What diet for pancreatitis is necessary to improve health

Recently, the number of patients with pancreatitis is growing. Doctors, nutritionists guarantee that in order to improve health, one should definitely adjust the diet. The question arises: what kind of diet for pancreatitis contributes to recovery? How to eat right with this disease? Are there foods that can make the condition worse? What should you eat to improve your health?

Basic nutritional rules for pancreatitis

Diet is mandatory for those who are sick with pancreatitis, otherwise no medication will help.

Experts have developed rules that must be followed:

• if the illness is acute, the diet should begin with fasting, lasting 2 to 4 days;
• you need to eat often at the same time;
• portions should be small;
• avoid overeating;
• reduce the amount of confectionery;
• dishes should include pureed products that do not cause irritation of the mucous membrane;
• the daily norm of fat is not more than 80 g;
• reduce the amount of salt to 10 g;
• Minimize your sugar intake.

Based on these rules, a daily menu is formed.

How to eat with acute pancreatitis

Acute pancreatitis is a dangerous disease, so comprehensive measures are needed to improve the condition. It must be remembered that dietary requirements are mandatory, otherwise this condition can lead to surgical intervention.

In the first phase of treatment, you must fast for several days. The duration of food refusal is 2 to 4 days.

Only liquids are allowed. At this time, you can drink non-strong tea, prepare decoctions of rose hips, mineral water is suitable without gas.

The next step is diet number 5. Foods that are low in calories, salt and fat are prohibited, which can trigger a new attack. All dishes are cooked in liquid form. You can add a lot.

It is best when compiling a menu to keep a list of useful and harmful products in front of the chapters.

If you do not adhere to strict nutritional rules, the patient's condition will not improve.

How to eat with chronic pancreatitis

Nutrition in this disease should help to normalize the functioning of the diseased organ. You should listen to the advice in Diet #5.

Diet tips for chronic pancreatitis:

• food and liquids entering the body must be warm;
• plan at least 5 meals during the day;
• avoid overeating;
• do not take long breaks between meals;
• reduce the amount of sugar;
• remove fresh bread.

All dishes prepared by frying are strictly prohibited.

To form a proper diet, you must know the list of products that will help you to recover or worsen your health.

Table of allowed and prohibited products:

• bakery products: crackers, yesterday's dry bread, cookies;
• porridge boiled in water with a little milk;
• beef, steamed, oven-baked, boiled chicken, turkey, lean beef;
• low-fat fish, pureed, chopped;
• first courses: fat-free soups, vegetables, puree;
• dairy products: all non-acidic, fat-free can be;
• vegetables: no coarse fiber;
• non-acidic fruits;
• eggs no more than 1 per day;
• butter not exceeding 30 g per day;
• vegetable oil no more than 2 tablespoons;
• non-acidic juices diluted in water;
• tea is not strong, it is possible with lemon, milk;
• bakery products: fresh bread, muffins, puff pastry products;
• soups cooked in strong broth;
• fatty meats;
• high-fat dairy products;
• sauces;
• spices;
• Fatty fish;
• fried eggs;
• coarse fiber vegetables;
• mushrooms;
• legumes;
• carbonated drinks;
• alcohol;
• coffee;
• chocolate.

If you have questions, it is recommended that you discuss the use of certain products with your doctor.

Diet for pancreatitis in children

Parents often have a question: what kind of diet for pancreatitis does a sick child need? The diet, which helps to improve the baby's condition, differs little from the adult menu. But there are some particularities that need to be considered when feeding children.

Infant nutrition rules:

• give hot food and drink, feed more with chopped dishes, for example, mashed potatoes;
• the diet must contain all the components necessary for normal growth and development;
• even after an acute condition is removed, it is imperative to adhere to dietary restrictions;
• ban children from drinking carbonated beverages;
• fast food dishes.

If the sick child is not even 3 years old, it is recommended to clean the food, grind it. Any citrus fruits, freshly squeezed juices should be removed from the diet. Children should not be given berries with small seeds, rough skin. Fresh vegetables are not needed.

A child over 3 years old attends kindergarten institutions, contacts with peers. First of all, you need to take care of nutrition at school and in kindergarten. To do this, talk to a medical worker, tell the teacher, the educator.

The hardest part is protecting the child from soda, potato chips and other dangerous foods. When attending children's birthdays and parties, care should be taken that the child does not violate the diet. The child needs to explain the need for him to restrict food.

7-day menu for patients with chronic pancreatitis

For patients, it is recommended to draw up a menu in advance, this will allow you to have a balanced diet, while the state of health will improve noticeably.

