PancreatitisIs 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,proper diet is important. . .
Pancreatitis is divided into chronic and acute, depending on the nature of the disease, you need to choose the right diet.
In acute or chronic pancreatic disease, pancreatitis is diagnosed because:
- Eating Disorders.
- Eat fatty/spicy foods every day.
- Chronic alcoholism.
- Diseases of the bile ducts, including cholecystitis, gallstone disease.
- Gastric pains.
With exacerbation of pancreatitisthere is a need for surgical intervention (opening the lining of the pancreas) if there is a small effect of drug treatment, fasting, removal of food waste from the stomach.
Chronic pancreatitisaggravated under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotic drugs, against the background of diseases of the liver (in which a special diet must be followed) and gallbladder, which is quite common in adults. With increased pressure in the abdomen in women at the end of pregnancy, pancreatitis can develop.
Diet for acute pancreatitis for 10 days
Goals of nutritional therapy for acute acute pancreatitis-removes swelling, inflammation and infection of the pancreatic duct.
To do this, in the hospital, drug treatment with enzyme preparations, antispasmodics plus complete fasting for several days is used to avoid the use of surgical operations.
Hunger is necessary to delay the production of gastric juice, pancreatic juice, to reduce enzymatic activity due to lack of food in the esophagus. During this time, restoration of the gland will occur.
They come out of hunger for 2-3-4 days, try to eat for a day:
- bread or dry wheat bread (non-sticky) - 50 g / day;
- jellies, fruit drinks (it is better to cook them from cranberries or black currants);
- continue to drink at least 2. 5 liters of fluids, including currant or cranberry juice with mineral water (2: 1) without gas, as well as various herbs (for example, roses).
If the symptoms of acute pancreatitis no longer occur, add to the diet for 3-5 days:
- salty slimy rice or wheat broth;
- liquid mashed potatoes without oil;
- semi-liquid jelly or jelly from juice;
- liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything needs to be ground or chopped in a blender);
- crackers;
- dry bread.
For 6-8 days you can eat:
- steamed omelet made of protein
- souffle from fat-free cottage cheese;
- steamed meat (must be chopped or grated through a meat grinder / blender)
- slimy cereal soup;
- jelly or mousse from apples, grated without skin;
- vegetable puree (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
- vegetable pudding (steamed);
You can add from liquid - green or black tea (weak), add sugar or honey - 1 tsp 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 - fat. In the evening, you need to drink a glass of water with honey, raisins (1 tsp), prunes (2-3 pcs. ) or yogurt to relieve constipation.
From the 10th day after the attack, you can increase the calorie content by more than 1000 cal / day, up to 300 grams. - carbohydrates, up to 60 gr. - protein, up to 20 g / day - fat. They continue to eat pureed plain food.
Sample menu
Below is a menu for several days, a similar diet can be made on your own based on the list of allowed products.
| day | eat | Approximate diet menu for pancreatitis |
| Day 1 | Breakfast | Semolina or rice porridge (on water) - 150 gr. , Fruits: oranges or apples. Green tea (not strong) can be with honey (1 tsp. ) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish fillet. Rosehip drink (recipe is below), honey - 1 tsp. | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White croutons. For dessert, you can bake apples with honey in the oven, always skinless. | |
| Afternoon snack | Tea with honey and a little cottage cheese (1% fat) | |
| Dinner | Protein steam omlt 3 eggs, white bread croutons. Puree from permissible vegetables - 150 gr. , | |
| Before bedtime | Boiled water - 1 cup with honey - 1 tsp. or condensed 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 puree soup. Minced Chicken Meatballs | |
| Afternoon snack | Green tea with 1-2 slices of unsweetened pastries | |
| Dinner | Rice curd pudding -150 gr. Tea or jelly | |
| Before bedtime | Rosehip decoction - 1 cup | |
| 3rd day | Breakfast | Liquid rice porridge - 150 g Green tea is not strong with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Soup made of carrots, cauliflower, potatoes with meatballs. Mashed dried fruit compote buah | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| Dinner | Low-fat fish boiled or grilled | |
| Before bedtime | Milk tea or kefir |
recipes
Can be usedafter an acute attack of pancreatitisdiet number 5pand observe it all year round. They eat pureed food, without salt, protein 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 the broth, you will need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rosehips, add water, put a drink for infusion for 4 days. You do not need to cook the infusion, rosehips should be impregnated with water at room temperature. This drink contains vitamin C.Attention!because the drink is acidic, consult your doctor before drinking it.
