For persons with cardiovascular diseases,
obesity, osteochondrosis it is useful to be on juice-fruit-vegetable
diet.
For persons with diseases of digestive system, bronchial asthma,
skin allergies use of sparing hypoallergenic diet is recommended.
In case of medical fasting under outpatients’ conditions
use of an adopted variant of re-feeding diet is possible. The
main principals of re-feeding are fractional food intake, gradual
broadening of a diet, exclusion of salt. As usual, after a
small portion of food intake patients feel satiation very quickly,
that is why it is recommended to take food by small portions
every 2-3 hours. In case of overeating at this period a syndrome
of "food overloading " can be observed. Sickness,
vomiting, unpleasant feeling in epi- and mesogastria can be
noticed. In this case lavage of the stomach along with laxative
is necessary. In case of spontaneous "food overloading" patients
are recommended to abstain from any food during one day. After
that the rehabilitating nutrition continues according to the
usual scheme.
According to the clinical experience the are 3 main periods
can be distinguished in the re-feeding period:
The following symptoms are common: weakness,
emotional instability, and quick fatigability. Sometimes a
feeling of discomfort or ache in epigastria appears, due to
aggravation of motorics intestine. The symptoms of cardiac
arrhythmia (extrasistology) are noticed rarer. During this
1st stage of re-feeding the organism move from endogenic nutrition
to normal ecsogenic nutrition and such metabolic transition
can be difficult for the organism. That is why patients are
prescribed ward regimen or confinement to bed, all physiotherapeutic
treatments, massage, gymnastics and cleaning enemas should
be called off. Depending on the type of the diet fruit or vegetable
juice (apple, pears, peach etc) diluted in two with water should
be prescribed, or rice or wheat water and gruel on water without
salt and sugar (buckwheat porridge, rice and millet porridge).
The body mass of the patients during this 1st stage of re-feeding
continues to decrease. On the third-forth day of re-feeding,
independent stool appears, otherwise a cleaning enema should
be prescribed.
The length of this stage depends on the length
of fasting period (usually it is a 1/2 of fasting period).
Patients notice improvement of general feeling, appetite appears,
the mass of the body increases. All blood biochemistry is normalizing
and acetone disappears in the urine. The exercises must be
implemented (walks, gymnastics). From the 5-7th day patients
have buckwheat, millet, oatmeal porridge on milk, vegetable
puree, bread, butter, kefir, curds, nuts, honey. All hard little
part of food should be thoroughly chewed. The intake of meat,
fish, eggs and mushrooms as well as salt are not recommended.
At this stage rarely under skin edema is observed, first of
all under eyes. This occurs due to use of common salt or products
with it’s high content (herring, brown bread, cheese,
carnichons, etc). It is recommended to keep to achlorid diet,
to use diuretics (decoction of leaves of bearberry, fruits
of juniper, leaves of red bilberry, birch, etc)
Is characterized by restoration of all physiological
functions, stabilization of mass of the body, transition to
normal nutrition.
The length of re-feeding period is equal to
the length of fasting period.
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