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Diet for dysbacteriosis

Medical expert of the article

Gastroenterologist
, medical expert
Last reviewed: 04.07.2025

A diet for dysbacteriosis is a way to restore the impaired functioning of the gastrointestinal tract. Let's consider the nutritional features for intestinal disorders, tasty and healthy recipes, and menus.

An imbalance of microbes in the intestinal microflora is a fairly common phenomenon. This disorder occurs in both adults and children. Dysbacteriosis is a symptom of other pathologies, that is, it is not an independent disease. Its appearance can be caused by a violation of the diet, long-term treatment with antibiotics, vitamin deficiency, diseases of the gastrointestinal tract.

The main reasons for the disruption of beneficial intestinal microflora:

  • Reduced immunity.
  • Various infections.
  • Long-term use of antibiotics.
  • Low acidity.
  • Pancreatitis (chronic form).
  • Intestinal obstruction.

The intestinal microflora is a complex ecosystem that includes the mucous membranes of the digestive tract, intestinal bacteria, viruses, fungi, and food elements. During meals, food is processed by gastric juice and broken down. This speeds up the work of the intestines and the secretion of juices, forms amino acids and vitamins, breaks down fiber, improves the absorption of vitamins, folic acid, and other elements responsible for blood formation.

The appearance of stool disorders, abdominal pain, bloating, increased gas formation over a long period of time indicate the development of dysbacteriosis. In addition, there is a deterioration in general health, high temperature, joint pain, weakness. A balanced diet restores the growth of beneficial bacteria and improves well-being.

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Treatment of dysbacteriosis with diet

An imbalance between the opportunistic and obligate intestinal flora causes a number of unfavorable symptoms. Treatment of dysbacteriosis with diet is the most effective and at the same time safe method of eliminating the disorder. The disease itself is characterized by a protracted, severe process. Therefore, without medical intervention, it can become a serious problem.

Treatment depends on the intensity of the disorders, which are divided into three large groups depending on the patient's age and the results of the stool analysis. Let's look at the main characteristics:

Degree of violations

Treatment method

Reduction in the amount of beneficial microflora and a decrease in its activity.

Diet, vitamin therapy, prebiotics, enterosorbents.

The appearance of painful symptoms due to opportunistic microorganisms.

Functional nutrition, probiotics, complex of vitamins and minerals.

A large number of pathogenic microorganisms in the intestines.

Long-term diet therapy, intake of vitamins and enterosorbents. Probiotics, antibacterial therapy, intestinal antiseptics, bacteriophages.

Therapy should be comprehensive and carried out by a gastroenterologist in the following areas:

  • Determining the causes of the disorder and eliminating them. At this stage, the patient may be prescribed pathogenetic treatment (enzyme preparations) to eliminate the inflammatory process and restore intestinal motor functions.
  • At the second stage, it is necessary to normalize the digestion process and eliminate acute painful symptoms. Particular attention is paid to diet therapy to normalize bowel function - diet table No. 4.
  • Based on the test results, the doctor adjusts the composition of the intestinal microflora. For this purpose, the patient is prescribed intestinal antiseptics, probiotics and prebiotics, bacteriophages.
  • At the final stage, measures are taken to enhance the protective properties of the immune system, using immunomodulators and vitamin complexes.

As a rule, the diet is developed in accordance with the causes of dysbacteriosis. The patient is prescribed viscous, bland, mucous food with a minimum amount of salt. If the disease is accompanied by diarrhea, then a stricter diet is prescribed. In addition to food, it is necessary to pay attention to the drinking regime. To normalize the digestive tract, you need to drink 30-40 minutes before meals and 2 hours after meals. It is strictly forbidden to drink alcohol and fermented drinks (homemade wine, kvass). The right diet will help to cope with intestinal upset without problems.

The essence of the diet

There are many factors that contribute to the disruption of normal intestinal flora. Improper nutrition, rich in preservatives and semi-finished products, hot food, alcohol or spices, can lead to the development of the disease. To eliminate the consequences of such disorders, the patient is prescribed a special diet. The essence of the diet is to restore healthy intestinal flora and improve the health of the body. When compiling a therapeutic diet, factors such as:

  • Features of the course of the underlying disease.
  • Elimination of symptoms of dyspepsia.
  • Prevention of hypovitaminosis and food allergies.
  • Creating favorable conditions for the growth of healthy microflora.
  • Elimination of diarrhea and constipation.

