Diet for pancreatitis of the pancreas

The pancreas is part of the gastrointestinal tract and at the same time is a gland of mixed secretion.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 intestine.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 glandular tissue becomes inflamed, the process of production and entry into the intestine of the necessary enzymes is disrupted.The inflamed gland increases in size, its internal ducts narrow, which does not allow the passage of digestive juices into the duodenum.Enzymes lingering in the gland begin to degrade the gland itself, which leads to sad consequences.

There is an acute form of pancreatitis, which is provoked by poor nutrition 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, without which the effectiveness of treatment is extremely low.

Diet principles for pancreatitis

The principles of the acute pancreatitis diet are that it is generally recommended to fast for the first 3 days.During this period, the necessary nutrition is provided via intravenous infusions without irritating the intestine.Food entering the intestine 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.Initially, only plain water is allowed, sometimes natural mineral water, preferably alkaline water, weak tea.

Therefore, for chronic pancreatitis from day 3, and for acute pancreatitis after day 5, the following provisions apply:

• meal frequency 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 a time is not more than 150-200 ml;
• use hot foods at 20-60 degrees in crushed or blended form;
• chew your food well and take your time;
• Do not drink during meals, limit salt to 4-5 grams per day;
• exclude foods that cause flatulence;
• For chemical saving purposes, spicy spices and seasonings cannot be used;
• 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 percentage of protein products in the diet, the main part of them should be made up of 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 normal sugar or jam, fats in minimal quantities, protein products make up more than half of the diet.

Allowed and prohibited foods in a diet for gastric pancreatitis

There are a number of foods allowed in the 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 cod, boiled, baked or in the form of a soufflé;
• various cereals, preferably rice or oatmeal as part of porridge, soups or casseroles;
• bread after drying in the oven, biscuits, boiled pasta;
• milk and lactic acid products, diluted low-fat as an addition to the main products or cottage cheese casserole, diet cheese and cottage cheese from skim milk;
• boiled or baked vegetables - potatoes and pumpkin, root vegetables, beets or carrots, fresh pumpkin;
• eggs (only egg whites) in the form of omelettes or casseroles, vegetable oil in moderation;
• ripe unsweetened or baked fruit, jelly or berry puree;
• weak drinks, diluted juices, rosehip fruit drinks.

During 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 a jar;
• marinated seafood dishes, rich fish broths or canned foods;
• dishes prepared based on legumes and rich broths;
• fresh bread, baked goods, fried cakes;
• natural fat sour cream, cream, non-skimmed 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 sweet fresh fruit, cabbage and sorrel;
• coffee, strong tea, concentrated lemonades and any carbonated drinks, alcohol of any strength or energy;
• ice cream, butter cream cakes, chocolate, cakes of any kind;
• hot spices, marinades, sausages and smoked meats.

Contraindications to the pancreatitis diet

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

Concerning 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 purine base metabolism disorders;
• in the presence of multiple myeloma;
• with hormonal imbalance or thyroid problems;
• for underlying precancerous diseases, since excess protein is dangerous for cancer;
• with severe obesity or diabetes, especially with diabetic nephropathy, that is, kidney damage.

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

Diet for pancreatitis: menu for the week

Let's consider an example of a 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.Cottage cheese pudding, light 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 going to bed.Currant juice.

Tuesday

1. Breakfast.Mashed potatoes with beef puree.Biscuits, fruit tea.
2. Lunch.Protein omelette, carrot puree.
3. Dinner.Minced buckwheat soup with rabbit meatballs.Zucchini casserole, weak tea.
4. Snack.Grated beetroot salad, fruit juice with breadcrumbs.
5. Dinner.Steamed turkey cutlets with rice puree.Apple jelly.
6. Before going to bed.Rosehip juice.

Wednesday

1. Breakfast.Sugar-free oatmeal.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 buckwheat porridge puree.Currant compote.
6. Before going to bed.A glass of kefir.

Thursday

1. Breakfast.Rice pudding with boiled beef.Tea with biscuits.
2. Lunch.Boiled beetroot salad with yogurt and biscuits.
3. Dinner.Soup with weak chicken broth and buckwheat.Vegetable meatballs, fruit jelly.
4. Snack.Cottage cheese with skim sour cream, tea with marshmallows.
5. Dinner.Vegetable casserole with pollock.Dried fruit compote.
6. Before going to bed.Apple juice.

Friday

1. Breakfast.Mashed oatmeal porridge with steamed beef cutlets.Tea with fruit pudding.
2. Lunch.Steamed fish balls, 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 roulade and vegetable stew.Tea with biscuits.
6. Before going to bed.Ryazhenka is low in 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.Courgette stew and cranberry jelly.
4. Snack.Apple puree, a cup of kefir.
5. Dinner.Steamed fish cutlets with oatmeal.Tea with biscuits.
6. Before going to bed.Apricot compote.

Sunday

1. Breakfast.Casserole with beef and vegetables.Ryazhenka with cookies.
2. Lunch.Ricotta 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 courgette casserole.Apple jelly.
6. Before going to bed.Fresh fermented cooked milk.

It is necessary to remember when creating a menu and preparing food that the products must be fresh, and the cooking methods should be boiled or baked.It is not recommended to combine several proteins at once, and small portions are recommended to reduce the load on the pancreas.

Diet for pancreatitis: reviews of nutritionists

Feedback from nutritionists on 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 in the intestine.However, against the background of restrictions, it is necessary to remember a sufficient amount of vitamins in the diet to avoid vitamin deficiencies.

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 form are used.Special medicinal capsules promote the action of enzymes at a specific point in the digestive system for maximum effect.

In acute pancreatitis, maximum grinding of food is important, but in chronic pancreatitis, to maintain the physiological functioning of the digestive tract, foods should not be chopped or pureed, although heat treatment should occur without frying or grilling.The more balanced the diet, the less likely adverse outcomes are to occur.In case of acute pancreatitis the diet should be followed for at least 2-3 months;in case of chronic illness it is advisable to follow it for life.