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Klebsiella infection is a common disease caused by pathogenic microorganisms. Depending on a person’s immunity, the disease can manifest itself either in a mild form of an infectious disease or in a severe septic form.

The disease got its name because pathogenic microorganism- Klebsiella from the family Enterobacteriaceae, which is the causative agent of a dangerous infection. The microbe was first discovered by the German scientist E. Klebs.

Klebsiella are small, non-motile gram-negative rods that can be arranged either in pairs or in the form of a chain. These microorganisms have the ability to reproduce in the complete absence of oxygen. Klebsiella forms a single capsule that is resistant to the environment.

The source of a dangerous infection is a person infected with Klebsiella disease. Klebsiella enters the body when elementary rules hygiene, for example, unwashed hands, dirty fruit. Most often, the microorganism lives in milk, vegetables and meat products. Airborne transmission is also possible(for example, through a cough), which occurs if an infected person has pneumonia.

Everyone is susceptible to Klebsiella infection. However Infants, newborns, and elderly people with immunodeficiency are at risk. Besides, the disease often occurs in people suffering chronic alcoholism, diabetes and oncology. This may include those people who have recently undergone organ or tissue transplantation.

As a result of entering the human body, dangerous Klebsiella produces several harmful toxins, causing a blow to health:

endotoxin, causing an infectious-toxic reaction, which manifests itself in the form of fever.
heat-stable enterotoxin, capable of infecting the intestinal epithelium. Its effect leads to loose stools.
membranotoxin, affecting the cells of the body.

Symptoms of the disease

More often, Klebsiella in children has symptoms similar to a common intestinal infection. First, there is a sharp increase in temperature, nausea and vomiting, severe abdominal pain, as a rule, symptoms are accompanied by upset stool. The disease can last for a couple of days or more than five days.

Sometimes Klebsiella in a child becomes severe. In this case, pneumonia develops, conjunctivitis appears, and sometimes even the lining of the brain becomes infected.. Klebsiella disease can also cause wounds on the patient’s body to fester.

Diagnosis is confirmed by culture of urine, stool and blood. Additionally, food products are examined, as well as the place where they were prepared for the presence of harmful microorganisms.

Features of the course of infection in children under one year of age

IN early age, the child’s immune system is quite weak, as a result of which the body is not protected from pathogens. If infected, there is a possibility of developing a severe form of the disease. Dysbacteriosis often occurs in children due to the fact that the number of Klebsiella in the intestines sharply increases in the body.

Klebsiella in newborns may not be accompanied by the symptoms discussed above, but most often various dyspeptic symptoms occur, such as: frequent belching, weight loss, stool disorders.

If such symptoms appear in newborns, parents should immediately contact their pediatrician. Remember that timely treatment will avoid serious complications. Under no circumstances should you self-medicate!

The disease has the same symptoms as a number of other diseases. Therefore, even the most experienced doctor will not be able to make a correct diagnosis without conducting additional research. If the diagnosis is confirmed, the newborn will be prescribed certain medications that will help defeat the infection.

Diagnosis of infection

Only a clinical diagnosis can be made in advance., since the disease has no specific symptoms. A final diagnosis can be made only after a laboratory examination of urine, bile, nasopharyngeal mucus, sputum and feces. It is not at all necessary to submit all biological material. Typically, the attending physician informs the patient about the need to undergo only a few tests.

There are several research methods:

Bacterioscopy. When examining the material, characteristic gram-negative rods are observed. They can be located either singly or combined in pairs, and also form chains.
Bacteriological method. The material taken from the patient is inoculated onto different nutrient media. Then the growing colonies of microbes are examined. After a day, it is possible to obtain a strain of yellow-green microorganisms with a characteristic metallic luster.
Serological method. In this case, the reaction of RA and RNGA is carried out with the serum of blood taken from the patient. This method is extremely rare and is used only in special cases.
Additional Methods. These include analysis of the patient’s urine and blood, as well as a coprogram.

Treatment

Usually, How to treat Klebsiella is determined by the severity of the disease. In milder cases (if the increase in colonies of harmful microbes is insignificant), an outpatient course of complex treatment is recommended. A number of bacteriophages and probiotics are used to get rid of infection. Let's take a closer look at each of the categories.