Menu option of the week:

1 day

• chicken meat, rosehip broth;
• oatmeal, tea;
• pumpkin puree soup, steamed fish, jam;
• baby food jar;
• boiled zucchini, carrots, chicken fillet from the oven, juice;

2 days

• rice porridge, tea with honey;
• pumpkin puree, compote;
• vegetable soup puree, chicken meatballs, jam;
• tea, crackers;
• semolina pudding and jelly;

3 days

• oatmeal, jelly;
• baked apple with curd, rosehip broth;
• vegetable soup puree, steamed fish, compote;
• cottage cheese, tea;
• boiled fish, tea;

Day 4

• rice porridge, biscuit, rosehip broth;
• pumpkin puree, tea;
• vegetable broth, a piece of boiled fish, mashed potatoes, compote;
• tea with honey, cookies;
• rice pudding, jelly;

Day 5

• oatmeal, tea;
• cottage cheese, baked apple, rosehip broth;
• vegetable soup, chicken meatballs, compote;
• tea, dry biscuits;
• oven-roasted fish, rosehip broth.

6th

• semolina, tea;
• baked apple, rosehip broth;
• vegetable broth with a piece of meat, vegetable puree, compote;
• tea, crackers;
• steamed omelet, jam;

Day 7

• rice porridge, biscuit, rosehip broth;
• cottage cheese with chopped apple, tea;
• vegetable soup puree, chicken meatballs, jam;
• cottage cheese, tea, biscuits;
• semolina pudding, jelly.

Knowing the basic requirements of the dishes, you can make your own menu.

recipes for pancreatitis

Knowing the basic rules of the diet, you can make changes to the menu. With dietary restrictions, you want to treat yourself to something tasty. Nutritionists have developed special dishes that can be eaten with pancreatitis.

Baked Apple Recipe:

1. In washed apples, remove the core, being careful not to pierce the bottom of the fruit.
2. Put honey in an apple.
3. Add cinnamon on top.
4. Bake in the oven.
5. Cool down.

Beetroot Salad Recipe:

1. Boil 1 medium-sized beet, cool, chop with a grater.
2. 2 apples of sweet varieties, peeled, cut into small cubes.
3. Grind walnuts on a grater, you need about a tbsp.
4. Combine all components, mix, salt a little.
5. Fill with oil.

Recipe for semolina pudding with red fruit jelly:

1. Prepare thick semolina porridge in water, pour into deep molds, let cool.
2. Pour the strawberries with a small amount of water, boil, remove, chop, put back in the broth.
3. Pour the sugar, heat until boiling.
4. Prepare the starch, stir in cold water, carefully pour into the strawberry broth, bring to a boil, without letting it boil. Remove from heat, cool.
5. At serving time, cut the thickened semolina pudding into pieces, pour the jam on top.

If desired, any diet can be supplemented with delicious healthy dishes.

We recommend a video about allowed and prohibited foods for pancreatitis:

Pancreatitis is a common disease that requires a strict diet to treat. To do this, you need to know which foods can be eaten and which cannot. You must follow the rules of cooking, general recommendations on nutrition.

types of pancreatitis

The most general classification of pancreatitis is based on the nature of the disease course: acute attack or prolonged chronic pancreatitis with periodic relapses. The two forms differ in the severity of symptoms and require different treatment approaches.

acute pancreatitis

The inflammatory process in acute pancreatitis develops very quickly and is always accompanied by severe pain. In most cases, the disease occurs against the background of alcohol abuse or after eating a large amount of fatty foods. Sometimes an exacerbation is preceded by an attack of acute hepatic colic.

Symptoms of Acute Pancreatitis:

• Severe pain in the left hypochondrium, radiating to other organs. The pain attack lasts for about half an hour to an hour. The pain is especially severe when lying on your back. The attack is aggravated after eating, especially fried and spicy foods, and any alcoholic beverage.
• Vomiting, often violent, bilious and bitter. Constant nausea that does not go away after vomiting.
• Subfebrile or high temperature.
• Sometimes, due to a violation of the flow of bile, yellowing of the eye proteins is observed, very rarely - a yellow tint of the skin.
• In some cases, the pain syndrome is accompanied by heartburn and bloating.

An attack of acute pancreatitis requires immediate medical attention. Pain relievers only bring temporary relief, but do not affect the cause of the inflammation. In the absence of qualified care, the risk of serious complications rapidly increases: infection in inflamed tissues, necrosis, and abscesses.

Severe acute pancreatitis can lead to shock and multiple organ failure.

chronic pancreatitis

If, after an attack of acute pancreatitis, a person does not follow the doctors' recommendations and continues to drink alcohol and eat unhealthy foods, then the disease is highly likely to become chronic. Chronic pancreatitis develops with a significant nature of damage to the pancreas during the first episode of the disease.

The disease is characterized by gradual pathological changes in the structure of pancreatic cells. Over time, it begins to lose its main function - the production of enzymes necessary for the digestion of food. Exocrine insufficiency manifests itself:

• diarrhea
• swelling,
• a change in the nature of feces - they acquire a sticky consistency due to the large amount of fat in them and are poorly washed from the walls of the toilet.

