Prohibited and permitted foods for pancreatitis - how to create a menu?

Causes of the disease

Disruption of the pancreas occurs due to damage to the tissues of the organ. Pancreatic juice consists of trypsin, lipase and other digestive enzymes that easily break down proteins, fats and carbohydrates entering the body.

In cases where pancreatic juice does not enter the intestine, it acts inside the gland, and the process of “self-digestion” develops. Enzymes break down their own tissues. Under their influence, some cells die, the rest resist, and inflammation of the pancreas begins.

The outflow of pancreatic juice is disrupted under the influence of the following factors:

• mechanical (drinking excessive amounts of alcohol, smoking, poor diet, cholelithiasis, abdominal trauma);
• hereditary predisposition;
• autoimmune diseases (lupus erythematosus, arthritis);
• stress.

In cases where, during the first attack of acute pancreatitis, the patient was not provided with the necessary medical care, the inflammation becomes chronic. Simultaneous disruption of the pancreas and bile ducts leads to cholecystopancreatitis and further development of peritonitis.

Contraindications

Each type of bread has certain contraindications.

White bread, entering the stomach, causes fermentation with the release of a large amount of gases, and therefore it is not recommended to be consumed for constipation, dysbacteriosis, peptic ulcers, and diabetes. The product leads to blood thickening and promotes the development of varicose veins; it is not recommended to use it for atherosclerosis, thrombosis, or cardiovascular diseases. For women expecting the birth of a child, white bread is not recommended, since its consumption leads to swelling of the birth canal and early hardening of the fetal head.

It is not recommended to use black bread for:

• Infections and gastrointestinal disorders;
• High acidity of gastric juice;
• Heartburn;
• Gastritis and ulcers;
• Diseases of the gallbladder and liver.

If you have these ailments, you need to replace black bread with stale white bread on a yeast-free basis.

Whole grain bread should not be used if:

• Increased acidity;
• Stomach ulcer;
• Enterite;
• Cholecystitis;
• Pancreatitis;
• Adhesions in the intestines;
• Acute gastritis.

Bread with bran should not be included in the diet if:

• Hemorrhoids;
• Colitis;
• Stomach ulcers;
• Acute phases of gastrointestinal diseases.

Nutrition for pancreatitis in adults

The nutritional system does not include the consumption of heavy and fatty foods.
The diet for pancreatitis, which the doctor prescribes, is based on the principles of proper nutrition. Patients are advised to eat small meals 5 times a day. You will have to eliminate unhealthy foods from your diet forever. For diseases of the pancreas, it is necessary to eat mainly protein foods, and it is better to reduce the consumption of fats and carbohydrates to a minimum. Following a diet without disruption is possible by drawing up a menu for the week ahead. When compiling your diet, consider the following recommendations:

• do not skip meals (eat every 3-4 hours);
• eat in portions of 150 g;
• grind food if it can irritate the mucous membranes;
• It is better to choose dishes with a high protein content;
• forget about excessive consumption of fats and carbohydrates forever;
• refuse dishes with a high content of extracts;
• In case of severe pain, refuse food for two days.

It is much more difficult for those with a sweet tooth to maintain such a diet, because they cannot eat their favorite sweets, cakes and cookies.

Treatment course

Tune in immediately for a long time. Tablets give faster results, but have more side effects. However, the final choice must be made by the attending physician. It is very good if in your case only potato juice is prescribed for pancreatitis and cholecystitis. We will now look at how to drink it. Be sure to prepare fresh ingredients every morning. Even more than that, finish all your chores first, and then start chopping the potatoes. Be sure to consume the drink within 10 minutes. As soon as a starch precipitate begins to form and the juice itself darkens, the beneficial properties become lost. Fresh raw materials are always light.

How to eat properly during acute pancreatitis

Acute pancreatitis is an inflammation of the pancreas that develops under the influence of various factors. This form of the disease requires medical supervision. According to statistics, 40% of patients die from a diagnosis of acute pancreatitis. The disease is dangerous because it develops so rapidly that it is almost impossible to avoid complications. Properly selected therapy and timely medical care prevent unwanted consequences and lead to a complete cure for the patient.

