Diet menu for pyelonephritis: why it is important to limit salt, and other nuances of therapeutic nutrition

Pyelonephritis is called an infectious inflammation of the pyelocaliceal system of the kidneys, caused mainly by bacterial flora. This pathology is characterized by the appearance of intoxication symptoms, fever, lower back pain and impaired urination. The disease is treated with antibiotics and anti-inflammatory drugs. A diet for pyelonephritis is an indispensable part of complex therapy, with the help of which recovery comes faster.
Healthy porridge with berries

Recipes should be simple, proven. Experts do not recommend including exotic fruits and semi-finished foods in the diet, since with severe intoxication, against the background of inflammation in the kidneys, they can lead to a deterioration of the condition.

Diet for pyelonephritis: tasks, calorie content, distribution of BJU

Diet for inflammation of the renal pelvis in men and women should be careful for the urinary system and at the same time provide all the needs of the body. Therapeutic nutrition for pyelonephritis has the following goals:

  • creating a sparing regimen for the kidneys;
  • improved metabolism;
  • elimination of peripheral edema;
  • pressure stabilization;
  • acceleration of neutralization and elimination of toxins.

Among the list of diets of medical nutrition according to Pevzner, the diet used for pyelonephritis and cystitis corresponds to table number 7. This diet is prescribed for patients with glomerulonephritis, nephrotic syndrome on the background of kidney inflammation, urolithiasis. This diet food is suitable for patients with gestational pyelonephritis and hypertension during pregnancy.

Diet table number 7 implies high-calorie, vitamin-rich nutrition. The daily energy value is an average of 2000-2700 kcal. Of these, not more than 80 g should be protein food, 90 g - fats (70% of animal origin), 300-350 g of carbohydrates, mostly slow. The amount of pure sugar should be limited to four teaspoons per day.

The use of liquid and sodium chloride is subject to strict control. Salt can be consumed no more than 5 g per day. For better control, all diet meals for pyelonephritis of the kidneys should be cooked without salt. You can add the already cooked food in a plate. It is important to observe the drinking regimen. A patient with inflammation of the renal pelvis needs to drink 1.5-2 liters of fluid per day.

Table 7 options

Depending on the nature and degree of damage to the urinary system, the doctor may prescribe various options for diet table No. 7, which have some differences in the diet.

  • Table number 7a. It is indicated for acute, severely flowing nephritis, in the early days of the disease, with chronic renal failure. It is a predominantly vegetarian diet with strict protein restriction and the complete exclusion of salt.
  • Table number 7b. The diet for pyelonephritis in adults is prescribed after diet No. 7a with an improvement in the condition or from the first days of easily occurring inflammation of the kidney. Nutrition is characterized by a restriction of protein to 50 g per day and the complete exclusion of sodium chloride.
  • Table number 7c. It is necessary for patients with nephrotic syndrome, secondary pyelonephritis and kidney cyst. A diet with an increase in protein, a decrease in fatty foods and a normal level of carbohydrates.
  • Table number 7g. It should be observed by patients with end-stage renal failure who are on hemodialysis.Nutrition is a moderate restriction of vegetable protein and potassium, a sharp restriction of sodium chloride and liquid.
Most often, calculous pyelonephritis and ascending pyelonephritis that occurs after cystitis are found. With them, the usual diet No. 7 is observed for the entire period of exacerbation. In the remission stage, you can return to the usual diet, however, to prevent exacerbations, excessively salty foods should be avoided.

The right products ...

The diet for chronic pyelonephritis should be balanced, varied and rich in vitamins. The list of foods you can eat with pyelonephritis is as follows.

  • Soups. Light vegetable broths without salt and spices, milk-vermicelli soups, vegetarian borscht.
  • Side dishes. Buckwheat, brown rice, durum wheat pasta, Hercules flakes.
  • Meat. Beef, rabbit, chicken breast, river fish. All meat dishes are boiled or steamed.
  • Vegetables. Cucumbers, zucchini, eggplant, broccoli, Beijing and Brussels sprouts, carrots, pumpkin.
  • Milk products. Low-fat cottage cheese, natural yogurts, dairy products, cheesecakes.
  • Eggs. Steamed omelets, casseroles, soft-boiled chicken and quail eggs.
  • Fruits. Apples, pears, peaches, apricots, watermelons, melons, berries, citrus fruits, kiwi, avocado.
  • Sweets. Natural marshmallows, dry biscuits, homemade jelly, fruit mousses.
  • Oils. Olive, flaxseedcreamy in limited quantities.
  • The drinks. Purified water, herbal decoctions, weak green and white teas, cranberry and lingonberry fruit drinks, rosehip drinkherbal decoctions.