Bacteriophages. They should be taken three times a day before meals. The dose size depends solely on the age of the patient. A child under 6 months should take 5 ml of bacteriophages, from 6 months to 1 year - 10 ml, a child under three years old - 15 ml, up to 8 years old - 20 ml, over 8 years old - 30 ml. If the patient does not take the medicine well, an additional enema may be prescribed (done once a day). The duration of the treatment period is determined by the attending physician and usually varies from 5 to 10 days.

Probiotics. There are many various types probiotics. Among them: bifilong, biovestin, bifiform, linnex and a number of others. They are prescribed for at least 10 days, and most often for 2-3 weeks. Probiotics should be taken 2-3 times a day before meals. Depending on the type of drug, different single doses are prescribed.

If the disease is more severe, then different treatment tactics are used.

Firstly, hospitalize the patient in the hospital R. During the manifestation of fever, the patient must remain in bed. In this case, the doctor should advise him on a diet. The patient needs to drink plenty of fluids so that the period of intoxication takes as little time as possible.

Secondly, the patient etotropic therapy is prescribed, and he is prescribed several antibacterial drugs. First, materials are taken from the patient for testing in the laboratory. While the results are unknown, empirical therapy is prescribed. It means treatment with the prescription of drugs with various microorganisms. After the results of the study become available, the patient is given a drug that directly affects Klebsiella. In each individual case, different antibiotics may be prescribed; new strains of dangerous microbes must not be allowed to form. The most commonly used are third and fourth generation cephalsporins, tetracyclines, and fluoroquinolones.

The next stage of treatment is pathogenetic therapy. Thanks to it, it is possible to reduce the manifestation of fever, suppress intoxication, and also prevent possible complications.

IN last resort the doctor prescribes syndromic therapy. The patient is prescribed probiotics and expectorants.

Prevention of infection

How to reduce the risk of infection to zero? For Klebsiella, all the prevention methods characteristic of standard intestinal infections are suitable.. These rules are very simple. Before eating, you must wash your hands; your child’s toys should be treated with a special solution to remove dirt and harmful germs. In addition, it is worth following the food preparation regime and observing all basic hygiene rules..

IN normal conditions, the growth of Klebsiella strains can be easily controlled by the child’s intestinal microflora. Therefore, no antibiotics are needed in this case.

It is not at all necessary to conduct laboratory tests “for the presence of dysbacteriosis” in a child’s feces at an early age. Sometimes this procedure is even harmful, since parents begin to demand from doctors treatment that is not necessary at all. After all The baby’s body can cope with harmful microbes on its own. Some parents are persistent and force doctors to prescribe various drugs that negatively affect the intestinal microflora of the newborn. As a result, the baby may develop real problems with health, diarrhea and constipation, a sharp weakening of the immune system and the occurrence of anemia may occur. And this is all due to parents’ excessive concern about the health of their child. Of course, you need to take care of the baby, but this can be done without any medications, following simple rules.

To ensure that the child is not infected, it is necessary to provide timely breastfeeding, correctly introduce complementary foods, and additionally feed the child with various fermented milk products, which contain many beneficial fermented milk bacteria.

With a healthy microflora, millions of microorganisms are located on the walls of the human intestine. Thus, they provide protection to the body from the action of harmful bacteria.

Refers to microorganisms of the opportunistic type. That is, the presence of a certain number of them in the body does not cause harm, but their active reproduction can provoke various infectious diseases or other complications.

Therefore, every person should know what kind of disease this is and how to treat Klebsiella in an adult.

Klebsiella are rod-shaped microorganisms. They are stationary and are located either one at a time or in pairs. In some cases, these bacteria can form a kind of chain.

These retain their ability to live both in oxygen and in its absence. Their vital capacity persists in soil, dust, water or food.

Klebsiella bacteria are part of the intestinal microflora. The normal level of bacteria in feces is 105 pcs./1 g.

The activation of bacteria and their active reproduction begins with a decrease in the body’s immune defense.

Infection with these bacteria can occur in three ways:

fecal-oral – this is how bacteria spread in medical institutions;
contact and household – in case of non-compliance with personal hygiene rules;
food - infection occurs when eating insufficiently processed or washed food.

Important! A patient with acute pneumonia can infect people around him through airborne droplets.

Symptoms

The incubation period for this disease is quite short and ranges from several hours to one day.
After the incubation period has passed, quite pronounced symptoms appear. They vary depending on the location of the bacteria.

