Pancreatitis symptoms treatment diet food recipes. What should be the diet for acute pancreatitis? What is pancreatitis

Nutrition in this disease should be very strict. A diet for pancreatitis should allow the pancreas to be at physiological rest and reduce gastric secretion, as well as restore all metabolic disorders. Medical intervention in this disease, unfortunately, is secondary. Therefore, you need to constantly pay attention to the menu, because not following the rules of the diet for pancreatitis leads to serious complications.

If you have exacerbated pancreatitis, it is advisable not to eat anything for a day, but you need to drink mineral water from a series of medicinal (ask at the pharmacy) or, rosehip broth, you can tea, but not strong. On the second day, with an exacerbation of pancreatitis, eat some low-fat liquid food. The following days, look after your condition, if even during (after) digestion of food in your stomach, you notice pain, limit yourself to liquid with a slight addition of fruits and low-fat fish. Hunger in pancreatitis is like a way to completely cleanse the body and the ability of the pancreas to restore its function.

Principles of nutrition for pancreatitis in adults

carbohydrate products in the diet for pancreatitis in adults are recommended only as flour and cereal products, sweet fruits, potatoes and honey.

Low-fat varieties of fish and meat are protein-containers.

Fats in the pancreatitis diet are only a small amount of butter. It is very important that the patient receives a lot of vitamins and proteins.

All dishes are steamed or boiled, butter or vegetable oils are added cold. Pork and mutton fats are prohibited, and the norm of others should not exceed 60 grams.

Easily digestible carbohydrates (sweets, honey, etc.) are very limited in the diet.

The meat should be dietary - rabbit, skinless chicken, veal, without any spices.

Low-fat fish is very useful in the diet.

Smoked foods are prohibited in the diet - sausage, fatty beef, goose and duck meat, pork.

Cereals are allowed - semolina, buckwheat, barley, but millet is not allowed.

You can eat vegetables, especially zucchini, beets, carrots, cauliflower.

You can not eat legumes and white cabbage, and exclude pickles with marinades.

Low-fat fermented milk products are useful in a diet for pancreatitis in adults, but limit fresh milk.

Boil low-fat soups in overcooked meat broth.

fresh bread contraindicated, better wheat, or crackers.

Salt is very limited.

Nutrition for pancreatitis in adults should be done frequently, but in small portions with small hourly intervals. Doctors recommend eating 5 times a day, every 4 hours. The diet for the disease is long. A diet for pancreatitis in adults should be followed for 8 or more months. Pancreatitis is a chronic disease, so it is better to stick to a diet all the time. eat healthy food and people need everything, and patients with pancreatitis need it.

Features of nutrition in pancreatitis in children

The main rule of the pancreatitis diet in this case is to feed often (6 or more times a day), in small portions with warm food. You can not persuade a child with pancreatitis to eat more than he wants. It must be remembered that the child's gland can not cope with a large amount of food and continues to produce digestive juice.

Principles of nutrition for pancreatitis in children

For a sick child under 7 years old, the required amount of porridge and vegetables is 170 g each. The first dish is up to 140 ml. The second dish of meat (fish) in the diet for pancreatitis in children is up to 80 g.

There should be a lot of proteins in the diet, so the second dish should be without a side dish. But the side dish will increase the volume of the dinner, and this is not acceptable. For dinner, you can also give a protein dish with a side dish, because soup is not served.

A vegetable garnish with milk sauce for fish and meat significantly increases the absorption of food. Try to diversify the diet for pancreatitis in children and make ordinary meals interesting. You need to get your child interested in healthy food. It will be especially difficult to feed if the baby “could not live” without sweets, does not like soup and often drinks during the day. The third dish in the diet for pancreatitis in children is compote, tea, chicory with milk, jelly, still water between meals, and a rosehip broth is desirable for afternoon tea and lunch (100 ml of each drink at a time).

Useful products on the menu for pancreatitis acute form in children

The pancreas with pancreatitis should be pampered with animal proteins, they strengthen it. Only meat choose low-fat varieties, such as veal, beef, as well as turkey, chicken or rabbit (fillet). White meat is easier to digest. For children, fish are preferred in the diet for pancreatitis - saithe, cod, pike perch, perch, carp, ice fish. Periodically, it can be used in the menu for pancreatitis - pollock, navaga, blue whiting.

An obligatory component of the diet for pancreatitis in children is eggs. Egg proteins in their composition have an amino acid that is similar to the proteins in our body, so this product is easily digestible. Recommend for pancreatitis in children a steam omelette, which is prepared from proteins or yolks, or whole.

Protein omelette is prescribed for deterioration of health. If there is no aggravation, you can cook not only an omelette, but also a soft-boiled egg (it must be cooked correctly).

A child with pancreatitis is fed non-acid curd 4-5% fat, or zero. You can mix dietary cottage cheese (store-bought) with homemade unleavened cottage cheese for a diet for pancreatitis in children.

If you feel worse, include therapeutic calcined cottage cheese in your pancreatitis diet (you can make it at home).

> Cottage cheese dishes are very diverse, for example, cottage cheese pudding or casseroles with vegetables and fruits, cottage cheese with berries and fruits.

Cheese of delicate varieties (Dutch, Russian) can be sprinkled on dishes with vermicelli or the same cottage cheese.

