Diet with acetone in the blood and urine in a child
One of the main ways to help a child with increased levels of acetone in the urine and blood is a certain diet. Let's understand how to feed a baby with acetonemia, what foods should be given to babies with this pathology, and which dishes are contraindicated.
Principles of lowering acetone
When your child has acetonemic syndrome, you need:
- Achieve vomiting stop.
- To ensure the restoration of the balance of water and electrolytes.
- Give sorbents for the rapid elimination of ketones from the body.
- When pain in the abdomen give antispasmodics.
- Follow a strict diet.
Nutrition Basics
- With a strong deterioration in the condition of the baby food does not need to be given at all. Do not worry that the crumb will starve. In addition, you can not force the child to eat. On the first day, you can give your baby only a few crackers.
- On the second day, it is also advised to give the child a minimum of food. If the condition improves, you can add a baked apple to the croutons and a fairly abundant drink, as well as rice water.
- From the third day, let us have a crumb porridge, which should be cooked on water for the time being (it should be well boiled). The use of buckwheat, corn, and also oat porridge will bring the big advantage to the child. Add butter is not worth it, like sugar. If you want to make the product more sweet, you can use homemade jam or honey.
- On the fourth day we are expanding the children's diet with the addition of biscuit and bread. You can also make a vegetable soup or vegetable broth. A small amount of vegetable oil is acceptable.
- When improving from the fifth day, it is allowed to give boiled chicken or veal, as well as natural and fresh dairy products.
Liquids
Drinking for a child with acetone in the blood and urine must be plentiful. It is important to prevent the recurrence of vomiting, so all liquids give small portions, for example, a tablespoon every 15 minutes.
With an increase in acetone in the blood, the child needs a sweet drink. It is best to immediately give your baby a concentrated glucose solution. Prepare the child also infusion of raisins, pouring a tablespoon of raw material with a glass of boiling water.
Why, with a high content of acetons, urine and blood of a child need to replenish glucose reserves, see the transfer of Dr. Komarovsky.
In the first days of the disease, the child should also be given electrolyte solutions, for example, rehydron. In addition, give your baby non-carbonated alkaline mineral water and dried fruit compote.
From the fourth day of illness, you can give to the karapuzu fruit or vegetable juices (dilute with water), homemade fruit drinks and fruit drinks, as well as tea (weakly brewed). Remember that tea has a diuretic effect, so for each cup of tea the child must additionally drink a glass of water.
Drinks for a sick baby should not be either icy or hot, so as not to irritate the mucous membrane of the digestive tract, and not to increase vomiting. It is best to give the toxin liquid at room temperature. The total volume of fluid per day is calculated by the weight of the baby - for every kilogram you need 120 ml of drink.
Recipes
Vegetable and rice soup
Peel two potatoes and chop finely. Chop carrots and quarter onions cleaned. Put the vegetables in boiling water (500 ml) and salt a little. After 15 minutes, add two tablespoons of washed rice cereal to the soup. After letting the dish cook for another 15 minutes, turn off the heat and let it brew for 5-10 minutes.
Oatmeal with apple and pear
Bring to a boil 200 ml of water, pour oatmeal and cook over low heat. While the oatmeal is boiled, chop the pear and apple into small pieces, add to the porridge and mix. Optionally, in the dish, you can add a little non-fat milk and a spoonful of honey.
Turkey with vegetables
Cut the turkey fillet into small pieces, put in a cauldron, pour in some water, add a pinch of salt and, with a lid, simmer for about 20 minutes, stirring occasionally. Next, add broccoli cabbage, shredded carrots and one onion to the cauldron. Cook until all the ingredients are soft. For a small child at the end of cooking the dish is ground in a blender.
Baked apples with honey
Taking a few apples, cut them into halves and remove the middle. Put some honey in each half of the fruit and cook the apples in the oven for 10-15 minutes.
Diet after acute symptoms
Although symptoms with proper treatment will pass within a few days, a certain diet should be kept for another 2-3 months. Its basis should be such products:
- Porridge from buckwheat, corn, pearl barley, oat and wheat cereals. Make them liquid.
- Dairy, and also fermented milk products. Buy for your child only fresh products with a fat content of a maximum of 5%, which is not added sugar.
- Soups that are cooked in vegetable broths.
- Low-fat types of meat - use turkey, rabbit, chicken fillet or veal for dishes.
- Sea fish - cook crumbs from cod, pollock, whiting, hake, flounder.
- Baked, raw and steamed vegetables - cook baby carrots, zucchini, pumpkin, different types of cabbage, potatoes and others.
