Pancreatitis (inflammation of the pancreas) is accompanied by severe pain. If left untreated, the disease becomes chronic, for which frequent exacerbations are typical. The pancreatic pancreatitis diet is a must. It is adherence to the principles of medical nutrition that significantly reduces the risk of developing an attack.
Features of the diet
Nutrition for pancreatic pancreatitis has its own characteristics. The main task of the diet is to reduce the activity of the organ. How to eat with pancreatitis, so as not to worsen your health? The main principles are:
- complete rejection of fatty or fried foods and sweets;
- lack of coarse-fiber foods in the diet;
- in the cooking process, only cooking and steaming methods are used;
- fractional diet - food intake is carried out in six to seven meals in small portions;
- the food served must be pureed or finely chopped.
During the day, the patient must consume at least 2 liters of any liquid.
Acute nutrition
The acute pancreatitis diet helps eliminate severe symptoms of an attack. Its purpose is to stop the production of pancreatic juice containing digestive enzymes. It is achieved by refusing to eat (in the first few days) and respecting bed rest.
What can you eat with pancreatitis during this period? In the first three days from the start of the attack, depending on the severity of the patient's condition, the person will be recommended complete starvation. It is only allowed to drink: alkaline mineral waters, a decoction of rosehip berries, weakly infused unsweetened tea, water. After stabilizing the condition and eliminating the pain syndrome, patients are assigned a dietary table.
After stopping the attack, food should be fractional - up to 8 times a day. The size of the initial portion does not exceed 50-100 grams. Since the low-calorie diet practiced during this period does not meet the physiological norms, it is quite short - no more than 7 days. All the products used are boiled and the dishes are served hot and with a semi-liquid consistency.
| days | Permitted products |
|---|---|
| First | Porridge puree for spreading, slimy soups with cereals (millet and corn grits are prohibited), decoctions of vegetables, weakly brewed tea with the addition of granulated sugar, compote, homemade crackers, fruit jelly and gelatin. |
| Second | |
| Third | Ricotta dishes: soufflé, puddings, pasta, steamed omelette. |
| Fourth | Milk porridge. |
| Fifth | Meat puree soup. |
| Sixth | Butter (small amount), mashed vegetables (cabbage is prohibited). |
| Seventh | Meat or fish soufflé. |
Then the patient is transferred to a basic diet, the variety of which depends on the presence of concomitant diseases. If we talk about which table is assigned most often, then this is the number 5P. The acute pancreatic inflammation diet lasts 6-12 months.
Nutritional therapy for the chronic form
For patients with chronic pancreatitis, diet is a lifelong obligation, as any errors in nutrition can cause an exacerbation of the pathology. Each attack of the disease is accompanied by partial replacement of functioning tissues with fibrous ones, which ultimately leads to the development of insufficiency of the secretory function of the gland.
During the period of exacerbation of the chronic form of pancreatitis, accompanied by severe pathological symptoms, the patient is prescribed a strict 7-day diet as in the acute form. After improving health, the patient is transferred to the diet according to table No. 5 P.
Its main features:
- the dishes served on the table must be clean or carefully chopped;
- the content of proteins, fats and carbohydrates satisfies the physiological needs of the organism;
- with poor-quality assimilation of proteins, its percentage decreases due to an increase in the carbohydrate content;
- products containing fibers and extractives are completely excluded;
- the amount of salt is limited to 6 grams per day;
- split meals - up to 6 times a day;
- overeating is unacceptable.
Allowed and prohibited foods of the diet No. 5 P
What can you eat with pancreatic inflammation? The product set includes:
- Boiled vegetables - potatoes, zucchini, squash, peas, cauliflower, beets. In the absence of a negative reaction, you can include raw carrots, cucumbers, tomatoes.
- Groats - buckwheat, rice, oatmeal, semolina. The porridge should have a semi-liquid consistency. Semolina and rice soufflés are allowed. Limited: barley, corn, millet, yachka.
- Vegetable soups, dairy soups, puree soups. For thickening, carefully boiled cereals are used: semolina, rice, oat flakes. The vegetables are cut into small pieces. You can't fry them. Sour cream, cream, butter, milk are allowed for dressing.
- Lean meats - beef, veal, chicken, rabbit.
- Types of low-fat fish: cod, hake, zander, perch, cod, blue whiting. It is boiled or steamed.
- Yesterday's or dry wheat bread, uncooked biscuits.
- Low-fat sour-milk products: yogurt, kefir, cottage cheese. You can serve grated cheese with a neutral flavor.
- Protein omelette, soft-boiled eggs.
- Sauces cooked with vegetable broth. You can't fry flour to thicken them.
- Baked sweet apples. Fruit mousse, jellies, jellies, preserves.
- Fresh fruit smoothie.
- Creamy and refined sunflower oil.
From drinks: weakly brewed tea with the addition of lemon, sweet tasting fruit juices, previously diluted with water, rosehip infusion, apricot compotes, pears, apples, water without gas. If you are low in potassium, your diet should include carrot juice. Proper nutrition with an inflamed pancreas is the key to good health. That is why it is necessary to exclude from the menu products that can provoke exacerbations.
What shouldn't be eaten with pancreatic inflammation? The list of prohibited foods includes:
- fresh bread, leavened baked goods, cakes, pastries;
- rich soups, cabbage soup, borscht, okroshka and beetroot;
- fried dishes - pies, cheesecakes, pancakes, pancakes;
- fatty meats;
- offal;
- crumbly cereals;
- vegetables, which contain fiber, mushrooms;
- fresh vegetables and fruits with care;
- cooking fats and lard;
- bananas, grapes, dates;
- hot spices;
- alcohol, coffee, soda, ice cream, cocoa.
