Proper nutrition for pancreatitis. Useful and dangerous foods

dietary characteristics for pancreatitis

If a person is diagnosed with pancreatitis, we are talking about an inflammatory process in the pancreas, organ dysfunction and altered enzyme production.

The mainstay of treatment in this case is the correct diet. Subject to strict compliance with all the criteria of the diet, the pancreas will soon begin to function normally, the secretion of the external organ will decrease.

The main causes of pancreatitis

  • Most cases of acute or chronic pancreatitis are associated with alcohol abuse or abnormalities of the gallbladder, especially cholelithiasis.
  • Pancreatitis can develop after surgery on the gallbladder or stomach, after an endoscopic exam.
  • Injuries and wounds to the abdomen can cause inflammation of the pancreas.
  • Infectious diseases and helminthic infestations sometimes become the cause of the development of pancreatitis.
  • Some medications, if taken too long or uncontrolled, can also cause an inflammatory process. These are some diuretics, drugs from the group of sulfonamides, antibiotics, drugs that contain estrogens, etc.
  • Congenital structural abnormalities, as well as narrowing of the lumen of the duct due to the development of a tumor or the formation of adhesions, can lead to inflammation of the gland.
  • Pancreatitis can also cause hormonal changes: menopause or pregnancy in women, treatment with hormonal drugs.
  • Vascular diseases can also cause inflammation.
  • Pancreatitis can also develop with diabetes mellitus, allergies, cirrhosis of the liver, and other diseases.
  • Inadequate nutrition with the abuse of fatty foods, difficult to digest, sweets and fast food is a fertile ground for the development of the disease.

Sometimes it is not possible to establish the exact cause of inflammation.

Foods allowed for pancreatitis

  • lean meat and fish, chicken,
  • dry whole wheat bread from yesterday,
  • vegetables, preferably boiled, cut into small pieces,
  • liquid rice and buckwheat porridge, oats in water and milk,
  • it is better not to eat fermented dairy products, milk, cottage cheese, sour cream
  • decoctions of herbs and rose hips, dried apple compotes,
  • paste in small quantities.

This is basically a detailed list of what you can eat for pancreatitis, and it is best to follow the tips and tricks for the first 2-3 months to avoid causing a recurrence of the attack.

You should know that you will have to eat in small portions, 6 times a day, all the food should be almost cold. All vegetables are boiled and grated, mashed potatoes are recommended, it is better to roll the meat into minced meat. You need to eat porridge 1 time a day, salt the food a little.

Naturally, returning home from the hospital, many people wonder what to cook for pancreatitis, if the list of allowed foods is quite limited and the doctor forbids many delicious dishes. You should not panic or get angry - there are many useful recipes that can diversify any strict diet.

What to exclude?

what foods should be excluded for pancreatitis

As you can see, in the pancreatic pancreatitis diet, all dishes are made with lean meat and fish, and then only in a boiled version. Fried foods are strictly prohibited. You can consume dairy products with a minimum percentage of fat. It is advisable to drink only natural juices, compotes, tea, liquid fruit drinks

Should be removed entirely:

  • All kinds of alcoholic, sweet (grape juice) and carbonated beverages, cocoa, coffee
  • Products of animal origin: offal, including the first category, meat and lard, fatty fish, all smoked, spicy, fried meats, instant products based on extractive substances.
  • Vegetable products: legumes, mushrooms, spinach, sorrel, onions, bakery products based on butter dough.
  • Desserts: chocolate, fat creams.
  • Figs, grapes, bananas, dates.
  • Confectionery, chocolate, ice cream, jam.
  • Butter, cooking oils.
  • Hard boiled eggs, whole egg dishes, fried eggs

Medical recommendations

What do doctors recommend for patients with pancreatitis?

  • Food should be steamed because it does not harm the body and retain all the nutrients;
  • Eat small meals five to six times a day;
  • meals should be lukewarm, neither hot nor cold;
  • a prerequisite: eat food in semi-liquid or grated form;
  • semolina, buckwheat, oats, and rice should be boiled in water and ground.

In case of acute pancreatitis, you will have to starve for a couple of days, only drinking plenty of still mineral water, a decoction of wild rose or weak tea is allowed.

