Diet for pancreatitis of the pancreas: symptoms of inflammation, menu, recipes

5 July 2021

PancreatitisIt is a whole group of diseases associated with inflammation of the pancreas. The disease may appear unexpectedly - one of the manifestations is pain syndrome.

To reduce pain and prevent recurrencesProper diet is important. . .

Pancreatitis is divided into chronic and acute, you need to choose the right food according to the nature of the disease.

In acute or chronic pancreatitis, pancreatitis is diagnosed as follows:

Eating Disorders.
Eat fatty / spicy foods daily.
Chronic alcoholism.
Cholecystitis, diseases of the bile ducts, including gallstones.
Gastric ulcer.

With exacerbation of pancreatitisIn the case of a small effect as a result of drug treatment, fasting, removal of food debris from the stomach, surgery is required (opening of the pancreas).

Chronic pancreatitisaggravated by overeating, alcoholism, glucocorticoid hormones, estrogens, drugs, the diseased liver (which requires a special diet) and the gallbladder, which is very common in adults. At the end of pregnancy, women may develop pancreatitis with increased intra-abdominal pressure.

Diet for acute pancreatitis for 10 days

The purpose of nutritional therapy for acute pancreatitis-eliminate swelling, inflammation and infection from the pancreatic duct.

To do this, in a hospital, enzyme preparations, antispasmodics and medications with a complete fast for several days are used to prevent surgery.

Starvation is necessary to stop the production of gastric and pancreatic juices, to reduce enzymatic activity due to malnutrition in the esophagus. During this time, the gland will regenerate.

Trying to eat one day, they go hungry for 2-3-4 days:

dried wheat bread or bread (not sticky) - 50 g / day;
jellies, fruit drinks (it is better to cook them cranberries or black currants);
Continue to drink at least 2, 5 liters of liquid (2: 1) without currants or mineral water, including cranberry juice, as well as various decoctions (eg, hips).

If the symptoms of acute pancreatitis do not recur, add 3-5 days to the diet:

salty slimy rice or oatmeal;
lean liquid mashed potatoes;
semi-liquid jelly or jelly from juices;
liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything must be ground or chopped with a mixer);
crackers;
dried bread.

You can eat for 6-8 days:

steam omelet made from proteins
souffle from low-fat cottage cheese;
steamed meat (necessarily chopped or minced with a meat grinder / blender)
slimy cereal soups;
jelly or foam without skin, grated berries without skin;
vegetable puree (potatoes, pumpkin, squash, carrots are good, you can add a little fat)
vegetable puddings (steamed);

You can add liquids - green or black tea (weak), add sugar or honey - 50 ml per day with 1 teaspoon or milk tea, beet juice, mineral water each.

Calorie intake increases to 1000 calories per day, up to 50 g of protein, up to 250 g of carbohydrates, up to 10 g of fat per day. To eliminate constipation at night, you should drink a glass of water with honey, raisins (1 teaspoon), prunes (2-3 pieces) or yogurt.

From the 10th day after the attack, you can increase the amount of calories from more than 1000 calories per day to 300 grams. - Carbohydrates, up to 60 grams. - Proteins up to 20 g / day - fats. They continue to eat puree without salt.

Sample menu

Below is a menu for several days, a similar diet can be prepared yourself based on the list of allowed products.

