PancreatitisIs a group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - one of the 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 food.
In acute or chronic pancreatic disease, pancreatitis is diagnosed because:
- Eating disorders.
- Eat fatty / spicy foods every day.
- Chronic alcoholism.
- Bile duct diseases, including cholecystitis, gallstone disease.
- Stomach ulcer.
With exacerbation of pancreatitisthere is a need for surgical intervention (opening the lining of the pancreas) in case there is a small effect from drug treatment, fasting, removal of food debris from the stomach.
Chronic pancreatitisexacerbated under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogen, narcotic drugs, with a background of diseased liver (where a special diet must be followed) and gallbladder, which are 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
The purpose of nutritional therapy for acute pancreatitis-eliminates swelling, inflammation and infection of the pancreatic ducts
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.
Starvation is necessary to delay the production of gastric juice, pancreas, to reduce enzymatic activity due to lack of food in the esophagus. During this time, glandular recovery will take place.
They come out of hunger for 2-3-4 days, try to eat for a day:
- dry wheat bread or 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 decoctions (for example, rose hips).
If the symptoms of acute pancreatitis no longer appear, add food for 3-5 days:
- salted slimy rice or oat broth;
- liquid mashed potatoes without oil;
- semi -liquid jelly or jelly from juice;
- liquid cereals: oatmeal, semolina, buckwheat, rice (all prepared in water or milk, all need to be ground or chopped with a blender);
- crackers;
- dry bread.
For 6-8 days you can eat:
- steam omelets made from protein
- soufflé of fat -free cottage cheese;
- steamed meat (must be chopped or grated through a meat grinder / grinder)
- slimy cereal soup;
- jelly or mousse from apples, grated without skin;
- vegetable puree (potatoes, zucchini, pumpkin, carrots are nice, you can add a little oil)
- vegetable pudding (steamed);
You can add from the 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 caloric content is increased to 1000 calories per day, to 50 g - protein, to 250 g - carbohydrates, to 10 g / day - fat. At night, 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 caloric 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 mashed mashed food.
Sample menu
Here is a menu for a few days, a similar diet can be made yourself based on the list of allowed products.
| Everyday | Eat | Budget diet menu for pancreatitis |
| Day 1 | Breakfast | Semolina or rice porridge (over water) - 150 gr. , Fruits: oranges or apples. Green tea (not strong) can be with honey (1 tsp. ) |
| Breakfast is late | Pureed pumpkin - 50 gr. , Steamed chicken breasts or fish pieces. Drink rosehip (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, without the skin. | |
| Afternoon snacks | Tea with honey and a little cottage cheese (1% fat) | |
| Dinner | Omega protein 3 eggs, white bread croutons. Puree of vegetables allowed - 150 gr. , | |
| Before 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) |
| Breakfast is late | Grated apples with soft curd | |
| Dinner | Pumpkin or cauliflower puree soup. Chopped chicken meatballs | |
| Afternoon snacks | Green tea with 1-2 pieces of dry biscuits without sugar | |
| Dinner | Curd pudding -150 gr. Tea or jelly | |
| Before bed | Decoction of Rosehip - 1 cup | |
| Day 3 | Breakfast | Liquid rice porridge - 150 g. Green tea is not strong with dry biscuits |
| Breakfast is late | 1 baked apple | |
| Dinner | Soup made from carrots, cauliflower, potatoes with meatballs. Pounded dried fruit compote | |
| Afternoon snacks | Cottage cheese - 100 g, green tea | |
| Dinner | Low fat fish boiled or grilled | |
| Before bed | Milk tea or kefir |
Meal recipes
Can be usedafter an attack of acute pancreatitisdiet number 5pand observe it throughout the year. They eat purified food, without salt, protein can be increased - up to 100 grams, up to 40 grams. - fat, 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 roses, add water, add the drink to soak for 4 days. You do not need to cook the infusion, roses should be injected with water at room temperature. This drink contains vitamin C.Attention!because the drink is sour, consult your doctor before taking it.
Goldfish soup:
For the soup, 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 broth, 50 ml. milk, 1 tsp. butter.
Cut the fish, pour water or broth into the pot, cook until tender. Remove the fish from the pan, chop with a blender. Heat some milk in a saucepan and add butter into it, as soon as the butter is melted add the broth, bring to a boil, but do not boil. Add the fish, cook over low heat for a few minutes. Salt can only be added if allowed by your doctor!
