Treatment of chronic and acquired diseases is not limited to medications and procedures, it involves a special diet. A diet for Crohn's disease is a therapeutic, non-strict menu that consists of familiar foods.

Calculation of calorie content of foods

Products in alphabetical order

What is Crohn's disease and why do you need a diet?

Crohn's disease is a chronic disease characterized by changes in the epithelium that covers the intestinal walls. The purpose of the diet for Crohn's disease is to provide a gentle menu that does not allow mechanical and chemical effects on the gastrointestinal tract.

It has been proven that diet is the most important stage in the treatment of Crohn's disease. But the diet will vary depending on the phase of the disease. Also, the doctor drawing up the menu must identify products that have a negative effect on the affected organ. Therefore, the diet for Crohn's disease should not be practiced without the supervision of a doctor.

The general principle of the diet was laid down by the Soviet professor and nutritionist Mikhail Pevzner, who compiled a cycle of 15 treatment menus. To alleviate the patient’s condition during an exacerbation of Crohn’s disease, table No. 4, as well as 4a, 4b, 4c, are used. Let's look at the stages of exacerbation of Crohn's disease and the characteristics of the diet for each of them.

Acute phase of Crohn's disease

The onset of an exacerbation phase is most often indicated by severe diarrhea, and at this moment the patient immediately switches to a light menu. During the first two days of an exacerbation, it is recommended to refuse food, and the diet remains exclusively drinking:

1. Strong tea with lemon added. A small amount of sugar is added to the tea and the patient is offered 150 ml of warm drink 5-6 times a day.
2. Fresh juices. The patient should not drink concentrated juice; for this reason, the drink is diluted with boiled water in a 1:1 ratio.
3. 1.5 liters of 3-day kefir and milk.
4. Rosehip decoction.
5. Clean water without gas.

The volume of daily fluid is at least 2 liters. If it is difficult for a patient to withstand 1-2 days of fasting, juices are replaced with very liquid puree from carrots or apples (no more than 1.5 kg of fruit per day). It is recommended to mince the fruit several times.

The second stage of the exacerbation phase of Crohn's disease

After drinking days, the patient is transferred to a light menu. The diet is balanced, and its chemical composition looks like this (norms are indicated in grams):

1. Carbohydrates – 250.
2. Proteins – 100.
3. Fats – 70.

The calorie content of the daily menu is up to 2100 kcal, and the amount of table salt is from 5 to 8 grams. Drinking does not lose its importance, and the patient continues to consume up to 2 liters of fluid daily.

Note that after drinking days, the patient is first given pureed meat soups, and after 2–3 days new dishes are gradually introduced. If the patient feels discomfort (bloating, pain, gas, heartburn, diarrhea begins), then the diet returns to soups. And unusual dishes are given 2-3 days after the unpleasant episode.

Nutrition for Crohn's disease: contraindications. Diet for exacerbation of Crohn's disease

It is recommended to offer the patient in the acute phase food within the temperature range of 15 to 55 °C. The portions are small, but the number of doses is 5 to 6 times a day. The menu consists of the following set of products:

1. Steamed meat, fish, poultry. To improve the digestive process, it is better to chop meat or fish (cutlets, meatballs, pureed puree).
2. Bread crumbs, but not toasted.
3. Meat and fish soups, boiled until smooth.
4. Any type of porridge, cooked to a thick consistency in meat broth or water. They are also called mush porridge.
5. Fruits and berries, it is better to choose sweet and sour or sweet fruits. You can use them to make jelly and jelly.
6. Two eggs a day, but all that can be cooked from them is a steam omelet. Also 100 grams of well-mashed cottage cheese.
7. It is recommended to add 3-5 grams of oil to 1 serving of food.
8. To drink - tea, jelly, coffee and cocoa, rosehip decoction.
9. Sugar for drinks – 40 grams per day.

What should you not eat during the second phase of the Crohn's disease diet?