Mashed fish soup:
For soups, 0. 5 kg of fish is useful (it is recommended to take boneless fillets, cod, pike, pike perch), 1. 5 liters of water or vegetable stock, 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 in a blender. Heat a little milk in a saucepan and add butter to it, as soon as the butter melts add the stock, bring to a boil, but do not boil. Add fish, cook on low heat for a few minutes. Salt can only be added if permitted by your doctor!
Forbiddenfor acute pancreatitis, use:
- alcohol;
- eating fatty or fried;
- Eating fatty or bloated foods such as beans, bran, cabbage, turnips, rutabaga, fruit and vegetable peels, raw fruit, berries or vegetables;
- carbonated drinks with a fermentation reaction: kvass, kefir.
Diet for chronic pancreatitis
An attack of chronic pancreatitis can occur immediately after lunch, the menu includes: hard eggs, pastries, raw fruit, vegetables, juices, cold soda, chocolate, milk, or ice cream. A constant companion of the disease will manifest itself at any time: bloating, a feeling of bloating or heaviness, a lump "stuck in the lower chest", periodic vomiting.
Against the background of chronic pancreatitis, diabetes mellitus can easily develop and progress, which is also a serious disease, for which you must adhere to a strict diet.
Diet for chronic pancreatitis may include:
- rye bread crackers (you can dry the bread yourself);
- vegetable soup (pumpkin, potatoes, zucchini or carrots are best for soup);
- cereal soups (with semolina, oatmeal, buckwheat or rice);
- meat - beef or veal, chicken, rabbit. It is better to steam, bake or boil.
- steamed omelet from eggs (2-3 pcs. ).
- low-fat fish: flounder, pollock, cod, perch, pike perch, hake, perch or pike;
- curd (not salted): can be eaten fresh or made into pudding;
- cheese - choose low-fat and unsalted varieties;
- in dishes or when cooking, you can use butter or sunflower oil -10-15 gr.
- sour cream, kefir (low-fat only);
- porridge - rice, pearl barley, oatmeal, buckwheat, noodles (the consistency should be liquid or semi-liquid);
- vegetable purees / stews (do not forget cabbage and tomatoes can not be added), vegetables can also be boiled or baked;
- mousses / jellies from juices, compotes from dried fruits (apricots, pears, apples)
- fruit (roasted or grated only without skin)
- diet purees and canned purees for babies or diet foods;
- multivitamin and mineral preparations.
Today's menu
| eat | Approximate diet menu for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Rosehip tea or decoction |
| Lunch | Oatmeal with milk. Rose hip broth or infusion |
| Dinner | Carrot and pumpkin puree soup. Steamed fish. tea |
| Afternoon snack | 1 jar baby food makanan |
| Dinner | Boiled zucchini vegetables with carrots. A piece of boiled chicken. Dried fruit compote |
| In the evening | A glass of kefir |
You can not eat foods that stimulate pancreatic secretion:
- meat, fish, poultry of fatty varieties, forget about smoked meat and fish, sausages, canned food;
- meat, mushrooms, fish stock (and soups and sauces on it);
- cabbage soup, borscht, and 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 hard-fried or hard-boiled eggs;
- any beans, white cabbage, eggplant, radishes, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, bell peppers;
- bakery products, fresh, sweet bread, flour, 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 the asymptomatic course of the disease or in the presence of mild symptoms, the list of prohibited dishes / products is gradually reduced to product categories that should only be limited, but not completely excluded.
Recipe
Vegetable puree soup:
For soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables must be washed, cut into cubes. Pour the vegetables into a pot of water (1-1. 5 liters), cook until tender. Drain and puree in a blender.
Fish Souffle:
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 the yolks), a piece of butter (20 g). Boil fish in water, curse, scroll through a meat grinder or finely chop.
Mix milk and flour (heat flour in a pan until slightly yellow) you get a slightly thick milk "sauce". Now we begin to mix: fish, egg yolks, milk sauce, butter (if your doctor allows, you can salt them).
Whisk the whites separately until a thick foam. While stirring, add to the fish mass.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking dish or baking dish, put in the oven and bake until tender.
Apple marshmallow (dessert):
To prepare marshmallows, you need to take 1 kg of apples, peel them, cut them, pour water into a saucepan and cook. Boil the apples, remove, drain the water, let it cool a bit. Rub the apples through a sieve or chop them in a blender.
Drain all the juice from the resulting puree, squeeze out the puree. Pour the juices separately into a small saucepan and cook until thickened (almost like syrup). Pour sugar (100 g) into boiled juice, bring to a 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 pastille until it thickens completely.
