Diet for pancreatitis

Pancreatitis is a disease that causes inflammation of the pancreas.It plays a large role in the digestive system - it regulates energy metabolism, synthesizes digestive juices and is responsible for the breakdown of carbohydrates.

The enzymes first enter the stomach and then the duodenum, where they begin to activate.When the pancreas is inflamed, the enzymes begin to “work” at an early stage – i.e. before secretion occurs.Damage occurs - the gland begins to digest itself, resulting in the death of some pancreatic cells.

The causes of pancreatitis can be:

• Infectious diseases not related to the digestive system - for example, seasonal acute respiratory viral infections;
• Diseases of the gastrointestinal tract;
• poor diet;
• Stress;
• Alcohol abuse.

Pancreatitis can occur in different forms – acute, reactive and chronic.In acute cases, the pancreas may become completely or partially inflamed;reactive develops against the background of diseases of the digestive system - stomach and duodenal ulcer, gallbladder or liver.

The chronic form can be in remission for a long period of time and the disease usually progresses slowly.In most cases, a nutritional disorder leads to renewed inflammation.

The type of diet in pancreatitis of the pancreas plays a big role - it is impossible to prevent exacerbation without following a special diet.What are these diets and according to what principles is a menu for pancreatitis drawn up?

Nutritional principles for inflammation of the pancreas

The basic principle of a diet that normalizes the functioning of the pancreas is to minimize the load on the digestive organ.

During an exacerbation, doctors give adults the following recommendations: “hunger, cold and rest.”If the patient is in the hospital and pancreatitis is in the acute stage, he is recommended to refuse food for 2-3 days, and useful substances - salts and liquids - enter the body via drip.When fasting at home, it is impossible to fully ensure normal water and electrolyte balance.You must and can drink, but only in small portions.

Adults also need to replenish their nutrient reserves.Specially developed diets can help.The most “tested” of these is table number 5.

The principles of this diet:

• create the most gentle conditions for the stomach and intestines - through mechanical and chemical relief;
• Elimination of pancreatic dysfunction;
• prevent negative changes in liver tissue – fatty infiltration;
• reduce the excitability of the gallbladder.

The diet should be followed not only during the treatment of the disease, but also for another year after remission.

The main properties of the diet in the treatment of pancreatitis:

• In the daily menu, you should limit the number of products containing substances that have an extractive effect and stimulate the production of pancreatic enzymes:
1. refractory fats;
2. purines;
3. essential oils;
4. Cholesterol;
5. coarse fiber;
6. Glucose.
• The type of diet – Foods high in protein reduce the amount of carbohydrates and fats.
• Cooking technique – boiling, steaming, baking in foil, steaming.
• Meals are fractional - up to 6 times a day, in small portions.You need to get up from the table with a slight feeling of malnutrition so as not to overload the pancreas.
• For the first time after an exacerbation, you can only eat pureed foods.
• You will have to temporarily abandon spices, including salt;
• You cannot eat hot or cold food;Food should be heated to approximately body temperature – 36°C.

The drinking regime is limited.Only when the urge to vomit has completely subsided can you drink as much as you want.

You don't have to worry about dietary restrictions in the first few days after an attack - fasting during treatment is only beneficial.

Diet menu for pancreatitis

When compiling a menu for several days during an exacerbation of pancreatitis, you must immediately take into account its specifics - the products must be ground.For example, if there is meat – then soufflé or meatballs, potatoes – mashed potatoes and so on…

The menu consists of the following products - a sample list of them:

• Baby food – you can use both packaged in jars and in powder form, which is later diluted with liquid;
• puree – potato, cauliflower or white cabbage;
• pureed cottage cheese.

Nutrient proportions in the daily menu - fats - 50-70 g, proteins - 130-150 g, carbohydrates - 300-320 g.

Approximately 2-4 days after the exacerbation, nausea disappears and it is necessary to restore the amount of fluid in the body.You need to drink about 1.5 liters of water per day, in small sips, a glass every 6 hours.Gradually, heavier dishes are introduced into the diet after the pain is eliminated, one dish per meal.

From this point on - around the 4th day - the following dishes and products are on the menu:

• Kefir – low fat only;
• chicken breast broths;
• egg white omelet;
• Juices from non-acidic berries diluted in half with water;
• rosehip decoction;
• up to about 30 g of honey per day;
• dried whole wheat bread;
• unsweetened crackers or cookies;
• boiled noodles – you can not use noodles or curls, small noodles should be preferred;
• Porridge is rubbed through a sieve;With pancreatitis, you can cook it from buckwheat or oatmeal (some nutritionists allow eating semolina, but it must be fully cooked so that it does not swell in the stomach).

You can eat the following foods:

• lean meat – chicken breast, beef, rabbit;
• Fish – cooked, only meat can be used;Fish soup and other soups with fish broth must not be eaten;
• Fruits – baked or blanched;
• meat broth - secondary;
• pureed vegetables - broccoli, cauliflower, pumpkin.

The type of diet for pancreatitis depends on the general condition of the patient.

How does the dietary pattern change with pancreatitis?

An approximate diet plan in the first days after an exacerbation of chronic pancreatitis looks something like this:

1 day:

• Breakfast – half a portion of slimy oatmeal soup and half a glass of still mineral water;
• Snack – baked apple without peel and sugar;
• Lunch – mashed potatoes – also half a portion – with milk, without spices;
• Afternoon snack – jelly and bread flour;
• Dinner - buckwheat porridge with weak tea, lightened milk;
• Bedtime - some milk diluted with water.

Day 2:

• Breakfast – steamed protein omelet, chamomile decoction;
• Snack – baked pear;
• Lunch – pearl barley soup, ground, in water, crackers with compote;
• Afternoon snack – milk soufflé;
• Dinner - semolina porridge, pureed dried fruits, weak tea;
• Bedtime - half a glass of rosehip decoction.

Next, you can relax the diet a little - when the condition has returned to normal:

• Breakfast – oatmeal with dried fruits, preferably with raisins, rosehip decoction;
• Snack – raw banana;
• Lunch – steamed fish with carrot puree, dried fruit compote;
• Afternoon snack - cottage cheese seasoned with honey;
• Dinner - rice pudding porridge with weak tea;
• Bedtime - half a glass of diluted milk.

The diet for chronic pancreatitis, when the condition has returned to normal, may look like this - an approximate version of the daily menu:

• Breakfast - vegetable puree, a piece of meat soufflé, juice diluted with water, weak tea;
• Snack - a protein omelette, a steamed chicken breast cutlet, a piece of dried bread, kefir;
• Lunch – small noodles in chicken breast broth, boiled vegetables with a piece of steamed fish, bread, dried fruit compote;
• Afternoon snack – crackers with sweet berry jelly, maybe some honey;
• Dinner – steamed meatballs, rice porridge (or mashed potatoes), steamed vegetables, tea.

If you want to eat something before bed, you can eat a cracker or sweet fruit, or drink a glass of kefir.

A well-composed menu for the treatment of pancreatitis will help quickly bring the disease into remission.The diet should be followed for one year after the last exacerbation.