The list of prohibited foods starts with alcoholic beverages, legumes and any pasta. During an exacerbation and during the recovery period, it is not recommended to consume canned food, processed foods, meat, fish or vegetables with a crispy crust.

The patient should not eat smoked foods, marinades and canned vegetables. The list of prohibitions includes seasonings, especially black and red pepper, curry, garlic and onions, which irritate the esophagus.

• Sweets, chocolate, candies, ice cream, grapes and grape juice, rich cream and yeast dough should also not be eaten during a diet for Crohn's disease.
• Fatty types of meat, such as duck, lamb, should not be given to the patient. The same list includes sausages, ham, and almost all vegetables.

Sample menu for the 2nd stage of the diet for Crohn's disease:

• Breakfast: boiled semolina porridge, 1 egg omelette, tea with sugar.
• Second breakfast: 2 medium apples baked in the oven.
• Lunch: chicken broth, grated apple salad, blueberry jelly.
• Afternoon snack: rosehip decoction and 20 grams of wheat bread crackers.
• Dinner: meatballs made from rice and minced meat, tea with sugar.

The third stage of the diet for Crohn's disease

The third stage of the diet is intended to restore the patient’s strength after the exacerbation phase. The menu is enriched with the following products:

1. Unsalted and low-fat hard cheeses, fermented milk drinks and products.
2. Small vermicelli.
3. Biscuits.
4. Dishes of stewed cabbage, carrots, pumpkin, broccoli.

In some cases, the patient is allowed to use infant formula: “Baby”, “Nutrilon” and others.

Diet for Crohn's disease: delicious recipes

• Carrots stewed in milk.
  Take 2 large carrots, cut them into rings and add to boiling milk (70 ml). Simmer the carrots for 20–25 minutes, cool.
• Chicken and tomato casserole.
  For this dish we need chicken fillet, 1 egg and tomato, 20 ml of low-fat milk. Cut the chicken and tomato into small pieces, place in a deep bowl, pour milk beaten with egg on top, steam for about 40 minutes.

In Crohn's disease, intestinal inflammation occurs, which significantly impairs the patient's quality of life. Therapy must be comprehensive. One of its measures is adherence to certain nutritional rules.

There is no special diet for the disease; diet No. 4 is prescribed - differentially, at different stages. Let's look at what it is.

Basic principles of nutrition during the acute stage and after

In case of Crohn's disease, foods that provoke peristalsis, fermentation, and putrefaction in the intestines are excluded from the diet. Nutrition should be chemically and mechanically gentle, rich in protein and vitamins.

Basic principles of nutrition:

• Avoid foods that contain fiber.
• You need to eat five to six times a day. The diet is based on pureed and slimy soups, porridge, pureed, semi-liquid dishes.
• Food needs to be boiled or steamed.
• An increased protein content is shown at the rate of 1.3-2 g per kg of weight.
• Reducing the amount of poorly absorbed fats with a laxative effect. They are limited at the beginning of treatment, and when the disease begins to subside, their number increases and is evenly distributed.
• Portions should be small - up to 200-250 grams.
• Hard and thick foods are prohibited.
• It is important to drink a lot of water.
• Salt is limited to 8-10 grams, as it causes loose stools and irritates the intestinal mucosa.
• The temperature of the food should be comfortable.
• Daily calorie content is 2000-2100 kcal.

During an exacerbation of the disease, the diet is based on liquid porridges with water, meat and fish dishes. Particular attention is paid to products that reduce intestinal motility, such as jelly from berries and fruits, strong teas. Acidophilus milk is beneficial.

If you have Crohn's disease with constant diarrhea, the diet may become even more restrictive.. Kefir and other products that cause weakness are undesirable.

For a month after an exacerbation, you need to adhere to a strict diet. Then there is a gradual transition to table 4B and 4B.

At table 4B, new foods are gradually introduced into the diet: potatoes, thin vermicelli, boiled grated carrots, cauliflower, zucchini, but in a limited manner.

