Let's figure out what you can eat with pancreatitis, and what is strictly forbidden, how to eat with pancreatitis, so that the pathology goes away and does not return.

With pancreatitis of the pancreas, the therapeutic diet limits many foods, while providing good nutrition. Although this seems to many to be a debilitating and unnecessary procedure, it is absolutely necessary to unload the digestive gland and direct all its resources to recovery.

How exacerbation of the disease affects nutrition

From the first attack until the onset of remission, the diet is mandatory. On the first day of the disease, complete fasting is required, any food should be excluded.

The diet is restored gradually, in 3-4 days, only if signs of improvement are obvious. First of all, fats and salt are limited. Daily calorie content should not exceed 1000 kcal. Meals - at least 6 times from 8:00 to 18:00. Only authorized products are allowed.

Nutrition in the acute stage

As soon as the first symptoms of inflammation of the pancreas appear, it should be unloaded. First, there must be complete hunger. With severe pain, patients are admitted to the hospital. In the absence of medical care, the condition of patients deteriorates rapidly.

Initially in the hospital, vitality is maintained by intravenous infusions of glucose and essential nutrients. A plentiful drink of non-carbonated mineral water or rosehip broth is prescribed. After 3-5 days from the onset of an attack with pancreatitis, you can consume liquid or mashed food.

Until the condition stabilizes, everything spicy, fatty, pickled and sour is excluded from the menu. Under the ban - flour products, eggs, alcohol in any concentration, cocoa, coffee drinks, whole milk.

Nutrition for chronic patients

The main condition for successful therapy in exacerbation of pancreatitis is 100% unloading of digestion, i.e. hunger. Therefore, the answer to those asking “what can you eat during an attack of pancreatitis” is one - nothing! In the future, after stopping the process, the daily ration is divided into at least 6 meals, including the easiest foods for digestion. Calorie content is controlled, taking into account the fact that a person, lying in a hospital, spends little energy.

The main focus is on lean meats:

• poultry (chicken, quail, turkey);
• beef;
• rabbit meat.

Eggs cannot be eaten, but their addition to various dishes is allowed. Lean fish is fine. A little milk is permissible only in cereals. At the onset of remission, fermented milk products are introduced.

The main cooking method is boiling and steaming. Fried food is completely excluded. Neutral fruits, vegetables, light cereals, kissels, tea, compotes are allowed.

After stabilization of the condition, you can try new products, spoon by spoon. If there is no negative reaction to them, then the dosage is gradually increased. If the product is not suitable, then the body reacts with belching and nausea.

What to eat with an inflamed pancreas?

If the gland is damaged, the patient must make a menu from what the doctor will allow him to use and a menu from any other diet, for example, from, will not work here. Any self-treatment and amateur nutrition can seriously complicate the situation. It is difficult to follow a therapeutic diet, especially for a long period, and even more so for a lifetime. In order to always control your diet, it is better for sick people to make a list of permitted and prohibited items, and keep it always at hand. Remember that it is impossible to cure pancreatitis without severe food restrictions.

Permissible vegetables

So that digestion does not reboot, all vegetables need to be thermally processed. The best way is to boil or steam. Foods suitable for pancreatitis are stewed and baked. Puree soups - exclusively on vegetable broths. Suitable vegetables:

• table beets;
• carrot;
• zucchini;
• cauliflower.

After the condition improves, you can gradually introduce white cabbage and tomatoes. They must also be heat treated.

Forbidden vegetables

• eggplant (blue);
• onion;
• radish;
• turnip;
• garlic.

Eggplants are considered dangerous because of the solanine in the overripe fruit. Radishes and other cruciferous vegetables irritate and exacerbate chronic pancreatitis. Bulgarian pepper contains a lot of ascorbic acid and other bioactive substances, so it is not allowed if acute pancreatitis has developed.

Fruit and berry diet

In the acute phase, you can:

• non-sour apples, better baked;
• bananas;
• pears.

Allowed in remission:

• avocado;
• cowberry;
• grape;
• Garnet;
• melon - 1 slice per day;
• papaya;
• plum;
• persimmon;
• cherries.

Currant, gooseberry, lingonberry, blueberry compotes and mousses are also allowed in remission.

Unripe fruits and berries are prohibited. Rosehip decoction is very useful, rich in vitamin C, antioxidants and other bioactive substances that help strengthen the immune system.

meat ingredients

With pancreatitis, not all meat is allowed, because. it is hard to digest, contains many substances that stimulate the release of digestive enzymes from the pancreas. Only lean varieties are allowed.

