22.07.2019 00:00
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Inflammation of the pancreas is an extremely painful process that occurs due to various reasons. An acute attack can be triggered by certain medications, poisoning, allergies, abdominal injuries, infections, frequent overeating, and pregnancy.
Inflammation of the pancreas is an extremely painful process that occurs due to various reasons. An acute attack can be triggered by certain medications, poisoning, allergies, abdominal injuries, infections, frequent overeating, and pregnancy.
Chronic pancreatitis becomes a complication of problems such as:
- gastrointestinal diseases;
- vascular diseases;
- diabetes;
- hypertonic disease.
The attacks are accompanied by very severe pain in the abdominal area. Diarrhea, nausea, vomiting (with bile), sudden jumps in blood pressure, bluish skin, and flatulence are often observed in parallel.
Undoubtedly, pancreatitis greatly impairs the quality of life, because it reduces the absorption of nutrients necessary for the normal functioning of the body, and therefore negatively affects overall health.
Principles of nutrition for pancreatitis
To alleviate the patient’s condition, the following simple rules should be strictly adhered to:
- In case of particularly acute pancreatitis, you should refrain from eating food for one to two days. After eliminating the functional load on the diseased organ, the pain usually weakens.
- Further, while continuing treatment of pancreatitis, you need to eat often. During exacerbations of pancreatic dysfunction, doctors recommend eating every 3-4 hours, or 5-6 times daily.
- It is possible to reduce the load on the pancreas by taking enzymes.
- But the amount of food consumed should be significantly reduced. It is advised to limit yourself to two tablespoons of food at one time.
- At the beginning of treatment, during exacerbation, it is recommended to eat exclusively liquid food.
- To facilitate the digestion of food, as well as to avoid irritation of the mucous layer of the stomach lining, you should eat only mechanically crushed food. For example, grind dishes with a blender until pureed.
- When choosing dishes, you must follow a strict diet.
Nutrition at the beginning of an exacerbation
The course of chronic pancreatitis is characterized by alternating stages of exacerbation and remission. An exacerbation can occur when the nutritional system is disrupted and prohibited foods are consumed, when strong medications are taken for a long time, and for a number of other reasons.
The occurrence of an exacerbation of chronic pancreatitis can be determined by the following symptoms:
- severe and sharp pain in the right hypochondrium, intensifying after a meal;
- flatulence, bloating;
- increased body temperature;
- nausea and severe vomiting;
- the appearance of loose gray stools.
The disease may worsen immediately after a meal (especially in the evening). When these symptoms appear, it is necessary to switch to a strict therapeutic diet and start taking medications.
Food should be as simple, light and gentle as possible to reduce the load on the pancreas. Products should not contain animal fats, coarse fibers or fiber. In the very first two to three days of the onset of an exacerbation, you can only drink pure still water (preferably alkaline).
Gradually, the amount of water can be increased, and the diet can be replenished with liquid dishes (soups and pureed soups). Thus, alkali will lower the concentration of acid in the stomach and reduce inflammation, and liquid and semi-liquid food will prepare the gastrointestinal tract for the transition to a richer diet.
Diet for diseases of the pancreas
The treatment table, intended for patients with pancreatitis, is low in calories, and is also depleted in fats, carbohydrates and enriched in protein. In diet therapy there is the so-called diet number 5p
is a diet specially developed by the legendary Russian gastroenterologist Pevzner for pancreatitis of the pancreas.
During an exacerbation of the disease, all its instructions must be strictly followed, while in a state of remission, small deviations from the nutritionist’s recommendations are allowed.
In acute pancreatitis, a stricter dietary regimen is recommended than in remission of the disease.
The daily norm of the 5p diet according to Pevzner is 1800 kilocalories
.
The amount of carbohydrates
is reduced to
200 g per day
, and
fats to 80
g. The diet provides for the consumption of about
120-160 g of protein
per day. The 5p healing table is based on reducing the consumption of nutrients of animal and plant origin, which stimulate increased secretion of the digestive organs, as well as foods rich in fiber, coarse fiber and fatty foods.
What and when can you eat after a pancreatic attack?
Pancreatitis is a serious disease of the pancreas that poses a serious threat to human health. Improper treatment of pancreatitis can lead to the development of a dangerous complication - pancreatic necrosis, the consequences of which are often coma and death.
Correct and timely treatment of pancreatitis, the most important part of which is a therapeutic diet, will help prevent the development of complications. It will remove the load from the diseased organ, speed up its recovery and protect the patient from possible relapses of the disease.
