PancreatitisA whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - one of the manifestations is pain syndrome.
To relieve pain and prevent recurrences,proper diet is important. . .
Pancreatitis is divided into chronic and acute, you need to choose the right food depending on the nature of the disease.
In acute or chronic pancreatic disease, pancreatitis is diagnosed because of:
- Eating disorder.
- Consume fatty / spicy foods daily.
- Chronic alcoholism.
- Biliary tract diseases, including cholecystitis, gallstone disease.
- Peptic ulcer.
With exacerbation of inflammation of the pancreassurgery is required (opening of the lining of the pancreas) in case of a small effect of medication, fasting, removal of food debris from the stomach.
Chronic inflammation of the pancreasexacerbation of overconsumption, alcoholism, glucocorticoid hormones, estrogens, long-term use of drugs in the background of the patient's liver (in which a special diet should be followed) and gallbladder, which are quite common in adults. At the end of pregnancy, with the increase in abdominal pressure in women, pancreatitis can develop.
Diet for 10 days in case of acute pancreatitis
It is the goal of nutritional therapy for acute pancreatitis-remove swelling, inflammation, and infection from the pancreatic duct.
To do this, the hospital uses medication with enzyme preparations, antispasmodics and several days of complete fasting to avoid the use of surgical surgery.
Hunger is necessary to suspend the production of gastric and pancreatic juice, to reduce enzyme activity due to lack of food in the esophagus. During this time, the gland is restored.
They get rid of hunger for 2-3-4 days, they try to eat for a day:
- dried wheat bread or loaf (non-sticky) - 50 g / day;
- jellies, fruit drinks (better to cook them from blueberries or blackcurrants);
- continue to drink at least 2. 5 liters of liquid, including currant or blueberry juice with mineral water (2: 1) without gas, and various decoctions (such as rosehips).
If symptoms of acute pancreatitis do not recur, add to the diet for 3-5 days:
- salty glutinous rice or oat soup;
- liquid mashed potatoes without oil;
- semi-liquid jelly or jelly juice;
- liquid cereals: oatmeal, semolina, buckwheat, rice (everything is made in water or milk, everything has to be minced or shredded);
- biscuit;
- dried bread.
You can eat for 6-8 days:
- steam omelette made from proteins
- souffle made from fat-free cottage cheese;
- steamed meat (necessarily chopped or grated through a meat grinder / blender)
- slimy cereal soups;
- jelly or foam from apples, grated berries without skin;
- vegetable puree (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
- vegetable pudding (steamed);
You can add liquids - green or black tea (weak), you can add sugar or honey - 1 teaspoon each, or tea with milk, beet juice, 50 ml / day of mineral water.
The caloric content increases to 1000 calories per day, up to 50 g - proteins, 250 g - carbohydrates, up to 10 g / day - fats. At night, drink a glass of water with honey, raisins (1 teaspoon), prunes (2-3 pcs. ) Or yogurt to eliminate constipation.
From the 10th day after the attack, you can increase your calorie content to more than 1, 000 calories per day, up to a maximum of 300 grams. - carbohydrates, not exceeding 60 gr. proteins, up to 20 g / day - fats. They continue to eat pasty unsalted food.
Sample menu
Below is a multi-day menu, a similar diet can be prepared independently based on the list of permitted products.
