The diet for pancreatitis depends on whether the disease is acute or chronic. Do not forget that inflammation of the pancreas is no small matter, as it plays an important role in digestion, metabolism and the assimilation of substances (proteins, carbohydrates and fats). Therefore, immediately after diagnosis, it is necessary to make significant changes in your diet. Otherwise the latest generation of drugs will be powerless.
Acute (reactive) pancreatitis
As the name suggests, the disease occurs suddenly (usually immediately after consuming irritating foods). Symptoms: burning abdominal pain, fever, nausea, vomiting. Risk factors: lack of protein in the diet, overeating, alcohol abuse, smoking, fat, spicy, fried, too cold or too hot, sweet soda water. Sometimes the disease is a result of gallstone disease and chronic cholecystitis.
The diet for pancreatitis in acute (reactive) form in adults and children is aimed at ensuring long-lasting maximum pancreatic rest and at the same time reducing pancreatic and gastric secretion. And here is the order of the patient actions:
- First 2-4 days after the exacerbation.It is recommended not to eat at all, only to use medicinal mineral water in small sips and in small amounts.
- From the 5th day. Gradually and very carefully we are expanding the diet menu for pancreatitis. For this it is recommended to adhere to the treatment table 5P.
- For 6-7 days.The diet contains jelly, slimy soups, kefir, liquid porridge (except millet), steamed chicken, beef and fish chops, mashed potatoes and other vegetables in boiled and steamed form, weak tea, baked or mashed apples. Rose hip broth.
Features of the diet and a sample menu
Regardless of where the patient is sent for treatment for pancreatitis - sanatorium or at home - he should follow diet number 5, which is based on the following principles:
- The daily rate of vegetable proteins - 30 g, animal proteins - 50 g, vegetable fats - 15 g, animal fats - 45 g and carbohydrates - 200 g. The total caloric intake in pancreatitis should not exceed 2500-2700 kcal per day. The amount of liquid you drink is 1. 5 liters, salt 10 g.
- In the first two weeks we cook dishes without salt.
- We eat in small portions at least 5-6 times a day to avoid the risk of overeating.
- The temperature of the prepared food should be between 45 and 60 degrees.
- The consistency of the dishes is liquid, semi-liquid, ie only pureed food.
A diet for acute pancreatitis implies a complete exclusion of smoked meats, fried foods, marinades and pickles, sour cream, lard, canned goods, muffins and fresh bread, cream and alcohol for a long period (almost a year). Compliance with all of the above recommendations can prevent the development of the disease in a chronic form! An example menu for this day could look like this:
- Breakfast:steam omelette, pureed Hercules porridge on water, weak tea.
- Second breakfast:cheese with milk.
- Lunch:Buckwheat soup, boiled meat stew, apple jelly.
- Dinner:steamed fish chops, carrot puree, rose hip broth.
- For the night:Kefir.
Chronic pancreatitis
This disease has another extremely unattractive name - prediabetes. If you have already gone through the acute stage unfavorably (without adequate treatment), diabetes mellitus can be the next step. This disease is characterized by two alternating stages - exacerbation and remission. Therefore, the diet with pancreatitis is aimed at relieving the inflammatory process and, accordingly, translating the disease into a period of remission.
From now on, your diet will be a lifelong nutritional system. And there is nothing you can do about it. You can continue to take diet number 5 as a basis, the basic principles of which we continue to strictly adhere to. Dieting with chronic pancreatitis exacerbated is again a return to the first three steps (mineral water fasting and earlier in the list above).
Approved products:
- Milk, yogurt, kefir, non-sour cottage cheese, mild cheese;
- porridge (buckwheat, oats, rice), noodles;
- vegetables (potatoes, carrots, pumpkin, zucchini, beets, etc. );
- wheat crackers or stale white bread;
- Meat (veal, chicken, rabbit, turkey), lean fish;
- baked apples, fruit jellies, berry sauces;
- oat broth, fruit drink, sour fruit juices, chamomile tea;
- Vegetable broths and puree soups, celery juice.
Prohibited products:
- sour fruits, fresh cabbage, legumes;
- spinach, sorrel, radish, radish;
- hot spices and herbs;
- fresh bread, pastries, sweets;
- sausages, smoked meat, canned food, eggs;
- meat, fish broth, cabbage soup, borscht;
- alcohol, sweet drinks with gas;
- sweets, ice cream, sour cream, cream;
- fried foods.