Pancreatitis (inflammation of the pancreas) is accompanied by severe pain. If left untreated, the disease becomes chronic, so frequent exacerbations are typical. The diet for pancreatic pancreatitis is essential. It is adherence to the principles of medical nutrition that significantly reduces the risk of developing an attack.
Characteristics of the diet.
Nutrition for pancreatic pancreatitis has its own characteristics. The main task of the diet is to reduce the activity of the organ. How to eat with pancreatitis, so as not to worsen your health? The fundamental principles are:
- total rejection of fatty or fried and sweet foods;
- lack of foods with coarse fiber in the diet;
- in the cooking process, only cooking and steaming methods are used;
- fractional diet - food intake is made in six to seven meals in small portions;
- the food served must be pureed or finely chopped.
During the day, the patient should consume at least 2 liters of any liquid.
Acute nutrition
The acute pancreatitis diet helps eliminate severe symptoms of an attack. Its purpose is to stop the production of pancreatic juice that contains digestive enzymes. It is achieved by refusing to eat (in the first days) and by sticking to bed rest.
What can be eaten with pancreatitis during this period? In the first one to three days from the onset of the attack, depending on the severity of the patient's condition, the person will be advised to be completely hungry. Only drinking is allowed: alkaline mineral waters, a decoction of wild rose berries, weakly brewed unsweetened tea, water. After stabilizing the condition and eliminating the pain syndrome, patients are assigned a dietary table.
After stopping the attack, the food should be divided, up to 8 times a day. The initial serving size is no more than 50-100 grams. Since the low-calorie diet practiced during this period does not meet physiological norms, it is quite short - no more than 7 days. All the products used are boiled and the dishes are served hot and have a semi-liquid consistency.
| Days | Allowed products |
|---|---|
| First | Porridge puree for spreads, slimy soups with cereals (millet and semolina are prohibited), vegetable decoctions, lightly brewed teas with the addition of granulated sugar, compote, homemade cookies, fruit jelly and jelly. |
| Second | |
| Third | Cottage cheese dishes: soufflés, puddings, pasta, steamed omelette. |
| Four | Milk porridge. |
| Fifth | Soup of meat puree. |
| Sixth | Butter (small amount), vegetable puree (cabbage is prohibited). |
| Seventh | Soufflé of meat or fish. |
Then the patient is transferred to a basic diet, the variety of which depends on the presence of concomitant diseases. If we talk about which table is assigned most often, then this is number 5P. The diet for acute inflammation of the pancreas lasts for 6 to 12 months.
Nutritional therapy for the chronic form.
For patients with chronic pancreatitis, diet is a lifelong obligation, since any errors in nutrition can lead to an exacerbation of the pathology. Each attack of the disease is accompanied by a partial replacement of functional tissues by fibrous tissues, which ultimately leads to the development of an insufficiency of the secretory function of the gland.
During the period of exacerbation of the chronic form of pancreatitis, accompanied by severe pathological symptoms, the patient is prescribed a strict 7-day diet as in the acute form. After improving health, the patient is transferred to the diet according to table No. 5 P.
Its main features:
- dishes served on the table should be cleaned or cut carefully;
- the content of proteins, fats and carbohydrates meets the physiological needs of the body;
- with assimilation of poor quality protein, its percentage decreases due to an increase in carbohydrate content;
- products containing fiber and extracts are completely excluded;
- the amount of salt is limited to 6 grams per day;
- fractional meals: up to 6 times a day;
- overeating is unacceptable.
Allowed and prohibited foods of diet No. 5 P
What can be eaten with inflammation of the pancreas? The set of products includes:
- Boiled vegetables: potatoes, zucchini, pumpkin, peas, cauliflower, beets. In the absence of a negative reaction, you can include raw carrots, cucumbers, tomatoes.
- Grains: buckwheat, rice, oats, semolina. The porridge should have a semi-liquid consistency. Semolina and rice soufflé are allowed. Limited: barley, corn, millet, yachka.