Prohibitedfor acute pancreatitis, use:
- alcohol;
- eat fatty or fried foods;
- Eat fatty or bloated foods such as beans, bran, cabbage, carrots, rutabagas, skins of fruits and vegetables, unripe fruits, berries or vegetables;
- carbonated drinks with fermentation reaction: kvass, kefir.
Diet for chronic pancreatitis
An attack of chronic pancreatitis can occur immediately after lunch, which includes: hardy eggs, pastries, raw fruit, vegetables, juices, cold soda, chocolate, milk or ice cream. The symptoms of the disease will continue to appear each time: bloating, feeling bloated or heavy, a lump that is "stuck in the lower part of the chest", periodic vomiting.
Against the background of chronic pancreatitis, diabetes mellitus can easily grow and develop, which is also a serious disease, for which you must adhere to a strict diet.
The diet for chronic pancreatitis can include:
- whole wheat bread crackers (you can dry the bread yourself);
- vegetable soups (pumpkin, potatoes, zucchini or carrots are best for soups);
- cereal soup (with semolina, oatmeal, buckwheat or rice);
- meat - beef or beef, chicken, rabbit. Better steamed, baked or boiled.
- steam omelette from eggs (2-3 pcs. ).
- low -fat fish: batter, pollock, cod, perch, pike perch, hake, perch or pike;
- curd (unsalted): can be eaten fresh or made into pudding;
- cheese - choose low -fat varieties, without salt;
- in a plate 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, noodles (the consistency must be liquid or semi -liquid);
- vegetable puree / stew (don’t forget that cabbage and tomatoes should not be added), vegetables can also be boiled or roasted;
- mousses / jellies from juices, compotes from dried fruit (apricots, pears, apples)
- fruit (only baked or grated without skin)
- diet foods and canned foods for babies or diet foods;
- multivitamin and mineral supplies.
Menu for the day
| Eat | Budget diet menu for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Rosehip tea or stew |
| Lunch | Oatmeal with milk. Broth or rose hip infusion |
| Dinner | Carrot and pumpkin puree soup. Steamed fish. Tea |
| Afternoon snacks | 1 jar of baby food |
| Dinner | Stew vegetable zucchini with carrots. A piece of boiled chicken. Dried fruit compote |
| At night | A glass of kefir |
You should not eat foods that stimulate pancreatic secretion:
- meat, fish, poultry of fat types, forget smoked meats and fish, sausages, canned food;
- meat, mushrooms, fish broth (as well as soups and sauces on it);
- cabbage soup, borscht, and even 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 should not eat fried or boiled eggs;
- any beans, white cabbage, eggplant, radish, radish, radish, onion, garlic, red beans, spinach, mushrooms, sweet peppers;
- bread products, fresh bread, sweets, flour, chocolate, other sweets;
- black coffee, cocoa, carbonated drinks.
For pancreatitis with endocrine dysfunctiondoes not include jam, sugar and honey, as it has no therapeutic effect, whereas it refers to carbohydrates.
With asymptomatic illness or in the presence of mild symptoms, the list of prohibited dishes / products is gradually reduced to a category of products that can only be restricted, but not completely excluded.
Recipe
Vegetable puree soup:
For the 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 saucepan with water (1-1, 5 liters), cook until tender. Drain and drain with a blender.
Fish souffle:
To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from the egg yolks), a piece of butter (20 g). Boil the fish in water, wretched, scroll in a meat grinder or finely chop.
Mix the milk and flour (heat the flour in a pan until slightly yellow) you get a slightly thickened milk "sauce". Now we start mixing: fish, egg yolks, milk gravy, butter (if the doctor allows, you can give salt).
Beat whites separately until thick foam. While stirring, add it to the fish mass.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking dish or baking pan, put in the oven and bake until tender.
Apple marshmallow (dessert):
To prepare the marshmallows, you need to take 1 kg of apples, peel, cut, pour water into a saucepan and cook. Boil the apples, remove from the heat, drain the water, let cool slightly. Rub the apples through a sieve or chop with a blender.
Drain all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a small saucepan and cook until thick (almost like syrup). Pour sugar (100 g) into the boiled juice, boil a little more. Mix the juice with the puree.
Place the resulting mass on a baking sheet, put in the oven (120 degrees), dry the pastilles until completely thickened.