| Days | To eat | Approximate diet menu for pancreatitis |
| One day | Breakfast | Groats or rice (on water) - 150 gr. , Fruits: orange or apple. Green tea (not strong) can be with honey (1 teaspoon) |
| Late breakfast | Pumpkin puree - 50 gr. Stewed chicken breast or fish slices. Rosehip drink (the recipe is below), honey - 1 teaspoon. | |
| Dinner | Vegetable soup with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread with croutons. As a dessert, you can bake apples with honey in the oven, always without peel. | |
| Snack | Tea with honey and a little cottage cheese (1% fat) | |
| Dinner | Protein steam omlt 3 eggs on white bread croutons. Puree of allowed vegetables - 150 gr. , | |
| Before sleep | Boiled water - 1 cup honey - 1 tsp. or cottage cheese. | |
| 2 days | Breakfast | Oatmeal porridge with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Grated apples with soft cottage cheese | |
| Dinner | Pumpkin or cauliflower puree soup. Minced chicken dumplings | |
| Snack | Green tea 1-2 slices of dry, unsweetened cookie | |
| Dinner | Rice-cottage cheese pudding -150 gr. Tea or jelly | |
| Before sleep | Rosehip decoction - 1 cup | |
| 3 days | Breakfast | Liquid rice - 150 g. Green, non-strong tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Carrot, cauliflower, potato, meatball soup. Got dried fruit compote | |
| Snack | Cottage cheese - 100 g, green tea | |
| Dinner | Cooked or fried low fat fish | |
| Before sleep | Milk tea or kefir |
Food recipes
Can be usedafter an acute attack of inflammation of the pancreasdiet number 5pand observe throughout the year. They eat pureed food, without salt the proteins can grow - up to 100 grams or up to 40 grams. - fats, not exceeding 450 gr. - carbohydrates. Be sure to follow your doctor's recommendations and procedures.
Rosehip Drink Recipe:
The broth will require 0. 5 kg of dried rosehips and 4 liters of water. Rinse the rosehips, add water, put the drink for infusion for 4 days. The infusion does not need to be cooked, the rosehips should be administered at room temperature with water. This drink contains vitamin C.Attention!as the drink is sour, consult your doctor before taking it.
Puree fish soup:
For the soup is useful 0, 5 kg of fish (it is advisable to buy boneless fillets, cod, pike, perch), 1, 5 liters of water or vegetable soup, 50 ml. milk, 1 teaspoon. butter.
Cut the fish, pour water or broth into a pan, cook until soft. Remove the fish from the pan, chop with a blender. Heat a little milk in a pan and add butter as soon as the butter melts, add broth, bring to a boil but do not boil. Add fish, cook over low heat for a few minutes. You can only add salt if your doctor has approved it!
Forbiddenfor acute pancreatitis use:
- alcohol;
- eat fatty or fried;
- Eat any fatty or puffy food such as legumes, bran, cabbage, turnips, rutabagas, fruit and vegetable peels, unripe fruits, berries or vegetables;
- carbonated drinks with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Immediately after lunch, chronic pancreatitis attacks can occur, with a menu of hard-boiled eggs, cakes, raw fruits, vegetables, juice, cold soft drinks, chocolate, milk, or ice cream. The constant companions of the disease manifest themselves every time: bloating, bloating, or a feeling of heaviness, a lot that is "stuck in the lower chest, " intermittent vomiting.
Against the background of chronic inflammation of the pancreas, diabetes mellitus can easily develop and progress, which is also a serious disease in which you must follow a strict diet.
The diet for chronic pancreatitis may include:
- wheat bread biscuits (the bread itself can be dried);
- vegetable soups (pumpkin, potato, zucchini or carrot for the best soups);
- cereal soups (semolina, oatmeal, buckwheat or rice);
- meat - beef or veal, chicken, rabbit. It is better to stew, bake or cook.
- steam omelette made of eggs (2-3 pieces).
- low-fat fish: flatfish, pollack, cod, perch, pikeperch, hake, perch or pike;
- cottage cheese (not salted): fresh or prepared in pudding;
- cheeses - choose low-fat, unsalted varieties;
- you can use butter or sunflower oil in food or while cooking -10-15 gr.
- sour cream, kefir (low fat only);
- porridge - rice, pearl barley, oatmeal, buckwheat, pasta (their consistency should be liquid or semi-liquid);
- vegetable purees / stews (remember that cabbage and tomatoes cannot be added), vegetables can be simply cooked or fried;
- fruit foams / gels, dried fruit compotes (apricots, pears, apples)
- fruit (only roasted or grated without skin)
- dietary puree and canned puree for baby or dietetic food;
- multivitamins and mineral preparations.