- Vegetable broth soups, dairy soups, pureed soups. To thicken, carefully boiled cereals are used: semolina, rice, rolled oats. The vegetables are cut into small pieces. You cannot fry them. Sour cream, cream, butter, and milk are allowed for dressing.
- Low-fat meats: beef, veal, chicken, rabbit.
- Low-fat types of fish: cod, hake, walleye, perch, pollock, blue whiting. It is boiled or steamed.
- Yesterday or dry wheat bread, raw cookies.
- Low-fat sour dairy products: yogurt, kefir, cottage cheese. You can serve grated cheese with a neutral flavor.
- Protein omelette, soft-boiled eggs.
- Sauces cooked with vegetable broth. You cannot fry flour to thicken them.
- Sweet baked apples. Fruit mousses, jellies, jellies, preserves.
- Fresh fruit puree.
- Creamy and refined sunflower oil.
From drinks: weakly brewed tea with the addition of lemon, sweet-flavored fruit juices, previously diluted with water, rosehip infusion, compotes of apricots, pears, apples, water without gases. If you are potassium deficient, your diet should include carrot juice. Proper nutrition with an inflamed pancreas is the key to good health. That is why it is necessary to exclude from the menu products that can cause exacerbations.
What should not be eaten with inflammation of the pancreas? The list of prohibited foods includes:
- fresh bread, yeast baked goods, cakes, pastries;
- rich soups, cabbage soup, borscht, okroshka and beets;
- fried dishes: cakes, cheesecakes, pancakes, pancakes;
- fatty meats;
- offal;
- crumbly cereals;
- vegetables, which contain fiber, mushrooms;
- fresh vegetables and fruits with care;
- cooking fat and lard;
- bananas, grapes, dates;
- hot spices
- alcohol, coffee, soft drinks, ice cream, cocoa.
After the transition of the disease to a state of remission, it is allowed to introduce fresh vegetables and fruits.
Weekly menu example
An approximate menu for a week with pancreatitis of the pancreas may look like this:
| Breakfast | Lunch | Dinner | Afternoon snack | Dinner | |
|---|---|---|---|---|---|
| Monday | Steamed omelette, curd souffle, drink | Cheese crackers, stewed apple | Semolina soup with carrot puree, buckwheat with boiled zucchini, drink | Grated apple | Oatmeal, beet salad, baked apple |
| Tuesday | Rice oatmeal puree, cottage cheese, drink | Apple puree | Buckwheat soup with vegetables, steamed chicken meatballs, jelly | Steamed protein omelette, diluted juice | Steamed fish cutlet garnished with mashed potatoes, drink |
| Wednesday | Rice porridge with liquid milk, protein omelette, drink | Cottage cheese with sweet jelly | Cauliflower soup, chicken souffle, drink | Stewed apple or pear | Steamed fish meatballs with vegetable puree, drink |
| Thursday | Steamed omelette, buckwheat milk (pureed), tea | Cottage cheese | Carrot cream soup, veal chops garnished with rice porridge, drink | Juice with biscuit cookies | Steamed fish cutlets with vegetable puree, compote |
| Friday | Buttered Oatmeal Porridge, Steamed Protein Omelette, Cheese, Drink | Baked syrniki with carrots, sweet juice | Soup with meatballs, meat puree with pumpkin puree, drink | Curd pudding | Steamed fish cakes with cauliflower, drink |
| Saturday | Oatmeal, cottage cheese, drink | Soft-boiled egg, juice | Sour Cream Seasoned Pumpkin Soup, Beef Stroganoff with Carrot Puree, Drink | Galette cookies, juice | Fish dumplings with rice porridge, drink |
| Sunday | Semolina pudding sprinkled with gelatin, cottage cheese, drink | Protein omelette, juice | Buckwheat soup, chicken souffle, drink | Sweet jelly with dry cookies | Boiled fish with rice porridge, compote. |
In the evening it is necessary to drink a glass of kefir or yogurt. Since dietary nutrition with inflammation of the pancreas imposes significant restrictions and prohibits the use of many spices, it is important to learn how to choose the right food in order to diversify the menu. After all, food for pancreatitis should be not only healthy, but also tasty.