Nutrition is individual for each patient. The doctor makes up a diet based on the intolerance of certain foods, the patient's age and the severity of the symptoms of the disease. It is very important to stick to 5-6 meals, that is, fractional nutrition. The diet should be balanced in protein and energy composition.

  • If dyspepsia is accompanied by flatulence, that is, fermentation processes, then you need to exclude carbohydrates, milk and raw vegetables. It is recommended to eat protein foods: eggs, chicken, cottage cheese, various cereals, boiled vegetables.
  • If putrefactive processes prevail, meat and fats should be limited. The main part of the diet should be porridge, fermented milk products and boiled vegetables.
  • In case of dyspepsia with constipation, the diet should be enriched with fiber, i.e. raw vegetables, fruits and greens. These products speed up the passage of food through the intestines.
  • If the disease is accompanied by diarrhea, then you should eat mashed or boiled food at room temperature. Compote of bird cherry, blueberry, pomegranate and decoction of oak bark have medicinal properties.

Along with the diet, the patient is prescribed probiotics and prebiotics to restore the intestinal microflora. Probiotics contain lactic acid microorganisms, that is, bifidobacteria and lactobacilli, which live in a healthy intestine. Prebiotics are substances that create a favorable environment for the growth of beneficial bacteria. Thus, for recovery, it is sufficient to restore healthy microflora, which will destroy pathogenic bacteria.

Diet for dysbiosis with diarrhea

Many patients have dysbacteriosis accompanied by diarrhea, which complicates the course of the disease. Diarrhea can be a symptom of colitis or chronic gastrointestinal diseases. For treatment, drugs with lacto/bifidobacteria and proper nutrition are used. The diet for dysbacteriosis with diarrhea begins with a short fast for 2-3 days. During this period, it is recommended to drink more tea, herbal and berry decoctions, but without sugar. When consuming berry or fruit compotes, they must be filtered.

Basic rules of nutrition for dysbacteriosis with diarrhea:

  • It is forbidden to eat fatty meat and fish, canned goods, pickles, sausages, pastries, fresh vegetables and sweets. The diet should include porridges with fiber, broths, fresh compotes and berry kissels.
  • It is necessary to eat regularly, often and in small portions. Systematic meals normalize the digestion process and metabolism.
  • The diet should consist of products with coarse fibers and fiber, as they normalize the motor functions of the intestine. Particular attention should be paid to fermented milk products, they contain live bifidobacteria and lactobacilli.

A properly composed diet restores intestinal motor functions and flora balance.

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Diet for dysbiosis with constipation

Intestinal disorders very often cause a lot of side symptoms. Patients may suffer from constipation, diarrhea, increased flatulence and even vomiting. To eliminate the disease, both drug therapy and therapeutic nutrition are used. The diet for dysbacteriosis with constipation should be rich in fiber, which is found in vegetables and fruits. To improve intestinal peristalsis, it is recommended to eat bran, fermented milk products, and rhubarb compote.

Various fruit purees, dairy products and juices normalize the passage of feces through the intestines and eliminate constipation. Salads of boiled vegetables, especially with cabbage, beets and prunes, cope well with problems of defecation. In order for the diet to be effective, it is necessary to follow the diet. 5-6 meals a day and drinking 2 liters of liquid a day is the key to a healthy body and normal functioning of the digestive organs.

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Diet for dysbacteriosis in adults

Patients of all ages face such a problem as intestinal microflora imbalance. Pathology can be caused by improper nutrition or appear as a result of long-term treatment with antibacterial drugs and other medications. Diet for dysbacteriosis in adults is considered an effective and proven method for restoring normal functioning of the gastrointestinal tract and intestinal microflora.