Menu for the day
| To eat | Approximate diet menu for pancreatitis |
| Breakfast | Stewed meat (chicken or beef). Rosehip tea or decoction |
| Lunch | Oatmeal with milk. Infusion of soup or rosehip |
| Dinner | Carrot and puree soup. Steamed fish. Tea |
| Snack | 1 bottle of baby food |
| Dinner | Vegetable zucchini with roasted carrots. A piece of boiled chicken. Dried fruit compote |
| Night | A glass of kefir |
You should not eat foods that stimulate pancreatic secretion:
- meat, fish, fatty breeds of poultry, forget smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish soups (including soups and sauces);
- cabbage soup, beets, and cold soups (such as cold soup or okroshka);
- milk soups;
- fish, meat in fried, smoked, salted or canned foods;
- high fat dairy products;
- eggs - do not eat fried or hard-boiled eggs;
- any beans, white cabbage, eggplant, turnips, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
- bakery products, fresh bread, sweets, flour, chocolate, other confectionery;
- black coffee, cocoa, carbonated drinks.
In case of pancreatitis with endocrine dysfunctionexclude jam, sugar, and honey as they have no therapeutic effect while they refer to carbohydrates.
In the event of an asymptomatic course of the disease or the presence of mild symptoms, the list of prohibited foods / products will be gradually reduced to the category of products that are only limited but cannot be completely excluded.
Recipes
Vegetable puree soup:
For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables should be washed and cut into cubes. Pour vegetables into a pan with water (1-1, 5 liters), cook until soft. Drain and puree in a blender.
Fish souffle:
To prepare the necessary food: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the protein from the yolk), a piece of butter (20 g). Boil the fish in water, condemn, scroll through a mincer, or chop finely.
Mix the milk and flour (preheat the flour in a pan until it turns slightly yellowish) to get a slightly thick milk "sauce". Now we start mixing: fish, egg yolk, milk sauce, butter (if your doctor allows it, you can salt it).
The whites are beaten separately into a thick foam. Add to the mass while stirring.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking tray or baking tray, put in the oven and bake until soft.
Mallow (dessert):
To make marshmallows, take 1 kg of apples, peel, cut, pour the water in a pan and cook. Bring the apple to a boil, remove from the heat, drain the water, allow to cool slightly. Rub the apples through a sieve or chop with a blender.
Drain all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a small pan and cook until thickened (almost like a syrup). Pour sugar (100 g) into the boiled broth, bring to a boil a little more. Mix the juice with the puree.
Place the resulting mass on a baking sheet, place in the oven (120 degrees), dry the lozenge until completely thickened.
Sample menu for pancreatitis for a week: dietary options and dietary rules
Along with regular use of medications, dietary nutrition also refers to inflammation of the pancreas. Only a comprehensive measure can alleviate the load and swelling of the pancreas, help stop inflammation and restore damaged tissues.
In the case of an acute attack of the disease, the diet is very limited until the fasting of the first days. After the acute symptoms of the disease are removed, the patient's menu gradually expands. Let’s take a look at what a weekly diet should look like for a person with a painful pancreas.
Characteristics of diet adherence to different forms of pancreatitis
In case of acute inflammation, the diet is very strict. On the first day of the onset of the disease, the patient shows hunger. Depending on the severity of the disease and the presence of complications, starvation can last for one to three to four days. Such a measure is needed:
- Suspension of production of gastric, pancreatic secretions.
- Decreased digestive enzyme performance.
- Prevention of the development or reduction of the severity of infectious processes.
With inflammation of the gland, swelling and spasm of the organ and channels can be observed. Because of this, digestive enzymes cannot enter the intestines from the pancreas, are activated in the gland, and begin to digest its walls.
The death of damaged organ tissues, undigested food debris, causes the complication of the disease with various infections. Therefore, the activity of the production and function of pancreatic enzymes, which are mainly achieved on an empty stomach, should be reduced.
The first 2-5 days of acute pancreatitis indicate only the use of fluids - up to 2. 5 liters. After leaving the hunger strike with OP, the diet is gradually expanded according to the 5 P (I) diet table.