Days	Eating	Approximate diet menu for pancreatitis
Day 1	Breakfast	Semolina or rice porridge (in water) - 150 grams. Fruits: oranges or apples. Green tea (not strong) can be with honey (1 teaspoon).
Late breakfast	Pumpkin puree - 50 grams. Steamed chicken breast or fish cutlets. Rosehip drink (recipe below), honey - 1 tsp.
Lunch	200 g of vegetable juice with fish or beef. , Mashed potatoes or broccoli - 100 gr. , White bread crutton. You can bake an apple with honey in the oven for sweets, always without skin.
Afternoon snack	Honey tea and a little cottage cheese (1% fat)
Lunch	3 egg protein steam omlt, white bread cruton. Permitted vegetable puree - 150 gr. ,
Before going to bed	Boiled water - 1 cup with honey - 1 tsp. or whipped milk.
Day 2	Breakfast	Milk oatmeal - 150 gr. Kissel or green tea (not strong)
Late breakfast	Grated apple with soft cheese
Lunch	Pumpkin or cauliflower puree soup. Chopped chicken meatballs
Afternoon snack	1-2 slices of green tea with dry unsweetened biscuits
Lunch	Rice curd pudding -150 gr. Tea or jelly
Before going to bed	Rosehip decoction - 1 cup
3rd day	Breakfast	Liquid rice porridge - 150 g. Strong non-green tea with dry biscuits
Late breakfast	1 baked apple
Lunch	Potato soup with carrots, cauliflower, meatballs. Whipped dried fruit compote
Afternoon snack	Curd - 100 g, green tea
Lunch	Boiled or cooked low-fat fish
Before going to bed	Milk tea or kefir

Recipes

Can be usedafter an acute attack of pancreatitisdiet number 5pand observe throughout the year. They eat puree, without salt, proteins can be increased - up to 100 grams, up to 40 grams. - Fats up to 450 grams - carbohydrates. Make sure you follow the advice and regimen prescribed by your doctor!

Rosehip Drink Recipe:

For the broth you will need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the hips, add water and leave to infuse for 4 days. The infusion should not be cooked, the hips should be soaked in water at room temperature. This drink contains vitamin C.Attention!Consult your doctor before drinking, as the drink is sour.

Mashed fish soup:

0, 5 kg of fish is useful for soup (it is recommended to take boneless fillets, cod, pike, viper), 1, 5 liters of water or vegetable juice, 50 ml. milk, 1 tsp. butter.

Cut the fish, pour water or broth into a pot and cook until soft. Remove the fish from the pan and chop with a mixer. Heat a little milk in a saucepan and add butter, add the broth as the butter melts, bring to a boil, but do not boil. Add the fish and cook on low heat for only a few minutes. Salt can only be added with your doctor's permission!

It is forbiddenUse for acute pancreatitis:

alcohol;
greasy or fried food;
Eat any fatty or bloated foods such as legumes, bran, cabbage, turnips, rutabagas, peels / peels of fruits and vegetables, unripe fruits, berries or vegetables;
carbonated drinks with fermentation reactions: kvass, kefir.

Diet for chronic pancreatitis

Attacks of chronic pancreatitis can occur immediately after dinner, which includes: hard eggs, pastries, raw fruits, vegetables, juices, cold fizzy drinks, chocolate, milk or ice cream. Persistent companions of the disease will manifest themselves each time: swelling, bloating or a feeling of heaviness, a lump "left in the lower chest", periodic vomiting.

Against the background of chronic pancreatitis, diabetes mellitus can easily develop and develop, which is a serious disease that you need to follow a strict diet.

The diet for chronic pancreatitis may include the following.

wheat bread crackers (you can dry the bread yourself);
vegetable soups (best for pumpkin, potato, pumpkin or carrot soup);
grain soups (with semolina, oatmeal, buckwheat or rice);
meat - beef or veal, chicken, rabbit. It is better to steam, cook or boil.
steamed omelets from eggs (2-3 pieces).
low-fat fish: cotton, pollock, cod, perch, walking, hake, perch or bat;
cottage cheese (not salty): can be eaten fresh or made into puddings;
cheeses - choose low-fat, unsalted varieties;
You can use butter or sunflower oil in meals or during meals -10-15 gr.
sour cream, kefir (only low fat);
porridge - rice, pearl barley, oatmeal, buckwheat, noodles (consistency should be liquid or semi-liquid);
vegetable puree / casserole (keep in mind that cabbage and tomatoes cannot be added), vegetables can also be simply cooked or baked;
foam from juices / corn, compotes from dried fruits (apricots, pears, apples)
fruit (only baked or grated without skin)
dietary puree and canned puree for baby or diet food;
multivitamins and mineral preparations.

