Digestion of food is impossible without the production of bile. It is constantly secreted by the liver. Its excretion into the intestine depends on the work of many systems. This is the gall bladder, and sphincters, and bile ducts. Due to a violation of the process of ejection of bile for one reason or another, biliary dyskinesia in a child develops. Diet with this digestive pathology plays a huge role in alleviating the condition.
What is biliary dyskinesia : causes of development
This is the name of a pathological condition in which the contraction of the gallbladder is disturbed. It becomes not synchronous, unstable, excessive, or insufficient.
For the treatment of biliary dyskinesia in children, first you need to determine the type of disease. He can be:
- hypertonic - with an increase in the tone of the bladder and sphincters and a sharp release of bile;
- hypotonic - with a decrease in the tone of the sphincters and a sluggish outflow of bile from the bladder.
The type of disease in all children is different. Depends on the functioning of the autonomic nervous system. Biliary dyskinesia in a child is a disease, the development of which in childhood can provoke constant feelings of anxiety, anxiety, nervous fatigue, problems in the psychoemotional sphere.
Sometimes the cause of the development of biliary dyskinesia (DZHVP) in children is hormonal imbalance, malnutrition and hunger strikes.
Symptoms of biliary dyskinesia in children
With the hypertensive type of the disease, the following symptoms worry the child:
- acute pain in the right hypochondrium;
- vomiting, nausea;
- belching with bile;
- sweating, tachycardia;
- weakness, asthenia;
- heartburn.
With hypotonic dyskinesia, a lack of produced bile is observed. This is reflected in the well-being of the child as follows:
- inflammatory process in the gallbladder;
- aching pain in the right hypochondrium;
- constipation
- bitterness in the mouth;
- nausea after eating.
How to treat biliary dyskinesia in children
Any gastroenterologist and hepatologist will confirm the fact that the main condition for a quick cure is strict adherence to diet. You can not relate to its observance negligently - the well-being of the child will depend on the careful implementation of all recommendations.
From medications, most likely, the doctor will prescribe drugs with hepatoprotective effects. Such drugs can restore liver cells, which will positively affect the production of bile.
Regardless of what type of disease - hypotonic or hypertonic - a diet with a gallbladder dyskinesia in a child will be effective. The principles of nutrition will be the same - both with an excessive release of bile, and with its deficiency. This often confuses parents - they expect the hepatologist's nutritional advice to be more complex.
In fact, the principles of the wave diet are simple. The most difficult thing is the regular and honest fulfillment of the necessary conditions. Children often ask for unhealthy sweets and forbidden foods - parents follow their lead. There will be no sense from such a diet - there should be no concessions. Only by observing all the rules can normal bile production be restored.
The basic principles of children's medical nutrition
The diet of a child with DZHVP is based on compliance with the following principles of nutrition:
- You can not completely abandon the use of vegetable and butter: parents, having read about the need to reduce the diet of fats, ruthlessly remove even olive from simple dishes. This is mistake. After all, cooking is prohibited through frying. But adding healthy vegetable oils to dishes is necessary.
- It is forbidden to completely remove meat from the child’s diet. In no case should you be carried away by the now fashionable veganism, raw food diet and vegetarianism. The diet for biliary dyskinesia in a child involves regular intake of protein in the body. Without the use of meat products, this is almost impossible to achieve.
- Refractory fats (mutton, pork, beef, goose, duck) should be completely excluded from the diet. They not only make the dish difficult for the stomach, but also difficult to digest. With regular use in food, such fats can provoke the development of fatty liver hepatosis.
- Food should be fractional - five to six times a day. The child should not experience hunger, then to seize up pain in the stomach with huge portions of food. The optimal amount of food consumed at one time is about 200 grams. If the child has not reached the age of six years, 120-130 g will suffice. When weighing portions, it is advisable to use special kitchen scales to avoid overeating.
Nutrition on a medical diet No. 5
The diet for biliary dyskinesia in a child almost completely duplicates the medical diet for people with a sick liver. It is marked with the number five and has been used since the Soviet years.
The principles of nutrition are the same. The list of prohibited products for children and adults is also the same. Therefore, following the recommendations of the diet for biliary dyskinesia, it is possible to achieve not only the normal production of bile, but also a significant improvement in the condition of the liver. This is the only organ in the human body whose cells are capable of regeneration. And in children, hepatocytes (liver cells) recover faster than in adults, since the organ, and the whole organism as a whole, is in a growth stage.
Prohibited Products
A child's diet for biliary dyskinesia implies the complete exclusion of the following products:
- factory sweets with trans fats: marshmallows, chocolate, marmalade, ice cream, cakes, pastries and everything else;
- bakery products from puff yeast and yeast-free dough, from white and whole grain flour;
- broths cooked on bone and fat;
- fatty meat and fish, goose and duck, salted fish, smoked meats, refractory fats, fish roe, lard, sausages, all kinds of canned food;
- mayonnaise - both ready-made, from the shelf of the store, and cooked at home;
- ketchup and other hot sauces (home-made non-spicy tomato, lecho and adjika sauce is allowed - with a minimum of spices and no preservatives);
- fried dough products - pies, pasties;
- coffee, strong black tea, carbonated drinks;
- chocolate and articles thereof;
- dairy products with fat content above 3.2%.
