PancreatitisIs a whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - one of its manifestations is pain syndrome.
To relieve pain and prevent relapses,Proper nutrition is important. . .
Pancreatitis is divided into chronic and acute, depending on the nature of the disease, you need to choose the right food.
In acute or chronic pancreatic disease, pancreatitis is diagnosed because of:
- Eating disorder.
- Eat fatty / spicy foods every day.
- Chronic alcoholism.
- Diseases of the biliary tract, including cholecystitis, gallstone disease.
- Stomach ulcer.
With exacerbation of pancreatitisthere is a need for surgical intervention (opening of the pancreatic mucosa) with little effect due to drug treatment, fasting, removal of food particles from the stomach.
Chronic pancreatitisaggravated under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotics against the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults. With an increase in pressure in the abdomen in women at the end of pregnancy, pancreatitis may develop.
Diet for acute pancreatitis for 10 days
The purpose of nutritional therapy in acute pancreatitis-Remove swelling, inflammation, and infection from the pancreatic duct.
To do this, in a hospital, drug treatment with enzyme preparations, antispasmodics, as well as full fasting for several days is used to avoid surgical intervention.
Hunger is necessary to disrupt the production of gastric and pancreatic juices to reduce enzymatic activity due to the lack of food in the esophagus. During this time, the restoration of the gland takes place.
You lose hunger for 2-3-4 days and try to eat for a day:
- dried wheat bread or bread (not sticky) - 50 g / day;
- Jelly, fruit drinks (it is better to cook them from cranberries or black currants);
- continue to drink at least 2. 5 liters of liquid, including currant or lingonberry juice with mineral water (2: 1) without gas, as well as various decoctions (e. g. rose hips).
If the symptoms of acute pancreatitis do not reappear, add to the diet for 3-5 days:
- salty slimy rice or oat broth;
- liquid mashed potatoes without oil;
- semi-liquid jelly or jelly made from juices;
- liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything must be ground or chopped with a mixer);
- Cracker;
- dried bread.
For 6-8 days you can eat:
- Steam omelette made from proteins
- Non-fat cottage cheese soufflé;
- steamed meat (necessarily minced or grated through a meat grinder / blender)
- slimy grain soups;
- Jelly or mousse made from apples, grated berries without skin;
- Vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
- Vegetable pudding (steamed);
You can add from liquids - green or black tea (weak), sugar or honey - 1 teaspoon each or tea with milk, beet juice, 50 ml / day with mineral water.
The calorie content is increased to 1000 calories per day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fats. At night, you need to drink a glass of water with honey, raisins (1 tsp), plums (2-3 pieces) or yogurt to get rid of constipation.
From the 10th day after the attack, you can increase the calorie content from more than 1000 cal / day up to 300 grams. - Carbohydrates, up to 60 gr. - Proteins, up to 20 g / day - Fats. You continue to eat pureed unsalted foods.
Sample menu
Below is a menu for several days, a similar diet can be made yourself using the list of approved products.
| Days | eat | Approximate diet menu for pancreatitis |
| day 1 | breakfast | Semolina or rice porridge (on water) - 150 gr. , Fruits: orange or apple. Green tea (not strong) can be with honey (1 teaspoon) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish chops. Rose hip drink (recipe is below), honey - 1 tsp. | |
| dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread crocron. For dessert, you can bake an apple with honey in the oven, always without the skin. | |
| Afternoon snack | Tea with honey and some cottage cheese (1% fat) | |
| dinner | Protein steam omlt of 3 eggs, white bread croton. Puree from approved vegetables - 150 gr. , | |
| Before sleep | Boiled water - 1 cup with honey - 1 tsp. or sour milk. | |
| day 2 | breakfast | Oatmeal porridge with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Grated apple with soft curd cheese | |
| dinner | Pumpkin or cauliflower puree soup. Chopped Chicken Meatballs | |
| Afternoon snack | Green tea with 1-2 slices of dry unsweetened biscuits | |
| dinner | Rice pudding -150 gr. Tea or jelly | |
| Before sleep | Rose hip decoction - 1 glass | |
| Day 3 | breakfast | Liquid rice porridge - 150 g of green non-strong tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| dinner | Soup made from carrots, cauliflower, potatoes with meatballs. Tapped dried fruit compote | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| dinner | Cooked or baked low-fat fish | |
| Before sleep | Milk tea or kefir |
Dish recipes
Can be usedafter an acute attack of pancreatitisDiet number 5pand watch it all year round. You eat pureed food without salt, protein can be increased - up to 100 grams, up to 40 grams - fats, up to 450 gr - carbohydrates. Be sure to follow the recommendations and the program prescribed by your doctor!
Rose hip drink recipe:
For the broth you will need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rose hip, add water, let the drink steep for 4 days. You don't have to boil the infusion, the rose hip should be infused with water at room temperature. This drink contains vitamin C.Attention!Since the drink is acidic, consult your doctor before taking it.