Treatment of pancreatitis is based on a strict diet, which in no case should be violated, especially after surgical treatment of pancreatitis. You need to adhere to the prescribed recommendations throughout your life, since only proper nutrition can protect the patient from relapses of the disease. The diet for acute pancreatitis is extremely strict and consistent.

In the first two days after the onset of the disease, the patient abstains from food (starvation diet). To maintain the body, elements, vitamins and minerals are administered intravenously in the form of special solutions. After acute pain has been relieved, liquid food is added to the diet. The attending doctor, analyzing the patient’s condition, indicates how long to follow the diet.

When the activity of pancreatitis decreases, porridge, puree, and jelly are added to the patient’s menu. Dishes are served in crushed form: grated or crushed in a blender. A diet for a week with such strict restrictions improves the patient’s condition and relieves inflammation of the pancreas. When the patient’s condition stabilizes, kefir, compote, cottage cheese, and omelet are gradually added to the diet. Food continues to be steamed for 2 months, and the products are cooked after heat treatment.

After a while, if your health allows, you are allowed to eat baked goods, fish, and lean meat. After acute pancreatitis, the patient will have to rebuild the menu and regimen in accordance with the principles of proper nutrition:

• Fractional meals. Food should be consumed every 3-4 hours.
• Small portions. The volume of one meal should be 500 g.
• Feelings of extreme hunger should not be allowed to occur.

In case of acute pancreatitis, patients should forever forget about fatty foods, hot seasonings, smoked foods, sour fruits and vegetables.

An example of a daily diet for patients with acute pancreatitis:

When choosing products for the menu, patients with acute pancreatitis need to carefully study the labels to avoid the use of preservatives, dyes, flavors, and stabilizers.

If you have doubts about the beneficial properties of a product, it is better not to include it in your diet.

Beet salad recipes

For inflammatory damage to the pancreas, it is very useful to eat beets

This product contains a lot of fiber, and therefore you still need to eat it carefully. First of all, the root vegetable is thoroughly boiled - the duration of the heat treatment should be at least 2 hours

After this, the vegetable must be finely chopped.

If prepared correctly and without spicy dressing, it is acceptable to eat beetroot salad.

In order not to harm your body, you should not put lemon juice, garlic or vinegar in beet salad. It is best to use olive oil for dressing.

Beetroot and carrot salad has excellent taste. Vegetables need to be boiled, peeled and chopped using a grater. After which the salad can be dressed with a light sauce. Regular sunflower oil is also an excellent option. This salad is recommended to be eaten as a side dish in combination with boiled meat or fish.

Diet for chronic disease

Any chronic disease may not bother the patient for a long time, but periods come when remissions give way to acute attacks. 50% of exacerbations occur during the so-called “spring-autumn” off-season. The cause of attacks is poor diet and consumption of alcoholic beverages. Alcohol is the main enemy for patients suffering from pancreatic diseases.

The first days after an acute painful attack, the patient fasts and is allowed to drink only water. Subsequently, the attending doctor prescribes a special diet, usually Diet 1 (table No. 1). The menu is formed mainly on protein products: lean meats, fish, 0% fat cottage cheese, etc. You should eat boiled and steamed meals 8 times a day. The volume of one serving is 250 g (one handful).

In the acute stage, the patient is not allowed to eat food for three days; in other cases, liquid crushed foods are allowed. In case of severe attacks, the patient should be immediately hospitalized, the necessary treatment should be prescribed and parenteral nutrition should be administered.

During periods of mild to moderate exacerbations, patients are recommended to drink rosehip decoction, but not more than 50 ml per hour.

Inflammation of the pancreas is largely provoked by carbohydrates; their amount should be reduced to a minimum. At one time you can consume 3 tablespoons of liquid porridge, vegetable puree or lean soup. You need to eat at least 5 times a day. Within two weeks, portions increase by 40 g per day. After a couple of weeks, the size of one serving will be 250 g.

