For those with removed a gall bladder is your diet about.

 By Tsodikov, doctor of medical science, Agafonova, candidate of medical science.

After surgery is cholecystectomies are bad process left you, you are thought  . But not, in a few having bad feels under right hypochondrium, and in the pit of my stomach. And also with gall /liver / colics having  sickness, icterus by bitterness, dryness in mouth, fat taste, fever, not stable stool  , meteorism.  And all these symptoms are not always tied in damaging for cholagogue ways and surgery, but this condition is uniting of one group is postcholecystectomies  syndrome, or syndrome after cholysectoectomies  . A gall stone always having with cholagogue wrong and mobility function for a common gall duct, stomach, small bowel, thick bowel, but surgery avoiding a patient from pathologic changed gall bladder, but not from a data disease , as inflamed   for gall ways, liver damage and pancreas, but they are  acuting after surgery.

 A cure for patients endured for surgery , a doctor doing by differentially, as from character metabolism processes, as infection staying, of gall stagnation, dyskinesia for gall ways. And patient need to know, that  food will play role and sicked and healed factor in pathology for liver, gall secretion system and other digested organs. A very cold meal causes spasm of pyloric of stomach, reflectory  transferring on gall ducts and sphincters.Hard  fats melted as margarines and extractive substances as strong broths, pepper, beer, wine, syrups, vinegar in dyskinesis for gall ducts increasing theirs spasms, which displaying by attacks with ache in right hypochondrium, and pit of the stomach region. Abundant meal quantity delaying in stomach ,that  prolonging  evacuation period from a stomach ,thus and on secretion period and entering gall in bowel. And these short lists of inadequate reactions of gall ways on a food wrong will convince  in a needing for diet using.

And right away after surgery  is prescribing diet NR  5 a, sparing, that helping  restoring functional condition for liver, decreasing inflammatory process in gall ways and pancreas  gland. First half-two months after surgery  dishes cooking boiling, or stewing rubbing kinds, daily ration on this time are 2300 kcal as 100 gr of proteins, 50-60 gr of fats, 250-280 carbohydrates,salts cooking are 8 gr, free liquid till half l, soups rubbing of vegetables as carrot, cauliflower, tomatoes, cereals of oats, rice, manna, noodles in vegetables decoctions, rusks of millet bread by baked yesterday  cookies Maria by Gullon of unleavened dough.

Sparing diet advices:Meat, fish dishes of non-fat veal, or chicken , fish are cod,pike,perch, ice,hack, of dumplings , stewed cutlets, stuffed by a white egg omelet, meat, chicken and fish rolls, baked puddings of noodles, and vermicelli, with boiled meat , chicken,  and fish eat by pieces, but without skin. And allows one  egg/day or stewed white egg omelet , whole milk enters  if you are endured his ok, curd fatness and unleavened of puddings, soufflé, fromage, like spice or dress.

Vegetables are carrot, squashes, cauliflower, potato, boiled of, stewed, rubbing puddings of carrot, carrots with curd. Fruit, berries are ripe , sweet of compotes rubbing, kisels, mousses, jelly, baked apples without peel, sugar,candies, jam , spreads are limiting.

 Of fats are butter oil, for dishes just cooking. Fruit, berry, vegetable juices diluting drinking in water by half. Useful is hibiscus drink, weak tea, weak surrogate coffee with milk/Inka/.

In 2 months use diet nr 5, as a full value meal, activating compensatory mechanisms, stimulating fermentative, protein-synthesis  processes in liver, cholagogue, as good for organs are affecting and systems involving in pathologic processes in chronic damages of hepato-biliary system.

Calories daily ration increasing on 700-900 kcal, as for fats calculation on 80-100 gr, carbohydrates on 400, free liquid till 2 l.

 Now, is allowing rye bread dried, or yesterday baked, vegetarian or of second broth for 3-4 times/week, of mixed vegetable soups, fresh cabbage shi, rassolnik of vegetables and fresh cucumbers  beet soup or svekolnik, pearl soup, potato with meat balls.

And on the second cook beef stroganoff, meatballs, pilaf  of boiled meat, potato baked pudding with boiled meat, golubtsi stuffed by meat and rice, pies with meat, stewed meat with mixed vegetables, pilaff of rice with fruits, pudding of vegetables and curd, noodles home with meat, rubbing macaronies with raisin, with tomatoes, cheese, vareniki with curd, curd cheesecakes, tvorozniki baked with fromage, curd souffle with apples, not spice cheese kinds, fromage fresh a little bit, creams, jam, honey, rise berries, fruits not sour kinds, baked, raw, apple, strawberry and milk  mousses, oranges, mandarines, grape,plums, strawberry, raspberry, currant, fragaria.

