PancreatitisIs a whole group of diseases associated with inflammation of the pancreas. The disease may occur unexpectedly - one of its manifestations is pain syndrome.
To relieve pain and prevent recurrences,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 due to:
- Eating disorder.
- Eating fatty / spicy foods daily.
- Chronic alcoholism.
- Diseases of the bile duct, including cholecystitis, gallstone disease.
- Ulcer.
With exacerbation of pancreatitisthere is a need for surgery (opening of the lining of the pancreas) in case of a small effect from drug treatment, fasting, removal of food debris from the stomach.
Chronic pancreatitisaggravated under the influence of overeating, alcoholism, long-term use of glucocorticoid hormones, estrogens, narcotic drugs on the background of a diseased liver (where a special diet must be followed) and gallbladder, which are quite common in adults. With increased pressure inside the abdomen 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, drug treatment with enzyme preparations, antispasmodics plus complete fasting for several days is used to avoid the use of a surgical operation.
Hunger is needed to suspend the production of gastric, pancreatic juice to reduce enzymatic activity due to lack of food in the esophagus. During this time, the gland will be restored.
They come out of hunger for 2-3-4 days and try to eat one day:
- dried wheat bread or bread (not sticky) - 50 g / day;
- jellies, fruit drinks (it is better to boil them of cranberries or blackcurrants);
- continue to drink at least 2, 5 liters of liquid, including currants 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 to the diet for 3-5 days:
- salt slimy rice or oat broth;
- liquid mashed potatoes without oil;
- semi-liquid jelly or jelly from juice;
- liquid grains: oatmeal, semolina, buckwheat, rice (everything is cooked in water or milk, everything must be ground or chopped with a blender);
- cracks;
- dried bread.
For 6-8 days you can eat:
- the steam omelet made from proteins
- soufflé from fat-free cottage cheese;
- steamed meat (necessarily chopped or grated through a meat grinder / blender)
- slimy cereal soups;
- jelly or mousse from apples, grated berries without skin;
- vegetable purees (potatoes, courgette, pumpkin, carrots are good, you can add a little oil)
- vegetable pudding (steamed);
You can add from liquids - 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 is increased to 1000 calories a day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fat. 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 the calorie content of more than 1000 calories / day up to 300 grams. - carbohydrates, up to 60 g. - proteins, up to 20 g / day - fat. They continue to eat mashed unsalted food.
Sample menu
Below is a menu for several days, a similar diet can be prepared on their own based on the list of allowed products.
| Days | Eat | Approximate diet menu for pancreatitis |
| Day 1 | Breakfast | Semolina or rice groats (on water) - 150 gr. , Fruits: orange or apple. Green tea (not strong) can be with honey (1 tsp. ) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish chops. Rosehip drink (recipe is below), honey - 1 tsp. | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread croutons. For dessert, you can bake an apple with honey in the oven, always without skin. | |
| Afternoon meal | Tea with honey and a little cottage cheese (1% fat) | |
| Dinner | Protein steam about 3 eggs, croutons with white bread. Puree from permitted vegetables - 150 gr. , | |
| Before bedtime | Boiled water - 1 cup honey - 1 tsp. or curd. | |
| Day 2 | Breakfast | Oatmeal with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Grated apple with soft curd | |
| Dinner | Pumpkin or cauliflower puree soup. Minced chicken meatballs | |
| Afternoon meal | Green tea with 1-2 slices of dry unsweetened 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 not strong tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Soup made from carrots, cauliflower, potatoes with meatballs. Pounded dried fruit compote | |
| Afternoon meal | Cottage cheese - 100 g, green tea | |
| Dinner | Boiled or baked low-fat fish | |
| Before bedtime | Milky or kefir |
Recipes for dish
Can be usedafter an acute attack of pancreatitisdiet number 5pand observe it all year round. They eat pureed food without salt, proteins can be increased - up to 100 grams, up to 40 grams. - fat up to 450 gr. - carbohydrates.Be sure to follow the recommendations and regimen prescribed by your doctor!
