Proper nutrition for pancreatitis. Useful and dangerous foods

Dietary features for pancreatitis

If a person is diagnosed with pancreatitis, we are talking about an inflammatory process in the pancreas, organ dysfunction and impaired enzyme production.

The mainstay of treatment in this situation is a proper diet. If all the criteria of the diet are strictly followed, the pancreas will soon begin to function normally, and secretions outside the body will be reduced.

The main causes of pancreatitis

  • Most cases of all acute or chronic pancreatitis are associated with alcohol abuse or gallbladder abnormalities, especially cholelithiasis.
  • Pancreatitis can develop after surgery on the gallbladder or stomach, after endoscopic examination.
  • Injuries and wounds in the abdomen can cause inflammation of the pancreas.
  • Infectious diseases and helminthic infestations sometimes lead to the development of pancreatitis.
  • Some medications can cause inflammation if taken for too long or uncontrolled. These include some diuretics, sulfonamide drugs, antibiotics, estrogen-containing drugs, and so on.
  • Congenital anomalies in the structure, as well as narrowing of the lumen of the duct due to the formation of tumors or adhesions can cause inflammation of the pancreas.
  • Pancreatitis can also cause hormonal changes: menopause or pregnancy in women, treatment with hormonal drugs.
  • Vascular diseases can also cause inflammation.
  • Pancreatitis can also develop with diabetes, allergies, cirrhosis of the liver and other diseases.
  • Malnutrition with fatty, indigestible foods, sweets, fast food abuse - a fertile ground for the development of the disease.

Sometimes it is not possible to determine the exact cause of inflammation.

Permitted foods for pancreatitis

  • lean meat and fish, chicken,
  • yesterday's dried brown bread,
  • vegetables, preferably boiled, cut into small pieces,
  • liquid rice and buckwheat porridge, oatmeal in water and milk,
  • It is best not to eat fermented dairy products, milk, cottage cheese, sour cream
  • herbs and wild flowers, dried apple compotes,
  • a small amount of pasta.

Here's a detailed list of what you can eat, especially for pancreatitis, and it's a good idea to stick to tips and tricks for the first 2-3 months to avoid a recurrence of the attack.

You should know that you will have to eat small portions 6 times a day, almost all meals should be cold. All vegetables are boiled and grated, mashed potatoes are recommended, it is better to rub the minced meat. Porridge should be eaten once a day, add a little salt.

Of course, when coming home from the hospital, many people have a question about what to cook for pancreatitis, if the list of allowed foods is quite limited and the doctor forbids many tasty foods. Don't panic or get upset - there are many useful recipes that can diversify any serious diet.

What should be excluded?

What foods should be excluded for pancreatitis

As you can see, all foods in the diet for pancreatic pancreatitis are made from lean meat and fish - then only in a boiled version. Fried foods are strictly forbidden. You can eat dairy products with a minimum fat content. Liquid

It is recommended to drink only natural juices, compotes, tea, fruit drinks.

should be completely removed:

  • All kinds of alcohol, sweet (grape juice) and carbonated drinks, cocoa, coffee
  • Animal products: domestic products in the first category, pork and pork, oily fish, all smoked meats, spicy, fried, ready-made products based on extractives.
  • Vegetable products: legumes, mushrooms, spinach, sorrel, onion, bread based on butter dough.
  • Sweets: chocolate, creams.
  • Figs, grapes, bananas, dates.
  • Confectionery, chocolate, ice cream, jam.
  • Pork, edible oils.
  • Hard boiled eggs, whole egg dishes, fried eggs

Medical advice

What do doctors recommend for patients with pancreatitis:

  • food should evaporate because it does not harm the body and retains all nutrients;
  • Eat small meals five or six times a day;
  • food should not be hot, hot or cold;
  • Prerequisite - eat the dish in a semi-liquid or grater;
  • semolina, buckwheat, oatmeal and rice should be boiled in water and soil.

In acute pancreatitis, you will have to go hungry for a few days, only drinking plenty of still mineral water, wild rose or a weak source of tea is allowed.