Butter is allowed in dishes no more than a third of a teaspoon, but even less on a sandwich. Be very careful with fats! With an exacerbation of the disease, exclude oil from the diet for a while.

Nutrition and diet in chronic pancreatitis

At chronic form pancreatitis, strict and strict diet, which cannot be interrupted or violated, otherwise positive effect not to be expected. This form of pancreatitis causes acute girdle pain in the epigastric region and in the left hypochondrium, dyspeptic phenomena, peritonitis and subsequently leading to indigestion and diabetes. After past illness the diet lasts from 6 to 12 months.

Principles of nutrition in chronic pancreatitis

In chronic pancreatitis, you need to carefully adhere to your diet. Only by following all the rules in nutrition, you will improve the functioning of the pancreas and significantly alleviate pain. Be sure to consult a doctor and follow his recommendations.

Nutrition for pancreatitis:

should be frequent (every 3-4 hours);

should not be plentiful;

to exclude mechanical irritation of the gastric mucosa, products are used in a frayed form;

a patient in a diet with chronic pancreatitis needs to increase the consumption of foods containing proteins (fish, meat, cottage cheese), up to 140-160 grams;

sweet tooth in nutrition with chronic pancreatitis, it is necessary to reduce the consumption of foods containing carbohydrates (sugar, honey), to 300-350 grams;

you need to reduce the consumption of foods containing fats to 70-80 grams;

food intake should not include products that have a juice effect (cabbage broth, meat and fish broth);

upon occurrence severe pain in the stomach during meals, it is necessary to follow therapeutic fasting. Refusal of food should not exceed 1-2 days.

Nutrition and diet during exacerbation chronic pancreatitis

During the period of exacerbation of the disease, foods rich in vegetable fiber are excluded from the diet, connective tissue(cartilage and tendons), cold foods and drinks.

It is known that enough protein improves the course of the disease. Therefore, it is necessary to include about 140 grams of proteins in the diet, of which 60-7% are of animal origin. The amount of carbohydrates is limited to 350-400 grams per day. Fat content up to 80 grams per day.

During the period of exacerbation of chronic pancreatitis and during remission, a sparing diet is recommended, food is steamed, chopped, mashed.

Sample menu on a diet for chronic pancreatitis

Menu example:

Breakfast - boiled meat, vinaigrette, porridge, tea. For the 2nd breakfast - a steam omelet, a decoction of dried fruits or rose hips.

Lunch - vegetable soup, salad, boiled chicken fillet with potatoes, dried fruit compote.

Snack - cottage cheese casserole and tea.

Dinner in a diet for chronic pancreatitis - boiled fish, mashed potatoes (carrot or pumpkin), tea with milk.

Before going to bed - sour-milk non-acidic drinks.

Prohibited and permitted foods on the menu for chronic pancreatitis

Among flour products in the diet for chronic pancreatitis are allowed - wheat bread, dried or crackers; dry biscuits, such as biscuits. Exclude - fresh and Rye bread, all rich products are unacceptable.

Vegetarian soups with potatoes and other vegetables are allowed, but not from white cabbage. Include cereals - semolina, rice, etc. You can also soups with vermicelli. Soups in broth, borscht and broths, milk soups, cabbage soup, beetroot, okroshka are excluded.

Meat only low-fat varieties of veal, beef, rabbit, turkey, chicken. It is boiled or cooked in a double boiler, mashed or chopped.

Fish in the diet for chronic pancreatitis is eaten boiled, except for "fatty" species.

Dairy products only with reduced fat content, for example, non-acidic cottage cheese.

Protein omelettes and soft-boiled eggs are very healthy. Avoid fried and hard boiled eggs.

The menu includes buckwheat, oatmeal, semolina and rice cereals. Boil them in half with milk on the water. Soufflé, casseroles and puddings with cottage cheese are allowed in the diet for pancreatitis. It is impossible to eat boiled pasta in chronic pancreatitis.

All vegetables are allowed, except cabbage, eggplant and radish, turnip, radish, onion and garlic, sorrel, spinach and sweet pepper, mushrooms and all legumes.

Useful all fruits and berries, only ripe. Excluded confectionery, ice cream, chocolate.

Doctors do not allow sauces on fish, meat, mushroom broths, tomato, no spices.

With tolerance, you can use weak tea with lemon, or semi-sweet tea with milk. Be sure to drink a decoction of dried fruits and rose hips, drink in a diet for chronic pancreatitis only non-carbonated water throughout the day. Exclude from use in the diet for pancreatitis - black coffee, carbonated and cold drinks, cocoa, grape juice.

daily rate butter - 30 grams, vegetable oils up to 15 grams. Other fats are not allowed.

The use of salt is not more than 10 grams per day, as this product irritates the esophageal mucosa.

The norm of fluid in the diet for chronic pancreatitis every day is 2 liters.

All food should not be very cold or hot.