Kefir, sour cream, berries are introduced gradually. This diet is indicated for 1.5 months until the stool is completely normalized, after which the patient moves on to table No. 4B.

Table 4B is indicated for recovery. Vegetable fats and new foods are introduced into the diet: berries, watermelon, cabbage, green peas. The amount of butter increases to 15 grams.

Food can be boiled, baked, steamed. It is served mostly unchopped.

In stable remission, it is permissible to consume boiled vegetables with a small amount of fiber. This diet is followed for several months, then the menu gradually expands.

If the disease is severe, accompanied by persistent diarrhea and exhaustion, parenteral and enteral tube nutrition may be prescribed.

You will learn even more information about this diet from this video:

Effect on the body

The diet is aimed at preventing relapse and prolonging remission. It helps normalize the functioning of the digestive tract, saturates the body with vitamins and nutritional components.

The menu is designed so that food can penetrate through the inflamed areas, but does not harm the affected organ even more. Nutrition makes it possible to cleanse the body, eliminate diarrhea, rotting and fermentation processes in the intestines.

Advantages, disadvantages and contraindications

One of the advantages of the diet is that it is quite effective, and as part of complex therapy it really promotes recovery.

The downside is a large number of restrictions. Often you will have to sacrifice the taste of food, but health is more important.

There are no contraindications to following the diet, but it is not indicated in all cases and should be prescribed by a specialist.

Sample menu for the week

In the acute phase of the disease, a two-day therapeutic fast is first suggested., which is aimed at calming the intestines.

These days you need to drink at least two liters of liquid, which should include currant and blueberry juices diluted with water. Multivitamin complexes and lactose-free protein drinks are taken.

After a couple of days, when the pain subsides, the second stage of nutrition begins, which includes porridge with water, pureed soups, and slimy broths. Meatballs or meatballs made from lean meat or fish are also allowed. They can be steamed.

New foods can be introduced every three days. Let's look at a sample menu for the week.

Monday:

• Breakfast: pureed buckwheat porridge.
• 2nd breakfast: apples, baked without peel.
• Lunch: soup cooked in a second meat broth.

Tuesday:

Wednesday:

• Breakfast: semolina porridge on water.
• 2nd breakfast: a couple of pieces of low-fat cheese.
• Lunch: soup made with vegetable broth.
• Afternoon snack: white bread crackers, kefir.
• Dinner: boiled lamb, buckwheat.

Thursday:

• Breakfast: pureed oatmeal porridge;
• 2nd breakfast: rice pudding.
• Lunch: mushroom soup.
• Afternoon snack: milk.
• Dinner: seafood without adding spices.

Friday:

• Breakfast: pureed oatmeal.
• 2nd breakfast: bread and butter.
• Lunch: pureed cereal soup.
• Afternoon snack: mashed cottage cheese with added butter.
• Dinner: steamed fish meatballs.

Saturday:

Sunday:

• Breakfast: pureed maize porridge.
• 2nd breakfast: corn flakes.
• Lunch: vermicelli soup.
• Afternoon snack: fruit and tea.
• Dinner: boiled meatballs with rice.

During the day you are allowed to drink weak tea, rosehip decoction, acidophilus milk, and kefir. It is also important to drink enough plain water.

Authorized Products

The diet at the acute stage is based on the following permitted products:

• mashed potatoes;
• mashed porridge;
• milk products;
• jelly;
• soups with low-fat fish or second meat broth;
• boiled chicken;
• seafood that is prepared without frying or seasoning;
• mushroom soups;
• boiled lamb;
• white bread croutons.

It is difficult to overestimate the importance of the digestive system for a living organism. After all, it is she who ensures the digestion and absorption of nutrients from food. Gastrointestinal diseases affect the functioning of all organ systems. In order to pacify the disease, first of all, you should adhere to a certain diet. On the agenda today is a diet for Crohn's disease. We will look at prohibited and permitted products, as well as general recommendations.

What kind of illness is this?