When the lungs are affected, a person develops, which is manifested by the following symptoms:

The development of infection in the upper respiratory tract and on the mucous membranes of the nasal cavity appears with the following symptoms:

Rhinoscleroma develops - granulomas form on the epithelium of the upper respiratory tract and nose. As a result, a person’s nose is stuffy and a mucopurulent discharge with a characteristic odor appears.

A chronic form of disease of the nasopharynx and trachea develops - in this case the epithelium and bones of the nose atrophy, a specific purulent type secretion appears and bad smell. Crusts form on the surface of the epithelium lining the nasopharynx. The patient also experiences a sore throat and cough with mucus.

If so, then the symptoms are as follows:

symptoms of an acute form of gastritis appear - pain occurs in the abdomen, the patient is bothered by attacks of nausea, appetite decreases and heartburn develops;
acute enteritis or enterocolitis develops;
body temperature rises;
the patient is concerned about loose stools, in which particles of blood or mucus can be detected.

When, the following symptoms appear:

the patient becomes uncontrollably irritable;
pyelonephritis, cystitis or prostatitis develops;
there is pain during urination;
lower abdomen hurts;
urine is emitted in small portions.

Important! When the microbe is destroyed, endotoxin is formed, which provokes infectious and toxic reactions.

In addition to this substance, the breakdown of bacteria also releases a heat-stable enterotoxin, which affects the intestinal mucous membranes, and a membrane toxin, which affects healthy cells.

Complications without treatment

The development of the disease in the body depends entirely on the state of the immune defense. If a person’s immunity is strong, then the infection will pass in a fairly mild form. This course of the disease responds well to treatment.

In severe cases of the disease and in the absence of proper treatment, bacteria can provoke the development of a number of serious complications:

conjunctivitis;
intestinal infections in various forms;
sinusitis;
the respiratory system is affected;
severe forms of runny nose develop;
meningitis;
Various pathologies develop in the genitourinary system.

If you do not carry out therapy to eliminate Klebsiella pneumonia, the infection spreads and sepsis develops in the body.

Methods of treating the disease

Patients often ask the question: ? Therapy to get rid of Klebsiella varies according to the severity of the symptoms.

If the damage to the gastrointestinal tract is weak, the symptoms are mild, and the number of bacteria in the urine is small, then certain drugs are prescribed in combination for self-administration at home. In this case, various bacteriophages And probiotics.

If the disease is severe, the infected person is hospitalized. The first few days he is provided a large number of warm drinks and bed rest.

It is mandatory for an infected person to undergo tests to be examined in a laboratory. Based on the test results, the doctor will be able to prescribe the correct treatment.

When treating a disease with bacteriophages, a dosage regimen is used– adults take 30 ml of the drug before meals three times a day.

The duration of the course of taking the drug is determined by the doctor individually for each patient. On average, treatment lasts from ten to fourteen days.

In special cases, when Klebsiella is diagnosed, treatment in adults is carried out with specific therapy. In this case, antibiotics are used from various groups:semisynthetic penicillins, tetracyclines, fluoroquinolones.

Important! Therapy to eliminate microbes is sometimes complemented by actions that correct impaired organ functions and normalize metabolism - pathogenetic therapy.

Its essence is to reduce fever syndrome and intoxication of the body. Also, these measures are preventive to prevent the development of complications.

Summary

Klebsiella bacteria are opportunistic microorganisms in the human body. Although their numbers are small, they do not cause any harm to the body. If for some reason they begin to actively multiply, then they develop in the body various processes inflammation.

If you have a question about how to cure Klebsiella, you should contact an experienced specialist. Because treatment of the disease should only be carried out under the supervision of a doctor.

Prevention of the disease includes instilling in children the rules of personal hygiene and timely implementation of measures for the treatment of chronic infections.

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Klebsiella is a terrible bacterium that settles in human body

Klebsiella is an opportunistic microorganism from the Enterobacteriaceae family. The microorganism is capable of causing infectious diseases various types, as well as severe septic manifestations, the severity of the consequences of Klebsiella depends on the state of the immune system in a particular patient.

What is Klebsiella

Klebsiella is a gram-negative rod at the microbiological level (Gram staining does not provide specific violet shade), microorganisms have dimensions of 1.0 x 6.0 microns. The rods are motionless, can be located either alone or in pairs, in addition, Klebsiella are often arranged in a chain.

