What to eat with pancreatin disease. Video: conversation with a doctor of science in surgical pancreatology. Allowed foods: pancreatitis

With an exacerbation of the disease, a person experiences severe pain in the abdomen, hyperactivation of enzymes occurs in his body, which become aggressive to environment: corrode the walls of blood vessels, digest the tissues of the pancreas, and if they are in the blood, they attack nearby organs. The disease often leads to a decrease in immunity, obesity, the risk of the formation of malignant tumors, so nutrition with pancreatitis is a permanent diet that enters a person’s life forever.

Therapeutic nutrition for chronic pancreatitis and cholecystitis

Pancreatitis is a problem with the pancreas, while cholecystitis is a disease of the gallbladder. According to the symptoms, these diseases are similar, and their diet is the same. Nutrition for pancreatitis or cholecystitis directly depends on the stage of the disease. At chronic disease the main objective that you need to achieve with nutrition is the rest of the pancreas and gallbladder, so the diet provides complete failure from:

• alcohol.
• Salty.
• Fried.
• Smoked.
• Acute.
• canned food.
• chocolate.
• Sausages.

When pancreatitis is in the chronic stage, doctors recommend the following dishes to the patient:

• meat, steamed fish;
• vegetarian first courses;
• cereals and stewed vegetables;
• fruits with minimal acidity;
• cottage cheese;
• mineral water without gas, jelly.

Proper nutrition in acute pancreatitis or exacerbation of chronic

With an exacerbation of the chronic form of cholecystitis or pancreatitis, fasting is indicated for the first two days. It is only allowed to drink about 200 ml of alkaline mineral water or rosehip broth 5-6 times a day. If the exacerbation is too strong, then drinking is prohibited, and nutrition is administered intravenously. Two days later on next week introduced special food with pancreatitis - diet number 5p, which includes several options. Approximate diet menu No. 5p:

1. First breakfast: steam omelette without yolks, oatmeal, which should be wiped, tea.
2. Second breakfast: low-fat cottage cheese, rosehip broth.
3. Lunch: boiled meat, rice soup, wheat rusk, fruit jelly.
4. Afternoon snack: baked apples.
5. Dinner: carrot soufflé steamed, boiled sea fish, tea.
6. Dinner two: rosehip broth.

Features of dietary nutrition after an attack

Diet is the main way to treat pancreatitis, therefore, after an attack, the patient takes tests to control pancreatic enzymes, and then, depending on their condition, the doctor prescribes diet food. As the enzymes decrease, the diet expands and already on the 3rd day it is allowed to eat 4 to 6 times a day in small portions so as not to provoke a new attack of pancreatitis and not to overload the pancreas. The photo shows where the pancreas is located:

What is shown after an attack?

• Boiled, baked, steamed food. Fish should be only low-fat varieties, such as sturgeon, carp, silver carp or catfish.
• From meat products choose not fatty varieties: chicken, rabbit, turkey, beef. Fatty meat is annoying abdominal cavity, causing pain.
• Drinking is not allowed strong tea, freshly squeezed juices, kefir. But juices must be diluted with water so as not to provoke a new attack.

Diet food after an attack of pancreatitis should be rich in proteins that the stomach needs, so doctors recommend introducing foods such as skim cheese, one egg in Week, hard cheese low Fat, mashed potatoes, compotes, low-fat milk, yoghurts. The diet should be a lot of greens, fresh vegetables, fruit, little sugar, salt. Such nutrition will allow the patient after an attack of pancreatitis to quickly enter the usual rhythm of life.

Baby food regimen for pancreatitis

Although it is generally accepted that pancreatitis is adult disease, children are ill or sick to them not less often. Gastroenterologists are sounding the alarm, increasingly with chronic pancreatitis kids go to the doctor. The nutrition of the child with dangerous diagnosis combines two main postulates: food should be warm, and feeding - in several doses. Nutrition should be sparing: you should reduce the amount of carbohydrates, and increase protein intake. It is desirable to give food to a child in a pureed form, especially during exacerbation of pancreatitis.

When sick, children should not be given:

• Fish, meat or mushroom broths.
• Canned food, marinades, spices.
• Fatty, spicy, fried, smoked.
• Fresh fruits, sorrel, juices, berries.
• Products containing elevated protein.
• Carbonated drinks.
• Strong coffee, tea.
• creamy, pasta.
• Fresh bread.

Children with pancreatitis are allowed:

• Low fat dairy products.
• Water diluted milk.
• Vegetable purees, soups.
• oatmeal, buckwheat porridge.
• Omelet, steamed cutlets.
• Lean fish, meat.

