Phosphaturia is a disease of the urogenital system, accompanied by pain and discomfort. It appears due to the formation of sediment in the urine of insoluble salts. This happens when the acid-base balance of urine shifts towards alkali. To restore this balance and to alleviate the patient’s condition, a special nutritional system is designed – diet №14.
Scope of the diet
The fourteenth diet, or table №14, was a scientist and nutritionist Manuel Pevzner. The professor revealed that nutrition correction is necessary for any diseases. After long observations, experiments and research, he formed fifteen diets that help patients to overcome the disease.
The 14 table is necessary for the precipitation of urine salts of magnesium and calcium phosphate (phosphaturia). This condition can be caused by a violation of the exchange of calcium and phosphorus. Often, such a disease can be a consequence of other diseases: tuberculosis, epilepsy, cystitis, prostatitis. Improper nutrition can also cause the development of phosphaturia.
The purpose of the diet is to restore the normal pH balance of urine and its acid reaction. With the help of certain foods and products, the patient reduces the level of alkali in the urine, which prevents the formation of sediment.
In addition to the main fourteenth diet appoint table 14a. It is indicated after surgery, injuries to the bones and soft tissues, if the disease is accompanied by sluggish suppurations.
Rules of treatment methods
The patient’s nutrition should remain within normal limits. Daily put into the diet proteins of animal and vegetable origin, carbohydrates, healthy fats. Diet number 14 is considered complete in terms of calories, per day the patient is supposed to gain as many calories as the body needs. Starving and overeating is not recommended, as the first and second weaken the body.
In the diet, foods that increase the level of alkali in the urine are limited. These include most fruits and vegetables, milk. Also, the consumption of calcium, which is a component in precipitation during phosphaturia, is minimized. Preference is given to those nutrition ingredients that oxidize urine. These include meat and fish dishes, bread, cereals.
Culinary processing of dishes is not regulated. Observing a diet, you can boil the components, bake, fry, steam or grill. When serving, the temperature of the food may be familiar: cold or hot. For additional sparing of the digestive tract, it is recommended to consume only warm food.
Particular attention is paid to the drinking regimen. On a day, the patient is supposed to drink up to 3 liters of fluid. Recommended ordinary purified and enriched water.
An enhanced drinking regimen is established for a short period, after which the patient proceeds to the usual norm. Prolonged intake of large amounts of water shifts the pH to the alkaline side. In addition to the usual liquid, you can add oxidizing drinks: fruit drinks, fruit drinks, juice from apples and grapes. Sweet and sour drinks should also not be carried away, as they provoke the release of calcium.
Disturbances in the functioning of the nervous system can also be causes of a malfunction in phosphate metabolism. Given this fact, it is recommended to exclude drinks and dishes that excite the central nervous system. These include: spicy, oily, coffee, green tea, energy, chocolate. The amount of salt should be reduced to 10 g per day. Excess sodium chloride provokes the withdrawal of calcium and increases the level of phosphorus. In addition to salt, sharp spices and herbs should be excluded.
Phosphaturia occurs more often as a side effect of peptic ulcer, bronchitis, and diabetes. If the disease is accompanied by other serious illnesses, a full list of requirements and rules should be made by the attending physician.
Nutrition on a diet
Depending on the cause of the phosphaturia, a course of treatment is prescribed, which will consist of medication and diet. Proper nutrition in urolithiasis reduces pain, accelerates recovery, and in some cases completely eliminates the need for surgery.
When compiling the menu is prohibited to use
- sausages, smoked meats and canned goods;
- salted fish – allowed in macerated form;
- pure dairy products (allowed in small quantities in dishes);
- coffee, strong tea, cocoa;
- chocolate, cream pastry;
- berries and fruits, except for permitted;
- horseradish, pepper, mustard;
- berry and vegetable juices;
- alcohol, kvass, sweet soda.
Most difficult, as noted by reviews of patients, to limit the vegetables. This should be done for the entire period of the diet, since most plant foods alkalize urine.
Recommend to include in the menu:
- Meat and fish – all types and varieties are allowed, only fresh. You can cook in any way.
- Seafood, fish caviar.
- Kashi – you can use all kinds of cereals. It is forbidden to add milk to them.
- Green peas, asparagus, all kinds of mushrooms, pumpkin.
- Eggs are allowed in limited quantities. It is recommended to consume no more than 1 eggs per day.
- Sour apples: Greni Smith, Antonovka, Semerenko, Jonagold.
- Lingonberries, cranberries, red currants – you can prepare desserts from them or use for compote.
- Weak black tea, compotes from allowed berries, light coffee without milk and cream, decoctions of rose hips and herbs.
Food can be prepared in vegetable or butter, all types of processing are allowed. To give the taste of dishes, you can use mild spices and herbs: dill, parsley, rosemary, bay leaf, curry (limited). Soups can be cooked in fish, mushroom or meat broth; potatoes are not allowed. For the first dishes, you can use pasta, cereals, allowed vegetables.
Since nutrition excludes a number of useful components, it is recommended to add bran bread, fish oil, and yeast baked goods to the menu. Calcined food is included in the diet once or twice a week, as the body needs it. Additionally, you can use vitamin complexes, but without the content of vitamin D. Hypervitaminosis of this component can cause primary phosphaturia.
In the preparation of the diet, it is important to consider the presence of associated diseases, as dietary restrictions may increase. It is recommended to make the menu for the week ahead in order to properly plan the diet of the patient.
Breakfast: pearl barley porridge with chicken chop, white bread, tea.
