PancreatitisIt is a whole group of diseases associated with inflammation of the pancreas. The disease can occur unexpectedly - one of its manifestations is pain syndrome.
To relieve pain and prevent recurrences,Proper nutrition is important. . .
Pancreatitis is divided into chronic and acute, depending on the nature of the disease, you must choose the right food.
In acute or chronic pancreatic disease, pancreatitis is diagnosed due to:
- Eating disorder.
- Eat fatty / spicy foods daily.
- Chronic alcoholism.
- Diseases of the bile duct, including cholecystitis, gallstone disease.
- Stomach Ulcer.
With exacerbation of pancreatitisthere is a need for surgery (opening of the lining of the pancreas) in case of minor effect from medication, fasting, removal of food debris from the stomach.
Chronic pancreatitisworsen under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogen, drugs, in the context of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in. By increasing the pressure inside the abdomen in women at the end of pregnancy, pancreatitis can develop.
Diet for acute pancreatitis for 10 days
The purpose of dietary therapy for acute pancreatitis-remove the swelling, inflammation and infection from the pancreatic duct.
To do this, in a hospital, medication with enzymatic preparations, anticonvulsants and complete fasting for several days is used to avoid the use of surgery.
Hunger is necessary to inhibit the production of gastric, pancreatic juices, to reduce enzymatic activity due to lack of food in the esophagus. During this period, the gland will be repaired.
They go out of hunger for 2-3-4 days, trying to eat for a day:
- dried wheat bread or loaf (non-stick) - 50 g / day.
- jellies, fruit drinks (it is better to cook them from blueberries or black currants).
- Continue to drink at least 2. 5 liters of fluid, including raisin or cranberry juice with mineral water (2: 1) without gas, as well as various decoctions (for example, rose hips).
If the symptoms of acute pancreatitis do not reappear, add to the diet for 3-5 days:
- salty dirty rice or oat broth.
- liquid mashed potatoes without oil.
- semi-liquid jelly or juice jelly;
- liquid cereals: oatmeal, semolina, buckwheat, rice (all prepared in water or milk, everything must be ground or chopped in a blender).
- Rusk;
- dried bread.
For 6-8 days you can eat:
- steam omelette made of proteins
- fat-free cottage cheese souffle.
- Steamed meat (necessarily chopped or grated through a meat grinder / blender)
- cereal soups
- apple jelly or mousse, grated berries without skin.
- Vegetable puree (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), 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), plums (2-3 pcs. ) Or yogurt to eliminate constipation.
From the 10th day after the attack, you can increase the calorie content above 1000 calories / day, up to 300 grams. - carbohydrates, up to 60 gr. - protein, up to 20 g / day - fats. They continue to eat salt purees.
Sample menu
Below is a menu for several days, a similar diet can be prepared yourself based on the list of allowed products.
| Days | He eats | Approximate diet menu for pancreatitis |
| Day 1 | breakfast | Semolina or rice porridge (in water) - 150 gr. , Fruit: orange or apple. Green tea (not strong) can be with honey (1 teaspoon. ) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish cutlets. Rose drink (the following recipe), honey - 1 tsp | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White crouton 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 | Protein steam from 3 eggs, croutons white bread. Puree of permitted vegetables - 150 gr. , | |
| Before bedtime | Boiling 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. Chicken meatballs | |
| Afternoon snack | Green tea with 1-2 slices of dry cookies without sugar | |
| Dinner | Rice pudding -150 gr. Tea or jelly | |
| Before bedtime | Rosehip decoction - 1 glass | |
| Day 3 | breakfast | Liquid rice porridge - 150 gr. Green not strong tea with dry cookies |
| Late breakfast | 1 baked apple | |
| Dinner | Carrot soup, cauliflower, potatoes with meatballs. Dried fruit compote | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| Dinner | Boiled or cooked fish with low fat | |
| Before bedtime | Milk tea or kefir |
Dish recipes
Can be usedafter an acute attack of pancreatitisdiet number 5pand observe it all year round. Eat clean food, without salt, protein can increase - 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 rose, add water, put the drink for infusion for 4 days. You do not need to cook the infusion, the rose should be infused with water at room temperature. This drink contains vitamin C.Caution!because the drink is sour, consult your doctor before taking it.