Nutrition for pancreatic pancreatitis - acute stage

What foods can you eat with pancreatitis

Short-term therapeutic fasting can be used in the most acute stage of the disease, which is characterized by severe pain syndrome and significant digestive disorders. This recommendation was voiced by doctors of past centuries who prescribed cold (inflammatory organ), hunger and physical rest to patients with acute pancreatitis. During this period, a non-irritating, fortified and alkaline drink is allowed, and if necessary, parenteral (intravenous) nutrition is prescribed. However, the use of enzymes during this period is impractical, because no food that needs to be digested enters the intestine.

Fasting for acute pancreatitis usually lasts 2-3 days. During this time, the symptoms subside, which allows you to switch to a diet - in stages:

  1. In the first days after fasting, food is low in calories and as soft as possible. Mashed potatoes, semi-liquid, mashed. It is steamed or boiled and cooled to body temperature when served. Such a menu is mainly carbohydrate and does not include the use of multi-component recipes and spices.
  2. After the symptoms of pancreatitis decrease, the diet becomes more varied and nutritious. At the same time, the menu is gradually expanding, focusing on the state of health and the degree of assimilation of food. On days 4-5, easily digestible proteins (cottage cheese, boiled lean meat, eggs) are added, followed by a small amount of butter. Vegetable oils are not used yet. The food is still boiled and steamed. It is no longer rubbed, crushed or served in the form of soups, soufflés and stews.
  3. For the next 8-12 months, the diet for pancreatitis is not so strict, but remains economical and fractional. In general, the diet during this period is reminiscent of the menu of chronic pancreatitis. Vegetable oils are introduced, dishes become more diverse.

The diet in the first days after the end of the fast is completed with the use of enzyme preparations. This allows the pancreas to partially compensate for the lack of its own enzymes, not to overload. This is especially important when consuming fatty foods.

Diet is the most important treatment for pancreatitis during an exacerbation. It helps to gradually normalize the inflamed pancreas and the entire digestive system. And prescribed medications help to cope with the symptoms, partially reduce the load on the affected organ and compensate for the relative enzyme deficiency.

Acute pancreatitis diet - sample menu

What is the diet for pancreatitis

The diet menu for acute pancreatitis is very diverse. Let's prepare a rough diet menu for a day. The number of meals should be at least four a day. Remember to drink at least two liters of water a day. The amount of food eaten per day should not exceed three kilograms.

Breakfast:

  • A cup of hot tea.
  • Oatmeal cookies.
  • Fresh raspberries with sour cream.

Lunch:

  • An oatmeal with raisins and fruit flavor.
  • Bread.
  • A glass of freshly squeezed carrot juice.

Snack:

  • Vegetable casserole.
  • A glass of maple juice.
  • An apple.

Meals:

  • Creamy carrot and cauliflower soup with parsley and coriander.
  • Meatballs, steamed fish fillets.
  • Bread.
  • A glass of green tea with unsweetened lemon.

Second Lunch:

  • Ginger cookie.
  • A banana.
  • A glass of kefir.

The menu was big, tasty and useful. When designing the menu, you must remember all the rules described above. Then the menu and diet will be very healthy, tasty and filling.

Diet for chronic pancreatitis

In this case, you should always follow your diet to rule out pain attacks. Often, malnutrition is the cause of exacerbation of pancreatic disease. Properly selected diet reduces the number of exacerbations during the development of inflammation.

A person suffering from chronic pancreatitis should exclude easily digestible carbohydrates: honey, sugar, any sweets, candy, soda and high-fat foods. This is due to a significant impairment of fat absorption in the presence of pancreatitis. It is better to stick to fractional foods.

