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

5 July 2021

PancreatitisIs 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,the right 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.
Eating fatty / spicy foods daily.
Chronic alcoholism.
Diseases of the biliary tract, including cholecystitis, gallstone disease.
Stomach ulcer.

With exacerbation of pancreatitisthere is a need for surgical intervention (opening the pancreatic membrane) in case of a small effect from drug treatment, fasting, removal of food debris from the stomach.

Chronic pancreatitisaggravated under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogens, narcotic drugs, against the background of a diseased liver (in which a special diet must be followed) and gallbladder, which are quite common in adults. With an increase in pressure inside the abdomen in women at the end of pregnancy, pancreatitis may develop.

Diet for acute pancreatitis for 10 days

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

To do this, in a hospital, drug treatment with enzyme preparations, antispasmodics plus complete 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 enzymatic activity due to the lack of food in the esophagus. During this time, the gland will be restored.

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

dried wheat bread or loaf (non-sticky) - 50 g / day;
jelly, fruit drinks (it is better to cook them from cranberries 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 hips).

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

salty slimy rice or oat broth;
liquid mashed potatoes without oil;
semi-liquid jelly or jelly from juices;
liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything needs to be grinded or chopped with a blender);
cracker;
dried bread.

For 6-8 days you can eat:

steam omelet made from proteins
soufflé from fat-free cottage cheese;
steamed meat (necessarily chopped or grated through a meat grinder / blender)
slimy cereal soups;
jelly or mousse from apples, grated berries without a skin;
vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
vegetable puddings (steamed);

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

The calorie content is increased to 1000 calories per day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fats. At night, you need to drink a glass of water with honey, raisins (1 tsp. ), Prunes (2-3 pcs. ) Or yogurt to eliminate constipation.

From the 10th day after the attack, you can increase the calorie content of more than 1000 calories / day, up to 300 grams. - carbohydrates, up to 60 gr. - proteins, up to 20 g / day - fats. They continue to eat mashed unsalted food.

Sample menu

Below is a menu for several days, a similar diet can be drawn up on your own based on the list of permitted products.

Days	Eating	Approximate diet 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 tsp. )
Late breakfast	Pumpkin puree - 50 gr. , Steamed chicken breast or fish cutlets. Rosehip drink (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	Protein steam omlt of 3 eggs, white bread crouton. Puree from permitted vegetables - 150 gr. ,
Before bedtime	Boiled water - 1 cup with honey - 1 tsp. or curdled milk.
Day 2	Breakfast	Oatmeal porridge with milk - 150 gr. Kissel or green tea (not strong)
Late breakfast	Grated apple with soft curd
Dinner	Soup-mashed pumpkin or cauliflower. Minced chicken meatballs
Afternoon snack	Green tea with 1-2 slices of dry unsweetened cookies
Dinner	Rice-curd pudding -150 gr. Tea or jelly
Before bedtime	Rosehip decoction - 1 glass
Day 3	Breakfast	Liquid rice porridge - 150 g. Green not strong tea with dry biscuits
Late breakfast	1 baked apple
Dinner	Carrot soup, cauliflower, potatoes with meatballs. Pounded dried fruit compote
Afternoon snack	Cottage cheese - 100 g, green tea
Dinner	Boiled or baked low-fat 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 food, without salt, proteins 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 hips and 4 liters of water. Rinse the rosehip, add water, put the drink to infuse for 4 days. You do not need to cook the infusion, the rosehip should be infused with water at room temperature. This drink contains vitamin C.Attention!since the drink is sour, consult your doctor before taking it.

Mashed fish soup:

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

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

Prohibitedfor acute pancreatitis, use:

alcohol;
eat fatty or fried;
Eat any fat or bloating food such as legumes, bran, cabbage, turnips, rutabagas, peels / skins of fruits and vegetables, unripe fruits, berries or vegetables;
carbonated drinks with fermentation reactions: kvass, kefir.

Diet for chronic pancreatitis

Chronic pancreatitis attacks can occur immediately after dinner, the menu of which included: hardy eggs, pastries, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. Constantly companions of the disease will manifest themselves every time: bloating, a feeling of bloating or heaviness, a lump that is "stuck in the lower chest", periodic vomiting.

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

The diet for chronic pancreatitis can 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, oatmeal, buckwheat or rice);
meat - beef or veal, chicken, rabbit. Better to steam, bake or boil.
steam omelettes from eggs (2-3 pcs. ).
low-fat fish: flounder, pollock, cod, perch, pike perch, hake, perch or pike;
curd (not salted): can be eaten fresh or made puddings;
cheeses - choose low-fat, 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, oatmeal, buckwheat, noodles (their 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;
mousses / jellies from juices, compotes from dried fruits (apricots, pears, apples)
fruit (only baked or grated without the skin)
dietary puree and canned puree for baby or dietetic food;
multivitamin and mineral preparations.