The meat must be thoroughly cleaned of skin with bones, tendons with cartilage, fat deposits. On the basis of lean meat, it is allowed to cook any traditional dishes. Is it possible to eat barbecue with pancreatitis? The answer is unequivocal - it is impossible!

Under the absolute taboo with pancreatitis, fatty broths, pork, duck. Breaking the diet and eating barbecue, for example, can lead to a sad (even fatal) outcome.

allowed fish

Fundamentally with pancreatitis - avoid fat. If the percentage of fat content in food (including fish) exceeds 8%, then the stomach immediately begins to hurt, vomiting and upset stools occur.

Fish can be eaten, but lean:

• flounder;
• mackerel;
• pollock;
• burbot;
• perch;
• haddock;
• herring;
• cod;
• Pike.

Medium oily (8%) fish include:

• pink salmon;
• carp;
• chum salmon;
• capelin;
• burbot;
• tuna.

Not allowed:

• sushi;
• canned food;
• dried and smoked fish;
• products with fish caviar.

Steam cutlets and fish casseroles are good, or it is served boiled.

What to choose from dairy products

Sour-milk products (kefir, cottage cheese) with reduced fat content are indispensable. Raw cow's milk is forbidden, however, you can cook liquid cereals, puddings, omelettes, mashed potatoes on it. Also, milk can be added little by little to tea.

Instead of cow's milk, it is better to use goat's milk, it is beneficial for the pancreas, rich in minerals and macronutrients. But it should be boiled before use.

At a minimum, you can add butter. It is better to refuse store-bought yogurts. They are crammed with dyes, thickeners, flavors and other chemical additives. Also contraindicated:

• hard cheese;
• ice cream;
• condensed milk;
• any products with preservatives and other chemical additives.

Cereals, cereals

Allowed buckwheat, oatmeal and viscous rice. Millet, barley (whole and crushed), corn and legumes are too hard to digest, therefore they are banned.

Porridge with pancreatitis is changed, so the body can absorb more different nutrients. Traditionally, with an exacerbation of chronic pancreatitis, oatmeal is used, it is the easiest. Oatmeal jelly is allowed to be drunk even on days of famine, when other food is prohibited.

Is it possible sweets?

Many people love sweets. How to satisfy such desires with pancreatitis? When the condition improves, you can gradually include sweets in the diet, only cooked with your own hands. Forbidden:

• alcohol;
• chocolate;
• condensed milk;
• citric acid and vinegar;
• creams.

little by little allowed:

• homemade jam;
• marshmallows;
• muses;
• souffle;
• jelly;
• paste;
• shortbread;
• sweets "Korovka".

The main thing is not to overdose on sweet foods, include them in the diet little by little.

spices

In most dishes, it is better not to use them. This even applies to onions. Hot peppers are strictly prohibited. However, food can be safely flavored with scented herbs.

Herbs, in addition to essential oils, also include vitamins and minerals and have an anti-inflammatory effect. You can add a little vanillin or cinnamon to cereals and confectionery.

Allowed drinks

You can drink tea, up to 1 liter / day. It is better to choose green tea. You can also drink rosehip broth, fruit drinks and jelly, dill water, juices from apples and pumpkins diluted with bottled water, non-carbonated mineral water.

Concentrated juices, coffee, kvass, any soda are prohibited. Alcohol in any dose is prohibited, incl. - in remission.

What is forbidden and what is fraught with a violation of the diet

You can't change your diet on your own! What is allowed and what cannot be eaten with pancreatitis is determined only by the doctor. If you need to change your diet, always consult your doctor. Products are not just forbidden, but because of their poor digestibility, tk. they overload the pancreas.

Completely exclude pickled, fried, fatty, smoked dishes, spicy seasonings.

When the diet is disrupted, serious complications appear: various organ damage, bleeding, jaundice, thromboembolism, and tumors. Possible death.

initial stage

In acute inflammation, the symptoms of the disease are most pronounced: Abdominal pain, excessive gas formation, vomiting.

During the period of exacerbation of pancreatitis, the most important condition for treatment is to reduce the load on the gland, which it experiences when digesting food. The best result is achieved only when fasting. Until 3 days, therapeutic fasting should continue, but at this time, plenty of drinking is indicated.

Since carbonated drinks are prohibited, it is best to give alkaline mineral water without gas. In small doses, you can drink a rosehip decoction. During this most crucial period, the patient should be under medical supervision.

Improvement stage

The next stage is the improvement of the condition, it is characterized by a decrease in pain, normalization of body temperature, cessation of vomiting and nausea. Flatulence becomes less pronounced. At this stage of the disease, normal nutrition begins to be restored, but with a number of restrictions according to the therapeutic diet.

The diet is divided into 7-8 receptions. On the first day of the stabilization of the condition, the patient can eat pureed, slimy food. Gradually, spoon by spoon, new products are found.