Fish puree soup:
For soup, 0. 5 kg of fish is useful (it is advisable to take boneless fillets, cod, pike, pikeperch), 1. 5 liters of water or vegetable broth, 50 ml. Milk, 1 tsp. Butter.
Cut the fish, pour water or broth in a saucepan and cook until tender. Remove the fish from the pan, chop with a mixer. Heat some milk in a saucepan and add butter, as soon as the butter has melted, pour the stock, bring to the boil, but do not boil. Add fish, cook over low heat for just a few minutes. Salt may only be added after consulting your doctor!
Forbiddenin acute pancreatitis use:
- Alcohol;
- eat greasy or fried;
- Eat fatty or puffy foods such as legumes, bran, cabbage, beets, turnips, peel / peels of fruits and vegetables, unripe fruits, berries or vegetables;
- carbonated drinks with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Chronic pancreatitis attacks can occur immediately after lunch, the menu of which includes: hard eggs, pastries, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. Constant companions of the disease will manifest themselves every time: flatulence, a feeling of fullness or heaviness, a lump that "gets stuck in the lower chest", periodic vomiting.
Against the background of chronic pancreatitis, 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 crackers (you can dry the bread yourself);
- Vegetable soups (pumpkin, potatoes, zucchini, or carrots are best for soups);
- Cereal soups (with semolina, oatmeal, buckwheat or rice);
- meat - beef or veal, chicken, rabbit. Better to steam, bake or cook.
- Steam omelettes from eggs (2-3 pieces).
- low-fat fish: flounder, saithe, cod, perch, pikeperch, hake, perch or pike;
- Quark (not salted): can be eaten fresh or made as a pudding;
- cheese - choose low-fat, unsalted varieties;
- in dishes or in cooking, you can use butter or sunflower oil -10-15 gr.
- Sour cream, kefir (only low-fat);
- 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 also simply be boiled or baked;
- Mousse / jellies made from juices, compotes made from dried fruits (apricots, pears, apples)
- Fruit (only baked without skin or grated)
- Diet puree and canned puree for baby or dietetic foods;
- Multivitamin and mineral supplements.
Menu for the day
| eat | Approximate diet menu for pancreatitis |
| breakfast | Steamed meat (chicken or beef). Rose hip tea or decoction |
| Having lunch | Oatmeal with milk. Broth or infusion of rose hips |
| dinner | Carrot and pumpkin puree soup. Steamed fish. tea |
| Afternoon snack | 1 jar of baby food |
| dinner | Vegetable and zucchini stew with carrots. A piece of cooked chicken. Dried fruit compote |
| To the night | A glass of kefir |
You can not eat foods that stimulate pancreatic secretion:
- meat, fish, poultry of fatty varieties, forget about smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish broth (as well as soups and sauces on top);
- Cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka);
- Milk soups;
- Fish, meat in fried, smoked, salted or canned food;
- high fat dairy products;
- eggs - you can not eat fried or hard-boiled eggs;
- Beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, paprika;
- Baked goods, fresh bread, confectionery, flour, chocolate, other confectionery;
- black coffee, cocoa, carbonated drinks.
For pancreatitis with endocrine dysfunctionExclude jam, sugar and honey as they have no therapeutic effect while they are related to carbohydrates.
In the event of an asymptomatic course of the disease or the presence of mild symptoms, the list of prohibited dishes / products is successively reduced to the category of products that should only be excluded to a limited extent, but not completely.
Recipes
Vegetable puree soup:
For the soup you will need: 1 yellow or green pepper, broccoli, cauliflower, 1 small zucchini. All vegetables need to be washed and cut into cubes. Pour vegetables into a saucepan with water (1-1, 5 liters) and cook until soft. Drain and puree with a blender.
Fish soufflé:
To prepare the dish you will need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the egg white from the yolk), a piece of butter (20 g). Boil the fish in water, condemn, roll through a meat grinder or finely chop.
Mix the milk and flour (preheat the flour in a pan to a light yellowish tint), you get a slightly thick milk "sauce". Now let's start mixing: fish, egg yolks, milk sauce, butter (if your doctor allows, you can salt them).
Beat the whites separately until a thick foam is formed. Add to the fish mixture while stirring.
Preheat the oven to 180-200 degrees. Put the fish mixture in a baking dish or baking sheet, put in the oven and bake until soft.
Apple marshmallow (dessert):
To prepare the marshmallow, you need to take 1 kg of apples, peel, cut, pour water in a saucepan and boil. Boil the apples, remove them from the stove, drain the water, let them cool down a little. Grate apples through a sieve or chop them up with a blender.