Desirable foods in the diet for pancreatitis:

bread and bakery products in nutrition with chronic pancreatitis (wheat varieties I-II, be sure to dry the bread, crackers);

soups in the diet for chronic pancreatitis (vegetable, chicken, cereal, vermicelli);

dishes from lean meats (chicken, veal and beef) - cutlets, soufflés and meatballs, mashed potatoes, rolls);

fish meals ( lean varieties- boiled, steam, piece);

eggs (omelet);

milk and dairy products in the diet for chronic pancreatitis (cottage cheese, kefir, milk, cheese);

fats (olive oil, refined sunflower oil, unsalted cream);

vegetable dishes in the diet for chronic pancreatitis (carrots, potatoes, pumpkins, beets, zucchini - mashed, boiled);

cereals and pasta(vermicelli, pasta, buckwheat, pearl barley);

fruits in the diet for chronic pancreatitis (unsweetened, baked apples, pears);

sweet dishes (compotes, kissels, jelly);

drinks (weak tea, a decoction of rose hips and wheat bran).

The following foods should be excluded from the diet:

soups (cabbage, wheat, strong meat, mushroom and fish soups);

dishes from fatty meats fried in a diet for chronic pancreatitis;

beef and mutton fat in the diet for chronic pancreatitis;

vegetables and greens (cabbage, radish, radish, swede, sorrel, spinach);

smoked meats, sausages and canned food;

rye bread and pastry;

ice cream in the diet for chronic pancreatitis;

alcoholic drinks, coffee, strong tea.

Features of nutrition in acute pancreatitis

This is inflammation of the pancreas, associated with edema, necrosis, often fibrosis (suppuration). At acute pancreatitis enzyme secretion and digestion processes are disturbed. Diet is a mandatory step in the treatment of a disease such as acute pancreatitis. Diet in acute pancreatitis is associated with minimal mechanical and chemical irritation of this organ. The diet recommended by specialists during this period is specially designed and is called “Diet number five”.

The diet is low in chemical irritants, vegetable and animal fats, in addition to any products that include cholesterol. Conversely, products in the diet for acute pancreatitis, where the fiber content is high enough, are invaluable during this period of the disease. Approximate, expressed in weight units, the quantitative and qualitative composition of the patient's diet per day is: proteins -100-110 g, fats 60-70 g, carbohydrates 450-550 g. Calorie content 3000-3200 cal.

Sample menu for acute pancreatitis

The first and second days are fasting, which is accompanied by heavy drinking (up to 2 liters per day). Recommended water - Borjomi and Essentuki No. 4. It is necessary to drink often and in small sips. Water temperature room. Water in the diet for acute pancreatitis must be without gas. Allowed herbal tea without sugar, weak rosehip broth.

The third day, with the improvement of well-being, mashed vegetable and cereal, mucous soups, mashed potatoes, kissels, stale bread, crackers are introduced.

Gradual supplementation of the diet with protein and vegetable foods, steamed. The consumption of vegetable and animal fats is excluded, as is the consumption of offal (liver, tongue, heart, etc.), and fresh baked goods.

It is important to minimize salt and sugar intake in the diet for acute pancreatitis.

Allowed foods on the menu for acute pancreatitis

As part of a diet for acute pancreatitis, it is allowed: weak tea with milk, stale bread(rye, wheat, grey), soaked herring, fresh curdled milk, cottage cheese (no more than 400g per day), refined butter and vegetable oil in an amount not exceeding 60g per day. As well as egg white, dairy, cereal, vegetable and vegetarian soups (without legumes, without sorrel and spinach, without the use of sauteing processes, breading is also not allowed), lean meat, fish, poultry in boiled form (casseroles are allowed after boiling) . Salt no more than 8-10 g.

Prohibited foods in the diet for acute pancreatitis

Prohibited in the diet for acute pancreatitis: coffee, cocoa and any broths (except vegetable), any fried (grilled) dishes. In the diet, exclude all kinds of sausages and canned food, very spicy and sour dishes and products, pastry products, legume dishes.

Acute pancreatitis is characterized by severe inflammation of the pancreas, which is accompanied by swelling and slowing of the enzymatic process. May lead to necrosis or fibrosis. The diet should be as gentle as possible in order to ensure complete rest for the pancreas.

Most often, acute pancreatitis is treated in a hospital, but you can take a course at home. In both cases, a diet is prescribed with mandatory fasting in the first two to three days.

Eliminate from the diet. Dishes such as canned food, sour cream, alcoholic drinks and muffins are contraindicated for consumption. For a long time you will have to forget about pickles, smoked meats and fried foods.

Starvation and acute pancreatitis

During fasting with acute pancreatitis, you can only drink, preferably Essentuki No. 4 or Borjomi mineral waters (without gas). You can drink at will, but slowly, in small sips and a little.

Then you can gradually switch to a diet of boiled or steamed dishes, while making sure that the energy value of the daily diet is at least 2500 - 2700 kcal. Fats, proteins and very few carbohydrates are gradually added.

Diet plan for acute pancreatitis

The diet for acute pancreatitis, first of all, should completely exclude salt from the diet. For the first two weeks, food is cooked without salt to reduce swelling of the pancreas and lower levels. of hydrochloric acid in the stomach.

Diet for acute pancreatitis daily diet the patient should include 40-60 grams of fat, 80 grams of protein, of which at least sixty percent of animal origin, 200 grams of carbohydrates.

Food must be taken in a small amount, but quite often, about 5 - 6 times a day. Food in the diet for acute pancreatitis should be warm, liquid or semi-liquid consistency. Stewed and fried foods forbidden in the diet for acute pancreatitis, it is best to take food in a frayed form.

On the sixth or seventh day, jelly, rare cereals, kefir, steam cutlets, fish and chicken. Slimy soups are good, mashed potatoes and curd mass. From drinks, you can make a decoction of wild rose or blackcurrant and try to give weak tea.