To avoid the development of this dangerous disease, as a measure to prevent the appearance of gastritis, a child should be taught from the first years of life to proper nutrition, to prevent overeating, to minimize the amount of sweets, soda, fast food, chips and other junk food. Regularly carry out the prevention of worms and observe correct mode nutrition. What should be the diet of the child so that he does not have problems with gallbladder, learn from Dr. Komarovsky from the video below:

Foods that can be included in the diet

With pancreatitis or cholecystitis in daily diet food should contain:

1. Carbohydrates, no more than 200 g.
2. Fats, not more than 60 g, proteins 150 g, of which vegetable - 30%, and animals - 70%.

The main factor in the development of these diseases is not proper nutrition, so the diet should be followed not for 3-4 months, but for the rest of your life, so as not to provoke more serious ailments. Meals should be fractional, that is, you need to eat every two or three hours in small portions. It is recommended to consume no more than 3 kg of food and at least 2 liters of water per day.

Right products not only weaken pancreatitis, transfer it to the stage of remission, but will also be an excellent measure to prevent its further development. Foods that doctors recommend to include in the diet for pancreatitis:

• Grape.
• Herbal decoctions.
• Steamed vegetables.
• Low fat dairy products.
• Non-acid fruits.
• Liquid cereals: oatmeal, buckwheat, semolina, rice.
• Steam omelets from egg whites.
• Baked pears and apples.
• Unrefined vegetable oil.
• natural yogurt without any additives, better cooked at home.
• Tomatoes.
• vegetable soups.
• Stale bread.
• Lean meat and fish.

Diet recipes for pancreatitis of the pancreas

If there is a certain fantasy and desire, then it is easy to follow proper nutrition with pancreatitis. Especially now when modern technologies made our life easier, and in stores to buy double boilers, yogurt makers, multicookers and other modern technology healthy eating is no longer a problem. For patients with chronic pancreatitis, delicious meat salads with vegetables, various puddings and soufflés are relevant. We offer you a couple of simple delicious recipes:

• Pumpkin porridge- a useful dish for pancreatitis.

To prepare it, you need to take a ripe, sweet pumpkin, cut off the peel, cut into large cubes and pour water in a saucepan so that it completely covers the vegetable. You should boil the pumpkin for about 20 minutes, and then add 7 tablespoons of washed rice, mix and cook until tender. Then in pumpkin- rice porridge add a glass of milk, bring to a boil. If you stir the porridge until smooth, it will come out very light and tasty dish.

• Cauliflower soup is a delicious dish for pancreatitis.

It will require a medium cauliflower, previously disassembled into inflorescences, which are mixed with chopped onions and carrots. Vegetables are boiled in water and milk, mixed 1:1 until cooked, and then whipped in a blender, salted a little, sprinkled with grated hard cheese. Our tender soup is ready! Be healthy!

With pancreatitis, very a large number of products can cause a sudden. Therefore, some patients have to radically change their diet and for a long time, and preferably forever, eliminate from it everything that cannot be eaten with pancreatitis.

Meat and fish

First of all, you need to give up smoked and fatty foods, including rich meat, fish and mushroom broths, since their digestion requires additional effort. Therefore, the meat of a pig, a goose and a duck should not be eaten by the sick either.
In addition, patients of gastroenterologists are prohibited from:

Moreover, with an exacerbation of pancreatitis, patients are forced to forget about all offal and red meat, and instead use dietary chicken, turkey or rabbit meat. At the same time, during cooking, you will have to limit yourself not large quantity salt as a seasoning, since all other spices and sauces are forbidden to patients.
Fatty fish should also not be on the table of patients, for example:

• sturgeon,
• salmon,
• salmon,
• trout,
• herring,
• mackerel,
• catfish,
• sprats.

In addition, it is worth leaving salted fish, caviar and canned fish until better times.

Fruit

Even among fruits there are those that do not benefit the sick pancreas.
It:

• dates,
• citrus,
• grape,
• cranberry,
• fig,
• avocado.

Dried apricots with pancreatitis can also be harmful, as it contains a lot of sugar. For its digestion, a lot of insulin is required, which is produced by the pancreas.

Vegetables

• white cabbage,
• radish,
• bow,
• radish,
• garlic,
• bell pepper,
• sorrel
• fuck,
• spinach.

Some doctors include tomatoes and cucumbers in this list, but most of them agree that they can be used in small quantities in the presence of pancreatitis, and the sensitivity of the pancreas to them is judged by the reaction of the body. At the same time, similar discussions center around the use of almost all other vegetables, except, perhaps, sauerkraut. Exactly sauerkraut with pancreatitis it is very rarely tolerated normally, usually it is poorly tolerated.

