Diet for pancreatitis of the pancreas

The pancreas is part of the gastrointestinal tract and is also a mixed excretory gland.When food enters the human digestive system, the duodenum responds by producing enzymes that are secreted into the duodenum and help break down food in the intestines.On the other hand, the gland produces the hormones insulin and glucagon, which enter the blood and keep the blood glucose level normal.

What is pancreatitis and its forms

Pancreatitis is an inflammation of the pancreas, during which the tissue of the gland is inflamed, the process of production of necessary enzymes and their entry into the intestines is disturbed.The size of the inflamed gland increases, its internal channels narrow, which does not allow digestive juices to pass into the duodenum.Enzymes left in the gland begin to break down the gland itself, which leads to sad consequences.

There is an acute form of pancreatitis, which is provoked by improper diet or inflammatory diseases in the body, and does not last long with proper treatment.If the effect of irritating factors is long or frequent, chronic pancreatitis occurs, which can develop after an acute process.

The approach to the treatment of pancreatitis is complex, and a special diet plays an important role in it, without which the effectiveness of the treatment is extremely low.

Diet principles for pancreatitis

The principles of the diet for acute pancreatitis are that fasting is generally recommended for the first 3 days.During this time, the necessary nutrition is delivered through intravenous infusions without irritating the intestines.Food entering the intestines always causes an increase in the production of digestive enzymes, and during acute inflammation it is important to reduce this activity as much as possible;After a few days, the diet is gradually expanded.At first, only ordinary water is allowed, sometimes still mineral water, preferably alkaline water, weak tea.

Then from the 3rd day for chronic pancreatitis and from the 5th day for acute pancreatitis the following provisions are used:

• frequency of eating at least 5 times a day to ensure uniform release of enzymes without significant stress and reduce inflammation;
• the amount of fats and carbohydrates is reduced as much as possible and protein products are increased;
• the volume of food at one time is not more than 150-200 ml;
• use 20-60 degrees hot food in crushed or mashed form;
• chew food thoroughly and take your time;
• Do not drink during meals, limit salt to 4-5 grams per day;
• exclude foods that cause flatulence;
• You can not use spices and hot spices for the purpose of chemical saving;
• Use only boiled or baked foods and avoid fried, smoked or canned foods.

Features of the diet for pancreatitis

It is important to remember that the diet for pancreatitis of the pancreas must be followed constantly, otherwise the body will react with repeated inflammation and the results will be negative.In acute pancreatitis, the situation can be very serious and death cannot be ruled out.

Against the background of increasing the proportion of protein products in the diet, the main part of them should be animals in the form of turkey, chicken or young beef.Carbohydrates should be a little more than 300 grams per day with a limit of ordinary sugar or jam, a minimum amount of fats, protein products make up more than half of the diet.

Allowed and prohibited foods in the diet for gastric pancreatitis

There are a large number of allowed foods in a diet for gastric pancreatitis, so the diet can be as diverse as possible:

• boiled or baked rabbit, veal and poultry (low fat), boiled tongue;
• lean fish, such as hake or pollock, in boiled, baked or soufflé form;
• various cereals, preferably rice or oatmeal, as part of porridges, soups or stews;
• bread, biscuits, boiled pasta after drying in the oven;
• diluted milk and lactic acid products with a low fat content in addition to the main products or cottage cheese stew, dietary cheese and cottage cheese from skimmed milk;
• boiled or baked vegetables - potatoes and pumpkin, root vegetables, beets or carrots, fresh pumpkin;
• eggs (only whites) in the form of an omelet or stew, medium amount of vegetable oil;
• ripe unsweetened or baked fruit, jelly or berry puree;
• soft drinks, diluted juices, hip fruit drinks.

During exacerbation of pancreatitis, the following foods are prohibited in the diet:

• fried or grilled meat, whole offal;lamb or goose, fat and smoked meat, stew in jars;
• marinated seafood, rich fish broths or canned foods;
• dishes made from legumes and rich broths;
• fresh bread, baked goods, fried cakes;
• a large amount of natural fat sour cream, cream, skim milk;
• garlic, mushrooms, radishes are strictly prohibited (turnips and fresh vegetables are limited);
• egg yolk and fresh natural butter;
• a lot of fresh sweet fruits, cabbage and sorrel;
• coffee, strong tea, concentrated lemonades and any carbonated drinks, alcohol of any strength or energy;
• ice cream, butter cakes, chocolate, any cakes;
• hot spices, marinades, sausages and smoked meats.

Diet contraindications for pancreatitis

Considering the features of the diet for gastric pancreatitis, it also has contraindications.

These apply to patients with kidney disease or protein metabolism disorders:

• with pyelonephritis or glomerulonephritis with decompensation of the process;
• patients with urolithiasis;
• in acute or chronic kidney failure;
• in case of gout and purine base metabolism disorder;
• in the presence of multiple myeloma;
• hormonal imbalance or problems with the thyroid gland;
• because excess protein is dangerous for malignant tumors, for precancerous background diseases;
• severe obesity or diabetes, especially with diabetic nephropathy, that is, with kidney damage.

