a rule, I don’t follow a diet; I like spicy food, fried foods and smoked foods. Now I understand that proper nutrition was a necessary condition for recovery. Therefore, for a week now I have been strictly adhering to the correct diet, eliminating harmful foods. I already feel an improvement in my condition.

Alexander, 62 years old:

I have had chronic gastritis for as long as I can remember. Periodically there was heartburn, pain and discomfort in the abdomen, constipation. Treatment and examination took place only a couple of times. Gradually, the symptoms changed; signs of abdominal fullness and nausea were more often noted. When I felt bad again, I couldn’t stand it and went to the doctor. FGDS was recommended. We have already discovered irreversible changes in the gastric mucosa, atrophic bulbitis. They prescribed therapy and a diet, after which I felt much better. I will stick to it in the future.

Erosive bulbit

This is an inflammation of the duodenum, on the walls of which erosive foci form. This can lead to destruction of the stomach walls. This type of stomach inflammation is provoked by irregular diet, constant stress and a genetic predisposition to diseases of the gastrointestinal tract.

Treatment of erosive bulbitis is carried out under the supervision of doctors, since neglected erosive bulbitis can have detrimental consequences for the body - gastric bleeding, the appearance of ulcers, and various kinds of complications in the gastrointestinal tract.

Sample menu for a week for duodenal bulbitis

Nutrition for duodenal bulbitis should be balanced in terms of main components and calories. This is very important, given the disruption of the digestive process and the increasing deficiency of nutrients. Therefore, the gastroenterologist must offer the patient several menu options for bulbitis. It is advisable to include different first and second courses to fill the need for the necessary elements and restore food tolerance.

Menu for a week for duodenal bulbitis and gastritis

When a patient has inflammation of the stomach and duodenum, the daily amount of food should be divided into 6 meals. Prepare 3 main courses and 3 snacks. The diet for bulbitis is identical to the menu for gastritis, taking into account similar approaches to therapy. A sample diet looks like this:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Sample menu for a week for exacerbation of gastroduodenitis

Diagnostics

To confirm gastric bulbitis, the following methods are used:

1. Physical examination by palpation of the abdomen. A possible diagnosis is indicated by the appearance of minor pain in the epigastric region and a tense state of the anterior abdominal wall.
2. Duodenoscopy, which can reveal symptoms in the form of swelling and redness of the mucous membrane, its excessive bleeding, erosion areas in the lower part of the stomach and the adjacent part of the intestine. If the cause of the pathology is atrophy of the mucosa, it is possible to detect its pallor and thinning.
3. X-ray, which allows you to identify changes in the structure of the duodenum and stomach, confirming the existing symptoms. These are signs such as the presence of spasms turning into relaxation, instability of peristalsis, and increased size of the bulb.
4. Electrogastroenterography, which makes it possible to detect signs of motor-evacuation abnormalities in the functioning of the stomach and duodenum.
5. Antroduodenal manometry to determine the pressure during contraction of the stomach during its operation (special sensors are placed in the antrum).
6. Daily pH-metry to track the dynamics of acid formation during meals, during a fasting state and in other situations.

What nutrition should be like: principles and recommendations

The principles of nutrition for different types of gastrointestinal pathology have similar features. The menu is developed taking into account the stage of the disease. In the acute period, the diet is the most gentle, taking into account the pronounced inflammatory changes. As the process subsides, the diet is expanded, including various products in boiled, baked, stewed form.

Nutrition for duodenal bulbitis at the beginning of treatment is limited to carbohydrate foods. Subsequently, protein foods and fats are added.

Gastroenterologists recommend eating up to six times a day and not taking long breaks between meals.

You can't eat:

• spicy;
• smoked;
• roast;
• drink alcohol;
• strong coffee;
• carbonated drinks with dyes.

Strict restrictions are observed for 1-2 weeks, then the list of permitted products is expanded. You should adhere to the correct regimen for several months, or better yet, throughout your life.

