PancreatitisIs a whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - pain syndrome is one of its manifestations.
To alleviate pain and prevent recurrence,the right diet 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 Disorders.
- Eat fatty / spicy foods daily.
- Chronic alcoholism.
- Diseases of the biliary tract, including cholecystitis, gallstone disease.
- Stomach ulcer.
To make pancreatitis worsesurgical intervention (opening of the lining of the pancreas) is required for a small effect from drug treatment, fasting, removal of food debris from the stomach.
Chronic pancreatitisaggravation under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotic drugs, against a background of diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults. With an increase in intra-abdominal pressure in women at the end of pregnancy, pancreatitis may develop.
Diet for acute pancreatitis for 10 days
The purpose of nutritional therapy for acute pancreatitis-remove swelling, inflammation and infection from the pancreatic duct.
To do this, in a hospital, drug treatment with enzyme preparations, antimicrobial plus complete fasting for several days is used to avoid surgical use.
Hunger is necessary to suspend the production of gastric, pancreatic juices, to reduce enzymatic activity due to the lack of food in the esophagus. During this period, the gland will be restored.
They go from hunger for 2-3-4 days, trying to eat for a day:
- dried wheat bread or loaf (non-stick) - 50 g / day;
- jelly, fruit drinks (best cooked from cranberries or blackcurrants);
- continue to drink at least 2. 5 liters of liquid, including currant or cranberry juice with mineral water (2: 1) without gas, as well as various decoctions (for example, rose hips).
If symptoms of acute pancreatitis do not recur, add them to the diet for 3-5 days:
- salted thin rice or oat broth;
- liquid mashed potatoes without oil;
- gel or semi-liquid gel from juices;
- liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything must be ground or copied with a blender);
- cracker;
- dried bread.
You can eat for 6-8 days:
- steam omelet made from proteins
- soufflé from fat-free cottage cheese;
- steamed meat (usually chopped or grated through a meat grinder / blender)
- slender cereal soups;
- jelly or mousse from apples, grated berries without skin;
- vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
- vegetable puddings (steamed);
You can take from liquids - green or black tea (weak), add sugar or honey - 1 tsp 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), prunes (2-3 pcs. ) Or yogurt to eliminate constipation.
From the 10th day after the attack, you can increase the calorie content in excess of 1000 cal / day, up to 300 grams. - carbohydrates, up to 60 gr. - proteins, up to 20 g / day - fats. They continue to eat unsafe mashed food.
Sample menu
Below is a menu for several days, a similar diet can be drawn up yourself based on the list of approved products.
| days | Eating | Menu about diet for pancreatitis |
| Day 1 | Breakfast | Semolina porridge or rice (on water) - 150 gr. , Fruit: orange or apple. Green tea (not strong) can be with honey (1 tsp. ) |
| Late breakfast | Pumpkin powder - 50 gr. , Steamed chicken breast or fish cutlets. Rosehip drink (recipe is below), honey - 1 tsp. | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , Crouton white bread. For dessert, you can bake an apple with honey in the oven, without always peeling. | |
| Afternoon snack | Tea with honey and small cottage cheese (1% fat) | |
| Dinner | 3 egg protein structure, white bread crouton. Puree from approved vegetables - 150 gr. , | |
| Before bedtime | Boiled water - 1 cup with honey - 1 tsp. or curd milk. | |
| Day 2 | Breakfast | Oatmeal porridge with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Graded apple with soft curd | |
| Dinner | Pumpkin or cauliflower puree soup. Minced meat balls | |
| Afternoon snack | Green tea with 1-2 slices of unsweetened dry cookies | |
| Dinner | Rice curd pudding -150 gr. Tea or jelly | |
| Before bedtime | Rosehip decoction - 1 glass | |
| Day 3 | Breakfast | Liquid rice porridge - 150 g. Green tea not strong tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Soup made from carrots, cauliflower, potatoes with meatballs. Perforated dried fruit compote | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| Dinner | Cooked or baked low fat fish | |
| Before bedtime | Milk tea or kefir |
Dish recipes
It can be usedafter an acute attack of pancreatitisdiet number 5pand look at it throughout the year. They eat purified food, without salt, proteins can be increased - up to 100 grams, up to 40 grams. - fats, up to 450 gr. - carbohydrates. Be sure to follow the recommendations and regimen prescribed by your doctor!
Rosehip Drink Recipe:
For the broth, you will need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rosehip, add water, infuse the drink for 4 days. You do not need to cook the infusion, the rosin should be ingested with water at room temperature. This drink contains vitamin C.Attention!since the drink is sour, consult your doctor before taking it.