Crohn's disease is a chronic inflammation of the walls of the gastrointestinal tract. Most often, the outbreak is localized in the region, but in some cases it spreads to other parts.

As a result of the disease, the intestinal walls are damaged, ulcers, scars and swelling form on them. Of course, digestive disorders are also observed. The disease goes hand in hand with an ulcer and can develop in the body in parallel with gastritis, pancreatitis and other inflammatory processes. It is believed that this is a hereditary disease, which is very difficult to get rid of.

What to do in such a situation?

Apart from medications and hospital procedures, diet is a very important aspect of treatment. With Crohn's disease, food must pass through the damaged intestines, be processed there, and, once in the blood, benefit the body.

Additional products consumed should help the inflamed area recover and begin to function normally. If the stomach or intestines are susceptible to this disease, then worrying about the taste of food is the last thing for the patient.

The most important thing is to choose products that will contribute to a speedy recovery. In the first stages of treatment, the diet for Crohn's disease will be very meager, the diet will be incredibly monotonous. Gradually, the attending doctor will expand the list of acceptable products, and the patient will be able to treat himself to something more tasty.

General provisions

• Meals - 5 times a day.
• No more than 8 g of salt per day.
• Drink plenty of fluids - from 1.7 to 2 liters.
• The energy value should be 2100 kcal per day.
• Daily intake: proteins - up to 150 g, carbohydrates - up to 250 g, fats - up to 80 g.
• Potassium and calcium are essential components of the daily diet.
• Nothing fried or stewed. Steam only or boil.
• You need to eat a lot of fiber.
• Food should not be cold or hot.

Authorized Products

So, what does a diet for Crohn's disease include? The menu can be combined depending on specific gastronomic preferences, but you cannot go beyond certain limits.

Allowed to eat: dairy products, mashed porridge, mashed potatoes, boiled chicken, soups with second meat or fish broth, jelly, mushroom soups, seafood (without spices), crackers (white bread), boiled lamb. Remember that even these products should never be fried, salted abundantly, baked in any way, or stewed. Only dietary recipes are allowed. Additionally, we note that in some cases doctors reduce this list if the disease progresses too quickly.

Stop products

Yes, in fact, the diet for Crohn's disease is a complete gastronomic restriction. Many patients should give up their favorite foods for a long time.

These products are included in the stop list: sausage, duck, goose, stewed meat, milk soups, beans, canned food (absolutely everything), raw vegetables, maize, pearl barley, garlic, radishes and radishes, pickles, hard-boiled eggs, all alcoholic beverages , juices from the store (especially grape juice), coffee, ice cream, chocolate.

If the disease is at an early stage, and the doctor allows you to eat something from this list, we still advise you not to overindulge. Most of these foods, if consumed in large quantities, have a negative effect even on a healthy digestive system.

Diet for Crohn's disease in the acute stage

This chronic disease develops in two stages, which alternately replace each other. The first of them is remission, in which the intestines calm down and begin to work in more or less normal mode. At these moments the pain expands and subsides.

But the diet for exacerbation of Crohn's disease is preventive fasting, which lasts for 1-2 days. The patient is only allowed to consume liquid in volumes of 1.7 to 2 liters per day. It can be:

• Black tea with lemon and one spoon of sugar (preferably without sweetener).
• Light rosehip decoction.

Options for the course of exacerbation

In most patients, this stage of the disease is accompanied by diarrhea. The stomach or intestines are inflamed and are regularly cleansed. New products do not arrive there, so hunger can cause cramps and acute pain.

Therefore, the diet for Crohn's disease with diarrhea is supplemented with two foods (or one of them) - carrots and apples. The latter should not be underripe or too sour. These products should be finely grated or crushed in a blender.

Carrots and apples have “fixing” properties. Diarrhea will no longer be painful and profuse. If an exacerbation occurs without diarrhea, then it is undesirable to consume these products. It is better to limit yourself to the liquids described above.

