The diet for pancreatitis depends on whether the disease is acute or chronic. Remember that inflammation of the pancreas is not a trifle, because it plays an important role in digestion, metabolism and assimilation of substances (proteins, carbohydrates and fats). Therefore, immediately after diagnosis, significant changes should be made to your diet. Otherwise, even the latest generation of drugs will be powerless.
Acute (reactive) pancreatitis
As the name suggests, the illness comes on suddenly (usually immediately after eating irritating foods). Symptoms: burning pain in the abdomen, fever, nausea, vomiting. Risk factors: lack of protein in the diet, overeating, alcohol abuse, smoking, fatty, spicy, fried, too cold or too hot foods, sugary carbonated water. Sometimes the disease is a consequence of gallstone disease and chronic cholecystitis.
Nutrition for pancreatitis in acute (reactive) form in adults and children is aimed at ensuring maximum pancreatic rest that suffers for a long time, while reducing pancreatic and gastric secretions. And this is what the sequence of patient actions should be:
- First 2-4 days after exacerbation.It is recommended not to eat at all, but to use only medicinal mineral waters in small sips and in small amounts.
- From the 5th day.Gradually and very carefully develop the diet menu for pancreatitis. For this, it is recommended to respect the 5P treatment table.
- For 6-7 days.We include in the diet jelly, sticky soups, kefir, liquid porridge (except millet), steamed chicken, beef and fish cutlets, mashed potatoesearth and other boiled and cooked vegetables, weak tea, baked or mashed potatoes, rosehip broth.
Diet features and sample menu
Regardless of where the patient is sent for treatment for pancreatitis - in a sanatorium or at home, he should adhere to diet number 5, which is based on the following principles:
- The daily norm of vegetable protein - 30 g, animal protein - 50 g, vegetable fat - 15 g, animal fat - 45 g, and carbohydrate - 200 g. Total caloric intake for pancreatitis should not exceed 2500-2700 kcal per day. The norm of liquid drunk - 1, 5 liters, salt - 10 g.
- During the first two weeks we cook dishes without salt.
- We eat at least 5-6 times a day in small portions to eliminate the risk of overeating.
- The temperature of cooked food should be between 45 and 60 degrees.
- The consistency of the dishes is liquid, semi-liquid, that is, only mashed food.
A diet for acute pancreatitis involves a complete exclusion from the menu for a long time (almost a year) of smoked meats, fried foods, pickles and pickles, sour cream, lard, canned goods, productsbakery and fresh bread, cream, alcohol. Compliance with all of the above recommendations can prevent the development of the disease in a chronic form! An example menu for the day might look like this:
- Breakfast:Steamed omelet, Herculean porridge puree on water, weak tea.
- Second breakfast:milk cheese.
- Lunch:buckwheat soup, boiled meat stew, apple jelly.
- Dinner:Steamed fish cutlets, carrot purée, rosehip broth.
- For the night:kefir.
Chronic pancreatitis
This disease has another extremely unappealing name: prediabetes. This is because if you have already passed the acute stage unfavorably (in the absence of proper treatment), then diabetes mellitus may become the next stage. This disease is characterized by two alternating stages: exacerbation and remission. Therefore, nutrition with pancreatitis is aimed at relieving the inflammatory process and, therefore, translating the disease into the phase of remission.
So from now on your diet will be a lifelong nutritional system. And there's nothing you can do about it. You can always take diet number 5 as a basis, the basic principles of which we continue to strictly adhere to. The diet with exacerbation of chronic pancreatitis is again a return to the first three stages (fasting on mineral water and further on the list above).
Approved products:
- milk, yogurt, kefir, non-acidic cottage cheese, mild cheese;
- porridge (buckwheat, oats, rice), pasta;
- vegetables (potatoes, carrots, pumpkin, zucchini, beets, etc. );
- wheat crackers or stale white bread;
- meat (veal, chicken, rabbit, turkey), lean fish;
- baked apples, fruit jellies, berry juice;
- oat broth, fruit drink, non-acidic fruit juice, chamomile tea;
- vegetable broths and mashed soups, celery juice.
Prohibited products:
- sour fruits, fresh cabbage, legumes;
- spinach, sorrel, radish, radish;
- hot spices and herbs;
- fresh bread, pastries, sweets;
- sausages, smoked meats, preserves, eggs;
- meat, fish broths, cabbage soup, borscht;
- alcohol, sugary drinks with gas;
- candy, ice cream, sour cream, cream;
- fried foods.