Therefore, people prone to pancreatic diseases need to know the answers to the following questions: what can you eat during an attack of pancreatitis and after it? How to properly prepare meals for a patient and what should they be seasoned with? What does a sample menu look like for a patient with pancreatitis?
Causes of pancreatitis
Pancreatitis can be acute or chronic. Acute pancreatitis usually develops suddenly and is characterized by severe pain in the upper abdomen, severe vomiting that does not bring relief, bloating, fever, severe weakness, rapid heartbeat, yellowing of the whites of the eyes, diarrhea, or constipation.
The main cause of pancreatitis is an unhealthy lifestyle. The main risk group is people who regularly consume unhealthy foods and abuse alcoholic beverages. Pancreatitis also often affects people with low immunity and lack of physical activity.
Causes of pancreatitis:
- Regular overeating and eating large amounts of heavy, fatty and spicy foods;
- Abuse of alcoholic beverages, including light drinks (beer and weak wine);
- Abdominal injuries resulting in damage to the abdominal organs;
- Gallbladder diseases: cholecystitis and cholelithiasis;
- Surgeries on the stomach, liver or gallbladder removal;
- Diseases of the duodenum: ulcers and duodenitis;
- Infectious diseases, especially viral hepatitis B and C;
- Infection with parasites: roundworms, lamblia, amoebas, plasmodia, etc.;
- Long-term use of medications such as antibiotics, diuretics and hormonal agents;
- Diabetes mellitus and other metabolic disorders;
- Pancreatic tumors;
- Diseases of the heart and blood vessels, in particular atherosclerosis;
- Pregnancy.
Diet for pancreatitis
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To replenish the body's need for water and nutrients, the patient needs to receive intravenous solutions of glucose, essential vitamins and minerals. Therefore, the patient should spend the first day or several days after an attack of pancreatitis in the hospital, where he will be provided with the necessary care.
You need to come out of fasting gradually. Nutrition after an attack of pancreatitis should begin with a small intake of non-carbonated mineral water, a slightly sweetened rose hip decoction and weak tea (preferably green). They will help activate the pancreas without putting much stress on it.
When the patient begins to recover a little, his diet should become more varied and include light, dietary and easily digestible dishes. Such a diet after an attack of pancreatitis will help avoid relapses of the disease, which are extremely dangerous for the health and life of the patient.
What can you eat after an attack of pancreatitis:
- Compotes, jelly and fruit drinks from berries and fruits (dried fruits can be used), homemade fruit and berry purees and jellies, baked fruits (for example, apples or pears);
- Low-fat fermented milk products: kefir, fermented baked milk and yogurt. Diet cottage cheese, unsalted homemade cheese;
- Boiled, baked or steamed vegetables, vegetable purees from potatoes, pumpkin, zucchini and carrots;
- Boiled porridge in water or with the addition of low-fat milk from buckwheat, rice, oatmeal and semolina;
- Low-fat varieties of fish, boiled, steamed or baked in the oven;
- Steam cutlets and rolls, boiled meatballs from lean meats: rabbit, veal and skinless chicken;
- Vegetarian soups with the addition of various vegetables and cereals;
- Steam omelette;
- White bread crackers;
- For cooking, use only vegetable oils, preferably olive oil.
Diet 5p according to Pevzner for exacerbation of pancreatitis
This diet is prescribed for 3-4 days
after the onset of exacerbation of the disease, immediately after a therapeutic hunger strike. It has a low energy value - no more than 1500 kcal, and most of the nutrients should be supplied to the body with protein foods. The amount of protein allowed for consumption is also reduced - only 80 g per day, and 65% of it, according to the standards, is vegetable protein.
In the acute stage of pancreatitis, consumption of up to 1.5 liters of fluid per day is allowed.
In acute pancreatitis, a mechanical and chemical gentle diet is required. It is allowed to eat only pureed food, steamed or boiled in water. The consistency of the products consumed should be liquid. It is recommended to eat little and often. If the patient’s vomiting cannot be eliminated, intravenous nutrition is prescribed.
Dish recipes
Recipes for dishes for inflammation of the pancreas, although they consist of a modest set of products, but due to the various methods of their preparation and combinations, you can create an interesting menu for every day.
From the list of permitted products you can prepare the simplest dishes:
- vegetable puree;
- liquid cereal porridge;
- cereal, vegetable or slimy soups.
