PancreatitisIs a whole group of diseases associated with inflammation of the pancreas. The disease can appear suddenly - one of its manifestations is pain syndrome.
To relieve pain and prevent recurrences,Proper 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 due to:
- Eating disorder.
- Eat fatty / spicy foods every day.
- Chronic alcoholism.
- Diseases of the biliary tract, including cholecystitis, gallstone disease.
- Stomach ulcer.
With the worsening of pancreatitisneeds surgical intervention (opening of the lining of the pancreas) in case of a small effect from medication treatment, fasting, removal of food waste from the stomach.
Chronic pancreatitisworsened under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotic drugs, against the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quitecommon in adults. With an increase in intra-abdominal pressure in women in late pregnancy, pancreatitis can 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, the treatment of drugs with enzymatic preparations, antispasmodics plus complete fasting for several days is used to avoid the use of a surgical operation.
Hunger is necessary to suspend the production of gastric, pancreatic fluids, to reduce enzymatic activity due to lack of food in the esophagus. During this time, the gland will be restored.
They starve for 2-3-4 days, trying to eat for a day:
- wheat bread or dry bread (non-stick) - 50 g / day;
- jelly, fruit drinks (it is better to cook them from blueberries or black currants);
- continue to drink at least 2. 5 liters of juice, including currant or cranberry juice with mineral water (2: 1) without gas, as well as various decoctions (for example, hips).
If the symptoms of acute pancreatitis do not occur again, add to the diet for 3-5 days:
- liquid salted rice or oatmeal;
- oil-free liquid mashed potatoes;
- semi-liquid jelly or jelly from liquids;
- liquid cereals: oatmeal, oatmeal, buckwheat, rice (everything is prepared in water or milk, everything must be ground or chopped with a blender);
- krisur;
- dried bread.
For 6-8 days you can eat:
- steam omelette made from proteins
- fat-free cottage cheese soufflés;
- Steamed meat (necessarily chopped or integrated through a meat grinder / blender)
- solid cereal soups;
- jelly or mousse from apples, minced berries without skin;
- vegetable puree (potatoes, zucchini, squash, carrots are good, you can add a little oil)
- vegetable pudding (steamed);
You can add from the juices - green or black tea (weak), add sugar or honey - 1 teaspoon each, or tea with milk, beet juice, 50 ml / day with mineral water.
The calorie content increases to 1000 calories per day, up to 50 g - protein, up to 250 g - carbohydrates, up to 10 g / day - fats. At night, you should drink a glass of water with honey, raisins (1 teaspoon), prunes (2-3 pieces. ) Or yogurt to eliminate constipation.
From the 10th day after the attack, you can increase the calorie content of more than 1000 calories / day, up to 300 grams. - carbohydrates, up to 60 gr. - protein, up to 20 g / day - fats. They continue to eat unsalted puree food.
Sample menu
Below is a menu for a few days, a similar diet can be designed yourself based on the list of allowed products.
| day | Eating | Rough diet menu for pancreatitis |
| Day 1 | BREAKFAST | Oatmeal or rice porridge (in water) - 150 gr. , Fruits: oranges or apples. Green tea (not strong) can be with honey (1 teaspoon. ) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish kitten. Pink drink (recipe is below), honey - 1 tbsp. | |
| dinner | Vegetable soup with fish or beef 200 gr. Mashed potatoes or broccoli - 100 gr. , Crouton with white bread. For dessert, you can bake an apple with honey in the oven, always without the skin. | |
| Afternoon snack | Tea with honey and a little cottage cheese (1% fat) | |
| dinner | Steamed omlt proteins of 3 eggs, white bread crouton. Puree from permitted vegetables - 150 gr. , | |
| Before bed | Boiled water - 1 cup honey - 1 tbsp. or soft milk. | |
| Day 2 | BREAKFAST | Oatmeal with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Grated apples with soft cottage cheese | |
| dinner | Pumpkin or cauliflower soup. Meat minced chicken | |
| Afternoon snack | Green tea with 1-2 slices of unsweetened dried biscuits | |
| dinner | Pudding with rice-cottage cheese -150 gr. Tea or jelly | |
| Before bed | Rose decoction - 1 cup | |
| Day 3 | BREAKFAST | Liquid rice porridge - 150 g Not strong green tea with dry biscuits |
| Late breakfast | 1 ripe apple | |
| dinner | Soup made from carrots, cauliflower, potatoes with meatballs. Compote with beaten dried fruits | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| dinner | Boiled or low-fat fish | |
| Before bed | Milk tea or kefir |
Dish recipes
It can be usedafter an acute attack of pancreatitisdiet number 5pand observe it all year round. They eat clean food, without salt, protein can grow - 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!