Further, the diet gradually expands with a protein omelet, steam puddings and carrot puree. You can add fresh cheese to the diet, and milk is only acceptable as part of ready-made meals. Baked apples are given in loose form.

During pancreatic problems, the pancreatitis diet becomes an important addition to general therapy. Observe it not from case to case - correct menu becomes a way of life.

The failure that occurred in the digestive system is provoked various factors. But more often it is a violation in the diet. Insufficient production of gastric juice complicates the breakdown of food, leading to the acute stage of the disease. With further neglect of the diet, the disease is already chronic.

To facilitate duodenum performing its immediate function, it will be necessary to take therapeutic nutrition for pancreatitis as a basis, interpreted by the following rules:

• fatty, fried, smoked dishes are excluded;
• only dietary recipes are used in cooking;
• introduces the principle fractional nutrition- in small portions every 3 hours;
• only grated food in a warm state is used;
• eat not on the go, chewing food slowly;
• we do not drink the food we take.

It is important to comply with energy standards in products - an average of 350 g of carbohydrates and 80 g of fat. In parallel with pancreatitis, due to malnutrition, stomach problems occur, inflammation of the biliary tract is observed, and diabetes develops. This is taken into account when choosing medical menu- diets are prescribed based on related problems.

Diet in the acute stage

In case of acute inflammation of the pancreatic gland, the patient is transferred to a 2-day fast. The patient is allowed only drinks - a rosehip decoction or infusion, teas and filtered water (up to 5 doses per day). Subsequent couples introduce food drop by drop. After that, the diet is gradually supplemented with low-calorie foods in small doses.

Diversified from the 2nd week. The main food items are:

• protein products (in particular, steam cutlets from fish fillet or chicken);
• fruits with a high content of antioxidants;
• from drinking - green teas, fresh juices, liquid jelly.

Diet in the chronic stage

Having launched the disease, they live with it for several years. Here, involuntarily, one has to reckon with diets, carefully selecting products on the menu:

• daily the body is saturated with proteins in the amount of 130 g (of which 2/3 are of animal origin);
• allowed in small quantities butter- it is added to cereals;
• milk is not recommended pure form- it is better to cook recommended dishes on it, make sauces;
• useful fresh low-fat kefir;
• laxative products are recommended - dried fruits from plums and apricots.

Food in a mild form is varied and contains cheeses, steamed omelettes, etc. When the disease worsens, food restrictions are introduced. For two days the patient is kept only on drinks. From the 3rd day, liquid meals prepared in milk diluted with water are given in small portions. When the pain subsides, pancreatitis diets in adults are diversified, but the dishes are allowed frayed, albeit dense in consistency.

Approved Products

When choosing a menu for pancreatitis, they first make a list of products that are allowed for consumption. It looks like the one shown in Table 1.

They will allow you to compose varied menu. If you take into account the recommendations for their preparation, then you can avoid exacerbation of the disease for a long time.

Wholly or partially restricted products

The table above offers a basic diet plan for pancreatitis. There is also a list of products that are partially allowed or completely prohibited:

• broths based on fish, mushrooms, meat, and dishes cooked on them, as well as okroshka;
• everything fried, stewed and containing fats;
• smoked meats, pickles, spices;
• sausages, fish caviar, conservation;
• ; other cereals are allowed in a crumbly form;
• due to the high cholesterol content, offal is removed from the diet;
• fruit and berry assortment in raw form is introduced with caution and not constantly;
• foods and dishes containing coarse fiber, the patient should be excluded (mushroom, legumes, most root crops, blue ones, white cabbage);
• simple carbohydrates contained in dates, all varieties of grapes, bananas, provoke bloating;
• not recommended milk with a high percentage of fat, spicy-salty cheese, sour cottage cheese;
• completely exclude boiled, and even more so fried eggs;
• it is not advisable to use cooking fats and lard, and it is better to use vegetable oil in a small amount for dressing dishes;
• completely exclude chocolate and rich products, flour (wind and fried), all types of ice cream;
• bakery fresh pastries are not recommended, and products made from rye flour are completely abandoned;
• taboos are placed on black tea, grape juice, coffee drinks, soda and alcohol.

Although the list is called partially limited, for this disease it is better to completely exclude the ingredients included in the list from the menu. This will help to avoid many problems with the gastrointestinal tract.

(diet). Some patients complain that the menu for pancreatitis is too poor. But it is also easy to diversify it, alternating types of cereals, introducing either meat or fish dishes. If you correctly distribute the products by the days of the week, then the diet will not seem so bland.

All permitted products are included in the "nutrition pyramid", so the menu is quite balanced, this is necessary for the normal functioning of the body. The restrictions (or prohibitions) that are introduced do not impoverish the diet at all. With the withdrawal of harmful foods and drinks from consumption, only eliminated harmful factors, negatively affecting the work of the diseased gland. Table 2

Sample Menu

As can be seen from the above menu for a diet for pancreatitis, there is nothing new in its compilation. entered twice in daily ration it is better to diversify side dishes (in the morning, for example, semolina, and in the evening buckwheat). Instead of porridge, it is sometimes recommended to cook mashed potatoes.