Diet therapy is based on strict adherence to the diet. You can eat only permitted foods that have a beneficial effect on the digestion process. Let's consider the rules for making a diet for upset stomach in adults:

  • Avoid drinking any alcoholic beverages, soda, or store-bought juices with preservatives, as they have a detrimental effect on the functioning of the body.
  • The following are prohibited: fatty, spicy, smoked foods, as well as canned food, sausages, various spices and sauces. Fresh greens are excellent at fighting pathogenic microflora, so it is worth increasing their amount in the diet.
  • Limit consumption of baked goods and sweets. Dried fruits are allowed, if you have constipation, prunes and dried apricots will help cope with it. Fresh fruits, berries, compotes, fruit drinks, marshmallows, marmalade and jam are allowed during the diet.
  • The diet should contain a lot of protein foods (boiled meat and fish, low-fat cottage cheese, kefir). You should refuse white bread, and give preference to stale and semi-stale baked goods.
  • You should not drink water immediately after eating, as the liquid that gets into the stomach neutralizes the gastric juice. This complicates the process of digestion.

Along with diet, patients may be prescribed probiotics and prebiotics. These drugs improve bowel function and restore healthy flora.

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Diet for nursing mothers with dysbacteriosis

After childbirth, many women face such an unpleasant phenomenon as dysbacteriosis. To diagnose the disease, they take tests for microflora. But sometimes, even without tests, the appearance of characteristic symptoms indicates a disorder. The disease can appear due to various infections, endocrine and allergic diseases, lesions of the genitourinary system or gastrointestinal tract.

A diet for nursing mothers with dysbacteriosis is the only method to eliminate the ailment. This is due to the fact that during lactation, antibacterial therapy is undesirable, which can be prescribed to eliminate the underlying cause of stomach upset. Let's consider the main recommendations for compiling:

  • You need to stick to a diet, that is, eat 5-6 times a day in small portions. This will normalize the work of the gastrointestinal tract, speed up metabolism and have a beneficial effect on the entire body.
  • The basis of the diet should be cereals rich in fiber. Protein foods will be useful, for example, boiled meat and fish, egg whites, lentils.

  • The menu should include vegetables, fruits, berries and greens. It is recommended to steam, boil or bake vegetables. Fruits can be used to make various purees, compotes and fruit drinks.
  • Fresh bread should be avoided. It is better to eat yesterday's baked goods, pastries made from wholemeal flour and rye. You cannot eat cakes and pastries with cream fillings, as they will aggravate the symptoms of dysbacteriosis.
  • Don't forget about the drinking regime. It is better to drink 30-40 minutes before meals and 1-2 hours after. Do not drink liquids during meals, as this will dilute the gastric juice and worsen digestion.
  • Various spices, seasonings and sauces should be limited, as they irritate the mucous membrane of the gastrointestinal tract. Sauces should be prepared independently, for example, mayonnaise, ketchup. Artificial food additives can be replaced with fresh herbs and spices that are beneficial for the body.

In addition to the diet, women are prescribed gentle medications that eliminate pathogenic microorganisms and populate the body with beneficial bacteria. For this, Linex, Bifiform, Hilak-forte, Duphalac and medications with lactobacilli are used.

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Diet for dysbacteriosis in children

The child's body is not protected from various viruses and infections. It is children who most often suffer from intestinal microflora disorders. A diet for dysbacteriosis in children is prescribed by a pediatrician. The doctor is guided by the child's age and the causes of the ailment. During treatment, it is contraindicated to give the child any semi-finished products - store-bought cereals and food, juices, various purees. Dairy products will be useful, that is, natural yogurts without additives, kefirs. On their basis, you can cook cereals, for example, oatmeal, buckwheat or millet.

If symptoms characteristic of the disease appear in infants, then the best treatment is considered to be mother's milk. With its help, it is possible to restore healthy microflora in the intestines of the infant. To do this, the mother needs to eat right. Vegetables, fruits, greens, fermented milk and protein products, cereals will be useful. The diet should be diluted with healthy decoctions of chamomile, fennel, rose hips, dill.

If the disease occurs in older children, then salty, spicy and hot dishes should be excluded from the diet. Various smoked foods, fried foods, canned goods, sausages and, of course, sweets are prohibited. The children's menu should include boiled vegetables, cream soups, liquid and slimy porridges, fermented milk products and low-fat drinks. To normalize digestion and prevent constipation, the child can be given salads from boiled beets, baked apples, prunes and jelly. During the diet therapy, the child should be monitored by a pediatrician.

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Diet after dysbacteriosis

Both drug treatment and diet therapy are used to treat intestinal dysfunction. But after the restoration of natural microflora and normal functioning of the gastrointestinal tract, one should not forget about the rules of nutrition. A diet after dysbacteriosis prevents its relapses and is the basis of proper, that is, healthy nutrition.