- Berries and sweet types of fruits, as well as dried fruits.
- Boiled eggs - up to one piece per day.
- Some nuts.
- Compotes made at home without sugar, as well as fruit drinks.
- From sweets it is permissible to moderately give marmalade, honey, jam, marshmallow or caramel.
Power should be fractional, with breaks of 2-3 hours. Dinner should not be plentiful - it is best to give your baby a small snack at 7 pm, and for the night limit yourself with a glass of kefir or Ryazhenka. All food is recommended to bake, boil, steam or stew. Meat and fish should be made for baby souffles, meatballs and meatballs.
Sample menu
Due to the large restrictions in products and the small list of allowed dishes, it is not easy to make a menu for a baby who is recovering after an increase in acetone in the blood. We offer a rough nutritional option for the week, which needs to be adapted to your child’s preferences:
Breakfast |
Snack |
Dinner |
Snack |
Dinner |
Before bedtime |
|
Monday |
Milk Corn Porridge Acidolact |
Beet and prune salad Dried fruits compote |
Turkey Meatballs Mashed potatoes |
Homemade jelly Biscuits |
Potato Pumpkin Steam Cutlets Fish Soufflé |
Kefir |
Tuesday |
Liquid oatmeal on water with jam Weak green tea |
1 egg steam omelet Fresh Vegetable Salad |
Stewed veal Boiled vegetables Morse |
Galety Home made jam Apple-carrot fresh juice |
Vegetable salad Rice with broccoli |
Kefir |
Wednesday |
Fruit salad with low-fat non-fat yogurt Tea with honey |
Semolina porridge with strawberry jam |
Vegetable salad Rabbit meatballs Morse |
Marshmallow Green tea |
Baked Cod Baked Vegetables Fresh Vegetable Juice |
Ryazhenka |
Thursday |
Uncooked buckwheat with low-fat milk Morse |
Ryazhenka Fruit and berry salad |
Chicken Fillet Meatballs Vegetable broth |
Marmalade Green tea |
The vinaigrette Baked Pike Perch Dried fruits compote |
Sour milk |
Friday |
Omelet with low-fat cottage cheese Tea with honey |
Fruit Yogurt Salad |
Vegetable soup Braised rabbit Apple Compote |
Cookies Kissel |
Barley porridge with vegetables Fish Meatballs |
Ryazhenka |
Saturday |
Cottage cheese 5% fat with dried fruit Fresh Pumpkin Apple Juice |
Baked apple with honey Morse |
Baked potato Braised cabbage Tea with honey |
Vegetable salad and boiled eggs with vegetable oil |
Rice with vegetables Stewed chicken fillet |
Acidolact |
Sunday |
Wheat cereal with prunes Tea with jam |
Boiled egg Vegetable salad |
Boiled veal Buckwheat with vegetables Compote of dried pears and apples |
Baked apples with cottage cheese Morse |
Potato cabbage casserole Tea with honey |
Kefir |
We draw your attention to the fact that Dr. Komarovsky considers only the replenishment of glucose reserves in the child’s body as the basis of treatment. See the next video for more details.
How to fill up the first aid kit?
If the baby had at least one acetonemic crisis, such preparations should be kept in the home medicine cabinet:
- 40% glucose solution (ampoules) - the famous pediatrician Komarovsky calls this form of glucose the best option for acetone in the blood.
- Bottles with glucose of 5% or 10%.
- Glucose tablets.
- Powders for the preparation of electrolyte solutions - rehydron, humane electrolyte, oralit and others.
- Nicotinamide - this vitamin helps glucose to be absorbed faster.
In addition, at home, dried fruit and non-carbonated mineral water should always be available.
Prohibited Products
A strict diet with acetonymic crisis, primarily caused by vomiting and dehydration. For the period of treatment in the menu of a child with acetonemia should not be:
- Soups, based on meat or bone broth.
- Fat varieties of meat, offal, very oily fish, canned meat and fish, smoked meats.
- Fatty, and also sweet fermented milk products.
- Sour fruit.
- Vegetables such as tomatoes, peppers, and eggplants. Still children with acetone contraindicated rhubarb, as well as sorrel, parsley and spinach.
- Legumes
- Mushrooms and mushroom broths.
- Sauces industrial production.
- Chocolate and other products, including cocoa.
- Butter baking, cakes.
- Crackers, fast food, chips.
Among the liquids consumed by the child should not be carbonated drinks, store juices, rosehip broth and coffee.