Diet for pancreatic pancreatitis

The pancreas is part of the gastrointestinal tract and at the same time a mixed secretory gland.When food enters the human digestive system, it reacts by producing enzymes that are secreted into the duodenum and help break down the food in the intestines.Instead, the gland produces the hormones insulin and glucagon, which enter the blood and maintain normal blood glucose levels.

What is pancreatitis and its form

Pancreatitis is an inflammation of the pancreas, where the tissue of the gland becomes inflamed, the process of production and entry into the intestines of the necessary enzymes is disrupted.The inflamed gland increases in size, the internal canal narrows, which does not allow digestive juices to enter the duodenum.Enzymes lingering in the gland begin to break down the gland itself, which leads to sad consequences.

There is a form of acute pancreatitis, which is provoked by a poor diet or inflammatory diseases in the body and does not last long with proper treatment.If the effect of irritating factors is prolonged or frequent, chronic pancreatitis occurs, which can develop after an acute process.

The approach to the treatment of pancreatitis is complex, and a special diet plays an important role in it, without which the effectiveness of the treatment is very low.

Principles of diet for pancreatitis

The principle of diet for acute pancreatitis is generally recommended to fast for the first 3 days.At this time, the necessary nutrition is delivered through an intravenous infusion without irritating the intestines.Food entering the intestine always leads to an increase in the production of digestive enzymes, and in the case of acute inflammation, it is important to reduce this activity as much as possible;after a few days, the diet gradually develops.At first, only plain water, sometimes still mineral water is allowed, preferably alkaline water, weak tea.

Then, for chronic pancreatitis from the 3rd day, and for acute pancreatitis after the 5th day, the following provisions are used:

• the frequency of eating at least 5 times a day to ensure the uniform release of enzymes without significant stress and reduce inflammation;
• the amount of fat and carbohydrates is reduced as much as possible and protein products are increased;
• the amount of food at one time is not more than 150-200 ml;
• use warm food 20-60 degrees in crushed or pure form;
• chew your food thoroughly and take your time;
• Do not drink during meals, limit salt to 4-5 grams per day;
• exclude foods that cause flatulence;
• For the purpose of saving chemicals, you should not use hot spices and seasonings;
• Use only boiled or baked foods and do not use fried, smoked or canned foods.

Features of the diet for pancreatitis

It is important to remember that the diet for pancreatic pancreatitis must be followed continuously, otherwise the body will react with repeated inflammation and the consequences will be negative.In acute pancreatitis, the condition can be very serious and death cannot be ruled out.

Against the background of an increase in the share of protein products in the diet, the main part should be animals in the form of turkey, chicken or young beef.Carbohydrates should be less than 300 grams per day with a limit of sugar or regular jam, fat in a minimum amount, protein products make up more than half of the diet.

Allowed and prohibited foods in the diet for gastric pancreatitis

There are a large number of foods allowed in the diet for gastric pancreatitis, so the diet can be made as diverse as possible:

• boiled or baked rabbit, beef and chicken (low fat), boiled tongue;
• lean fish such as hake or pollock, boiled, baked or in soufflé form;
• various grains, preferably rice or oats as part of porridge, soup or casserole;
• bread after drying in the oven, cookies, boiled pasta;
• milk and lactic acid products, diluted with low fat content as an addition to the main product or cottage cheese casserole, diet cheese and cottage cheese from skim milk;
• boiled or baked vegetables - potatoes and pumpkin, root vegetables, beets or carrots, fresh pumpkin;
• eggs (white only) in the form of an omelet or casserole, vegetable oil in moderation;
• unsweetened or oven-cooked fruit, jelly or berry puree;
• soft drink, liquid juice, rosehip fruit drink.

On the diet during exacerbation of pancreatitis, the following foods are prohibited:

• fried or grilled meat, all fillings;lamb or goose, lard and smoked meat, boiled in a jar;
• marinated seafood, rich fish soup or canned food;
• dishes prepared from beans and rich soups;
• fresh bread, baked goods, fried pies;
• natural fat sour cream, cream, non-skimmed milk in large quantities;
• garlic, mushrooms, radishes are strictly prohibited (turnips and fresh vegetables are limited);
• egg yolks and fresh natural butter;
• a large amount of fresh sweet fruits, cabbage and red chocolate;
• coffee, concentrated tea, concentrated lemonade and any carbonated, alcoholic beverages of any strength or energy;
• ice cream, buttercream cake, chocolate, any cake;
• hot spices, marinades, sausages and smoked meats.

Contraindications to diet for pancreatitis

Taking into account the characteristics of the diet for gastric pancreatitis, there are also contraindications to it.

They concern patients with kidney disease or protein metabolism disorders:

• with pyelonephritis or glomerulonephritis with decompensation of the process;
• patients with urolithiasis;
• in acute or chronic renal failure;
• in case of gout and disorders of purine base metabolism;
• with the presence of multiple myeloma;
• with hormonal imbalance or problems with the thyroid gland;
• for precancerous background diseases, because excess protein is dangerous for malignancy;
• with severe obesity or diabetes, especially with diabetic nephropathy, i.e. kidney damage.

