Diet for pancreatitis of the pancreas: symptoms of inflammation, food menu, recipes.

5 July 2021

PancreatitisIt is a whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly, one of its manifestations is pain syndrome.

To relieve pain and prevent recurrences,proper diet is important. . .

Pancreatitis is divided into chronic and acute, depending on the nature of the disease, you need to choose the right food.

In acute or chronic pancreatic disease, pancreatitis is diagnosed due to:

Eating disorder.
Eat fatty / spicy foods on a daily basis.
Chronic alcoholism
Biliary tract diseases, including cholecystitis, gallstone disease.
Stomach ulcer.

With exacerbation of pancreatitis.there is a need for surgical intervention (opening of the lining of the pancreas) in case of a small effect of drug treatment, fasting, removal of food debris from the stomach.

Chronic pancreatitisaggravated under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotics, against the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults. With increased pressure within the abdomen in women in late pregnancy, pancreatitis can develop.

Diet for acute pancreatitis for 10 days

The purpose of nutritional therapy for acute pancreatitis.-eliminate swelling, inflammation and infection of the pancreatic duct.

To do this, in a hospital, a drug treatment with enzyme preparations, antispasmodics plus full fasting for several days is used to avoid the use of a surgical operation.

Hunger is necessary to suspend the production of gastric, pancreatic juices, to reduce the enzymatic activity due to the lack of food in the esophagus. During this time, the restoration of the gland will take place.

They come out of hunger for 2-3-4 days, trying to eat for a day:

dry wheat bread or loaf (not sticky) - 50 g / day;
jelly, fruit drinks (it is better to cook them with blueberries or black currants);
continue to drink at least 2. 5 liters of liquid, including currant or cranberry juice with mineral water (2: 1) without gas, as well as various decoctions (for example, rose hip).

If the symptoms of acute pancreatitis do not reappear, add it to the diet for 3-5 days:

salty slimy rice or oatmeal broth;
oil-free liquid mashed potatoes;
semi-liquid gelatin or juice gelatin;
liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything has to be ground or chopped with a mixer);
cracker;
dry bread.

For 6-8 days you can eat:

protein-based steamed omelette
fat-free cottage cheese souffle;
steamed meat (necessarily minced or grated through a meat grinder / blender)
viscous cereal soups;
jelly or apple mousse, grated berries without skin;
Vegetable purees (potatoes, zucchini, pumpkin, carrots are fine, you can add a little oil)
vegetable puddings (steamed);

You can add liquid - green or black tea (weak), add sugar or honey - 1 teaspoon each, or milk tea, beet juice, 50 ml / day with mineral water.

The calorie content is increased to 1000 calories per day, up to 50 g - protein, up to 250 g - carbohydrates, up to 10 g / day - fat. In the evening, you need to drink a glass of water with honey, raisins (1 teaspoon), prunes (2-3 pieces) or yogurt to eliminate constipation.

Starting on the 10th day after the attack, you can increase the caloric content by more than 1000 cal / day, up to 300 grams. - carbohydrates, up to 60 gr. - proteins, up to 20 g / day - fats. They continue to eat ground foods without salt.

Sample menu

Below is a menu for several days, you can work out a similar diet on your own based on the list of allowed products.

Days	Eating	Approximate dietary menu for pancreatitis
Day 1	Breakfast	Semolina or rice porridge (on water) - 150 gr. , Fruits: orange or apple. Green tea (not strong) can be with honey (1 teaspoon).
Late breakfast	Pumpkin puree - 50 gr. , Steamed chicken breast or fish cutlets. Rosehip drink (the recipe is below), honey - 1 tsp.
Dinner	Vegetable broth with fish or beef meat 200 gr. , Mashed potatoes or broccoli - 100 gr. , White bread crouton. For dessert, you can bake an apple with honey in the oven, always without the skin.
Afternoon snack	Tea with honey and a little cottage cheese (1% fat)
Dinner	Steamed protein omlt from 3 eggs, white bread crouton. Vegetable puree allowed - 150 gr. ,
Before bedtime	Boiled water - 1 cup with honey - 1 tsp. or curdled milk.
Day 2	Breakfast	Porridge with milk - 150 gr. Kissel or green tea (not strong)
Late breakfast	Grated apple with soft cottage cheese
Dinner	Pumpkin or cauliflower puree soup. Minced chicken meatballs
Afternoon snack	Green tea with 1-2 slices of dry unsweetened cookies
Dinner	Rice pudding with curd -150 gr. Tea or jelly
Before bedtime	Rosehip decoction - 1 glass
Day 3	Breakfast	Liquid rice porridge - 150 g. Non-strong green tea with dry biscuits
Late breakfast	1 baked apple
Dinner	Carrot soup, cauliflower, potatoes with meatballs. Compote of crushed nuts
Afternoon snack	Cottage cheese - 100 g, green tea
Dinner	Low-fat boiled or baked fish
Before bedtime	Milk tea or kefir