However, the caloric content of the diet during the first ten days of the diet should not exceed 800 Kcal. From the tenth day, with the positive dynamics of the treatment, the caloric content of the food can be increased to 1000 Kcal.
In the chronic form of the disease, the patient’s menu is much broader. It includes cereals, most vegetables and berries, meat and fish (non-fat, medium-fat), sour milk, non-sweet cakes, sweet berry jellies, jam, marshmallows and even certain types of sweets.
However, to prevent the recurrence of pancreatitis, the following dietary rules should be followed:
- Only eat natural, fresh food.
- Significantly limits the amount of sweet, fatty and especially sour.
- The meal should be partial: 5-6 times a day, in small portions.
- It is desirable for the food to be shredded, grated in order to better assimilate it.
- Permitted cooking method: cooking, baking, steaming, steaming.
- Do not use hot and cold food - only hot food and snacks.
- Do not eat fruit and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than freshness or the second day of biscuits), baked cakes with cream.
- It is not recommended to use spices (salt can be used in small amounts).
- Alcohol, snacks (chips, biscuits, corn sticks, etc. ) are strictly forbidden.
Maintaining a healthy diet and staying hydrated can help prolong remission and maintain pancreatic health. In this case, dietary foods are the most effective drugs.
Sample menu to exacerbate the inflammatory process
Mineral water should be drunk four to five times a day, 200 ml. While the drink is slightly warmed (up to 27 degrees). If the water is carbonated, pour it into a glass half an hour or an hour before drinking so that all the gas comes out of the liquid.
On the third day, the drink can be varied with weak rosehip broth. Drinking helps maintain water balance, replenish the body’s reserves with the necessary trace elements, and remove toxins.
Exit from the hunger strike
The menu of patients with pancreatitis who leave a hunger strike (2, 3 or 4 days) can be expanded with the following products:
- dried white wheat bread (up to 50 grams per day);
- jelly or blackcurrant fruit drink;
- however, drink no more than 2. 5 liters of fluid per day (carbonated mineral water, jelly, fruit drink, rosehip decoction).
On the third or fifth day, the diet can be supplemented:
- slimy decoctions of rice or oatmeal;
- mashed potatoes (liquid, without butter and milk);
- blueberries, blackcurrants, strawberries, cranberry jelly;
- grated porridge in water with buckwheat, rice, oatmeal.
You can start trying in the next two days:
- steam-derived omelette from proteins;
- shredded steam or cooked chicken, rabbit, turkey;
- cereal soups cooked in vegetable broth or water;
- vegetable puree (pumpkin, carrot, zucchini);
- not strong black or green tea, prunes, yogurt.
From the tenth day, depending on the successful treatment, alleviating the symptoms of the disease, the menu can become more varied with unsalted butter, jelly, baked apples, cooked low-fat fish or steamed fish slices, souffle. Sugar is being used in very small quantities. However, it is better to take substitutes.
The diet for acute pancreatitis is strict, so the menu absolutely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned food, sausage, sausage, bacon, egg yolk, fresh bread and cakes, spices, sauce, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.
Nutrition after complete relief of the attack
The diet of a patient with acute pancreatitis should only include foods for one week that are permitted and safe for the gastrointestinal tract.
One day:
- Early meal: steamed 2 protein scrambled eggs, oatmeal, rosehip broth.
- Late meal: berry jelly.
- Lunch time: rice soup, toast, stewed chicken slices with pumpkin puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Evening: fish soup with steamed vegetables, currant compote.
- Late at night: with croutons and yogurt.
2 days:
- Early meal: cottage cheese pudding, tea with croutons.
- Late meal: strawberry souffle, rosehip decoction.
- Lunch time: pasta soup in vegetable soup, biscuits, boiled turkey, berry foam.
- Afternoon snack: baked apples, compote.
- In the evening: pasta, steamed fish slices, green tea.
- Late night: biscuits, tea.
3 days:
- Early meal: vegetable pudding.
