PancreatitisIt is a whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - one of its manifestations is pain syndrome.
To relieve pain and prevent recurrence,the right diet is important. . .
Pancreatitis is divided into chronic and acute, depending on the nature of the disease, it is necessary 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.
- Biliary tract diseases, including cholecystitis, gallstone disease.
- Stomach ulcer.
With exacerbation of pancreatitissurgery is required (opening of the pancreas lining) in case of a small effect of drug treatment, fasting, removal of food debris from the stomach.
Chronic pancreatitisaggravated under the influence of overeating, alcoholism, prolonged use of glucocorticoid, estrogen, narcotic hormones, against the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults. With increased pressure inside the abdomen in women at the end of 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, and 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 juices, to reduce enzymatic activity due to the lack of food in the esophagus. During this period, the restoration of the gland will take place.
They come out of hunger for 2-3-4 days, trying to eat for a day:
- dried (not sticky) wheat bread or loaf - 50 g / day;
- jelly, fruit drinks (it is better to cook them from blueberries or black currants);
- continue drinking at least 2. 5 liters of liquids, including currant 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 no longer occur, add to the diet for 3-5 days:
- salty slimy rice or oat broth;
- liquid mashed potatoes without oil;
- semi-liquid jelly or juice jelly;
- liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything must be ground or chopped with a blender);
- cracker;
- dry bread.
For 6-8 days you can eat:
- protein-based steamed omelette
- fat-free ricotta soufflé;
- steamed meat (necessarily minced or grated through a meat grinder / blender)
- slimy cereal soups;
- jelly or apple mousse, grated skinless berries;
- vegetable soups (potatoes, courgettes, squash, carrots are fine, you can add a drizzle of oil)
- vegetable puddings (steamed);
You can add from liquids - green or black (weak) tea, add sugar or honey - 1 teaspoon each, or tea with milk, beet juice, 50 ml / day with mineral water.
Calorie content is increased to 1000 calories per day, up to 50 g - protein, up to 250 g - carbohydrates, up to 10 g / day - fat. At night, you need to drink a glass of water with honey, raisins (1 tsp), prunes (2-3 pieces) or yogurt to get rid of constipation.
From the 10th day after the attack it is possible to increase the calorie content by over 1000 cal / day, up to 300 grams. - carbohydrates, up to 60 gr. - proteins, up to 20 g / day - fats. They continue to eat unsalted mashed food.
Sample menu
Below is a menu for several days, a similar diet can be worked out on your own according to the list of allowed products.
| days | to eat | Approximate diet menu for pancreatitis |
| Day 1 | Breakfast | Semolina or rice porridge (on water) - 150 gr. , Fruit: orange or apple. Green tea (not strong) can be with honey (1 tsp) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish cutlets. Rosehip drink (the recipe is below), honey - 1 tsp. | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , Crouton of white bread. For dessert, you can bake an apple with honey in the oven, again without the skin. | |
| Afternoon snack | Tea with honey and some cottage cheese (1% fat) | |
| Dinner | 3-egg steamed protein shake, white bread crouton. Allowed vegetable puree - 150 gr. , | |
| Before going to bed | Boiled water - 1 cup with honey - 1 tsp. or curdled milk. | |
| Day 2 | Breakfast | Oatmeal porridge with milk - 150 gr. Kissel or green tea (not strong) |
| Late breakfast | Grated apple with soft curd | |
| Dinner | Pumpkin or cauliflower soup. Chopped chicken meatballs | |
| Afternoon snack | Green tea with 1-2 slices of unsweetened dry biscuits | |
| Dinner | Rice curd pudding -150 gr. Tea or jelly | |
| Before going to bed | Rosehip decoction - 1 glass | |
| Day 3 | Breakfast | Liquid rice porridge - 150 g Non-strong green tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Carrot, cauliflower, potato soup with meatballs. Compote of crushed dried fruit | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| Dinner | Boiled or baked lean fish | |
| Before going to bed | Milk or kefir tea |
Dish recipes
It can be usedafter an acute attack of pancreatitisdiet number 5pand observe it throughout the year. They eat pureed food, without salt, protein can be increased - up to 100 grams, up to 40 grams. - fats, up to 450 gr. - carbohydrates. Make sure you follow the recommendations and regimen prescribed by your doctor!
