pancreatitisThere 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,right diet 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 for the following reasons:
- eating disorder.
- Eating fatty/spicy food daily.
- vintage wine.
- Diseases of the biliary tract, including cholecystitis, gallstone disease.
- stomach ulcer.
with exacerbation of pancreatitisIn the case of a small effect of drug treatment, fasting, removal of food debris from the stomach requires surgical intervention (opening of the lining of the pancreas).
chronic pancreatitisAgainst the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults, under the influence of overeating, alcohol, glucocorticoid hormones, estrogens, prolonged use of narcotic drugsThere is an increase. With an increase in pressure inside the abdomen in women at the end of pregnancy, pancreatitis can develop.
Diet for acute pancreatitis for 10 days
Purpose of nutritional therapy for acute pancreatitis-Remove inflammation, swelling and infection from the pancreatic duct.
To do this, in a hospital, drug treatment with enzyme preparations, antispasmodics and complete fasting for several days are used to avoid the use of surgical operations.
Appetite is necessary in order to suspend the production of gastric, pancreatic juice in order to reduce enzymatic activity due to the lack of food in the esophagus. During this there will be restoration of the gland.
They go out of hunger for 2-3-4 days, trying to eat for a day:
- dry wheat bread or loaf (non-sticky) - 50 g / day;
- jelly, fruit drinks (it is better to cook them from cranberries or black currants);
- Continue to drink at least 2. 5 liters of liquid, including currant or cranberry juice with mineral water without gas (2: 1), as well as various decoctions (for example, rose hips).
If the symptoms of acute pancreatitis do not recur, include in the diet 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 (everything is prepared in water or milk, everything must be grinded or chopped with a blender);
- cracker;
- dry bread.
For 6-8 days you can eat:
- Protein Steam Omelette
- soufflés from fat-free cottage cheese;
- Boiled meat (necessarily chopped or grated through a meat grinder / blender)
- slimy buckwheat soup;
- jelly or mousse from apples, grated berries without skin;
- Vegetable puree (potatoes, zucchini, pumpkin, carrots are good, you can also add a little oil)
- vegetable pudding (boiled);
You can add liquids - green or black tea (weak), sugar or honey - 1 teaspoon each, or tea with milk, beet juice, 50 ml / day with mineral water.
Calorie content increases to 1000 calories per day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fats. To eliminate constipation at night you need honey, raisins (1 tsp), prunes (2-3 pcs. ) Or need to drink a glass of water with yogurt.
From the 10th day after the attack, you can increase the caloric content up to 300 g. - carbohydrates, up to 60 gr. - protein, up to 20 g / day - fat. keep.
sample menu
Below is a menu for several days, a similar diet can be prepared yourself based on the list of allowed products.
| day | meal | Approximate diet menu for pancreatitis |
| first day | 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. Rose drink (recipe is below), honey - 1 tsp. | |
| dinner | Vegetable broth with fish or beef meat 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread croutons. For dessert, you can always bake an apple with honey in the oven without the skin. | |
| afternoon snack | Tea with honey and a little cottage cheese (1% fat) | |
| dinner | Protein steam omelet of 3 eggs, white bread croutons. Puree from allowed vegetables - 150 gr. , | |
| before bedtime | Boiled water - 1 cup with honey - 1 tsp. Or curd milk. | |
| second day | 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 dry unsweetened cookies | |
| dinner | Rice-curd pudding -150 gr. Tea or jelly | |
| before bedtime | Rosehip decoction - 1 glass | |
| day 3 | Breakfast | Liquid rice porridge - 150 g dry biscuits with green not strong tea |
| late breakfast | 1 ripe apple | |
| dinner | Carrot, cauliflower, potato soup with meatballs. Crushed dried fruit compote | |
| afternoon snack | Paneer - 100 grams, green tea | |
| dinner | boiled or cooked low-fat fish | |
| before bedtime | milk tea or kefir |
Recipe
Can be usedAfter an acute attack of pancreatitisdiet number 5pAnd follow it all year round. They eat pure food, without salt, protein can be increased - up to 100 g, up to 40 g. - Fat, up to 450 gr. - Carbohydrate.Be sure to follow the recommendations and diet 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. Wash the roses, pour water, infuse the drink with water for 4 days. You do not need to cook the infusion, the roses need to be kept at room temperature. At temperature should be filled with water. This drink contains vitamin C.note!Since the drink is sour, consult your doctor before consuming it.