Second stage of exacerbation

When abdominal pain subsides, new foods are gradually introduced into the diet. Each new dish should be served once every three days, so as not to put the body, which has just been starving, into a stressful state with a variety of foods. At the second stage of exacerbation, the following products are acceptable:

• White crackers.
• Mucus broths.
• Low-fat homemade cottage cheese.
• Puree soups.
• Porridge with water (with the exception of pearl barley and maize).
• Meat soufflé, boiled meatballs.
• Decoctions of blueberries, bird cherry or pears.
• Steam omelette.

Approximate daily diet

Outside of moments of exacerbation, the diet for Crohn's disease should consist of the products that were listed at the beginning of the article. Using them, you can create a similar daily menu.

• Breakfast first: semolina porridge, steamed omelette, tea.
• Breakfast second: baked apples (without crispy crusts).
• Dinner: blueberry (or pear) jelly, third chicken broth, grated carrots.
• Afternoon snack: light decoction of rose hips, white crackers.
• Dinner: rice with boiled chicken and tea.

Diet for Crohn's disease: menu for the week

If we summarize everything that was described above, we will receive specific recommendations that relate to the weekly diet for such an intestinal ailment. By the way, approximately the same diet is recommended for patients who have undergone surgery, because during this period the body needs to be given time to recover.

Well, let's divide our diet into stages, which will take us a week in total:

• The first two days are fasting. You can drink tea, low-fat kefir, and in cases of diarrhea, you can eat carrots and apples.
• Stage two - pureed soups with meat and light broths cooked with chicken meat. You can add crackers, jelly, steam omelette and water porridge to the menu. These restrictions are valid for 3 days.
• At the third stage, it is allowed to eat stewed vegetables. You can also eat baked apples, cheeses and low-fat dairy products. Boiled or steamed meat (chicken or lamb), hard-boiled eggs and small vermicelli are allowed.

Of course, patients receive more precise instructions from their attending physician. The diet should be tailored individually.

Crohn's disease (terminal ileitis) is a disease associated with the active development of the inflammatory process in the intestines in children.

In most cases, it is diagnosed in adolescence.

It manifests itself in changes in the structure of the intestinal walls; it can be localized or spread to the entire organ as a whole.

How to identify the disease?

It is almost impossible to independently diagnose such a disease. The diagnosis should be carried out by a doctor: collect stool and urine, take an x-ray of the abdominal cavity, perform a biopsy of intestinal tissue, etc.

Based on the diagnostic results, treatment is prescribed, which includes taking certain medications, as well as following a fairly strict diet. Since terminal ileitis is always chronic, it is impossible to completely cure it.

Principles of nutrition

It is necessary to understand that the diet for Crohn's disease includes several principles:

• it is necessary to exclude difficult-to-digest foods that can cause “difficulties” in the digestive system;
• It is necessary to identify and exclude from the child’s diet those foods that lead to the spread and significant aggravation of the disease.

As a rule, the identification of such products is carried out through maximum cleansing of the intestines and the subsequent gradual introduction of products and monitoring the body's reactions to them.

Cleansing is carried out using special cocktails rich in vitamins and microelements.

The cleansing lasts for 10-14 days: during this period, the child is not recommended to eat any foods that could potentially provoke a “reaction” of the intestines.

The cocktail contains a sufficient amount of vitamins necessary to maintain normal life processes and development of the body.

After 10-14 days, various products can be gradually introduced into the diet, but they must first undergo heat treatment and be included in food in liquid (or as ground as possible) form.

After the introduction of each new product, it is necessary that at least three days pass before the next one is introduced. This will help to track the reaction to each new ingredient as clearly as possible.

If you notice that the introduction of a new type of food has caused a deterioration in the condition, before introducing the next product you need to take a long pause sufficient for all the symptoms of the deterioration to pass.

Thus, the process of identifying foods to which the intestines react negatively will take you quite a lot of time, but today this is the most effective way to form the correct diet for a sick child.

After the diet has been formed, a strict diet is followed for Crohn's disease only in the acute stage.

