Diet for pancreatitis

diet for pancreatitis

It is very important to follow a diet for pancreatitis, especially during chronic pancreatitis. You should eat as much protein as possible and at the same time reduce or eliminate fats and carbohydrates, especially sugar, which is 99% carbohydrate, and avoid fried foods and foods that are high in fiber. It is advisable to start taking vitamins. Need to eat a little, but often, ie 5-6 times a day.

The pancreas is necessary for the normal functioning of the body: the breakdown of the main components of food - proteins, fats and carbohydrates - occurs due to digestive water secreted into the lumen of the duodenum. As a result of the digestive process that occurs in this part of the digestive tract, simpler compounds are obtained that enter the general bloodstream after ingestion of the intestinal mucosa. Thus, the nutrients, amino acids and vitamins needed for metabolic processes in cells and the building of tissues are formed from food in the duodenal region and reach all organs and systems of the body.

In addition, the pancreas produces insulin, which is necessary for the normal course of carbohydrate metabolism, and lipokin, which prevents fatty degeneration of the liver.

The most common cause of pancreatitis is the abuse of fatty foods and alcohol. The disease can occur in both acute and chronic forms. Diet for pancreatitis depends on the characteristics of the pathological process: the acute period requires a stricter approach to diet and food.

Cardinal indigestion occurs during acute or chronic inflammation of the pancreas:

  • The pH of the small intestinal environment changes to the acidic side, as a result of which the patient feels a burning sensation in the intestines, heartburn;
  • enzymes accumulate in the pancreas, begin the process of self-digestion of tissues, cause severe pain in the abdomen on the right side, navel;
  • Toxins accumulate, the body becomes self-poisoned;
  • Impaired insulin secretion leads to diabetes.

The pathogenesis of pancreatitis develops as acute or chronic inflammation. The principle of treatment for all forms of pancreatitis, according to the indications, includes the following:

  • surgical intervention;
  • drug replacement therapy, taking into account the nature of the inflammation, the patient's condition;
  • Therapeutic diet food.

In the rehabilitation stages of pancreatitis, especially after the patient is discharged from the hospital, proper nutrition significantly increases the chances of complete recovery or stabilization of the pathology.

The principle of dietary food is often violated at home. In the meantime, it is important to follow the unchanging rules of a therapeutic diet. In addition, there are no expensive products in the diet, the simplest to prepare, including chopping, boiling, steaming.

Diet for acute pancreatitis

In case of exacerbation of pancreatitis, cold compresses are allowed to be applied to the painful area, usually the painful area, before the ambulance arrives. It is allowed to drink mineral water during this period (for example, Borjomi, Narzan). The daily volume of fluid is up to five to six glasses with normal urine output. Simple fluids suppress the secretion of pancreatic juice into the lumen of the duodenum, reduce pain and remove toxins from the body.

When a sick person is admitted to a medical facility, the patient will be prescribed a diet meal prepared by a dietitian.

We have extracted from these documents to show the principles of diet for pancreatitis. Hospitals do not use officially numbered diets. With pancreatitis, shortened - diets with SD and IAP are recommended.

In acute pancreatitis, the patient is prescribed fasting for the first two days. Only hip water or mineral water is allowed - a glass five times a day. On the third day, you are allowed to eat, but only low-calorie foods, except for fats, salt and dishes that increase the secretion of gastric juice and stimulate the formation of gas in the intestines.

The patient must strictly follow the diet prescribed by the doctor for the next few days while in the hospital!

exacerbation of pancreatitis

Recommended diet taking into account the mechanical and biochemical savings of the intestinal mucosa.

This dish includes:

  • physiological level of the main components of food - proteins, lipids, carbohydrates;
  • increased fat and water-soluble vitamins;
  • small amounts of substances that irritate the intestinal mucosa, including food spices;
  • It is forbidden to use spicy, salty, spicy, smoked.

Cooking methods: steam heat treatment. The food is crushed, removed, and small amounts of ready-to-eat food are allowed. The temperature of the food served on the table should not exceed 650C. The recommended number of meals is five to six per day.

  • The daily serving contains 90 grams of total protein and 40 grams of animal origin.
  • Contains 80 grams of fat and 30 grams of vegetables per day.
  • The daily portion of carbohydrates is 300 grams, easily digestible 60 grams.
  • Energy value 2480 kcal.