 Drink are tea with lemon, fruits juices are cherry, apricot, orange, mandarin, vegetable. Butter, olive, sunflower,corn oils adding in dishes as of natural kind.

But somethimes, if patient using diet , is condition worsening, body temperature rising, light stool, fat, sticky, vomiting with gall, after vomiting having relieving, lowering ache in right hypochondrium, nausea stopped. And ,  these are meaning as wrong gall outflow from a common gall duct in small bowel, and about gall stagnation.

And here needing doctor visiting ,, which prescribes diet nr 5 fat for a normalization of a cholagogue, improving mobility function for bowel, rising bactericide effects of gall.  And this is by a full value, physiologic diet with normal containing protein, increasing fats  and same ration are animal and vegetable fats , and limiting carbohydrates simple,as sweets, sugars, hard melting fats, vegetables, fruits are eating more, where fibers of which increasing cholagogue effect of meal, improves bowel motoric, and cholesterol removes from organism.

Ration contains in this diet are: proteins 100-110 gr, fats 120 as ratio by animal and vegetable 1to1, carbohydrates are 400, sugars are 50-60, calorie are 3200-3500kcal, salt cooking 10-12 gr, free liquid on half l, third dishes cooking not sweet, or of xylitor, stevia  , butter, vegetable oil just adding in meal, not for culinary manufacturing.

To data lists of meal adding one time/week a fatness soup meat, vegetarian soups of mixed vegetables, cereals/pearl, barley/, borsh, rassolnik, svekolnik, of vegetable oil cooking. Meat dishes of not fat kinds as veal, chicken, turkey, rabbit as boiled, baked kinds, eggs, dishes of eggs for 1 time/week, fish meal, cereal, flour, macaronis  dishes are same as is  usual diet nr 5.  Vegetables are using for salads cooking, garnishes, cabbage with fromage allowing, baked in milk sauce, golubtsi with vegetables and rice, baked stewed cutlet, meatballs of carrot, apples, with raisin, baked,stewed in milk sauce, roll of carrot and cauliflower, puddings of carrots, dried apricots, carrot, apples, squash, aubergines, pumpkin. Potato baked in fromage, boiled , potato cutlets, baked with fromage sauce and cheese, carrot, beet are stewed with apples, vegetable ragout, carrot, green peas, potato, cauliflower, squash purée, stewed in fromage, oil, tomatoes fresh, stuffed by cheese, rice, fresh cucumbers. Ripe fruits, berries, not sour kinds, raw, baked, jelly of, weak coffee, juices vegetable, fruit. As of snack allowing soaked herring, not fat ham, sausage doctor s, pate meat by home cooking, not spicy cheese kinds, sauces and spices to dishes cook of vegetable decoction, as milk, fromage, berry and fruit sweet sauces , butter oil, melted, olive, corn, sunflower.

 Diet nr 5 fat prescribing on 2-3 weeks , in improving condition a patient and liquidation for signs a gall stagnation a need transfer on usual diet nr 5.

And endure a cholecystectomies are often asking, a how long to keep diet? Does it  for all life? And common prognosis is for all not ability to give, but if within a half-2 years after surgery patient feeling good, thus your doctor will width for products set and dishes and allows slowly transfer on usual food.

But within 2 years after gall bladder removed are for all needing forgetting about cold, fried  dishes, ice cream, mushrooms, chocolate, pastry, creams , garlic, onion, marinades, smoked and eat for 5-6 times/day, and on the same hours! Often, but rubbing meal eating is better, than remedies and giving a normal cholagogue, but before a sleep till 3 hours not eating! As these are all allowing restoring health and avoid a repeating forming stones in bile duct ways.  

Am also endured surgery, but diet prescribed on 10 days! All food as stewed, as curd with kefir warmed, white egg stewed, inka drink with milk or creams, or chicory, for nigh used glass of kefir or tea with rusk piece .Not cold food  for  me, fried, just warm as drinks also. Felt good, surgery too endured awesome!  Sweets are added slowly, much alkokol am not drinking , just wine glass, later added kvas, but infused, stayed just gas removed!