Dish recipes

Can be usedafter an acute attack of pancreatitisdiet number 5pand observe it throughout the year. They eat pureed foods, without salt, protein can be increased: up to 100 grams, up to 40 grams. - fats, up to 450 gr. - carbohydrates. Be sure to follow the recommendations and regimen prescribed by your doctor!

Rosehip drink recipe:

For the broth, you will need 0. 5 kg of dried rose hip and 4 liters of water. Rinse the rosehip, add water, infuse the drink for 4 days. It is not necessary to cook the infusion, the rosehip must be infused with water at room temperature. This drink contains vitamin C.Attention!Since the drink is acidic, consult your doctor before taking it.

Fish puree soup:

For the soup they serve 0. 5 kg of fish (it is advisable to take boneless fillets, cod, pike, walleye), 1. 5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. butter.

Cut the fish, pour water or broth into a saucepan, cook until tender. Remove the fish from the pan, chop with a mixer. Heat some milk in a saucepan and add butter, as soon as the butter melts add the broth, bring to a boil, but do not boil. Add the fish, simmer for just a couple of minutes. Salt can only be added if your doctor authorizes it!

Forbiddenfor acute pancreatitis, use:

alcohol;
eat fatty or fried;
Eat any fatty or bloated foods such as legumes, bran, cabbage, turnips, kohlrabi, fruit and vegetable skins / skins, fruits, berries, or immature vegetables;
carbonated drinks with fermentation reactions: kvass, kefir.

Diet for chronic pancreatitis

Attacks of chronic pancreatitis can occur immediately after lunch, the menu of which included: hard-boiled eggs, cakes, raw fruits, vegetables, juices, cold sodas, chocolate, milk, or ice cream. The constant companions of the disease will manifest itself each time: bloating, a feeling of bloating or heaviness, a lump that is "stuck in the lower part of the chest", periodic vomiting.

Against the background of chronic pancreatitis, diabetes mellitus can easily develop and progress, which is also a serious disease, in which you need to follow a strict diet.

The diet for chronic pancreatitis may include:

wheat bread crackers (you can dry the bread yourself);
vegetable soups (pumpkin, potatoes, zucchini, or carrots are best for soups);
cereal soups (with semolina, oats, buckwheat or rice);
meat: beef or veal, chicken, rabbit. Better to steam, bake or boil.
steamed omelettes from eggs (2-3 pieces).
low-fat fish: flounder, pollock, cod, perch, walleye, hake, perch or pike;
curd (not salty): can be eaten fresh or in puddings;
cheeses - choose low-fat and unsalted varieties;
in dishes or during cooking, you can use butter or sunflower oil -10-15 gr.
sour cream, kefir (only low-fat);
porridge - rice, pearl barley, oats, buckwheat, noodles (its consistency should be liquid or semi-liquid);
Vegetable purees / stews (do not forget that cabbage and tomatoes cannot be added), vegetables can also be simply boiled or baked;
juice mousses / jellies, dried fruit compotes (apricots, pears, apples)
fruit (only baked or grated without skin)
diet puree and canned puree for babies or diet foods;
multivitamin and mineral preparations.

