PancreatitisThe whole group of diseases is associated with inflammation of the pancreas. The disease can appear suddenly - one of its manifestations is pain syndrome.
To relieve pain and prevent recurrencesProper 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.
Acute or chronic disease of the pancreas is diagnosed with pancreatitis:
- Eating Disorder.
- Eating fatty / spicy foods every day.
- Chronic alcoholism.
- Diseases of the biliary tract, including cholecystitis, gallstone disease.
- Stomach ulcer.
With exacerbation of pancreatitisSurgical intervention (opening of the pancreatic lining) is required in case of small effect of medical treatment, fasting, removal of gastric food residue.
Chronic pancreatitisExacerbated by overeating, alcoholism, glucocorticoid hormones, estrogens, prolonged use of drugs against the background of diseased liver (which requires a special diet) and gallbladder, which are quite common in adults. At the end of pregnancy, women may develop pancreatitis with an increase in intra-abdominal pressure.
Diet for acute pancreatitis for 10 days
The goal of treatment therapy for acute pancreatitis-Remove swelling, inflammation, and infection from the pancreatic duct.
To do this, the hospital uses medication with enzymatic drugs, antispasmodics, plus fasting throughout the day, to avoid the use of surgery.
Hunger is necessary to stop the production of gastric, pancreatic juices, to reduce enzymatic activity due to lack of food in the esophagus. During this time, the gland will recover.
They starve for 2-3-4 days and try to eat one day:
- Dry wheat bread or loaf (non-stick) - 50 g / day;
- Jelly, fruit drinks (it is better to prepare from blueberries or black currants);
- Continue to drink at least 2. 5 liters of fluid, including currant or blueberry juice with mineral water (2: 1) without gas, as well as various decorations (for example, rose hips).
If the symptoms of acute pancreatitis do not recur, add to the diet for 3-5 days:
- Salty slimy rice or oat broth;
- Liquid mashed potatoes without oil;
- From semi-liquid jelly or jelly juices;
- Liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything should be ground or chopped in a blender);
- Crackers;
- Dried bread.
You can eat for 6-8 days:
- Steam omelette made from proteins
- Puree from low-fat cottage cheese;
- Steamed meat (must be sliced or shredded in a meat grinder / blender)
- slimy cereal soups;
- Jelly or mousse from apples, grated berries without skin;
- Vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
- Vegetable puddings (steamed);
You can add from liquids - green or black tea (weak), add sugar or honey - per 1 tsp or tea with milk, beet juice, 50 ml per 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 per day - fats. At night, you should drink a glass of water with honey, raisins (1 tsp), plums (2-3 tsp) or yogurt to relieve constipation.
From the 10th day after the attack you can increase the calorie content by more than 1000 per day / 300 grams. - Carbohydrates, up to 60 g. - Proteins, up to 20 g per day - Fats. They continue to eat grated unsalted food.
Menu sample
Below is a menu for a few days, you can make a similar diet based on the list of products allowed yourself.