Sample menu for pancreatitis for a week: dietary choices and dietary rules
Along with regular use of the drug, food intake is also indicated for pancreatitis. Only a comprehensive measure that allows you to relieve the burden and swelling of the pancreas, help stop inflammation and restore damaged tissue.
In an attack of acute illness, the diet is very limited, so fast for the first few days. After the elimination of acute symptoms of the disease, the patient's menu gradually expands. Let’s see how a weekly diet is like a person with a painful pancreas.
Characteristics of adherence to 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 is shown starvation. Depending on the severity of the disease, the presence of complications, fasting can last from one to three to four days. Such steps are required to:
- Delay in the production of gastric and pancreatic secretions.
- Decreased performance of digestive enzymes.
- Prevention of the development or reduction of the severity of infectious processes.
With inflammation of the glands, swelling, spasm of the organs and its ducts are observed. For this reason, digestive enzymes cannot enter from the pancreas into the intestine, they are activated in the gland and begin to digest its walls.
Death of damaged organ tissue, undigested food fragments give rise to disease complications with various infections. That is why it is necessary to reduce the production activity and function of pancreatic enzymes, which are mainly achieved through fasting.
Acute pancreatitis the first 2-5 days, only the use of fluids is indicated - up to 2. 5 liters. After leaving the hunger strike with OP, the diet gradually evolved according to diet schedule No. 5 P (I).
At the same time, the caloric content of food for the first ten days of the diet should not exceed 800 Kcal. Starting from the tenth day, with positive treatment dynamics, the caloric content of food can be increased to 1000 Kcal.
In the form of chronic disease, the patient menu is much broader. It includes cereals, most types of vegetables and berries, meat and fish (non-fat, medium fat types), sour milk, unsweetened biscuits, jelly from sweet berries, marmalade, marshmallows and even some types of sweets.
At the same time, to prevent recurrence of pancreatitis, it is necessary to adhere to the following dietary rules:
- Eat only natural and fresh foods.
- Limit the amount of sweet, fatty, and sour flavors.
- Food must be fractional: 5-6 times a day in small portions.
- It is desirable that the food be chopped, grated, for better assimilation.
- Permitted cooking methods: cooking, grilling, steaming, boiling.
- Don’t use hot and cold foods - just warm foods and plates.
- Do not eat fruits and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than freshness or crackers on the second day), baked pastries with cream.
- It is not recommended to use spices (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 maintain pancreatic health. In this case, diet food is the most effective remedy.
Sample menu to exacerbate the inflammatory process
Drinking medicinal mineral water should be four to five times a day, 200 ml. , While the drink is slightly hot (up to 27 degrees). If the water is carbonated, it should be poured into a glass half an hour or an hour before drinking until all the gas is out of the liquid.
On the third day, the drink can be changed with a weak rosehip broth. Drinking will help maintain water balance, replenish the body’s reserves with necessary micro -elements, and remove toxins.
Get out of the hunger strike
The menu for patients with pancreatitis when leaving on 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 drinks;
- at the same time, need to drink up to 2. 5 liters of fluid a day (mineral water, jelly, fruit drinks, rosehip decoction).
On the third or fifth day, the diet can be supplemented with:
- stew of slimy consistency of 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:
- omelet from protein;
- steamed or boiled chicken, rabbit, turkey chopped with 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, depending on successful treatment, after subduing the symptoms of the disease, the menu can be varied with butter, jelly, baked apples, low -fat boiled fish or pieces of steamed meat, soufflé. Sugar is allowed to begin to be used in very small amounts. However, it is better to take a replacement.
The diet for acute pancreatitis is strict, so the menu does not include the following foods: fried, smoked, fatty foods, mushrooms, canned foods, sausages, sausages, smoked meats, egg yolks, fresh bread and pastries, spices, sauces, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, red beans.
Nutrition after relieving an attack
The menu of patients with acute pancreatitis for a week should include only foods that are permitted and safe for the gastrointestinal tract.
First day:
- Initial course: steamed eggs 2 steamed protein, oatmeal, rosehip broth
- Late meal: berry jelly.
- Lunch time: rice soup, toast, steamed chicken pieces with pumpkin.
- Afternoon snacks: grated cottage cheese, light tea.
- Evening: fish soufflé with boiled vegetables, raisin compote.
- Late afternoon: croutons with yogurt.
Day 2:
- Early meals: curd pudding, tea with croutons.