The sample menu simply makes it clear the principle of selecting dishes, and they are diversified when compiling a weekly diet. The main thing is to proceed from the positions of observing the basic rules of nutrition with recommended diets.

Diet Recipes

The main tips on how to best use the products that make up the diet for patients with an inflamed gland were given above. They must be followed when preparing dishes. The following are subject to specific features.

Soup ration

Liquid cereals, seasoned with milk and put a little butter. Rice soup cooked with milk has an original taste if you add a little chicken puree to it. The algorithm for preparing the original first course of vegetables is given below:

• zucchini is crushed, carrots are rubbed;
• cabbage is disassembled into small inflorescences;
• the ingredients are placed in a cauldron, poured with boiling water and put on fire;
• having cooked until softened, cool slightly and beat with a blender to a puree-like consistency;
  milk is added to the soup, salted and boiled again.

Serving puree soup to the table, make dressing from sour cream (low-fat) or put a little butter.

Beet cutlets

Such dishes are prepared not only from meat or fish. It turns out very tasty if you make cue balls from vegetables:

• cleanse;
• grind on a grater;
• add a spoonful of semolina, add salt and let it brew;
• having formed cutlets, they are rolled in semolina.

The dish is made exclusively by steam, and served with sour cream.

Dessert

A light fortified dessert is prepared according to this recipe:

• finely chopped carrots are allowed with water for 15 minutes;
• apples are peeled and seeds are cut and added to the root crop;
• bringing to softness, the fruits are rubbed to a puree state;
• , bring to a boil;
• semolina is gradually introduced, boiled for a couple more minutes and removed;
• in the dessert cooled to 80 ° C, first the yolks are introduced, and then the whipped whites;
• placed in a container and steamed.

Each of the above diet recipes will be of interest to children with problems with the pancreas.

For kids

- children also suffer from this disease, although this phenomenon is rare in this group. All of the above recommendations regarding dietary nutrition also apply to young patients. In order for the dishes prepared for them with pancreatitis to be appetizing, you will have to show imagination.

chicken soufflé

It turns out the dish is tender and pleasant in taste, if you cook it in a similar way:

• boil the chicken (a turkey is also suitable);
• separating the fillet from the bones, turn it into minced meat;
• make sauce from milk, adding a little flour and egg yolk;
• minced meat, sauce and a little animal oil are mixed;
• after thoroughly mixing, introduce proteins whipped into a stable foam;
• the mass is filled with a container in which the soufflé is steamed.

A similar recipe is suitable for fish boiled fillet(it should be lightly salted during cooking).

cottage cheese pudding

Most children love cottage cheese dishes. The proposed pudding is a great alternative to cheesecakes:

• cottage cheese (necessarily low-fat) is wiped using a sieve;
• diluted with milk in a ratio of 3: 1;
• pour a spoonful of semolina and introduce proteins (previously beaten);
• mix, spread in a baking dish and keep in the oven for no more than 10 minutes.

When choosing a treatment for pancreatitis, take the menu for children 1-3 years old as a basis. It is just chosen taking into account the sparing effect on the gastrointestinal tract and complies with the rules of dietary nutrition.

Therapeutic fasting

Having problems with the pancreas, it is necessary to periodically introduce fasting days to facilitate the work of the diseased organ. In the stage of severe exacerbations, it is recommended for. This allows you to remove pain symptoms.

When there is no need to digest food, the system goes into "sleep mode". She spends all her strength on bringing the problem organ back to normal and starting the process of tissue regeneration.

The method of fasting and duration is determined by the attending physician. In a mild form, which takes no more than 3 days, you can starve at home, eliminating all physical exercise. A longer period according to this method requires the presence in the hospital - it is necessary constant control his condition.

Reaching the required therapeutic effect, the patient gradually returns to his therapeutic diet. First, a glass of water (necessarily warm) is allowed from an afternoon snack, after an hour - broth (vegetable), after another hour light soup(can be cereal).

The next morning, a patient suffering from pancreatitis returns to the usual menu, on the first day introducing food in small portions into the menu. It is impossible to carry out therapeutic starvation on your own; this will lead to depletion of the body and provoke the development of an ulcer.

Diet therapy for pancreatitis is no less important than conservative treatment carried out with the help of medicines, and there is a logical explanation for this. The inflammatory process in the pancreas (PZhZh) disables the organ, that is, it stops producing pancreatic juice, without which the final digestion of fats, proteins and carbohydrates in primary department intestines is impossible in principle, which means that normal nutrition is also impossible.

In addition, LJ is part of endocrine system and is responsible for the production of hormones such as:

• insulin and glucagon, regulating sugar metabolism;
• lipocaine - fats, as well as bicarbonate ions that neutralize the acidic environment of gastric juice.

An increased load on the inflamed area of ​​​​the alimentary canal may end surgical operation to remove its necrotic parts. Such a development of the disease is highly undesirable. Therefore, at home, nutrition for pancreatitis is designed to provide the pancreas with all types of sparing: mechanical, chemical, thermal.

Thanks to a special diet:

• work improves digestive system;
• the intestine retains its integrity;
• less toxins are produced that poison the body;
• the pancreas ceases to "devour" itself;
• enzyme production returns to normal;
• pain stops;
• development of various complications is prevented.