Tip: replace most forbidden vegetables for pancreatitis can pumpkin. It contains great amount valuable substances for the body, but you can eat it only in the absence of diabetes.

Highly heavy load mushrooms are created on the pancreas, and not only fried or pickled, but also boiled. Therefore, they must be completely eliminated from the diet. All types legumes also contraindicated in pancreatitis, as they lead to increased production of enzymes in the pancreas.

Conservation

Prohibited foods for pancreatitis are any canned and pickled vegetables. Therefore, all dishes that have been prepared with the addition of vinegar should not be present on the patient's table.

Bakery products and cereals

During exacerbations of chronic pancreatitis, consume fresh or Rye bread, buns or any other bakery products are not allowed. Replace them with yesterday's bread, crackers and biscuit cookies.
It is also not recommended to cook wheat and corn porridge, because they adversely affect the pancreas.

Beverages

Of course, you will have to give up alcohol in any case, since pancreatitis and alcohol are absolutely incompatible.
In addition, the category of prohibitions includes:

• Coffee,
• Cocoa,
• Carbonated drinks,
• Strong tea,
• Kvass,
• Fat milk.

Sweets

No matter how sad it may be, but all creams, cakes, pastries, even ice cream, glazed curds and chocolate are strictly forbidden to eat with pancreatitis, since they contain a lot of fats and carbohydrates. Moreover, most of the fats in finished confectionery products are represented by trans fats, which even healthy body cause significant harm.

Tip: patients are also advised to give up sugar and try to replace it. natural honey if health condition permits. Also, you can not eat anything that contains artificial preservatives, flavors or dyes, since such products will not do anything good for pancreatitis.

Thus, a pledge Get well soon is a complete rejection of any products that can maintain or increase inflammation, as well as irritate the mucous membranes of the pancreas. Read about the diet for inflammation of the pancreas.

Sharp girdle pains in the upper abdomen, radiating to the back, decreased pressure, palpitations, debilitating nausea and vomiting - all these are symptoms of inflammation of the pancreas, a serious disease, better known as pancreatitis. Pancreatic dysfunction is backfire, including the risk of developing diabetes and even cancer, so the problem cannot be ignored.

"Ambulance" for exacerbation of pancreatitis should be bed rest and complete rest, cold compresses on upper part abdomen, as well as a well-chosen diet that will allow an important organ digestive system temporarily not synthesize enzymes and "rest" a little. This will help the pancreas recover faster. normal functioning and return the patient to good health.

First stage

The main principle of catering in the early days of the "acute" period is a complete rejection of food. The patient is allowed to drink only mineral water without gas (to suppress the secretion of gastric juice), weak tea or weak rosehip broth. This will unload gastrointestinal tract and prevent the development of complications and progression of the inflammatory process.

Until the cause of the exacerbation is eliminated, the fasting period must be continued - often it takes 2-3 days to alleviate the condition. In particular severe cases a similar way of eating should be continued from a week to a month, but in such situations a person needs hospitalization and medical support.

Improvement period

With the improvement of the patient's condition, when the symptoms of the disease begin to fade, it is allowed to gradually replenish the diet certain products and drinks.

When choosing a menu, you need to consider several important points:

• you should adhere to the principle of fractional nutrition (eat in small portions 5-7 times a day at a clearly set time);
• do not force-feed the patient (it is better to slightly shift the time schedule for eating until appetite appears);
• at least important factor risk - overeating ( daily rate food (considering the liquid drunk) should not exceed 2.5 kg);
• food should be served warm or at room temperature;
• dishes can be boiled or steamed and must have a uniform consistency (can be rubbed in a blender);
• food should be fat-free to avoid functional stress of the pancreas;
• the number of calories can vary from 500-1000 kcal per day (depending on general condition patient and his physical activity).

The priority is mashed milk soups, liquid and semi-liquid cereals on the water, vegetable purees, jelly and compotes. In combination with drug treatment it is possible to achieve positive dynamics in the patient's condition as quickly as possible.

Stage of fading exacerbation of pancreatitis

With the removal of most of the symptoms of the disease, you can expand the scope of the diet. However, we must not forget that the diet should help unload the pancreas, as well as reduce gastric secretion. Food should also be taken in small portions with an interval of no more than 4 hours. In addition, during this period it is recommended to include the use of folic acid and vitamins A, B1, B2, B12, C, PP and K, but only after consulting a doctor.