Menu for the day

Eating	Approximate diet menu for pancreatitis
Breakfast	Steamed meat (chicken or beef). Rosehip tea or decoction
Lunch	Oatmeal with milk. Broth or infusion of rose hips
Lunch	Carrot and pumpkin puree soup. Steamed fish. Tea
Afternoon snack	1 jar of baby food
Lunch	Vegetable zucchini stew with carrots. A piece of boiled chicken. Dried fruit compote
At night	A glass of kefir

You can not eat foods that stimulate the secretion of the pancreas:

do not forget meat, fish, poultry, smoked meat and fish, sausages, canned food;
meat, mushrooms, fish broth (as well as soups and sauces);
cabbage soup, borscht, as well as cold soups (for example, cold soup or okroshka);
milk soups;
meat in fish, fried, smoked, salted or canned foods;
high-fat dairy products;
eggs - you can not eat fried or boiled eggs;
any beans, white cabbage, eggplant, turnips, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
bakery products, fresh bread, sweets, flour, chocolate and other sweets;
black coffee, cocoa, carbonated drinks.

For pancreatitis with endocrine dysfunctionExclude jam, sugar and honey as they have no therapeutic effect when referring to carbohydrates.

With the asymptomatic course of the disease or the presence of mild symptoms, the list of prohibited foods / products is gradually reduced to the category of products that should only be limited, but not completely excluded.

Definitions

Vegetable puree soup:

For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small pumpkin. All vegetables should be washed and cut into cubes. Pour the vegetables into a saucepan with water (1-1, 5 liters) and cook until soft. Drain and puree with a blender.

Fish souffle:

To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from the yolks), a piece of butter (20 g). Boil the fish in water, condemn, roll in a meat grinder or chop finely.

Mix the milk and flour (heat the flour in a bowl until slightly yellow) and you get a slightly thicker milk "sauce". Now we start mixing: fish, egg yolk, milk sauce, butter (you can salt it if your doctor allows it).

Beat the whites separately until thick foam. Add them to the fish mass while mixing.

Preheat oven to 180-200 degrees. Place the fish mass in a baking dish or pastry dish, place in the oven and cook until soft.

Apple marshmallow (dessert):

To prepare marshmallows, you need to take 1 kg of apples, peel them, cut them, pour water into a saucepan and cook. Cook the apples, remove from the heat, drain and cool slightly. Rub the apples through a sieve or chop with a mixer.

Drain all the water with the resulting puree, squeeze the puree. In a small saucepan, pour the water separately and cook to thicken (almost like a syrup). Pour sugar (100 g) into boiling water, boil a little more. Mix the juice with the puree.

Put the resulting mass in a loaf pan, put in the oven (120 degrees), dry the lozenge until completely thickened.

Sample menu for pancreatitis for a week: dietary options and dietary rules

In addition to regular medication, diet is also indicated for pancreatitis. Only a comprehensive measure can eliminate the load and swelling in the pancreas, help stop inflammation and repair damaged tissue.

In an acute attack of the disease, the diet is very limited to fasting in the first days. After the acute symptoms of the disease are eliminated, the patient's menu gradually expands. Let's take a look at what a weekly diet is like for a person with a painful pancreas.

Features of dietary adherence to different forms of pancreatitis

In acute inflammation, the diet is very strict. On the first day of the disease, the patient is starved. Depending on the severity of the disease and the presence of complications, fasting can last from one to three to four days. Such an event is necessary for:

Stopping the production of gastric and pancreatic secretions.
Decreased activity of digestive enzymes.
Prevention of the development or reduction of the severity of infectious processes.

Inflammation of the pancreas causes swelling and spasm of the body and ducts. For this reason, digestive enzymes cannot enter the intestine from the pancreas, are activated in the gland and begin to digest their walls.

Death of damaged organ tissues, undigested food residues cause a complication of the disease with various infections. Therefore, it is necessary to reduce the activity of production and processing of pancreatic enzymes, mainly obtained through fasting.

In the first 2-5 days of acute pancreatitis, only fluid use is indicated - up to 2. 5 liters. After exiting the hunger strike with OP, the diet is gradually expanded according to Dietary Table No. 5 P (I).

At the same time, the caloric content of foods during the first ten days of the diet should not exceed 800 Kcal. From the tenth day, with the positive dynamics of treatment, the caloric content of food can be increased up to 1000 Kcal.

