Pancreatitis (inflammation of the pancreas) is accompanied by severe pain. If left untreated, the disease becomes chronic, for which frequent exacerbations are typical. The diet for pancreatic pancreatitis is a must. It is compliance with the principles of medical nutrition that significantly reduces the risk of developing an attack.
Plan features
Nutrition for pancreatic pancreatitis has its own characteristics. The main task of the diet is to reduce the activity of the organ. How to eat with pancreatitis, so as not to worsen your health? The main principles are:
- complete rejection of fatty or fried foods and sweets;
- lack of coarse fiber foods in the diet;
- in the cooking process, only the methods of cooking and steaming are used;
- fractional diet - food intake is carried out in six to seven meals in small portions;
- food served should be mashed or finely chopped.
During the day, the patient should consume at least 2 liters of any liquid.
Acute nutrition
The diet for acute pancreatitis helps to eliminate severe symptoms of an attack. Its purpose is to stop the production of pancreatic juice containing digestive enzymes. It is reached by refusing to eat (the first few days) and respecting bed rest.
What can you eat with pancreatitis during this time? During the first one to three days after the onset of the attack - depending on the severity of the patient's condition - the person will be recommended to be completely hungry. Only consumption is allowed: alkaline mineral water, decoction of rosehip berries, weakly infused unsweetened tea, water. After stabilizing the condition and eliminating the pain syndrome, patients are assigned a diet table.
After stopping the attack, food should be fractionated - up to 8 times a day. The size of the initial serving is no more than 50-100 grams. The low calorie diet practiced during this period does not meet physiological standards, it is quite short: no more than 7 days. All the products used are boiled, and the dishes are served hot and have a semi-liquid consistency.
| Days | Authorized products |
|---|---|
| First of all | Spreadable porridge puree, viscous cereal soups (millet and corn grits are prohibited), vegetable decoctions, weakly infused teas with the addition of caster sugar, compote, homemade crackers, jelly and fruit jelly. |
| Second | |
| Third | Cottage cheese dishes: soufflés, puddings, pasta, steamed omelet. |
| Fourth | Milk porridge. |
| Fifth | Mashed meat soup. |
| Sixth | Butter (in small quantities), vegetable puree (cabbage is prohibited). |
| Seventh | Meat or fish soufflé. |
Then the patient is transferred to a basic diet, the variety of which depends on the presence of concomitant diseases. If we are talking about the table that is assigned the most often, it is number 5P. The diet for acute inflammation of the pancreas lasts 6-12 months.
Nutritional therapy for the chronic form
For patients with chronic pancreatitis, dieting is a lifelong obligation, since any errors in nutrition can lead to exacerbation of the pathology. Each attack of the disease is accompanied by a partial replacement of functional tissues with fibrous tissues, which ultimately leads to the development of insufficiency of the secretory function of the gland.
During the period of exacerbation of the chronic form of pancreatitis, accompanied by severe pathological symptoms, the patient is prescribed a strict 7-day regimen as in the acute form. After improving health, the patient is transferred to the diet in accordance with Table No. 5 P.
Its main characteristics:
- dishes served at the table should be either wiped dry or carefully chopped;
- the content of proteins, lipids and carbohydrates meets the physiological needs of the organism;
- with poor assimilation of protein, its percentage decreases due to an increase in the content of carbohydrates;
- products containing fibers and extracts are completely excluded;
- the amount of salt is limited to 6 grams per day;
- fractional meals - up to 6 times a day;
- overeating is unacceptable.
Authorized and prohibited foods from diet No. 5P
What can you eat with inflammation of the pancreas? The product set includes:
- Boiled vegetables - potatoes, zucchini, pumpkins, green peas, cauliflower, beets. In the absence of a negative reaction, you can include raw carrots, cucumbers, tomatoes.
- Oatmeal - buckwheat, rice, oatmeal, semolina. The porridge should have a semi-liquid consistency. Semolina and rice soufflé are allowed. Limited - barley, corn, millet, yachka.
- Vegetable broth soups, dairy soups, mash soups. For thickening, carefully boiled cereals - semolina, rice, oatmeal are used. The vegetables are cut into small pieces. You can't fry them. Sour cream, cream, butter and milk are allowed for dressing.
- Low fat meats - beef, veal, chicken, rabbit.
- Low-fat types of fish - cod, hake, pike perch, perch, pollock, blue whiting. It is boiled or steamed.
- Yesterday's or dried wheat bread, raw cookies.
- Low-fat sweet and sour dairy products - yogurt, kefir, cottage cheese. You can serve grated cheese with a neutral flavor.
- Protein omelet, boiled eggs.
- Sauces cooked with vegetable broth. You cannot fry flour to thicken them.
- Sweet apples baked in the oven. Fruit mousse, jellies, jellies, preserves.
- Fresh fruit puree.
- Creamy and refined sunflower oil.
From drinks: weakly infused tea with the addition of lemon, fruit juice with a sweet taste previously diluted with water, rosehip infusion, apricot compotes, pears, apples, water without gas. If you are low on potassium, your diet should include carrot juice. Good nutrition with an inflamed pancreas is the key to good health. That is why it is necessary to exclude from the menu products that can cause exacerbations.
What should not be eaten with inflammation of the pancreas? The list of prohibited foods includes:
- fresh bread, yeast baked goods, cakes, pastries;
- rich soups, cabbage soup, borscht, okroshka and beetroot;
- fried dishes - pies, cheesecakes, pancakes, pancakes;
- fatty meats;
- waste;
- crumbly cereals;
- vegetables, which contain fiber, mushrooms;
- fresh vegetables and fruits with care;
- cooking fats and lard;
- bananas, grapes, dates;
- hot spices;
- alcohol, coffee, soda, ice cream, cocoa.