The daily caloric content of dishes should not exceed 800 kilocalories, it should be increased gradually. If the patient has no appetite, it is impossible to force him to eat, except to offer food in a spoonful. The drinking regimen must be strictly observed, the patient should drink 2 (or more) liters of water per day.

Food should be exclusively boiled or steamed. The consistency of food is allowed only liquid and semi-liquid. Protein food (scrambled eggs, minced meat) is administered no earlier than on the 4th day of the remission stage.

What kind of meat can be eaten with pancreatitis, we figured it out, but it, like fish, should be finely chopped, in the form of minced meat. On meat broths - a ban.

Recovery

The third stage of pancreatitis is recovery. All symptoms of the disease are stopped. What can patients with pancreatitis eat with the advent of recovery? The diet can be expanded at the expense of vegetables and fruits, add new food. The basis is the officially adopted 5p diet.

Its principles include: the division of food into prohibited and permitted, strict adherence to food preparation technology and adherence to rules that help prevent the aggravation of the inflammatory process.

Nutrition features include:

1. Meat with fish - only in chopped form.
2. Cold and hot are excluded, food and drinks should be warm, maximum 50 degrees.
3. The weight limit for one serving of food is 300 grams.
4. Fractional, 5-6 times, food.
5. The diet contains low-fat dairy products.
6. Vegetables / fruits are consumed only stewed or baked.

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Pancreas

If a person is healthy and happy, there is no reason to remember that a very important organ functions in his body - pancreas. It is located behind the stomach, closely adjacent to the duodenum, between them and the spine, transversely at the level of the bodies of I-II lumbar vertebrae. The pancreas of an adult has a length of 14-22 cm, a width of 3-9 cm, a thickness of 2-3 cm, and a mass of about 70-80 g. Why is this gland so hidden in the body ?!

Already in the Talmud there is a description pancreas, where it is called the "finger of God". Vesalius in 1543 writes about the pancreas: “in the center of the mesentery, there is a large glandular formation that reliably supports the very first and significant branching of the vessels.”

The pancreas is an essential part of the digestive process. it secretes the main enzymes for the digestion of fats, proteins and carbohydrates: pancreatic lipase y, amylase y, trypsin and chymotrypsin. The main pancreatic secret - ductal cells - contains bicarbonate ions involved in the neutralization of acidic gastric contents. The main excretory duct, which opens into the duodenum, receives the secret of the pancreas, which accumulates in the interlobular ducts. Enzymes are secreted in an inactive form, this prevents enzymatic damage to the pancreas, which can be observed in pancreatitis e. In response to the secretion of pancreatic juice, the cells of the stomach and duodenum produce active substances of a hormonal nature - gastrin, cholecystokinin and secretin, which ensures hormonal regulation exocrine function of the pancreas.

Islet cells - islets of Langerhans, located between the lobules, function as endocrine glands, secreting directly into the bloodstream glucagon and insulin - hormones that regulate carbohydrate metabolism. Glucagon raises and insulin lowers blood glucose levels.

Reasons for the development of pancreatitis: frequent consumption of spicy, fried, fatty foods, overeating, alcohol abuse, neuropsychic overexcitation, past viral infections and intoxications.

The most important symptom of pancreatitis are burning pains in the upper abdomen, in the left hypochondrium, sometimes with irradiation to the region of the heart, to the spine, which can last from several hours to several days.

Seizures are characterized by strong pain, loss of appetite, weakness, belching, flatulence, rumbling in the abdomen. Nausea, vomiting often join, there may be a decrease in temperature, trembling in the body. Long-lasting diarrhea even with proper nutrition. A mushy stool with undigested food particles, may have a frothy texture with an unpleasant odor. The patient can very sharply lose weight. This type of pancreatitis in some cases leads to the development of diabetes.

Treatment most often acute pancreatitis in hospital, because with severe pain, loss of consciousness or a state of shock may develop. Chronic pancreatitis requires long-term complex treatment and medical supervision.

Diet for pancreatitis

After an acute attack or exacerbation of chronic pancreatitis, first 3-4 days- need strict observance of complete hunger, you can use only mineral water without gas. Diet nutrition begins not earlier than the fourth day. In medical institutions, they are prescribed, according to the general, accepted method diet for pancreatitis – diet number 5.

At the heart of the diet:

• eat small meals 5-6 times a day, excluding snacks;
• refuse all products that enhance acid formation in the stomach;
• do not eat food that provokes the active work of gland enzymes;
• eat dishes prepared according to the principle of "careful processing" and "reducing the mechanical impact" on the digestive organs;
• products need to be steamed or boiled;
• eat food in pureed or crushed form;
• any kind of oils - butter or vegetable - add to ready meals.

