Diet for pancreatitis of the pancreas

The pancreas is part of the gastrointestinal tract and at the same time a gland with mixed secretion.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 maintain normal blood glucose levels.

What is pancreatitis and its forms

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

There is an acute form of pancreatitis, which is provoked by improper nutrition or inflammatory diseases of the body and does not pass for a long time with proper treatment.If the action of irritating factors is prolonged 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.

Principles of diet in pancreatitis

The principles of the acute pancreatitis diet are that fasting is usually recommended for the first 3 days.During this time, the necessary nutrition is supplied by intravenous infusions without irritating the intestines.Food entering the intestines always leads to an increase in the production of digestive enzymes, and in the case of acute inflammation it is important to reduce this activity as much as possible;after a few days the diet is gradually expanded.Initially, only plain water is allowed, sometimes still mineral water, preferably alkaline water, weak tea.

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

• frequency of feeding at least 5 times a day to ensure uniform release of enzymes without significant stress and reduction of inflammation;
• the amount of fat and carbohydrates is maximally reduced and protein products are increased;
• the volume of food at one time is no more than 150-200 ml;
• use warm food 20-60 degrees in crushed 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 flatulence;
• In order to save chemicals, you can not use spices and hot spices;
• Use only cooked or baked foods and do not use fried, smoked or canned foods.

Features of the diet in 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 consequences will be negative.In acute pancreatitis, the condition can be very serious and death cannot be ruled out.

Against the background of increasing the share 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 on simple sugar or jam, fats in a minimal amount, protein products make up more than half of the diet.

Allowed and forbidden foods in a diet for gastric pancreatitis

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

• boiled or roasted rabbit, beef and poultry (low-fat), boiled tongue;
• lean fish such as hake or pollock, boiled, baked or in soufflé form;
• various cereals, preferably rice or oatmeal as part of porridges, soups or casseroles;
• bread after drying in the oven, biscuits, cooked pasta;
• milk and lactic acid products diluted with low fat content as an addition to the main products or cottage cheese, dietary cheese and cottage cheese from skimmed milk;
• boiled or roasted vegetables - potatoes and pumpkin, root vegetables, beets or carrots, fresh pumpkin;
• eggs (only whites) in the form of omelets or casseroles, vegetable oil in moderate quantities;
• ripe unsweetened or baked fruit, pureed jelly or berries;
• soft drinks, diluted juices, rosehip fruit drinks.

The following foods are prohibited on a diet during an exacerbation of pancreatitis:

• fried or roasted meat, all offal;lamb or goose, lard and smoked meat, stew in jars;
• marinated seafood, rich fish stocks or preserves;
• prepared legume dishes and rich broths;
• fresh bread, pastries, fried pies;
• natural fat sour cream, cream, skimmed milk in large quantities;
• garlic, mushrooms, radishes are strictly prohibited (turnips and fresh vegetables are limited);
• egg yolks and fresh natural butter;
• a large amount 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, all kinds of cakes;
• hot spices, marinades, sausages and smoked meats.

Diet contraindications for pancreatitis

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

They refer to patients with kidney disease or disorders of protein metabolism:

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

With an increase in the amount of protein products in the diet, the load on the kidneys increases and, in the presence of chronic diseases, their work is disturbed.

Diet for pancreatitis: menu for the week

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

Monday

1. breakfast.Water porridge from ground buckwheat, boiled chicken breast.Curd pudding, weak tea.
2. Lunch.Fruit puree, whipped in a blender, biscuits.
3. Dinner.Creamy rice soup, steamed beef cutlets, apricot jelly.
4. A snack.Carrot casserole with tea.
5. Dinner.Fish pate with oatmeal.Apple compote.
6. Before bed.Currant juice.

Tuesday

1. breakfast.Mashed potatoes with beef puree.Biscuits, fruit tea.
2. Lunch.Protein omelet, carrot puree.
3. Dinner.Buckwheat soup with rabbit meatballs.Zucchini casserole, weak tea.
4. A snack.Shredded beetroot salad, fruit juice with breadcrumbs.
5. Dinner.Steamed turkey cutlets with mashed rice porridge.Apple jelly.
6. Before 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. A snack.Zucchini casserole with tea and biscuits.
5. Dinner.Steamed rabbit cutlets with mashed buckwheat porridge.Currant compote.
6. Before bed.A glass of kefir.

Thursday

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

Friday

1. breakfast.Crushed oatmeal with steamed beef cutlets.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. A snack.Egg white omelette with apple juice.
5. Dinner.Turkey roll and vegetable stew.Tea with biscuits.
6. Before 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 beef puree soup.Zucchini Stew and Cranberry Jelly.
4. A snack.Apple puree, a glass of kefir.
5. Dinner.Steamed fish cutlets with oatmeal.Tea with biscuits.
6. Before bed.Apricot compote.

Sunday

1. breakfast.Casserole with beef and vegetables.Ryazhenka with biscuits.
2. Lunch.Cottage cheese and fruit puree pudding.
3. Dinner.Pumpkin and potato soup.Chicken meatballs with oatmeal.Fresh fruit compote.
4. A snack.Carrot pudding with unsweetened tea.
5. Dinner.Hake and Zucchini Casserole.Apple jelly.
6. Before bed.Freshly fermented baked milk.

It is necessary to remember when drawing up a menu and preparing the food that the products must be fresh and the cooking methods must be boiling or baking.It is not recommended to combine different proteins at once, and small portions are recommended to reduce the burden on the pancreas.

Diet for pancreatitis: reviews by nutritionists

Nutritionists' reviews of the diet for pancreatitis are as follows.Its main details 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 diseases of the liver and bile ducts, as it normalizes the frequency of bile secretion in the intestines.However, against the background of the restrictions, one must remember about a sufficient amount of vitamins in the diet to avoid vitamin deficiency.

If the patient's body lacks its own enzymes, the absorption of nutrients from food is reduced.Preparations containing the necessary enzymes in granular or encapsulated form are used to correct the absorption of nutrients.Special healing capsules promote the action of enzymes in a specific place in the digestive system for maximum effect.

In acute pancreatitis, maximum digestion of food is important, but in chronic pancreatitis, in order to maintain the physiological functioning of the digestive tract, food should not be chopped or pureed thoroughly, but heat treatment should be without frying or grilling.The more balanced the diet, the less likely it is to have adverse outcomes.In acute pancreatitis, the diet should be followed for at least 2-3 months;in case of chronic disease it is advisable to follow it for life.