Klebsiella belongs to the class of facultative anaerobes; these organisms have the ability to reproduce in the absence of oxygen, but even in the presence of oxygen they do not lose their viability. They have O-antigens and K-antigens, which is why they differ within the genus.

Under normal physiological conditions, Klebsiella is not something pathological - the microorganism is part of the normal flora of the digestive system, as well as the intestines. For example, the rate of bacteria content in feces should not be more than 105 microbial cells per gram of feces. In addition to the intestines, such a microorganism may be present in small quantities on the skin and mucous membrane of the respiratory tract. Klebsiella retains its viability in soil, dust, water, food products; the microorganism even has the ability to multiply in products that are in the refrigerator.

Causes of infection

The source of infection in adults and children is the person himself, already infected with Klebsiella infection. The bacillus enters the intestines due to poor hygiene, dirty hands, eating dirty fruits and vegetables - all these are possibilities for infection with Klebsiella. Transmission factors are food, most often dairy and meat products, fruits and vegetables.

If a patient has pneumonia, he can infect others through airborne droplets. Susceptibility to infection is universal, but there is a risk group that includes:

Newborns and infants.
Elderly people with immunodeficiency.
Patients with diseases such as diabetes, blood diseases, and cancer.
Patients after tissue and organ transplantation.
Patients suffering from chronic alcoholism.

In the human intestine, Klebsiella produces endotoxin, the formation of which occurs as a result of the destruction of the microbe, this is main reason the occurrence of an infectious-toxic type reaction.

In addition to endotoxin, the microorganism produces heat-stable enterotoxin and membranotoxin, the first causes damage to the intestinal mucosa and loose, watery stools, the second has hemolytic activity and affects cells.

Symptoms of infection

After infection with an infectious microorganism, an incubation period begins, the duration of which can last for several hours or several days. Upon completion, Klebsiella makes itself felt with quite striking symptoms, which manifest themselves depending on the location of the lesion.

If lung damage occurs (klebsiella pneumonia), the patient may experience symptoms:

Sweating, chills, weakness.
Fever, temperature fluctuates between 37.5 and 39 degrees.
A dry cough, which is replaced by purulent sputum mixed with blood and an unpleasant odor.
Severe shortness of breath.
Decreased breathing on the inflamed side is detected by listening to the lungs. Wet and dry wheezing, percussion sound becomes dull when tapped.
X-ray examination reveals a tendency to merge foci of infiltration in the lobes of the lungs.

If you treat Klebsiella pneumonia on time, the chances of recovery are quite high, but in the absence of timely treatment, the infection spreads and sepsis develops.

If Klebsiella affects the upper respiratory tract and nasal mucosa, the following symptoms are noted:

The development of rhinoscleroma is the formation of granulomas on the lining of the upper respiratory tract and nose. Microorganisms are localized in the granulomas themselves, which provokes nasal congestion and copious mucopurulent discharge with a specific odor.
The development of a chronic disease of the nasopharynx and trachea is characterized by atrophy of the nasal mucosa and nasal bones, discharge of purulent secretions, fetid odor, crusts on the surface of the mucous membrane, sore throat, cough with mucus.

What symptoms are found when the gastrointestinal tract is damaged:

Manifestations of acute gastritis are pain in the abdomen, attacks of nausea, decreased appetite, heartburn.
Development of acute enteritis or enterocolitis with intestinal damage.
Body temperature of varying severity.
Loose stools, blood and mucus may be present in the stool, all this is accompanied by a foul odor.

If a microorganism is present in the urine, symptoms such as:

Uncontrolled irritability.
The development of pyelonephritis, and bacteria in the urine provoke cystitis and prostatitis.

If Klebsiella is in the urine, there may be pain when urinating, and there is a dull pain in the lower abdomen. Also, bacteria in the urine causes you to urinate in small amounts.

Complications with Klebsiella

With severe manifestations of infection, such as pneumonia and sepsis, serious complications often develop:

Infectious-toxic shock.
Pulmonary edema.
Brain swelling.
Hemorrhagic syndrome.

After suffering from Klebsiella, the immune system is significantly weakened, and a relapse may occur.

Diagnostics

After detecting symptoms of Klebsiella, diagnosis is necessary. In addition to collecting anamnesis, diagnostic measures include laboratory tests, which consist of detecting a microorganism in feces, urine, sputum, oral cavity, nasopharyngeal mucus, cerebrospinal fluid, and bile. The choice of material for research depends on clinical manifestations diseases.