Drain all the juice from the resulting puree and squeeze out the puree. Separately, pour the juice into a small saucepan and boil it down (almost like a syrup). Pour sugar (100 g) into the boiled juice, bring to the boil a little more. Mix the juice with the puree.
Put the resulting mass on a baking sheet, put it in the oven (120 degrees), dry the lozenge until completely thickened.
Sample menu in pancreatitis for a week: diet options and nutrition rules
In addition to regular medication, dietary nutrition is also indicated for pancreatitis. Only a comprehensive measure will allow you to relieve and swell the pancreas, stop inflammation and restore damaged tissue.
In the case of an acute flare-up, the diet is very limited, up to and including fasting in the first few days. After the elimination of the acute symptoms of the disease, the patient's menu is gradually expanded. Let's take a look at what a weekly diet should look like for a person with a painful pancreas.
Features of adherence to a diet in various forms of pancreatitis
With acute inflammation, the diet is very strict. On the first day of the attack of illness, the patient is shown hunger. Fasting can last from one to three to four days, depending on the severity of the condition and the occurrence of complications. Such a measure is necessary for:
- Suspension of the production of gastric, pancreatic secretions.
- Decreased digestive enzyme performance.
- Preventing the development or reducing the severity of infectious processes.
With inflammation of the gland, swelling, spasms of the organ and its ducts are observed. Because of this, digestive enzymes cannot get from the pancreas to the intestines, they are activated in the gland and begin to digest its walls.
The death of damaged organ tissue and undigested food residues provoke a complication of the disease with various infections. For this reason, it is necessary to reduce the activity of the production and function of pancreatic enzymes, which is mainly achieved through fasting.
In the first 2-5 days of acute pancreatitis, only the use of liquids is indicated - up to 2. 5 liters. After leaving the hunger strike with surgery, the diet is gradually expanded according to diet table No. 5 P (I).
At the same time, the calorie content of the food should not exceed 800 Kcal during the first ten days of the diet. From the tenth day, if the treatment dynamics are positive, the calorie content of the food can be increased to 1000 Kcal.
With the chronic form of the disease, the patient's menu is much wider. It includes cereals, most vegetables and berries, meat and fish (non-fatty, medium-fat varieties), sour milk, non-sweet cookies, sweet berry jelly, jam, marshmallows, and even some types of candy.
To prevent recurrence of pancreatitis, it is necessary to observe the following dietary rules at the same time:
- Eat only natural, fresh foods.
- Limit the amount of sweet, fatty and, above all, sour foods significantly.
- Meals should be fractionated: 5-6 times a day in small portions.
- It is desirable that the food be chopped and grated for better assimilation.
- Permitted cooking method: boiling, baking, steaming, stewing.
- Do not use hot and cold foods, only warm foods and dishes.
- Do not eat fruits and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than the second day of freshness or crackers), baked pastries with cream.
- It is not recommended to use spices (salt can be used in small amounts).
- Alcohol, snacks (chips, crackers, corn sticks, etc. ) are strictly prohibited.
Eating a healthy diet and drinking adequate fluids can help prolong remission and maintain pancreatic health. In this case, dietary food is the most effective medicine.
Sample menu on the exacerbation of the inflammatory process
Drinking medicinal mineral water should be 200 ml. Four to five times a day, while the drink is warmed up slightly (up to 27 degrees). If the water is carbonated, it should be poured into a glass half an hour or an hour before drinking so that all gases are released from the liquid.
On the third day, the drink can be varied with a weak rosehip broth. Drinking helps maintain the water balance, replenish the body's reserves with necessary microelements and remove toxins.
Get out of the hunger strike
The menu for patients with pancreatitis when leaving a hunger strike (2, 3 or 4 days) can be varied with the following products:
- dried white bread (no more than 50 grams per day);
- Blackcurrant jelly or fruit drink;
- at the same time it is necessary to drink up to 2. 5 liters of liquid per day (still mineral water, jelly, fruit drink, rose hip decoction).
On the third or fifth day, the diet can be supplemented with:
- a decoction of slimy consistency made from rice or oatmeal;
- Mashed potatoes (liquid, without butter and milk);
- Jelly made from blueberries, black currants, strawberries, blueberries;
- grated porridge in water from buckwheat, rice, oatmeal.
In the next two days you can try:
- Steam omelette made from proteins;
- steamed or boiled chicken, rabbit, turkey chopped with a blender;
- cereal soups boiled in vegetable broth or water;
- Vegetable puree (pumpkin, carrots, zucchini);
- no strong black or green tea, plums, yogurt.
From the tenth day onwards, if the treatment is successful and reduces the symptoms of the disease, the menu can be varied with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish chops, soufflé. Sugar is allowed to be used in very small amounts. However, it is better to take substitutes.
The diet in acute pancreatitis is strict, therefore the menu absolutely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, sauce, ice cream, alcohol, Soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.