  • After recovery, do not forget about the diet. Regular meals are a guarantee of normal stomach function. Overeating, especially various semi-finished products, is strictly prohibited.
  • You should not abuse alcohol or any alcoholic beverages, they have a negative impact on the functioning of the gastrointestinal tract.
  • Spicy, peppery, salty, fried and fatty foods are not recommended for consumption. Such food can provoke not only dysbacteriosis, but also liver dysfunction.
  • Don't forget about the drinking regime. You need to drink about 2 liters of liquid per day. You can drink 30-40 minutes before meals and an hour after. If you drink during meals, it will lead to flatulence and mild stomach problems.

The above recommendations do not have strict limitations. But anything that goes beyond them can provoke a relapse of the disease. Various violations of the diet during treatment can cause even more stomach upset, failure of the gallbladder and liver, nervousness, headaches and irritability. If the diet is followed according to all the rules, then diarrhea stops, normal stool is restored, heartburn, colic, flatulence and abdominal pain go away. Another plus of therapeutic nutrition is the health of the body and a slight weight loss of up to 3 kg.

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Diet menu for intestinal dysbacteriosis

To follow all treatment recommendations, you need to familiarize yourself with the list of permitted products and think through your diet. Let's consider an approximate diet menu for intestinal dysbacteriosis:

Monday

  • Breakfast: boiled potatoes with sour cream and herbs, rosehip infusion or green tea.
  • Snack: cottage cheese with honey.
  • Lunch: chicken pate, boiled beetroot salad.
  • Snack: tea with rusks made from yesterday's bread.
  • Dinner: boiled fish with rice soup.
  • Second dinner: yogurt.

Tuesday

  • Breakfast: wheat porridge with jam, green tea.
  • Snack: biscuits, compote or fruit drink.
  • Lunch: chicken broth soup, buckwheat with meatballs, boiled carrot salad.
  • Snack: baked apple with dried fruits.
  • Dinner: pumpkin puree with honey and raisins.
  • Second dinner: kefir.

Wednesday

  • Breakfast: oatmeal with milk, green tea.
  • Snack: crispbread with boiled beetroot and prune salad.
  • Lunch: borscht, mashed potatoes with steamed cutlets.
  • Snack: fruit juice, biscuits.
  • Dinner: fish soup.
  • Second dinner: yogurt.

Thursday

  • Breakfast: boiled wheat porridge with milk, green tea.
  • Snack: carrot salad with cheese and sour cream.
  • Lunch: pearl barley soup, boiled potatoes with sour cream.
  • Snack: tea with marshmallows.
  • Dinner: boiled egg, meatballs.
  • Second dinner: kefir with biscuit.

Friday

  • Breakfast: oatmeal with milk, green tea.
  • Snack: cottage cheese casserole with raisins.
  • Lunch: stewed cabbage with meat, pasta.
  • Snack: baked apple, compote.
  • Dinner: baked fish with cheese and baked vegetables.
  • Second dinner: yogurt.

Saturday

  • Breakfast: rosehip infusion, baked pumpkin with honey.
  • Snack: cottage cheese with sour cream.
  • Lunch: noodle soup, chicken cutlets, buckwheat porridge.
  • Snack: green tea, biscuits.
  • Dinner: protein casserole made from pasta and chicken.
  • Second dinner: a glass of kefir.

Sunday

  • Breakfast: buckwheat porridge with milk, tea.
  • Snack: boiled carrot salad with vegetable oil and walnuts.
  • Lunch: rice soup, rice with meatballs.
  • Snack: fruit puree, compote or fruit drink.
  • Dinner: baked eggplants with minced meat, lentil porridge.
  • Second dinner: kefir with biscuits.


When following such a menu, do not forget about the drinking regime. You need to drink up to 2 liters of purified water per day. Drink a glass of water half an hour before eating, this will prevent overeating. It is not recommended to drink during lunch, as this will dilute the gastric juice and worsen the symptoms of the disease.