Fish puree soup:
For the soup, 0. 5 kg of fish are useful (it is recommended 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 soft. 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 broth, bring to a boil, but do not boil. Add fish, cook on low heat for a few minutes. Salt can only be added if approved by your doctor!
Prohibitedfor acute pancreatitis, use:
- alcohol;
- eat fatty or fried.
- Eat fatty or bloated foods such as legumes, bran, cabbage, turnips, rutabagas, fruit / vegetable peels / skins, unripe fruits, berries or vegetables.
- carbonated drinks with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Chronic attacks of pancreatitis can occur immediately after lunch, the menu of which included: persistent eggs, pastries, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. The companions of the disease are constantly manifested each time: bloating, feeling of bloating or heaviness, a piece that "sticks to the lower chest", periodic vomiting.
In the context of chronic pancreatitis, diabetes 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, chicken, rabbit. Better to steam, bake or boil.
- steam omelets from eggs (2-3 pcs. ).
- low fat fish: plaice, pollock, cod, perch, perch, cod, cod or perch
- curd (not salted): can be eaten fresh or 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 wet or semi-wet).
- vegetable puree / stew (do not forget that cabbage and tomatoes can not be added), vegetables can also be boiled or cooked.
- mousse / jelly from juices, compotes of dried fruits (apricots, pears, apples)
- fruit (only baked or grated without skin)
- diet puree and canned puree for baby or diet food.
- preparations of multivitamins and minerals.
Menu for the day
| He eats | Approximate diet menu for pancreatitis |
| breakfast | Steamed meat (chicken or beef). Rose or decoction |
| 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 | Vegetables zucchini stew with carrots. A piece of boiled chicken. Dried fruit compote |
| The night | A glass of kefir |
You can not eat foods that stimulate pancreatic secretion:
- meat, fish, fatty poultry, forget smoked meat and fish, sausages, canned food.
- meat, mushroom, fish broth (as well as soups and sauces)
- cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka).
- milk soups
- fish, meat in fried, smoked, salted or canned foods;
- high fat dairy products
- eggs - you can not eat fried or boiled eggs.
- any beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, sweet pepper.
- bakery products, fresh bread, pastry, flour, chocolate, other sweets.
- black coffee, cocoa, carbonated beverages.
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 only, but not completely excluded.
Recipes
Vegetable puree soup:
For the soup you will need: 1 yellow or green pepper, broccoli, cauliflower, 1 small zucchini. All vegetables should be washed, cut into cubes. Put vegetables in a saucepan with water (1-1, 5 liters), cook until soft. Drain and puree with a blender.
Fish souffle:
To prepare the dish you need: fish (400 g), 100 ml 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, condemn, move to a meat grinder or chop.
Mix the milk and flour (preheat the flour in a pan until slightly yellow) and 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).
Beat the whites separately until thick foam. While stirring, add them to the fish mass.
Preheat the oven to 180-200 degrees. Put the fish mass in a pan or a baking tray, put it in the oven and bake until soft.
Apple marshmallow (dessert):
To prepare the marshmallow, you need to take 1 kg of apples, peel them, cut them, put them in a pot of water and cook. Boil the apples, remove from the heat, drain water, allow to cool slightly. Grate the apples through a sieve or blender.
Drain all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a small saucepan and cook to thicken (almost like syrup). Add sugar (100 g) to the boiled juice, boil a little more. Mix the juice with the puree.
Put the resulting mass in a pan, put in the oven (120 degrees), dry the lozenge until completely thickened.
Sample menu for pancreatitis for a week: diet options and dietary rules
Along with regular drug use, diet is also indicated for pancreatitis. Only a complete measure allows you to relieve the load and swelling of the pancreas, helps stop inflammation and repair 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 is gradually expanded. Let's take a look at the appearance of a weekly diet for a person with a sore pancreas.