Mashed fish soup:
For soup, 0. 5 kg of fish is useful (it is recommended to take boneless fillets, cod, pike, pike perch), 1. 5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. im.
Cut the fish, pour water or broth into a saucepan, cook until offered. Remove the fish from the pan, chop with a blender. Heat a little milk in a saucepan 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. Salt can only be added if your doctor has authorized it!
Prohibitedfor acute pancreatitis, use:
- alcohol;
- eating fatty or fried;
- Eat any fatty or blooming foods such as legumes, bran, cabbage, turnips, rutabagas, fruit and vegetable peels / skins, unripe fruits, berries or vegetables;
- carbonated beverages with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Chronic pancreatitis attacks can occur immediately after lunch, and their menu included: hard-boiled eggs, pastries, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. Gradually the companions of the disease will reveal themselves each time: bloating, feeling bloated or heavy, a lump "stuck in the lower chest", periodic vomiting.
Given the background of chronic pancreatitis, diabetes mellitus can easily develop and progress, which is also a serious illness, in which you have to adhere to a strict diet.
The diet for chronic pancreatitis may include:
- wheat bread biscuits (you can dry the bread yourself);
- vegetable soups (pumpkin, potato, zucchini or carrot soups are best);
- cereal soups (with semolina, oatmeal, buckwheat or rice);
- meat - beef or veal, chicken, rabbit. Steaming, baking or boiling is best.
- Steam omelettes from eggs (2-3 pcs. ).
- low-fat fish: flounder, pollock, cod, perch, pike perch, hake, perch or pike;
- curd (unsalted): can be eaten fresh or made puddings;
- cheeses - choose low-fat, unsalted varieties;
- in dishes or during cooking, you can use butter or sunflower oil -10-15 gr.
- sour cream, kefir (only low fat);
- porridge - rice, pearl barley, oatmeal, buckwheat, noodles (their consistency should be liquid or semi-liquid);
- vegetable purees / stews (don’t forget that cabbage and tomatoes can’t be added), vegetables can simply be boiled or baked;
- mousses / gels from juices, compotes from dried fruit (apricots, pears, apples)
- fruit (baked or grated without the skin only)
- diet puree and canned puree for baby or dietary food;
- multivitamin and mineral preparations.
Menu for the day
| Eating | Menu about diet for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Rosehip tea or decoction |
| Lunch | Oatmeal with milk. Broth or rose hip infusion |
| Dinner | Carrot and pumpkin puree soup. Steamed fish. Tae |
| Afternoon snack | 1 jar of baby food |
| Dinner | Vegetable zucchini stew with carrots. A piece of boiled chicken. Dried fruit compote |
| In the night | Glass of kefir |
You cannot eat foods that stimulate the secretion of the pancreas:
- meat, fish, poultry of fatty types, forget about smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish broth (as well as soups and sauces);
- cabbage soup, borscht, as well as cold soups (as cold soup or okroshka);
- milk soups;
- fish, meat in fried, smoked, salted or canned food;
- high fat dairy products;
- eggs - you can't eat hard-fried or boiled eggs;
- any beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, sweet pepper;
- bakery products, fresh, sweet bread, flour, chocolate, other sweets;
- black coffee, cocoa, carbonated beverages.
For pancreatitis with endocrine dysfunctionexclude jam, sugar and honey, since they have no therapeutic effect, referring to carbohydrates.
With an asymptomatic course of the disease or mild symptoms, the list of prohibited dishes / products is gradually reduced to the category of products which should be limited, but not completely excluded.
Oidis
Vegetable puree soup:
For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables must be washed, cut into cubes. Pour vegetables in a saucepan with water (1-1. 5 liters), cook until offered. Drain and puree with a blender.
Fish soufflé:
To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from the yolks), a piece of butter (20 g). Boil the fish in water, grind, scroll by grinding meat or chop finely.
Mix milk and flour (preheated flour in a pan until yellow) you get a slightly thick milk "sauce". Now we start mixing: fish, egg yolks, milk sauce, butter (if your doctor allows, you can salt it).
Beat the whites separately until thick foam. While stirring, add them to the fish mass.
Preheat the oven to 180-200 degrees. Place the fish mass in a baking dish or baking sheet, place in the oven and bake until offered.
Marshmallow Apple (dessert):
To prepare the marshmallow, you need to take 1 kg of apples, peel them, cut them, pour water into a saucepan and cook. Boil apples, remove from heat, drain water, allow to cool slightly. Rub apples through a sieve or chop with a blender.