Nutrition for pancreatic pancreatitis: acute stage

what foods can be eaten with pancreatitis

In the most acute stage of the disease with severe pain syndrome and signs of major digestive disorders, short-term therapeutic fasting can be used. This recommendation was expressed by doctors of past centuries, who, in acute pancreatitis, prescribed cold (in the area of ​​the inflamed organ), hunger and physical rest to their patients. During this period, a non-irritating, fortified and alkaline drink is allowed, if necessary, parenteral (intravenous) nutrition is prescribed. But the use of enzymes during this period is inappropriate, because the intestines simply do not receive any food that needs to be digested.

Fasting for acute pancreatitis usually lasts 2 to 3 days. During this time, symptoms subside, making it possible to switch to diet foods, in stages:

  1. For the first days after fasting, the food is low in calories and as moderate as possible. Mashed potatoes are shaped, semi-liquid, mashed. They are steamed or boiled and cooled to body temperature when served. Such a menu is predominantly carbohydrate and does not involve the use of multi-component recipes and spices.
  2. Once the symptoms of pancreatitis subside, the diet becomes more varied and nutritious. In this case, the menu is gradually expanded, focusing on the state of health and the degree of assimilation of food. On day 4-5, easily digestible proteins (cottage cheese, boiled lean meat, eggs) are introduced and then a small amount of butter. Vegetable oils are not yet used. The dishes are still boiled and steamed. They are no longer rubbed, but instead crushed or served in the form of soups, soups and stews.
  3. In the next 8-12 months, nutrition for pancreatitis remains moderate and fractional, although not as strict. In general, during this period, the diet resembles the menu for chronic pancreatitis. Vegetable oils are introduced, the dishes become more varied.

The diet for the first days after the end of the fast is supplemented with the use of enzyme preparations. This allows it to partially compensate for the lack of the pancreas' own enzymes, to avoid their overload. This is especially important when consuming fatty foods.

The diet for pancreatitis is the most important time of treatment during an exacerbation. It is she who contributes to the gradual normalization of the inflamed pancreas and the entire digestive tract. And prescription drugs help to cope with symptoms, partially relieve the burden on the affected organ, and compensate for the relative enzyme deficiency.

Acute Pancreatitis Diet: Sample Menu

how to diet with pancreatitis

The diet menu for acute pancreatitis is very diverse. Let's prepare an approximate diet menu for one day. The number of meals should be at least four per day. Do not forget that you need to drink at least two liters of water a day. The amount of food consumed per day should not exceed three kilograms.

Breakfast:

  • A glass of hot tea.
  • Oatmeal cookies.
  • Fresh raspberries with sour cream.

Lunch:

  • A bowl of oatmeal topped with raisins and fruit to taste.
  • Pan.
  • A glass of freshly squeezed carrot juice.

Snack:

  • Vegetable casserole.
  • A glass of birch sap.
  • An apple.

Dinner:

  • Creamy carrot and cauliflower soup with parsley and coriander.
  • Meatballs, steamed fish fillets.
  • Pan.
  • A glass of unsweetened lemon green tea.

Second supper:

  • Gingerbread cookie.
  • A banana.
  • A glass of kefir.

The menu turned out to be extensive, tasty and healthy. When drawing up the menu, you need to remember all the rules that were described above. Then the menu and diet will turn out to be very healthy, tasty and satisfying.

Diet for chronic pancreatitis

In this case, you need to constantly monitor your diet to exclude the appearance of pain attacks. Most often, it is errors in nutrition that lead to an exacerbation of pancreatic disease. A properly selected diet will reduce the number of exacerbations during the progression of inflammation.