By increasing the amount of protein products in the diet, the load on the kidneys increases, and in case of chronic diseases, their work is disturbed.

Diet for pancreatitis: weekly menu

Let's consider a sample diet menu for a week for acute or chronic pancreatitis of the pancreas.

on monday

1. Breakfast.Buckwheat porridge, boiled chicken breast.Curd pudding, weak tea.
2. Lunch.Fruit puree whipped in a blender, biscuit.
3. Dinner.Creamy rice soup, steamed beef cutlets, apricot jelly.
4. Snack.Carrot stew with tea.
5. Dinner.Fish pie with oatmeal.Apple compote.
6. Before going to bed.Currant juice.

on tuesday

1. Breakfast.Mashed potatoes with mashed beef.Biscuit, fruit tea.
2. Lunch.Protein omelet, carrot puree.
3. Dinner.Ground buckwheat soup with rabbit meatballs.Zucchini stew, weak tea.
4. Snack.Roasted beet salad, fruit juice with breadcrumbs.
5. Dinner.Steamed turkey cutlets with mashed rice porridge.Apple jelly.
6. Before going to bed.Rose hip juice.

Wednesday

1. Breakfast.Oatmeal without sugar.Carrot stew with tea.
2. Lunch.Baked apple with crackers and apricot juice.
3. Dinner.Hake fish soup, mashed potatoes with sour cream.Pear jelly with croutons.
4. Snack.Zucchini casserole with tea and cookies.
5. Dinner.Steamed rabbit cutlets with buckwheat porridge.Currant compote.
6. Before going to bed.A glass of kefir.

on Thursday

1. Breakfast.Rice pudding with boiled beef.Tea with cookies.
2. Lunch.Boiled beetroot salad with yogurt and biscuits.
3. Dinner.Soup with weak chicken broth and buckwheat.Vegetable meatballs, fruit jelly.
4. Snack.Cottage cheese with low-fat sour cream, tea with marshmallows.
5. Dinner.Vegetable stew with pollock.Dried fruit compote.
6. Before going to bed.Apple juice.

friday

1. Breakfast.Crushed oatmeal with steamed beef cutlets.Tea with fruit pudding.
2. Lunch.Steamed fish balls, apple jelly.
3. Dinner.Rabbit soup with boiled meat.Pumpkin stew with sour cream, tea without sugar.
4. Snack.Egg white omelet with apple juice.
5. Dinner.Turkey meat roll and vegetable stew.Tea with cookies.
6. Before going to bed.Ryazhenka is low in fat.

Saturday

1. Breakfast.Boiled pasta with chicken pie.Tea without sugar.
2. Lunch.Pumpkin porridge with sugar-free yogurt.
3. Dinner.Pumpkin and beef puree soup.Zucchini Casserole and Cranberry Jelly.
4. Snack.Apple puree, a glass of kefir.
5. Dinner.Steamed fish cutlets with oatmeal.Tea with biscuits.
6. Before going to bed.Apricot compote.

on sunday

1. Breakfast.Stew with beef and vegetables.Ryazhenka with cookies.
2. Lunch.Cottage cheese pudding and fruit puree.
3. Dinner.Pumpkin and potato soup.Chicken meatballs with oatmeal.Fresh fruit compote.
4. Snack.Carrot pudding with tea without sugar.
5. Dinner.Hake and zucchini casserole.Apple jelly.
6. Before going to bed.Fresh fermented baked milk.

When creating a menu and preparing food, it is necessary to remember that the products should be fresh, and the cooking methods should be boiled or baked.It is not advisable to combine different proteins at once, and small portions are recommended to reduce the burden on the pancreas.

Diet for pancreatitis: reviews of nutritionists

Nutritionists' opinion about the diet for pancreatitis is as follows.Its main details are aimed at reducing the nutrient load on the gland and reducing the production of digestive juices that support inflammation.In addition to these effects, such a diet prevents diseases of the liver and biliary tract, as it normalizes the frequency of bile secretion into the intestines.However, in light of the restrictions, it is necessary to remember that there is a sufficient amount of vitamins in the diet to prevent vitamin deficiency.

If the patient's body does not have its own enzymes, the absorption of nutrients from food is reduced.Preparations containing the necessary enzymes in granular or encapsulated forms are used to correct the absorption of nutrients.Special medicinal capsules help the activity of enzymes in a certain place in the digestive system for maximum effect.

In acute pancreatitis, it is important to grind food as much as possible, but in chronic pancreatitis, in order to preserve the physiological activity of the digestive system, food should not be finely chopped or pureed, although heat treatment should be done without frying or grilling.The more balanced the diet, the less likely there will be negative consequences.During acute pancreatitis, the diet should be followed for at least 2-3 months;in case of chronic disease, it is recommended to follow it for life.