Prohibited Drinks
Parents should pay special attention to the fact that sweet carbonated drinks, cocoa, coffee and strong black tea are prohibited. These are the basics of the diet for biliary dyskinesia.
Carbonated drinks have an extremely negative effect not only on the production of bile, but also on the mucous membrane of the esophagus and stomach. If a child drinks sweet soda every day - with a high degree of probability he will soon be diagnosed with gastritis, erosion of the esophagus and gastric mucosa, and pancreatitis.
About a weekly menu
What diet with biliary dyskinesia in a child will be satisfying and will not cause negative emotions? After all, children need a lot of energy to study and study the outside world. Here is a sample menu for a week, adhering to which, the child will be full and healthy:
- Breakfast: oatmeal or corn porridge in the water with a spoon of honey and a few drops of olive oil. Dried fruits compote. Lunch: lean borsch, diet bread. On the second - boiled potatoes with chicken fillet stewed with vegetables. A snack between meals - a briquette of low-fat cottage cheese. For dinner - a fruit smoothie and a handful of your favorite nuts (no more than one hundred grams).
- Breakfast - buckwheat porridge in skim milk with the addition of a small amount of butter. For lunch - okroshka with veal, vegetable stew. Snack - packaging of dietary rye bread. Dinner - seafood salad seasoned with olive oil.
- For breakfast, you can please the child with fried eggs and vegetables (the number of yolks - no more than one, protein - 2-3). It is necessary to fry eggs without adding oil, in a non-stick pan. Lunch: lean borsch, diet bread. On the second - boiled potatoes with chicken fillet stewed with vegetables. For dinner - fruit salad and homemade ice cream made from skim milk.
- Breakfast is the protein of several pre-boiled chicken eggs. A snack between meals - a briquette of low-fat cottage cheese. Lunch - vegetable puree soup. On the second - broccoli stew with turkey. For dinner - a fruit smoothie and a handful of your favorite nuts (no more than one hundred grams).
- In the morning - oatmeal in the water with a spoon of honey and a few drops of olive oil. for lunch - pollock stewed with potatoes. Snack - favorite fruits and packaging of dietary rye bread. In the evening, give your child a seafood salad dressed in olive oil.
- Saturday is a day off, and you should please the child with goodies. This is a self-made agar agar jelly with berries and fruits. You can make buckwheat pancakes. The rest of the menu repeats the previous days.
- Sunday is an occasion to allow your child something tasty. But in no case do not go beyond the framework of nutrition established by the diet. You can cook your own kozinak from peanuts and honey. It is worth remembering that nuts contain a lot of fat and the maximum possible amount per day is not more than one hundred grams of any nuts.
How to cook porridge for a child
Parents in reviews of the diet for biliary dyskinesia advise the following method of cooking cereals (oat, buckwheat, pearl barley, corn):
- pre-rinse the cereal and soak it in water for a short while;
- steam the required amount with boiling water;
- add salt and sugar to taste;
- add honey, berries or dried fruits as a sweetener;
- since the child needs healthy fats - add a few drops of olive, cotton or linseed oil to the already prepared porridge, mix.
This breakfast contains carbohydrates and healthy fats. Will give vigor and energy to the child before lunch. If the student wants to eat earlier - you can use the right to snack.
What sweets and desserts are allowed
If you follow the rules of the diet, sweets become a real problem. Children love simple carbohydrates and sometimes even throw real tantrums to their parents. If the child requires sweets, it is worth offering him the following substitutes:
- any berries and fruits;
- peanut and honey kozinak;
- beekeeping products;
- jelly from agar-agar with berries and fruits;
- self-made ice cream from cottage cheese and milk (mixed in a blender with the addition of a sweetener).
What drinks are allowed
Talking about the child’s diet with biliary dyskinesia and the symptoms of the disease, it should be mentioned that the disease goes away without a trace with strict adherence to nutritional rules.
Often parents forget that it is necessary to control not only the child’s food, but also the fluids that he drinks. Here are some drinks that are allowed:
- clean drinking water;
- medicinal narzans;
- self-made compotes from berries and fruits;
- fruit drinks;
- freshly squeezed juices.
How to replace bakery products and pastries?
At first, it will be difficult to refuse bread, rolls and pies. But this is necessary - such food is contraindicated not only in cases of DZhVP, but also with a number of other diseases.
In order for the child not to feel hungry and deprived, he should be offered to replace the bread and rolls with special rye diet bread. They are sold in any supermarket. Bread rolls come in different flavors and even with berries. You can eat such crispbread with tea, compote. You can replace them with bread for soup and borsch.
The first weeks of a diet can be particularly difficult. Therefore, you can indulge: cook in the oven crackers from gray or black (Borodino) bread and give to the child.
The need for diet and medical advice
Any gastroenterologist and hepatologist will confirm that the need to follow a diet is the key to recovery. While the child is small, all of his organs are in the stage of growth. Almost any disease can outgrow. In this regard, you should especially carefully stick to the diet - because it is not just about therapy, but about the complete elimination of the disease.
Doctors recommend not hoping for the effect of hepatoprotectors. Most of them do not even have a proven therapeutic effect. In addition, real-life hepatoprotectors are most often prohibited for young children. Therefore, the main key to healing and normalizing the production of bile is proper nutrition.