The diet for pancreatitis depends on whether the disease is acute or chronic. Remember that inflammation of the pancreas is not a small thing, because it plays an important role in digestion, metabolism and digestion of substances (proteins, carbohydrates and fats). Therefore, immediately after the diagnosis, it is necessary to make significant changes in your diet. Otherwise, even the latest generation of drugs will be powerless.
Acute (reactive) pancreatitis
As the name suggests, the disease occurs suddenly (usually immediately after ingesting irritating foods). Symptoms: abdominal pain, fever, nausea, vomiting. Risk factors: lack of protein in the diet, overeating, alcohol abuse, smoking, fatty, spicy, fried, very cold or very hot food, sweet soda. Sometimes the disease is a consequence of gallstone disease and chronic cholecystitis.
The diet for acute (reactive) pancreatitis in adults and children aims to ensure a long duration of maximum pancreatic rest and at the same time to reduce pancreatic and gastric secretions. And here must be the sequence of patients' actions:- First 2-4 days after flare-up.It is recommended that you do not eat at all, but use only medical mineral water in small sips and in small quantities.
- Starting on the 5th day.Gradually and very carefully expand the diet menu for pancreatitis. For this, it is recommended that you adhere to the 5P treatment schedule.
- For 6-7 days.We include in the diet jellies, soups with slimy, kefir, liquid cereals (except millet), steamed chicken, beef and fish cutlets, mashed potatoes and other vegetables in boiled and stewed, lean tea, grilled or laidrose broth.
Diet features and a sample menu
No matter where the patient is sent for pancreatitis treatment - in a sanatorium or at home, he should follow diet number 5, which is based on the following principles:
- The daily rule of vegetable protein - 30 g, animal protein - 50 g, vegetable fat - 15 g, animal fat - 45 g and carbohydrates - 200 g. The total calorie intake for pancreatitis should not exceed 2500-2700 kcal per day. The amount of liquid you drink is 1. 5 liters, salt is 10 g.
- For the first two weeks we cook dishes without salt.
- Eat at least 5-6 times a day in small portions to eliminate the risk of overeating.
- The temperature of cooked food should be between 45 and 60 degrees.
- The consistency of the dishes is wet, semi-wet, ie only refined food.
A diet for acute pancreatitis means complete exclusion from the menu for a long time (almost a year) smoked meat, fried foods, marinades and pickles, sour cream, lard, canned foods, muffins and fresh bread, alcohol. Adherence to all the above recommendations can prevent the appearance of the disease in a chronic form! A sample menu for the day might look like this:
- Breakfast:steam omelette, purified porridge curled in water, weak tea.
- Second breakfast:cheese with milk.
- Lunch:buckwheat soup, boiled meat stew, apple jelly.
- Dinner:Steaks with steamed fish, carrot puree, rose broth.
- For the night:kefir.
Chronic pancreatitis
This disease has another extremely attractive name - prediabetes. Indeed, if you have already passed the acute stage unfavorably (in the absence of proper treatment), then diabetes can be the next step. This disease is characterized by two alternating stages - deterioration and recession. Therefore, the diet with pancreatitis aims to alleviate the inflammatory process and, consequently, the translation of the disease into a phase of remission.
So from now on, your diet will be a lifelong diet. And there is nothing you can do about it. As before, you can take diet number 5 as a basis, the basic principles which we continue to strictly adhere to. The diet with exacerbation of chronic pancreatitis is again a return to the first three steps (fasting in mineral water and further in the above list).
Allowed products:
- milk, yogurt, kefir, non-sour cottage cheese, soft cheese?
- porridge (buckwheat, oats, rice), pasta;
- vegetables (potatoes, carrots, pumpkin, zucchini, beets, etc. )
- wheat crackers or old white bread?
- meat (beef, chicken, rabbit, turkey), lean fish?
- baked apples, fruit jellies, berries
- oat broth, fruit drink, fruit juices without acid, 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 meats, canned food, eggs.
- meat, fish broths, cabbage soup, borscht?
- alcohol, soft drinks with gas?
- sweets, ice creams, sour cream, cream?
- fried foods.