The list of foods allowed for chronic pancreatitis is provided by diet No. 1, No. 5p. According to the doctor’s recommendations, the diet is replenished with new products. At the same time, you should pay attention to your own sensations and reactions of the body. The first pain symptom is a signal to refuse the “heavy product”

Sample daily menu for patients with chronic pancreatitis:

Diet for chronic pancreatitis helps eliminate exacerbation of the chronic form of the disease.

The main rule is that the pancreas should rest from heavy food.

Diet for remission of chronic pancreatitis

During the period of remission, the patient feels relief and does not experience pain. The patient’s excellent health allows the range of permitted products to be expanded. However, you shouldn’t relax either, since the pancreas can still respond negatively to some foods.

Diet No. 5 should be taken as the basis for nutrition during the remission stage, adding more easily digestible proteins and vitamins to it:

• fractional meals;
• boiled, baked, steamed dishes;
• consumption of at least 150 g of protein per day, mainly animal;
• varied menu;
• minimizing animal fats;
• grinding and chewing food.

Patients suffering from pancreatitis lead an active lifestyle. They should think over the menu for every day. The ideal option is hot lunches (soup, fish soup, borscht) and light snacks (yogurt, banana). When at corporate events or parties, do not hesitate to clarify the composition of the dishes offered. Do not eat unfamiliar delicacies, so as not to break your diet and not provoke exacerbations.

Reviews

Dear readers, your opinion is very important to us - therefore, we will be happy to provide feedback on the use of potatoes (potatoes) for pancreatitis in the comments, this will also be useful to other users of the site.

Zhanna

I don’t even know what I would do with my pancreatitis if there were no potatoes! You can prepare so many dishes from it that will not only suit your taste, but will also be as healthy as possible! The simplest thing is mashed potatoes, I love it! It can be served with cutlets and fish, and it goes well with all vegetables. In general, a universal product!

Sergey

I have been treated with potato juice more than once. The taste is, of course, a rare disgusting thing, but for the sake of the effect that it has on both the gastrointestinal tract and the pancreas, you have to endure it. I prepare the juice by hand, I simply grate the potatoes and then squeeze them out using gauze. I take half a glass a day on an empty stomach for 2 weeks, and then I take a break for about the same period. By the end of the first 7 days I feel noticeable relief, and I also noticed that the periods of remission between exacerbations have become longer.

Pregnancy and pancreatitis

Many women of childbearing age suffer from chronic pancreatitis, so pregnancy and childbirth must be taken with full responsibility.

The pancreas is not an obstacle to conceiving a child and does not have a negative impact on its intrauterine development.

Problems arise in the acute form of the disease or during attacks of chronic pancreatitis. In such cases, drug treatment and a strict diet are prescribed, which is why the child may not receive enough vitamins and elements necessary for his life.

Patients with pancreatitis should be regularly monitored by a specialist and plan pregnancy at the time of complete remission of the disease. During an exacerbation of pancreatitis, it is better not to even think about conceiving a child for the following reasons:

1. Pregnancy is a double burden on the female body. Over the course of 9 months, women experience aggravation of all chronic diseases, including pancreatitis.
2. Medicines that are used to treat pancreatitis are strictly contraindicated during pregnancy and lactation.

It is better to plan a pregnancy with an initial consultation with a gynecologist and attending physician, who will prescribe tests that show the body’s readiness to bear a baby and give birth. Select in advance qualified specialists whose experience allows them to supervise pregnant women with pancreatitis.

Exacerbation of pancreatitis has the same symptoms as toxicosis: vomiting, nausea, fever, abdominal pain. Under no circumstances should you tolerate these symptoms. If you have at least one of them, you need to see a doctor and talk about your problems.

You should not self-medicate, because not only the life of the mother, but also the child depends on it. Treatment with folk remedies should also be left until better times, so as not to risk the baby’s health.

The course of pregnancy in women with pancreatitis depends on the number of exacerbations and their severity. Expectant mothers suffer from toxicosis in the first and second trimester, but the rest of the pregnancy passes without complications. In case of extremely severe attacks, if there is a threat to the life of the mother, termination of pregnancy is used.

