Diet for pancreatitis of the pancreas

The pancreas is part of the gastrointestinal tract and at the same time a mixed secretion gland.When food enters the human digestive system, it responds by producing enzymes that are secreted into the duodenum and help break down 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 gland tissue becomes inflamed, the process of production and entry into the intestines of necessary enzymes is disrupted.The inflamed gland increases in size, its internal ducts narrow, which does not allow digestive juices to pass into the duodenum.The enzymes that linger in the gland begin to break down the gland itself, which leads to sad consequences.

There is an acute form of pancreatitis, which is provoked by poor diet or inflammatory diseases in the body and does not last long with proper treatment.If the effect 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 treatment is extremely low.

Principles of diet for pancreatitis

The principles of the diet for acute pancreatitis are that it is generally recommended to fast for the first 3 days.During this time, the necessary nutrition is delivered through intravenous infusions without irritating the intestines.Food entering the intestines always leads to an increase in the production of digestive enzymes, and in case of acute inflammation, it is important to reduce this activity as much as possible; after a few days, the diet is gradually expanded.At first, only plain water, sometimes still mineral water is allowed, 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 meals at least 5 times a day to ensure uniform release of enzymes without significant stress and reduce inflammation;
• the amount of fats and carbohydrates is reduced as much as possible 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;
• For the purpose of chemical sparing, you cannot use spices and hot seasonings;
• Use only boiled or baked foods and do not use fried, smoked or canned ingredients.

Features of the diet for 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 an increase in the proportion 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 of regular sugar or jam, fats in a minimum amount, protein products make up more than half of the diet.

Allowed and prohibited foods on a diet for gastric pancreatitis

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

• boiled or baked rabbit, veal and poultry meat (low-fat), boiled tongue;
• lean fish such as hake or pollock, boiled, baked or in the form of a soufflé;
• various cereals, preferably rice or oatmeal as part of porridges, soups or casseroles;
• bread after drying in the oven, biscuits, boiled pasta;
• milk and lactic acid products, diluted with low fat content as an addition to main products or cottage cheese casserole, dietary cheese and cottage cheese from skim milk;
• boiled or baked vegetables - potatoes and squash, root vegetables, beets or carrots, fresh pumpkin;
• eggs (whites only) in the form of omelettes or casseroles, vegetable oil in moderation;
• ripe unsweetened or oven-cooked fruits, jelly or berry purees;
• weak drinks, diluted juices, rosehip fruit drinks.

On a diet during exacerbation of pancreatitis, the following foods are prohibited:

• fried or grilled meat, all offal;lamb or goose, lard and smoked meat, stew in jars;
• marinated sea dishes, rich fish broths or canned food;
• prepared dishes from legumes and rich broths;
• fresh bread, baked goods, fried pies;
• natural fat sour cream, cream, unskimmed 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, buttercream cakes, chocolate, any cakes;
• hot spices, marinades, sausages and smoked meats.

Contraindications to diet for pancreatitis

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

They concern patients with kidney disease or protein metabolism disorders:

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

By increasing the amount of protein products in the diet, the load on the kidneys increases and, in the presence of chronic diseases, their work is disrupted.

Diet for pancreatitis: menu for the week

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

Monday

1. Breakfast.Water porridge made 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 veal cutlets, apricot jelly.
4. Snack.Carrot casserole with tea.
5. Dinner.Fish pate with oatmeal.Apple compote.
6. Before bed.Currant juice.

Tuesday

1. Breakfast.Mashed potatoes with pureed beef.Biscuits, fruit tea.
2. Lunch.Protein omelet, carrot puree.
3. Dinner.Ground buckwheat soup with rabbit meatballs.Zucchini casserole, weak tea.
4. Snack.Grated beet salad, fruit juice with breadcrumbs.
5. Dinner.Steamed turkey cutlets with pureed rice porridge.Apple jelly.
6. Before bed.Rose hip 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. Snack.Zucchini casserole with tea and biscuits.
5. Dinner.Steamed rabbit cutlets with pureed buckwheat porridge.Currant compote.
6. Before bed.A glass of kefir.

Thursday

1. Breakfast.Rice pudding with boiled beef.Tea with cookies.
2. Lunch.Boiled beet salad with yoghurt and biscuits.
3. Dinner.Soup with weak chicken broth and buckwheat.Vegetable meatballs, fruit jelly.
4. 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 porridge 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. Snack.Egg white omelette with apple juice.
5. Dinner.Turkey meat roll and vegetable stew.Tea with cookies.
6. Before bed.Ryazhenka is low-fat.

Saturday

1. Breakfast.Boiled pasta with chicken pate.Unsweetened tea.
2. Lunch.Pumpkin porridge with unsweetened yogurt.
3. Dinner.Pumpkin and veal puree soup.Zucchini stew and cranberry jelly.
4. Snack.Apple puree, a cup 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 cookies.
2. Lunch.Curd pudding and fruit puree.
3. Dinner.Pumpkin and potato soup.Chicken meatballs with oatmeal.Fresh fruit compote.
4. Snack.Carrot pudding with unsweetened tea.
5. Dinner.Hake and zucchini casserole.Apple jelly.
6. Before bed.Fresh fermented baked milk.

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

Diet for pancreatitis: reviews from nutritionists

Feedback from nutritionists about the diet for pancreatitis is as follows.Its main details are aimed at reducing the food load on the gland and reducing the production of digestive juice, which supports inflammation.In addition to these effects, such a diet prevents liver and biliary tract diseases, as it normalizes the frequency of bile secretion into the intestines.However, against the background of restrictions, one should remember about a sufficient amount of vitamins in the diet in order to avoid vitamin deficiency.

If the patient’s body lacks its own enzymes, the absorption of nutrients from food is reduced.To correct the absorption of nutrients, preparations containing the necessary enzymes in granular or encapsulated forms are used.Special medicinal capsules promote the action of enzymes in a specific place in the digestive system for maximum effect.

In acute pancreatitis, maximum grinding of food is important, but in chronic pancreatitis, in order to maintain the physiological functioning of the digestive tract, foods should not be thoroughly chopped or pureed, although heat treatment should be without frying or grilling.The more balanced the diet, the less likely there are adverse outcomes.In case of 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.