Recipe for drinking roses:
For the soup, you will need 0, 5 kg of dry hips and 4 liters of water. Rinse the rose, add water, set the drink to infuse for 4 days. You do not need to cook the infusion, the rose should be soaked in water at room temperature. This drink contains vitamin C.Attention!since the drink is sour, 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, perch), 1, 5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. butter
Chop the fish, pour water or broth into a saucepan, cook until softened. Remove the fish from the pan, chop with a blender. Heat some milk in a saucepan and add butter to it, once the butter has melted add the broth, let it simmer, but do not boil it. Add fish, cook over low heat for just a few minutes. Salt can only be added if authorized by your doctor!
forbiddenfor acute pancreatitis, use:
- alcohol;
- eat fatty or fried;
- Eat any fatty or puffy foods such as legumes, bran, cabbage, turnips, rutabagas, fruit and vegetable skins / skins, 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-boiled eggs, cakes, raw fruits, vegetables, juices, cold gases, chocolate, milk or ice cream. Constantly accompanying the disease will appear each time: bloating, a feeling of bloating or heaviness, a lump that is "stuck in the lower chest", periodic vomiting.
Against the background of chronic pancreatitis, diabetes mellitus can develop and progress easily, which is also a serious disease, in which you must adhere to a strict diet.
The diet for chronic pancreatitis may include:
- wheat bread slicers (you can dry the bread yourself);
- vegetable soups (squash, potatoes, zucchini or carrots are best for soups);
- cereal soup (with oatmeal, oatmeal, buckwheat or rice);
- meat - beef or beef, chicken, rabbit. Better to evaporate, bake or boil.
- steamed omelet from eggs (2-3 pcs. ).
- low-fat fish: wrinkle, pollock, cod, perch, spot perch, hake, perch or spot;
- cottage cheese (not salty): can be eaten fresh or made pudding;
- cheeses - choose low-fat, unsalted varieties;
- in dishes or during cooking, you can use butter or sunflower oil -10-15 gr.
- sour cream, kefir (low fat only);
- porridge - rice, pearl barley, oatmeal, buckwheat, noodles (their consistency should be liquid or semi-liquid);
- vegetable puree (remember that cabbage and tomatoes can not be added), vegetables can also be simply cooked or baked;
- mousses / jellies from juices, compotes from dried fruits (apricots, pears, apples)
- fruit (only ripe or grated without skin)
- dietary puree and canned puree for babies or diet food;
- multivitamin and mineral preparations.
Menu for the day
| Eating | Rough diet menu for pancreatitis |
| BREAKFAST | Steamed meat (chicken or beef). Rose tea or decoction |
| lunches | Oatmeal with milk. Soup or infusion of hips |
| dinner | Carrot soup and pumpkin puree. Steamed fish. tea |
| Afternoon snack | 1 jar of baby food |
| dinner | Stew of zucchini with carrots. A piece of boiled chicken. Compote with dried fruits |
| night | A glass of kefir |
You can not eat foods that stimulate the secretion of the pancreas:
- meat, fish, poultry of fatty varieties, forget about smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish soup (as well as soups and sauces on them);
- cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka);
- milk soup;
- fish, meat in fried, smoked, salted or canned foods;
- high-fat dairy products;
- eggs - you can not eat fried or hard-boiled eggs;
- any beans, kale, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, sweet pepper;
- bakery products, fresh, sweet bread, flour, chocolate, other cakes;
- black coffee, cocoa, carbonated drinks.
For pancreatitis with endocrine dysfunctionexclude jam, sugar and honey, as they have no therapeutic effect, while referring to carbohydrates.
With an asymptomatic course of the disease or with the presence of mild symptoms, the list of prohibited dishes / products is gradually reduced to the category of products that should be limited but not completely excluded.
Recipe
Vegetable puree soup:
For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 zucchini. All vegetables should be washed, cut into cubes. Put the vegetables in a pot of water (1-1, 5 liters), cook until softened. Drain and puree with a blender.
Fish Suffle:
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, punch, move through a meat grinder or chop finely.
Mix the milk and flour (heat the flour in a pan until slightly yellowed) get a slightly thicker milk "sauce". Now start mixing: fish, egg yolk, milk sauce, butter (if your doctor allows, you can salt it).
Beat the whites separately until it becomes a 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 softened.
Apple marshmallow (dessert):
To prepare marshmallow, you need to take 1 kg of apples, peel them, chop them, pour water into a pot and cook. Boil the apples, remove from the heat, drain the water, let cool slightly. Rub the apples through a sieve or chop with a blender.