Chronic pancreatitis is not the reason for prescribing a cesarean section; a woman is able to give birth to a healthy baby on her own.

Treatment with raw potato tubers

Another unconventional method of treating pancreatitis is eating raw potatoes. All you need to do is grind it with a grater, and then consume the resulting pulp in a volume of 20-30 g 30 minutes before meals. Since during inflammation of the pancreas it is very important not to harm the body, any of the products, especially in their raw form, should be introduced into the diet gradually. To do this, you need to start with a small portion, but over time the dosage must be increased to 2-3 tablespoons. In addition, the root vegetable does not have a very pleasant taste, so starting to take it with a minimum amount will work to your advantage: this way adaptation will take place easily and unnoticed.

Despite all the positive qualities of this technique, there are some contraindications:

• Potato juice is prohibited for people suffering from gastritis with high acidity;
• Raw root vegetables, as well as juice from them, are unacceptable for consumption by people with obesity or severe diabetes.

It should also be borne in mind that such a natural drink can negatively affect the condition of tooth enamel, so people with sensitive tooth surfaces should probably refuse this type of treatment.

Diet of patients with a chronic form of the disease during pregnancy

For a woman suffering from pancreatitis, pregnancy does not become a reason to ease dietary restrictions. On the contrary, diet adherence during this period should be strictly controlled to avoid inflammation of the pancreas. It is advisable for pregnant women to adhere to the following recommendations:

1. Follow your doctor's instructions. The diet for pancreatitis during pregnancy does not differ from the nutritional systems intended for the treatment of the disease.
2. During the first three months of pregnancy, eat according to the menu of the first option of Diet No. 5 (eat boiled food and steamed dishes). From the second trimester, in the absence of visible complications, the diet menu can gradually be expanded.
3. Limit consumption of fresh fruits and vegetables. During the period of remission, you can only eat bananas, melon, apricots and cherries. Vitamins and minerals that the body receives from fruits and vegetables are obtained with special preparations.
4. Suppress the desire to eat salty/spicy/sour foods that women experience during pregnancy.
5. Eat every 3 hours until you feel hungry.

Pancreatitis in pregnant women is not a death sentence; a woman can give birth to a healthy child. To do this, you must carefully follow the doctor's instructions and carefully monitor your well-being.

Second courses

The diet for pancreatitis pathology is agreed with the doctor

He will help in establishing an accurate menu of dietary products, will tell you what foods for patients with pancreatitis are allowed to include in the table, and which ones may negatively affect health. It is important to remember that each patient experiences pancreatitis individually, and the diet plan will depend on the patient’s well-being and the degree of damage to the organ.

It is allowed to include such recipes in the diet for pancreatitis.

Steamed pollock fillet cutlets

To make steamed diet cutlets, you need the following ingredients:

• 200 g pollock;
• white bread – 2 pieces;
• egg white;
• cow's milk diluted with water – 30 g.

The bread is soaked in milk. Grind together with the fish in a blender. Add an egg to the prepared minced meat and form cutlets, which are steamed for 20 minutes.

steamed fish cutlets

Pancreatitis in children. Reasons for development

Oddly enough, children can also suffer from pancreatitis. Alcoholic drinks and poor nutrition do not put pressure on the baby’s pancreas, then what can trigger the development of this “adult” disease?

In childhood, pancreatitis occurs in three forms: acute, chronic and reactive.

Acute pancreatitis in children manifests itself, just like in adults, due to a violation of the outflow of pancreatic juice. The outflow of juice is affected by:

• received abdominal injuries;
• abnormal development of the pancreas;
• calcifications;
• cholelithiasis;
• diseases due to parasite infection;
• acute infectious diseases;
• chronic diseases of the stomach and intestines (gastritis, colitis).

Not only self-digestion provokes the development of pancreatitis in children, the causes of the disease also include:

• toxic damage to the pancreas from strong chemicals and poisons;
• malfunctions of the organ due to hereditary predisposition.