If you are sick of sugar diabetes and obesity.

 By Sivohina, candidate for medical science.

These are both diseases are accompanying  to each other, that in a base his development playing a  lots of eating are sugar, sweets and other food with easy carbohydrates absorbing. And importance cure for sugar diabetes with obesity is right diet, a feeling, work capacity  ,and life staying in depending on from what, a how you are systematically and scrupulously are using all doctor s-endocrinologist   advices . And keeping needing common   principles for healing meal as maximally removing changing in destroyed metabolism  for carbohydrates and fats, good affecting on pancreas gland, liver, kidneys  ,heart, vessels, which are most suffering in sugar diabetes and obesity. Sweets, sugar, pastry food, curd snacks sweets, sweet water are avoiding, in sugar diabetes with normal body weight sugar changes on xylitol or sorbitol, but in obesity not eating sugar, changers his, calories for changers are not less, than a sugar, avoiding are flour, pies, cakes, macaronies, black bread eat or protein-bran ,  but on 100 gr/day.

Shortening fats quantities, as animal, 20 gr of butter oil/day and for dishes cooking, and entering vegetable oil on 20-30 gr on an everyday as adding salad in of vegetables, that he is having non saturated fatty acids, normalizing metabolism, not limiting proteins quantities, within a day use 150 gr of meat or 100 gr of fish, 200 gr of milk, or 1-2  glasses of kefir, sour milk, 100-200 gr of fatness curd, or egg.

Cook more vegetable dishes, for dinner, breakfast, lunch are needing eating salads of vegetables, raw fruits, or without vegetable salad, all vegetables till 600 gr/day, potato limiting till 100 gr, before cooking his limiting in water for 4-6  hours, and eat more tomatoes fresh,  cucumbers, aubergines, squash , pumpkin, any greens, they   are less calorie, saturating faster. All fruits you can eat too, but less are grapes, fig, raisin, bananas, dates are much glucose having, apples are sweet, not depending on from carbohydrates having, but from containing organic acids, vegetables, and fruits are rich with vitamins. In sugar diabetes  are lowered resistance organism to diseases as infections, but vitamins are rising her. Avoiding smoked food, spicy snacks, appetite increasing, from snacks allowing salads, farrago, jellied fish, meat, cheese, one time/week a herring soaked. Second dishes better cooking boiling in water or stewed, for second dishes cooking use fatness beef, chicken meat. Goose,  , goose, fat sheep are avoiding. Salt free cooking, slightly salting as in ready meal, and within a day allowing are 4-5 gr of salt.

 Approximately menu for week.

Monday.

First breakfast.

Salad, oats porridge milk, sugar-free, coffee with milk, sugar-free, cheese.

Second breakfast. Curd, tea sugar-free.

 Lunch are salad, rassolnik vegetarian, meat boiled with friable buckwheat porridge, compote sugar free.

Afternoon snack.

 Apple.

Dinner. Boiled fish with boiled shredded beet, dressed  with lemon juice, hibiscus drink sugar-free.

For nigh is kefir one glass.

 Tuesday.

First breakfast.

Salad, porridge buckwheat, curd, tea with milk sugar-free.

Second breakfast are cabbage cutlets, sugar-free tea.

Lunch. Salad, vegetarian shi with fromage, boiled chicken  with stewed vegetables, compote sugar-free.

Afternoon snack.

Orange.

Dinner. Cutlets meat, baked with stewed cabbage, hibiscus drink sugar-free.

For nigh is glass of sour milk.

 Wednesday.

First breakfast. Boiled sausage with stewed cabbage, coffee with milk sugar-free.

Second breakfast. Squash caviar, tea sugar-free.

Lunch. Peas soup on second meat broth, salad, meat goulash with porridge buckwheat, baked apple.

Afternoon snack.

Curd, hibiscus drink.

Dinner. Carrot baked pudding with curd, and fromage, sugar-free compote.

For night. Glass of rjazenka.

 Thursday.

First breakfast. Herring soaked with farrago, tea with milk sugar-free, cheese or boiled sausage.

Second breakfast. Curd, tea sugar-free.

Lunch. Salad, borsh vegetarian with fromage, meatballs with stewed carrot, fruit kissel sugar-free.

Afternoon snack . Fruits.

Dinner. Cabbage baked pudding with meat, hibiscus drink sugar-free.

For night.Kefir one glass.

Friday.