In the chronic form of the disease, the patient's menu is wider. These include cereals, most types of vegetables and berries, meat and fish (not fatty, medium-fat varieties), sour milk, unsweetened biscuits, sweet berry jelly, marmalade, marshmallows and even some sweets.

At the same time, the following dietary rules should be followed to prevent recurrence of pancreatitis:

Eat only natural, fresh food.
Significantly limit the amount of sweet, fatty and especially sour.
Meals should be fractional: in small portions 5-6 times a day.
It is desirable to chop and grate the food for better assimilation.
Permitted cooking method: cook, bake, steam, stew.
Do not use hot and cold foods - only hot foods and dishes.
Do not eat fruits and sweets on an empty stomach.
It is not recommended to eat fresh bread (better than the second day of freshness or crackers), creamy baked dough.
It is recommended not to use spices (a small amount of salt can be used).
Alcohol, snacks (chips, crackers, cornstarch, etc. ) are strictly prohibited.

Eating a healthy diet and staying hydrated can help prolong remission and maintain pancreatic health. In this case, diet is the most effective medicine.

Sample menu for exacerbation of the inflammatory process

products for exacerbation of pancreatitis

Drinking healing mineral water should be four to five times a day, 200 ml. , The drink is slightly heated (up to 27 degrees). If the water is carbonated, it should be poured into a glass half an hour or an hour before drinking so that all the gases come out of the liquid.

On the third day, the drink can be replaced with a weak hip juice. Drinking water will help maintain balance, replenish the body's reserves of necessary micronutrients and cleanse toxins.

Get out of the hunger strike

The menu can be varied with the following products when leaving the hunger strike (2, 3 or 4 days) for patients with pancreatitis:

dry white wheat bread (not more than 50 grams per day);
jelly or black currant fruit drink;
At the same time, you need to drink up to 2. 5 liters of liquid (still mineral water, jelly, fruit drink, rosehip decoction) per day.

On the third or fifth day, the diet can be added:

boiling a mucous consistency from rice or oatmeal;
mashed potatoes (without liquid, butter and milk);
blueberries, black currants, strawberries, blueberries;
buckwheat, rice, oatmeal porridge.

You are allowed to start testing in the next two days:

steamed omelet from proteins;
steamed or boiled chicken, rabbit, chopped turkey with a mixer;
vegetable soups or grain soups cooked in water;
vegetable puree (pumpkin, carrots, squash);
not strong black or green tea, black plum, yogurt.

From the tenth day, subject to successful treatment, reducing the symptoms of the disease, the menu can be varied with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish cutlets, soufflé. Very small amounts of sugar are allowed to be used. But it is better to take substitutes.

The diet for acute pancreatitis is strict, so the menu excludes the following foods: fried, smoked, high-fat foods, mushrooms, canned food, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, sauces, ice cream, alcohol, soda, radishes, onions, garlic, radishes, spinach, peas, beans, asparagus, sorrel.

Nutrition after complete relief of the attack

For a week, the menu of a patient with acute pancreatitis should contain only foods that are allowed and safe for the gastrointestinal tract.

Day 1:

Early meal: 2 steamed scrambled eggs, oatmeal, hip juice.
Late meal: berry jelly.
Lunch: rice soup, toast, steamed chicken cutlets with pumpkin puree.
Afternoon snack: grated cottage cheese, lightly brewed tea.
Evening: fish souffle with baked vegetables, currant compote.
Late evening: yogurt croutons.

2 nd day:

Early meal: cottage cheese pudding, croutons.
Late meal: strawberry souffle, rosehip decoction.
Lunch: noodle soup in vegetable broth, crackers, boiled turkey, berry foam.
Afternoon snack: baked apples, compote.
Dinner: noodles, steamed fish cutlet, green tea.
Late evening: crackers, tea.

3rd day:

Early meal: vegetable pudding.
Late meal: rice porridge, a slice of chicken.
Lunch: buckwheat soup, croutons, steamed rabbit cutlets, jelly.
Afternoon snack: pumpkin porridge.
Evening: oatmeal, a piece of chicken, black tea.
Late evening: cookies with kefir.