Acute pancreatitis manifests itself in the form of pain (pain attacks) in the left side of the abdomen or in the center. Children cannot determine the nature of the pain, so many problems arise with the correct diagnosis. After an attack, vomiting, dizziness, weakness and fainting are possible. Due to the strong toxic effect on the body, the baby may begin to hallucinate. It is also necessary to pay attention to the color of the skin (becomes slightly yellowish) and the tongue (a white coating appears on it). The inflammatory process provokes an increase in the baby’s body temperature.

Diagnosing acute pancreatitis in infants and children under two years of age is problematic. They cannot yet independently tell about the nature of the pain. Often babies cry, scream and curl up into a ball. Possible vomiting, fever, diarrhea.

The child must be shown to a pediatrician, since symptoms may indicate the development of other diseases.

In children, chronic pancreatitis occurs rarely and occurs only after an advanced acute form or after reactive inflammation of the pancreas. Chronic pancreatitis is caused by lack of treatment and abnormal death of pancreatic cells after severe acute pancreatitis.

The children's pancreas actively reacts to any manifestations of pathological processes with inflammation and swelling. Edema is replaced by a decrease in the activity of digestive enzymes. This phenomenon is called reactive pancreatitis. The causes of the development of this form of the disease are considered to be:

• inflammatory processes in organs adjacent to the pancreas;
• infectious diseases (viruses, bacteria, fungi);
• poor nutrition of the child (lack of breastfeeding, fast foods, improper diet, consumption of unripe vegetables and fruits).

The chronic form in children develops in the same way as in adult patients: abdominal pain when the diet is not followed by pancreatitis, nausea after eating spicy, fatty foods, diarrhea, flatulence, deterioration in the condition of hair, nails, and skin.

Reactive pancreatitis is treatable because the pancreatic cells are damaged to a minimal extent. After eliminating the main cause of the disease, the functioning of the pancreas is normalized, and the child can return to his usual lifestyle. Of course, if you do not influence the course of the disease, it becomes chronic.

Reactive pancreatitis in children manifests itself as follows:

• loose stool or chronic constipation;
• bloating;
• flatulence;
• dull pain in the navel area.

Are fried potatoes allowed?

People who are forced to adhere to a diet due to pancreatic disease, of course, sometimes want to allow themselves to relax and eat something from the dishes that are more familiar to us. It can be anything: fried chops or chicken legs, eggs or any other food cooked in a frying pan, as well as everyone's favorite fried potatoes. There are a lot of options, but whether such dishes are healthy is a rhetorical question. Their implementation requires the use of vegetable oil, which, when exposed to high temperatures, saturates the products with harmful substances. In addition, everything that has been processed by frying has an irritating effect on the gastrointestinal mucosa and is very difficult to digest. The breakdown of this food requires a fairly large amount of enzymes, which is why the pancreas begins to actively produce them. In the conditions of the inflammatory process occurring in it, such a phenomenon will become extremely undesirable, it will only aggravate the course of the disease and will most likely provoke a relapse.

Nutrition for pancreatitis for children

The children's diet is formed depending on the type of disease. In case of chronic pancreatitis, a small patient should adhere to a strict diet at the stage of exacerbation of the disease, and when the pain syndrome subsides, you can switch to a gentle option. Unfortunately, the chronic form of pancreatitis requires lifelong dietary restrictions.

A strict diet for a period of one month is prescribed to a child with acute pancreatitis. Diet No. 5 is the most effective nutrition system that allows you to completely get rid of a terrible diagnosis in five years.

You should be extremely careful with your diet, because small deviations delay the healing process.

The diet for reactive pancreatitis in children is followed for at least two weeks after an attack of the disease. In this case, you should not limit the child too much. For a complete cure, it is enough to adhere to the principles of proper nutrition appropriate for the baby’s age.

Regardless of the stage of the disease, the following must be completely excluded from the menu:

• smoked and pickled products;
• fast food;
• spicy, salty, fried;
• products with preservatives, flavorings and flavor enhancers.

