Diet for pancreatitis of the pancreas

the need to follow a diet with pancreatitis

The pancreas is part of the gastrointestinal tract and at the same time a mixed secretory gland.When food enters the human digestive system, it reacts by producing enzymes that are secreted into the duodenum and help break down the food in the intestines.On the other hand, the gland produces the hormones insulin and glucagon, which enter the blood and ensure normal blood sugar levels.

What is pancreatitis and its forms?

Pancreatitis is an inflammation of the pancreas, in which the glandular tissue becomes inflamed and the process of production and entry of necessary enzymes into the intestine is disrupted.The inflamed gland increases in size, its internal ducts narrow, which prevents digestive juices from entering the duodenum.The enzymes remaining in the gland begin to break down the gland itself, with sad consequences.

There is an acute form of pancreatitis, which is caused by poor diet or inflammatory diseases of the body and does not last long with proper treatment.Long-term or frequent exposure to irritating factors leads to chronic pancreatitis, which can develop after an acute course.

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

Principles of nutrition for pancreatitis

General principles of nutrition for pancreatitis

The principles of the diet for acute pancreatitis are that it is generally recommended to fast for the first 3 days.During this period, the necessary nutrition is provided through intravenous infusions without irritating the intestines.Food entering the intestines always leads to increased production of digestive enzymes, and in acute inflammation it is important to reduce this activity as much as possible;After a few days, the diet is gradually expanded.Initially only clear water is allowed, sometimes still mineral water, preferably alkaline water, weak tea.

Then the following provisions apply in the case of chronic pancreatitis from the 3rd day and in the case of acute pancreatitis after the 5th day:

  • Frequency of meals at least five times a day to ensure a consistent release of enzymes without significant stress and to reduce inflammation;
  • the amount of fats and carbohydrates is reduced as much as possible and protein production is increased;
  • the amount of food at once is no more than 150-200 ml;
  • use warm foods at 20-60 degrees in chopped or pureed 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 bloating;
  • To save chemicals, you can not use spices and hot spices;
  • Use only cooked or baked foods and no fried, smoked or canned ingredients.

Features of the diet for pancreatitis

Features of a diet for pancreatitis

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

Against the background of an increasing proportion of protein products in the diet, the main share of it 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 regular sugar or jam, fats in a minimal amount, protein products make up more than half of the diet.

Allowed and forbidden foods on a diet for gastric pancreatitis

There are a variety of permitted foods on a diet for gastric pancreatitis, so that the diet can be as varied as possible:

  • boiled or baked rabbit, veal and poultry meat (low fat), boiled tongue;
  • lean fish such as hake or pollock, boiled, baked or in the form of a soufflé;
  • various cereals, preferably rice or oat flakes as part of porridges, soups or casseroles;
  • Bread after drying in the oven, cookies, cooked pasta;
  • Lactic and lactic acid products diluted with low fat content as an additive to main products or cottage cheese casserole, diet cheese and cottage cheese made from skimmed milk;
  • boiled or baked vegetables – potatoes and pumpkin, root vegetables, beets or carrots, fresh pumpkin;
  • Eggs (white only) in the form of omelettes or casseroles, vegetable oil in moderation;
  • ripe unsweetened or oven-cooked fruits, jellies or berry purees;
  • weak drinks, diluted juices, rosehip fruit drinks.
What you can and cannot eat if you have pancreatitis

When dieting during an exacerbation of pancreatitis, the following foods are prohibited:

  • fried or grilled meat, all offal;Lamb or goose, lard and smoked meats, stew in jars;
  • marinated seafood, rich fish broths or preserves;
  • Ready meals made from legumes and rich broths;
  • fresh bread, baked goods, fried cakes;
  • natural fat, sour cream, cream, skimmed milk in large quantities;
  • Garlic, mushrooms and radishes are strictly prohibited (beets and fresh vegetables are limited);
  • egg yolk and fresh natural butter;
  • a large amount of fresh sweet fruits, cabbage and sorrel;
  • Coffee, strong tea, concentrated sodas and all carbonated drinks, alcohol of any strength or strength;
  • Ice cream, buttercream cakes, chocolate, cakes of all kinds;
  • hot spices, marinades, sausages and smoked meats.

Contraindications to a diet for pancreatitis

Taking into account the peculiarities of the diet for gastric pancreatitis, there are also contraindications to it.

