Pancreatitis (inflammation of the pancreas) is accompanied by severe pain. If left untreated, the disease becomes chronic, for which frequent exacerbations are typical. The pancreatic pancreatitis diet is mandatory. It is adherence to the principles of medical nutrition that significantly reduces the risk of developing an attack.
Diet characteristics
Nutrition for pancreatic pancreatitis has its own characteristics. The main task of the diet is to reduce organ activity. How to feed in pancreatitis so as not to worsen health? The main principles are:
- complete rejection of fatty or fried and sweet foods;
- lack of coarse fiber foods in the diet;
- in the cooking process, only the cooking and steaming methods are used;
- fractioned diet - food intake is performed in six to seven meals in small portions;
- the food served must be pureed or chopped.
During the day, the patient should consume at least 2 liters of any liquid.
acute nutrition
The acute pancreatitis diet helps to eliminate the severe symptoms of an attack. Its purpose is to stop the production of pancreatic juice containing digestive enzymes. It is achieved by refusing to eat (in the first few days) and adhering to bed rest.
What can you eat with pancreatitis during this period? In the first one to three days after the onset of the crisis - depending on the severity of the patient's condition - the person will be completely hungry. Drinking is only allowed: alkaline mineral waters, a wild rose berry decoction, lightly fermented unsweetened tea, water. After stabilizing the condition and eliminating the pain syndrome, patients are given a food table.
After stopping the attack, the food must be divided - up to 8 times a day. The initial serving size is not more than 50-100 grams. As the low-calorie diet practiced during this period does not meet physiological standards, it is quite short: no more than 7 days. All the products used are boiled and the dishes are served warm and with a semi-liquid consistency.
| Days | Allowed Products |
|---|---|
| First | Mash porridge paste, viscous soups with cereals (corn and millet are prohibited), vegetable decoctions, under-fermented teas with added granulated sugar, jams, homemade biscuits, fruit jelly and jam. |
| Second | |
| Third | Curd dishes: souffles, puddings, pasta, steam omelet. |
| bedroom | Milk porridge. |
| Fifth | Meat puree soup. |
| Sixth | Butter (small amount), vegetable puree (cabbage is prohibited). |
| Seventh | Meat or fish souffle. |
Then, the patient is transferred to a basic diet, the variety of which depends on the presence of concomitant diseases. If we talk about which table is assigned most often then this is the 5P number. The diet for acute pancreas inflammation lasts 6-12 months.
Nutritional therapy for the chronic form
For patients with chronic pancreatitis, dieting is a lifelong obligation, as any mistake in nutrition can cause an exacerbation of the pathology. Each attack of the disease is accompanied by the partial replacement of functional tissues by fibrous tissues, which ends up leading to the development of insufficiency of the gland's secretory function.
During the period of exacerbation of the chronic form of pancreatitis, accompanied by severe pathological symptoms, the patient is prescribed a strict 7-day diet as in the acute form. After health improves, the patient is transferred to the diet according to table #5 P.
Its main features:
- dishes served at the table must be clean or carefully cut;
- the content of proteins, fats and carbohydrates meets the physiological needs of the body;
- with poor assimilation of proteins, its percentage decreases due to the increase in carbohydrate content;
- products containing fibers and extractives are completely excluded;
- the amount of salt is limited to 6 grams per day;
- fractionated meals - up to 6 times a day;
- overeating is unacceptable.
Diet No. 5 Permitted and Prohibited Foods
What can you eat with pancreas inflammation? The product set includes:
- Cooked vegetables - potatoes, zucchini, pumpkin, peas, cauliflower, beets. In the absence of a negative reaction, you can include raw carrots, cucumbers, tomatoes.
- Semolina - buckwheat, rice, oats, semolina. The porridge must have a semi-liquid consistency. Semolina and rice souffle are allowed. Limited - barley, corn, millet, yachka.
- Vegetable broth soups, dairy soups, puree soups. To thicken, carefully boiled cereals are used - semolina, rice, rolled oats. Vegetables are cut into small pieces. You cannot fry them. Sour cream, sour cream, butter and milk are allowed to season.
- Low-fat meats - beef, veal, chicken, rabbit.
- Types of low-fat fish - cod, hake, pike, perch, julienne, blue whiting. It is boiled or steamed.
- Yesterday's or dry wheat bread, raw biscuits.
- Low-fat sour milk products - yogurt, kefir, cottage cheese. You can serve grated cheese with a neutral flavor.
- Protein omelet, hard boiled eggs.
- Sauces cooked with vegetable broth. You cannot fry flour to thicken them.
- Sweet apples baked in the oven. Fruit mousses, jellies, jellies, preserves.
- Fresh fruit puree.
- Creamy and refined sunflower oil.
Drinks: lightly strained tea with the addition of lemon, fruit juices with a sweet taste, previously diluted in water, rose hips infusion, apricot jam, pear, apple, still water. If you are potassium deficient, your diet should include carrot juice. Proper nutrition with an inflamed pancreas is the key to good health. Therefore, it is necessary to exclude from the menu products that can cause exacerbations.
What not to eat with pancreas inflammation? The list of prohibited foods includes:
- fresh bread, baked goods, cakes, pastries;
- rich soups, cabbage soup, borscht, okroshka and beetroot;
- fried dishes - pies, cheesecakes, pancakes, pancakes;
- fatty meats;
- offal;
- brittle cereals;
- vegetables, which contain fiber, mushrooms;
- fresh fruits and vegetables with care;
- cooking fats and lard;
- bananas, grapes, dates;
- hot spices;
- alcohol, coffee, soda, ice cream, cocoa.
After the disease transitions to a state of remission, it is allowed to introduce fresh vegetables and fruits.