The main menu should include:

• lean fish and boiled meat of chicken, rabbit, as well as veal and turkey;
• slimy soups and liquid cereals as a side dish (with the exception of millet and pearl barley);
• ground dried fruits soaked in water (with a minimum calorie content, they contain a lot of substances useful for normalizing the digestive tract);
• potatoes, beets, carrots, zucchini, pumpkin, cauliflower boiled, baked or mashed;
• egg whites;
• kefir and dietary cottage cheese;
• cracker.

As the main drinks, it is better to use mineral water (still) or unsweetened tea, as well as sweet compotes, jellies, kissels and freshly squeezed juices, diluted with water (in a ratio of 1: 1). You can gradually introduce fresh fruits and vegetables (except radishes, onions and garlic). The main thing is not to fill them vegetable oil, sour cream or mayonnaise. Bread is also allowed.

Advice! It is advisable to eat yesterday's bread, or dry the pieces of fresh bread in the oven before serving.

What to exclude from the diet

To avoid transition acute pancreatitis in chronic stage, it is necessary to make a list of food restrictions, avoiding foods that stimulate the active work of the pancreas, and taking into account individual intolerance.

From daily diet must be completely removed:

• oily meat food, lard and some types of fish (mullet, salmon, catfish, carp, halibut), as well as caviar;
• pork and mutton fat;
• Rye bread;
• meat by-products (sausages, rolls, sausages, sausages and so on) and smoked products;
• canned food, pickles, marinades;
• hot spices, spices and seasonings;
• some types of vegetables (radish, swede, radish, onion and garlic, as well as white cabbage, mushrooms and legumes with high content coarse fiber);
• sour fruits;
• orange, lemon, tangerine and other types of citrus fruits;
• candied fruit;
• condensed milk;
• glazed curds and fatty sour cream;
• carbonated and coffee drinks;
• chocolate products, cakes, pastries, biscuits, marmalade, caramel, lollipops and other sweets.

Advice! From fast food (fries, hot dogs), chips, crackers, salted nuts, it is better to give up forever to avoid exacerbations of the disease.

In addition, you should limit the use of alcohol (not only strong drinks, but also low-alcohol cocktails). Alcohol can provoke a spasm of the sphincter of Oddi (a valve device that ensures the movement of enzymes into the intestines and at the same time prevents digested food from escaping). After accepting the "hot" valve may not open in a timely manner, and digestive juice will be blocked in the ducts, which will cause acute attack and unpleasant consequences.

Approximate daily menu for exacerbation of pancreatitis

A strict diet is not a sentence. From permitted products, you can cook a lot of delicious and healthy meals. Before compiling balanced diet nutrition for every day, you need to consult a doctor and take into account all his recommendations. But if it is not possible to contact a specialist, it will help to facilitate this process. indicative menu, which contains all necessary products in allowable doses and the recommended time of admission.

Advice! Salt must not be added to food while cooking. It is allowed to add a little salt to food just before serving, but its volume should not exceed 10 g per day.

The body will need time to recover from an exacerbation, so it is advisable to follow a diet for pancreatitis for a long period (from 6 to 12 months), strictly adhering to all the recommendations and advice of a doctor.

Dishes for pancreatitis

An attack of pancreatitis should not become an obstacle to positive emotions. And if the pain subsided, you can please the patient with mouth-watering delicacies prepared strictly within the framework of allowable norms and announced diet.

To do this, you will need a few simple and interesting recipes.

1. Tender chicken souffle (mix boiled poultry meat with protein and cook in a steamed form. If desired, chicken can be replaced with veal).
2. Appetizing pasta casserole (take 30 g of pasta, cottage cheese and milk; grind cottage cheese with boiled pasta; beat ¼ eggs with milk; mix everything, add sugar to taste, put in a mold and bake).
3. Strawberry dessert (mix 1 whipped protein with powdered sugar and vanilla; scoop with a spoon and dip into boiling water, forming balls; decorate them with thick strawberry jelly poured into glasses).
4. Zrazy from pike perch fillet (400 g of fish fillet pass through a meat grinder; soak 100 g of a white loaf in 0.5 tbsp. Milk, squeeze, grind and add whipped protein; mix everything into a homogeneous mass, lightly salt; use a spoon to form zrazy and lower in boiling water for 15-20 minutes).

Using the list of allowed and prohibited foods, you can replenish the piggy bank of recipes with your own finds. Thanks to culinary experiments, the patient can not only satisfy his appetite, but also get a lot of positive emotions, which is important for the successful outcome of the course of treatment.