Nutritionists recommend the following combinations:
| Weekdays | Grocery set |
|---|---|
| Monday | Beef, potato, oatmeal, carrot, apple |
| Tuesday | Chicken, fish, small noodles, cottage cheese, apple, crackers, rice |
| Wednesday | Rabbit, chicken, buckwheat, pumpkin, carrots, walnuts |
| Thursday | Turkey, pollock, grits, carrots, onions |
| Friday | Beef, cheese, dates, chicken, buckwheat, croutons |
| Saturday | Rice, zucchini, carrots, egg white, chicken, kefir, beef |
| Sunday | Potatoes, semolina, rolled oats, dates, dried apricots, biscuits, cod |
As drinks you can use:
- weakly brewed tea: black, green;
- compotes of fresh and dried fruits;
- a decoction of rosehip berries.
Fasting days
With diagnosed chronic pancreatitis, nutritionists recommend unloading. On those days, patients eat only one type of food.
With inflammation of the pancreas, you can practice the following one-day mono-diets:
- Oatmeal. It is necessary to boil 200 grams of oatmeal in water. Divide it into 6 parts. During the day, you need to drink 400 ml of rosehip decoction.
- Curd. So, fill 600 grams of cottage cheese (fat-free) with sour cream (60 grams). Divide into 4 servings. 400 ml of rosehip broth is allowed.
- Fruit and curd. Mix the prunes (400 grams) and the same amount of low-fat cottage cheese. Eat in 6 meals.
- Rice compote. Cook 1. 5 liters of applesauce. Cook the porridge with 50 grams of rice. Sweeten a little. Drink compote during the day. There is porridge in the morning and at night.
- Watermelon. During the day, you should eat 1. 5 watermelon pulp (the rind is not counted) in five to six meals.
- Pumpkin. Bake 2 kg of pumpkin pulp in the oven. Divide it into 5 steps.
- Apple. Bake 1. 5 kg of apples in the oven and eat in a day.
Physical activity is prohibited on these days.
Various recipes
The diet for pancreatitis in adults, as already mentioned, is quite monotonous, so it is very important to please patients with foods of different tastes. To prepare meat pudding you will need:
- beef - 250 grams;
- butter - 45 grams;
- semolina - 25 grams;
- water - 100 ml;
- egg.
preparation:
- Boil the meat and chop it.
- Pour the semolina with water and add an egg. Mixture.
- Combine both components, knead well and place in a mold.
Cook in a double boiler.
Slimy oatmeal soup is made from the following foods:
- oat flakes - 1 glass;
- water - 1, 3 liters;
- milk - 100 ml;
- egg;
- butter - 1 teaspoon
preparation:
- Pour boiling water over the flakes and cook for 30 minutes over low heat. Filter the finished broth and bring to a boil again.
- Stir the egg into the hot milk and add the mixture to the oatmeal broth in a fine stream.
When serving, add the butter.
The table of the patient with pancreatitis should also offer sweet dishes. For dessert you will need:
- egg white;
- granulated sugar - 35 grams;
- strawberries - 100 grams;
- flour - 25 grams;
- water - 120 ml;
- vanillin.
preparation:
- Beat the egg white with the sugar and vanilla.
- Spread the dough with a spoon in boiling water. Cook for 4 minutes.
When serving, pour the dessert with a sauce based on red fruit puree, flour and granulated sugar. Pancreatitis is a complex disease characterized by frequent exacerbations. Following a diet helps to reduce their numbers and to bring the disease into a long-term stage of remission.