Pancreatitis (inflammation of the pancreas) is accompanied by severe pain. When left untreated, the disease becomes chronic, often with exacerbations. Diet is a must for pancreatitis. It is to follow medical nutrition principles that significantly reduce the risk of developing an attack.
Features of the diet
Nutrition for pancreatic pancreatitis has its own characteristics. The main task of the diet is to reduce the activity of the body. How to eat with pancreatitis so as not to worsen your health? The main principles are:
- complete abstinence from fatty or fried foods and sweets;
- lack of coarse fiber in the diet;
- only cooking and steaming methods are used in the cooking process;
- fractional diet - food intake is carried out in small portions at six to seven meals;
- given food puree or finely chopped.
During the day, the patient should take at least 2 liters of any fluid.
Acute nutrition
Diet for acute pancreatitis helps to eliminate the severe symptoms of the attack. Its purpose is to stop the production of pancreatic juice, which is a digestive enzyme. It is achieved by refusing to eat (for the first few days) and adhering to bed rest.
What can you eat with pancreatitis during this period? In the first one to three days after the onset of the attack - depending on the severity of the patient's condition - the person will be advised to starve completely. Only allowed to drink: mineral alkaline waters, wild rose berry decoction, weakly brewed unsweetened tea, water. After stabilizing the condition and eliminating the pain syndrome, patients are assigned a diet table.
After the attack is stopped, the meal should be in fractions - up to 8 times a day. The size of the initial part is not more than 50-100 grams. The low-calorie diet applied during this period is quite short because it does not meet physiological norms: no more than 7 days. All products used are boiled, and the dishes have a warm and semi-liquid consistency.
| Days | Allowed products |
|---|---|
| First | Puree-spreads, slimy soups with cereals (millet and corn groats are prohibited), vegetable decoctions, granulated sugar, compote, homemade crackers, weakly brewed teas with fruit jelly and jelly. |
| The second | |
| third | Curd dishes: soufflé, puddings, pasta, steamed omelet. |
| Fourth | Milk porridge. |
| Fifth | Meat puree soup. |
| sixth | Butter (in small quantities), vegetable puree (cabbage is prohibited). |
| Seventh | Meat or fish souffle. |
The patient is then transferred to the main diet, the diversity of which depends on the presence of concomitant diseases. If we talk about which table is assigned the most, this is the number 5P. The diet for acute inflammation of the pancreas lasts 6-12 months.
Nutritional therapy for chronic form
For patients with chronic pancreatitis, diet is a lifelong commitment, because any mistake in nutrition can lead to exacerbation of pathology. Each attack of the disease is accompanied by a partial replacement of the working tissues with fibrous ones, which ultimately leads to the development of a deficiency in the secretory function of the gland.
During the exacerbation of chronic pancreatitis with severe pathological symptoms, the patient is prescribed a strict 7-day diet, as in the acute form. After improving his health, the patient is transferred to a diet in accordance with Table 5 P.
Its main features:
- tableware must be either wiped or carefully chopped;
- The composition of proteins, fats and carbohydrates meets the physiological needs of the body;
- the percentage decreases due to the increase in the amount of carbohydrates with poor assimilation of protein;
- products containing fiber and extractives 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.
Permitted and prohibited foods of diet No. 5 P
What can you eat with inflammation of the pancreas? The product set includes:
- Boiled vegetables - potatoes, zucchini, pumpkin, green peas, cauliflower, beets. In the absence of adverse reactions, you can include raw carrots, cucumbers, tomatoes.
- Croups - buckwheat, rice, oatmeal, semolina. The porridge should have a semi-liquid consistency. Manna and rice souffle are allowed. Limited - barley, corn, millet, yachka.
- Vegetable juice soups, milk soups, puree soups. Carefully boiled grains are used for thickening - semolina, rice, rolled oats. Vegetables are cut into small pieces. Do not fry them. Sour cream, cream, butter, milk are allowed for dressing.
- Low fat meats - beef, veal, chicken, rabbit.
- Low-fat fish species - cod, hake, pike perch, perch, pollock, blue whiting. Steamed or boiled.
- Yesterday's or dried wheat bread, unbaked biscuits.
- Low fat sour milk products - yogurt, kefir, cottage cheese. You can serve grated cheese with a neutral flavor.
- Protein omelet, soft-boiled egg.
- Sauces cooked with vegetable juice. You can't fry flour to thicken them.
- Baked sweet apples. Fruit mousses, jellies, jellies, canned food.
- Fresh fruit puree.
- Creamy & delicate sunflower oil
Drinks: weakly brewed tea with lemon, sweet fruit juices previously diluted with water, hips infusion, apricot, pear, apple compote, still water. If you are deficient in potassium, you should include carrot juice in your diet. Proper nutrition with an inflamed pancreas is the key to good health. Therefore, products that can cause inflammation should be removed from the menu.
What not to eat with inflammation of the pancreas? The list of prohibited foods includes:
- fresh bread, yeast, cakes, pastries;
- rich soups, cabbage soup, borscht, okroshka and beets;
- fried foods - cakes, cheesecakes, pancakes, pancakes;
- fatty meat;
- sakatat;
- crushed grains;
- fiber, vegetables with mushrooms;
- carefully fresh vegetables and fruits;
- cooking oils and fats;
- bananas, grapes, dates;
- hot spices;
- alcohol, coffee, soda, ice cream, cocoa.
Fresh vegetables and fruits are allowed after the disease has reached remission.