- Late meal: rice, a slice of chicken.
- Lunch time: buckwheat soup with croutons, rabbit slices, jelly.
- Afternoon snack: pumpkin porridge.
- In the evening: oatmeal, a piece of chicken, black tea.
- Late at night: biscuits with kefir.
4 days:
- Early meal: rice, currant compote.
- Late meal: steam omelette, chamomile decoction.
- Lunch: boiled meat cream soup with croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apples with cottage cheese, compote.
- Dinner: porridge porridge, raspberry souffle, rosehip broth.
- Late dinner: biscuits and yogurt.
5 days:
- Early meal: porridge, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup with croutons, steamed fish cakes, tea.
- Afternoon snack: cottage cheese casserole with rosehip broth.
- Evening: carrot puree with chicken souffle, baked grated apple without peel and seeds, compote.
- Late at night: a biscuit with biscuit tea.
6 days:
- Early meal: semolina porridge, chamomile decoction.
- Late meal: steamy omelette, jelly.
- Lunch time: pasta soup, biscuits, boiled chicken, tea.
- Afternoon snack: berry souffle, compote.
- Dinner: vegetable puree, stewed turkey slices, jelly.
- Late dinner: croutons with yogurt.
7 days:
- Early meal: carrot and pumpkin puree, boiled egg whites, compote.
- Late meal: cottage cheese souffle, chamomile decoction.
- Lunch time: shabby fish soup, biscuits, stewed chicken slices, tea.
- Afternoon snack: baked apples, compote.
- In the evening: buckwheat porridge with steamed slices, boiled grated beets, jelly.
- Late evening: kefir with croutons.
Before passing the disease into the stable remission phase, all food should be grated and without spices (not even salt is recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh apples, peeled and cabbage heads, and strawberries, bananas.
Sample menu for stable remission of pancreatitis
An example of a pancreatitis menu for a week looks like this:
| Day | Early meal | Snack | Lunch time | Snack | Evening time |
| Monday | Oatmeal with low fat milk, cheese sandwich, chicory | Cottage cheese pudding, biscuit biscuits, rosehip broth | Potato soup with chicken soup, croutons, braised chicken mushrooms | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef slices |
| Tuesday | Rice with milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wheat bread, fried hake, jelly candies, green tea | Cottage cheese casserole with chamomile broth | Mashed potatoes, fried fish, butter carrot salad, tea |
| He is getting married | Oatmeal, jelly | Berry foam, protracted biscuits, rosehip broth | Fish soup, pumpkin pudding, biscuits, compote | Cottage cheese pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| He is getting married | Oatmeal porridge, cheese sandwich, jelly | Sour milk with croutons | Rice soup with carrots, meatballs and rosehips | Vegetable pudding, compote | Stewed chicken with vegetables, jelly and tea |
| Friday | Steamy omelette with black tea | Carrot and grated apple pudding | Vegetable puree soup, beef dumplings, chamomile decoction with jelly candy | Berry souffle, biscuit biscuit | Boiled rice with meatballs and tea |
| Sitting. | Oatmeal, chicory | Omelette with apple compote | Buckwheat soup, meatballs, boiled beet salad, tea | Butter and hard cheese sandwich, baked apple, tea | Fish souffle, cooked pasta, tea |
| Day. | Rice porridge with boiled turkey and rosehip broth | Vegetable souffle with berry jelly | Shabby meat cream soup, fish dumplings, dried bread, tea | Cottage cheese biscuits, baked apples, tea | Fish rolls, mashed potatoes, rosehip broth |
1-2 hours before bedtime you can drink a glass of fermented dairy product (yogurt, kefir, yogurt) with diet cookies.
Conclusion
The menu shown is approximate for a week for patients with inflammation of the pancreas - it can be changed with other foods that are allowed in the stable remission phase.
Small snacks, fruits and sweets are allowed between the main meals. It is useful to develop the habit of eating at approximately equal intervals, drinking at least 1-1, 5 liters of water per day and not overeating - after eating you should feel a slight feeling of hunger.