The oil is added cold, avoiding its heat treatment, roasting, because substances that are harmful to the pancreas and gallbladder are formed. It is necessary to exclude the consumption of products after frying, grilling, smoking, tarring;

• diet should be accompanied by plenty of fluids. Inflammation of the pancreas is accompanied by water and electrolyte disturbances, large losses of water in the body.

Allowed to eat:

• vegetables (boiled, steamed or stewed) - zucchini, carrots, pumpkin;
• from soups: only vegetables (except cabbage soup, borscht - do not use white cabbage, onion, garlic); in the absence of exacerbation, you can - soups on a secondary meat broth;
• lean meat, poultry or fish (boiled or steamed);
• boiled noodles or vermicelli;
• cereals (boiled on water) - from oatmeal, rice, buckwheat, except for millet;
• scrambled eggs, cottage cheese casseroles (steam);
• from drinks, you can: weak tea, compote, jelly.

Products prohibited for consumption:

• all sour, spicy and fatty foods;
• canned foods and pickles;
• hot spices and seasonings;
• fatty meat broths;
• meat by-products (sausage, frankfurters, sausages, etc.), smoked meats;
• fatty fish (catfish, halibut, salmon, carp, mullet), caviar;
• lamb and pork fat;
• yogurts, glazed curds and fat sour cream;
• from vegetables: turnip, radish, spinach, radish, sorrel.
• from fruits: citrus and sour;
• rye bread, cakes, cakes, caramel, chocolate and chocolates;
• french fries, cheeseburgers, hot dogs, chips, kirieshki, nuts, etc.
• from drinks: strong tea, cocoa, coffee, kvass, carbonated drinks;
• any alcoholic drinks, including low-alcohol cocktails.

After an exacerbation of the disease, it is recommended to follow a diet for at least 8 to 9 months. And then proper nutrition for life. Diet for chronic pancreatitis- This is a certain food culture that enters a person's life for a long time. Because even small deviations from the usual diet can put an additional burden on the function. pancreas and cause seizures pancreatitis.

The waste products of beneficial bacteria, their bacterial enzymes, can help and improve digestion processes. It can be taken for a long time to improve the absorption of nutrients and reduce the load on the pancreas, functional nutrition - Harmony of Life. The product contains live lacto - bifidobacteria, products of their vital activity with nutritional, protective mechanisms of action on mucous membranes, pectin, which reduces fermentation processes, gas formation, and most importantly, there are no cow's milk proteins and milk sugar, which is contraindicated in violation of the pancreas function.

Dislike 2+

In diseases of the pancreas, adherence to a diet based on alkaline-forming products is an integral part of the treatment, and in chronic forms, the basis of nutrition for a long time. The menu for pancreatitis should include a large number of vegetables and fruits, foods high in protein, such as lean meats and fish, dairy products, eggs. Doctors recommend eliminating fats, spicy, sour and fried foods, foods high in carbohydrates from the diet.

Features for every day

In the chronic form of pancreatitis, dietary nutrition provides for at least 5 meals a day. Patients should completely abandon alcohol, confectionery and pastries with a lot of sugar, significantly reduce the proportion of fat consumed. Breakfast, lunch and dinner with pancreatitis should consist of boiled or steamed dishes, occasionally grilled vegetables, meat or fish can be served. For second breakfast and afternoon snack, you can eat vegetable or fruit salad, yogurt, cottage cheese, vegetable casserole, porridge.

In acute pancreatitis, to relieve inflammation, it is recommended to refrain from solid food for several days, drinking several glasses of rosehip broth or alkaline non-carbonated mineral water per day. On the 3-4th day after an attack of pancreatitis, you can eat food mashed or chopped in a blender without fat and salt - carrot or potato puree, vegetable puree soups, fish soufflé and more.

The general practitioner should familiarize patients with pancreatitis with recommendations regarding nutrition. The diet must be followed until the symptoms disappear completely.

But even after the state of health improves, it should be remembered that the use of harmful foods can cause another exacerbation of pancreatitis.

For a week

A sample menu for a week will help people with pancreatitis diversify their diet. It is designed for 5 meals: 1 and 2 breakfast, lunch, afternoon tea and dinner. Try to eat at the same time every day and don't skip meals.

Monday

1. Oatmeal with boiled chicken breast, toast and rosehip broth.
2. Yogurt, baked apples.
3. Vegetable soup, baked fish fillet with stewed zucchini, juice.
4. Cottage cheese casserole, jelly.
5. Mashed potatoes with baked vegetables, dried fruit compote.