They affect patients with kidney disease or protein metabolism disorders:

Contraindications to a diet for pancreatitis
  • with pyelonephritis or glomerulonephritis with decompensation of the process;
  • patients with urolithiasis;
  • in acute or chronic kidney failure;
  • for gout and disorders of purine base metabolism;
  • in the presence of multiple myeloma;
  • with hormonal imbalance or thyroid problems;
  • with precancerous background diseases, as excess protein is dangerous for malignant diseases;
  • If you are severely overweight or have diabetes, especially diabetic nephropathy, i.e. kidney damage.

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

Diet for pancreatitis: menu for the week

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

Monday

  1. Breakfast.Water porridge made from ground buckwheat, boiled chicken breast.Quark pudding, weak tea.
  2. Lunch.Fruit puree, whipped in a blender, cookies.
  3. Dinner.Creamy rice soup, steamed veal escalopes, apricot jelly.
  4. Snack.Carrot casserole with tea.
  5. Dinner.Fish pie with oatmeal.Apple compote.
  6. Before going to bed.Currant juice.

Tuesday

  1. Breakfast.Mashed potatoes with pureed beef.Cookies, fruit tea.
  2. Lunch.Protein omelette, carrot puree.
  3. Dinner.Ground buckwheat soup with rabbit meatballs.Zucchini casserole, weak tea.
  4. Snack.Salad made from grated beet, fruit juice with breadcrumbs.
  5. Dinner.Steamed turkey schnitzels with pureed rice porridge.Apple jelly.
  6. Before going to bed.Rosehip juice.

Wednesday

  1. Breakfast.Oatmeal without sugar.Carrot casserole with tea.
  2. Lunch.Baked apples 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 pureed buckwheat porridge.Currant compote.
  6. Before going to bed.A glass of kefir.

Thursday

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

Friday

  1. Breakfast.Oatmeal porridge with stewed beef chops.Tea with fruit pudding.
  2. Lunch.Steamed fish meatballs, apple jelly.
  3. Dinner.Rabbit soup with boiled meat.Pumpkin casserole with sour cream, tea without sugar.
  4. Snack.Egg white omelet with apple juice.
  5. Dinner.Turkey meat rolls and vegetable stew.Tea with cookies.
  6. Before going to bed.Ryazhenka is low in fat.

Saturday

  1. Breakfast.Boiled pasta with chicken pate.Unsweetened tea.
  2. Lunch.Pumpkin porridge with unsweetened yogurt.
  3. Dinner.Pumpkin and veal puree soup.Zucchini stew and cranberry jelly.
  4. Snack.applesauce, a cup of kefir.
  5. Dinner.Steamed fish cutlets with oatmeal.Tea with cookies.
  6. Before going to bed.Apricot compote.

Sunday

  1. Breakfast.Beef and vegetable casserole.Ryazhenka with cookies.
  2. Lunch.Quark pudding and fruit puree.
  3. Dinner.Pumpkin and potato soup.Chicken meatballs with oatmeal.Fresh fruit compote.
  4. Snack.Carrot pudding with unsweetened tea.
  5. Dinner.Hake and zucchini casserole.Apple jelly.
  6. Before going to bed.Freshly fermented baked milk.

When drawing up a menu and preparing food, it is important to remember that the products must be fresh and the cooking methods must be boiling or baking.It is not advisable to combine different proteins at the same time.To reduce stress on the pancreas, small portions are recommended.

Diet for pancreatitis: reviews of nutritionists

How to eat properly with pancreatitis

Feedback from nutritionists about nutrition for pancreatitis is as follows.Its main features are aimed at reducing the nutritional load on the gland and reducing the production of digestive juice that supports inflammation.In addition to these effects, such a diet prevents liver and biliary tract diseases, as it normalizes the frequency of bile secretion into the intestines.However, given the restrictions, care should be taken to ensure that there is a sufficient amount of vitamins in the diet in order to avoid vitamin deficiency.

If the patient's body lacks its own enzymes, the absorption of nutrients from food is reduced.To correct the absorption of nutrients, preparations are used that contain the necessary enzymes in granulated or encapsulated form.Special medicinal capsules promote the action of enzymes at a specific location in the digestive system to achieve maximum effect.

In acute pancreatitis, it is important to chop up food as much as possible.However, in chronic pancreatitis, in order to maintain the physiological function of the digestive tract, the foods should not be thoroughly chopped or pureed, although the heat treatment should be carried out without frying or grilling.The more balanced the diet, the less likely negative consequences are.In acute pancreatitis, the diet should be followed for at least 2-3 months;In the case of chronic illnesses, it is advisable to adhere to this for the rest of your life.