Mashed Fish Soup:
For soup, 0. 5 kg of fish is useful (it is recommended to take boneless fillets, cod, pike, pike perch), 1. 5 l of water or vegetable broth, 50 ml. milk, 1 tsp. butter.
Cut the fish, add water or broth to the saucepan, cook until tender. Remove the fish from the pan, chop with a blender. Heat a little milk in a saucepan and add butter to it, as soon as the butter melts, Add broth, bring to a boil, but do not boil. Add fish, cook over low heat for only a couple of minutes. Salt can only be added if authorized by your doctor!
ForbiddenFor acute pancreatitis, use:
- alcohol;
- eat fatty or fried;
- Eat fatty or bloated foods such as legumes, bran, cabbage, turnips, rutabagas, peels/peels of fruits and vegetables, raw fruits, berries or vegetables;
- Carbonated drinks with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Attacks of chronic pancreatitis can occur immediately after lunch, the menu of which includes: hardy eggs, pastries, raw fruits, vegetables, juices, cold soda, chocolate, milk or ice cream. The companions of frequent disease find themselves every time. Will manifest: swelling, a feeling of bloating or heaviness, a lump that is "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 in which you must adhere to a strict diet.
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 soup);
- cereal soups (with semolina, oatmeal, buckwheat or rice);
- Meat - beef or veal, chicken, rabbit. It is better to steam, bake or boil.
- Steam omelet from eggs (2-3 pcs. ).
- low-fat fish: flounder, pollock, cod, perch, pike perch, hake, perch or pike;
- Yogurt (not salted): Can be eaten fresh or made into 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 (only low-fat);
- porridge - rice, pearl barley, oatmeal, buckwheat, noodles (their consistency should be liquid or semi-liquid);
- vegetable purees / stews (do not forget that cabbage and tomatoes cannot be added), vegetables can also be simply boiled or baked;
- Mousse / jelly from juice, compote from dried fruits (apricots, pears, apples)
- Fruit (ripe only or grated without peel)
- Diet purees and canned purees for baby or diet food;
- Multivitamin and mineral preparations.
menu for the day
| meal | Approximate diet menu for pancreatitis |
| Breakfast | Boiled meat (chicken or beef). Rose tea 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 | Vegetable zucchini stew with carrots. A piece of boiled chicken. Dried fruit compote |
| At night | a glass of kefir |
You can not eat foods that stimulate the secretion of the pancreas:
- forget about meat, fish, poultry of fatty varieties, smoked meat and fish, sausages, canned food;
- meat, mushroom, fish broths (as well as soups and sauces on them);
- Cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka);
- milk soup;
- fish, meat in fried, smoked, salted or canned food;
- high-fat dairy products;
- eggs - you can not eat fried or boiled eggs;
- any beans, white cabbage, eggplant, turnips, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
- bakery products, fresh bread, sweets, 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 an asymptomatic course of the disease or with the appearance 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 soup you need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables should be washed, cut into cubes. Put the vegetables in a saucepan with water (1-1. 5 liters), cook until tender. Remove and puree 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 whites from the yolks), a piece of butter (20 g). Boil the fish in water. , nudge, scroll through a meat grinder or chop finely.
Mix milk and flour (heat the flour in a pan until light yellow) You get a little condensed milk "sauce". Now we start mixing: fish, egg yolk, milk sauce, butter (if your doctorAllows, you can salt it).
Beat the whites separately until a thick froth. Whiking, add them to the fish mass.
Preheat the oven to 180-200 degrees. Put the fish mass in a baking dish or baking sheet, put in the oven and bake until soft.
Apple Marshmallow (Sweet):
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 from the heat, drain the water, let cool a little. Strain the apples through a sieve. Rub or chop with a blender.
Squeeze out all the juice from the resulting puree, squeeze out the puree. Separately pour the juice into a small saucepan and cook until thickened (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 on a baking sheet, put in the oven (120 degrees), dry the pastille until completely thickened.
Sample menu for pancreatitis for a week: dietary options and nutritional rules
Along with the regular use of drugs for pancreatitis dietary nutrition is also indicated. Only a comprehensive measure allows you to remove the load and swelling from the pancreas, helps to stop inflammation and restore damaged tissues. is.