Menu for the day

Eating	Approximate diet menu for pancreatitis
Breakfast	Steamed meat (chicken or beef). Rosehip tea or decoction
Lunch	Oatmeal with milk. Broth or infusion of rose hips
Dinner	Carrot and pumpkin puree soup. Steamed fish. Tea
Afternoon snack	1 jar of baby food
Dinner	Vegetable zucchini stew with carrots. A piece of boiled chicken. Dried fruits compote
At night	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 food;
meat, mushroom, fish broth (as well as soups and sauces on them);
cabbage soup, borscht, as well as cold soups (such as cold soup or okroshka);
milk soups;
fish, meat in fried, smoked, salted or canned form;
high fat dairy products;
eggs - you cannot eat eggs fried or boiled hard;
any beans, white cabbage, eggplant, turnip, radish, radish, onion, garlic, sorrel, spinach, mushrooms, sweet pepper;
bakery products, fresh bread, sweet, flour, chocolate, other sweets;
black coffee, cocoa, carbonated drinks.

For pancreatitis with endocrine dysfunctionexclude jam, sugar and honey, since they do not have a 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 must be washed, cut into cubes. Pour vegetables in 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, scroll through a meat grinder or chop finely.

Mix milk and flour (preheat flour in a frying pan until slightly yellow) you get a slightly thick milk "sauce". Now we begin to mix: fish, egg yolks, milk sauce, butter (if your doctor permits, you can salt it).

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

Preheat the oven to 180-200 degrees. Put the fish mass 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 in a saucepan and cook. Boil apples, remove from heat, drain water, let cool slightly. Rub apples through a sieve 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 mass on a baking sheet, put in the oven (120 degrees), dry the pastille until it thickens completely.

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

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

In an acute attack of the disease, the diet is very limited, up to fasting for the first few days. After the removal 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 a painful pancreas.

Features 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 hunger. Depending on the severity of the disease, the presence of complications, fasting can last from one to three to four days. Such a measure is necessary for:

Suspension of the production of gastric, pancreatic secretions.
Decreased performance of digestive enzymes.
Prevention of the development or decrease in the severity of infectious processes.

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

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

The first 2-5 days of acute pancreatitis, only the use of liquids is indicated - up to 2. 5 liters. After leaving the hunger strike with OP, the diet gradually expands according to the dietary table No. 5 P (I).

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

In the chronic form of the disease, the patient's menu is much wider. It includes cereals, most types of vegetables and berries, meat and fish (not fatty, medium-fatty types), sour milk, non-sweet cookies, jelly from sweet berries, marmalade, marshmallows and even some types of sweets.

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

Eat only natural, fresh food.
Significantly limit the amount of sweet, fatty, and especially sour.
Meals should be fractional: 5-6 times a day in small portions.
It is advisable that the food is chopped, grated, for its better assimilation.
Allowed cooking method: cooking, baking, steaming, stewing.
Do not use hot and cold foods - only warm foods and dishes.
Do not 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.
It is not recommended to use spices (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 pancreatic health. In this case, dietary food is the most effective medicine.

Sample menu for exacerbation of the inflammatory process

products for exacerbation of pancreatitis

Drinking medicinal mineral water should be four to five times a day, 200 ml. , While the drink is slightly warmed up (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 necessary microelements, and remove toxins.

Exit from hunger strike

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

dried white wheat bread (no more than 50 grams per day);
jelly or black currant 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 a slimy consistency from rice or oatmeal;
mashed potatoes (liquid, without butter and milk);
jelly from blueberries, black currants, strawberries, blueberries;
grated porridge in water from buckwheat, rice, oatmeal.

In the next two days, you are allowed to start trying:

steam omelet from proteins;
steam or boiled chicken, rabbit, turkey chopped with a blender;
cereal soups cooked in vegetable broth or water;
vegetable puree (pumpkin, carrots, zucchini);
not strong black or green tea, prunes, yogurt.

Starting from the tenth day, subject to successful treatment, subsiding the symptoms of the disease, the menu can be diversified with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish cutlets, soufflé. Sugar is allowed to start in very small quantities. 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 food, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, sauce, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.