Snack: apple juice.
Lunch: broth with noodles, bread, pilaf, redcurrant compote.
Snack: green apples.
Dinner: fish cakes with rice, a decoction of barberry.
Breakfast: semolina on the water, toast with jam, tea.
Snack: decoction of wild rose.
Lunch: veal and green pea soup, buckwheat, bread.
Snack: cranberry jelly.
Dinner: boiled meat, roasted pumpkin, chamomile tea.
Breakfast: boiled egg, baked apples, tea.
Lunch: mushroom cream soup (without potatoes), crackers from white bread.
Snack: pumpkin fresh, drying.
Dinner: fried hake, rice with green peas, linden broth.
Breakfast: barley porridge on the water with mushrooms, tea.
Snack: red currant jelly.
Lunch: noodle soup with meat, sponge cake, apple juice.
Snack: semolina and pumpkin pudding.
Dinner: roast beef and green peas, a decoction of barberry.
Breakfast: omelette of two proteins, bran bread, tea.
Snack: compote of lingonberries.
Lunch: meat soup, bread croutons.
Snack: drying, half a cup of milk.
Dinner: stuffed mushrooms, boiled rice, lingonberry compote.
Breakfast: pumpkin porridge with millet, tea.
Snack: jelly from apples.
Lunch: broth with meatballs, buckwheat, bran bread.
Snack: apples are green.
Dinner: aspic from pork and boiled egg, broth of wild rose.
Breakfast: wheat cereal with cutlet, tea.
Snack: grape juice, biscuits.
Lunch: pumpkin cream soup, bread crumbs.
Snack: lime tea, dried fruit jelly.
Dinner: a rabbit in sour cream, boiled bulgur, grape juice.
In the sample menu, periodically calcined foods are introduced to prevent critical reduction in calcium content. Berry and fruit juices help to reduce the alkaline reaction in the urine, but in small quantities, so you should not get too carried away. Recipes without the use of vegetables is easy to find on the Internet or simply change the recipe of familiar dishes.
Roasted pumpkin is suitable as a side dish for meat or instead of breakfast. To prepare it, you will need to clean the pumpkin from seeds and skin, slightly salt it and roll in flour. For the 14 diet, any grade of flour except rye is suitable: bran, wheat, oat. Fry pumpkin in vegetable oil until half ready. Then place the fried pieces on a baking sheet covered with parchment. Bake the dish for another 15-20 minutes. If you do not salt it before frying, you can eat baked pumpkin with honey as a dessert.
Stuffed zrazy will eliminate the need to cook a side dish, so they contain both meat and rice inside. For them, boil 50 g of dry rice separately and cool it, add oil and salt to taste. 300 g veal or beef should be several times grind through a meat grinder. Fillet should be without fat, bone particles, fascia. Add minced loaf of bread soaked in water to the mince, mix everything well.
From the meat mass to form flat cakes, in the middle of each place a little rice filling. Blanks need to carefully pin and give them a round or oval shape. Better to do it with wet hands. Place zrazy in a double boiler and cook under the lid 20 minutes.
Fish dumplings are a great way to diversify the diet menu and replenish the supply of useful components. For them, any lean type of fish will do. It is better to use the hake, it is easily separated from the bones, which will simplify its processing. 300 Mr. clean fillets need to skip several times through a meat grinder. Add 100 g of bread soaked in water (also ground). Beat the whole mass well, add some salt.
Separately in a cauldron mix sour cream with water and bay leaf. Place the dumplings in a boiling sour cream mixture and boil the 20-30 minutes for a minimum of fire. You can cook them in a double boiler.
The 14 table is prescribed in a complex diet after surgery. It is necessary for the patient if injuries on the bones and soft tissues pass with sluggish suppurations. This is a simplified form of the basic diet.
As a rule, the 14 diet is applied intermittently to other tables according to Pevzner. The nutrition scheme looks like this: a week on the 14 diet, then a week on the diet No. 11 or No. 15, then again No. 14, and so on.
The rules of nutrition remain the same: the amount of alkaline food decreases and the level of acid valences increases. Drinking mode – enhanced, up to 3 liters per day. Food can be processed in any way, if there are no additional restrictions. Recommend separate meals, on 4-5 small meals.
The amount of vegetables should be reduced to 100 g per day, mainly in the first dishes. Soups can be prepared with meat and mushrooms, with fish, noodles, cereals. For side dishes, it is recommended to cook cereals, pasta, beans, pumpkin. The number of eggs can be increased to 2 pieces per day. Dairy products are very limited, periodically a little cottage cheese and hard cheese are allowed. Otherwise, all prohibited products for the table number 14 remain characteristic of the table 14.
The diet is applied “zigzag” and lasts until the patient’s health is restored.
For phosphaturia and other disorders of the urogenital system, it is recommended to drink broths of hips and barberries. It is necessary to prepare drinks from these berries, using fruits, but not leaves. Find them the easiest on the markets, there are packaged fees in pharmacies and shops eco products. Both barberry and wild rose have a good effect on digestion, heart work, normalize liver and kidney functions.
For a speedy recovery, it is recommended to increase the consumption of millet. Useful and porridge from it, and decoctions. For decoctions, the groats are washed, filled with water and boiled for 5 minutes. The resulting water is drained and drunk in small portions throughout the day.
After recovery, it is important to continue to adhere to proper nutrition, to prevent infectious diseases, to avoid hypothermia. It is important sometimes to be examined by a doctor, since phosphaturia can return, and its initial stages pass unnoticed.