Conclusion

Diet is the basis of the complex treatment of pancreatitis, and strict adherence to it allows you to quickly cope with the disease. The slightest deviation from the chosen course can negatively affect the result of therapy, because each exacerbation leads to the appearance of connective scars in the areas of inflammation, so there is less and less glandular tissue that normally performs its function in the pancreas. As a result, the production of enzymes decreases, and digestive processes are disturbed.

In addition to dietary restrictions, the success of rehabilitation largely depends on the patient's lifestyle, reasonable physical activity and refusal to bad habits. This will positively affect not only the activity of the pancreas, but also the work of all body functions, and most importantly, it will help to avoid repeated attacks.

Take care of yourself and be healthy!

Video - Treatment and diet for pancreatitis

Video - What can you eat with pancreatitis

Then under No. 1 is always listed: table 5p. What diet table 5p and what they eat with it, we will tell in this article.

What can you eat?

I must say right away that this diet is not forever. It is therapeutic, it is prescribed for a period of exacerbation, but since the pancreas restores its functions for quite a long time, it has to be adhered to for at least one and a half months.

So, you should eat often, 5-6 times a day, and little by little.

About what you can and should eat with pancreatitis:

• Lean meat: boiled or minced - steam cutlets, meatballs, soufflé. Allowed: lean beef, veal, turkey, chicken, rabbit meat
• Fish: boiled or steam, lean varieties (such as cod, pollock, flounder, pike or pike perch), for a change - in the form of cutlets, also steam.
• Cereals: buckwheat, oatmeal, rice, semolina. Porridges are boiled in water or water with milk in a ratio of 1:1. Barley and millet groats - not the best option; barley or corn porridge can be cooked occasionally.
• Pasta: without sauce, it is permissible to add a spoonful of olive or butter. Pasta fried in oil with onions and garlic does not belong to the 5th table!
• Milk: whole milk is usually not well tolerated and can provoke diarrhea and flatulence, but kefir, fermented baked milk, yogurt is what you need. You can eat cottage cheese, only the usual fat content - up to 9%, "village" options, with a fat content of 18% we will give to the enemy. You can make casseroles or lazy dumplings. Cheese is allowed - only mild (with a short aging period) varieties: feta cheese, Adyghe, mozzarella, Russian, Dutch, Kostroma, edam, gouda, tilsiter. Sour cream, if it is added to the soup, a tablespoon.
• Eggs: infrequently, soft-boiled or in the form of an omelet.
• Vegetables: potatoes, carrots, beets, pumpkin, zucchini, cauliflower, green pea- only boiled or baked, even better - mashed, in the form of mashed potatoes, casseroles or vegetarian soups. White cabbage and tomatoes (also boiled) are not prohibited, but limited.
• Fruits: baked or in the form of compotes and jelly, fruit purees from soft sweet fruits, such as apricots, are acceptable (suitable children food- one jar of fruit puree at a time is enough), you can melon and watermelon - but without fanaticism, one or two pieces will be enough.
• Bread: white and slightly dried, biscuits lean and unsweetened, such as "Maria".
• Sweets: jelly (prepared on its own, not diluted from the package, where the main part of the ingredients is dyes and flavors), mousses; marshmallows and marshmallows - very little.
• Beverages: mineral water without gas, for example "Elbrus" or "Ice Pearl", weak tea, kissels and compotes, rosehip broth.

What can't be eaten?

And the use of the following products should be avoided:

• Meat: Fatty varieties such as pork, goose, duck, lamb; fried meat (including meatballs), shish kebabs, meat delicacies, sausages and offal, canned food, including stew; rich broths and jellies.
• Fish: fatty varieties (salmon and sturgeon, herring and mackerel, Caspian sprat, eel, catfish), smoked and salted fish, caviar, canned food.
• Dairy products: fatty varieties of cottage cheese and a variety of "curds", especially glazed ones! Sharp and smoked cheeses.
• Eggs: scrambled or hard boiled.
• Vegetables: turnip, radish, radish, horseradish, garlic, raw onion, lettuce, spinach and sorrel, Bell pepper, beans and beans, mushrooms - in any form. All other vegetables can not be raw. For example, a salad made from boiled carrots is possible, from raw - no.
• Fruits: raw, not pureed, especially acidic (for example, oranges and cranberries), as well as too sweet - figs, dates, grapes.
• Sweets: rolls, cakes, ice cream and chocolate, nuts.
• Drinks: carbonated, including kvass; strong tea, cocoa and coffee.

Is it possible to drink with pancreatitis?