At the same time, it is important that the diet is always balanced: it contains a sufficient amount of fats, proteins and carbohydrates, and at the same time it must undergo thermal treatment.

It is not recommended to eat any raw foods.

It will be easier for the intestines to digest food if it is heavily crushed, so it is advisable to grind all food to the consistency of a puree or close to it.

In this case, meals should be fractional: you need to eat food often and in small portions.

Authorized Products

The diet of a child suffering from terminal ileitis must necessarily include the following types of products:

1. Vegetable soups (you can add any vegetables to the soup except legumes).
2. Porridge (it is recommended first of all to eat those porridges that coat the intestinal walls, for example, oatmeal, barley, etc.
3. Boiled meat (hypoallergenic types are best: rabbit, turkey, chicken) in minced form for better absorption.
4. Steam cutlets (it is best to cook them from fish or minced chicken).
5. Cereals (mashed): rice, semolina, buckwheat, etc.
6. Chicken eggs (it is advisable to replace them with quail eggs from time to time) – no more than 1-2 times a week, steamed.
7. Fruits and berries (in the form of compotes and jelly). Pears, bird cherry and blueberries are best suited.
8. Dairy products: medium-fat cottage cheese, butter (it is recommended to include in the diet daily in small portions, finely pureed).
9. Various teas, decoctions, as well as cocoa (weak consistency).
10. Rusks made from varieties of white bread (not heavily fried).

During periods when there is a significant improvement in the patient's condition, you can add several more products:

1. Vegetables, cut into small pieces (carrots, cauliflower, broccoli, potatoes).
2. Fish, cut into small pieces (river fish is best: perch, bream, etc.).
3. Vermicelli (you need to cook the smallest vermicelli).
4. Various soft sweets, cut into small pieces (baked apples, marshmallows, marshmallows, etc.).
5. Fruits and berries, cut into small pieces: raspberries, strawberries, wild strawberries, pears, plums (fruits must first be peeled).
6. Dairy products in small quantities: milk, low-fat cheese, kefir, fermented baked milk.
7. Light coffee with a little cream added.

Crohn's disease is a chronic disease of the digestive tract accompanied by an inflammatory response. The disease is characterized by the appearance of granulomas and changes in the structure of the epithelium that lines the inner surface of the intestine.

Crohn's disease can affect all parts of the gastrointestinal tract, from the oral cavity to the anus, but most often the pathology affects the ileum. This is an incurable disease and sometimes a relapse appears after twenty years. Genetic predisposition plays a major role in the formation of the disease.

Infectious diseases and autoimmune processes can provoke inflammation. Patients experience a wave-like increase in temperature, lethargy, fatigue, cutting pain in the abdomen, nausea, vomiting, diarrhea, bloating, and weight loss. The skin becomes dry and dull, hair falls out.

Crohn's disease is a rather serious illness that can lead to internal bleeding, peptic ulcers, peritonitis, as well as the formation of fistulas and abscesses. For any disease of the digestive tract, it is important to follow a diet, and Crohn's disease is no exception.

Proper nutrition helps avoid relapse and prolong the period of remission. Diet for Crohn's disease is the main element of treatment. It will help restore the previous functioning of the digestive system and enrich the body with vitamins and nutrients.

The menu is compiled by the attending physician or nutritionist exclusively for each patient. It must be formulated in such a way that food can penetrate through the inflamed areas and not harm the organ further. When choosing products for cooking, you should first of all think not about the taste, but about the benefits. Your health should be your priority.

The severity of the diet for Crohn's disease directly depends on the severity of the pathological process. If the disease affects only the ileum, then the restrictions will not be too strict, but if the stomach and duodenum are involved in the process, then you will have to adhere to a strict diet.

In severe cases, patients cannot even eat food through the mouth; in this case, food is supplied through a tube.