But you can cook something more complicated from ordinary products. Here are some examples of delicious and unusual dietary dishes.
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Vegetable soufflé
You can make a steamed soufflé from carrots, cauliflower or zucchini. For every day, you can choose a soufflé from different vegetables or their combinations as a side dish.
Let's take carrot soufflé as an example.
2 tbsp. Grated raw carrots must be poured with boiling water and boiled until soft, drain the water (it can be left for vegetable broth). The resulting mass must be ground until smooth and cooled.
Beat 2 chicken whites into a strong foam along with 80 g of sugar, add 100 ml of milk and carrot puree. Grease a baking dish with a thin layer of butter. Mix the resulting mixture thoroughly and put it in the prepared form, which is placed in a deep baking tray with water and placed in the oven for 30 minutes at a temperature of 180 °C.
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Meat soufflé
A diet for pancreatitis can be called protein-carbohydrate. As a protein component, you can include in your diet simple, steamed portioned pieces of meat or fish, cutlets or meatballs with a side dish of vegetables or cereals. Or you can prepare a meat soufflé. To do this, meat or fish must first be cooked and chopped in a blender or meat grinder. For one serving you need to take 450 g of lean meat. Can be used:
- lean beef or pork;
- chicken, turkey or rabbit fillet.
Add 200 ml of milk, 2 raw eggs, 80 g of low-fat cream to the meat paste. The mass is thoroughly mixed until completely homogeneous.
Place the resulting mixture into the prepared pan. Cook by steaming or in an oven preheated to 190°C for 35 minutes.
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Diet soups
From the most ordinary products it is possible to prepare unusual dietary soups. One of the options for every day is vegetable puree soup. For it, take 1–2 cauliflower inflorescences, 2 small potatoes, and one medium carrot. During the recovery stage, you can use one small onion.
The cabbage, divided into small inflorescences, is soaked in salted cold water for 15 minutes and washed. The remaining vegetables must be peeled and cut into cubes, leaving the onion whole. Place vegetables in boiling water (1.5 l), add salt. After 15 minutes, the onion is removed. The remaining vegetables are taken out, chopped with a blender and placed back into the broth. Bring to readiness. You can add 20 g of butter to the finished soup.
Another version of cream soup for patients with pancreatitis can be considered an example of a tasty combination of meat and vegetables.
For 1 liter of water take 1 young zucchini without skin and seeds, 2 medium potato tubers, 2 tbsp. l. grated raw carrots, a little dill, 1 boiled chicken fillet.
Boil the vegetables for 20 minutes, then remove and chop. Place the vegetable puree back into the broth, bring to a boil, add finely chopped meat, herbs and 10–20 g of butter.
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Cooking quenelles
Dumplings are an alternative to regular cutlets and meatballs. For example, consider chicken quenelles. 2 chicken fillets, chopped until smooth, need to be delicately salted. To 2 parts of minced meat you can add 1 part of cauliflower puree, soaked white crackers or 1-2 tbsp. l. semolina. Add 1 chicken protein to strengthen the minced meat. Diet dumplings are boiled in a steam or water bath. Steaming is carried out using a double boiler, manti cascan or a regular metal colander for 15 minutes
It is important that the quenelles do not float in the water.
You can cook the quenelles in a bain-marie - a small saucepan with a little water placed in a large saucepan of boiling water. Quenelles can be prepared from any meat, vegetables or fish.
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Healthy desserts
As a dessert and snack, you can add curd mousse to the menu, to which you can add banana puree or berries, steamed curd casserole or quenelles, baked apples, jelly, and berry jellies.
Kissel from strawberries or other berries is prepared as follows: 300–350 g of berry filling (berries pureed) and 2 tbsp. l. Place sugar in boiling water. After the mixture boils, add 1 tbsp into it in a thin stream. l. starch, pre-mixed with 100 ml of cool water. Boil the jelly for 2–3 minutes, cool to room temperature.
Diet 5p according to Pevzner in remission
The second type of diet 5p was developed for patients with pancreatitis in the stage of fading exacerbation (usually this phase begins on the 5-7th day of the disease), as well as for cases when the disease has gone into remission (within 2-4 months after the removal of acute symptoms).
70% of those suffering from pancreatitis are alcoholics.