After the transition of the disease into a state of remission, it is permissible to introduce fresh fruits and vegetables.
Example of a weekly menu
An approximate menu for a week with pancreatitis of the pancreas may look like this:
| Breakfast | Lunch | Dinner | Afternoon snack | Dinner | |
|---|---|---|---|---|---|
| Monday | Steamed omelette, curd soufflé, drink | Cheese biscuits, baked apple | Semolina soup with carrot puree, buckwheat with boiled zucchini, drink | grated apple | Oatmeal, beetroot salad, baked apple |
| Tuesday | Mashed rice, cottage cheese, drink | apple puree | Buckwheat soup with vegetables, steamed chicken dumplings, jelly | Steamed protein omelette, diluted juice | Steamed fish cutlet garnished with mashed potatoes, drink |
| Wednesday | Rice liquid milk porridge, protein omelette, drink | Cottage cheese with sweet jelly | Cream of cauliflower, chicken soufflé, drink | Stewed apples or pears | Steamed fish dumplings with vegetable puree, drink |
| Thursday | Steamed omelette, buckwheat milk (pureed), tea | Milk flakes | Cream of carrots, beef cutlets garnished with rice polenta, drink | Juice with biscuits | Steamed fish cutlets with vegetable puree, compote |
| Friday | Porridge with butter, steamed protein omelette, cheese, drink | Baked syrniki with carrots, sweet juice | Soup with meatballs, meat puree with pumpkin puree, drink | Ricotta custard | Steamed fish balls with cauliflower, drink |
| Saturday | Oatmeal, cottage cheese, drink | Soft-boiled egg, juice | Pumpkin soup topped with sour cream, beef stroganoff with carrot puree, drink | Galette, fruit juice | Fish dumplings with rice polenta, drink |
| Sunday | Semolina pudding sprinkled with gelatin, cottage cheese, drink | Protein omelette, juice | Buckwheat soup, chicken souffle, drink | Sweet jelly with dry biscuits | Boiled fish with rice porridge, compote. |
At night you need to drink a glass of kefir or yogurt. Since dietary nutrition with inflammation of the pancreas imposes significant restrictions and prohibits the use of many spices, it is important to learn how to choose the right food in order to diversify the menu. After all, food for pancreatitis should be not only healthy, but also tasty.
Nutritionists recommend the following combinations:
| Days of the week | Grocery set |
|---|---|
| Monday | Veal, potatoes, oats, carrot, apple |
| Tuesday | Chicken, fish, vermicelli, ricotta, apple, biscuits, rice |
| Wednesday | Rabbit, chicken, buckwheat, pumpkin, carrots, nuts |
| Thursday | Turkey, cod, semolina, carrots, onions |
| Friday | Beef, cheese, dates, chicken, buckwheat, croutons |
| Saturday | Rice, zucchini, carrots, egg white, chicken, kefir, beef |
| Sunday | Potatoes, semolina, rolled oats, dates, dried apricots, biscuits, cod |
As drinks you can use:
- weakly brewed tea - black, green;
- compotes of fresh and dried fruit;
- a decoction of rosehip berries.
days of fasting
With chronic pancreatitis diagnosed, nutritionists recommend discharge. On such days, patients eat only one type of food.
With inflammation of the pancreas, you can practice the following mono one-day diets:
- Oatmeal. It is necessary to boil 200 grams of oatmeal in water. Divide it into 6 parts. During the day, you need to drink 400 ml of rosehip decoction.
- Curd. Next, fill 600 grams of cottage cheese (fat-free) with sour cream (60 grams). Divide into 4 portions. Allowed 400 ml of rosehip broth.
- Fruit and curd. Mix the prunes (400 grams) and the same amount of low-fat cottage cheese. Eat in 6 meals.
- Compote of rice. Cook 1. 5 liters of apple compote. Cook the porridge from 50 grams of rice. Sweeten a little. Drink the compote throughout the day. There is porridge in the morning and in the evening.
- Watermelon. During the day, you need to eat 1. 5 watermelon pulp (the crust is not counted) in five or six meals.
- Pumpkin. Bake 2 kg of pumpkin pulp in the oven. Divide it into 5 steps.
- Apple. Bake 1. 5 kg of apples in the oven and eat them in one day.
Physical activity is prohibited these days.
Several recipes
The diet for pancreatitis in adults, as already mentioned, is quite monotonous, so it is so important to please patients with foods of different tastes. To prepare the meat pudding you will need:
- beef - 250 grams;
- butter - 45 grams;
- semolina - 25 grams;
- water - 100 ml;
- egg.
Preparation:
- Boil the meat and chop it.
- Pour the semolina with the water and add an egg. Mix.
- Combine the two components, mix well and put in a mold.
Cook in a double boiler.
Slimy oatmeal soup is made with the following foods:
- rolled oats - 1 glass;
- water - 1. 3 liters;
- milk - 100 ml;
- egg;
- butter - 1 tsp
Preparation:
- Pour boiling water over the flakes and simmer for 30 minutes over low heat. Strain the finished broth and bring to a boil again.
- Beat the egg into the hot milk and add the mixture to the oat broth slowly.
When ready to serve, add the butter.
The table of the patient with pancreatitis should also offer sweet dishes. For dessert you will need:
- egg white;
- granulated sugar - 35 grams;
- strawberries - 100 grams;
- flour - 25 grams;
- water - 120 ml;
- vanillin.
Preparation:
- Whip the egg white with the sugar and vanilla.
- Spread the mass with a spoon in boiling water. Cook them for 4 minutes.
When serving, the dessert is poured over a sauce made from mashed berries, flour and granulated sugar. Pancreatitis is a complex disease characterized by frequent exacerbations. Adhering to a diet helps reduce their number and brings the disease into a long-term remission phase.