No. You can not drink alcohol with pancreatitis. Vodka, rum, liquor, champagne, beer or wine - it doesn't matter: every drink of alcohol is a reason for aggravation.

Most dangerous option development of events - pancreatic necrosis, the probability of death in which reaches 70-80%.

Is it possible to honey with pancreatitis?

Honey for pancreatitis therapeutic effect does not render. And if there is a breach endocrine function, then any simple carbohydrates (sugar, honey, jam) should simply be excluded.

But without exacerbation, as a sweetener for tea or porridge, honey can be used.

Is it possible to eat shrimp with pancreatitis?

Since shrimp and mollusks contain a lot of protein, and, on the contrary, there are few fats and carbohydrates, most gastroenterologists do not mind using them in the diet of a patient with chronic pancreatitis - of course, boiled, not fried.

Is it possible to eat sushi with pancreatitis?

Since sushi is used raw fish, pickled vegetables, spicy seasonings (wasabi), then the answer is definitely no.

Do I need to follow a diet during remission?

During the period of remission, it is probably not worth returning to the use of the most odious foods - smoked meats, marinades, cream cakes and meat with a fried crust. Reasonable restrictions are better than frequent exacerbations, right?

Which doctor to contact

Pancreatitis is treated by a therapist, a gastroenterologist. Questions medical nutrition with this disease, it will be useful to discuss with a dietitian.

Video version of the article

Tips from a gastroenterologist for the prevention of diseases of the gastrointestinal tract:

Pancreatitis is a fairly common disease that can be successfully treated, the main thing is to arm yourself with the necessary knowledge about what is useful and what leads to a deterioration in the condition. Significant assistance in the treatment is provided by a specially selected diet for pancreatic pancreatitis.

What is impossible, and what is vice versa, is very useful to use, in what quantities and under what conditions, as well as other important information can be found in this article.

What is pancreatitis

Pancreatitis is called disease state pancreas, in which its functions are impaired. The juice secreted by this organ begins to have a destructive effect on the gland itself, digesting its tissues. Quite an unpleasant and unsafe condition. It can occur in severe acute or more calm chronic form, and have different consequences, depending on the severity.

Pain in the abdomen is one of the first possible signs pancreatitis

The onset of problems with the pancreas, in the vast majority, is associated with excessive alcohol consumption, overeating, addiction to fatty, salty, smoked foods and unwillingness to follow a reasonable diet. At the same time, a person for a long time may not realize that he is sick with pancreatitis, and he can no longer lead his former lifestyle, but needs to take care of his health.

What factors influence the development of the disease:

• viruses and bacteria;
• fungal infection;
• pancreatic injury;
• helminth infection;
• infectious diseases;
• surgical intervention;
• disease of the gallbladder or its ducts;
• taking certain medications (furosemide, estrogens, etc.).

Attacks the disease through severe pain in the abdomen, in the stomach area, and with right side before spinal column. Such crises can last up to several hours, accompanied by nausea, vomiting, severe pain and general feeling unwell. Similar state needs urgent medical intervention to prevent complications.

What foods can and cannot be used for pancreatitis

The pancreas is designed to produce the so-called pancreatic juice, consisting of hormones and enzymes that are needed to break down proteins, fats, carbohydrates - everything that a person eats every day. If the synthesis of these substances is impaired, if there is inflammation and swelling of the duct, then fluid stagnation inevitably occurs, leading to disruption of the functioning of this organ.

What diet is indicated for pancreatic pancreatitis, what foods are allowed and what not to eat, you need to know - in order to maintain health. Dishes are selected in such a way as not to overload the inflamed gland. They should be nutritious, rich in protein, but easily digestible.

Approved Products

The following products may be allowed:

• Loaves or buns from wheat flour premium (fresh bread not recommended, yesterday's is better), crackers, unsalted crackers.
• First courses with vegetables such as zucchini, pumpkin, potatoes. Vegetables can be additionally wiped, cereals can be boiled to a puree state.
• Meat. All dietary varieties are suitable: rabbit, chicken or turkey. Before cooking, remove the skin from the meat, cut off all the skins and tendons and boil well. The meat is then minced into small pieces or into a pâté.
• Fish. Lean varieties are best, such as haddock, cod, blue whiting. You can cook fish soup or meatballs, pates, aspic.
• Porridge from the most common cereals, boil to a viscous state. Cooking porridge or casseroles skimmed milk or just on the water.
• Milk, fermented baked milk, varenets, cottage cheese and other similar products with low or zero fat content.
• Omelet cooked in a pan without the use of fresh chicken or quail eggs- no more than 2 times a week.