Drain all the juice from the resulting powder, squeeze the puree. Pour the juice separately into a small saucepan and cook to thicken it (almost like a syrup). Pour sugar (100 g) into the boiled juice, 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 pastille until it thickens completely.
Sample menu for pancreatitis for a week: diet choices and dietary rules
Combined with regular drug use, dietary nutrition is indicated for pancreatitis. Only a comprehensive measure allows you to relieve the burden and swelling from the pancreas, helps to stop inflammation and restore damaged tissues.
In an acute attack of the disease, the diet is very limited, up to fasting for the first few days. After the acute symptoms of the disease are removed, the patient's menu gradually expands. Let’s look at what a weekly diet should look like for someone with a painful pancreas.
Aspects of adhering to a diet for various types of pancreatitis
In acute inflammation, the diet is very strict. On the first day of the onset of the disease, the patient is shown hunger. Depending on the severity of the disease, the presence of complications, fasting can last between one and three or four days. Such a measure is necessary to:
- Suspension of production of gastric, pancreatic secretions.
- Reduced performance of digestive enzymes.
- Prevention of the development or reduction of the severity of infectious processes.
With inflammation of the gland, swelling, spasm of the organ and its ducts are observed. For this reason, digestive enzymes cannot pass from the pancreas into the intestines, they are activated in the gland and begin to digest their walls.
Death of damaged organ tissue, unspecified food debris triggers the disease with various infections. This is why it is necessary to reduce the production and functional activity of pancreatic enzymes, which is achieved primarily through fasting.
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 OP, the diet gradually expands according to diet table No. 5 P (I).
At the same time, the caloric content of the food during the first ten days of the diet should not exceed 800 Kcal. Starting from the tenth day, with positive treatment dynamics, the calorie content of the food can be increased to 1000 Kcal.
In the chronic form of the disease, the menu of the patient is much wider. It includes cereals, most types of vegetables and berries, meat and fish (not fatty, medium-fat types), sour milk, unsweetened cookies, sweet berry jelly, marmalade, marshmallows and even some types of sweets.
At the same time, to prevent the recurrence of pancreatitis, it is necessary to adhere to the following dietary rules:
- Eat only fresh, natural food.
- Limit significantly the amount of sweet, fatty and especially sour.
- Meals should be fractional: 5-6 times a day in small portions.
- It is desirable that the food be copied, grated, to better assimilate it.
- Approved cooking method: cooking, baking, steaming, stewing.
- Do not use hot and cold foods - hot foods and dishes only.
- Do not eat fruit and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than the second day of freshness or biscuits), pastries baked with cream.
- The use of spices is not recommended (salt can be used in small amounts).
- Alcohol, snacks (chips, biscuits, cereal sticks, etc. ) are strictly prohibited.
Eating a healthy diet and staying hydrated can help prolong remission and preserve pancreatic health. In this case, diet food is the most effective remedy.
Sample menu to exacerbate the inflammatory process
Drinking medicinal mineral water should be four to five times a day, 200 ml. , While the drink is heated 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 come out of the liquid.
On the third day, the drink can be changed with a weak broth of rosehip. Drinking will help maintain water balance, replenish the body 's reserves with essential micro - elements, and get rid of toxins.
Quit the hunger strike
The menu for patients with pancreatitis on leaving a hunger strike (2, 3 or 4 days) can be varied with the following products:
- dried white wheat bread (not more than 50 grams per day);
- black currant fruit jelly or 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, rosehip decoction).
On the third or fifth day, the diet can be supplemented with:
- decoction of slim consistency from rice or oatmeal;
- mashed potatoes (liquid, without butter and milk);
- jelly from blueberries, blackcurrants, strawberries, blueberries;
- grated porridge in water from buckwheat, rice, oatmeal.
In the next two days, you are allowed to start asking:
- steam omelet from proteins;
- steamed or boiled chicken, rabbit, chopped turkey with a blender;
- cereal soups cooked in vegetable broth or water;
- vegetable puree (pumpkin, carrots, zucchini);
- not strong black or green tea, prunes, yogurt.
Starting from the tenth day, subject to successful treatment, and supplementing the symptoms of the disease, the menu can be varied with unsaturated butter, jelly, baked apples, low-fat cooked fish or steamed fish cutlets, soufflé. Sugar is allowed to start using in very small quantities. However, it is best to take substitute representatives.
The diet for acute pancreatitis is strict, so the menu does not include all of the following foods: fried, smoked, highly fatty foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, fresh bread andpastries, spices, sauce, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.