| days | ᲭThis | Menu of the approximate diet for pancreatitis |
| Დroom 1 | Breakfast | Semolina or rice porridge (on water) - 150 gr. , Fruit: Orange or apple. Green tea (not strong) can be combined with honey (1 tsp. ) |
| Late breakfast | Pumpkin puree - 50 gr. , Steamed chicken breast or fish cutlet. Pink drink (recipe below), honey - 1 tsp. K. | |
| Dinner | Vegetable broth with fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread croutons. For dessert you can bake apples with honey in the oven, always without the skin. | |
| Afternoon snack | Tea with honey and a little cottage cheese (1% fat) | |
| Dinner | Protein steam omelet from 3 eggs, white bread croutons. Puree from vegetables is allowed - 150 gr. , | |
| Before sleep | Boiled water - 1 cup of honey - 1 tsp. K. Or cottage cheese milk. | |
| Day 2 | Breakfast | Oatmeal with milk - 150 gr. Kotsel or green tea (not strong) |
| Late breakfast | Grated apples with soft cottage cheese | |
| Dinner | Pumpkin or cauliflower puree soup. Chopped chicken | |
| Afternoon snack | Green tea 1-2 slices of dry sweet biscuits | |
| Dinner | Rice-cottage cheese pudding-150 gr. Tea or jelly | |
| Before sleep | Rose Pink Decoration - 1 glass | |
| Day 3 | Breakfast | Liquid rice porridge - 150 g of green not strong tea with dry biscuits |
| Late breakfast | 1 baked apple | |
| Dinner | Soup from carrots, cauliflower, potatoes with meat. Ground dried compote | |
| Afternoon snack | Cottage cheese - 100 g, green tea | |
| Dinner | Cooked or baked lean fish | |
| Before sleep | Milk tea or kefir |
Dish recipes
Can be usedAfter an acute attack of pancreatitisDiet number 5pAnd watch it all year round. They eat pureed food, without salt, proteins can be increased - up to 100 grams, up to 40 grams. - Fats, up to 450 g. - Carbohydrates.Be sure to follow the recommendations and regimen prescribed by your doctor!
Pink Drink Recipe:
For the broth you will need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rose, add water, put the drink for 4 days. You do not need to prepare the infusion, the rose should be soaked in water at room temperature. This drink contains vitamin C.Attention!Because the drink is acidic, consult your doctor before taking it.
Mashed fish soup:
For the soup is useful 0. 5 kg of fish (preferably boneless fillet, cod, pike, crust), 1, 5 liters of water or vegetable broth, 50 ml. Milk, 1 tsp. K. Butter.
Chopped fish, pour water or broth into a saucepan, cook until soft. Remove the fish from the pan, pressing with a blender. Heat some milk in a saucepan and add 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 for just a few minutes. Adding salt will only be allowed by your doctor.
Ა ProhibitedFor acute pancreatitis use:
- Alcohol;
- Eat fatty or fried;
- Eat any fatty or fatty foods such as legumes, bran, cabbage, turnips, rutabagas, fruit and vegetable peels / skins, unripe fruits, berries or vegetables;
- Carbonated drinks with fermentation reactions: kvass, kefir.
Diet for chronic pancreatitis
Chronic attacks of pancreatitis can occur immediately after lunch, the menu of which includes: hard-boiled eggs, cakes, raw fruits, vegetables, juices, cold soda, chocolate, milk or ice cream. Accompanying the disease constantly manifests itself every time: swelling, feeling of swelling or heaviness, a bump that is "stuck in the chest", periodic vomiting.
Against the background of chronic pancreatitis, diabetes easily develops and progresses, which is also a serious disease in which you have to follow a strict diet.
The 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 soups);
- Cereal soups (with seminar, oatmeal, buckwheat or rice);
- Meat - beef or veal, chicken, rabbit. Better to steam, bake or boil.
- Steam omelettes from eggs (2-3 pieces).
- Lean fish: chicken, pollack, cod, perch, pike perch, heck, perch or pike;
- Cottage cheese (not salted): You can eat fresh or made puddings;
- Cheeses - Choose low-fat, unsalted varieties;
- In dishes or during cooking you can use butter or sunflower oil -10-15 gr.
- Sour cream, kefir (low fat only);
- Porridge - rice, pearl barley, oatmeal, buckwheat, noodles (their consistency should be liquid or semi-liquid);
- Vegetable puree / onion (do not forget that cabbage and tomatoes can not be added), vegetables can also be simply cooked or baked;
- Mousse / jelly from juices, dried compotes (apricots, pears, apples)
- Fruit (only baked or grated without skin)
- Dietary puree and canned puree for baby or diet food;
- Multivitamin and mineral preparations.