Sample menu for pancreatitis for a week: diet options and nutritional rules
Along with regular use of the drug, dietary nutrition is also indicated for pancreatitis. Only comprehensive measures allow you to relieve the load and swelling of the pancreas, help stop inflammation and restore damaged tissues.
In acute attacks of illness, diet is very limited, until fasting the first few days. After eliminating acute symptoms of the disease, the patient's menu gradually develops. Let's see what a weekly diet looks like for someone with a painful pancreas.
Features of adherence to the diet for various forms of pancreatitis
In acute inflammation, the diet is very strict. On the first day of illness, the patient is shown to be hungry. Depending on the severity of the disease, the presence of complications, fasting can last from one to three to four days. Such actions are necessary to:
- Suspension of gastric production, pancreatic secretion.
- Decreased performance of digestive enzymes.
- Prevention of the development or reduction of the severity of the infectious process.
With inflammation of the gland, swelling, spasm of its organs and ducts are observed. For this reason, digestive enzymes cannot pass from the pancreas to the intestine, they are activated in the gland and begin to digest its walls.
Death of damaged organ tissue, undigested food remains provoke complications of the disease with various infections. That is why it is necessary to reduce the production activity and function of pancreatic enzymes, which is mainly achieved 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 the OP, the diet gradually developed according to the diet table 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 positive dynamics of treatment, the calorie content of food can be increased to 1000 Kcal.
In chronic forms of the disease, the patient menu is much wider. This includes cereals, most types of vegetables and berries, meat and fish (non-fat, medium-fat types), sour milk, non-sweet cakes, sweet fruit jellies, marmalade, marshmallows and even some sweets.
At the same time, to prevent the recurrence of pancreatitis, it is necessary to adhere to the following nutritional rules:
- Eat only natural, fresh food.
- Significantly limit the amount of sweet, fatty, and especially sour.
- Food should be fractional: 5-6 times a day in small portions.
- It is desirable that the food be chopped, grated, for better assimilation.
- Permissible cooking methods: cooking, baking, steaming, stewing.
- Don't use hot and cold food - only warm food and plates.
- Do not eat fruit and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better from the second day of freshness or crackers), baked pastries with cream.
- It is not recommended to use seasoning (salt can be used in small amounts).
- Alcohol, snacks (chips, crackers, corn sticks, etc. ) are strictly prohibited.
Eating a healthy diet and staying hydrated can help prolong remission and keep the pancreas healthy. In this case, diet food is the most effective medicine.
Sample menu for exacerbation of the inflammatory process
Drink 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 carbonated, it is best to pour it into the glass half an hour or an hour before drinking to allow all the gas to escape from the liquid.
On the third day, the drink can be varied with a weak rosehip broth. Drinking will help maintain water balance, replenish the body's reserves with the necessary microelements, and get rid of toxins.
Get out of hunger strike
The menu for pancreatitis patients on hunger strike (2, 3 or 4 days) can be varied with the following products:
- dry 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 fluid per day (mineral water, jelly, fruit drinks, decoction of rosehips).
On the third or fifth day, the diet can be supplemented with:
- a stew of a slimy consistency from rice or oatmeal;
- mashed potatoes (liquid, without butter and milk);
- jelly from blueberries, black currants, strawberries, blueberries;
- grated porridge in water from buckwheat, rice, oatmeal.
In the next two days, you are allowed to start trying:
- steamed omelet from protein;
- steamed or boiled chicken, rabbit, turkey chopped in a blender;
- cereal soup cooked in vegetable broth or water;
- vegetable puree (pumpkin, carrots, zucchini);
- not strong black or green tea, prunes, yogurt.
Starting from the tenth day, with successful treatment, relieves symptoms of the disease, the menu can be varied with unsalted butter, jelly, baked apples, low-fat boiled fish or steamed fish cutlets, souffles. Sugar is allowed to be used in very small quantities. However, it is better to take a replacement.
The diet for acute pancreatitis is very strict, so the menu completely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned foods, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, sauces, ice cream , alcohol, soda, radishes, onions, garlic, radishes, spinach, peas, chickpeas, asparagus, sorrel.
Nutrients after a total attack are gone
The menu of a patient with acute pancreatitis for a week should include only foods that are permissible and safe for the digestive tract.
the first day:
- Early meal: steamed 2 protein scrambled eggs, oatmeal, rosehip broth.