Today's menu

Eating	Approximate dietary menu for pancreatitis
Breakfast	Steamed meat (chicken or beef). Rosehip tea or decoction
Lunch	Oatmeal with milk. Rosehip broth or infusion
Dinner	Carrot and pumpkin puree soup. Steamed fish. Tea
Afternoon snack	1 jar of porridge
Dinner	Vegetable zucchini stew with carrots. A piece of boiled chicken. Compote of dried fruits
In the evening	A glass of kefir

You can not eat foods that stimulate the secretion of the pancreas:

meat, fish, poultry of fatty varieties, forget about smoked meat and fish, sausages, canned foods;
meat, mushrooms, fish broth (as well as soups and sauces);
cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka);
milk soups;
fish, meat in fried, smoked, salted or canned foods;
high-fat dairy products;
eggs: you can not eat fried or hard boiled eggs;
beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, sweet pepper;
bakery products, fresh bread, candy, flour, chocolate, other sweets;
black coffee, cocoa, carbonated drinks.

For pancreatitis with endocrine dysfunctionexclude jam, sugar and honey, as they have no therapeutic effect, while they refer to carbohydrates.

With an asymptomatic course of the disease or with the presence of mild symptoms, the list of prohibited dishes / products is gradually reduced to the category of products that should only be limited, but not completely excluded.

Recipes

Vegetable puree soup:

For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables need to be washed, cut into cubes. Pour the vegetables into a saucepan with water (1-1, 5 liters), cook until tender. Drain and puree with a blender.

Fish soufflé:

To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from the yolks), a piece of butter (20 g). Boil the fish in water, condemn it, pass it through a meat grinder or finely chop it.

Mix together the milk and flour (preheat the flour in a skillet until slightly yellow) for a slightly thick milk "sauce. "Now we start to mix: fish, egg yolks, milk sauce, butter (if your doctor allows it, you can salt it).

Beat the whites separately until you get a thick foam. While stirring, add them to the fish batter.

Preheat the oven to 180-200 degrees. Put the fish batter in a baking dish or baking sheet, put in the oven and bake until tender.

Apple marshmallow (dessert):

To prepare the marshmallow, you need to take 1 kg of apples, peel them, cut them, pour water into a saucepan and cook. Boil the apples, remove from the heat, drain the water, let it cool slightly. Rub the apples through a strainer or chop with a blender.

Drain all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a small saucepan and cook to thicken (almost like a syrup). Pour sugar (100 g) into the boiled juice, boil a little more. Mix the juice with the puree.

Put the resulting dough on a baking sheet, put in the oven (120 degrees), dry the cake until it thickens completely.

Sample menu for pancreatitis for a week: diet options and nutritional rules

Along with the regular use of medications, dietary nutrition is also indicated for pancreatitis. Only a comprehensive measure allows you to relieve the load and swelling of the pancreas, help stop inflammation and restore damaged tissues.

In an acute attack of the disease, the diet is very limited, until the fast of the first days. After the elimination of the acute symptoms of the disease, the patient's menu gradually expands. Let's take a look at what a weekly diet should look like for a person with pancreas pain.

Characteristics of adherence to a diet for different forms of pancreatitis.

In acute inflammation, the diet is very strict. On the first day of the attack of the disease, the patient is shown hungry. Depending on the severity of the disease, the presence of complications, the fast can last from one to three or four days. This measure is necessary to:

Suspension of the production of gastric and pancreatic secretions.
Decreased performance of digestive enzymes.
Prevention of the development or reduction of the severity of infectious processes.

With inflammation of the gland, swelling, spasm of the organ and its ducts is observed. For this reason, digestive enzymes cannot pass from the pancreas to the intestines, they are activated in the gland and begin to digest its walls.

The death of damaged organ tissues, undigested food remains lead to a complication of the disease with various infections. That is why it is necessary to reduce the activity of production and functioning of pancreatic enzymes, which is achieved mainly through fasting.

The first 2-5 days of acute pancreatitis, only the use of fluids is indicated, up to 2. 5 liters. After coming out of the hunger strike with OP, the diet is gradually expanded according to Dietary Table No. 5 P (I).

At the same time, the caloric content of food during the first ten days of the diet should not exceed 800 Kcal. From the tenth day, with positive treatment dynamics, the caloric content of food can be increased to 1000 Kcal.