Rosehip drink recipe:
For the broth you need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rosehip, add water, infuse the drink for 4 days. It is not necessary to cook the infusion, the rosehip must be infused with water at room temperature. This drink contains vitamin C.Warning!since the drink is acidic, consult your doctor before taking it.
Stewed fish soup:
For the soup, 0, 5 kg of fish are useful (it is recommended to take boneless fillets, cod, pike, zander), 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 until tender. Remove the fish from the pan, chop with a blender. Heat a little milk in a saucepan and add the butter, as soon as the butter melts, add the broth, bring to a boil, but do not boil. Add the fish, cook over low heat only for a couple of minutes. Salt can only be added if authorized by your doctor!
Forbiddenfor acute pancreatitis, use:
- alcohol;
- eat fatty or fried;
- Eat any fatty or bloated food such as legumes, bran, cabbage, turnips, turnips, fruit and vegetable peels / peels, 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 included: resistant eggs, pastries, raw fruit, vegetables, juices, cold drinks, chocolate, milk or ice cream. Constant companions of the disease will manifest themselves every time: swelling, a feeling of bloating or heaviness, a lump "stuck in the lower part of the chest", periodic vomiting.
Against the background of chronic pancreatitis, diabetes mellitus can easily develop and progress, which is also a serious disease, in which it is necessary to follow a strict diet.
The diet for chronic pancreatitis can include:
- wholemeal bread crackers (you can dry bread yourself);
- vegetable soups (squash, potatoes, zucchini or carrots are best for soups);
- cereal soups (with semolina, oatmeal, buckwheat or rice);
- meat - beef or veal, chicken, rabbit. Better to steam, cook or boil.
- steamed egg omelettes (2-3 pieces).
- lean fish: flounder, cod, cod, perch, zander, hake, perch or pike;
- curd (unsalted): it can be eaten fresh or flan;
- 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, pasta (their consistency should be liquid or semi-liquid);
- vegetable soups / stews (do not forget that cabbage and tomatoes cannot be added), vegetables can also be simply boiled or baked;
- juice mousse / jellies, dried fruit compotes (apricots, pears, apples)
- fruit (only baked or grated without peel)
- diet puree and canned puree for infant or diet food;
- multivitamin and mineral preparations.
Menu of the day
| to eat | Approximate diet menu for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Rosehip tea or decoction |
| Lunch | Oatmeal with milk. Broth or rosehip tea |
| Dinner | Cream of carrots and pumpkin. Steamed fish. You |
| Afternoon snack | 1 jar of baby food |
| Dinner | Vegetable stewed zucchini with carrots. A piece of boiled chicken. Compote of dried fruit |
| At night | A glass of kefir |
You can not eat foods that stimulate pancreatic secretion:
- meat, fish, poultry of fatty varieties, forget smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish broth (as well as soups and sauces);
- cabbage soup, borscht and 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, turnips, radishes, radishes, onion, garlic, sorrel, spinach, mushrooms, sweet pepper;
- baked goods, fresh bread, cakes, flours, chocolate, other sweets;
- black coffee, cocoa, carbonated drinks.
For pancreatitis with endocrine dysfunctionexclude jam, sugar and honey, as they do not have a therapeutic effect, while they refer 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 only be limited, 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 need to be washed, cut into cubes. Pour the vegetables into a saucepan with water (1-1. 5 liters), cook until tender. Drain and blend 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 egg whites from the yolks), a piece of butter (20 g). Boil the fish in water, condemn, scroll through a meat grinder or finely chop.
Mix the milk and flour (preheat the flour in a pan until it turns slightly yellow) you get a slightly thick milk "sauce". Now let's start kneading: fish, egg yolks, milk sauce, butter (if the doctor allows it, you can salt it).