Research methods:

Bacterioscopy – Gram staining.
Sowing material on nutrient media.
Serological methods.

Additional tests may be performed to detect bacteria in the blood, urine, and the patient may be prescribed a coprogram.

Treatment of Klebsiella

After diagnosis, the doctor determines how to treat the infection. Treatment tactics depend on the form of the disease and the severity of its manifestation. If the intestines have been affected by Klebsiella and the infection is mild, outpatient treatment is prescribed using bacteriophages and probiotics.

Klebsiella should be treated with bacteriophages as follows: take the drugs before meals 3 times a day. Single doses: for children up to six months – 5 milliliters, for children from 6 months to 1 year – 10 milliliters, for children one to three years old – 15 ml, for children three to seven years old – 20 ml, for children from 8 years old and for adults – 30 ml.

Klebsiella can be treated with probiotics such as Probifor, Bifidumbacterin, Acipol, Bifiform, Acylact, Linnex, Bifilong, Primadofilus, Biovestin. The course of treatment should last at least ten days, optimal treatment will take 14-21 days. The doctor prescribes the dosage individually.

If Klebsiella affects other systems, as well as with severe manifestations of the infection, it must be treated in a hospital setting. During the period of fever, bed rest is prescribed, as well as a special diet and plenty of drinking water in case of intoxication.

The patient may be prescribed etiotropic therapy using antibacterial drugs; semisynthetic penicillins, aminoglycosides, cephalosporins, tetracyclines are used; in some cases, fluoroquinolones can be taken.

Treatment of Klebsiella can be supplemented with pathogenetic therapy, the effect of which is to reduce the febrile syndrome and intoxication, as well as to prevent the development of possible complications.

Preventive measures to prevent the development of Klebsiella infection come down to hygienic education of children, timely treatment of chronic infections and diseases, as well as strengthening the immune system. Be healthy!

The intestinal microflora is rich a huge amount various microorganisms and bacteria. There are entire colonies of them in the intestines. One of the representatives of this environment is. It belongs to the rod-shaped bacilli and is found in every human body. Small amounts of this bacterium do not in any way affect a person’s standing, but its higher than normal levels indicate that a person is at risk from a number of diseases developing within him.

Klebsiella, what is it?

These bacteria belong to the opportunistic microflora. They live quietly inside a person and on his body, and there is no harm from them. Active reproduction of Klebsiella begins if the body weakens due to some serious disease. They are absolutely immovable, protected from various irritating factors and possible temperature changes with a special dense shell. Thanks to this shell, the bacilli are not afraid of ultraviolet radiation and disinfectants. Therefore they long time can exist in dusty environments, water, soil and even on food products.

The Klebsiella bacterium can manifest itself anywhere - in the intestines, digestive organs, upper respiratory tract, genitourinary system, etc. It is found on people's skin, in their urine and feces, and on the mucous membrane of the upper respiratory tract.

What danger does Klebsiella pose?

A person's immunity can decline for many reasons. As a result, bacteria begin to multiply rapidly. As a result, there are:

Pneumonia of the respiratory tract;
Problems with the gastrointestinal tract;
Diseases of the genitourinary system.

Other organs may also be susceptible to disease. The Klebsiella bacterium can reach the cerebral cortex and joints. This disease It is scary because it can result in sepsis, which in turn sometimes ends in death.

Who can become infected with the Klebsiella bacterium?

This disease is dangerous for all people. But it poses a particular danger to newborns and infants, the elderly and people suffering from chronic diseases and alcoholism.

Currently, Klebsiella infections are observed much more often. This is caused by frequent use of antibiotics. In this regard, an imbalance of microorganisms occurs. The body's immunity to many types of bacteria is noticeably reduced.

How is Klebsiella transmitted?

There are three ways of transmitting this disease:

Fecal-oral. Often in hospitals, the bacterium is transmitted through equipment, the hands of health workers and an infected patient;
Contact and household;
Food.

People can become infected through food that has not been properly processed. Klebsiella can be found on fruits, milk and meat.

The baby becomes infected through complementary feeding in the maternity hospital. Children are most susceptible to infection with this bacillus. The risk of infection is greatest for premature and weakened babies. Sometimes all newborn children in the maternity hospital become infected. The same fate may befall the intensive care unit, surgery and urology departments.