Recommended dietary tables according to Pevzner

When developing a menu, the gastroenterologist is guided not only by the nosological form of the disease, but also by the concomitant pathology. For this purpose, there is an indicative table of Pevsner tables. It takes into account the patient’s nutritional characteristics during exacerbation, chronic process and during the recovery period.

The diet for erosive bulbitis includes table 1, which is divided into two subgroups:

1. 1a - food is prepared liquid, jelly-like, mushy, with maximum mechanical and chemical sparing of the mucous membrane of the stomach and duodenum. Diet 1a is prescribed in the acute period of superficial and focal bulbitis, in hyperacid conditions, and ulcerative processes.
2. 1b - suggested for a gradual transition to the main diet. Dishes are served in pureed, mashed form, with expansion due to protein products.

General requirements for this table include limiting table salt and subsidizing vitamins A, B, C.

If there is atrophy of the mucous membrane due to chronic gastroduodenitis, table 2 is recommended. Light frying without breading, diluted sour juices are allowed, and foods that are difficult to digest are excluded.

In case of concomitant pathology of the intestines, liver, or dyskinesia of the gallbladder, it is recommended to switch to diet No. 3 or No. 5. During the period of convalescence (recovery), they adhere to table No. 15. The menu contains a complete diet, except for fatty and spicy dishes.

Treatment of bulbitis

When an attack of bulbitis occurs, it is advisable to immediately take antacid medications (Almagel, Gastal, Maalox, etc.). But this is temporary relief. An important factor in successful recovery is, of course, correctly selected tactics in the treatment of a certain type of bulbitis.

• In the treatment of acute bulbitis, in addition to antacids, painkillers (No-shpa, Baralgin, Papaverine) are prescribed. These drugs will help relieve painful attacks by relaxing smooth muscle tone. It is also advisable to prescribe a diet or fasting in the first days of the disease. It is best to treat acute gastric bulbitis in a hospital setting, where gastric lavage may be required to prevent poisoning. They may also prescribe drips with saline solution to relieve symptoms of intoxication of the body. There, additional examination methods will be carried out, the results of which will determine the most advantageous treatment tactics for acute duodenal bulbitis.
• For chronic and catarrhal bulbitis, antibacterial therapy is prescribed, since this type of bulbitis develops, as a rule, due to Helicobacter pylori infection. Antibiotics are prescribed taking into account the sensitivity of the pathogen to them. These can be certain groups of antibiotics that act on the cell of the pathogen itself - Amoxicycline, Vilprafen, Summed, De-nol and others. Sometimes Metronidazole can be prescribed, but nowadays its effectiveness among potential “killers” of Helicobacter is disputed. Also, with this type of bulbitis, a long-term diet is prescribed.

In addition, you must stop smoking. Avoid stressful situations whenever possible. It is necessary to stop taking all kinds of food additives; they can also be a provoking factor for the exacerbation of catarrhal and chronic bulbitis. Also, in stressful situations, during the treatment of this type of bulbitis, sedatives and sedatives are prescribed. You should understand and be psychologically prepared for the fact that you will have to reconsider your usual way of life, since the treatment will be complex and long-term.

Features of the diet during exacerbation of bulbitis

When bulbitis worsens, nutritionists advise switching to six meals a day and limiting the amount of food you eat, which helps reduce the inflammatory process. It is recommended to eat pureed food. Broths should be completely excluded from the diet, all dishes should be cooked in water, the use of any vegetables, as well as foods that are difficult to digest, is strictly prohibited. It is not allowed to eat cold or hot foods, which irritate the mucous membranes and slow down the healing process.