Sample menu for pancreatitis

What is allowed in the menu:

  • Bread and other pastries, preferably yesterday or dried, low-fat and non-fat biscuits;
  • Vegetarian soups with a little vegetable oil or sour cream;
  • Lean meat, poultry, fish - boiled, baked, steamed;
  • Soft-boiled eggs, steamed omelet (maximum 2 pieces per day);
  • Low-fat cottage cheese and kefir;
  • Hard cheeses;
  • Eat butter and vegetable oil (delicate);
  • Porridge other than millet;
  • Homemade noodles / noodles cooked in water;
  • Raw and baked sweet apples;
  • Boiled and mashed vegetables;
  • Drinks - possible with compotes, sugar-free jelly, weak tea, lemon; a mixture of unsweetened juices, wild rose hips and black currant.

As in tension, saturated broths, pork and lamb, fried, smoked, fatty, canned foods are prohibited. Unacceptable high-grade sausages, caviar, chocolate, pickles and marinades, spices and condiments. It is undesirable to eat mushrooms, raw cabbage, spinach, sorrel, turnips and radishes, as well as legumes, sour fruits. It is better to avoid bread, very hot or cold foods. Do not drink soda and do not eat ice cream. Alcohol is also strictly prohibited.

Diet # 5 for Pancreatitis - Highlights

With pancreatitis, food should always be kept warm, and very hot and cold foods should be discarded. The menu is always dominated by protein-rich foods, and carbohydrates and fats are minimized. It is forbidden to eat foods that are too acidic.

Maximum protection of the pancreas and digestive system from chemical and mechanical damage is possible by steaming in the oven. It is also useful to boil and chop the food before use.

Doctors insist that you avoid foods that are high in fiber. The average daily caloric intake should be between 2, 000 calories. In addition, they drink at least 1. 5 liters of clean water, you should rely on a warm, mineralized drink.

eating with pancreatitis

The chemical composition of the menu for the day is as follows:

  • protein (80 grams);
  • carbohydrates (200 grams);
  • fats (40 - 60 grams).

There are two options for diet table number 5. If a diabetic patient is diagnosed with an acute form of the disease, he is shown in Table 5a, and for a chronic form in Table 5b.

Diet No. 5a uses no more than 1700 calories per day, all meals are given to the patient in a carefully deleted form. Completely exclude products that promote the secretory function of the pancreas. In addition to the basic chemical composition, there are serious restrictions on table salt - no more than 10 grams per day.

You should always eat in portions at least 6 times a day, keeping a certain amount of time. The duration of such a diet is prescribed for diabetics, depending on the severity of pancreatitis, but on average it is at least 7 days.

Table 5b regulates 2700 calories per day and the chemical composition of the dishes is as follows:

  • fats (maximum 70 grams);
  • carbohydrates (up to 350 grams);
  • protein (not more than 140 grams).

The difference between this table is that broth and broths are outside, which is necessary to reduce the secretion of the pancreas. Meals are also served in a grated form.

Nutrition for pancreatitis in children

Children's diet depends on the type of disease. In chronic pancreatitis, a minor illness requires adherence to the strictest diet during the exacerbation of the disease, and when the pain syndrome subsides, you can move on to a more economical option. Unfortunately, this form of chronic pancreatitis requires lifelong dietary restrictions.

A child with acute pancreatitis is prescribed a strict diet for a month. Diet No. 5 is the most effective nutrition system that allows you to completely get rid of a terrible diagnosis in five years.

Feeding should be done very carefully, as small deviations delay the healing process.

nutrition of children with pancreatitis

Diet for reactive pancreatitis in children is followed at least two weeks after the onset of the disease. In this case, do not limit the child too much. For a complete treatment, it is enough to follow the principles of proper nutrition for an age-appropriate baby.

Regardless of the stage of the disease, it should be completely removed from the menu:

  • smoked and salted products;
  • fast food;
  • spicy, salty, fried;
  • protective, fragrant and flavor enhancing products.

Diet for reactive pancreatitis in children allows you to make the following diet:

  • Breakfast - chicken puree with milk, boiled chicken.
  • Snack - cottage cheese pudding, weak tea.
  • Lunch - chicken soup, beet salad, boiled fish.
  • Snack - apple jelly.
  • Dinner - whipped milk, crackers.