In an acute attack of the disease, the diet is very limited, up to the first few days of fasting. After the acute symptoms of the disease are gone, the patient's menu is gradually expanded. Let's look at weekly for a person with a painful pancreas. What should the diet look like?
Features of the observance of the diet for various forms of pancreatitis
In acute inflammation, the diet is very strict. The patient appears hungry on the first day of the attack of the disease. 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:
- Suspension of the production of gastric, pancreatic secretions.
- Decreased performance of digestive enzymes.
- Prevention of development or reduction in the severity of infectious processes.
With inflammation of the gland, swelling of the organ and its ducts, spasms are observed. For this reason, digestive enzymes cannot pass from the pancreas to the intestines, they become activated in the gland and begin to digest 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 mainly achieved through fasting.
In the first 2-5 days of acute pancreatitis, the use of only fluids is indicated - up to 2. 5 liters. After quitting the hunger strike with OP, the diet according to table No. 5p (i) is graduallyspreads out.
At the same time, the caloric content of food during the first ten days of the diet should not exceed 800 kcal. From the tenth day, with positive dynamics of treatment, the caloric content of food can be increased to 1000 kcal.
In the chronic form of the disease, the patient's menu is very extensive. It includes cereals, most types of vegetables and berries, meat and fish (not fatty, medium-fat types), sour milk, non-sweet cookies, jelly from sweet berries, marmalade, marshmallows and even some types of sweets.
At the same time, in order to prevent 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.
- Meals should be fractional: in small portions 5-6 times a day.
- It is desirable that the food be chopped, grated for better assimilation.
- Allowed cooking methods: cooking, baking, steaming, stewing.
- Don't 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 from the second day of freshness or crackers), pastries baked 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 maintain pancreatic health. Diet is the most effective medicine.
Sample menu to accelerate the inflammatory process
Medicated mineral water should be drunk four to five times a day, 200 ml, while the drink is slightly warmed up (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 thatAllow all gases to exit the liquid.
On the third day, the drink can be diversified with a weak rosehip broth. Drinking will help maintain water balance, replenish the body's reserves with the necessary trace elements and remove toxins.
get out of hunger strike
The menu of patients with pancreatitis when leaving a 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 2. 5 liters of liquid (still mineral water, jelly, fruit drink, rosehip decoction) per day.
On the third or fifth day, the diet can be supplemented with:
- a decoction of a slimy consistency from rice or oatmeal;
- mashed potatoes (liquid, without butter and milk);
- jelly from blueberries, black currants, strawberries, blueberries;
- Grated oatmeal in water from buckwheat, rice, oatmeal.
Over the next two days, you are allowed to start trying:
- steam omelet from proteins;
- Steam or boiled chicken, rabbit, turkey chopped with a blender;
- cereal soup cooked in vegetable broth or water;
- vegetable purees (pumpkin, carrot, zucchini);
- Strong black or green tea, plums, not yogurt.
From the tenth day, subject to successful treatment, reducing the symptoms of the disease, the menu can be varied with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish cutlets, soufflé. It is permissible to start use in very small quantities. However, it is better to take alternatives.
The diet for acute pancreatitis is strict, so the following foods are absolutely not included in the menu: fried, smoked, very fatty foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, Sauce, ice cream, wine, soda, radishes, onions, garlic, radishes, spinach, peas, beans, asparagus, sorrel.
Nutrition after complete relief from attack
The menu of a patient with acute pancreatitis for a week should include only such foods that are allowed and safe for the gastrointestinal tract.
first day:
- Preparatory food: boiled 2 protein scrambled eggs, oatmeal, rosehip broth.
- Late feeding: berry jelly.
- Lunch time: Rice soup, toasted bread, steamed chicken cutlets with squash puree.
- Afternoon snack: grated cottage cheese, lightly brewed tea.
- Evening: fish soup with steamed vegetables, currant compote.
- Late evening: croutons with yogurt.
second day:
- Preparatory meal: curd pudding, tea with croutons.
- Late meal: strawberry soufflé, rosehip decoction.
- Lunch time: noodles soup, crackers, boiled turkey, berry mousse in vegetable broth.
- Afternoon snack: baked apples, compote.