After the symptoms of acute pancreatitis are reduced, it is better to switch to soups, eat lean meat and fish, fresh cottage cheese, grains and vegetables and pudding. Foods such as fruit juices, honey, jam, sugar should be reduced or eliminated from the diet. Laxative drinks are useful before bedtime: kefir, yogurt, etc. It is important to completely avoid fatty foods, breads, fried fish, pork, sour cream, salty and smoked foods, pickles, onions, garlic, radishes, alcoholic beverages.

The recommended diet for acute pancreatitis should last from six months to a year. Almost one hundred percent of a patient's health depends on how strictly he follows the doctor's diet prescriptions. It is important to remember that all errors in the diet are immediately reflected in the condition of the pancreas.

Chronic pancreatitis in remission

This option is a different approach to patient nutrition. During this period, nutritionists recommend a high protein content, a physiological ratio of fat in the diet. A more sophisticated approach to carbohydrates. The diet in remission indicates the following:

  • protein is allowed to be slightly higher than the physiological norm;
  • norm for fats and complex carbohydrates in the form of grains;
  • Sugar, honey, jam, cake, sweet dough, salt are also below the norm.

With this option, it is forbidden to eat substances that irritate the mucous membranes of the gastrointestinal tract. These products include vinegar, alcohol and other ingredients used as spices.

Foods are cooked, boiled, boiled, steamed. It is allowed to eat in the form of puree, not puree. Feeding in small portions, 4-6 times a day, at short intervals. Meals are served hot. The temperature is not higher than sixty degrees Celsius.

  • A daily serving contains 120 grams of total protein, 50 grams of animal origin.
  • The daily portion contains 90 grams of fat and 30 grams of vegetable oil.
  • Some of the daily carbohydrates are 350 grams, 40 grams are easily digested.
  • Energy value is 2690 kcal.

Diet for chronic pancreatitis

Chronic pancreatitis often develops against the background of an acute illness. At the same time, the patient may suffer from cirrhosis of the liver, hepatitis, duodenal pathology, gallstone disease, allergies, atherosclerosis and alcoholism.

Diet for chronic pancreatitis is the mainstay of treatment for this disease. In remission, the amount of calories in the daily diet should be commensurate with physical activity. It is recommended to take food up to six times a day, not forgetting the food, which is characterized by a laxative effect.

It is important to monitor your daily protein intake. As it is necessary for the normal course of the recovery process, it should be consumed in sufficient quantities - up to 130 grams per day, and only 30% of the protein should be of plant origin.

The diet of a patient suffering from chronic pancreatitis should include beef, veal, rabbit, chicken, turkey and lean pork. Prohibited: lamb, fatty pork, as well as goose, duck and hunting. If the patient is often worried about pain, meat dishes are boiled or steamed in chopped form, you can not cook in the oven, fry and roast. Lean fish is cooked in the same way.

Low-fat meat and fish foods help patients avoid fatty liver degeneration, which is important in chronic pancreatitis. Homemade cottage cheese has a similar feature, but only when it is acidic and fresh, store-bought cottage cheese is not recommended.

In chronic pancreatitis, pure milk is often poorly tolerated, so it is better to add it to cereals, soups, jellies when preparing it. Although milk is well tolerated by patients, it should not be abused by drinking more than half a glass of warm milk a day in small sips. Fresh dairy products are healthier for people suffering from pancreatitis. Prohibited remission cheese can be eaten in small amounts as long as you feel well. The cheese should be lean and soft. All eggs are excluded from the diet, steamed protein omelets are allowed to be eaten with whipped proteins, in addition, eggs can be added to other foods.

Vegetable proteins can be represented by rice, yesterday's bread, bread crumbs, semolina, oatmeal, buckwheat, pasta. It is forbidden to eat legumes with pancreatitis.

Dietary fat should not exceed 70 grams, and 80% of it is animal fat, it is better to eat with other foods and foods. It is better to put the oil in a ready-made bowl immediately before eating, vegetable oil is allowed only if it is well tolerated. It is forbidden to cook fats, margarine, beef and lard.