Tuesday

1. Hard boiled egg, biscuit biscuits, tea without sugar. Patients with pancreatitis can replace sugar with a sweetener.
2. Non-acid fruits (peaches, apricots, melon), yogurt.
3. Rice soup, buckwheat with steamed meatballs, tea.
4. Fish soufflé, a slice of bread with bran, dried fruit compote.
5. Vermicelli casserole with cottage cheese, a glass of milk.

Wednesday

1. Semolina porridge with dried apricots, fruit juice.
2. Protein snowballs with sweet fruit sauce, compote.
3. Chicken soup, baked pumpkin, boiled meat, herbal tea.
4. Pasta with bechamel sauce, carrot salad.
5. Meat pudding, boiled vegetables, tea.

Thursday

1. Protein omelet, black bread, coffee without sugar.
2. Cottage cheese with fresh fruit, tea.
3. Milk soup, grilled fish, vegetable stew, tomato juice.
4. Biscuits, cheese, rosehip broth.
5. Salad of boiled beets, carrots and potatoes, steam turkey meatballs, skimmed milk.

Friday

1. Rice porridge, dried fruits, tea.
2. Cottage cheese pudding, poppy seed bun, a glass of low-fat kefir.
3. Cheese soup with vegetables, steamed meatballs, carrot salad with a little olive oil, mineral water.
4. Casserole with vermicelli and fruit, jelly.
5. Fish dumplings, baked zucchini, rosehip broth.

Saturday

1. Omelet, a piece of stale bread, tea.
2. Mashed potatoes, boiled beef, compote.
3. Puree soup in a weak meat broth, fish baked in foil, vegetable salad, fruit juice.
4. Meat pudding, tea.
5. Rice milk porridge, jelly.

Sunday

1. Oatmeal with honey, fruits, coffee with milk.
2. Omelet, biscuits, tea.
3. Buckwheat soup, steamed vegetables and chicken breast, rosehip broth.
4. Meatloaf, vegetable puree, a glass of kefir.
5. Pasta, stewed cauliflower, jelly.

Features of the menu for pancreatitis for children

Children with pancreatitis should strictly adhere to a special diet. Their diet should include milk porridge and light vegetable soups, fish and meat meatballs or steamed meatballs, low-fat fermented milk products, boiled chicken meat, vegetables, and non-acidic fruits.

With an exacerbation of pancreatitis, children, like adults, refrain from eating for 1-2 days. They are only allowed to drink warm rosehip broth and slightly alkaline mineral water. With the weakening of the symptoms of pancreatitis, the menu is allowed to introduce liquid cereals with milk, vegetable puree, compote, light soups, protein omelet and steam cutlets.

After 7-10 days, the children's diet can be expanded: casseroles, fish meatballs, cottage cheese with fruit puree are prepared for them. With positive dynamics of pancreatitis after 3-4 weeks, children can eat low-fat cheeses, boiled lean meat and fish, pasta, cereals, baked and stewed vegetables, hard-boiled eggs.

To ensure normal digestion with pancreatitis, all food should be chopped, warm, without spices, with a small amount of salt.

When introducing permitted dishes into the diet, you need to observe the child and, if bloating, nausea, diarrhea appear, which are signs of pancreatitis, immediately abandon them.

Compliance with the diet during exacerbation of chronic pancreatitis with the help of proper nutrition.

Pancreatitis is a condition in which the pancreas becomes inflamed. This condition is characterized by the fact that its own enzymes do not enter the duodenum, but remain in the pancreas and begin self-destruction processes. With chronic pancreatitis of the pancreas. patients are on a diet.

Enzymes and poisons of toxic origin often enter the bloodstream and can cause harm to the body. The natural work of the gland is the production of insulin and other hormones, as well as the production of pancreatic juice, which is responsible for digestion. That is why it is important to eat right, as well as to comply with the necessary conditions to alleviate the condition.

Classification of pancreatitis

Pancreatitis has different descriptions, there are divisions of the disease according to etymology, the period of the course or the place of localization.

Biliary
At the heart of biliary pancreatitis are problems associated with. Bile and pancreatic juice enter the ducts of the pancreas, so there is a violation of its functions.

Processes can result in:

• jaundice;
• diabetes;
• biliary colic;
• weight loss.

This species develops as a result of cholelithiasis or with an anomaly in the structure of the biliary tract, which is less common. Biliary pancreatitis can be diagnosed using clinical tests, as well as methods of radiation diagnostics. Treatment begins with the removal of pain, the use of courses of antibiotics, the correction of the functions of the digestive organs.