Infectious Klebsiella is spread by an infected person. In infectious pneumonia, bacteria are transmitted by air and fluid released when a sick person coughs and sneezes.

You can become infected with the disease if you neglect the rules of personal hygiene. In these cases, the bacterium enters directly into the digestive tract, where it develops and multiplies at high speed.

Symptoms of Klebsiella in an adult.

In order for a diagnosis to be made correctly, a person needs to undergo a series of laboratory tests. Most often, this bacterium is present in the stool of an adult. The incubation period of this disease is very short, 1-3 days. After such a short period of time, adults begin to experience the following symptoms:

Body temperature rises, sometimes it can reach up to 40 degrees;
Diarrhea;
Not constant pain, in the form of contractions in abdominal cavity person.

What is characteristic of Klebsiella is that it progresses and manifests itself in new qualities in the shortest possible time. The patient's stool becomes liquid and foul-smelling. It contains mucus and blood impurities that are visible to the naked eye.

When bacteria enter the human respiratory tract, the picture of symptoms changes somewhat. An adult is immediately diagnosed with pneumonia. Against the background of this disease, the following symptoms emerge:

The temperature rises and lasts for about 10 days;
Shortness of breath appears;
The body is exhausted, with obvious signs of loss of strength;
There is pain in the chest;
A severe cough appears.

If the Klebsiella bacterium is present in the genitourinary system, the body is bothered by the following symptoms:

The temperature rises;
Nausea appears;
There is a loss of strength;
Pain in the lower back and lower abdomen.

Klebsiella is detected in the urine. It is extremely undesirable to ignore the disease and refuse medications; this can be fraught with pyelonephritis.

Symptoms of the presence of Klebsiella in infants.

The presence of Klebsiella bacteria in the urine of young children should immediately alert both medical staff and parents. The danger increases if such tests are accompanied by the following symptoms:

The baby's stool has a liquid consistency, smells unpleasant of sour milk and contains mucus impurities;
The child constantly spits up;
Colic develops;
The temperature rises;
Flatulence often occurs;
The child develops a fever;
The baby develops pain in the abdomen.

The bacterium is found extremely rarely in the urine of children. If this does happen, there is no need to panic right away. There are two possible answers to this question - either the baby really has this disease, or the microorganism got into the sample by some wild accident. For a final verdict and a correct diagnosis, it is better to repeat the child’s urine test. At the slightest sign of an increase in the baby's temperature, pyelonephritis should be ruled out. After all the research and comparison of data, if the diagnosis is confirmed, treatment is prescribed by the attending physician.

How to treat Klebsiella?

In order to make it easier for a doctor to select treatment for a patient with Klebsiella, he needs to know the severity of the disease, the general picture and the personal characteristics of the human body.

With minor lesions of the gastrointestinal tract and mild symptoms, this problem can be treated at home. If there is a slight increase in bacterial standards in urine and stool tests, it is enough for the patient to drink probiotics along with bacteriophage preparations.

In severe cases of infection, the patient should be immediately hospitalized in a hospital to avoid possible infection of persons in contact with him. Already under the strict supervision and control of doctors, the patient’s fever drops and the general symptoms of intoxication are relieved.

There are special tests that help the doctor determine the reaction of bacteria to antibiotics. After this, the doctor prescribes one of the drugs:

Tetracycline;
Aminoglycoside;
Penicillin.

This disease is alleviated with the help of pathogenic therapy.

After all the symptoms pass, the Klebsiella bacteria in the body becomes within normal limits, the doctor prescribes probiotics, enzymes and multivitamins in order to normalize the intestinal microflora and strengthen the body.

Diet for Klebsiella.

It is possible to restore the functioning of the gastrointestinal tract, but you should follow some tips and rules:

Exclude pickles, smoked foods, fatty and fried foods and pickled vegetables from food.
It is not advisable to drink water during or after meals.
Include rosehip decoction, jelly and teas in your diet. It is advisable to drink them 30 minutes before meals and 2 hours after it.
Eliminate all sweets and fresh baked goods from your diet. It is better to replace fresh baked goods with stale and bran bread.
The diet should contain more protein foods and fermented milk products.
It is healthy to eat stewed vegetables and sprouted wheat sprouts.
It is advisable to accustom yourself to fractional meals. You need to eat little by little and more often. It is better to divide food into small portions 5-6 times a day.

You can resort to herbal medicine during treatment. But this should be done strictly under the supervision of the attending physician.