A special diet used during exacerbation of the disease allows inclusion in the daily menu:

1. Slimy soups. The dishes are prepared as follows: the cereal is boiled for a long time until it is completely softened, then the broth is filtered and consumed, but the cereal itself is not eaten. Use semolina, rice, oatmeal. You can add butter (maximum 25 g per day) and beaten egg-milk mixture to soups;
2. Meat and fish products, blended in a blender. You need to choose low-fat, dietary varieties of meat and fish. When choosing fish, it is recommended to give preference to red varieties, since such fish does not contain much fat and is easy to digest. Steam soufflés, meatballs, meatballs, cutlets, pates are prepared from minced meat;
3. Cottage cheese (preference should be given to calcined), milk, cream. Other fermented milk drinks are not permitted;
4. Steam omelette made from whole eggs;
5. Liquid porridges from buckwheat, rice, oatmeal, cooked in water or with the addition of milk (1:1). You can use already crushed cereals (to the state of flour) to prepare porridges. It is recommended to use pureed porridge from boiled cereals, diluting them with water, milk or cream.
6. Jelly made from non-acidic berries and fruits, fruit juices, jellies. Jelly prepared at home has an enveloping effect on the sensitive mucous membrane, accelerating the recovery process. It is recommended to use homemade jelly and jellies that do not contain synthetic additives or dyes.
7. Weak tea with milk, bran decoction, rosehip infusion. These drinks have a calming effect, relieve irritation and swelling of the mucous membrane, and activate the process of food absorption.

Diet for bulbitis

During treatment you must follow the following dietary rules:

1. There should be about 3-4 hours between meals.
2. The last meal should occur at least two hours before bedtime.
3. You should only eat one dish at a time.
4. You need to eat often, but in small portions. Under no circumstances should you overeat.
5. Make sure that the dishes have an optimal temperature, since hot or cold food has a negative effect on the mucous layer of the stomach.
6. All food must be fresh and soft enough. It is advisable that the dishes be semi-liquid or puree.

Dietary nutrition for bulbitis involves a complete rejection of low-quality and harmful products. It is prohibited to consume canned foods, marinades, sauces, etc. Fatty, fried, spicy and salty foods should be excluded from the diet. It is also necessary to give up coffee, strong tea, and carbonated drinks. Alcohol, as well as smoking, are completely unacceptable.

An approximate menu for one day could be like this:

1. Early breakfast - two-egg omelette, biscuits, a glass of milk.
2. Second breakfast – steamed broccoli, milk.
3. The first lunch is puree from any vegetables, green tea.
4. Second lunch – tomato puree soup, fish soufflé, buckwheat porridge, compote.
5. Afternoon snack – biscuits, green tea.
6. Dinner – steamed lazy cabbage rolls, a glass of milk.
7. Second dinner - low-fat yogurt, green tea.

Dietary nutrition should be used throughout the entire course of treatment.

List of allowed and prohibited foods for duodenal bulbitis

Inflammatory pathology of the duodenal bulb requires following a diet for 1-3 months, depending on the degree of damage to the mucous membrane. During the acute and subacute period, they adhere to a certain diet.

Foods that adults can eat:

• flour products - mainly dry baked goods and biscuits, wheat bread;
• soups - pureed milk and vegetable soups with the addition of potatoes and cereals, other vegetables (except white cabbage);
• chopped meat dishes or meat in small pieces, jelly - from turkey, chicken, beef, rabbit (low-fat varieties);
• seafood - steamed or jellied fish - pike perch, hake, cod;
• finely ground porridge, oats, except millet;
• cereal puddings and souffles;
• small pasta;
• curd mass and soufflé, whole and condensed milk, low-fat sour cream, unsalted cream-based butter;
• vegetable dishes from carrots, beets, potatoes, zucchini, pumpkin;
• fruit puree from bananas, apples, pears, peaches, mousses, jams, preserves;
• drinks in the form of jelly, tea and cocoa with milk, rosehip decoction, sweet fruit juices, carrot juice;
• eggs in omelet form and boiled.

There are prohibited foods for bulbitis.

During an exacerbation of the disease, you should not eat:

• bakery products made from rye flour and yeast based;
• decoctions of meat, fish, mushrooms, jellied meat;
• legumes, millet;
• full-fat sour cream, cream, sharp cheese;
• red and white cabbage, spinach, radish, raw onion and garlic;
• fruits and sour-tasting juices from grapes, berries;
• marinades, pickles, smoked meats.