This diet is moderate in calories, high in protein and vitamins, and also excludes the consumption of fatty, cholesterol-rich foods, as well as foods that cause fermentation in the intestines and flatulence. Prohibited foods include thermally unprocessed fruits and vegetables, fresh milk and baked goods, refractory fats, and essential oils.
At this stage of treatment, the absorption of liquid and grated food is allowed. You should also adhere to fractional meals.
What are the causes of an attack of pancreatitis?
Important! Attacks of pancreatitis often occur in young people due to drinking large amounts of alcohol.
The most common triggers for exacerbation of pancreatitis are: frequent consumption of alcoholic beverages, unbalanced diet, congenital pathologies of the gland, trauma, oncology, high blood cholesterol, helminthic diseases).
What are the symptoms of an attack?
Symptoms usually appear unexpectedly. The most pronounced of them is cutting pain in the epigastric region. Due to its close location to the back, pain can radiate to the back (lower back or even shoulder blade). As a rule, an attack of pancreatitis is accompanied by nausea and vomiting. Diarrhea, high fever, chills, rapid pulse, belching and hiccups may occur.
Interesting! In 60% of cases, cutting pain is the only complaint.
Some statistics
In recent decades, the number of attacks has increased significantly. 15-25% of all recorded cases end in complications that lead to surgical interventions.
Today, per 100 thousand healthy population, there are 10-15 people with pancreatitis. 40% of patients become temporarily disabled after an attack.
Frequent alcohol consumption for 5-7 years leads to pancreatitis.
How to diagnose an attack of pancreatitis?
A gastroenterologist deals with the diagnosis and treatment of this disease.
First aid when diagnosing an attack: basic recommendations
Carefully! If you have symptoms of an attack of pancreatitis, you should see a doctor as soon as possible to provide specialized care.
Ensure as much peace as possible: do not make sudden movements, it is best to take a half-sitting position. It is possible to apply cold compresses to the pancreas area to relieve pain. Breathe shallowly, not deeply. Urgently call an ambulance - 103! Treatment at home is strictly prohibited and very dangerous!
Important! In case of an attack of pancreatitis, conventional antispasmodics (painkillers) do not work!
Important: Do not drink, do not feed, calm down!
How to treat exacerbation of pancreatitis?
Treatment should be carried out by a surgeon. They use a starvation diet, narcotic antispasmodics, enzyme inhibitors, and droppers with isotonic solutions. Be sure to use cytostatics to remove inflammation. If infection develops, antibiotics may be used.
In the first two days after an attack of pancreatitis, you can only drink - still mineral water or rosehip decoction. Constant monitoring of the patient by the doctor is also necessary, so the latter will be admitted to a surgical hospital.
If a person has diabetes, he may feel thirsty and hungry.
In case of a complicated situation, surgical intervention is necessary. The most common complications: diabetes mellitus, peritonitis, jaundice, obstruction, oncology.
Important! With frequent relapses, diabetes may develop because the pancreas secretes insulin. That is why it is important to undergo a course of effective treatment on time and take preventive measures to avoid similar situations in the future.
Eating after an attack
To avoid chronic pancreatitis, you must adhere to the following rules for eating after an attack of pancreatitis :
- complete cessation of alcoholic beverages, it is advisable to give up smoking;
- eat small portions 4-6 times a day;
- exclude small snacks (pies, rolls, etc.);
- you can, and even need, lean meat (chicken, veal, rabbit, turkey fillet);
- It is important not to consume sugar and sweets;
- lean fish – pollock, pike;
- spicy, salty, smoked is not allowed;
- meat and fish only boiled, steamed;
- you can’t eat anything hot, the ideal temperature is fifty degrees Celsius;
- As for vegetable proteins, it is better not to consume legumes, wheat and pearl barley;
- dairy products: fermented milk drinks, cheeses are possible, but it is better to exclude fresh milk;
- boiled and fried eggs are prohibited;
- Among vegetables, it is better not to eat cabbage, garlic, onions, radishes, cucumbers, paprika;
- you can eat bread, but a little stale;
Interesting! Bread contains many vitamins: A, choline, B1, B2, B6, B9, H, E, PP, beta-carotene.
- It is better to exclude fresh fruits and consume them baked or juices in small quantities.
Interesting! In the case of acute manifestations of alcoholic pancreatitis, complete abstinence from alcohol increases remission in 60% of patients.
Don't be alarmed, food after an attack of pancreatitis , despite the restrictions, can be very tasty. The main thing is that adhering to these rules can provide you with long-term remission and even completely eliminate relapses.