- Late meal: strawberry souffle, rosehip stew.
- Lunch time: noodle soup in vegetable gravy, crackers, boiled turkey, berry mousse.
- Afternoon snacks: baked apples, compote.
- Afternoon: noodles, steamed fish pieces, green tea.
- Late afternoon: crackers, tea.
Day 3:
- Early food: vegetable pudding.
- Late meal: rice porridge, a piece of chicken.
- Lunch time: buckwheat soup, croutons, steamed rabbit pieces, jelly.
- Afternoon snack: pumpkin porridge.
- Evening: oatmeal, a piece of chicken, black tea.
- Late at night: biscuits with kefir.
Day 4:
- Early meals: rice porridge, raisin compote.
- Late meal: steam omelet, chamomile stew.
- Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snacks: baked apples with cottage cheese, compote.
- Dinner: oatmeal, raspberry souffle, rosehip broth.
- Late dinner: crackers and yogurt.
Day 5:
- Early meals: oatmeal, scrambled eggs, black tea.
- Eating through: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cake, tea.
- Afternoon snacks: cottage cheese casserole, rosehip broth.
- Evening: carrot puree with chicken souffle, grated apples without skin and core, compote.
- Afternoon: one biscuit biscuit with tea.
Day 6:
- Early meals: semolina porridge, chamomile stew.
- Late eating: omelet, jelly.
- Lunch time: noodle soup, crackers, boiled chicken, tea.
- Afternoon snacks: berry soufflé, compote.
- Dinner: vegetable puree, steamed turkey pieces, jelly.
- Late dinner: croutons with yogurt.
Day 7:
- Early meals: carrot and pumpkin puree, boiled egg whites, compote.
- Eating through: curd soufflé, chamomile stew.
- Lunch time: shabby fish soup, crackers, steamed pieces of meat, tea.
- Afternoon snacks: baked apples, compote.
- Evening: buckwheat porridge with steamed pieces, boiled grated beets, jelly.
- Late afternoon: croutons with kefir.
Before the transition of the disease to a stable level of remission, all foods should be grated and without spices (although salt is not recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh, peeled apples and cabbage heads, as well as strawberries, bananas.
Sample menu for stable pancreatitis reduction
An example menu for pancreatitis for a week looks like this:
| Hari | Eat early | Snacks | Lunch time | Afternoon snacks | Evening |
| Monday | Oatmeal with low -fat milk, cheese sandwiches, chicory | Buttermilk pudding, biscuit cookies, rosehip broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked apples, gelatin | Buckwheat porridge, boiled beet salad with butter, beef |
| Cell | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, whole wheat bread, toast, jelly candies, green tea | Curd casserole, chamomile broth | Mashed potatoes, grilled fish, buttered carrot salad, tea |
| Wednesday | Oatmeal, jelly | Berry mousse, lingering biscuits, rosehip broth | Fish soup, pumpkin pudding, crackers, compote | Curd pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Wednesday | Semolina porridge, cheese sandwich, jelly | Sour milk, croutons | Rice soup with carrots, meatballs, rosehip broth | Vegetable pudding, compote | Boiled chicken with vegetables, jelly, tea |
| Fri. | Steamed omelette, black tea | Carrot pudding and grated apples | Vegetable puree soup, beef balls, chamomile stew with agar-agar candy | Berry soufflé, biscuit biscuits | Boiled rice with meatballs, tea |
| Saturday | Oatmeal, chicory | Omelette, apple compote | Buckwheat soup, meat flour, boiled beet salad, tea | Butter and hard cheese sandwiches, baked apples, tea | Fish souffle, boiled noodles, tea |
| Sun. | Rice porridge with boiled turkey, rosehip broth | Vegetable souffle, berry jelly | Shredded meat cream soup, fish dumplings, dry bread, tea | Curd biscuits, baked apples, tea | Fish rolls, mashed potatoes, rosehip gravy |
1-2 hours before bedtime, you can drink a glass of fermented milk products (yogurt, kefir, yogurt) with diet biscuits.
In conclusion
The menu served to pancreatitis patients for a week is approximate - it can be replaced with other dishes that are allowed at a stable level of remission.
Among the main meals, it is also allowed to enjoy small snacks with fruit, sweets are allowed. It is useful to develop eating habits at almost equal intervals, drink at least 1-1, 5 liters of water per day and do not overeat-after eating, there is definitely a slight feeling of hunger.