A diet for reactive pancreatitis in a child allows you to create the following diet:

The diet for reactive pancreatitis is based on treatment table No. 5

In case of acute pancreatitis and attacks of the chronic form of the disease, the child must be hospitalized.

In the first days, the baby is practically not fed by mouth, but uses exclusively parenteral nutrition. On the second day, if there are no attacks of vomiting, you can give water to drink, but not more than one glass per day. If the attack of pancreatitis passes, then from the third day it is allowed to eat thin porridge, mashed potatoes, compotes based on dried fruits, and jelly. Gradually, you can add lean soups, omelettes to your diet, and if the dynamics are positive, boiled beef and chicken. From the second week, you can safely include low-fat dairy products, fish and meat, boiled or steamed, on the menu. A detailed nutritional system is selected by the attending doctor.

The child often does not understand the seriousness of the disease; it is difficult for him to withstand so much time without sweets. You can make jelly from apples or bake a tender casserole. Absolutely all food can only be consumed warm and in small pieces. It is better to avoid salt and sugar altogether at first.

A diet for pancreatitis in children after a month allows the consumption of Adyghe cheese, baked meat and fish, cottage cheese, and pasta. The list of permitted vegetables is significantly expanding: zucchini, carrots, cabbage, pumpkin, beets. You definitely need to consume more natural fermented milk products. You can add a little butter to the porridge, and cream to the puree.

During remission, the menu for the child must be expanded depending on the improvement in his well-being. If the pancreas negatively perceives the newly introduced product, it should be immediately excluded. Gradually, the baby can be given freshly squeezed juices, seasonal vegetables, and berries in limited quantities. An approximate diet, standard for pancreatitis, includes protein foods, liquid cereals and white poultry meat. For a while you need to stop drinking whole milk, but you can cook porridge and soups based on it. Little sweet tooths can occasionally be pampered with jam, marshmallows, and marmalade.

In order for a therapeutic diet to be effective, you must adhere to a food consumption schedule - eat every 3 to 4 hours. Make sure that your child does not have long periods of hunger.

If your child eats in the school canteen, carefully study the institution’s menu. Undoubtedly, educational and preschool institutions adhere to the principles of dietary nutrition, but not everything that is offered in the canteen can be consumed by patients with pancreatitis.

Before sending a child to kindergarten or school, a note should be made in his or her card about the presence of pancreatitis and the need for special therapeutic nutrition. Prepare a list of all foods prohibited for your child and give it to the teacher. Be sure to carry out educational work with your child so that he understands the seriousness of the disease and knows that he can eat outside the home. When a child understands the situation, it will be easier for him to stick to the diet without breakdowns.

The course of pancreatitis in childhood directly depends on the child’s responsibility. A diet for children with chronic pancreatitis is a platform for building a nutritional system for life.

Second

Mashed potatoes and cereals are considered easily digestible; they do not overload the digestive organs. This food is suitable not only for pancreatitis, but also for cholecystitis.

Steamed fish cutlets

Pass 300 g of low-fat white fish fillet through a meat grinder. Add 2 pieces of white bread soaked in milk and minced to the fish. Mix. Beat the white of one egg with a fork and add to the fish mixture. Form cutlets. Steam the cutlets for 20 minutes.

Steam the cutlets for 20 minutes.

Puree

It is better to use seasonal vegetables to prepare puree, because

they contain the largest amount of substances beneficial to the body, which is especially important for pancreatitis.

Pumpkin, zucchini and potato puree

Cut 100 g pumpkin, 100 g zucchini and 200 g potatoes into small slices. Boil the potatoes, simmer the pumpkin and zucchini in water with olive oil until tender. Grind the cooked vegetables in a blender, then mix the mashed potatoes and the zucchini and pumpkin mixture with each other. Add a little seasoning based on dry herbs and 2 tbsp to the vegetables. l. olive oil. Place on fire and bring to a boil. The puree will be more tender if you beat it again. This is a delicious side dish that will highlight the natural taste of fish or poultry.

The puree will be more tender if you beat it again. This is a delicious side dish that will highlight the natural taste of fish or poultry.