Diet menu option No. 5p when an exacerbation subsides
An approximate menu for a patient with pancreatitis following treatment table 5p is as follows:
- 1st breakfast
: grated porridge with liquid and without oil, diluted tea without sugar or milk jelly; - 2nd breakfast
: a glass of medicinal water or jelly with boiled fruit; - lunch
: viscous soup with oatmeal, ground meat and vegetable puree, uzvar; - afternoon snack
: steamed omelette made from egg whites, a glass of liquid; - dinner
: baked cottage cheese or apple, grated porridge; - 2-3 hours before sleep
: crackers, dry cookies, water.
What can you eat after an attack of pancreatitis so as not to cause a relapse?
After an attack of acute pancreatitis, the patient will necessarily need to adhere to a strict diet. This will help avoid relapses in the future. The concepts of diet directly during an acute attack and diet after the end of an acute attack differ.
A properly selected diet and nutrition regimen will improve the patient’s condition and speed up the onset of recovery with a minimum amount of medications taken. As a rule, in the first two or three days the patient is prescribed complete fasting. It is recommended to drink more liquid that is not filled with gases or foreign impurities.
You will need to drink from one and a half to two liters of moisture per day. You need to drink water often, in small portions. The one-time amount of water drunk is up to 50 grams. You are allowed to drink the prescribed amount of liquid every 30 minutes. The drink should be warm and still.
It is useful in the acute period to drink heated alkaline mineral water.
With the permission of your doctor, start drinking a weak decoction of rose hips or green tea if brewed weakly. On day 3, try to slightly diversify your drinking diet with weak black tea with the addition of a small amount of honey. Such a correction of the drinking diet is not carried out at one’s own request, only with the permission of the attending physician.
You will have to stop eating other foods and drinks for a while until the acute condition is relieved. When the patient feels better, it is possible to gradually expand the diet with foods approved for consumption by the attending physician. Restorative nutrition should begin after three days from the beginning of the acute period.
additional materials, this is important to know.
How to eat after an attack
The diet after an attack of pancreatitis is built on the basis of the agreed principles:
- In the first three days, fasting will be a mandatory condition of treatment.
- Starting from the 4th day, nutrition after acute pancreatitis is prescribed to the patient in accordance with the list of table number 5.
- You need to eat at least 5 times a day. Portions are small.
- Overeating is strictly prohibited. Nutritionists recommend eating behaviors that leave patients with a slight feeling of hunger after eating.
- Food should be taken in pureed semi-liquid form, avoiding mechanical irritation of the digestive tract.
- The daily diet after an acute attack of pancreatitis includes an abundance of easily digestible protein.
- The amount of carbohydrates on the menu is as limited as possible.
- Animal fats are strictly excluded from the diet.
- Salty, spicy foods, and spicy seasonings are prohibited during an attack and after relief.
Authorized products
The diet after acute pancreatitis includes the following dishes and foods:
- Bread and flour products are consumed exclusively in the form of crackers. The amount of bread does not exceed 50 grams per day.
- Among the types of meat it is allowed to eat rabbit, chicken, turkey, and lean beef. The meat should not be fatty or contain films or sinews. It is better to steam it in the form of meatballs or soufflés.
- Fish is prepared and eaten in low-fat varieties in ground form.
- Once a day you are allowed to eat a steamed protein omelette made from one or two proteins. Use the yolk no more than once a week.
- Dairy products in the diet after an acute attack of pancreatitis are represented by low-fat cottage cheese or yoghurts, low-fat milk in small doses. Milk is added to porridges or omelettes. Puddings or steamed casseroles are prepared from cottage cheese.
- Fats are allowed to be consumed in the form of unsalted butter or refined vegetable oils. Olive oil is useful for pancreatitis. It is better to choose butter with a fat content of at least 82%. Oil is added to porridge or puree.
How to prepare food
Porridge is prepared in a pureed, highly boiled form. Suitable cereals include buckwheat, oatmeal, semolina, rice and wheat.
Vegetables are served boiled as a puree, baked in the oven. You can add a little salt by adding a spoonful of butter. It's easy to cook vegetables in a steamer.
The diet after acute pancreatitis allows the consumption of sweets in the form of jelly, jellies and mousses. Bake ripe, sweet fruits in the oven with the addition of honey and raisins.
You are allowed to drink weakly brewed green tea and compotes. Brew a weak infusion of rose hips.