Nutrition after complete relief from the attack
The menu of patients with acute pancreatitis for a week should include only foods that are approved and safe for the gastrointestinal tract.
1st day:
- Early meal: 2 scrambled protein eggs, oatmeal, rosehip broth.
- Late meal: berry jelly.
- Lunch time: rice soup, toast, steamed chicken cutlets with squash puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Afternoon: fish soufflé with stewed vegetables, currant compote.
- Late afternoon: croutons with yogurt.
2nd day:
- Early meal: curd pudding, tea with croutons.
- Late meal: strawberry soufflé, rosehip decoction.
- Lunch time: noodle soup in vegetable broth, biscuits, boiled turkey, berry mousse.
- Afternoon snack: baked apples, compote.
- Afternoon: noodles, steam fish cutlet, green tea.
- Late afternoon: biscuits, tea.
3rd day:
- Early meal: vegetable pudding.
- Late meal: rice porridge, a slice of chicken.
- Lunch time: buckwheat soup, croutons, steam rabbit cutlets, jelly.
- Afternoon snack: pumpkin porridge.
- Afternoon: oatmeal, a piece of chicken, black tea.
- Late afternoon: biscuits with kefir.
4th day:
- Early meal: rice porridge, currant compote.
- Late meal: steam omelet, chamomile decoction.
- Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apple with cottage cheese, compote.
- Dinner: oatmeal porridge, raspberry soufflé, rosehip broth.
- Late supper: biscuits and yogurt.
5th day:
- Early meal: oatmeal porridge, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: cottage cheese casserole, rosehip broth.
- Afternoon: carrot puree with chicken soufflé, baked grated apple without skin and heart, compote.
- Late afternoon: one biscuit biscuit with tea.
6th day:
- Early meal: semolina porridge, chamomile decoction.
- Late meal: steam omelet, jelly.
- Lunch time: noodle soup, biscuits, boiled chicken, tea.
- Afternoon snack: berry soufflé, compote.
- Dinner: vegetable puree, steam turkey cutlet, 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 time: shabby fish soup, biscuits, steamed chicken cutlets, tea.
- Afternoon snack: baked apple, compote.
- Afternoon: buckwheat porridge with steam cutlet, grated boiled beets, jelly.
- Late afternoon: croutons with kefir.
Before the disease is transferred to the stage of stable remission, all food should be grated and without spices (not even salt is recommended). Two weeks after the attack, provided there are no signs of the disease, you can start trying fresh apples, peeled and head of cabbage, as well as strawberries, bananas.
Sample menu for stable remission of pancreatitis
The following is an example of a menu for pancreatitis for a week:
| Day | Early meal | Snack | Lunch time | Afternoon snack | Evening time |
| Monday. | Oatmeal with low-fat milk, cheese sandwich, chicory | Curd pudding, biscuit crackers, rosehip broth | Potato soup with chicken broth, croutons, steamed chicken meat balls | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef cutlet |
| Tuesday | Rice milk porridge, jelly or tea | Protein omelet, boiled turkey, compote | Vermicelli soup, wheat bread, baked hake, jelly candies, green tea | Curling casserole, chamomile broth | Mashed potatoes, baked fish, butter carrot salad, tea |
| One hundred | Oatmeal, jelly | Berry mousse, lingering biscuits, rosehip broth | Fish soup, pumpkin pudding, biscuits, compote | Curd pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| One hundred | Semolina porridge, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meat balls, rosehip broth | Vegetable pudding, compote | Stewed chicken with vegetables, jelly, tea |
| Friday. | Steam omelet, black tea | Carrot and grated apple pudding | Vegetable puree soup, beef meatballs, chamomile decoction with jelly candy | Berry soufflé, cracker biscuits | Boiled rice with a ball of meat, tea |
| Sat. | Oatmeal, chicory | Omelet, apple compote | Buckwheat soup, meat shell, boiled beet salad, tea | Butter and hard cheese sandwich, baked apple, tea | Fish soufflé, boiled noodles, tea |
| Sun. | Rice porridge with boiled turkey, rosehip broth | Vegetable soufflé, berry jelly | Shabby meat cream soup, fish dumplings, dried bread, tea | Foam biscuits, baked apple, tea | Fish roll, 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 menu presented to patients with pancreatitis for a week is rough - it can be replaced with other dishes allowed at the stage of stable remission.
Between main meals, small snacks with fruit, sweets are also allowed. It is useful to develop a habit of eating at equal intervals of time, drinking 1-1. At least 5 liters of water daily and not overdose - after eating, there should be a slight feeling of hunger.