Rosehip Drink Recipe:
For broth you need 0, 5 kg of dried rose hips and 4 liters of water. Rinse the rose hips, add water, infuse the drink for 4 days. You do not need to prepare the infusion, rosehips should be infused with water at room temperature. This drink contains vitamin C.Attention!as the drink is acidic, consult your doctor before taking it.
Mashed fish soup:
For soup, 0, 5 kg of fish is useful (it is advisable to take boneless fillets, cod, pike, pike perch), 1, 5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. butter.
Cut the fish, pour water or broth into a saucepan, cook it tender. Remove the fish from the pan, chop it with a blender. Heat some milk in a saucepan and add butter to it as soon as the butter melts, add broth, boil it but do not boil. Add fish, cook on low heat for a few minutes. Salt can only be added if your doctor has approved it!
Prohibitedfor acute pancreatitis, use:
- alcohol;
- eat fatty or fried
- Eat any fatty or bloated foods such as legumes, bran, cabbage, turnips, rutabagas, peels / skins of fruits and vegetables, unripe fruits, berries or vegetables;
- carbonated beverages with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Chronic pancreatitis attacks can occur immediately after lunch if the menu contained: hard-boiled eggs, baked goods, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. Constant companions of the disease will manifest each time: bloating, a feeling of bloating or heaviness, a lump "stuck in the lower chest", intermittent vomiting.
On the background of chronic pancreatitis, diabetes mellitus can easily develop and develop, which is also a serious disease where 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, potatoes, courgette or carrots are best for soups);
- cereal soups (with semolina, oatmeal, buckwheat or rice);
- meat - beef, veal, rabbit. Better to steam, bake or cook.
- steam omelettes from eggs (2-3 pcs. ).
- low-fat fish: flounder, pollock, cod, perch, pike, hake, perch or pike;
- curd (not salted): 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 must be liquid or semi-liquid);
- vegetable purees / stews (do not forget that cabbage and tomatoes can not be added), vegetables can also simply be boiled or baked;
- mice / jellies from juices, compotes from dried fruits (apricots, pears, apples)
- fruit (only baked or grated without skin)
- diet puree and canned puree for baby or dietetic food;
- multivitamin and mineral preparations.
Menu for the day
| Eat | Approximate diet menu for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Rosehip tea or decoction |
| Lunch | Oatmeal with milk. Broth or infusion of rose hips |
| Dinner | Carrot and pumpkin puree soup. Steamed fish. Tea |
| Afternoon meal | 1 jar of baby food |
| Dinner | Vegetable zucchini stew with carrots. A piece of boiled chicken. Compost of dried fruits |
| In the night | A glass of kefir |
You can not eat food that stimulates the secretion of the pancreas:
- meat, fish, poultry of fatty varieties, forget smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish liquid (as well as soups and sauces on them);
- cabbage soup, borscht and 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 eggs fried or boiled hard;
- any beans, white cabbage, eggplant, turnips, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
- bakery products, fresh bread, sweets, flour, chocolate, other sweets;
- black coffee, cocoa, carbonated beverages.
For pancreatitis with endocrine dysfunctionexclude jams, sugars and honey as they do not have a 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 only, but not completely excluded.
Recipes
Vegetable puree soup:
For the soup you will need: 1 yellow or green pepper, broccoli, cauliflower, 1 small courgette. All vegetables must be washed, cut into cubes. Pour vegetables into a saucepan with water (1-1, 5 liters), cook until tender. Drain and puree with a blender.
Soufflé fish:
To prepare the dish you will need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from egg yolks), a piece of butter (20 g). Boil the fish in water, prejudice, roll through a meat grinder or chop finely.
Mix milk and flour (preheat flour in a saucepan until lightly yellow), then you get a slightly thick milk "sauce". Now we start mixing: fish, egg yolks, milk sauce, butter (if your doctor allows it, you can salt it).
Whisk the whites separately to a thick foam. Add them to the fish mass while stirring.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking tray or baking tray, put it in the oven and bake it until it is tender.