Diet after complete relief of the seizure
The menu of a patient with acute pancreatitis should only contain foods that are approved and harmless to the gastrointestinal tract for one week.
1 day:
- Early meal: steamed 2 egg white scrambled eggs, oatmeal, rose hip broth.
- Late meal: berry jelly.
- Lunch: rice soup, toasted bread, steamed chicken schnitzel with pumpkin puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- In the evening: fish soufflé with steamed vegetables, currant compote.
- Late evening: croutons with yogurt.
2 day:
- Early meal: cottage cheese, tea with croutons.
- Late meal: strawberry soufflé, decoction of rose hip.
- Lunch: noodle soup in vegetable broth, crackers, boiled turkey, berry mousse.
- Afternoon snack: baked apples, compote.
- In the evening: noodles, steamed fish schnitzel, green tea.
- Late evening: crackers, tea.
3rd day:
- Early meal: vegetable pudding.
- Late meal: congee, a piece of chicken.
- Lunch: buckwheat soup, croutons, steamed rabbit chops, jelly.
- Afternoon snack: pumpkin porridge.
- In the evening: oatmeal, a piece of chicken, black tea.
- Late at night: cookies with kefir.
4th day:
- Early meal: rice porridge, currant compote.
- Late meal: steam omelette, chamomile decoction.
- Lunch: boiled cream of meat soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apple with cottage cheese, compote.
- Dinner: oatmeal porridge, raspberry soufflé, rose hip broth.
- Late dinner: crackers and yogurt.
5th day:
- Early meal: oatmeal, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: cottage cheese casserole, rose hip broth.
- In the evening: carrot puree with chicken soufflé, baked apple without peel and core, compote.
- Late in the evening: a biscuit with tea.
6th day:
- Early meal: semolina, chamomile decoction.
- Late meal: steam omelette, jelly.
- Lunch: noodle soup, crackers, boiled chicken, tea.
- Afternoon snack: berry soufflé, compote.
- Dinner: vegetable puree, steamed turkey schnitzel, jelly.
- Late dinner: croutons with yogurt.
7th day:
- Early meal: carrot and pumpkin puree, boiled egg white, compote.
- Late meal: curd soufflé, chamomile decoction.
- Lunch: shabby fish soup, crackers, steamed chicken schnitzel, tea.
- Afternoon snack: baked apple, compote.
- In the evening: buckwheat porridge with steamed cutlet, boiled grated beets, jelly.
- Later evening: croutons with kefir.
Before the transition of the disease to the stage of stable remission, all food should be grated and without spices (even salt is not recommended). Two weeks after the attack, provided there are no symptoms of illness, you can try fresh apples, peeled and cabbage, as well as strawberries and bananas.
Sample menu for stable pancreatitis remission
An example of a menu for pancreatitis for a week looks like this:
| the day | Early meal | snack | Lunch time | Afternoon snack | Evening time |
| Mon-Fri | Oatmeal with low-fat milk, cheese sandwich, chicory | Cottage cheese, biscuits, rosehip broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, jelly | Buckwheat porridge, cooked beet salad with butter, beef schnitzel |
| Tuesday | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wheat bread, baked hake, jelly candies, green tea | Cottage cheese casserole, chamomile broth | Mashed potatoes, baked fish, buttered carrot salad, tea |
| Marry | Oatmeal, jelly | Berry mousse, long-life pastries, rose hip broth | Fish soup, pumpkin pudding, crackers, compote | Quark | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Marry | Semolina, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, rosehip broth | Vegetable pudding, compote | Braised chicken with vegetables, jelly, tea |
| Fr. | Steam omelette, black tea | Carrot and grated apple pudding | Vegetable puree soup, ground beef balls, chamomile decoction with jelly candies | Berry soufflé, sponge biscuits | Boiled rice with meatballs, tea |
| Sat | Oatmeal, chicory | Omelette, apple compote | Buckwheat soup, meatloaf, boiled beet salad, tea | Butter and hard cheese sandwich, baked apple, tea | Fish soufflé, cooked pasta, tea |
| Sun. | Congee with boiled turkey, rose hip broth | Vegetable soufflé, berry jelly | Shabby cream of meat soup, fish dumplings, dried bread, tea | Quark biscuits, baked apples, tea | Fish rolls, mashed potatoes, rosehip broth |
1-2 hours before bedtime, you can drink a glass of fermented milk product (yogurt, kefir, yogurt) with diet cookies.
Conclusion
The presented menu for patients with pancreatitis for a week is approximate - it can be changed with other dishes that are allowed at the stage of stable remission.
Between the main meals you can treat yourself to small snacks with fruit, sweets are allowed. It makes sense to get into the habit of eating at approximately equal intervals, drinking at least 1-1. 5 liters of water a day and not overeating - you should feel slightly hungry after eating.