Characteristics of following a diet for various forms of pancreatitis
In acute inflammation, the diet is very strict. On the first day of the onset of the disease, the patient develops hunger. 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:
- Inhibition of the production of gastric, pancreatic secretions.
- Decreased efficiency of digestive enzymes.
- Prevent the growth or reduce the severity of infectious processes.
With inflammation of the gland, swelling, spasm of the organ and its ducts. For this reason, digestive enzymes can not enter from the pancreas into the intestines, they are activated in the gland and begin to digest its walls.
The death of damaged organ tissues, raw food residues cause complications of the disease with various infections. This is why it is necessary to reduce the activity of production and function of pancreatic enzymes, which is achieved mainly through fasting.
The first 2-5 days of acute pancreatitis, only the use of fluids is recommended - up to 2. 5 liters. After leaving the hunger strike with OP, the diet is gradually expanded according to diet chart No. 5 P (I).
At the same time, the caloric content of food during the first ten days of the diet should not exceed 800 Kcal. Starting on the tenth day, with a positive healing dynamic, the caloric content of food can be increased to 1000 Kcal.
In the chronic form of the disease, the patient's menu is much wider. It includes cereals, most vegetables and berries, meat and fish (non-fat, medium fat), sour milk, unsweetened cookies, sweet berry jelly, jam, marshmallows and even some types of sweets.
At the same time, in order to prevent the recurrence of pancreatitis, it is necessary to follow the following dietary rules:
- Eat only natural, fresh foods.
- Significantly reduce the amount of sweets, fats and especially sour.
- Meals should be fractional: 5-6 times a day in small portions.
- It is desirable for the food to be chopped, ground, for better assimilation.
- Permitted cooking method: cooking, baking, steam, stew.
- Do not use hot and cold foods - only hot 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 goods with cream.
- The use of spices is not recommended (salt can be used in small quantities).
- Alcohol, snacks (chips, crackers, corn, etc. ) are strictly forbidden.
Eating a healthy diet and staying hydrated can help prolong the recession and maintain pancreatic health. In this case, diet food is the most effective medicine.
Sample menu for aggravation of the inflammatory process
Consumption of medical mineral water should be four to five times a day, 200 ml. While the drink heats 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 consumption so that all the gases come out of the liquid.
On the third day, the drink can be varied with a weak rose broth. Drinking will help maintain water balance, replenish the body's reserves with the necessary micronutrients and remove toxins.
Exit from hunger strike
The menu for patients with pancreatitis when they go on 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);
- jelly or black currant 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, rosé decoction).
On the third or fifth day, the diet can be supplemented with:
- decoction with a slimy texture of rice or oatmeal;
- mashed potatoes (liquid, without butter and milk).
- blueberry jelly, black currants, strawberries, blackberries
- grated porridge in water from buckwheat, rice, oatmeal.
For the next two days, you are allowed to start trying:
- protein steam omelette
- steamed or boiled chicken, rabbit, turkey chopped with a blender.
- cereal soups cooked in vegetable broth or water.
- vegetable puree (pumpkin, carrots, zucchini)
- not strong black or green tea, plums, yogurt.
Starting from the tenth day, with successful treatment, relieving the symptoms of the disease, the menu can be varied with salted butter, jelly, baked apples, low-fat boiled fish or steamed fish cutlets, soufflé. The sugar is allowed to start being used in very small quantities. However, it is better to replace.
The diet for acute pancreatitis is strict, so the menu completely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, fresh bread, bread, pasta, bread, breadalcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.
Diet after complete relief of the attack
The menu of a patient with acute pancreatitis for a week should include only foods that are allowed and are safe for the gastrointestinal tract.
1st day:
- Early meal: omelette of 2 steamed proteins, oatmeal, rose broth.
- Late meals: berry jelly.
- Lunch time: rice soup, toast, steamed chicken cutlets with squash puree.
- Afternoon snack: grated cottage cheese, light tea making.