Apple marshmallow (dessert):
To prepare marshmallows, take 1 kg of apples, peel them, cut them, pour water into a saucepan and bring to a boil. Boil apples, remove from heat, drain water, allow to cool slightly. Rub apples through a sieve or chop with a blender.
Pour all the juice out of the resulting puree, squeeze the puree. Pour the juice separately into a small saucepan and boil it to thicken (almost like a syrup). Pour sugar (100 g) into the boiled juice, boil a little more. Mix the juice with the puree.
Put the resulting mass on a baking sheet, put in the oven (120 degrees), dry the lozenge until it thickens completely.
Sample menu for pancreatitis for a week: diet options and nutritional rules
Along with regular use of drugs, diet nutrition is also indicated for pancreatitis. Only a comprehensive measure allows you to relieve the strain and swelling from the pancreas, helping to 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 removal of the acute symptoms of the disease, the patient's menu is gradually expanded. Let’s look at what a weekly diet should look like for a person with a painful pancreas.
Features of adhering to a diet for various 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 the production of gastric, pancreatic secretion.
- Decreased performance of digestive enzymes.
- Prevention of development or decrease in the severity of infectious processes.
Inflammation of the gland observes swelling, spasm of the organ and its ducts. For this reason, digestive enzymes cannot get from the pancreas to the intestines, they are activated in the gland and begin to digest its walls.
Death from damaged organ tissue, undigested food debris causes a complication of the disease with various infections. Therefore, it is necessary to reduce the activity in the production and function of pancreatic enzymes, which is mainly achieved through fasting.
The first 2-5 days of acute pancreatitis are indicated only the use of fluids - 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. From the tenth day with a positive treatment dynamics, the calorie content of food can be increased to 1000 Kcal.
In the chronic form of the disease, the patient's menu is much broader. It includes grains, most types of vegetables and berries, meats and fish (non-fat, medium-fat types), sour milk, non-sweet pastries, jellies from sweet berries, jams, marshmallows and even some types of sweets.
At the same time, it is necessary to adhere to the following nutritional rules to prevent recurrence of pancreatitis:
- Eat only natural, fresh food.
- Significantly limit 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 is minced, grated for better assimilation.
- Permitted cooking method: cooking, baking, steaming, stewing.
- Do not use hot and cold foods - only hot foods and dishes.
- Do not eat fruit and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than other day with freshness or 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 prohibited.
Eating a healthy diet and staying hydrated can help prolong remission and preserve the pancreas. In this case, diet food is the most effective medicine.
Sample menu to aggravate the inflammatory process
Drink medicinal mineral water should be four to five times a day, 200 ml. While the drink is slightly heated (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 gases come out of the liquid.
On the third day, the drink can be varied with a weak rosehip broth. Drinks help maintain water balance, rebuild the body's reserves with necessary microelements and remove toxins.
Exit from hunger strike
The menu for patients with pancreatitis when leaving the hunger strike (2, 3 or 4 days) can be diversified with the following products:
- dried white wheat bread (not more than 50 grams per day)
- jelly or blackcurrant fruit drink;
- at the same time it is necessary to drink up to 2, 5 liters of fluid a day (still mineral water, jelly, fruit drink, rosehip decoction).
On the third or fifth day, the diet can be supplemented with:
- a decoction of a slimy 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.
For the next two days, you are allowed to start trying:
- the steam pomelo from proteins;
- steam or boiled chicken, rabbit, turkey chopped with a blender;
- cereal soups cooked in vegetable broth or water;
- vegetable puree (pumpkin, carrots, courgettes);
- not strong black or green tea, prunes, yogurt.
From the tenth day, the menu can be diversified with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish chops, soufflé subject to successful treatment and reducing the symptoms of the disease. Sugar is allowed to start using in very small amounts. However, it is better to take temps.
The diet for acute pancreatitis is strict, so the menu absolutely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, 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 menu for a patient with acute pancreatitis for a week should include only foods that are allowed and safe in the gastrointestinal tract.
Day 1:
- Early meal: steamed 2 protein eggs, oatmeal, rosehip broth.
- Late meal: berry jelly.
