Pancreatitis is a disease caused by inflammation of the pancreas. The disease can be acute and chronic. The main symptoms of acute pancreatitis are: severe pain in the left hypochondrium, encompassing the entire left side, diarrhea, nausea, vomiting. If such symptoms appear, you should immediately seek medical help and call a medical team.
Therapeutic diet for this pathology is the basis of therapy, because the synthesis of digestive enzymes carried out by zymogenic tissues of the pancreas directly depends on the composition of food.
All doctors agree that in the first days of the disease (after the attack), the patient needs to starve. Many doctors like to say that the pancreas likes "cold, hunger, and rest. "
Pancreatitis dietary nutrition is designed to achieve maximum chemical, mechanical and heat savings of all organs of the gastrointestinal tract.
Frequent and fractional intake of warm food in small portions reduces the load on the digestive tract for a long time and allows the pancreas to fully recover and normalize its functions.
Basic principles of pancreatitis diet:
- 5-6 meals a day;
- One portion should not exceed 350 g;
- Foods are served only in chopped form;
- All products are subjected to mandatory culinary processing by boiling or steaming;
- It is not allowed to eat raw vegetables, fruits or berries from the permitted list;
- The amount of table salt in the diet should not exceed 5 g per day;
- Do not forget to use clean and mineral table and medicated kitchen water (according to the instructions of a gastroenterologist), drinks based on rose flowers (infusions, decoctions);
- All food is served only warm, against the use of hot and cold food;
- Fatty, fried, canned, pickled, salted, smoked foods, fast food and convenience foods are prohibited;
- A slight violation of the diet can cause inflammation of the pancreas and a new attack;
- Dishes are prepared only from the list of approved products;
- All characteristics of the patient (age, condition of the pancreas and other organs of the gastrointestinal tract, presence/absence of other chronic diseases, etc. ) are examined by an experienced nutritionist.
Treatment of acute pancreatitis is carried out in a hospital. For the treatment of the acute phase of the disease, the diet of acute pancreatitis is necessary, it has serious restrictions, and its maintenance is the key to achieving permanent remission.
Acute pancreatitis diet - nutritional features
Depending on the stage of the disease, the diet and approximate menu of pancreatitis are quite different. During the attack, the patient is prescribed complete fasting for 1-3 days for maximum preservation of the organ. At this stage of the pathology, it is necessary to normalize the production of enzymes.
During this period, it is allowed to use alkaline degassed mineral water in warm form, ½ cup 6-7 times a day. From 3-4 days, the diet is gradually expanded due to carbohydrate nutrition, including slimy soup in water, mashed porridge, potatoes, carrots, pumpkin and pumpkin puree, semi-liquid jelly, weak tea with wheat bread crumbs and a small amount of sugar, infusion of wild rose.
From 5-6 days, protein food is added to the carbohydrate food: steamed eggs, semi-liquid puree in skimmed milk, meat and fish steam soufflés, dumplings, meatballs, meatballs, meatballs, cottage cheese with 0% fat. When the patient feels better, fats are gradually introduced into the diet: unsalted natural fat, seasoned with ready meals, for example, cereal.
A strict diet called table 5a is used for up to 2 weeks. After that, the patient is transferred to Table 5 - diet for patients with pancreatitis in remission.
|Food and utensils||approved for use||use is prohibited|
|Bread||Dried and dry wheat bread, dry cookies, dry sugar-free cookies||Rye bread, fresh pastries, muffins, fresh cookies|
|Soups and broths||Water (ground) vegetable soups, fat-free soups, mucilaginous soups made from permitted grains, mashed soups, soups in the second fatty soup (meat, chicken, fish, but not from bones) are allowed to be included in the remission. menu several times a week||Meat, mushrooms, fish and strong vegetable broth, onion, garlic and white cabbage in the soup, do not add any spices and seasonings|
|Dairy foods||Kefir, milk, fermented baked milk, natural yogurt, cottage cheese, sour cream, cottage cheese (fat-free)||Homemade milk, cream, sour cream, cottage cheese, hard cheese, sweet yogurts, cottage cheese|
|Meat||Lean meat: poultry fillet, rabbit, veal||All fatty meats and poultry, poultry skin, lard, lard, lamb, beef and mutton fat|
|A fish||Low-fat river and sea fish (sudanese, pike, carp, bream, crucian carp, hake, mackerel, pollock)||Oily fish, herring, red fish, canned goods, pickles and smoked products, semi-finished products, offal, sausages (any)|
|Cereals and pasta||Oats, buckwheat, rice, semolina (grains should be boiled and ground)||Pasta and vermicelli, barley, corn and millet|