Diet recipes for intestinal dysbacteriosis

In order for the therapeutic diet to be not only healthy but also varied, there are recipes for a diet for intestinal dysbacteriosis. Let's consider simple and tasty dishes:

  1. Kefir soup with vegetables
  • Low-fat kefir 1-1.5 l.
  • Carrot 1 pc.
  • Cucumber 2 pcs.
  • Dill.
  • Red bell pepper.
  • Salt, black pepper, garlic (minimum for taste).

Place the kefir in a saucepan, add spices and refrigerate. Wash the pepper, cucumber and carrot and cut into strips. Mix the vegetables with the kefir, pour into bowls and sprinkle with dill.

  1. Rice side dish
  • Rice 1 kg.
  • Beef or chicken 500 g.
  • Bell pepper 1 pc.
  • Carrot 1 pc.
  • Tomato 1 pc.
  • Eggplant 1 pc.
  • Butter 20 g.
  • Vegetable oil for frying vegetables.
  • Allowed spices to taste.

Cut the meat and put it in a frying pan with vegetable oil to stew. Wash all the vegetables, cut them and add them to the meat. Pour boiling water over the rice 2-3 times and rinse. Mix the vegetables with the meat, put the rice on top, pepper and salt. After 10 minutes, mix the vegetables with the rice, add butter, cover with a lid and simmer on low heat for 20 minutes.

  1. Meat pudding
  • Lean meat 200 g.
  • Egg 1 pc.
  • Semolina porridge 250 g.
  • Butter 20 g.

Grind the meat thoroughly using a blender or meat grinder, mix with semolina. Add a beaten egg to the resulting mince and put it in a frying pan greased with butter. Cook until done over medium heat. Serve with sour cream sauce with herbs.

  1. Apple pie
  • Rye flour or oatmeal 250 g.
  • Low-fat kefir or yogurt 200 ml.
  • Honey 50 g.
  • Butter 20 g.
  • Egg 1 pc.
  • Green apple (banana, raspberry, cherry) 2 pcs.
  • Cinnamon.
  • Breadcrumbs.

Melt the butter and mix with honey and egg. Gradually add kefir and flour to the resulting mixture. Mix the dough thoroughly, the consistency of which should resemble sour cream. Wash the apples, peel them and cut them into thin slices. Sprinkle the baking dish with breadcrumbs and pour in the dough. Place the apples on top of the dough and sprinkle with cinnamon. Bake the pie in a preheated oven for 30-40 minutes at 180 degrees.

  1. Vitamin Smoothie
  • Low-fat kefir 500 ml.
  • Cottage cheese 50 g.
  • Dill.
  • Spices to taste.

Using a blender, mix the kefir with the cottage cheese, add finely chopped dill and spices. Mix well again and cool.

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What can you eat if you have intestinal dysbacteriosis?

During the treatment of any disease, special attention is paid to nutrition. Knowing what you can eat with intestinal dysbacteriosis, there is every chance to quickly restore the natural microflora. The basis of the diet should be mucous and boiled food with a minimum amount of salt and spices. It is better to steam, boil or stew. You will have to give up fried food with the addition of vegetable and animal fats.

Allowed products:

  • Cereals, especially white rice porridge.
  • Lean meats and fish (steamed, baked or boiled).
  • Broths.
  • Fresh vegetables and herbs.
  • Fresh fruits and berries, nuts.
  • Dairy products and fermented milk drinks with low fat content.
  • Honey.
  • Yesterday's bread, unleavened pastries and bakery products made from rye flour.
  • Kissels, fruit drinks, natural juices, herbal infusions.

If the list of permitted products includes those to which the patient is allergic or intolerant, the doctor prescribes a replacement with equivalent nutritional value.

What should you not eat if you have intestinal dysbacteriosis?

Most of the prohibited products for digestive dysfunction are also contraindicated for other diseases. Let's consider what you can't eat with intestinal dysbacteriosis:

  • Fried, fatty, spicy and smoked.
  • Alcohol.
  • Various spices, pepper, vinegar, hot sauces.
  • Canned goods, sausages, pickles.
  • Onions, garlic, mushrooms.
  • Bran.
  • Seafood.
  • Baked goods made from yeast bread.
  • Sour varieties of berries and fruits.

After recovery, that is, restoration of microflora, these products should be introduced into the diet gradually. If there are chronic gastrointestinal diseases and a predisposition to their development, then it is worthwhile to continue to refuse these products in order not to cause an attack of the disease.


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