Whip the whites separately until you get a thick foam. While stirring, add them to the fish mass.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking dish or pan, put in the oven and cook until tender.
Apple marshmallow (dessert):
To prepare the marshmallow you need to take 1 kg of apples, peel them, cut them, pour some water into a saucepan and cook. Boil the apples, remove from heat, drain the water, allow to cool slightly. Rub the apples with a sieve or chop with a blender.
Drain all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a saucepan and let it 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 tablet until it thickens completely.
Sample menu for pancreatitis for a week: diet options and nutrition rules
Along with the regular use of drugs, dietary nutrition is also indicated for pancreatitis. Only a full measure allows you to relieve the load and swelling from the pancreas, help 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 removal of 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.
Features of adherence to a diet for different forms of pancreatitis
In acute inflammation, the diet is very strict. On the first day of the attack of the disease, the patient is shown hunger. Depending on the severity of the disease, the presence of complications, fasting can last from one to three or four days. This measure is necessary for:
- Suspension of the production of gastric and pancreatic secretions.
- Decreased performance of digestive enzymes.
- Prevention of the development or decrease in 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 get from the pancreas into the intestine, they are activated in the gland and begin digesting its walls.
The death of damaged organ tissues, undigested food debris provoke a complication of the disease with various infections. That is why it is necessary to reduce the activity of the production and functioning of pancreatic enzymes, which is achieved mainly 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 dietary chart No. 5 P (I).
At the same time, the calorie content of food during the first ten days of the diet should not exceed 800 Kcal. Starting from the tenth day, with a positive treatment dynamics, the calorie content of foods can be increased up to 1000 Kcal.
In the chronic form of the disease, the patient's menu is much larger. It includes grains, most types of vegetables and berries, meat and fish (non-fat, medium-fat type), sour milk, non-sweet cookies, sweet berry jelly, jam, 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 nutritional rules:
- Eat only natural and fresh foods.
- Significantly limits the amount of sweet, fatty and especially sour.
- Meals should be divided: 5-6 times a day in small portions.
- It is desirable that the food is chopped, grated, for better assimilation.
- Allowed cooking method: baking, baked, steamed, stewed.
- Do not use hot and cold food, only hot food and dishes.
- Do not eat fruit and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better on 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 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 medicine.
Sample menu for the exacerbation of the inflammatory process
Drinking 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, 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 varied with a weak rosehip broth. Drinking helps maintain water balance, replenish the body's reserves with the necessary microelements and remove toxins.
Exit the hunger strike
The menu for patients with pancreatitis after the hunger strike (2, 3 or 4 days) can be diversified with the following products:
- dried white wheat bread (no 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 liquid per day (natural mineral water, gelatin, fruit drink, rosehip decoction).
On the third or fifth day, the diet can be supplemented with:
- a decoction of slimy consistency of rice or oatmeal;
- mashed potatoes (liquid, without butter and milk);
- blueberry jelly, black currants, strawberries, blueberries;
- grated porridge in buckwheat water, rice, oatmeal.
In the next couple of days, you can start trying:
- steam omelet from proteins;
- steamed or boiled chicken, rabbit, turkey minced 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, upon successful treatment, relieving the symptoms of the disease, the menu can be diversified with unsalted butter, jelly, baked apples, boiled lean fish or steamed fish cutlets, soufflé. Sugar can begin to be 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 food, sausages, sausages, bacon, egg yolks, fresh bread and pastries, 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 a patient with acute pancreatitis for a week should include only foods that are allowed and safe for the gastrointestinal tract.
1st day:
- Early meal: 2 steamed protein scrambled eggs, oatmeal, rosehip broth.
- Late meal: berry jelly.
- Lunch: Rice soup, croutons, steamed chicken cutlets with pumpkin puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Evening: fish soufflé with stewed vegetables, currants compote.
- Late evening: yoghurt croutons.
2nd day:
- First meal: ricotta pudding, tea with croutons.
- At the end of the meal: strawberry soufflé, rosehip decoction.