|Drinks||Herbal teas, herbal infusions, rosehip infusion, chicory drink, mineral alkaline water, weak green tea and mate, jelly, non-acidic fruit compotes||Lemonades and various carbonated drinks, all types of alcohol, energy drinks, strong tea, coffee, cocoa|
|desserts||Marmalade, marshmallows, marshmallows (limited), steamed cottage cheese casseroles and puddings, jam and honey (no more than 2 teaspoons per day), soaked prunes and prunes, but no more than 1 handful per day||Ice cream, sugar, pastries, cakes, pastries, sweets (all types), cocoa, chocolate, nuts and seeds|
|Mushrooms||All kinds of mushrooms, as well as broth based on them, are strictly prohibited for patients with chronic pancreatitis. In the acute stage, the fungus has strong contraindications|
|Fruits and berries||Baked apples of sweet varieties (without peel), boiled (cooked) peaches, apricots, plums, berries (in the form of mashed potatoes)||Acidic fruits and berries with stones and small grains, all fresh fruits, citrus fruits|
|Vegetables||Potatoes, pumpkin, carrots, zucchini, parsley and dill (we add vegetables to soups 5 minutes before the end of cooking). Beetroot (added 3-4 weeks after the outbreak). Fresh cucumbers are eaten only in the summer, 2-3 months after the attack.||Radish, radish, horseradish, tomato, eggplant, sweet and hot pepper, spinach, legumes, kombucha, turnip, mustard, garlic, onion, cabbage, celery root, parsley, parsnip. All fresh and canned fruits, as well as red sauces and ketchups are strictly prohibited.|
|Fats||Unsalted oil and unrefined cold-pressed vegetable oils are gradually introduced into the diet starting from 2-3 weeks after strengthening.||Cooking oil, spreads, margarine, butter, refined oils, all types of products with trans fats, mayonnaise|
|An egg||It is allowed to use protein omelets in water or diluted milk from chicken or quail eggs, the yolk should be included in the diet no more than 2-3 times a week.||Fried eggs, hard-boiled eggs|
|Spices and seasonings||Dried dill and parsley (in hot dishes)||All hot and spicy herbs and plants that enhance the secretory function of the stomach|
Pancreatic pancreatitis diet: sample menu
Delicious and varied dishes are prepared from the approved list. Try to include as many foods as possible in your daily diet.
We offer several recipes of healthy food for people with pancreatitis.
Steamed beef pudding
Puree 120 g of boiled beef (without fascia, fat and tendons) in a blender, mix with 10 g of semolina, add whipped protein to the minced meat, then yolk and a third of a glass, a little salt.
Put the carefully mixed mass in the form of a multivarka or a double boiler, grease with butter and make it ready for the kitchen.
0, 3 kg of low-fat sea fish fillets are passed through a meat grinder, add ¼ dry bread soaked in half a glass of boiled milk to the stuffing, add 2 whipped proteins to the mass, add a pinch of salt and dried parsley.
Boil the quenelles (small balls) formed from the minced meat in slightly salted water for at least a quarter of an hour.
vegetable puree soup
Boil 2 peeled potatoes, 1 carrot and ½ zucchini in water until cooked, drain the broth, puree the vegetables, mix the liquid and puree, add finely chopped parsley branches (2 pieces), boil on low heat for 3 minutes.
Serve hot soup flavored with low-fat sour cream (1 teaspoon) or natural yogurt.
Dissolve 2 packets of gelatin in a cup of hot water until completely dissolved and cool slightly. Add ½ liter of low-fat natural yogurt (without additives and sugar) to the jelly mass. Cook 2 bananas and 2 peaches (without skin). Line the bottom of an enameled dish or cake pan with foil and arrange the dessert in layers: crushed cookies, yogurt-gelatin cream, banana and peach puree. There are several such layers (depending on the diameter of the mold). Send the cake to the refrigerator to set the jelly.
|Food||Dishes and drinks|
|Breakfast||Steamed omelet from 1 egg in water, buckwheat porridge (small portion), chamomile tea|
|Lunch||Semolina Pudding, Baked Apples|
|The dinner||Potato cream soup (200 ml), 100 g of boiled turkey fillet, 1 large boiled and cleaned carrot and puree in a blender, apricot jelly|
|afternoon tea||100 g of low-fat cottage cheese and a slightly cooked mass of 1 banana|
|The dinner||Vegetable ragout of carrots, potatoes and pumpkin seasoned with olive oil and dill (add oil and dill before serving), pike baked in foil (120 g portion), cottage cheese with semolina, weak green tea|
|Before going to bed||A glass of low-fat sour milk drink of your choice: kefir, acidophilus, acidophilus yogurt, natural yogurt|
An exemplary diet menu for pancreatitis is aimed at showing that even in this case, it is possible to eat a variety and interestingly. Using a food chart (what you can and can't eat) and some recipes, it's easy to create your own fun menu.
Dietary nutrition for inflammation of the pancreas is not only the most effective method of treating this organ, but also preventing the development of chronic pancreatitis, as well as achieving permanent remission.