Sample weekly menu
An approximate menu for a week with pancreatitis of the pancreas might look like this:
| Breakfast | Lunch | To dinner | Afternoon snack | To dinner | |
|---|---|---|---|---|---|
| Monday | Steam omelet, curd souffle, drink | Cheese biscuits, baked apple | Semolina soup with carrot puree, buckwheat with boiled zucchini, drink | grated apple | Oatmeal, beet salad, baked apple |
| Tuesday | Mashed rice porridge, cottage cheese, drink | apple puree | Buckwheat soup with vegetables, steamed chicken dumplings, jam | Steamed protein omelet, diluted juice | Steamed fish cutlet garnished with mashed potatoes, drink |
| Wednesday | Rice porridge with liquid milk, protein omelet, drink | Cottage cheese with sweet jam | Cauliflower cream soup, chicken souffle, drink | Apple or baked pear | Steamed fish cakes with vegetable puree, drink |
| Thursday | Steam omelet, buckwheat with milk (purée), tea | Cottage cheese | Carrot cream soup, beef chops garnished with rice porridge, drink | Juice with biscuit cookies | Steamed fish chops with vegetable puree, jam |
| Friday | Buttered porridge, steamed protein omelet, cheese, drink | Syrniki baked in the oven with carrots, sweet juice | Soup with meatballs, meat puree with pumpkin puree, drink | Curd Pudding | Steamed fish cakes with cauliflower, drink |
| Saturday | Oatmeal, cottage cheese, drink | boiled egg, juice | Pumpkin soup seasoned with sour cream, beef stroganoff with carrot puree, drink | galette biscuits, juice | Fish cakes with rice porridge, drink |
| Sunday | Semolina pudding sprinkled with jam, cottage cheese, drink | protein omelet, juice | Buckwheat soup, chicken souffle, drink | Sweet gelatin with dry biscuits | Boiled fish with rice porridge, compote. |
In the evening you need to drink a glass of kefir or yogurt. Because dietary nutrition with pancreas inflammation imposes significant restrictions and prohibits the use of many spices, it's important to learn to choose the right foods to diversify your menu. After all, pancreatitis foods should not only be healthy, but also tasty.
Nutritionists recommend the following combinations:
| Days of the week | grocery set |
|---|---|
| Monday | Veal, potato, oat, carrot, apple |
| Tuesday | Chicken, fish, small vermicelli, cottage cheese, apple, crackers, rice |
| Wednesday | Rabbit, chicken, buckwheat, pumpkin, carrots, nuts |
| Thursday | Turkey, julienne, semolina, carrot, onion |
| Friday | Meat, cheese, dates, chicken, buckwheat, croutons |
| Saturday | Rice, zucchini, carrots, egg whites, chicken, kefir, beef |
| Sunday | Potatoes, semolina, rolled oats, dates, dried apricots, biscuits, cod |
As drinks you can use:
- poorly fermented tea - black, green;
- fresh and dried fruit compote;
- a decoction of rosehip berries.
fast days
With chronic pancreatitis diagnosed, nutritionists recommend flushing. On those days, patients eat only one type of food.
With pancreas inflammation, you can practice the following one-day mono-diets:
- Oat. It is necessary to boil 200 grams of oatmeal in water. Divide into 6 parts. During the day, you need to drink 400 ml of rosehip decoction.
- Curd. Then, fill 600 grams of cottage cheese (non-fat) with heavy cream (60 grams). Divide into 4 portions. Allowed 400 ml of rosehip broth.
- Fruits and cottage cheese. Mix together prunes (400 grams) and the same amount of low-fat cottage cheese. Eat in 6 meals.
- Rice compote. Cook 1. 5 liters of applesauce. Cook 50 grams of rice porridge. Sweeten a little. Drink jam during the day. There is porridge in the morning and in the evening.
- Watermelon. During the day, you need to eat 1. 5 watermelon pulp (crust is not counted) in five to six meals.
- Pumpkin. Bake 2 kg of pumpkin pulp in the oven. Divide into 5 steps.
- Litter. Bake 1. 5 kg of apples in the oven and eat daily.
Physical activity is prohibited on these days.
Various recipes
The diet for pancreatitis in adults, as already mentioned, is quite monotonous, which is why it is so important to please patients with foods of different tastes. To make meat pudding you will need:
- meat - 250 grams;
- butter - 45 grams;
- semolina - 25 grams;
- water - 100 ml;
- egg.
Preparation:
- Boil the meat and chop.
- Pour the semolina with water and add an egg. Mix.
- Combine the two components, knead well and place in a mold.
Cook in a double boiler.
Slimy oat soup is made with the following foods:
- rolled oats - 1 cup;
- water - 1. 3 liters;
- milk - 100 ml;
- egg;
- butter - 1 tsp
Preparation:
- Pour boiling water over the flakes and cook for 30 minutes over low heat. Filter the finished broth and bring to a boil again.
- Mix the egg into the hot milk and add the mixture to the oat broth in a fine spray.
When serving, add the butter.
The pancreatitis patient's table should also offer sweet dishes. For dessert you will need:
- egg white;
- granulated sugar - 35 grams;
- strawberries - 100 grams;
- flour - 25 grams;
- water - 120 ml;
- vanillin.
Preparation:
- Beat the egg whites, sugar and vanilla.
- Spread the dough with a spoon in boiling water. Cook for 4 minutes.
When serving, drizzle the dessert with a sauce based on berry puree, flour and granulated sugar. Pancreatitis is a complex disease characterized by frequent exacerbations. Adherence to the diet helps to reduce their numbers and bring the disease to a stage of long-term remission.