In the chronic form of the disease, the patient's menu is much broader. It includes cereals, most types of vegetables and berries, meat and fish (non-fat, medium-fat type), sour milk, non-sweet cookies, sweet berry jelly, jam, marshmallows, and even some types of candy.

At the same time, to prevent the recurrence of pancreatitis, it is necessary to adhere to the following nutritional rules:

Eat only fresh, natural foods.
Significantly limit the amount of sweet, fatty and especially acidic.
Meals should be divided: 5-6 times a day in small portions.
It is desirable that the food is chopped, grated, for better assimilation.
Allowed cooking method: cooking, baking, steaming, stewing.
Do not use hot or cold food, only hot food and dishes.
Don't eat fruits and sweets on an empty stomach.
It is not recommended to eat fresh bread (better than the second day of freshness or crackers), baked pastries with cream.
Using spices is not recommended (salt can be used in small amounts).
Alcohol, snacks (chips, crackers, corn sticks, etc. ) are strictly prohibited.

Eating a healthy diet and staying hydrated can help prolong remission and preserve the health of the pancreas. In this case, diet food is the most effective medicine.

Sample menu for exacerbation of the inflammatory process.

products for exacerbation of pancreatitis

Drinking mineral water should be four to five times a day, 200 ml. , While the drink warms up slightly (up to 27 degrees). If the water is carbonated, it should be poured into a glass half an hour or an hour before drinking so that all gases come out of the liquid.

On the third day, the drink can be varied with a weak rosehip broth. Drinking will help maintain water balance, replenish the body's reserves with the necessary microelements and eliminate toxins.

Exit the hunger strike

The menu for patients with pancreatitis after coming out of a hunger strike (2, 3 or 4 days) can be diversified with the following products:

dry white wheat bread (no more than 50 grams per day);
jelly or blackcurrant fruit drink;
at the same time, it is necessary to drink up to 2. 5 liters of liquid per day (still mineral water, jelly, fruit drink, rosehip decoction).

On the third or fifth day, the diet can be supplemented with:

a decoction of slimy consistency of rice or oats;
mashed potatoes (liquid, without butter and without milk);
jelly from blueberries, black currants, strawberries, blueberries;
grated porridge in water buckwheat, rice, oats.

In the next two days, you can start trying:

protein steamed omelette;
steamed or boiled chicken, rabbit, turkey minced with a blender;
cereal soups cooked in vegetable broth or water;
vegetable puree (pumpkin, carrots, zucchini);
no strong black or green tea, prunes, yogurt.

Starting from the tenth day, subject to successful treatment, alleviating the symptoms of the disease, the menu can be diversified with unsalted butter, jam, baked apples, low-fat boiled fish or steamed fish cutlets, soufflé. Sugar is allowed to begin to be used in very small amounts. However, it is better to take substitutes.

The diet for acute pancreatitis is strict, so the menu absolutely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned foods, sausages, sausages, bacon, egg yolks, fresh bread and cakes, spices, sauce, ice cream. , alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.

Nutrition after complete relief from the attack.

The menu of a patient with acute pancreatitis for a week should include only foods that are allowed and safe for the gastrointestinal tract.

1st day:

Early meal: 2 scrambled eggs with steamed protein, oatmeal, rosehip broth.
Late meal: berry jelly.
Lunchtime: congee, toast, steamed chicken cutlets with pumpkin puree.
Snack: grated cottage cheese, lightly brewed tea.
Evening: fish souffle with stewed vegetables, currant compote.
Late at night: croutons with yogurt.

2nd day:

Early meal: curd pudding, tea with croutons.
Late meal: strawberry souffle, rosehip decoction.
Lunch time: noodle soup in vegetable broth, crackers, boiled turkey, red berry mousse.
Snack: roasted apples, compote.
Evening: noodles, steamed fish cutlet, green tea.
Late at night: crackers, tea.

3rd day:

Early meal: vegetable pudding.
Late meal: rice porridge, a slice of chicken.
Lunch time: buckwheat soup, croutons, steamed rabbit cutlets, jelly.
Snack: pumpkin porridge.
Night: oatmeal, a piece of chicken, black tea.
Late at night: cookies with kefir.