Menu of the day
| ᲭThis | Menu of the approximate diet for pancreatitis |
| Breakfast | Steamed meat (chicken or beef). Pink tea or decorations |
| Lunch | Oatmeal with milk. Broth or rose hip infusion |
| Dinner | Carrot and pumpkin puree soup. Steamed fish. Tea |
| Afternoon snack | 1 can of baby food |
| Dinner | Vegetable zucchini with carrots. A slice of boiled chicken. Dried fruit compote |
| At night | A glass of kefir |
You can not eat foods that stimulate the secretion of the pancreas:
- Meat, fish, fatty poultry, forget smoked meat and fish, sausages, canned food;
- Meat, mushrooms, fish broth (as well as soups and sauces on them);
- Cabbage soup, borscht, as well as cold soups (e. g. , cold soup or okroshka);
- Milk soups;
- Fish, meat fried, smoked, salted or canned food;
- Fatty dairy products;
- Eggs - You can not eat fried or boiled eggs;
- Any beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sour, spinach, mushrooms, sweet peppers;
- Baking products, fresh bread, sweets, flour, chocolate, other sweets;
- Black coffee, cocoa, carbonated drinks.
For pancreatitis with endocrine dysfunctionExclude jams, sugars and honey as they have no therapeutic effect while dealing with carbohydrates.
In the asymptomatic course of the disease or in the presence of mild symptoms, the list of prohibited foods / products is gradually reduced to a category that should only be limited but not completely excluded.
Recipes
Vegetable puree soup:
For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables should be washed, cut into cubes. Pour the vegetables into a saucepan with water (1-1, 5 liters), cook until tender. Stir and puree with a blender.
Fish soup:
To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate proteins from the hearts), a piece of butter (20 g). Boil the fish in water, toss, roll in a meat grinder or finely chop.
Mix the milk and flour (heat the flour in a pan until slightly yellowed) to get a slightly thicker milk "sauce". Now we start mixing together: fish, egg yolks, milk sauce, butter (if your doctor allows, you can add salt).
Separately whisk the whites until thick foam. While stirring, add them to the fish mass.
Preheat oven to 180-200 degrees. Put the fish mass in a baking dish or baking tin, 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 bring to a boil. Boil the apples, remove from the heat, drain the water, simmer slightly. Put the apples in a colander or press in a blender.
Drain all the juice from the obtained puree, squeeze the puree. Pour the juice separately into a small saucepan and bring to a boil (almost like a 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 paste until it thickens completely.
Pancreatitis menu for a week: diet options and dietary rules
Along with regular use of medication, dietary nutrition is also indicated during pancreatitis. Only a comprehensive measure allows you to relieve the load and swelling from the pancreas, helping to stop inflammation and repair damaged tissues.
During an acute attack of the disease, the diet is very limited, for the first few days. After relieving the acute symptoms of the disease, the patient's menu is gradually expanded. Let's see what a weekly diet should look like for a person with a sore pancreas.
Dietary characteristics of different forms of pancreatitis
During acute inflammation the diet is very strict. On the first day of the disease attack the patient showed hunger. Depending on the severity of the disease, due to the presence of complications, fasting can last from one to three to four days. Such an event is necessary:
- To stop the production of gastric, pancreatic secretion.
- Reduce the work of digestive enzymes.
- Prevent the development or reduction of the severity of infectious processes.
With inflammation of the gland, swelling is observed, spasm of the organ and its ducts. For this reason, digestive enzymes from the pancreas cannot get into the intestines, they are activated in the gland and begin to digest its walls.
Death of damaged organ tissues, unorganized food debris complicates the disease with various infections. It is therefore necessary to reduce the activity of production and functioning of pancreatic enzymes, which is mainly achieved through fasting.
For the first 2-5 days of acute pancreatitis is shown the use of only liquids - up to 2. 5 liters. After quitting starvation with OP, the diet is gradually expanded according to Table No. 5 P (I).
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 the positive dynamics of treatment, the caloric content of food can be increased to 1000 kcal.
In the chronic form of the disease, the patient menu is much wider. It contains grains, most vegetables and berries, meat and fish (non-fat, medium-fat), sour cream, non-sweet biscuits, sweet berry jelly, marmalade, marshmallows and even some sweets.