From this follow the principles of the diet for pancreatitis:

1. Cook food for a couple last resort, you can boil and bake, but the first option is preferable, as it is more useful and saves more vitamins.
2. hot or cold food exacerbate the disease, so the dishes should be in the range of 20-50 ° C.
3. Eat 5-6 times a day. Portions are preferably small to avoid overeating and increasing the load on the pancreas.

What not to do with pancreatitis

Within 3 days after the exacerbation of the disease, therapeutic fasting is recommended. From the 4th day, the patient observes table No. 5 according to Pevzner, which is also indicated for acute and chronic cholecystitis, stones in gallbladder and cirrhosis of the liver. Without balanced nutrition it is impossible to cure gastritis, diabetes and other diseases of the gastrointestinal tract.

With inflammation of the pancreas, products that activate the secretory function are prohibited, namely:

• lard, vegetable oils;
• fresh bread, sweets;
• lactic acid products from fatty milk;
• sweets and other sweets;
• alcohol;
• carbonated water, juices;
• pickles, marinades;
• saturated broths from fatty meats;
• from vegetables onions, garlic, chili peppers;
• citrus;
• corn, both fresh and canned;
• watermelon;
• melon;
• nuts;
• ginger root;
• seasonings;
• millet.

What can you eat with inflammation of the pancreas

Dishes from the following indicative list permitted products are prepared by grinding on a grater or blender. Among them:

• soups on vegetable broth, seasoned with sour cream, with the inclusion of butter, vermicelli, eggplant, pumpkin, carrots, zucchini and potatoes;
• cereals from semolina, oatmeal, rice and buckwheat;
• hard cheeses;
• skimmed milk and the same cottage cheese;
• vegetables and fruits;
• crackers, stale bread;
• dietary meats and fish.

sample menu

With inflammation of the pancreas, calories daily ration should not be more than 2700 kcal. In priority protein products, especially of animal origin (about 80 g per day). You can not do without fats (50 g) and carbohydrates (up to 300 g).

The main meal is breakfast. For lunch, you must eat soup. At night, you can drink low-fat kefir. It is better to have a snack not with sandwiches, but fresh fruit or vegetables.

To organize a healthy diet without constipation and flatulence, we offer an approximate menu for the week, presented in the table below. Thanks to delicious and healthy meals relieve severe symptoms inflammatory process in the form of nausea, weakness and pain:

Diet for different forms of inflammation

After an attack of acute pancreatitis, namely within 3 days, complete fasting is necessary. Its purpose is to stop the production of the juice that digests the pancreas itself. During this time, the symptoms of the disease subside. For neutralization acid environment stomach is recommended to drink alkaline mineral water. You can only eat dishes in the form of mashed potatoes or soufflés.

Chronic pancreatitis is characterized fast loss proteins. To replenish the protein reserves of the body, they have to be constantly included in the diet, a third should be of plant origin. Dairy products can be taken both in the morning and in the afternoon. The carbohydrates contained in potatoes, breadcrumbs, pasta and cereals remain a source of energy. These recommendations are also observed when organizing festive feasts.

Folk remedies

Good for reducing inflammation herbal collection, which includes the following plants, taken in a ratio of 1:1;

• galangal (root);
• rose hip;
• sashes of green beans;
• horsetail;
• St. John's wort;
• dill (seeds);
• yarrow.

You need to add a little celandine to them. Take a collection (2 tablespoons), pour 500 ml of boiling water, leave for 8 hours. Drink 3 times a day for 1/3 cup 30 minutes before meals. Treatment course lasts 6-8 months. With an exacerbation, it is necessary to increase the vegetable raw materials to 3 tbsp. l.

Dish recipes

diet cake

Ingredients:

• natural unsweetened yogurt (without fat) - 500 ml;
• instant gelatin - 2 packs;
• bananas -2;
• peaches -2;
• water - 1 glass;
• cookies - about 200 g.

Leave the gelatin to swell, then combine with yogurt, mix. We collect the cake, alternating layers by own will. We send it to the refrigerator to harden.

baked zander

Ingredients:

• fillet - 500 g;
• butter - 1 tbsp. l.;
• carrots - 2;
• greens;
• lemon juice- 2 tbsp. l.

Salt a portion of the fish, grease with oil on top, sprinkle with grated carrots and put on foil, form into small bags, bake for half an hour at a temperature of 200 ° C. Serve sprinkled with herbs.

Diet for pancreatitis is an addition to conservative therapy. Drugs with antisecretory properties inhibit the production of enzymes. During pregnancy, taking medicinal products have to be adjusted, as many of them can harm the fetus.

• The abuse of harmful fatty foods.
• Taking certain medications.
• Endocrine disorders.
• Obesity.
• Physical inactivity.
• Alcohol.
• Against the background of other diseases (cholelithiasis, cholecystitis, peptic ulcer, diabetes and other diseases).

There are two forms of pancreatitis: acute and chronic. The latter comes from improper treatment and requires constant adherence strict diet.

