Diet for pancreatitis

Pancreatitis is a disease in which the pancreas becomes inflamed.It plays a very important role in the digestive system: it regulates energy metabolism, synthesizes digestive juices and is responsible for the breakdown of carbohydrates.

The enzymes first enter the stomach and then the duodenum, where they begin to activate.If the pancreas is inflamed, the enzymes begin to "work" at an early stage, that is, even before secretion.Damage appears: the gland begins to digest itself, which causes the death of some pancreatic cells.

The causes of pancreatitis can be:

• infectious diseases not related to the digestive system, for example, seasonal acute respiratory viral infections;
• diseases of the gastrointestinal tract;
• poor nutrition;
• stress;
• alcohol abuse.

Pancreatitis can develop in several ways: acute, reactive and chronic.In acute cases, the pancreas may become fully or partially inflamed;reactive develops against the background of diseases of the digestive system: peptic ulcer of the stomach and duodenum, gallbladder or liver.

The chronic form can be in remission for a long time, and in most cases the disease progresses slowly.In most cases, inflammation returns when the diet is altered.

The nature of nutrition in pancreatitis of the pancreas plays a very important role: it is impossible to prevent an exacerbation without following a special diet.What types of diets are they and what principles are used to create a menu for pancreatitis?

Nutrition principles for inflammation of the pancreas.

The basic principle of creating a diet that normalizes the functioning of the pancreas is to minimize the load on the digestive organ.

During an exacerbation, doctors give the following recommendations to adults: "hunger, cold and rest."If the patient is in a hospital and pancreatitis is in the acute stage, he is recommended to refuse food for 2-3 days, and useful substances (salts and liquids) enter the body by drip.If you fast at home, it is impossible to completely ensure the normal balance of water and electrolytes.You need and can drink, but only in small portions.

Even adults need to replenish their nutrient stores.Specially designed diets come to the rescue.The most "proven" of them is table number 5.

The principles of this diet:

• create the gentlest conditions for the stomach and intestines, through mechanical and chemical unloading;
• eliminate pancreatic dysfunction;
• prevent negative changes in liver tissue: fatty infiltration;
• Reduce the excitability of the gallbladder.

The diet should be followed not only during the treatment of the disease, but also for another year after its remission.

The main properties of the diet in the treatment of pancreatitis:

• In the daily menu, you should limit the number of products containing substances that have an extractive effect, stimulating the production of pancreatic enzymes:
1. refractory fats;
2. purines;
3. essential oils;
4. cholesterol;
5. coarse fiber;
6. glucose.
• The nature of the diet: foods high in protein reduce the amount of carbohydrates and fats.
• Cooking technology: boiling, steaming, baking in foil, stewing.
• Meals are divided: up to 6 times a day, in small portions.It is necessary to get up from the table with a slight feeling of malnutrition, so as not to overload the pancreas.
• For the first time after an exacerbation, only pureed foods can be eaten.
• You will have to temporarily give up seasonings, including salt;
• You cannot eat hot or cold food;The dishes should be heated to approximately body temperature: 36°C.

The drinking regime is limited.You can drink as much as you want only when the urge to vomit has completely disappeared.

There is no need to be afraid of dietary restrictions in the first days after an attack: fasting during treatment is only beneficial.

Diet menu for pancreatitis.

When drawing up a menu for several days during an exacerbation of pancreatitis, it is necessary to immediately take into account its features: the products must be ground.For example, if there is meat, then soufflé or meatballs, potatoes, mashed potatoes, etc...

The menu consists of the following products;a sample list of them:

• baby food - you can use both what is packaged in jars and in powder, which is then diluted with liquid;
• puree – potato, cauliflower or white cabbage;
• pureed cottage cheese.

Proportions of nutrients in the daily menu: fats - 50-70 g, proteins - 130-150 g, carbohydrates - 300-320 g.

Approximately 2-4 days after the exacerbation, nausea disappears and it is necessary to restore the amount of fluid in the body.It is necessary to drink about 1.5 liters of water per day, in small sips, one glass every 6 hours.Heavier dishes are introduced into the diet gradually, once the pain has been eliminated, one item for each meal.

From this moment - approximately day 4 - the menu includes the following dishes and products:

• kefir – only low fat;
• chicken breast broths;
• egg white omelet;
• non-acidic berry juices, diluted in half with water;
• rosehip decoction;
• up to approximately 30 g of honey per day;
• dry whole wheat bread;
• sugar-free crackers or biscuits;
• boiled pasta - no pasta or curls can be used, preference should be given to small noodles;
• the porridge is rubbed through a sieve;for pancreatitis, it can be cooked with buckwheat or oats (some nutritionists allow eating semolina, but it must be cooked completely so that it does not swell in the stomach).

You can eat the following foods:

• lean meat: chicken breast, beef, rabbit;
• fish – boiled, only meat can be used;You cannot eat fish soup or other soups made with fish broth;
• fruits – baked or blanched;
• meat broth - secondary;
• vegetable puree: broccoli, cauliflower, pumpkin.

The nature of nutrition during pancreatitis depends on the general condition of the patient.

How does the nutritional pattern change with pancreatitis?

An approximate diet menu in the first days after an exacerbation of chronic pancreatitis is approximately as follows:

1 day:

• breakfast: half a serving of slimy oatmeal soup and half a glass of still mineral water;
• snack – baked apple without skin and without sugar;
• lunch - mashed potatoes - also half a portion - with milk, without seasonings;
• snack: gelatin and bread flour;
• dinner: buckwheat porridge with weak tea and blanched milk;
• go to bed: a little milk diluted in water.

Day 2:

• breakfast: steamed protein omelet, chamomile decoction;
• snack – baked pear;
• lunch – pearl barley soup, ground, in water, crackers with compote;
• snack – milk soufflé;
• dinner: semolina porridge, dried fruit puree, weak tea;
• bedtime: half a glass of rosehip decoction.

You can then loosen the diet a little if the condition has returned to normal:

• breakfast – oatmeal with dried fruits, preferably with raisins, rose hip decoction;
• snack – raw banana;
• lunch: steamed fish with carrot puree and dried fruit compote;
• snack: cottage cheese seasoned with honey;
• dinner: rice pudding porridge and weak tea;
• go to bed: half a glass of diluted milk.

The diet for chronic pancreatitis, when the condition has returned to normal, may look like this - an approximate version of the daily menu:

• breakfast: vegetable puree, a piece of meat soufflé, juice diluted in water, weak tea;
• snack: protein omelet, steamed chicken breast cutlet, a piece of dry bread, kefir;
• lunch: small noodles in chicken breast broth, boiled vegetables with a piece of steamed fish, bread, dried fruit compote;
• snack: crackers with sweet berry jelly, maybe a little honey;
• dinner: steamed dumplings, rice porridge (or mashed potatoes), stewed vegetables, tea.

If you want to eat before bed, you can eat a cookie, sweet fruit or drink a glass of kefir.

A well-designed menu for the treatment of pancreatitis will help the disease quickly go into remission.The diet should be followed for one year after the last exacerbation.