• Vegetables - baked without oil, boiled, baked or steamed.
• Fruit - any fruit that does not irritate the stomach in its natural form or baked.
• Oil without heat treatment can be added to already cooked dishes in small quantities (you can use both creamy and any vegetable).
• Liquids - mineral water without gas, weakly brewed tea, compotes, natural juices, half-diluted with water, infusions medicinal herbs with anti-inflammatory properties.

Prohibited Products

In order not to cause a sharp exacerbation of the condition, one should take into account what should be the diet for pancreatic pancreatitis.

What should not be eaten, what foods should be avoided - indicated in the list:

• Should refrain from sausages, fried meat and dishes from them, strong meat, mushroom and fish broths.
• Exclude cakes, pastries, waffles, pastries for the time of exacerbation.
• Do not eat fatty, salted or finished fish and canned fish.
• Cheese and sour cream should also be avoided.
• The use of pearl barley, barley and other coarse and indigestible cereals is not recommended.
• Any foods fried or stewed in oil are prohibited.
• Vegetables such as daikon, turnip, radish, radish, cabbage, pepper, onion, garlic contribute to the exacerbation of the disease.

• Ice cream, dark chocolate, jam or jams, figs, dried apricots, dates, prunes and other similar products should be forgotten during the illness.
• It is unacceptable to eat dishes with spicy spices, artificial colors, monosodium glutamate.

The temperature of the finished dishes is important - they should not be hot or too cold.

Use of spices, herbs and seasonings

Any spices improve the taste of the dish, make it more aromatic, however, if we are talking about the disease with pancreatitis, spices can adversely affect the patient's condition. You will have to abandon the use of mustard, vinegar, horseradish, garlic and onions. Any spicy seasonings can cause severe exacerbation. Even salt needs to be limited when using it in minimum quantity, and it is better to take the sea and add it to an already prepared dish - this way useful minerals will be preserved in it.

Doctors allow seasoning ready meals with cumin, basil, parsley, dill seeds. You can also use saffron and oregano. Vanillin can be added to desserts. Special place Turmeric is on the list of spices. This spice has antioxidant properties, contains very useful essential oils, improves digestion, has anti-inflammatory and anticancer effect.

Other beneficial substance- cinnamon. Helps normalize blood sugar, restores impaired digestion. Even the smallest amount of cinnamon added to food can increase glucose absorption by 20 times, which is truly invaluable for people with impaired carbohydrate tolerance.

Turmeric and cinnamon are good for pancreatitis and support the body

The use of cinnamon will have a positive effect on the well-being of any person suffering from inflammation of the pancreas.

The duration of the diet for pancreatitis

Let us consider in more detail the duration of the diet and what is impossible with pancreatic pancreatitis.

During an acute attack, it is recommended to refrain from eating for a period of 1 to 3 days.. Drink clean water or mineral water without gas in small portions. To mitigate the manifestations of the disease, cold is applied to the inflamed area. You can use a heating pad filled with ice water or ice.

In the acute stage, the patient must be provided with bed rest and complete rest, because. any noise, stress or nervous tension negatively affect the patient's condition.

Every day, without exacerbations, you should follow the diet recommended for pancreatic pancreatitis, taking into account what you can eat and what you can’t. Such a dietary course is usually recommended for a period of 3 weeks to a month.

During this period, you can eat the following dishes:

• soups on vegetable broth;
• viscous, boiled to a state of puree, slightly sweetened cereals;
• steamed vegetables, egg white omelet;
• not very strong tea, rosehip and dried fruit compote;
• freshly squeezed juices diluted halfway with water.

Further, at chronic course diseases, it is advisable to constantly apply a sparing diet. This is necessary to prevent acute conditions threatening serious consequences. Attentive attitude to this problem will avoid damage to organs such as the liver, stomach, intestines, whose activity is associated with the pancreas.

The consequences of a violation of the diet

It is important to remember that the diet prescribed for pancreatic pancreatitis should not be violated. The consequences can be very dangerous.

There is a risk of developing very adverse effects:

• stagnation of bile provokes jaundice;
• possible perforation and bleeding;
• the likelihood of a stomach ulcer is high;
• often there are diseases of the esophagus;
• the risk of getting hepatic hypertension;
• thrombosis of the portal or splenic vein;
• more likely to get pleurisy;
• duodenal disease;
• pancreatic tumors;
• the risk of developing diabetes.