Dietary nutrition for Crohn's disease is a prerequisite

The goal of eating well for Crohn's disease is to reduce the likelihood of bowel irritation. The diet must compensate for the loss of its absorption function. The disease implies some restrictions and even exceptions from the menu.

First, let's talk about prohibited products:

• eggs in any form;
• fatty meats and fish;
• cabbage, radishes;
• legumes and fresh vegetables;
• some porridges: corn and pearl barley;
• whole milk;
• butter and cheese;
• chocolate;
• alcoholic drinks;
• soda, kvass;
• mustard, mayonnaise and any other sauces.

Important! If you have Crohn's disease, you should eat more foods that contain calcium and potassium.

It is better to steam food; it can also be stewed and boiled. Experts recommend lean meats: rabbit, beef, turkey, chicken. It is better to cook porridge in water or vegetable broth. It is better to give preference to buckwheat, oatmeal and rice, but cereals should be wiped before eating. Unsweetened baked goods and dry cookies are allowed.

If you have Crohn's disease, you should eat according to the clock.

The disease is accompanied by diarrhea, so it is important to drink enough water to replenish fluids. There are recommendations regarding having two “hungry” fasting days a week, but not all experts agree with them.

If you have a hard time fasting, you can add carrots or apples to your diet. Before use, the products are grated or passed through a meat grinder. They should be consumed in small portions. Apple and carrots will help cope with diarrhea, which is inherent in Crohn's disease.

What can you eat during an exacerbation?

A few days after the onset of an exacerbation, when the pain subsides, the diet expands due to the gradual introduction of the following dishes:

• pureed soups;
• slimy broths;
• dried white bread;
• jelly and jelly;
• steam omelette;
• low-fat cottage cheese;
• porridge on water.

Consider an approximate menu for Crohn's disease:

• breakfast. Steam omelette and buckwheat porridge. Tea with a little sugar and lemon;
• lunch. Oven-baked apples and low-fat kefir;
• dinner. Pasta soup with low-fat chicken broth. Meat soufflé and berry jelly;
• afternoon tea Acidophilus milk with dry biscuits;
• dinner. Oatmeal with steamed meatballs. Fruit jelly.

If you have Crohn's disease, it is better to cook porridge with water.

Now let's look at some recipes for dishes that patients are allowed to cook:

• carrot casserole. Grate the carrots and simmer them in a frying pan, adding a little water and oil. Then add poached carrots, cottage cheese, sugar, egg and semolina to the container. Mix all ingredients thoroughly and place in the oven. The dish should be served with sour cream;
• stewed carrots. Simmer the carrots cut into slices in water, then add a little milk and simmer until fully cooked;
• zucchini in sour cream sauce. Peel and seed the zucchini and chop them finely. The vegetable should be stewed in a saucepan with water and oil. After fifteen minutes, add sour cream sauce, which is made from wheat flour and sour cream. Simmer the zucchini until tender;
• chicken with tomatoes. Boil the chicken breast and chop it finely. Then peel the tomatoes and chop. Both ingredients go into the frying pan. Then mix the egg with milk and pour the resulting mixture into the frying pan.

What can you eat during remission?

When the painful symptoms have passed and the condition has improved, you can gradually begin to prepare your stomach for the usual food. During this period, the body should be enriched with nutrients. New foods should be introduced into the diet gradually, day by day, increasing their dosage. Often with Crohn's disease, patients lose a lot of weight, so it is recommended to have snacks between meals to replenish lost weight.

The range of bakery products during remission expands significantly. It is allowed to eat shortbread and biscuits, biscuits, and rice cakes. The diet can also be enriched with a wide variety of fruits: mangoes, peaches, melon, pear. Vegetables will be of great benefit: beets, turnips, carrots.

Biscuits are allowed

If the disease causes stool retention, remove baked goods from your diet. Boiled vegetables and fermented milk products will help normalize peristalsis. If you are concerned about constipation, the menu should be composed with an emphasis on fermented milk products and boiled vegetables:

• breakfast. Boiled beets and homemade yogurt without sugar;
• lunch. Kefir;
• dinner. Boiled vegetables and steamed meatballs;
• afternoon tea Cottage cheese;
• dinner. Buckwheat porridge with chicken breast.