Porridge

Cereal dishes can be either a side dish or an independent second course. For patients with pancreatitis, it is allowed to cook porridge with milk and water in a 1:1 ratio.

Rice porridge with cottage cheese

Rinse 40 g of rice, add 300 ml of clean water, add 1 tsp. Sahara. Cook over low heat for 25 minutes, making sure the rice does not burn. Cook the rice until completely cooked. Place the finished rice in a high bowl, add 50 g of low-fat cottage cheese and 1 tsp. butter and beat with a blender.

Cereal dishes can be either a side dish or an independent second course.

The most popular diets and nutrition systems for patients with pancreatitis

Depending on the form of the disease, the patient is prescribed a diet with clearly defined restrictions and a list of permitted foods. When determining the nutritional system, anamnesis, the body’s reaction to certain food groups and the presence of concomitant diseases are taken into account. Pancreatitis rarely develops as an independent disease. Most patients suffer from gastritis, ulcers, hepatitis, cholelithiasis, etc. This factor must also be taken into account when designing a nutrition system.

Since 1920, the most advanced nutrition system has been considered the system of the therapist Pevzner. The doctor has developed 15 table options for patients suffering from diseases of the intestines, stomach, pancreas, etc. The diet number indicates a specific diet, consisting of a specific list of dishes. Each group of diseases has its own “table”. For example, for cardiac diseases, patients are prescribed Diet 10, and for kidney problems - No. 7.

The correspondence between the table number and the disease is displayed in a special table:

Recipes for dishes for each table are freely available on the Internet. Only a doctor can determine which diet is suitable for a patient after conducting the necessary research.

Diet No. 1 (table 1)

Prescribed to patients with gastrointestinal problems. You can start the diet two weeks after an acute pain attack. The doctor changes the therapeutic diet only 5 months after achieving stable remission.

Diet No. 1 puts forward the following requirements for the patient:

• eating foods that are native to one’s area;
• increasing daily calorie content to 2800 kcal (proteins - 100 g, fats - 100 g, carbohydrates - 400 g).

High calorie foods can negatively affect weight, so you need to add physical activity.

A diet for pancreatitis and gastritis allows you to consume the following list of products:

• yesterday's wheat bread;
• liquid porridge in grated form;
• pureed lean vegetable soups;
• boiled vegetables, fruits, dishes made from them with added sugar;
• homemade sauces without adding hot, salty seasonings;
• fresh dairy products;
• mashed potatoes;
• lean types of fish and meat;

Delicious diet No. 1 offers the following menu:

The combination of tables No. 1, No. 5p is an excellent diet for duodenitis and pancreatitis.

Table No. 3

Diet for pancreatitis with constipation, but you should be careful with large amounts of fiber and bran, which provoke painful attacks. Diet 3 is based on eating soft, liquid foods low in starch and animal protein. The patient's portions should be small - no more than 200 g.

The nutrition system allows the consumption of the following products:

• bran, multi-grain bakery products;
• vegetable soups based on chicken and fish broth;
• lean types of meat, fish;
• cereals;
• boiled chicken eggs, but not more than 1 pc. in a day;
• non-acidic fruits and vegetables;
• vegetable oil, butter;
• milk, tea, coffee, rosehip decoction, herbal infusions.

Under no circumstances should you eat products made from white flour, sticky foods, pastries with cream, garlic, coffee, or alcoholic drinks.

Approximate menu of Diet No. 3:

Pevzner diet for pancreatitis (table No. 5)

This is a special nutrition system that is actively used during the treatment of diseases of the liver and biliary tract. Diet 5p is a modification of table No. 5, modified for patients suffering from pancreatitis.

Diet 5 for pancreatitis is offered in several versions.

For patients with an acute form of the disease, diet 5b is suitable. Also, the menu of this table is attributed to patients during periods of exacerbation of chronic pancreatitis. The diet is prescribed after two days of disease attack, after the end of therapeutic fasting. During this period, the inflamed pancreas needs maximum rest.

In case of exacerbation of pancreatitis, it is necessary:

• completely exclude from the diet foods that stimulate the pancreas and stomach;
• do not eat “heavy” meals;
• Remove foods that damage the pancreas from your diet.