- Lunch time: rice soup, toast, steamed chicken chops with squash puree.
- Afternoon meal: grated cottage cheese, lightly brewed tea.
- Evening: fish souffle with stewed vegetables, blackcurrant compote.
- Late night: croutons with yogurt.
Day 2:
- 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.
- Evening: noodles, steamed fish chop, green tea.
- Late in the evening: biscuits, tea.
Day 3:
- Early meal: vegetable pudding.
- Late meal: rice porridge, a piece of chicken.
- Lunch time: buckwheat soup, croutons, steam rabbit chops, jelly.
- Afternoon meal: pumpkin porridge.
- Evening: oatmeal, a piece of chicken, black tea.
- Late night: biscuits with kefir.
Day 4:
- Early meal: rice porridge, blackcurrant compote.
- Late meal: steamed omelette, chamomile decoction.
- Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon meal: baked apple with cottage cheese, compote.
- Dinner: oatmeal, raspberry soufflé, rosehip broth.
- Late dinner: biscuits and yogurt.
Day 5:
- Early meal: oatmeal, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed cakes, tea.
- Afternoon meal: cottage cheese stew, rosehip broth.
- Evening: carrot puree with chicken soufflé, baked grated apple without peel and core, compote.
- Late in the evening: a biscuit with tea.
Day 6:
- Early meal: semolina porridge, chamomile decoction.
- Late meal: steamed omelette, jelly.
- Lunch time: noodle soup, biscuits, boiled chicken, tea.
- Afternoon snack: berry soufflé, compote.
- Dinner: vegetable puree, steamed turkey chop, jelly.
- Late dinner: croutons with yogurt.
Day 7:
- Early meal: carrot and pumpkin puree, boiled egg white, compote.
- Late meal: curd soufflé, chamomile decoction.
- Breakfast time: Shabby fish soup, biscuits, steamed chicken chops, tea.
- Afternoon meal: baked apple, compote.
- Evening: buckwheat porridge with a steamed chop, boiled grated beets, jelly.
- Late night: croutons with kefir.
Before the transition of the disease to the stage of stable remission, all food must be grated and without spices (even salt is not recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh apples, peeled and cabbage heads as well as strawberries, bananas.
Sample menu for stable remission of pancreatitis
An example of a menu for pancreatitis for a week looks like this:
| Day | Early meal | Snack | Breakfast time | Afternoon meal | Evening time |
| You. | Oatmeal with low-fat milk, cheese sandwich, chicory | Curd pudding, biscuit biscuits, rosehip broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef |
| Tir | Rice milk porridge, jelly or tea | Proteinomelet, boiled turkey, compote | Vermicelli soup, wheat bread, baked hake, jelly candy, green tea | Curd stew, chamomile broth | Mashed potatoes, baked fish, butter carrot salad, tea |
| We | Oatmeal, jelly | Berry mousse, long-lasting biscuits, rosehip broth | Fish soup, pumpkin pudding, biscuits, compote | Curd pudding | Chicken fillet with courgette, boiled cauliflower, green tea |
| We | Semolina groats, cheese sandwiches, jellies | Sour milk, croutons | Rice soup with carrots, meatballs, rosehip broth | Vegetable pudding, compote | Stewed chicken with vegetables, jelly, tea |
| Fri. | Dampomelet, black tea | Carrot and grated apple pudding | Vegetable puree soup, beef meatballs, chamomile decoction with jelly candy | Berry soufflé, kiks kiks | 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, boiled noodles, tea |
| Sun. | Rice porridge with boiled turkey, rosehip broth | Vegetable soufflé, berry jelly | Shabby meat cream soup, fish balls, dried bread, tea | Curd of 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 cakes.
Conclusion
The presented menu for patients with pancreatitis for a week is approximate - it can be changed with other dishes allowed at the stage of stable remission.
Between main meals it is also allowed to indulge in small snacks with fruit, sweets are allowed. It is useful to develop a habit of eating at approximately equal time intervals, drinking at least 1-1, 5 liters of water daily and not overeating - after eating, there should be a faint feeling of hunger.