At the same time, to prevent the recurrence of pancreatitis, it is necessary to follow the following dietary rules:
- Eat only natural, fresh foods.
- Significantly limit sweet, fatty and especially sour.
- Meals should be fractional: 5-6 times a day in small portions.
- It is desirable that the food be chopped, grated, for better absorption.
- Permitted method of preparation: cooking, baking, steaming, cooking.
- Do not use hot or cold foods - only warm foods and dishes.
- Do not eat fruits and sweets on an empty stomach.
- It is not recommended to eat fresh bread (better than the second day of novelty or crackers), baked cakes with cream.
- The use of spices is not recommended (salt can be used in small amounts).
- Alcohol, snack foods (chips, crackers, corn sticks, etc. ) are strictly forbidden.
Eating a healthy diet and hydrating can help prolong remission and maintain pancreatic health. In this case, diet food is the most effective remedy.
Menu sample to aggravate the inflammatory process
Intake of healing mineral water four to five times a day should be 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 the gases come out of the liquid.
On the third day a variety of drinks are possible with a weak rose broth. Drinking will help maintain water balance, replenish the body's reserves with essential micronutrients and remove toxins.
Get out of hunger
The menu of patients with pancreatitis on an empty stomach (2, 3 or 4 days) can be diversified with the following products:
- Dried white wheat bread (not more than 50 grams per day);
- Jelly or black currant fruit drink;
- At the same time, you need to take 2. 5 liters of fluid a day (still mineral water, jelly, fruit drink, rose vodka decoration).
On the third or fifth day you can add to the diet:
- Decoction of a soft consistency from rice or oatmeal;
- Mashed potatoes (liquid, without butter and milk);
- Jelly from blueberries, black currant, strawberry, blueberry;
- Grated porridge in water Buckwheat, rice, oatmeal.
For the next two days, let the trial begin:
- Steam omelet from proteins;
- Steamed or boiled chicken, rabbit, turkey chopped in a blender;
- Cereal soups cooked in vegetable broth or water;
- Vegetable puree (pumpkin, carrot, zucchini);
- Not strong black or green tea, plums, yogurt.
Starting from the tenth day, successful treatment, reduction of disease symptoms, menu diversification can be done with unsalted butter, jelly, baked apples, cooked lean fish or fish cutlets on steam, on the table. It is allowed to use very small amounts of sugar. However, it is better to get 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 cakes, spices, sauce, ice cream. , Alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, ascites, sorrel.
Meal after complete release of the attack
The menu of a patient with acute pancreatitis for a week should include only the permitted and safe foods of the gastrointestinal tract.
first day:
- Early meal: 2 steamed egg whites, oatmeal, rose broth.
- Late meal: berry jelly.
- Lunch time: rice soup, fried bread, steamed chicken cutlet with squirrel puree.
- Afternoon Breakfast: Grated cottage cheese, lightly brewed tea.
- Evening: Fish soup with stewed vegetables, currant compote.
- Late evening: Croutons with yogurt.
Day 2:
- Early meal: cottage cheese pudding, tea with croutons.
- Late meal: strawberry soup, rose pink decoration.
- Lunch time: noodle soup with vegetable broth, crackers, boiled turkey, berry mousse.
- Afternoon Breakfast: Baked Apples, Compote.
- Evening: noodles, steamed fish cutlet, green tea.
- Late evening: crackers, tea.
Day 3:
- Early meal: Vegetable pudding.
- Late meal: rice porridge, chicken slice.
- Lunch time: buckwheat soup, croutons, steamed rabbit cutlet, jelly.
- Afternoon Breakfast: Pumpkin Porridge.
- Evening: oatmeal, chicken slices, black tea.
- Late evening: Biscuits with kefir.
Day 4:
- Early meal: rice porridge, currant compote.
- Late meal: Steam omelette, chamomile decoration.
- Lunch: boiled meat cream soup, croutons, a piece of rabbit meat, tea.