- Evening: noodles, steamed fish cutlets, green tea.
- Late evening: crackers, tea.
day 3:
- Initial meal: Vegetable pudding.
- Late meal: rice porridge, a piece of chicken.
- Lunch time: buckwheat soup, croutons, steam rabbit cutlets, jelly.
- Afternoon snack: Pumpkin porridge.
- Evening: oatmeal, a piece of chicken, black tea.
- Late evening: Biscuit with kefir.
Fourth day:
- Preparatory food: rice porridge, currant compote.
- Late meal: steam omelet, chamomile decoction.
- Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
- Afternoon snack: baked apples with cottage cheese, compote.
- Dinner: oatmeal porridge, raspberry soufflé, rosehip broth.
- Late dinner: Crackers and yogurt.
5th day:
- Preparatory food: oatmeal porridge, scrambled eggs, black tea.
- Late meal: pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: Paneer casserole, rose broth.
- Evening: chicken soufflé with carrot puree, grated apple baked without peel and core, compote.
- Late evening: A biscuit biscuit with tea.
Day Six:
- Preparatory food: semolina porridge, chamomile decoction.
- Late food: steam omelet, jelly.
- Lunch time: noodles soup, crackers, boiled chicken, tea.
- Afternoon snack: berry soufflé, compote.
- Dinner: vegetable puree, steamed turkey cutlets, jelly.
- Late dinner: Croutons with yogurt.
7th day:
- Preparatory food: puree of carrots and pumpkin, whites of boiled eggs, compote.
- Late meal: curd soufflé, chamomile decoction.
- Lunch time: shabby fish soup, crackers, steamed chicken cutlets, tea.
- Afternoon snack: baked apples, compote.
- Evening: steam cutlets, boiled beets, buckwheat porridge with jelly.
- Late evening: croutons with kefir.
Before the transition to the stage of stable remission of the disease, all food should be grated and without spices (even salt is not recommended). Two weeks after the attack, provided that there are no symptoms of the disease, you can start trying fresh apples, peels and heads of 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 | quick meal | Breakfast | lunch time | afternoon snack | evening time |
| Monday. | Oatmeal, Cheese Sandwich, Chicory with Low Fat Milk | Curd Halwa, Biscuit Biscuit, Rose Broth | Potato soup with chicken broth, croutons, steamed chicken meatballs | Baked Apples, Jelly | Buckwheat porridge, boiled beet salad with butter, beef cutlets |
| Mars | Rice milk porridge, jelly or tea | Protein omelet, boiled turkey, compote | Vermicelli Soup, Wheat Bread, Baked Hake, Jelly Candies, Green Tea | Yogurt Casserole, Chamomile Broth | Mashed Potatoes, Cooked Fish, Butter Carrot Salad, Tea |
| wed | oatmeal, jelly | Berry Mousse, Dull Biscuit, Rosehip Broth | Fish Soup, Pumpkin Pudding, Crackers, Compote | curd pudding | Chicken fillet with zucchini, steamed 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 |
| Venus | Steam Omelette, Black Tea | Carrot and Grated Apple Pudding | Vegetable puree soup, beef meatballs, jelly candy with chamomile decoction | Berry Soufflé, Biscuit Biscuit | Steamed rice with meatballs, tea |
| sat. | Oatmeal, Chicory | omelet, apple compote | Buckwheat soup, meat, boiled beet salad, tea | Butter and Hard Cheese Sandwich, Baked Apple, Tea | Fish Soufflé, Steamed Noodles, Tea |
| Sun. | Steamed turkey, rice porridge with rosehip broth | Vegetable Soufflé, Berry Jelly | Shabby Meat Cream Soup, Dumplings, Dry Bread, Tea | Yogurt Biscuit, Baked Apples, Tea | Fish Rolls, Mashed Potatoes, Rose Broth |
1-2 hours before bedtime, you can drink a glass of fermented milk product (yogurt, kefir, yogurt) with diet cookies.
Conclusion
The presented menu for patients with pancreatitis for a week is approximate - it can be replaced with other dishes allowed in the stage of stable remission.
In between the main meals, it is also allowed to include small snacks with fruits, sweets. Developing the habit of eating at approximately equal intervals, at least 1-1 daily. It is useful to drink 5 liters of water and not overeating - after eating there should be a slight appetite.