An exemplary diet menu for pancreatic pancreatitis: recipes

cream soup

Ingredients:

• Processed cheese for soup - 1 pc.
• Broccoli sprouts - 200g
• Chicken breast - 150g
• Carrot - 100g
• Croutons - 1st l
• Salt to taste

Place chicken meat in a saucepan with water, salt to taste and cook until tender. Add carrots and broccoli - cook for about 20 more minutes. At the end, add melted or other non-spicy cheese to the dish, bring to a boil and let the soup brew. Whisk the soup in a blender, sprinkle with croutons when serving.

fish salad

Ingredients:

• 1 st. l. green peas
• 1 st. l. boiled carrots
• 1 st. l. low-fat cottage cheese
• fillet sea ​​fish– 60g
• boiled potatoes - 30g
• boiled beets - 30g

Cut the fish fillet and vegetables into small cubes, lightly salt, season with sour cream, garnish with herbs if desired - the dietary salad is ready.

Dietary cottage cheese and vermicelli casserole

Ingredients:

• vermicelli - 1 cup
• milk - half a cup
• cottage cheese - half a cup
• fresh egg - 1 pc.
• sugar - 1-2 tbsp
• salt - 0.5 tsp

Boil vermicelli, cool slightly, add cottage cheese, egg beaten with milk, sugar and salt, mix and place in a mold. Bake in the oven until golden brown.

Cereal and pumpkin porridge

Ingredients:

• Boiled pumpkin - 300g
• Boiled rice - 300g
• Milk - 200g
• Sugar - 5 tsp
• Salt - 1 tsp

Grind all the ingredients hot in a puree and beat a little - the porridge is ready.

Fruit cake

Ingredients:

• bananas - 2 pcs.
• peaches - 2 pcs.
• apple - 2 pcs.
• berries - a handful
• yogurt - 200g
• cookie
• gelatin

Dissolve gelatin in water according to package directions. Gradually add yogurt to the resulting jelly, mix until smooth. Put cookies on the bottom of the mold - this is the first layer, then a layer of jelly, the third layer is fruit puree. Next, lay out the jelly and fruit again. Top with another layer of cookies. Decorate the top of the cake with fruit circles and any berries. Place the cake in the refrigerator, after hardening you can eat.

Nutrition Features

The important thing is to follow the prescribed diet. Products and dishes with such a diagnosis are chosen very carefully. Products must be well cooked or steamed.. Rough food should be rubbed or chopped. Do not take hot or very chilled soups, cereals, drinks that irritate the stomach. To prevent gastric overflow, it is recommended to use fractional nutrition.

Important! Do not overload digestive tract, observing the consumption rate: fats - no more than 70-80g, carbohydrates - 350g, proteins - 60-100g. Eat food in small portions, slowly, slowly, chewing each bite.

Do not drink while eating

Since the liquid dilutes gastric juice impairing digestion.

You should completely abandon any salted, fried and smoked foods, exclude carbonated drinks. The use of alcohol is not allowed. Canned food is not useful for this disease. Cakes, muffins, sweets, spicy or spicy foods are strictly unacceptable for pancreatitis.

Meat broths are allowed in the stage of stable remission, only chicken or turkey broths, and the first broth must be drained. Before use, grind the meat in a blender to a paste-like state.

Symptoms of pancreatitis

Pancreatitis is a serious and sometimes life-threatening condition, so it's important to know the symptoms so you can get started right away. proper treatment. The earliest indicator of the disease is pain in the stomach area, on the right side under the ribs or girdle pain.

It can be aching, stabbing, throbbing, or some other character. Most often, pain occurs from too fatty, fried, salted, spicy or smoked foods. Pain can be so strong that they are not removed even by taking medications.

Other manifestations may be heartburn, belching, sharp rise temperature, stool disorder - diarrhea or constipation, while the feces often have an unnatural oily appearance. Severe vomiting or nausea may occur. From the side of the heart vascular system- violation of the rhythm of the heart, a feeling of lack of air.

What signs indicate pancreatitis:

• stool disorder;
• urge to vomit;
• strong fever;
• pain in the abdomen;
• girdle pain;
• pain in the stomach;
• distension in the abdomen;
• nausea or vomiting;
• sudden weight loss;
• heat;
• weakness, powerlessness.

Perhaps surgical treatment of pancreatitis or conservative. Important role in the treatment is compliance with the rules of nutrition. A diet for pancreatic pancreatitis, which is impossible during the course or exacerbation of the disease, and which, on the contrary, is recommended, will help in compiling the right diet, improve health and improve the quality of life.

What are the signs of pancreatitis? Learn about his treatment and diet from a useful video:

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