Drain all the liquid from the resulting puree, squeeze the puree. Pour the liquid separately into a small saucepan and cook until thick (almost like a syrup). Add sugar (100 g) to the boiled liquid, boil a little more. Mix the liquid with the puree.
Place the resulting mass on a baking sheet, place in the oven (120 degrees), dry the paste until it thickens completely.
Sample menu for pancreatitis for a week: diet options and nutritional rules
Along with regular use of medications, diet food is also indicated for pancreatitis. Only a comprehensive measure allows you to relieve the load and swelling from the pancreas, helps stop inflammation and restore damaged tissue.
In an acute attack of the disease, the diet is very limited, up to fasting for the first few days. After removing the acute symptoms of the disease, 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 adhering to a diet for different forms of pancreatitis
In acute inflammation, the diet is very strict. On the first day of the disease attack, the patient appears hungry. Depending on the severity of the disease, the presence of complications, fasting can last from one to three to four days. Such a measure is necessary for:
- Suspension of production of gastric, pancreatic secretions.
- Reduced performance of digestive enzymes.
- Prevent 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 can not enter from the pancreas into the intestine, they are activated in the gland and begin to digest its walls.
Death of damaged organ tissues, undigested food waste provoke a complication of the disease with various infections. This is why it is necessary to reduce the activity of production and functioning of pancreatic enzymes, which is achieved mainly through fasting.
The first 2-5 days of acute pancreatitis, only the use of fluids is indicated - up to 2. 5 liters. After leaving the hunger strike with OP, the diet is gradually expanded according to the diet chart no. 5 P (I).
At the same time, the calorie content in food during the first ten days of the diet should not exceed 800 Kcal. Starting from the tenth day, with a positive treatment dynamic, the caloric content of food can be increased to 1000 Kcal.
In the chronic form of the disease, the patient menu is much wider. It includes whole grains, most types of vegetables and berries, meats and fish (non-fatty, medium fat), sour milk, unsweetened biscuits, sweet berry jelly, jam, marshmallows and even some sweets.
At the same time, to prevent recurrence of pancreatitis, it is necessary to adhere to the following nutritional rules:
- Eat only natural, fresh food.
- Significantly limit the amount of sweet, greasy and especially sour.
- Food should be fractionated: 5-6 times a day in small portions.
- It is desirable that the food be chopped, integrated, for its best assimilation.
- Allowed cooking method: cooking, baking, steaming, boiling.
- Do not use hot and cold foods - only hot foods and dishes.
- Do not eat fruit and cakes 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 quantities).
- Alcohol, snacks (chips, crackers, corn sticks, etc. ) are strictly forbidden.
Eating a healthy diet and staying hydrated can help prolong remission and maintain pancreatic health. In this case, diet food is the most effective medicine.
Example of the menu for the aggravation of the inflammatory process
Drinking medicinal mineral water should be four to five times a day, 200 ml. , While the drink is slightly warmed (up to 27 degrees). If the water is carbonized, it should be poured into a glass half an hour or an hour before drinking so that all the gases come out of the liquid.
On the third day, the drink can be changed with a weak rose soup. Drinking will help maintain water balance, replenish body reserves with necessary micronutrients and remove toxins.
Exit from the hunger strike
The menu for patients with pancreatitis when leaving a hunger strike (2, 3 or 4 days) can be diversified with the following products:
- dry white wheat bread (not more than 50 grams per day);
- jelly fruit drinks or black currant;
- at the same time, it is necessary to drink up to 2. 5 liters of juice per day (carbonated mineral water, jelly, fruit drinks, rose decoction).
On the third or fifth day, the diet can be supplemented with:
- a decoction of a smooth consistency from rice or oat flour;
- mashed potatoes (liquid, without butter and milk);
- jelly from blueberries, black currants, strawberries, blueberries;
- porridge integrated into water from buckwheat, rice, oatmeal.
In the next two days, you are allowed to start trying:
- steamed omelet from proteins;
- steamed or boiled chicken, rabbit, chopped turkey with a blender;
- cereal soups cooked in vegetable broth or water;
- vegetable puree (squash, carrots, zucchini);
- not strong black or green tea, prunes, yogurt.
Starting from the tenth day, undergoing a successful treatment, soothing the symptoms of the disease, the menu can be diversified with unsalted butter, jelly, baked apples, low-fat boiled fish or steamed fish kittens, soufflés. Sugar is allowed to start 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 foods, sausages, sausages, bacon, egg yolks, bread and fresh pastries, spices, sauce, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.