Example of weekly menu
The approximate menu for a week with pancreatitis can look like this:
| Breakfast | Lunch | Supper | Lunch snack | Supper | |
|---|---|---|---|---|---|
| Monday | Steamed omelet, cottage cheese souffle, drink | Cheese biscuits, baked apples | Semolina soup with mashed carrots, buckwheat with boiled zucchini, drink | Fried apples | Oatmeal, beet salad, baked apples |
| Tuesday | Puree rice porridge, cottage cheese, drink | Apple puree | Buckwheat soup with vegetables, steamed chicken meatballs, jelly | Steamed protein omelet, diluted juice | Steamed fish cutlet is decorated with mashed potatoes and drunk |
| Wednesday | Rice liquid milk porridge, protein omelet, drink | Cottage cheese with sweet jelly | Cauliflower cream soup, chicken souffle, drink | Baked apples or pears | Steamed fish meatballs with vegetable puree, drink |
| Thursday | Steamed omelet, buckwheat puree, tea | cottage cheese | Carrot cream soup, beef cutlets decorated with rice porridge, drink | Juice with biscuits | Steamed fish cutlets with mashed vegetables, compote |
| Friday | Porridge with butter, steamed protein omelet, cheese, drink | Oven-baked cilantro with carrots, fresh 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 eggs, broth | Spicy pumpkin soup with sour cream, beef stroganoff with mashed carrots, drink | Galette cookies, juice | Fish meatballs with rice porridge, drink |
| Sunday | Sprinkle semolina pudding with jelly, cottage cheese, drink | Protein omelet, juice | Buckwheat soup, chicken souffle, drink | Sweet jelly with dry biscuits | Rice porridge, boiled fish with compote. |
At night you need to drink a glass of kefir or yogurt. Since dieting with inflammation of the pancreas places significant restrictions and prohibits the use of many spices, it is important to learn how to choose the right food to diversify the menu. After all, food for pancreatitis should be not only healthy but also tasty.
Nutritionists recommend the following combinations:
| Days of the week | Grocery set |
|---|---|
| Monday | Beef, potatoes, oatmeal, carrots, apples |
| Tuesday | Chicken, fish, small vermicelli, cottage cheese, apples, biscuits, rice |
| Wednesday | Rabbit, chicken, buckwheat, pumpkin, carrots, nuts |
| Thursday | Hindi, pollock, semolina, carrots, onions |
| Friday | Beef, cheese, dates, chicken, buckwheat, croutons |
| Saturday | Rice, pumpkin, carrots, egg whites, chicken, kefir, beef |
| Sunday | Potatoes, semolina, oatmeal, dates, dried apricots, biscuits, cod |
Can be used as a drink:
- weakly brewed tea - black, green;
- fresh and dried fruit compotes;
- hips berry decoction.
Fasting days
Nutritionists with a diagnosis of chronic pancreatitis recommend emptying. On such days, patients eat only one type of food.
With inflammation of the pancreas, you can apply the following daily mono-diet:
- Oatmeal. Boil 200 grams of oatmeal in water. Divide into 6 parts. It is necessary to drink 400 ml of hip decoction during the day.
- cottage cheese. So fill it with 600 grams of cottage cheese (non-fat) sour cream (60 grams). Divide into 4 portions. 400 ml of rose broth is allowed.
- Fruit and cottage cheese. Mix plums (400 grams) and the same amount of low-fat cottage cheese. Eat 6 meals.
- Rice compote. Cook 1. 5 liters of compote from apples. Cook 50 grams of rice porridge. Sweeten a little. Drink compote during the day. There is porridge in the morning and evening.
- Watermelon. It is necessary to eat 1, 5 watermelon pulp (not peeled) for five or six meals a day.
- Pumpkin. Bake 2 kg of pumpkin pulp in the oven. Divide it into 5 steps.
- Alma. Bake 1. 5 kg of apples in the oven and eat them in one day.
Physical activity is prohibited these days.
A few recipes
The diet for pancreatitis in adults, as already mentioned, is quite monotonous, so it is very important to please patients with a variety of delicious foods. To make meat pudding you will need:
- beef - 250 grams;
- butter - 45 grams;
- semolina - 25 grams;
- su - 100 ml;
- eggs.
Preparation:
- Boil the meat and chop.
- Pour semolina flour with water and add an egg. Stir.
- Combine both components, knead thoroughly and place in a mold.
Cook in a double boiler.
Slimy oatmeal soup is prepared with the following foods:
- rolled oats - 1 cup;
- water - 1, 3 liters;
- milk - 100 ml;
- eggs;
- butter - 1 x. q
Preparation:
- Pour boiling water over the petals and cook on low heat for 30 minutes. Strain the finished broth and bring to a boil again.
- Mix the egg with warm milk and add the mixture to the oatmeal in a thin stream.
When serving, add butter.
The table of a patient with pancreatitis should also offer sweet meals. For dessert you will need:
- egg white;
- granular sugar - 35 grams;
- strawberries - 100 grams;
- flour - 25 grams;
- su - 120 ml;
- vanillin.
Preparation:
- Beat egg whites with sugar and vanilla.
- Spread the mass with boiling water with a spoon. Cook them for 4 minutes.
When served, pour berry puree, flour and a sauce made of granulated sugar on the dessert. Pancreatitis is a complex disease often characterized by exacerbations. Adherence to the diet helps to reduce their number and bring the disease to a stage of long-term remission.