First breakfast. Omelet natural baked with green peas, tea with milk sugar-free.

Second breakfast. Spicy not cheese, sugar-free tea.

 Lunch. Salad, soup vegetable on second meat broth, ragout meat with buckwheat porridge, compote sugar-free.

Afternoon snack. Baked apple.

Dinner. Boiled fish with stewed carrot, hibiscus sugar-free drink.

For night.Sour  milk one glass.

 Saturday.

First breakfast . Jellied meat with vegetable salad, coffee with milk sugar-free.

Second breakfast. Curd with milk.

 Lunch. Salad, vegetarian shi with fromage, boiled fish, lemon jelly.

 Afternoon snack. Fruits. 

Dinner. Stuffed cabbage leafs with meat force and rice  or  golubtsi, hibiscus sugar-free drink.

For night . Glass of kefir.

Sunday.

First breakfast.

 Buckwheat porridge or oats, boiled beet shredding with lemon, coffee with milk sugar-free.

Second breakfast. Curd with milk/

 Lunch. Jellied fish, beetroot soup vegetarian with fromage, ragout meat with stewed cabbage, jelly fruit sugar-free.

Afternoon snack. Fruits.

Dinner. Meat salad with vegetable oil, carrot cutlets, hibiscus drink sugar-free.

For nigh. Glass  of rjazenka. 

They are not medicaments, but this is diet.

