Diet for pancreatitis of the pancreas

The pancreas is part of the gastrointestinal tract and at the same time a gland with mixed secretion.When food enters the human digestive system, it reacts 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 bloodstream and maintain normal blood sugar 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 intestines of the necessary enzymes is disrupted.The inflamed gland enlarges, its internal ducts narrow, which does not allow digestive juices to pass into the duodenum.Enzymes that persist in the gland begin to destroy the gland itself, leading to sad consequences.

There is an acute form of pancreatitis, which is caused by poor diet or inflammatory diseases of 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.

Diet principles 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 cases 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 still water, sometimes still mineral water, is allowed, preferably alkaline water, weak tea.

Then, for chronic pancreatitis from the 3rd day, and for acute pancreatitis after the 5th day, 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 a time does not exceed 150-200 ml;
• use food warm to 20-60 degrees in crushed or pureed form;
• chew food thoroughly and take your time;
• Do not drink during meals, limit salt to 4 to 5 grams per day;
• exclude foods that cause flatulence;
• In order to save chemicals, you cannot use pungent spices and 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 disease can be very serious and death cannot be excluded.

Against the background of an increase in the proportion of protein products in the diet, the bulk of them should consist 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 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 foods allowed in a diet for gastric pancreatitis, so the diet can be made as varied as possible:

• Boiled or baked (low-fat) rabbit, veal and poultry meat, boiled tongue;
• lean fish such as hake or pollock, boiled, baked or in soufflé form;
• various cereals, preferably rice or oatmeal in porridges, soups or stews;
• bread after drying in the oven, biscuits, boiled pasta;
• products based on milk and lactic acid, diluted with a low fat content as an addition to the main products or a casserole of cottage cheese, diet cheese and cottage cheese based on skimmed 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 baked fruits, jellies or berry purees;
• weak drinks, diluted juices, rosehip drinks.

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

• fried or grilled meats, all offal;lamb or goose, lard and smoked meat, stew in jars;
• marinated seafood dishes, rich fish broths or preserves;
• dishes prepared with legumes and rich broths;
• fresh bread, baked goods, fried pies;
• natural fatty sour cream, cream, non-skimmed milk in large quantities;
• garlic, mushrooms, radishes are strictly prohibited (turnips and fresh vegetables are limited);
• egg yolks and natural fresh butter;
• a large amount of sweet fresh fruits, cabbage and sorrel;
• coffee, strong tea, concentrated lemonades and any carbonated drinks, alcohol of any strength or energy;
• ice cream, buttercream cakes, chocolate, all cakes;
• hot spices, marinades, sausages and smoked meats.

Contraindications to diet for pancreatitis

Considering the features of the diet for gastric pancreatitis, there are also contraindications.

They concern patients with kidney disease or protein metabolism disorders:

• with pyelonephritis or glomerulonephritis with decompensation of the process;
• patients with urolithiasis;
• in case of acute or chronic renal failure;
• in cases of gout and purine base metabolism disorders;
• in the presence of multiple myeloma;
• with hormonal imbalance or problems with the thyroid gland;
• for background precancerous diseases, because excess protein is dangerous for malignancy;
• in cases of severe obesity or diabetes, particularly in cases of diabetic nephropathy, i.e. 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 of 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.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 pâté with oatmeal.Applesauce.
6. Before going to bed.Gooseberry juice.

Tuesday

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

Wednesday

1. Breakfast.Oatmeal without sugar.Carrot casserole with tea.
2. Lunch.Baked apples with crackers and apricot juice.
3. Dinner.Hake soup, mashed potatoes with sour cream.Pear jelly with croutons.
4. Snack.Zucchini casserole with tea and cookies.
5. Dinner.Steamed rabbit cutlets with buckwheat porridge puree.Redcurrant 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 skimmed sour cream, tea with marshmallows.
5. Dinner.Vegetable casserole with pollock.Dried fruit compote.
6. Before going to bed.Apple juice.

Friday

1. Breakfast.Crushed 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.Omelette with egg whites and apple juice.
5. Dinner.Turkey meat roll and vegetable stew.Tea with biscuits.
6. Before going to bed.Ryazhenka is low in fat.

SATURDAY

1. Breakfast.Boiled pasta with chicken pâté.Unsweetened tea.
2. Lunch.Pumpkin porridge with unsweetened yogurt.
3. Dinner.Pumpkin soup and veal puree.Zucchini stew and cranberry jelly.
4. Snack.Applesauce, a cup of kefir.
5. Dinner.Steamed fish cutlets with oatmeal.Tea with biscuits.
6. Before going to bed.Apricot compote.

Sunday

1. Breakfast.Beef and vegetable casserole.Riazhenka 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 going to bed.Fresh fermented milk baked in the oven.

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

Diet for pancreatitis: reviews of nutritionists

Nutritionists' comments on the diet for pancreatitis are as follows.Its main details are aimed at reducing the food load on the gland and reducing the production of digestive juice, which promotes inflammation.In addition to these effects, such a diet prevents liver and bile duct diseases, as it normalizes the frequency of bile secretion in the intestines.However, against the background of restrictions, it is worth remembering 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 form are used.Special medicinal capsules promote the action of enzymes at a specific location in the digestive system for maximum effect.

In acute pancreatitis, it is important to grind food as much as possible, but in chronic pancreatitis, in order to maintain the physiological functioning of the digestive tract, food should not be carefully chopped or pureed, although heat treatment should be done without frying and grilling.The more balanced the diet, the less risk of adverse effects.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.