Reactive
Reactive pancreatitis is called, which develops against the background of a primary ailment, which means that it is a concomitant symptom. It can be provoked by:

• regular disturbances in the nutrition system;
• bad habits;
• excessive use of alcohol (alcoholism);
• abdominal injuries that lead to tissue rupture.

Symptoms of this condition are a sharp sharp pain above the navel, nausea, vomiting, fever, lack of appetite.

Gotta remember that with pancreatitis, alcohol intake should be excluded.

Diagnosis is carried out using blood tests, urine, computer diagnostics, magnetic resonance imaging. Treatment begins with the removal of intoxication, the removal of pain, then the patient receives complex therapy.

destructive
A quarter of cases of development of the acute period is destructive.
Destructive pancreatitis can be diagnosed by three signs: sharp pain, vomiting, increased flatulence. The body reacts especially sharply to the intake of fatty foods, because it cannot digest it.

Important! Self-medication is dangerous.

Treatment begins only in stationary conditions. First of all, gastric lavage is carried out, an excess of enzymes that have entered the blood is eliminated. If the methods are ineffective, surgical intervention is possible

pseudotumorous
The basis of this type of disease is the process of proliferation of connective tissue, the appearance of cysts that prevent the natural outflow of gastric juice. These formations can look like a tumor, so the prefix “pseudo” is present in the name. It is manifested by pain, constipation, nausea, turning into vomiting.

Diagnosis is possible with the help of blood tests, urine tests, as well as with ultrasound. Surgical intervention is used for treatment, the rehabilitation course includes many restrictions.

Causes of acute pancreatitis

All varieties of the disease have one characteristic feature - inflammation of the pancreas. The causes of occurrence can be divided into 2 groups. The first group includes reasons that depend on a person's lifestyle. The second can be attributed to the causes associated with other diseases.

The first group of reasons:

• eating fried, spicy, unhealthy food;
• alcohol, tobacco smoking in excessive quantities;
• irregular, malnutrition.

The second group of reasons:

• diseases of the biliary tract;
• trauma to the pancreas or neighboring organs;
• diseases of a viral or bacterial nature;
• congenital anomalies;
• genetic pathologies;
• the impact on the organs of the use of high doses of medications;
• endocrine problems.

Symptoms of the disease

Often, symptoms appear after ingestion of unhealthy foods, alcohol, or medications. Acute pancreatitis may begin with seizures.

1. Pain syndrome. Regular pain that appears in the region of the central part of the abdomen. Depending on the type and stage of the disease, it can radiate to the hypochondrium or pelvic area. Has a paroxysmal character, often relief comes when the patient sits down.
2. Nausea, vomiting, or constipation.
3. When body temperature may rise, with purulent formations, the indicator rises to 39 or 40.
4. Lack of interest in food, loss of appetite.
5. The skin becomes icteric.

Nutrition for patients should be thought out taking into account the characteristics of the disease. Food should be healthy, nutritious, balanced.

Prohibited Products	Approved Products
Soups: on meat, mushroom broths.	In vegetable broth.
White bread, flour, pastries.	Toasted bread, crackers, low sugar cookies.
Meat: fatty, offal, smoked meats.	lean
Cereals: millet, barley, corn.	Buckwheat, oatmeal, semolina.
Milk, kefir, cottage cheese with a high percentage of fat.	Fat-free kefir and cottage cheese.
Fried and boiled eggs.	Protein omelets.
Vegetables: eggplant, cabbage, radish, garlic.	Potatoes, carrots, beets.
Carbonated drinks, sweet juices, strong coffee, tea.	Homemade fruit drinks, weakly brewed tea.
Chocolate, ice cream.	Mousses from berries, jelly.

Information! Dairy, vegetable, sour cream sauces are allowed in the diet menu.

Menu for the week

Patients should eat - 5-6 times a day. Fractional nutrition provides better digestion, as well as complete digestibility.

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
breakfast	Green tea, scrambled eggs.	Crackers, cookies, juice.	Fat-free cottage cheese, cookies.	Oatmeal, low fat cheese.	Omelet with steamed vegetables.	Rice porridge.	Buckwheat porridge, weakly brewed tea.
Lunch	Cheese.	Apricot jelly.	Kissel.	Baked apple.	Rosehip infusion.	Salad of carrots and apples.	Cheese.
dinner	Chicken breast and buckwheat. Vegetable soup.	Vegetables baked. Ear.	Zucchini soup. Meat soufflé.	Kulesh. Pasta casserole.	Kabak stuffed with rice.	Vermicelli soup.	Vegetable stew. Steamed chicken breast.
afternoon tea	Kissel.	Smoothies.	Ryazhenka.	Curd workers.	Apple casserole with cottage cheese.	Fruit mousse.	Jelly.
dinner	Vegetable stew, compote.	Rice porridge, jelly.	Oatmeal. Kissel.	Zucchini with cheese.	Vermicelli soup.	Buckwheat porridge.	Boiled rice, tea.