A person suffering from chronic pancreatitis should exclude easily digestible carbohydrates: honey, sugar, sweets, candies, soft drinks and very fatty foods. This is due to the fact that fat absorption is significantly impaired in the presence of pancreatitis. Better to stick to fractional meals.

sample menu for pancreatitis

What is allowed in the menu:

  • Bread and other pastries, preferably yesterday's cookies or toast, low-fat and fat-free;
  • Vegetarian soups with a little vegetable oil or sour cream;
  • Lean meat, poultry, fish - boiled, baked, steamed;
  • Soft-boiled eggs, steamed omelet (no more than 2 pieces per day);
  • Low-fat cottage cheese and kefir;
  • Hard cheese;
  • Eat moderately butter and vegetable oil (refined);
  • Porridge other than millet;
  • Homemade noodles / noodles cooked in water;
  • Raw and baked sweet apples;
  • Boiled and mashed vegetables;
  • Drinks: compotes, gelatin without sugar, weak tea, it is possible with lemon; unsweetened juices, decoction of wild rose berries and black currants.

As in exacerbation, saturated broths, pork and lamb, fried, smoked, fatty, canned are prohibited. High quality unacceptable sausages, caviar, chocolate, pickles and marinades, spices and spices. It is undesirable to eat mushrooms, raw cabbage, spinach, sorrel, turnips and radishes, as well as legumes, sour fruits. It is better to refuse baked dishes, very hot or cold. Don't drink soda or eat ice cream. Alcohol is also strictly prohibited.

Diet n. 5 for pancreatitis: highlights

Foods with pancreatitis should always be kept warm; too hot and cold foods should be discarded. The menu is always dominated by protein-rich foods, and carbohydrates and fats are kept to a minimum. Eating foods that contain too many acids is prohibited.

To fully protect the pancreas and digestive tract from chemical and mechanical damage is possible thanks to steaming in the oven. It is also helpful to boil food and chop it before use.

Doctors insist that you should reject foods that are high in coarse fiber. The average daily caloric content should be within 2, 000 calories. Also, they drink at least 1. 5 liters of pure water, you must rely on a warm mineralized drink.

cooking with pancreatitis

The chemical composition of the daily menu is as follows:

  • protein (80 grams);
  • carbohydrates (200 grams);
  • fats (40 - 60 grams).

There are two options for dietary table No. 5. If a diabetic is diagnosed with an acute form of the disease, table 5a will be assigned, for the chronic form, table 5b is shown.

Diet No. 5a provides for the use of no more than 1700 calories per day, all meals are served to the patient in a carefully cleaned form. Completely exclude products that promote the secretory function of the pancreas. In addition to the basic chemical composition, there are strict restrictions on cooking salt - a maximum of 10 grams per day.

Food should be taken in fractional form, at least 6 times a day, always maintaining a certain period of time. The duration of such a diet is prescribed for a diabetic depending on the severity of pancreatitis, but on average it is at least 7 days.

Table 5b regulates 2700 calories per day, and the chemical composition of the dishes is as follows:

  • fats (maximum 70 grams);
  • carbohydrates (up to 350 grams);
  • protein (no more than 140 grams).

The difference in this table is that broths and broths are excluded, this is necessary to reduce the production of secretions by the pancreas. Food is also served grated.

Nutrition for pancreatitis in children

Children's diet is formed according to the type of disease. In chronic pancreatitis, a small patient must follow the strictest diet in the exacerbation stage of the disease, and when the pain syndrome subsides, you can switch to a moderate option. Unfortunately, the chronic form of pancreatitis requires lifelong dietary restrictions.

A strict diet is prescribed for a month for a child with acute pancreatitis. Diet No. 5 is the most effective nutritional system that allows you to completely get rid of a terrible diagnosis in five years.

Nutrition must be taken with great care, as small deviations delay the healing process.

nutrition of children with pancreatitis

The diet for reactive pancreatitis in children is followed for at least two weeks after the onset of the disease. In this case, do not restrict the child too much. For a complete cure, it is enough to adhere to the principles of proper nutrition for the age appropriate baby.

Regardless of the stage of the disease, it is necessary to completely exclude from the menu:

  • smoked and pickled products;
  • fast food;
  • spicy, salty, fried;
  • products with preservatives, flavorings and flavor enhancers.

The diet for reactive pancreatitis in a child allows you to do the following diet:

  • Breakfast: pureed chicken with milk, boiled chicken.
  • Snack: curd pudding, mild tea.
  • Lunch: chicken soup, beet salad, boiled fish.
  • Snack: apple jelly.
  • Dinner: curdled milk, cookies.
21.09.2020