By increasing the amount of protein products in the diet, the load on the kidneys increases and, in the presence of chronic diseases, their work is disturbed.

Diet for pancreatitis: menu for the week

Let's consider an example of a diet menu for a week for acute pancreatitis or chronic pancreatitis.

Monday

1. breakfastWater porridge made from ground buckwheat, boiled chicken breast.Curd pudding, weak tea.
2. Have lunch.Fruit puree, whipped in a blender, cookies.
3. dinner.Creamy rice soup, steamed beef chunks, apricot jelly.
4. Snack.Carrot casserole with tea.
5. dinner.Fish pate with oats.apple compote.
6. Before sleeping.Currant juice.

Tuesday

1. breakfastMashed potatoes with beef puree.Biscuits, fruit tea.
2. Have lunch.Protein omelet, carrot puree.
3. dinner.Ground buckwheat soup with rabbit meatballs.Zucchini casserole, weak tea.
4. Snack.Grated beet salad, fruit juice with breadcrumbs.
5. dinner.Steamed turkey pieces with pureed rice porridge.Apple jelly.
6. Before sleeping.Rose hip juice.

Wednesday

1. breakfastOats without sugar.Carrot casserole with tea.
2. Have lunch.Baked apples with crackers and apricot juice.
3. dinner.Hake fish soup, mashed potatoes with sour cream.Pear jelly with croutons.
4. Snack.Zucchini casserole with tea and biscuits.
5. dinner.Steamed rabbit pieces with pure buckwheat porridge.raisin compote.
6. Before sleeping.A glass of kefir.

Thursday

1. breakfastRice pudding with boiled beef.Tea with cookies.
2. Have lunch.Boiled beet salad with yogurt and biscuits.
3. dinner.Soup with weak chicken broth and buckwheat.Vegetable meatballs, fruit jelly.
4. Snack.Cottage cheese with skim sour cream, tea with marshmallows.
5. dinner.Vegetable casserole with pollock.Dried fruit compote.
6. Before sleeping.Apple juice.

Friday

1. breakfastCrushed oatmeal with steamed beef chunks.Tea with fruit pudding.
2. Have lunch.Steamed fish meatballs, apple jelly.
3. dinner.Rabbit soup with boiled meat.Pumpkin casserole with sour cream, tea without sugar.
4. Snack.White omelette with apple juice.
5. dinner.Turkey meat roll and vegetable stew.Tea with cookies.
6. Before sleeping.Low-fat ryazhenka.

Saturday

1. breakfastBoiled pasta with chicken pate.Tea without sugar.
2. Have lunch.Pumpkin porridge with unsweetened yogurt.
3. dinner.Pumpkin and beef puree soup.Boil zucchini and cranberry jelly.
4. Snack.Apple puree, a cup of kefir.
5. dinner.Steamed fish pieces with oats.Tea with cookies.
6. Before sleeping.apricot compote.

Sunday

1. breakfastCasserole with beef and vegetables.Ryazhenka with cookies.
2. Have lunch.Curd pudding and fruit puree.
3. dinner.Pumpkin and potato soup.Chicken meatballs with oats.Fresh fruit compote.
4. Snack.Carrot pudding with unsweetened tea.
5. dinner.Hake and zucchini casserole.Apple jelly.
6. Before sleeping.Freshly baked fermented milk.

Keep in mind when creating a menu and preparing food that the product must be fresh, and the cooking method must be boiling or baking.It is not recommended to combine different proteins at one time, and small portions are recommended to reduce the burden on the pancreas.

Diet for pancreatitis: a review from a nutritionist

Feedback from nutritionists about the diet for pancreatitis is as follows.Its main details are aimed at reducing the food load on the glands and reducing the production of digestive juices, which support inflammation.In addition to this effect, such a diet prevents diseases of the liver and bile ducts, as it normalizes the frequency of bile secretion into the intestine.However, against the background of restrictions, one should remember about a sufficient amount of vitamins in the diet to avoid vitamin deficiency.

If the patient's body lacks its own enzymes, the absorption of nutrients from food is reduced.To correct nutrient absorption, preparations containing the necessary enzymes in granular or encapsulated form are used.Special medicinal capsules promote the action of enzymes in specific places in the digestive system for maximum effect.

In acute pancreatitis, maximum grinding of food is important, but in chronic pancreatitis, in order to maintain the physiological function of the digestive tract, food should not be chopped or pounded thoroughly, although the heat treatment should be without frying or grilling.The more balanced the diet, the less likely there will be adverse outcomes.In the case of acute pancreatitis, the diet should be followed for at least 2-3 months;in case of chronic disease, it is advisable to follow it for life.