After the disease has passed into a state of remission, it is allowed to introduce fresh vegetables and fruits.
Sample weekly menu
An approximate menu for a week with pancreatitis of the pancreas may look like this:
| Breakfast | Breakfast | Having dinner | Afternoon tea | Having dinner | |
|---|---|---|---|---|---|
| Monday | Steamed omelet, curd soufflé, drink | Cheese cookies, apple sauce | Semolina soup with mashed carrots, buckwheat with boiled zucchini, drink | Grated apple | Oatmeal, beet salad, baked apple |
| Tuesday | Mashed rice porridge, cottage cheese, drink | Apple puree | Buckwheat soup with vegetables, steamed chicken balls, jelly | Steamed protein omelet, diluted juice | Steamed fish cutlet garnished with mashed potatoes, drink |
| Wednesday | Liquid rice porridge, protein omelet, drink | Cottage cheese with sweet jelly | Cauliflower soup, chicken soufflé, drink | Apple or pear compote | Steamed fish balls with vegetable puree, drink |
| Thusday | Steamed omelet, buckwheat milk (puree), tea | cottage cheese | Carrot soup, beef cutlets garnished with rice porridge, drink | Juice with biscuit cookies | Steamed fish cutlets with vegetable puree, compote |
| Friday | Butter porridge, steamed protein omelet, cheese, drink | Baked syrniki with carrots, sweet juice | Meatball soup, mashed pumpkin mash, drink | Curd pudding | Steamed fish cakes with cauliflower, drink |
| Saturday | Oatmeal, cottage cheese, drink | boiled egg, juice | Pumpkin soup seasoned with sour cream, beef stroganoff with mashed carrots, drink | Biscuits pancakes, juice | Fish balls with rice porridge, drink |
| Sunday | Semolina pudding sprinkled with jelly, cottage cheese, drink | Protein omelet, juice | Buckwheat soup, chicken soufflé, drink | Sweet jelly with dry biscuits | Boiled fish with rice porridge, compote. |
At night you need to drink a glass of kefir or yogurt. Since dietary nutrition with inflammation of the pancreas imposes significant restrictions and prohibits the use of many spices, it is important to learn how to choose the right foods in order to diversify the menu. After all, food for pancreatitis should be not only healthy, but also tasty.
Nutritionists recommend the following combinations:
| Days of the week | Grocery set |
|---|---|
| Monday | Veal, potato, oatmeal, carrot, apple |
| Tuesday | Chicken, fish, small vermicelli, cottage cheese, apple, cookies, rice |
| Wednesday | Rabbit, chicken, buckwheat, pumpkin, carrots, nuts |
| Thusday | Turkey, pollock, semolina, carrots, onions |
| Friday | Beef, cheese, dates, chicken, buckwheat, croutons |
| Saturday | Rice, zucchini, carrots, egg white, chicken, kefir, beef |
| Sunday | Potatoes, semolina, oatmeal, dates, dried apricots, cookies, cod |
As drinks you can use:
- weakly brewed tea - black, green;
- fresh and dried fruit compotes;
- a decoction of rosehip berries.
Fasting days
With diagnosed chronic pancreatitis, nutritionists recommend discharging. On these days, patients eat only one type of food.
In case of inflammation of the pancreas, you can practice the following mono-diets over a day:
- Groats. It is necessary to boil 200 grams of oatmeal in water. Divide it into 6 parts. During the day you need to drink 400 ml of rosehip decoction.
- White cheese. So, fill 600 grams of cottage cheese (fat-free) with sour cream (60 grams). Divide into 4 portions. Authorized 400 ml of rosehip broth.
- Fruit and curd. Mix prunes (400 grams) and the same amount of low-fat cottage cheese. Eat in 6 meals.
- Rice compote. Cook 1. 5 liters of applesauce. Cook porridge from 50 grams of rice. Sweeten a little. Drink compote during the day. There is porridge morning and evening.
- Watermelon. During the day you need to eat 1. 5 watermelon pulp (the rind is not counted) in five to six meals.
- Pumpkin. Bake 2 kg of pumpkin pulp in the oven. Divide it into 5 steps.
- Apple. Bake 1. 5 kg of apples in the oven and eat in a day.
Physical activity is prohibited on these days.
Several recipes
The diet of pancreatitis in adults, as already mentioned, is rather monotonous, so it is so important to please patients with foods of different tastes. To prepare a meat pudding you will need:
- beef - 250 grams;
- butter - 45 grams;
- semolina - 25 grams;
- water - 100 ml;
- Egg.
Preperation:
- Boil the meat and chop it.
- Pour the semolina with water and add an egg. To mix together.
- Mix the two components, knead well and place in a mold.
Cook in a double boiler.
Squishy oatmeal soup is made with the following foods:
- oatmeal - 1 glass;
- water - 1, 3 liters;
- milk - 100 ml;
- Egg;
- butter - 1 teaspoon
Preperation:
- Pour boiling water over the flakes and cook for 30 minutes at a low boil. Filter the finished broth and bring to a boil again.
- Stir the egg into the hot milk and add the mixture to the oat broth in a thin stream.
When ready to serve, add the butter.
The table of the patient with pancreatitis should also offer sweet dishes. For dessert you will need:
- egg white;
- granulated sugar - 35 grams;
- strawberries - 100 grams;
- flour - 25 grams;
- water - 120 ml;
- vanillin.
Preperation:
- Beat the egg white with the sugar and vanilla.
- Spread the mass with a spoon in boiling water. Cook them for 4 minutes.
When ready to serve, the dessert is drizzled with a sauce made from mashed berries, flour and granulated sugar. Pancreatitis is a complex disease characterized by frequent exacerbations. Sticking to a diet helps reduce their numbers and bring the disease into a phase of long-term remission.