Throughout the day, the patient needs to eat small portions (200 g) every 2 hours (about 8 times a day). When cooking, products can be boiled or steamed. In the first days of the diet, the patient should be given food in crushed form.

List of allowed foods in the first version of Diet No. 5p:

• rice, semolina, buckwheat, oatmeal, cooked in water or milk in proportions of 50:50. Cereals can also be used to prepare light soups;
• crackers, stale bread;
• boiled pasta from durum wheat;
• lean white meat (chicken, turkey, rabbit);
• skinny varieties of fish (pike perch, pollock);
• low-fat fermented milk products;
• vegetable and butter (no more than 5 g per day);
• vegetables, fruits in processed form (mashed potatoes, jelly);
• chicken egg whites;
• herbal infusions, fruit jellies and compotes.

Patients are allowed to eat fresh, warm meals without added sugar, salt, or seasonings. A week after starting the diet, you can add sweeteners to your food. Under no circumstances should patients with pancreatitis consume semi-finished and ready-made foods from supermarkets. The menu of this option is used as a diet for hepatitis and pancreatitis.

The second version of Diet No. 5 is intended for patients suffering from chronic pancreatitis after the exacerbation has subsided, during periods of remission. Nutritional control allows you to restore the functioning of the pancreas as much as possible and prevent exacerbation of the chronic form of the disease. The diet menu consists of foods rich in protein, vitamins and minerals to avoid the development of possible complications. Diabetes mellitus is recognized as the most terrible consequence of pancreatitis.

The interval between meals should not exceed four hours. The volume of one serving, including liquid, is 500 g. This version of Diet No. 5 allows you to eat stewed and baked dishes. During moments of remission, food should be chopped; in normal conditions, it is enough to chew food thoroughly.

In addition to the products allowed in the first version of the diet, the range is significantly expanded:

• barley, pearl barley, wheat cereals;
• fresh (young) legumes;
• unhealthy baked goods (cookies, bread);
• lean parts of meat, cleaned of fat, tendons and films;
• lean fish;
• greenery;
• chicken eggs, soft-boiled, hard-boiled;
• sweets (marshmallows, honey, marmalade, marshmallows);
• a little salt and sugar (no more than 10 g per day).

Regardless of the version of Diet No. 5, there is a list of what should not be consumed under any circumstances:

• alcoholic drinks;
• mushrooms;
• hot seasonings and spices;
• fatty meat and offal;
• smoked products;
• confectionery;
• spicy/sour vegetables and fruits;
• bakery products with bran, based on puff pastry;
• fried foods.

During treatment, the characteristics of the body and its reaction to certain foods should be taken into account. The introduction of new dishes into the diet is carried out gradually without causing discomfort to the pancreas.

Sample menu for the day according to Diet No. 5p for pancreatitis of the pancreas:

Diet 5a is a special diet that allows you to reduce the load on the gallbladder, liver and pancreas. The diet for pancreatitis and cholecystitis is not very different from the entire cycle of table No. 5. In addition to the main list of prohibited products, it is prohibited to consume:

• kvass;
• bread;
• soybeans, legumes;
• processed cheese, cottage cheese;
• citrus.

Table No. 5, with minor amendments, can be used as a diet for pancreatitis and colitis.

List of prohibited products

Any heavy food (especially store-bought) should be excluded from the patient’s diet. In addition, semi-finished products and fast food are prohibited. Among the main restrictions are also:

• rich meat and fish broths;
• pickled products;
• smoked meats and pickles;
• legumes;
• mushrooms;
• onions, radishes and garlic (especially fresh);
• high fat dairy products;
• fatty meat and fish products;
• alcohol in any form;
• sweets, confectionery;
• sausage products;
• fresh baked goods and bread;
• sauces (especially tomato and mayonnaise);
• carbonated drinks, strong tea and coffee;
• very sour or sweet fruits.

Even dietary foods can be banned if processed incorrectly. Adding too much salt and seasoning is also prohibited.