Food after complete relief of the attack
The menu of a patient with acute pancreatitis for a week should contain only permitted and safe foods for the gastrointestinal tract.
First day:
- Early food: 2 scrambled eggs with protein in steam, oatmeal, rose soup.
- Late meal: berry jelly.
- Lunch time: rice soup, toast, steamed chicken cutlets with pumpkin puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Evening: fish souffle with boiled vegetables, raisin compote.
- Late evening: croutons with yogurt.
Day two:
- Early meal: cottage cheese pudding, tea with croutons.
- Late meal: strawberry souffle, decoction of roses.
- Lunch time: noodle soup in vegetable soup, crackers, turkey, berry mousse.
- Afternoon snack: baked apples, compote.
- Evening: noodles, steamed fish kitten, green tea.
- Late evening: crackers, tea.
Day 3:
- Early meal: vegetable pudding.
- Late meal: rice porridge, a slice of chicken.
- Lunch time: buckwheat soup, croutons, steamed rabbit cutlets, jelly.
- Afternoon snack: pumpkin porridge.
- Evening: oatmeal, a piece of chicken, black tea.
- Late evening: kefir biscuits.
Day 4:
- Early meal: rice porridge, currant compote.
- Late meal: steamed omelette, chamomile decoction.
- Lunch: soup with boiled meat cream, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apple with cottage cheese, compote.
- Dinner: oatmeal, raspberry soufflés, rose soup.
- Late dinner: crackers and yogurt.
Day 5:
- Early meal: oatmeal, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: casserole with cheese, rose broth.
- Evening: carrot puree with chicken souffle, peeled integrated apples without core and core, compote.
- Late evening: a biscuit with tea biscuits.
Day 6:
- Early meal: oatmeal, chamomile decoction.
- Late meal: steamed omelette, jelly.
- Lunch time: noodle soup, crackers, boiled chicken, tea.
- Afternoon snack: berry souffle, compote.
- Dinner: vegetable puree, steamed turkey kitten, jelly.
- Late dinner: yogurt croutons.
Day 7:
- Early meal: carrot and pumpkin puree, boiled egg white, compote.
- Late meal: cottage cheese souffle, chamomile decoction.
- Lunch time: neglected fish soup, crackers, steamed chicken cutlets, tea.
- Afternoon snack: baked apples, compote.
- Evening: buckwheat porridge with a steamed kitten, integrated boiled beets, jelly.
- Late evening: croutons with kefir.
Before the disease passes into the stage of sustained remission, all foods should be minced and without spices (neither salt is recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh, peeled apples and cabbage head, as well as strawberries, bananas.
Menu example for lasting pancreatitis remission
An example of a menu for pancreas for a week looks like this:
| day | Early meal | Snack | Lunch time | Afternoon snack | Evening time |
| Monday | Low-fat milk oatmeal, cheese sandwich, chicory | Cottage cheese pudding, biscuits for biscuits, rose soup | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef cutlet |
| Tuesday | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wheat bread, baked hake, jelly candy, green tea | Casserole casserole, chamomile soup | Mashed potatoes, baked fish, carrot salad with butter, tea |
| Wednesday | Oatmeal, jelly | Berry berries, elongated biscuits, rose broth | Fish soup, pumpkin pudding, crackers, compote | Cottage cheese pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Wednesday | Oatmeal, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, soup with roses | Vegetable pudding, compote | Chicken with vegetables, jelly, tea |
| Friday | Steam omelette, black tea | Integrated carrot and apple pudding | Vegetable puree soup, beef meat, chamomile decoction with jelly caramel | Berry souffle, biscuit biscuit | Boiled rice with meatballs, tea |
| Sat. | Oatmeal, chicory | Omelet, apple compote | Buckwheat soup, meat sauce, boiled beet salad, tea | Sandwich with butter and hard cheese, baked apples, tea | Fish souffle, boiled noodles, tea |
| sun | Rice porridge with turkey, rose soup | Vegetable souffle, berry jelly | Cream soup with shabby meat, fish dumplings, dry bread, tea | Biscuits with cottage cheese, baked apples, tea | Fish roll, mashed potatoes, rose soup |
1-2 hours before bedtime, you can drink a glass of fermented milk product (yogurt, kefir, yogurt) with diet biscuits.
cONcluSiON
The menu presented for patients with pancreatitis for a week is approximate - can be changed with other dishes allowed in the phase of permanent remission.
Between main meals, it is also allowed to enjoy snacks with fruit, sweets are allowed. Useful it is useful to create a habit of eating at approximately equal intervals of time, drinking at least 1-1, 5 liters of water every day and not eating - after eating, there should be a slight feeling of hunger.