The diet for pancreatitis depends on whether the disease is acute or chronic. Do not forget that the inflammation of the pancreas is not nonsense, because it plays an important role in digestion, metabolism and assimilation of substances (proteins, carbohydrates and fats). Therefore, immediately after diagnosis, it is necessary to make significant changes to the diet. Otherwise, even the latest generation of drugs will be powerless.
Acute (reactive) pancreatitis
As the name suggests, the disease manifests itself suddenly (usually immediately after eating irritating food). Symptoms: burning 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, carbonated soft water. Sometimes the disorder 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 for a long time suffering, and at the same time reducing pancreatic and gastric secretions. And here is what the sequence of the patient's 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 quantities.
- Starting from the 5th day.Gradually and very carefully we expand the diet menu for pancreatitis. For this, it is recommended to join the 5P cot.
- For 6-7 days.We include in the diet jelly, slimy soups, kefir, liquid porridges (except millet), steamed chicken, beef and fish cutlets, mashed potatoes and other boiled and stewed vegetables, weak tea, baked apples orcrushed, rosehip broth.
Diet features and a sample menu
Regardless of where the patient is sent for treatment of pancreatitis, in a sanatorium or at home, he must adhere to diet number 5, which is based on the following principles:
- The daily norm of vegetable proteins - 30 g, animal proteins - 50 g, vegetable fats - 15 g, animal fats - 45 g and carbohydrates - 200 g The total calorie intake for pancreatitis is notmust exceed 2500-2700 kcal per day. The amount of liquid you drink is 1. 5 liters, salt is 10 g.
- In 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 the cooked food should be between 45 and 60 degrees.
- The consistency of the dishes is liquid, semi-liquid, i. e. only pureed.
A diet for acute pancreatitis implies a complete exclusion from the menu for a long period (almost a year) of smoked meats, fried foods, pickles and pickles, sour cream, lard, canned food, baked goods and fresh bread, cream, alcohol. Compliance with all the above recommendations can prevent the development of the disease in a chronic form! A sample menu for the day might look like this:
- Breakfast:steamed omelette, herculean porridge smoothed over water, weak tea.
- Second breakfast:cheese with milk.
- Lunch:buckwheat soup, boiled meat stew, apple jelly.
- Dinner:steamed fish cutlets, carrot puree, rosehip broth.
- For the night:kefir.
Chronic pancreatitis
This disease has another extremely unattractive name: prediabetes. Indeed, if you have already passed the acute phase unfavorably (in the absence of proper treatment), diabetes mellitus could become the next step. This disease is characterized by two alternating phases: exacerbation and remission. Therefore, feeding with pancreatitis is aimed at relieving the inflammatory process and, as a result, translating the disease into a stage of remission.
So, from now on, your diet will be a lifelong nutritional system. And you can't do anything about it. You can still take diet number 5 as a basis, the basic principles of which we continue to strictly observe. The diet with exacerbation of chronic pancreatitis is again a return to the first three steps (fasting with mineral water and further in the list above).
Approved products:
- milk, yogurt, kefir, non-sour cottage cheese, sweet cheese;
- porridge (buckwheat, oats, rice), pasta;
- vegetables (potatoes, carrots, squash, zucchini, beets, etc. );
- wheat crackers or stale white bread;
- meat (veal, chicken, rabbit, turkey), lean fish;
- baked apples, fruit jellies, forest fruit sauces;
- oat broth, fruit drink, non-acidic fruit juices, chamomile;
- vegetable broths and puree soups, celery juice.
Prohibited products:
- sour fruit, fresh cabbage, legumes;
- spinach, sorrel, radish, radish;
- hot spices and herbs;
- fresh bread, pastries, sweets;
- sausages, smoked meats, canned food, eggs;
- meat, fish broths, cabbage soup, borsch;
- alcohol, sweet drinks with gas;
- sweets, ice cream, sour cream, cream;
- fried foods.