- Lunch: noodles soup in vegetable broth, crackers, boiled turkey, berry mousse.
- Afternoon snack: baked apples, compote.
- Evening: noodles, steamed fish cutlet, green tea.
- Late evening: crackers, tea.
3rd day:
- First meal: vegetable pudding.
- Late meal: rice porridge, a slice of chicken.
- For lunch: buckwheat soup, croutons, steamed rabbit cutlets, jelly.
- Afternoon snack: pumpkin polenta.
- Evening: oatmeal, a piece of chicken, black tea.
- Late evening: cookies with kefir.
4th day:
- Early meal: rice porridge, currants compote.
- Late meal: steamed omelette, chamomile decoction.
- Lunch: boiled meat soup, croutons, a piece of boiled rabbit, tea.
- Afternoon snack: baked apple with ricotta, compote.
- Dinner: oatmeal porridge, raspberry souffle, rosehip broth.
- Late dinner: crackers and yogurt.
5th day:
- Early meal: oatmeal porridge, scrambled eggs, black tea.
- At the end of the meal: pumpkin puree, strawberry compote.
- For lunch: buckwheat soup, croutons, steamed fish balls, tea.
- Afternoon snack: ricotta casserole, rosehip broth.
- Evening: carrot puree with chicken soufflé, grated baked apple without peel and core, compote.
- Late evening: a biscuit with tea.
6th day:
- Early meal: semolina porridge, chamomile decoction.
- Late meal: steamed omelette, jelly.
- Lunch time: noodles soup, crackers, boiled chicken, tea.
- Afternoon snack: berry soufflé, compote.
- Dinner: vegetable puree, steamed turkey cutlet, jelly.
- Late dinner: yogurt croutons.
7th day:
- Early meal: carrot and pumpkin puree, hard-boiled egg white, compote.
- End of meal: curd soufflé, chamomile decoction.
- Lunch: Shabby fish chowder, crackers, steamed chicken cutlets, tea.
- Afternoon snack: baked apple, compote.
- Evening: buckwheat porridge with a steamed cutlet, boiled grated beets, jelly.
- Late evening: croutons with kefir.
Before the transition of the disease to the stage of stable remission, all food should be grated and without spices (salt is also not recommended). Two weeks after the attack, provided that there are no symptoms of the disease, you can start trying fresh, peeled apples and cabbage, 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 | Lunch time | Afternoon snack | Evening |
| Mon | Oatmeal with low-fat milk, cheese sandwich, chicory | Ricotta pudding, biscuits, rosehip broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, jelly | Buckwheat porridge, buttered beet salad, beef cutlet |
| mar | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wholemeal bread, baked hake, jelly candies, green tea | Curd casserole, chamomile broth | Mashed potatoes, baked fish, buttered carrot salad, tea |
| Wed | Oatmeal, gelatin | Forest fruit mousse, persistent biscuits, rosehip broth | Fish soup, pumpkin pudding, crackers, compote | Ricotta custard | Chicken fillet with courgettes, boiled cauliflower, green tea |
| Wed | Semolina porridge, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, rosehip broth | Vegetable pudding, compote | Stewed chicken with vegetables, jelly, tea |
| Fri | Steamed omelette, black tea | Grated carrot and apple pudding | Vegetable puree soup, beef meatballs, chamomile decoction with jelly candies | Berry soufflé, biscuit biscuits | 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 souffle, boiled noodles, tea |
| Sun. | Rice porridge with boiled turkey, rosehip broth | Vegetable soufflé, berry jelly | Shabby cream of meat, fish dumplings, dry bread, tea | Ricotta biscuits, baked apples, 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 biscuits.
Conclusion
The presented menu for patients with pancreatitis for a week is approximate: it can be changed with other dishes that are allowed in the stage of stable remission.
Among the main meals it is also allowed to indulge in small snacks with fruit, sweets allowed. It is useful to develop the habit of eating at approximately equal intervals of time, drinking at least 1-1. 5 liters of water per day and not overeating - after eating, there should be a slight feeling of hunger.