Diet for rheumatism
Rheumatism is considered an insidious disease - it rapidly passes from the acute phase of the course into a chronic one.To reduce pain and for a long time to provide the patient with an active lifestyle, doctors prescribe him medicines in the framework of maintenance therapy.But no expert will leave a patient with rheumatism without the appointment of a special diet.Moreover, nutrition in this disease should take into account the age of the patient, the phase of development and course of the disease, the accompanying health problems and the lifestyle of the patient.We recommend that you read:
Of course, there are general recommendations for correcting nutrition in rheumatism, but doctors emphasize the importance of visiting a nutritionist and compiling a menu under the supervision of a specialist.Table of contents: Nutrition in the acute stage of rheumatism Nutrition of patients with rheumatism in its inactive phase What can be eaten with rheumatism and what can not be done
Nutrition in the acute stage of rheumatism
The treating doctor will recommend the patient to rheumatism, which proceeds in the acute phase, adhere toFollowing rules of nutrition:
- per day a person should consume a maximum of 80 g of protein;
- can feed fat and vegetable( 30 g per day), and animals( 60 g per day);
- is limited to simple carbohydrates;
- it is desirable to completely exclude salt from the menu, at least to limit;
- patient should not consume too much liquid;
- from the menu, alcoholic beverages, natural coffee, strong tea, spices, condiments, chocolate are excluded;
- take food often( at least 5 times a day) and in small portions;
- vegetables should be well-brewed;
- meat and fish are consumed only in cooked form or steamed.
The main goal of dietary nutrition for rheumatism of the acute phase of the flow is the normalization of water-salt metabolism.Therefore, a day a patient should receive together with food not more than 5 grams of salt!As for caloric content, its indications will depend on the way the patient behaves:
- if the doctor has prescribed observance of bed rest, then the patient will have 1800 Kcal per day;
- in the case of an active lifestyle - at least 2500 kcal.
Sample menu for the day in the acute phase of rheumatism:
- Breakfast - chicken egg soft-boiled, loose tea with milk, porridge of oatmeal.The second breakfast is an apple.
- Lunch - borscht or cabbage soup on vegetable broth( vegetarian), pasta with boiled meat, jelly from fruit or compote.
- Snack - a glass of rose hip broth.
- Dinner - cabbage-carrot cabbage, 150 g of boiled fish, tea not strong with milk.
- At night( second dinner) - a glass of kefir.
Nutrition of patients with rheumatism in its inactive phase
During the inactive phase of rheumatic fever, the diet implies some liberties - for example, the patient is allowed to consume 1, 7 liters of liquid per day, the menu is supplemented with dairy products.It is very important in this phase to ensure the full intake of protein in the patient's body - its daily dose can already be 120 grams.Nutritionists say that with the inactive phase of rheumatism you can eat bread, but the truth is in a limited number, but it's still worthwhile to avoid using baking pastries.
During the inactive phase of rheumatism, it will be useful to arrange for vegetable or fruit unloading days, to use the menu from the potassium diet.
Sample menu for three days with an inactive phase of rheumatism :
Morning - omelette, glass of compote.
The second breakfast( no later than 2 hours before lunch) - chicken fillet, baked in the oven or boiled, eggplant baked in the oven with garlic, a glass of cocoa.
Lunch - vegetable soup, buckwheat porridge, boiled fish, a glass of yogurt.
Snack - a peach or an apple.
Dinner - carrot chops, a glass of loose tea and a piece of biscuit.
Morning cheese cakes, a glass of milk, a peach or an apple.
The second breakfast( no later than 2 hours before lunch) - boiled potatoes with baked vegetables, a glass of compote or mors.
Lunch - vegetarian borscht, boiled chicken, salad from fresh vegetables, a glass of compote.
Snack is a pear or an apple.
Dinner - a little cottage cheese, a glass of yogurt.
Morning - peach or apple.
The second breakfast( no later than 2 hours before lunch) - porridge of wheat cereals, a little ham, a glass of milk.
Lunch - meat broth, vegetable pilaf, boiled eggs( soft-boiled), a glass of cocoa.
Snack - an omelette and a glass of fruit juice or compote.
Dinner - salad from boiled beets, a little boiled chicken, a glass of kefir.
In the inactive phase of rheumatism the menu is more complete, the patient can already experiment and vary, but he will not starve anyway.Pay attention to how the food is made up - before mid-day the patient gets high-calorie food, but for lunch and dinner he should eat more lean food.It helps to get rid of extra pounds - it is well known that being overweight with rheumatism only worsens the clinical picture and adds discomfort and pain.
What you can eat with rheumatism and what is not possible
For any phase of rheumatic fever, there is a list of products that are allowed to eat and banned - they are identical.
What you can eat with rheumatism:
- sour-milk products with low fat content;
- products rich in vitamin E - nuts of all kinds, olive oil, oatmeal, soybean oil;
- products rich in vitamin C - all citrus, black currant and dogrose;
- products, which in their composition have selenium - seafood, kidney beef and pork, wheat and liver beef and pork;
- in its natural form or in the form of compotes, morses, jelly, kissels, fruits and vegetables;
- products, which in their composition have sulfur - sea fish and river lean varieties, whole milk, chicken eggs in boiled form;
- bread of any kind;
- sugar, but in limited quantities - no more than 30 grams per day.
What can not be eaten with rheumatism:
- dishes containing spices;
- is too salty food;
- strong coffee and tea;
- alcoholic beverages of any strength;
- chocolate and waffles;
- sauces( ketchup, mayonnaise) and spicy seasonings.
In any case, the correction of nutrition of the patient with rheumatism should be handled by a specialist - many nuances must be taken into account.For example, if gastritis or peptic ulcer of the stomach and duodenum is diagnosed from concomitant diseases, then citrus fruits will be banned from use - in this case, the doctor can prescribe vitamin therapy.In occasion of salt too all is ambiguous - for example, once a week it is possible to enter in the menu a salted herring or a salmon, but only in the soaked kind.
Tsygankova Yana Aleksandrovna, medical reviewer, therapeutist of the highest qualification category