Let's consider a sample menu during the period of remission:

• breakfast. Fruit puree and jelly;
• snack. Low-fat kefir and yesterday's bun;
• dinner. Meatballs and baked vegetables;
• afternoon tea Berry jelly and marshmallows;
• dinner. Fish soufflé and mashed potatoes.

If the disease is accompanied by constipation, consume more fermented milk products

Features of diet in children

Crohn's disease in children, as well as in adults, often imitates appendicitis and ulcerative colitis. This is why self-diagnosis is life-threatening. Children are bothered by diarrhea, sometimes up to ten times a day. Cramping pain in the abdomen intensifies after eating and defecation. Damage to the small intestine leads to hypovitaminosis and anemia. Children begin to lag behind in physical development and find it difficult to cope with the school load.

Children are shown treatment table No. 4 according to Pevzner. This diet is high in calories and is based on boiled fish, seafood, chicken products, soups, water porridges, fresh juices and jelly. Dairy products, rye bread, fatty meats, legumes, fresh vegetables and fruits are excluded from the diet.

The peculiarity of the treatment table is to reduce the amount of food that chemically and mechanically affects the stomach and intestines. Compliance with its main principles allows you to achieve stable remission and prevent exacerbation of the disease. The child's nutrition should be varied and complete. You should not give him the same foods day after day. Let's look at a sample menu for one week.

Monday:

• breakfast. Oatmeal with water and unsweetened jelly;
• lunch. Grated apple and carrots;
• dinner. Vegetable broth with chicken soufflé and fruit juice;
• snack. Kefir with biscuits;
• dinner. Fish meatballs and boiled rice. Lingonberry juice.

Tuesday:

• breakfast. Buckwheat porridge with dried fruit compote;
• lunch. Fruit pudding berry juice;
• dinner. Puree vegetable soup with fish balls;
• afternoon tea Galette cookies with fruit jelly;
• dinner. Mashed potatoes and mashed chicken breast and tea.

Wednesday:

• breakfast. Oatmeal and dried fruit compote;
• lunch. Curd soufflé with jelly;
• dinner. Chicken soup with pureed rice. Fruit tea;
• afternoon tea Green tea and crackers;
• dinner. Pear pudding and braised chicken meatballs.

Thursday:

• breakfast. Slimy rice porridge and tea;
• lunch. Baked apples and plums;
• dinner. Cauliflower soup and berry jelly;
• afternoon tea Crackers with dried fruit compote;
• dinner. Fish soufflé with vegetables. Berry juice.

Friday:

• breakfast. Berry jelly and banana pudding;
• lunch. Low-fat kefir and biscuits;
• dinner. Vegetable broth and pureed chicken breast. Fruit juice;
• afternoon tea Yesterday's bun and dried fruit compote;
• dinner. Steamed beef cutlets and vegetable puree.

Saturday:

• breakfast. Rice casserole and fruit drink;
• lunch. One banana;
• dinner. Rice Krispies and Turkey Meatballs;
• afternoon tea Galette cookies with sea buckthorn fruit drink;
• dinner. Fish dumplings with rice.

Sunday:

• breakfast. Pear balls and warm sea buckthorn juice;
• lunch. Baked apple;
• dinner. Chicken broth with oatmeal. Fruit compote;
• afternoon tea Biscuits with tea;
• dinner. Rice meatballs. Warm fruit drink.

Nutrition for Crohn's disease in children should be varied and balanced

You can rest assured that proper nutrition for Crohn's disease will help prolong remission for a long time, even decades. Avoid prohibited foods, think first of all about your health, not your taste preferences.

Gradually, new foods approved by your doctor can be introduced into your diet. An experienced specialist will help you choose a diet. A lot really depends on nutrition. Dietary errors can be very costly for patients with Crohn's disease.