Carbohydrates in the daily diet should not exceed 350 grams, can be represented by sugar, honey, jam, syrup. Carbohydrate-rich foods such as crackers, semolina, oatmeal, buckwheat, barley, rice, pasta are allowed. Patients are also allowed to eat potatoes, carrots, beets, pumpkin, squash, pumpkin. Vegetable dishes should be steamed or cooked in water; You can eat steamed pudding of vegetables. Boiled vegetables are best consumed in the form of puree with the addition of grain broth.

Acid-free apples are recommended: ripe fruits can be cooked, peeled, compote is made from them, dried fruit compote is also useful.

Of all the sauces, milk and flour-based bechamel are considered the most optimal, and the flour is not fried and very little salt is added.

  • First courses (cereals, vegetables, milk, lean meats, fish, as well as sweet soups from fruits).
  • Second dishes (boiled beef, poultry, fish, chicken omelet).
  • Products containing cereals (cereals, pasta, white, black bread, vegetable oil).
  • Milk, fermented milk products (milk 2, 5%, fermented milk products, fat).
  • Raw, cooked berries, fruits, vegetables (ripe, sweet), carrots, beets - boiled as a dressing for soups, side dishes and independent dishes.
  • Sweet (for pancreatitis easily digestible carbohydrates are limited, ie below the physiological norm, jam, honey, sugar).
  • Drinks (tea with milk, vegetables, fruit juices).
  • Special products (dry protein blend) Fat and water soluble vitamins are added.

It is also important not to overeat, reducing the daily amount of food to 2. 5 kilograms, taking into account the intoxication. Meals are taken often and in small portions.

Adherence to all dietary guidelines for pancreatitis can significantly increase the effectiveness of therapy in general.

Diet menu for pancreatitis

The number of products should be calculated according to the above normative documents.

Example of daily diet menu for pancreatitis:

First meal (7: 00-7: 30): boiled beef, oatmeal in milk, tea.

Second course (9: 00-9: 30) omelet, baked apple, rose broth.

Third meal (12: 00-13: 00): vegetable soup, beef soufflé, pasta, sweet berry jelly, compote.

Meal 4 (16: 00-16: 30): cottage cheese and tea.

Meal 5 (20: 00-20: 30): fish souffle, tea.

What should be excluded?

As you can see, in the pancreatic pancreatitis diet, all meals are made from lean meat and fish - then only in the boiled version. Fried foods are prohibited. You can eat dairy products with a minimum fat content. It is recommended to drink only natural juices and compotes and teas.

must be deleted completely:

  • All kinds of alcohol, sweet (grape juice) and carbonated drinks, cocoa, coffee
  • Animal products: domestic products, including the first category, pork and pork, oily fish, all smoked products, spicy, fried, ready-made products based on extractives.
  • Vegetable products: legumes, mushrooms, spinach, sorrel, onion, bread based on butter dough.
  • Sweets: chocolate, creams.
  • Figs, grapes, bananas, dates.
  • Sweets, chocolate, ice cream, jam.
  • Pork, edible oils.
  • Hard boiled eggs, whole egg dishes, fried eggs

Frequently Asked Questions

  • Is cinnamon allowed? Cinnamon is a flavor that can be purchased at a specialty store or provided by distributors. Available as a package in hypermarkets, it is a cheap option called cassia. This "analog" is associated with myths about the therapeutic effect in type 2 diabetes. This is not due to the work of the gland, but to the reaction of insulin receptors in the tissues. There is no official confirmation of this. As for real cinnamon, it increases the production of digestive water, which is undesirable in case of exacerbation of the disease.
  • Is disability allowed? Proper preparation of the heart, stomach and liver is not a contraindication for pancreatitis. Such foods can be eaten boiled or stewed. It is not recommended to eat them fried.
  • Is processed cheese, bread, chocolate, coffee allowed? Processed cheese should be as simple as possible, ie without any spices or additives. Bread can be included in the menu. Small amounts of chocolate are allowed. Coffee is not recommended at any stage of the disease. Alternatively, you can drink coffee with milk and small amounts.
  • Is rice or olive oil allowed? Rice is allowed. You can add olive oil to salads and other dishes.
  • Is salt water allowed? In remission, a small amount of salt water will not hurt, but you should not drink too much.
  • Is salted fat allowed? Fat is heavy on the liver and gallbladder. When used, the pancreas suffers a second time. Outside the aggravation phase, fat is allowed, but in small amounts (up to two slices a day, twice a week).