The list of products allowed for uncomplicated kidney pathologies includes spices, unsalted vegetable or sour cream sauce, lemon juice, cinnamon, vanilla.

... and forbidden

What foods can not be eaten and is it possible to eat fried with pyelonephritis? Experts identify a number of foods that are strictly forbidden to use for kidney diseases, as they can lead to increased unpleasant symptoms, worsening of the condition. The following foods should not be eaten with acute pyelonephritis.

  • Bakery products. Fresh white bread, butter and cream cakes, meat and vegetable pies with added salt.
  • Soups. Concentrated broths, instant soups, solyanka, okroshka.
  • Meat. Fatty pork, lamb, beef, lard, smoked and cured sausages.
  • A fish. Fried, smoked, salted, dried, caviar, canned food.
  • Vegetables. Beans, peas, lentils, radishes, spinach, sorrel, mushrooms. All canned, salted vegetables. Hot - onions, leeks, garlic, chili peppers.
  • Milk products. Fatty cheeses, feta cheese, yogurts with additives.
  • Sweets. Chocolate, sweets, cakes, shop jams, pastry butter creams and pastes.
  • The drinks. Alcohol, sweet sparkling water, chloride mineral water, coffee, strong black tea, cocoa.

Strict adherence to the diet is important during the period of exacerbation. With the onset of remission, you can gradually expand the diet, introduce more vegetables, onions, garlic, and some spices into it.

Diet No. 7 at hr. pyelonephritis is well tolerated and has no contraindications. It can be observed during the period of gestation and with lactation.

Daily ration

For better tolerance, the diet menu for pyelonephritis every day should be different, sufficient in calories. It is important to try new products, combine them with the usual food so that there is no desire to “break loose” and eat a product from the list of prohibited foods. A sample menu is as follows.

  • Breakfast. Hercules on water or rice with the addition of one teaspoon of butter, boiled egg, weak black tea.
  • Lunch. Fruit salad or baked apple with nuts and cinnamon.
  • Dinner. Lenten soup with cereals or vegetarian cabbage soup with sour cream, baked chicken with potatoes, fruit compote.
  • High tea. Kissel or berry juice.
  • Dinner. Dumplings with cottage cheese without salt or pasta with steam fish cakes, Zoological cookies or one piece of marshmallows, tea.

The doctors' comments on nutrition in patients with pyelonephritis are positive. Strict adherence to the diet allows you to speed up the healing process and prevent recurrence of the disease. The diet for pyelonephritis for children does not differ from the recommended diet for adults. The medical diet for the child is made by the doctor, taking into account the disease, clinical manifestations, the degree of impaired renal function.

Girl eating fruit salad

Reviews

They gave me 4 sheets of A4 format with a list of allowed and prohibited products and all kinds of nutrition recommendations. As a result, having studied all the information, I want to say that I did not have to change anything in the diet except the amount of salt, because everything written exactly corresponded to my constant type of food. You can eat and drink almost everything, including coffee, weak tea and juices. Of the banned products on the list were frankly harmful, which I almost never use. Namely - smoked meats, sausages, pickled vegetables, chocolate and alcohol. So table number 7 for me is as comfortable as possible, edible and does not require additional costs. Thanks to the doctors for informing us, non-travelers, about the principles of proper nutrition. At least in emergency situations, we listen to them.

Gretaqwerty, https://otzovik.com/review_5740710.html

While sitting on this therapeutic diet, I got used to dispense with salt, replaced it with lemon juice - in soup, cereals, meat, I added lemon and greens everywhere. During the time that I followed this diet, and this is about seven months, I certainly did not lose kilograms, because I was pregnant and did not follow portions, but on the other hand, this diet helped me to control pressure, I had practically no edema, and also control protein in urine (and I had it very high, it was worth me at least a couple of days to break the diet and the protein rose immediately.) Therefore, I recommend this diet for people suffering from hypertension and impaired kidney function. Do not be sick, be healthy!

Aive, http://otzovik.com/review_2065501.html

Article updated: 05/06/2019

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