As after hospital in infection region, and you had virus hepatitis A, restoring processes ending as in liver and for three months after hospital. And virus hepatitis B is tied with a hard liver damage, and without doctors advices you are in high risk till a chronic hepatitis forming and liver cirrhosis, and therefore here are restoring processes doing are for half year, and often is year, and more..
And here are dietic advices in hepatitis A,B, and of dates are needing  limitings, and after jaundice period of recovering are not needing remedies, but needing diet, this is situation when on the drug store change is entering kitchen.
And care liver against over loads is theoretic principle here as of diet advices and limiting after acute virus hepatitis.And this is calculated,that within a day through a liver for adult are transferring 700 l. of blood, which displays from the bowel.As selecting are harmful , poison for an all organism of meal s structure, liver delays theirs and neutralize,and remove out with gall, and this multifaceted activity for liver are needing for many energy loosing and taking part of much ferment systems,and after disease an importance to relieve, and give for an ache organ to rest. And this reloading, rest and will assist a full avoid within an all restoring stage are from meal, or theirs components, which are needing from liver are neutralizing activation function or allow her taking part in a digestion process of high hardness. And a date for restoring period is put just your doctor as of your clinic and laboratory tests, and of your peculiarity, and enduring hepatitis. And a first of all are avoiding all spirit drinks, as in healthy person spirit damages liver and after acute virus hepatitis is very high wounding. And do not use fried pan, advised doctors, and not worry,that you must to need eat just boiling or stewing meal, and avoiding fried meal for those ,who endured acute hepatitis, and who used bad diet as formed a chronic hepatitis. And for a right dates you are avoiding of smoked meal, marinades ,hard fats, and bad absorbing meat are of pork, goose,duck, sheep, and spices are radish, pepper, mustard, vinegar, forget about chocolate, candies of chocolates, cacao, coffee, cakes, pies, avoiding are not fresh meal, and keep theirs in refrigerator right are by dates. As feeling for measure for you is importance after virus hepatitis as limiting of part, and since are first days after hospital you are entering in meal meat broth, as meat add in cold water, boil 15 minutes,filter,again add cold water and cook till ready. And such broths eat for 1-2 times/week. Use are easy absorbing fats of bitter oil are on 60 gr/day are for adults and 40 gr for children's, as fromage to dress for vegetable dishes, and allow are creams in tea, soft boiled eggs are for 2 times/week, 50 gr of cheese, sausages beef, diabetic, dietic milk are till 100 gr /day as by selecting. And these advices helping you for keeping a feels of measure, and if you are enjoy cheese or eggs,let s stop and do not high a norm! As timely worries will answer for positives of recovering and you can enjoy a favourite dishes, but just of measure in an all. And abundant eating are needing a high quantity for gall, and this is a big load for liver, as cold meal is spasms of gall ducts and in dry meal gall is thick, delay her current, thus are needing eating on the small portions and for 4 times/day, or better till 5-6 times/day. And entering mineral waters are on the restoring period as not importance. And a base energy and plastic needs of organism of recovering are restoring of milk, and fresh kind of milk products, as boiled beef, chicken, rabbit, turkey. As benefit are fresh boiled fatness fish, add and cereal, vegetable, milk soups, and in thin weigh eat are noodles, macaroons, balls, pies baked with apples, cabbage, boiled meal. And needing for organism are vitamins adding of fresh vegetables, fruits, not as artificial.
As easy absorbing carbohydrates is a base component of cure diet, and a few patients as recovering adding eating more sugar and honey, and they are irritating pancreas, that are risks for diabetes attacks.
As sugar quantity for healthy person just on 70 gr/day, but in virus hepatitis this mass rise till 80 gr, and honey changes on sugar, but till 100 gr/day. And approximately scheme for a daily carbohydrates eating are bread white and black on 400 gr, honey or 100 gr, or sugar 80 gr, porridge's are 150-200 gr, vegetables and fruits are 500 gr and more, and on a season of fresh fruits sugar and bread are low.As take care of addiction are carbohydrates in liver diseases, as they are needing in big mass,just when in meal having and proteins are 1 gr for a one kg of body mass.A full animal value is animal protein is not replaces for a restoring processes in damages liver, and not avoiding are full fats from diet, these are bitter and vegetable oil are natural cholagogue stimulus as needing for absorbing from liver are vitamins just diluting in fats. And which dishes are entering in ration?As breakfast of noodles with carrot, omelet white egg stewed, boiled meat with potato puree, oats milk porridge, macaroons boiled with meat and cheese, curd with honey, and buckwheat porridge friable with milk. And for lunch and taste with benefit of vegetarian soup vegetables, boiled meat in white sauce, salad, compote of fresh fruits, borsh with fromage, sauerkaut salad, boiled chicken with rice, potato soup with oats, meat balls stewed with curd, baked In fromage with macaroons, baked apples. And for dinner cook boiled fish with boiled potato, tea, cereal soup with buckwheat with curd and fromage, hibiscus drink, golubtsi, stuffed with carrot, rice and egg white, millet flakes drink, farrago of salted cucumbers chopped , but changing on sauerkraut cabbage you can, dress in vegetable oil, noodle soup with curd,tea with milk. And between meal time pause eat apple, or one twig of grape, drink a glass of tea with ban, glass of kefir with dried cookie,and menu will to different by a doctor s diet and by a season of the year, and by weeks of a days, and your appetite and good meal absorbing will to assist are different and taste dishes cooking, and beautiful table served. And to the ending of restoring  period to width diet  if doctor allowed, as need slowly, adding soft boiled egg for 3 times/week, whole egg omelet of. And these dishes advices and limitings in restoring periods after acute acute hepatitis are not universal are for an all survived and on the all stages of recovering,and doctors will add correctives, and principles as supporting on the theoretic research and by experiences are keeping whole. If are earlier displayed signs,that virus hepatitis B receives a chronic course,and patient feeling weakness,tiredness,appetite bad, dull ache in right hypochondrium, nausea as darkness urine, and stool discoloration, thus doctor will advice a hospitalization for a full investigation, and a course a cure at stacionarum.  And for preventing are far bad results of hepatitis, that importance a patient to understand a needing for right keeping dietic advices and right to do theirs!

Diabetes menu.

Many readers write to us about diabetes menu, where they are interesting,that right rules are avoiding sweets,sugar, grape,are sugar rising, but entering are fibers, vitamins, but they are sure that meal is poor and thin, not taste, but in a right approaches your menu will be very taste, useful, therefore welcome to theirs new project are consults advising you.
As approximately menu in diabetes of second type.
Breakfast are stewed omelet without oil 115 gr, fresh cucumbers 100 gr, milk with coffee one glass.

Second breakfast is glass of tomato juice.

Lunch are of White cabbage vegetarian soup 500 gr with fromage on ten gr, beef boiled with 50 gr, buckwheat friable porridge 125 gr with butter oil 5 gr, dried fruits compote non sugar,fructose 180 ml.

Afternoon snack  are fresh shredded carrot 100 gr, hibiscus drink one glass.

Dinner are golubtsi with stuffed force meat and rice on 315 gr, with fromage ten gr, green tea glass.

before sleep an hour-2 hours as fatness kefir glass one, for all day eat 200 gr of rye bread, or millet of second sort, as all are 1742 kkal, proteins are 93.1, fats are 57.5, carbohydrates are 208.4 gr.