- Eating late: berry jelly.
- Lunch time: rice soup, toast, steamed chicken cutlet with pumpkin puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Evening: fish souffle with boiled vegetables, currant compote.
- Late night: croutons with yogurt.
Day 2:
- Starting food: curd pudding, tea with croutons.
- Dinner: strawberry souffle, rosehip stew.
- Lunch time: noodle soup in vegetable broth, crackers, turkey stew, berry mousse.
- Afternoon snack: baked apples, compote.
- Evening: noodles, steamed fish cutlet, green tea.
- Late night: biscuits, tea.
3rd day:
- Breakfast: vegetable pudding.
- Dinner: rice porridge, a piece of chicken.
- Lunch time: buckwheat soup, croutons, steamed bunny slices, jelly.
- Afternoon snack: pumpkin porridge.
- Evening: oatmeal, a piece of chicken, black tea.
- Late night: biscuits with kefir.
4th day:
- Early meal: rice porridge, raisin compote.
- Late dinner: steamed omelet, chamomile stew.
- Lunch: stewed meat cream soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apples with cottage cheese, compote.
- Dinner: oatmeal porridge, raspberry souffle, rosehip broth.
- Late dinner: biscuits and yogurt.
day 5:
- Breakfast: oatmeal porridge, scrambled eggs, black tea.
- Late meals: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: cottage cheese casserole, rosehip broth.
- Evening: carrot puree with chicken souffle, grated baked apple without skin and core, compote.
- Late night: one biscuit biscuit with tea.
6th day:
- Early meals: semolina porridge, chamomile decoction.
- Late night meal: steamed omelet, jelly.
- Lunch time: noodle soup, crackers, boiled chicken, tea.
- Afternoon snack: berry souffle, compote.
- Dinner: vegetable puree, steamed turkey slices, jelly.
- Late dinner: croutons with yogurt.
7th day:
- Starting food: carrot and pumpkin puree, boiled egg whites, compote.
- Dinner: curd souffle, chamomile stew.
- Lunch time: shabby fish soup, crackers, steamed chicken slices, tea.
- Afternoon snack: baked apples, compote.
- Evening: buckwheat porridge with steam cutlets, boiled grated beets, jelly.
- Late night: croutons with kefir.
Before the transition of the disease to the stage of stable remission, all food should be grated and without spices (even salt is not recommended). Two weeks after the attack, as long as there are no symptoms of the disease, you can start trying fresh apples, peeled and head cabbage, as well as strawberries, bananas.
Sample menu for stable remission of stable pancreatitis
An example menu for pancreatitis for a week looks like this:
| Day | Eat early | Snack | Lunch time | Afternoon snack | night time |
| Monday | Oatmeal with low fat milk, cheese sandwich, chicory | Curd pudding, biscuit biscuits, rosehip broth | Potato soup with chicken stock, croutons, steamed chicken meatballs | Baked apple, jelly | Buckwheat porridge, stewed beetroot salad with butter, beef cutlet |
| cell | Rice milk porridge, jelly or tea | Protein omelet, boiled turkey, compote | Vermicelli soup, whole wheat bread, baked hake, jelly candy, green tea teh | Curd casserole, chamomile broth | Mashed potatoes, grilled fish, buttered carrot salad, tea |
| Marrying | Oatmeal, jelly | Berry mousse, remaining biscuits, rosehip broth kaldu | Fish soup, pumpkin pudding, crackers, compote | curd pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Marrying | Semolina porridge, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, rosehip broth | Vegetable pudding, compote | Boiled chicken with vegetables, jelly, tea |
| Friday | Steamed omelet, black tea | Apple grated carrot and apple pudding | Vegetable puree soup, beef meatballs, chamomile stew with jelly candy | Souffle berry, biscuit biscuit | Boiled rice with meatballs, tea |
| Sit. | Oatmeal, chicory | Omelet, apple compote | Buckwheat soup, minced meat, 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 souffle, berry jelly | Shabby meat cream soup, fish dumplings, crusty bread, tea | Curd biscuits, baked apples, tea | Fish rolls, mashed potatoes, rosehip broth |
1-2 hours before bedtime, you can drink a glass of fermented milk products (yogurt, kefir, yogurt) with diet cakes.
Conclusion
The menu presented to patients with pancreatitis for a week is approximate - it can be changed to other dishes that are allowed at the stage of stable remission.
Between the main meals, it is also permissible to enjoy small snacks with fruits, sweets are allowed. It is useful to develop the 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 slight feeling of hunger.