The diet for pancreatitis is based on the principles of diet No. 5 according to Pevzner:

• The purpose of the diet is to reduce the load on the gland, reduce the sensitivity threshold, and prolong the state of remission.
• The most strict diet is needed in the first 2 weeks of exacerbation: from 1 to 3 days you need to abstain from food. It is allowed to drink water and rosehip broth (up to 1 liter per day). The proportions are as follows: for 1 cup of boiling water 1 tablespoon of berries, leave for 15 minutes in a water bath, strain and drink warm. After the pain symptoms subside, the patient can eat mucous porridges and low-fat soups. White meat and fish are introduced into the diet no earlier than after 7 days.
• Follow the diet: eat at certain hours. The body will adjust and release gastric juice and enzymes, which will facilitate the process of digestion.
• During the period of exacerbation, food must be ground or ground, in the future, thorough chewing is sufficient.
• Diet food should be complete: caloric content during an exacerbation is reduced to 1600-1800 kcal, during remission - 2500-2700.
• You need to eat fractionally, in small portions, 4-6 times a day.
• You can not fry and bake dishes - such products are worse digested. It is best to steam or boil.
• Very cold is contraindicated hot food, the optimum temperature is 40-50 degrees.
• A person should receive at least 300 g of carbohydrates per day, 100 g of proteins and 60 g of fats.
• The diet for reactive pancreatitis lasts at least 6 months until a stable remission is achieved. The basis of the diet should be liquid soups, slimy cereals, boiled vegetables. It is necessary to minimize the amount of fat and spicy food.
• Teach yourself to eat right: snacking, eating on the go, talking while eating and more bad habits are not allowed.
• You can’t stick to mono-diets and starve - it’s harmful for a sick body. Overeating is also unacceptable: you should get up from the table with a slight feeling of hunger.
• Try to eat slowly, chewing your portion thoroughly. The mechanisms of saturation are activated only 15 minutes after the start of a meal, so it is very easy to overeat.

Do not self-medicate. Even harmless herbal decoctions in some cases can be harmful. When compiling the menu, it is recommended to consult with your doctor.

Prohibited and permitted products

Let's start with the list of prohibited foods:

• Salo, fatty meats, rich broths.
• Vegetables with coarse fiber (legumes, cabbage, turnips, radishes, spinach, radishes, onions, garlic), mushrooms.
• Carbonated and alcoholic drinks.
• Canned food, marinades, pickles, smoked meats.
• Grilled, fried and baked food.
• Strong tea and coffee, cocoa, chocolate, packaged juices.
• Fresh bread, sweets, rich pastries.
• Ice cream.
• Spicy seasonings (horseradish, mustard, pepper, etc.).
• Hard-boiled eggs.
• Fat varieties fish (mackerel, eel, sprat, sturgeon, silver carp, saury, capelin, etc.).
• sour fruits and berries.
• Purchased mayonnaise and sauces.

• Lean meats (chicken, turkey, veal, rabbit). Before cooking, they need to be cleaned of skin, fat, tendons.
• Lean fish(hake, carp, pollock, flounder, cod, pangasius, pike, etc.).
• Vegetables (potatoes, carrots, pumpkin, zucchini, squash, sometimes cucumbers and tomatoes). During the period of exacerbation, they are used in boiled or stewed form.
• Sweet varieties of fruits and berries (you can make compotes, kissels, mousses, jelly, salads from them).
• Yesterday's bread, savory pastries, crackers, biscuits.
• Dairy products low-fat: kefir, curdled milk, yogurt, fermented baked milk, sometimes sour cream. With good tolerance, you can mild cheese, milk.
• Drinks - coffee with milk, green tea, kissels, compotes, freshly squeezed juices diluted with water.
• Greens, mild seasonings, sour cream and cream sauces.
• Cereals (oatmeal, rice, buckwheat), sometimes wheat, millet, barley porridge.

Indicative menu for the week

Table 1. Dieting for pancreatitis: sample menu for every day

After all the symptoms of an attack acute inflammation pancreas will be removed and the patient will enter the stage of stable remission, experts allow a more sparing diet. For ordinary person such a diet will seem too strict and lean, but after a complete fast and vegetable broths, diet 5 for pancreatitis will be a great relief.

Features of nutrition in pancreatitis

In the same way that the wrong foods can cause an attack, the right ones can restore the normal functioning of a diseased organ. The essence of the 5p diet for pancreatitis is to minimize the load on the pancreas and free it from work. That is, the diet is selected in such a way that its assimilation requires a minimum expenditure of energy.

Note. During the 5p diet, all dishes should be consumed only when warm. Hot and cold are strictly prohibited.

The main principles of the diet include:

1. Refusal of fatty, fried and sweet foods.
2. Absence of coarse fiber food.
3. Food only steam or boiled products.
4. Fractional food intake. This means that the patient needs to eat small meals about 6-7 times a day.
5. Only processed food (mashed vegetables, fruits, liquid cereals, chopped meat).
6. Fluid intake control. Optimal quantity- 2 liters per day.

It is customary to distinguish between 2 subgroups of the diet for pancreatitis table 5. The first option is considered to be more stringent, and it is prescribed at the very first time after the attack is removed. The second subgroup is more diverse and less strict.

Products that can and cannot be with pancreatitis

Gastroenterologists and nutritionists pay attention to chemical composition food to eat for problems with the pancreas.

During a diet for pancreatitis, the menu for each day should contain:

• 80 g of proteins;
• 50 g fat;
• 180 g of carbohydrates.

Note. To restore the functions of the pancreas, it is necessary to focus on protein foods.

The safest, and therefore favorable products diet number 5 for pancreatitis are:

• veal;
• turkey;
• pike;
• pollock;
• skim cheese;
• tomato;
• potato;
• pumpkin;
• apples;
• rose hip;
• buckwheat;
• biscuit cookies.