Nutrition after complete relief of 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: steamed 2 protein omelet, oatmeal, rosehip broth.
Late meal: berry jelly.
Lunch time: rice soup, toasted bread, steamed chicken cutlets with squash puree.
Afternoon snack: grated cottage cheese, lightly brewed tea.
Evening: fish soufflé with stewed vegetables, currant compote.
Late evening: croutons with yogurt.

2nd day:

Early meal: curd pudding, tea with croutons.
Late meal: strawberry soufflé, rosehip decoction.
Lunch time: noodles soup in vegetable broth, crackers, boiled turkey, berry mousse.
Afternoon snack: baked apples, compote.
Evening: noodles, steamed fish cutlet, green tea.
Late evening: crackers, tea.

3rd day:

Early meal: vegetable pudding.
Late meal: rice porridge, a slice of chicken.
Lunch time: buckwheat soup, croutons, steam rabbit cutlets, jelly.
Afternoon snack: pumpkin porridge.
Evening: oatmeal, a piece of chicken, black tea.
Late evening: biscuits with kefir.

4th day:

Early meal: rice porridge, currant compote.
Late meal: steam omelet, chamomile decoction.
Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
Afternoon snack: baked apple with cottage cheese, compote.
Dinner: oatmeal porridge, raspberry soufflé, rosehip broth.
Late supper: crackers and yogurt.

5th day:

Early meal: oatmeal porridge, scrambled eggs, black tea.
Late meal: pumpkin puree, strawberry compote.
Lunch time: buckwheat soup, croutons, fish steamed cakes, tea.
Afternoon snack: cottage cheese casserole, rosehip broth.
Evening: carrot puree with chicken soufflé, baked grated apple without peel and core, compote.
Late evening: one biscuit biscuit with tea.

6th day:

Early meal: semolina porridge, chamomile decoction.
Late meal: steam omelet, jelly.
Lunch time: noodles soup, crackers, boiled chicken, tea.
Afternoon snack: berry soufflé, compote.
Dinner: vegetable puree, steamed turkey cutlet, jelly.
Late dinner: croutons with yoghurt.

7th day:

Early meal: carrot and pumpkin puree, boiled egg white, compote.
Late meal: curd soufflé, chamomile decoction.
Lunch time: shabby fish soup, crackers, steamed chicken cutlets, tea.
Afternoon snack: baked apple, compote.
Evening: buckwheat porridge with a steam cutlet, boiled grated beets, jelly.
Late evening: croutons with kefir.

Before the transition of the disease to the stage of stable remission, all food should be grated and without spices (even salt is not recommended). Two weeks after the attack, provided that there are no symptoms of the disease, you can start trying fresh apples, peeled and head of cabbage, as well as strawberries, bananas.

Sample menu for stable remission of pancreatitis

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

Day	Early meal	Snack	Lunch time	Afternoon snack	Evening time
Mon.	Oatmeal with low fat milk, cheese sandwich, chicory	Curd pudding, biscuit biscuits, rosehip broth	Potato soup with chicken broth, croutons, steamed chicken meatballs	Baked apples, jelly	Buckwheat porridge, boiled beet salad with butter, beef cutlet
Tue	Rice milk porridge, jelly or tea	Protein omelet, boiled turkey, compote	Vermicelli soup, wheat bread, baked hake, jelly candies, green tea	Curd casserole, chamomile broth	Mashed potatoes, baked fish, butter carrot salad, tea
Wed	Oatmeal, jelly	Berry mousse, lingering biscuits, rosehip broth	Fish soup, pumpkin pudding, crackers, compote	Curd pudding	Chicken fillet with zucchini, boiled cauliflower, green tea
Wed	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 omelet, black tea	Carrot and grated apple pudding	Vegetable puree soup, beef meatballs, chamomile broth with jelly candy	Berry soufflé, biscuit biscuits	Boiled rice with meatball, tea
Sat.	Oatmeal, chicory	Omelet, apple compote	Buckwheat soup, meatloaf, boiled beet salad, tea	Butter and hard cheese sandwich, baked apple, tea	Fish soufflé, boiled noodles, tea
Sun.	Rice porridge with boiled turkey, rosehip broth	Vegetable soufflé, berry jelly	Shabby meat cream soup, fish dumplings, dried bread, tea	Curd biscuits, baked apple, tea	Fish roll, mashed potatoes, rosehip broth

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

Conclusion

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

In between main meals, it is also allowed to indulge in small fruit snacks, sweets allowed. It is useful to develop a habit of eating at approximately equal intervals of time, drinking at least 1-1. 5 liters of water daily and not overeating - after eating, there should be a slight feeling of hunger.