- Evening: fish souffle with boiled vegetables, raisin compote.
- Late at night: croutons with yogurt.
Day 2:
- Early meal: pudding, tea with croutons.
- Late meals: strawberry souffle, wild rose decoction.
- Lunch time: soup with pasta in vegetable broth, crackers, boiled turkey, berry mousse.
- Afternoon snack: grilled apples, compote.
- Evening: noodles, steamed ribs, green tea.
- Late night: crackers, tea.
Day 3:
- Early meal: vegetable pudding.
- Late meals: 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 at night: cookies with kefir.
Day 4:
- Early meal: rice porridge, raisin compote.
- Late meals: steam omelette, chamomile decoction.
- Lunch: boiled cream of meat soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apple with cote cheese, compote.
- Dinner: oatmeal, raspberry souffle, rose broth.
- Late dinner: crackers and yogurt.
Day 5:
- Early meal: oatmeal, omelette, black tea.
- Lunch: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cake, tea.
- Afternoon snack: cottage cheese casserole, rose broth.
- Evening: carrot puree with chicken souffle, grated apple without skin and core, compote.
- Late at night: a cookie with tea.
Day 6:
- Early meal: semolina porridge, chamomile decoction.
- Late meals: steam omelette, jelly.
- Lunch time: pasta soup, crackers, boiled chicken, tea.
- Afternoon snack: berry souffle, compote.
- Dinner: vegetable puree, steamed turkey cutlet, jelly.
- Late dinner: croutons with yogurt.
Day 7:
- Early meal: carrot and pumpkin puree, boiled egg white, compote.
- Late meals: whey, chamomile decoction.
- Lunch time: lousy fish soup, crackers, steamed chicken cutlets, tea.
- Afternoon snack: baked apple, compote.
- Evening: buckwheat porridge with steamed cutlet, boiled grated beets, jelly.
- Late at night: croutons with kefir.
Before the disease progresses to the stage of stable remission, all foods 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 tasting fresh apples, peeled and heads, as well as strawberries, bananas.
Sample menu for stable remission of pancreatitis
An example menu for pancreatitis for a week looks like this:
| Day | Early lunch | Junk food | Lunch time | Afternoon snack | Evening time |
| Mon. | Oatmeal with low-fat milk, cheese sandwich, chicory | Pudding with curd, biscuit cookies, rose broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef |
| Tue. | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wheat bread, roast cod, jelly candies, green tea | Casserole, chamomile broth | Mashed potatoes, grilled fish, carrot butter salad, tea |
| Wive | Oatmeal, jelly | Berry mousse, sliced cookies, rose broth | Fish soup, pumpkin pudding, crackers, compote | Pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Wive | Semolina porridge, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, rose broth | Vegetable pudding, compote | Boiled chicken with vegetables, jelly, tea |
| Fri. | Steam omelette, black tea | Carrot and grated apple pudding | Vegetable puree soup, beef meatballs, chamomile decoction with caramel jelly | Berry souffle, biscuit cookies | Boiled rice with meatballs, tea |
| Sat. | Oatmeal, radish | Omelet, apple compote | Buckwheat soup, meatballs, boiled beet salad, tea | Sandwich with butter and hard cheese, roasted apple, tea | Fish souffle, boiled noodles, tea |
| Sun. | Rice porridge with boiled turkey, rose broth | Vegetable souffle, berry jelly | Shabby cream meat soup, fish pasta, dried bread, tea | Cookies with curd, baked apple, tea | Fish roll, mashed potatoes, wild rose broth |
1-2 hours before bedtime, you can drink a glass of fermented milk (yogurt, kefir, yogurt) with diet cookies.
conclusion
The menu presented for patients with pancreatitis for a week is approximate - it can be changed with other dishes allowed in the stage of stable recession.
Among the main meals, you are also allowed to enjoy small fruit snacks, sweets are allowed. It is helpful to develop a habit of eating at about equal intervals, drinking at least 1-1, 5 liters of water daily and not eating too much - after eating, there should be a slight feeling of hunger.