Recipes for dietary dishes with pancreatitis

Following a strict diet does not mean eating monotonous and tasteless. You can cook interesting, healthy dishes using the list of allowed foods.

Vermicelli casserole with meat.

• thin vermicelli - 350 gr;
• water - 500 ml;
• egg -1 piece;
• meat (boiled chicken, beef) - 300 gr.

The meat is boiled, passed through a meat grinder or chopped in a blender, added to the cooked vermicelli, mixed. Spread in a mold, pour with whipped protein, bake in the oven.

Chicken soufflé.

• chicken fillet - 300 gr;
• milk - 1 glass;
• vegetable oil;
• 2 egg whites.

The meat is passed through a meat grinder, whipped proteins are added to it, diluted with milk, whipped to a homogeneous consistency. Baked in a mold greased with butter.

Need to understand that stewing, boiling and baking foods are the main methods of cooking.

Dessert from kefir.

• kefir - 0.5 l;
• eggs - 2 pieces;
• water - 1 glass;
• gelatin, vanillin, citrus peel.

Dissolve gelatin in water, heat. Combine kefir, whipped proteins, gelatin mixture, add vanillin, zest if desired. Garnish with dried fruit or fresh fruit.

Important! Crushing meals minimizes the risk of bile stasis.

Diet No 5 for biliary pancreatitis and cholecystitis

In the treatment of both diseases, table No. 5 is prescribed. The goal is to eliminate the excitability of the gallbladder, improve metabolic processes.
The acute period involves the intake of food of a liquid consistency, with time the consistency changes.

At the initial stage, the menu includes:

• mashed cereals boiled in water;
• viscous soups on the water;
• vegetable puree;
• dried bread or crackers;
• kissels, jelly, mousses;
• compotes.

After the removal of acute symptoms, protein foods are added. Salt intake is strictly limited. Too cold or too hot dishes are excluded.

How to arrange fasting days, is it possible to engage in therapeutic fasting?

The removal of pain in acute pancreatitis implies fasting, that is, a complete refusal of food. After that, the patient eats in strict accordance with the diet prescribed by the doctor.

If the disease is chronic, then fasting days are arranged at home. During the day, it is proposed to refuse to drink and eat, bed rest is recommended. They come out of fasting gradually, first they drink a little warm water, then you can drink a vegetable broth.

The principle of therapeutic fasting is the right step towards curing pancreatitis, but you must follow all the rules and conditions of eating behavior. Questions regarding a competent approach to therapeutic fasting are best discussed with a specialist.

What are the desserts

Many people suffering from pancreatic problems are worried that they have to give up sweets. In fact, desserts are allowed, but they must be prepared in accordance with the rules of the patient's diet. Common pancreatitis recipes for dishes from berries and cottage cheese. These are mousses, casseroles, soufflés and jellies of different cooking methods.
You can achieve a significant improvement in well-being with the help of dietary nutrition.

Content

The pancreas, when inflamed, ceases to throw digestive juice into the duodenum. Without this secret, food is not broken down into simple substances and is not absorbed. The most common cause of pancreatitis is an addiction to fatty foods flavored with alcohol. That is why the diet in its treatment is the main remedy.

Diet rules for pancreatitis

For many people, the disease quickly becomes chronic. If acute pancreatitis is diagnosed, the 5p diet reduces the risk of this prospect and protects against the development of diabetes. Table 5a is prescribed when pancreatitis is complicated by inflammation of the biliary tract, and table 1 is prescribed for diseases of the stomach. The diet for chronic pancreatic disease during exacerbations is more strict.

The basic rules of the diet for pancreatitis prescribe to the patient:

• observe the norm of fats - 80 g, carbohydrates - 350 g;
• refuse smoked products and fried foods;
• prepare food according to dietary recipes;
• eat every 3 hours;
• eat warm dishes in a pureed form;
• eat meals in small portions;
• eat slowly, chewing food for a long time;
• don't drink food.

What can you eat with pancreatitis

With all the prohibitions and restrictions, the menu can be very diverse. What can you eat with pancreatitis? The diet includes:

• salads, vinaigrettes, mashed potatoes (boiled carrots, beets, potatoes, zucchini, cauliflower, young beans);
• celery (in remission);
• vegetable soups, borscht;
• meat dishes from boiled low-fat chicken, beef, fish;
• vegetable oils;
• any low-fat dairy products (including cream, yogurt), cottage cheese, cheeses;
• oatmeal, buckwheat, pumpkin porridge with milk;
• egg whites;
• compotes (fresh fruits, berries, dried fruits);
• apples of non-acid varieties rich in iron;
• slightly stale bread.