This is not the whole list eligible products in sample menu diets for pancreatitis for a week, but they are most often used in the diet of people suffering from diseases of the gastrointestinal tract.

• mushrooms;
• alcohol;
• coffee;
• any pickled vegetables;
• millet;
• salo;
• liver;
• citruses;
• sorrel;
• grapes and its derivatives.

All consumed products should be as neutral as possible for the environment of the stomach. The most important thing is to avoid creating an acidic environment, in order to avoid excessive production of enzymes that will cause an attack of pancreatitis.

Daily nutrition schedule for a patient with pancreatitis

From such a list of products, you can make a varied menu for pancreatitis diet number 5.

Note. With pancreatic disease, due attention should be paid to the number of calories consumed. The daily rate should be no more than 2000.

An approximate patient diet might look like this:

• 9:00–9:30 - first breakfast: rice or herculean porridge with a steamed fish cake, weak tea.
• 11:00–11:30 - second breakfast: a glass of dried fruit compote, a piece of dried white bread or 50 g of biscuit cookies.
• 13:00–13:30 - lunch: soup with vegetable broth made from potatoes, zucchini, carrots, Brussels sprouts; 100 g hake, steamed; you can bake an apple or drink compote.
• 16:00–16:30 - afternoon snack: 200 ml of jelly or 150 g of cottage cheese casserole with dried apricots.
• 18:00–18:30 - dinner: steamed turkey cutlet, durum vermicelli, weak tea.
• 20:00–20:30 - second dinner: rosehip broth and a piece of dried loaf.

Recipes for pancreatitis diets 5 p do not prohibit adding oil to cereals, but you should seriously limit yourself.

Making a diet for a week with inflammation of the pancreas

Dietary nutrition implies many deprivations, reductions in products and quite unleavened dishes. That is why it is important to choose the right products in order to fully saturate the body with useful components.

With pancreatitis, a diet of 5 menus for a week can be built according to the following scheme:

Monday:

• veal;
• potato;
• carrot;
• Apple;
• oatmeal.

• chicken;
• vermicelli;
• low-fat cottage cheese;
• baked apple;
• dry cookies;

• rabbit;
• chicken;
• buckwheat;
• carrot;
• pumpkin;
• nut.

• turkey;
• pollock;
• semolina;
• carrot;

• beef;
• dates;
• chicken;
• buckwheat;
• crackers.

• vegetable marrow;
• carrot;
• egg white;
• kefir;
• chicken;
• lean pork.

Sunday:

• potato;
• semolina;
• Hercules;
• dried apricots;
• dates;
• beet;
• cod;
• biscuit cookies.

As drinks for the menu for pancreatitis for a week, you can use weak teas, compotes from fresh apples, compotes from dried fruits and rosehip infusions. You can also drink ordinary mineral water to maintain the required level of acidity in the body.

The best recipes

Protein omelet

The 5p diet menu for a week with pancreatitis contains practically no eggs. However, you can cook a light airy omelette, which not only has a delicate taste, but also does not cause irritation from the diseased organ.

To prepare, separate the yolks from 3 eggs and remove them. Add 150 ml of milk and a pinch of salt to the proteins. Beat the resulting mixture with a whisk for about 2 minutes.

Steam or cook in a slow cooker by setting the steam mode. The resulting dish will be ideal option for breakfast. AT

Advice! Instead of proteins chicken eggs you can use quail eggs. Then, to prepare one serving, you will need 7-8 quail eggs.

Fish baked in foil with vegetables

The weekly menu for diet number 5 pancreatitis should include fish dishes at least 3 times a week. Peel 1 potato, 1 small courgette and carrot. Prepare the pollock fillet.

Wash vegetables and cut into small cubes. Chop the fish too. Fold all the ingredients in foil, add a little salt and a drop vegetable oil. Bake in the oven at 180 degrees for at least 40 minutes.

Hearty meat casserole for dinner

Diet menu number 5 for pancreatitis should contain a sufficient amount of meat. For this dish, you need to take a glass of thin vermicelli, 200 g minced rabbit, 200 ml of water, 200 ml of milk, 2 eggs and salt.

Boil meat and vermicelli. Mix the finished ingredients with the rest of the ingredients, pour into a mold. It is better to pre-grease the mold with oil. Since all the components are already in finished form, the cooking time will be 20-25 minutes over medium heat.

Airy curd pudding with dried apricots

Recipes from the diet menu for pancreatitis for a week do not often allow you to cook something sweet. This dish conquers with a wonderful taste and low calorie content.

To cook it for yourself for an afternoon snack, you will need 300 g of cottage cheese, 100 g of dried apricots, 1 tbsp. l. sugar, 1 tbsp. l. vegetable oil.

Mix all the ingredients, pour the prepared dough into a mold and put in the oven for 30 minutes.

Note. When choosing between chicken and turkey meat, you should vote in favor of the turkey, as it is better absorbed.

Pumpkin - hypoallergenic product, which is easily digestible and has no contraindications for pancreatitis

Thus, prepare a light and tasty dish not difficult at all. The most important thing is to forget about fried foods for the near future, otherwise an attack will develop again.

The best option is to cook dishes according to the recipes of the 5 p diet for pancreatitis for a week in a steam bath.