4th day:

Early meal: rice porridge, currant compote.
Late meal: steamed omelette, chamomile decoction.
Lunch: soup of boiled cream of meat, croutons, a piece of boiled rabbit meat, tea.
Snack: baked apple with cottage cheese, compote.
Dinner: porridge, raspberry souffle, rosehip broth.
Late dinner: crackers and yogurt.

5th day:

Early meal: porridge, scrambled eggs, black tea.
Late meal: pumpkin puree, strawberry compote.
Lunch time: buckwheat soup, croutons, steamed fish cakes, tea.
Snack: cottage cheese casserole, rosehip broth.
Night: carrot puree with chicken soufflé, grated apple in the oven without skin or heart, compote.
Late at night: a cookie with tea.

6th day:

Early meal: semolina porridge, chamomile decoction.
Late meal: steamed omelette, jelly.
Lunch time: noodle soup, crackers, boiled chicken, tea.
Snack: red fruit souffle, compote.
Dinner: vegetable puree, steamed turkey cutlet, gelatin.
Late dinner: croutons with yogurt.

7th day:

Early meal: carrot and pumpkin puree, cooked egg white, compote.
Late meal: curd souffle, chamomile decoction.
Lunch time: spoiled clam chowder, crackers, steamed chicken cutlets, tea.
Snack: baked apple, compote.
Evening: buckwheat porridge with steam cutlet, boiled grated beets, jelly.
Late at night: croutons with kefir.

Before the transition of the disease to the stage of stable remission, all foods should be grated and free of spices (salt is not even recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start to taste fresh, peeled and cabbage apples, as well as strawberries, bananas.

Sample Menu for Stable Pancreatitis Remission

An example of a menu for pancreatitis for a week looks like this:

Day	Early meal	Sandwich	Time to eat	Afternoon snack	Evening time
Mon.	Oatmeal with skim milk, cheese sandwich, chicory	Curd pudding, biscuit cakes, rosehip broth	Potato soup with chicken broth, croutons, steamed chicken meatballs	Baked apples, jelly	Buckwheat porridge, butter-boiled beet salad, veal chop
sea	Rice porridge with milk, jelly or tea	Protein omelette, boiled turkey, compote	Noodle soup, wheat bread, baked hake, jelly candies, green tea	Curd casserole, chamomile broth	Mashed potatoes, baked fish, buttered carrot salad, tea
get marry	Oatmeal, jelly	Berry mousse, lingering biscuits, rosehip broth	Chowder, pumpkin pudding, crackers, compote	Curd pudding	Chicken fillet with zucchini, boiled cauliflower, green tea
get marry	Semolina porridge, cheese sandwich, jelly	Sour milk, croutons	Rice soup with carrots, meatballs, rosehip broth	Vegetable pudding, compote	Stewed chicken with vegetables, jelly, tea
Fri.	Steam omelette, black tea	Carrot and grated apple pudding	Vegetable puree soup, beef meatballs, chamomile decoction with jelly candies	Berry soufflé, shortbread cookies	Boiled rice with meatballs, tea
He sat.	Oatmeal, chicory	Omelette, applesauce	Buckwheat soup, meatloaf, boiled beet salad, tea	Butter and hard cheese sandwich, baked apple, tea	Fish souffle, boiled noodles, tea
Sun.	Rice porridge with boiled turkey, rosehip broth	Vegetable soufflé, red fruit jelly	Spoiled cream of meat soup, fish meatballs, dry bread, tea	Curd crackers, baked apple, tea	Fish roll, mashed potatoes, rosehip broth

1-2 hours before bedtime, you can drink a glass of fermented dairy product (yogurt, kefir, yogurt) with diet cookies.

Conclution

The menu presented for patients with pancreatitis for a week is approximate; it can be changed with other dishes allowed in the stable remission stage.

Among the main meals, it is also allowed to enjoy small sandwiches with fruits, sweets are allowed. It is useful to develop the habit of eating at approximately equal time intervals, drinking at least 1-1. 5 liters of water a day and not overeating; after eating, there should be a slight feeling of hunger.