What not to eat with pancreatitis

The inflamed organ is in dire need of a break, in a gentle mode of operation. What can not be eaten with pancreatitis of the pancreas? Completely prohibited:

• alcohol;
• fatty, rich first courses;
• pork, lard, lamb, goose, duck, offal;
• smoked meats, sausages;
• fatty fish;
• any canned food, marinades;
• fried main courses (including scrambled eggs);
• hard-boiled eggs;
• fast food;
• spicy sauces, seasonings;
• raw onion, garlic, radish, radish, bell pepper;
• legumes;
• mushrooms;
• sorrel, spinach;
• bananas, grapes, pomegranates, figs, dates, cranberries;
• sweet desserts;
• cocoa, coffee, soda;
• fresh bread, pastries, muffins.

Diet for chronic pancreatitis

It is very important that the diseased body receives about 130 g of proteins daily, which are needed for optimal metabolism. Moreover, approximately 90 g should be animal products (boiled or steamed according to recipes), and vegetable - only 40 g. Consumption of lean foods protects the patient from the risk of fatty liver.

Animal fats in the diet for pancreatitis should be 80%. Butter is best added to ready-made dishes. Do not forget about recipes for dishes with laxative products (prunes, dried apricots). Milk is best used in soups, cereals, sauces, jelly. Fresh kefir is much healthier. Nutrition for mild chronic pancreatitis can be diversified with low-fat cheeses, steamed omelettes. Carbohydrates daily the body should not receive more than 350 g.

Diet during exacerbation of chronic pancreatitis should give a respite to the exhausted pancreas. The first 2 days of a severe attack of the disease, you can only drink a warm infusion of wild rose, tea, "Borjomi". On the third day, a patient with pancreatitis is allowed to give liquid soups, mashed potatoes, cereals on the water, milk jelly. After the disappearance of pain, the diet is carefully expanded, adding denser, non-mashed dishes.

Diet for acute pancreatitis

The first 2 days of illness are also shown complete abstinence from food - you can only drink water, tea, rosehip infusion (4-5 glasses each). The next 2 days, nutrition is administered using droppers. Then the diet for inflammation of the pancreas in the acute phase is formed on the basis of exclusively low-calorie foods. They are given in very small quantities so as not to harm.

The diet for acute pancreatitis during the second and subsequent weeks becomes more diverse. The menu includes:

• soups, liquid cereals and kissels, juices, green tea;
• lean chicken (especially steam cutlets) instead of red meat, other protein foods;
• antioxidant-rich vegetables and fruits.

How long does a diet for pancreatitis of the pancreas last?

The timing of compliance with the rules of diet for both adults and children depends on the type of disease. Treatment of the disease in the acute form should be carried out only inpatient, and exacerbation of the chronic stage - on an outpatient basis. How long is the diet for pancreatic pancreatitis in the acute stage? The course of treatment takes approximately 2-3 weeks. The diet after discharge should be observed for at least six months.

A correct, sparing attitude to the pancreas prevents future exacerbations of the disease and protects the patient from the onset of diabetes. If the inflammation has become chronic, then a person must follow the dietary menu for pancreatitis all his life. Even after the transition of the disease to the stage of stable remission, one should not flatter oneself in the hope of a full recovery.

Sample diet menu for pancreatitis for a week

A variety of options are acceptable. The main thing is that if a 5p diet is prescribed, the menu for a week with pancreatitis should be varied. For instance:

Breakfasts:

• beetroot salad, compote;
• cottage cheese, rosehip infusion;
• steamed omelet, tea with cookies;
• oatmeal, jelly;
• pumpkin porridge, uzvar;
• cheese with biscuits, rosehip infusion;
• buckwheat porridge, tea.

Second breakfasts:

• rice with raisins;
• carrot salad;
• apple baked with dried apricots;
• carrot-pumpkin puree;
• boiled beets;
• whipped proteins;
• baked apple.

• lean soups, borscht;
• fish with rice;
• Boiled beef;
• cottage cheese casserole;
• chicken cutlet;
• naval pasta;
• cell.

Snacks:

• fruit jelly;
• vegetable roll;
• berry kissel;
• fruit pudding;
• baked potato;
• sandwich with cheese and butter;
• bean puree.

• applesauce, yogurt;
• rice with raisins, Varenets;
• vinaigrette, matsoni;
• boiled cauliflower, curdled milk;
• squash caviar, kefir;
• omelet, ryazhenka;
• rice pudding, yogurt.

Video: diet for pancreatitis

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