Prohibited dishes and products
The diet after pancreatitis involves excluding the following products from the patient’s menu:
- Fresh white bread, baked goods, confectionery flour products.
- Fatty meat and poultry - pork, lamb, goose and duck. Offal and canned factory meat products are excluded from the diet.
- Any meat should not be consumed fried or smoked.
- Sausages, sausages, and factory-made meat pates are completely excluded from the diet.
- Fried and smoked fatty fish, canned fish.
- Eggs can be eaten in the form of a steamed egg white omelet.
- As for dairy products, it is forbidden to drink fresh milk, eat sour cottage cheese, fatty or sour sour cream. Salty types of cheese are excluded from the diet.
- Animal fats are prohibited after an acute attack of pancreatitis. A minimum of butter is allowed. Frying foods in any fat for a patient with pancreatitis is strictly prohibited.
- Loose porridges after an attack are not allowed. You should not eat millet, pearl barley, or barley porridge.
- In each period of the disease, legumes in any form and products made from mushrooms are excluded. Coarse fiber causes harm to a diseased stomach and pancreas.
- Pasta made from soft wheat varieties.
- Vegetables in raw form, with an abundance of coarse fiber. This includes cabbage, radish, turnips and a number of vegetable crops.
Cooking is allowed in water. Strong mushroom broths and fatty meats must be excluded from the diet in the subacute phase. Rich soups based on concentrated broths are prohibited.
You will have to give up eating sweets. The exceptions are the dishes listed above. It is not recommended to drink coffee, chocolate, or alcoholic beverages. It is unacceptable to consume carbonated drinks that contain sugar or flavor enhancers.
By adhering to the rules, gradually expanding the diet due to the permitted list of products, it is possible to avoid the development of relapses of pancreatitis, gradually achieving complete recovery.
Diet menu option No. 5p in remission
Unprocessed food is allowed here.
- 1st breakfast
: salad of boiled vegetables, boiled unleavened meat, crumbly porridge; - 2nd breakfast
: unsweetened dried fruits, warm drink, crackers; - lunch
: vegetable soup (zucchini, carrots, potatoes), boiled lean fish with vegetables, baked apple; - afternoon snack
: low-fat cottage cheese, fruit drink; - dinner
: steamed meat soufflé, pasta, tea; - 2-3 hours before bedtime
: tea with milk, unleavened cookies.
The table below contains a list of foods recommended for consumption, as well as what should not be eaten by those suffering from pancreatic diseases and chronic cholecystitis.
Product | Allowed | Forbidden |
Meat and poultry | Boiled or steamed beef, rabbit, chicken, turkey (lean parts). Chop or grind the meat. | By-products (lungs, liver, kidneys, brain). Fatty meats. Fried, smoked, salted, canned meat. |
Fish | Boiled, steamed, aspic. Fresh varieties. | Fatty varieties, caviar. Fried, smoked, salted, canned fish. |
Flour products | Products made from unleavened dough. Rusks, dried low-fat cookies. | Fresh bread. Yeast, puff pastry, butter products. Rye bread. |
Dairy | Low-fat cottage cheese, milk, fermented milk products. | Fatty foods: cream, sour cream. |
Eggs | Steamed egg white omelette. | Egg yolk. Fried eggs. |
Vegetables | Boiled and baked vegetables. Potatoes, carrots, zucchini, pumpkin. Puree vegetables. | Raw and roasted vegetables. Cabbage, radish, onion, garlic, mushrooms. |
Fruits | Baked apples. Non-acidic, unsweetened crushed fruits without peel. | Unpureed fruit. Grapes, dates, figs. |
Cereals | Finely ground viscous porridge. | Crumbly porridge. |
Soups | Puree vegetable broths without meat. | Cool meat, fish, mushroom broth. Borsch. Beetroot soup. Skit. |
Other | Steam pudding. Non-concentrated fruit jelly. | Chocolate, spices, savory snacks, sweets, flavorings, food coloring, salt, fast food. |
Even after the patient enters a state of stable remission, you should avoid foods prohibited by the 5p diet, since their use can lead to another exacerbation.
What to eat when the exacerbation passes?
An exacerbation of chronic inflammation of the gland is dangerous because it leaves a scar after a painful period. With the frequent appearance of such scars, the connective tissue of the organ that performs digestive functions is preserved less and less. Therefore, over time, the quality of digestion seriously deteriorates.