- Afternoon Breakfast: Baked apples with cottage cheese, compote.
- Dinner: oatmeal, raspberry soup, rose broth.
- Late dinner: crackers and yogurt.
Day 5:
- Early meal: oatmeal, scrambled eggs, black tea.
- Late meal: Pumpkin puree, strawberry compote.
- Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
- Afternoon snack: cottage cheese tasserole, rosehip broth.
- Evening: Carrot puree with chicken puree, baked grated apple peel and core, compote.
- Late evening: One biscuit with tea.
Day 6:
- Early meal: semolina porridge, chamomile garnish.
- Late meal: Steam omelette, jelly.
- Lunch time: noodle soup, crackers, boiled chicken, tea.
- Afternoon breakfast: berry soup, compote.
- Dinner: vegetable puree, steamed turkey cutlet, jelly.
- Late Dinner: Croutons with yogurt.
Day 7:
- Early meal: Carrot and pumpkin puree, boiled egg whites, compote.
- Late meal: cottage cheese soup, chamomile decoration.
- Lunch time: Gentle fish soup, crackers, steamed chicken cutlets, tea.
- Afternoon Breakfast: Baked Apples, Compote.
- Evening: Buckwheat porridge with steam cutlets, boiled shredded beets, jelly.
- Late evening: Krufs with kefir.
Before entering the stage of stable remission of the disease, all foods should be grated and without spices (even salt is not recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start with fresh apples, peeled and cabbage heads, as well as strawberries, bananas.
Menu for stable remission of pancreatitis
An example of a pancreatitis menu for a week looks like this:
| Დ ღის | Early feeding | Snacks | დროAnch time | Afternoon snack | Evening time |
| Mon. | Oatmeal with skim milk, cheese sandwich, chicory | Cottage cheese pudding, biscuit biscuits, rose broth | Potato soup with chicken broth, croutons, steamed chicken | Baked apples, jelly | Buckwheat porridge, boiled beet salad with butter, beef cutlet |
| three | Rice milk porridge, jelly or tea | Protein omelette, boiled turkey, compote | Vermicelli soup, wheat bread, baked hack, jelly sweets, green tea | Cottage cheese pot, chamomile broth | Mashed potatoes, baked fish, butter carrot salad, tea |
| Fri. | Oatmeal, jelly | Berry mousse, leftover biscuits, rose broth | Fish soup, pumpkin pudding, crackers, compote | Cottage cheese pudding | Chicken fillet with zucchini, boiled cauliflower, green tea |
| Fri. | Semolina porridge, cheese sandwich, jelly | Sour cream milk, croutons | Rice soup with carrots, meat, onion broth | Vegetable pudding, compote | Stewed chicken with vegetables, jelly, tea |
| Fri. | Steam omelette, black tea | Carrots and grated apple pudding | Vegetable puree soup, beef, chamomile garnish with jelly candy | Berry soup, biscuit biscuits | Boiled rice with meat, tea |
| on Saturday | Oatmeal, chicory | Omelet, apple compote | Buckwheat soup, meat flour, boiled beet salad, tea | Butter and cool cheese sandwich, baked apples, tea | Fish soup, boiled noodles, tea |
| The sun | Rice porridge with boiled turkey, rose broth | Vegetable soup, berry jelly | Shabby meat cream soup, fish dumplings, dried bread, tea | Cottage cheese biscuits, baked apples, tea | Fish roll, mashed potatoes, rose broth |
1-2 hours before bedtime you can drink one cup of fermented milk product (yogurt, kefir, yogurt) with diet biscuits.
Conclusion
For patients with pancreatitis, the menu presented for a week is likely - it can be replaced with other dishes that are allowed in the stage of stable remission.
Small meals with fruits are allowed among the main meals, sweets are allowed. It is useful to develop the habit at approximately equal intervals of time, drinking at least 1-1, 5 liters of water a day and not overeating - after eating, there should be a slight feeling of hunger.