Day 4:

Early meal: rice porridge, currant compote.
Late meal: steamed omelet, chamomile decoction.
Lunch: creamy soup with boiled meat, croutons, a piece of boiled rabbit, tea.
Afternoon snack: baked apples with cottage cheese, compote.
Meals: oatmeal porridge, raspberry souffle, hip juice.
Late dinner: crackers and yogurt.

Day 5:

Early meals: oatmeal, scrambled eggs, black tea.
Late meal: pumpkin puree, strawberry compote.
Lunch: buckwheat soup, crocodile, steamed fish cakes, tea.
Afternoon snack: cottage cheese casserole, hip juice.
Evening: mashed carrots with chicken souffle, baked apples without peel and core, compote.
Late evening: a biscuit biscuit with tea.

Day 6:

Early meal: semolina porridge, chamomile decoction.
Late meal: steamed omelet, jelly.
Lunch: noodle soup, crackers, boiled chicken, tea.
Afternoon snack: berry souffle, compote.
Dinner: vegetable puree, steamed turkey cutlet, jelly.
Lunch: yogurt croutons.

Day 7:

Early meals: carrot and pumpkin puree, boiled egg whites, compote.
Late meal: cottage cheese souffle, chamomile mixture.
Lunch: old fish soup, crackers, steamed chicken cutlets, tea.
Afternoon snack: baked apples, compote.
Evening: corn porridge with steamed cutlet, boiled grated beets, jelly.
Late evening: croutons with kefir.

Before the disease progresses to a stable remission stage, all foods should be grated and seasoned (even salt is not recommended). Two weeks after the attack, you can start trying fresh apples, peeled and cabbage heads, strawberries, bananas, as long as there are no symptoms of the disease.

Sample menu for stable remission of pancreatitis

An example of a menu for pancreatitis for a week looks like this:

Day	Eat early	Snack	Lunch time	Afternoon snack	Evening time
Ay	Low-fat milk, cheese sandwiches, oatmeal with chicory	Curd pudding, biscuit cookies, hip juice	Potato soup with chicken broth, kruton, steamed chicken meatballs	Baked apples, jelly	Buckwheat porridge, beet salad boiled in butter, beef cutlet
Tuesday	Rice milky porridge, jelly or tea	Protein omelet, boiled turkey, compote	Vermicelli soup, wheat bread, baked hake, jelly candy, green tea	Curd casserole, chamomile juice	Mashed potatoes, baked fish, butter carrot salad, tea
Tuesday	Oatmeal, jelly	Berry foam, biscuits for a long time, hip juice	Fish soup, pumpkin pudding, crackers, compote	Curd pudding	Chicken fillet with zucchini, boiled cauliflower, green tea
Tuesday	Semolina porridge, cheese sandwich, jelly	Sour milk, kruton	Rice soup with carrots, meatballs, hip juice	Vegetable pudding, compote	Baked chicken with vegetables, jelly, tea
Friday	Steam omelet, black tea	Carrot and grated apple pudding	Vegetable puree soup, beef meatballs, chamomile mixture with jelly candy	Berry souffle, biscuit cookies	Boiled rice with meatballs, tea
He sat down.	Oatmeal, chicory	Omelet, apple compote	Buckwheat soup, meat, boiled beet salad, tea	Butter and hard cheese sandwiches, baked apples, tea	Fish souffle, boiled noodles, tea
The sun	Rice porridge with boiled turkey, hip juice	Vegetable souffle, berry jelly	Creamy soup with crumbly meat, fish meatballs, dried bread, tea	Curd biscuits, baked apples, tea	Fish roll, mashed potatoes, hip juice

1-2 hours before bedtime you can drink a glass of fermented milk product (yogurt, kefir, yogurt) with diet biscuits.

The result

The menu for patients with pancreatitis for a week is approximate - it can be replaced with other foods that are allowed in a stable remission phase.

Among the main meals, small fruit snacks with allowed sweets are also allowed. It is useful to eat at approximately equal intervals, drink at least 1-1, 5 liters of water per day and develop the habit of not eating too much - there should be a slight feeling of hunger after eating.