To slow down this process and reduce the likelihood of relapse, it is also necessary to follow a dietary regimen. According to it, all dishes can only be boiled, baked, cooked in a double boiler and a slow cooker. The optimal intake for this period of time would be five or six meals daily.
The list of permitted foods for chronic diseases includes:
- dried white bread, uneatable crackers;
- pasta;
- vegetable purees and pureed soups;
- dairy products;
- egg whites (up to one yolk per day is allowed);
- vegetable oil (in limited quantities);
- cereals (preferably pureed, crushed);
- non-acidic fruits;
- meat (containing large amounts of iron), chicken and fish without fat;
- freshly squeezed juices, compotes.
To determine the nutritional value of foods, you can use a table from a cookbook. You should eat small portions of one hundred to two hundred grams. The last meal should take place no later than two to three hours before bedtime, and too long intervals should not be allowed. The optimal time between meals is three to four hours.
Drinking regime for pancreatitis
Most metabolic processes in the human body occur in an aquatic environment. Water is necessary for the production of gastric secretions
, and also takes part in the neutralization of stomach acids. Doctors recommend that patients with pancreatitis drink 1.5 to 2 liters of fluid per day. But consuming 3 liters of liquid is no longer advisable, as it can cause kidney failure and swelling.
If you have pancreatitis, you are allowed to drink:
- non-concentrated non-acidic juice (natural);
- herbal tea with anti-inflammatory effect (rose hips, chamomile, dill);
- weak tea without sugar or with a minimal amount of it (green, hibiscus, black is better to limit);
- oat bran decoction;
- alkaline mineral waters (Borjomi, Narzan, Essentuki No. 4 and No. 17);
- diluted milk jelly.
In case of pancreatitis, the consumption of alcohol, coffee, soda, sour and fermented drinks is strictly contraindicated.
When following the drinking regime, you should adhere to the following recommendations:
- maintain 1.5-0.5 hours between meals and drinks;
- drink only decarbonated drinks;
- preheat the drink to 35-390C;
- absorb no more than 300 g of liquid at one time.
Drinking cold liquid stimulates contraction of the stomach muscles, which leads to the movement of insufficiently digested food masses further into the intestines, or to vomiting.
Benefits of green leaf lettuce
Like all other types of greens, this product contains many useful components. They are very important for an organism weakened by disease. Therefore, the menu of every person suffering from pancreatitis must include a green salad. It is recommended to eat it fresh, since only such a product contains a maximum of vitamins.
It is important to consider that green salad contains vitamin C or ascorbic acid that is harmful to the affected organ. To reduce its amount, lettuce leaves can be soaked in boiling water.
Only after such processing can they be consumed.
The diet can be diversified with green leaf salad, but some types of it are prohibited for consumption.
When the disease is in remission, it is permissible to eat fresh salad and add it to various dishes. It is quite acceptable to consume the leaves 1-2 times a week, seasoned with low-fat sour cream or yogurt.
Among the many types of lettuce, there are those that need to be excluded in case of inflammatory damage to the organ. In particular, arugula and watercress are prohibited. These products contain a lot of vitamin C and oxalic acid, which are contraindicated for pancreatitis.
Features of baby food for pancreatitis
If a child is ill, parents should especially strictly monitor adherence to the diet for pancreatitis of the pancreas. Sample menu
, compiled by Pevzner for adults, can also be offered to children.
Recipes for children with pancreatitis are no different from recipes for adults, except that the prepared dishes must look appetizing so that the baby wants to try them.
For example, you can prepare your child pumpkin cream soup, cottage cheese casserole, or apples baked with cottage cheese and raisins.
If a child is invited to an event that involves food, adults should either accompany him and monitor his diet, or warn the hosts of the holiday about your child’s restrictions, and also ask them to ensure the availability of dietary food.
Features of nutrition in case of organ dysfunction in children
The diet for children differs little from the permitted diet for adults in case of pancreatic dysfunction. However, there are also some nuances. So, instead of steamed cutlets, it is better to give children boiled fish or chicken fillet, or dietary beef, minced through a meat grinder.
For breakfast, it is best to offer your child milk porridge or cereal with water. At the same time, we must not forget that a growing body requires a sufficient amount of proteins, vitamins and minerals in food.
Particular attention should be paid to sweets. Chocolate, sweets, and confectionery products are strictly prohibited during medical nutrition. Also, children should not be given carbonated drinks or store-bought juices. It is necessary to feed the child according to his age and avoid eating difficult-to-digest foods.