Chronic pancreatitis can be asymptomatic for a long time: acute pain appears when significant pathological changes have already occurred in the pancreas. During an attack, chronic pancreatitis is manifested by the same symptoms as acute:

• severe waist pain,
• nausea,
• to vomit,
• intestinal disorders.

The diagnosis is made on the basis of ultrasound, computed tomography or magnetic resonance imaging. During the study, narrow pancreatic ducts are often found due to the formation of stones in them - calcifications. Hardware techniques also allow detecting cysts at the site of atrophied tissue. Laboratory blood tests for chronic pancreatitis are not very informative.

Insufficiency of pancreatic function is determined by stool analysis. If they contain a specific enzyme - pancreatic elastase - a diagnosis of "chronic pancreatitis" is made.

The importance of enzymes in digestion

The functioning of the human body is provided by a complex system of interrelated and interdependent biochemical reactions. Thanks to special protein compounds - enzymes or enzymes - all these reactions are accelerated, providing a fast metabolism. The action of enzymes is very selective: each of them is capable of initiating, accelerating or delaying only one reaction.

Digestion is based on the work of digestive enzymes. Its main task is to make the energy assimilation process fast and efficient. Enzymes break down food components (proteins, fats and carbohydrates) into absorbable substances. At the same time, the amount of enzymes produced depends on the quantity and quality of food ingested.

Digestion of food starts in the mouth. Food crushed by the teeth into small pieces is mixed with saliva, which contains the enzyme alpha-amylase. The better we chew food, the easier it is for the salivary gland enzyme to convert starch molecules into soluble sugars and facilitate the further processing process.

After initial processing, food enters the stomach through the esophagus, where the gastric enzyme pepsin and hydrochloric acid begin to work. These substances create gastric juice, which:

• provides antibacterial protection of the body;
• stimulates the production of pancreatic hormones;
• regulates gastric motility;
• breaks down fats and performs a number of other functions.

In addition to pepsin, which is responsible for breaking down large protein molecules, other enzymes are also produced in the stomach, for example:

• gelatinase - a solvent for collagen, gelatin and other connective tissue proteins;
• lipase - an enzyme that breaks down certain fat molecules into fatty acids and monoglycerides;
• chymosin - initiates the process of digesting milk protein.

Bile plays an important role in the digestion process. Contains bile acids that stimulate the production of pancreatic secretions.

From the stomach, the food bolus is evacuated to the duodenum, where the main process of food digestion takes place. It is provided by over 20 pancreatic enzymes. Enzymes are contained in pancreatic juice, which is produced by the gland in a volume of about two liters per day.

Functions of pancreatic enzymes:

• proteases - the breakdown of proteins into amino acids;
• nucleases - act on DNA nucleic acids;
• amylase - breaks down starch into simple sugars;
• lipases - break down fats into higher fatty acids and glycerol.

In violation of the function of enzyme production by the organs of the digestive system, especially the pancreas, the entire organism is out of balance. This imbalance leads to nausea, diarrhea, flatulence, followed by anemia and malnutrition.

What to take with foods that are deficient in pancreatic enzymes

With pancreatitis, the process of producing digestive enzymes by the pancreas is disrupted, which causes discomfort and pain in the stomach. In that case, after a thorough examination, replacement therapy may be prescribed.

The task of treatment with enzyme preparations is to compensate for their deficiency in the body, reducing the load on the damaged organ. In some cases, this therapy is prescribed for life.

Important!The action of all enzyme preparations begins 20-30 minutes after a meal, so you need to drink it strictly before meals in the dosage prescribed by your doctor!

Modern pharmacology offers a large number of different enzyme preparations of animal and plant origin. Some of them only aim to fill in the lack of a single enzyme, for example, to break down lactose or fats. There are also complex means of effects, prescribed for the deficiency of various enzymes in various organs of the digestive system.

Pancreatic enzymes are obtained from the organs of cows or pigs. The composition of drugs includes the main pancreatic enzymes - amylase, lipase and trypsin. In addition to pure pancreatin, polyenzyme preparations may include bile acids, adsorbents or other enzymes. All drugs are selected strictly individually, taking into account the nature of the course of the disease and the severity of symptoms.

What is the diet for pancreatitis?

In the process of treating pancreatitis, nutrition plays as important a role as medications. The main purpose of the prescribed diet is to restore the functions of the pancreas and normalize the production of digestive enzymes.

Foods that are difficult to process increase the load on the inflamed organ. After a hearty feast of fatty fried foods, the pancreas begins to intensively produce enzymes for its digestion. If the ducts of the gland are narrowed, the pancreatic juice produced in extreme mode accumulates in the gland, aggravating the development of the disease - the affected pancreas begins to digest itself.

Signs that your gland is working too hard include:

• heaviness in the abdomen after eating,
• heartburn,
• belching
• stomach pain attacks.

Of course, sticking to a strict diet all the time is not easy, especially at home. People with severe dietary restrictions are forced to cook for themselves and resist the temptation to eat anything fried or spicy.

It is important to understand that a violation of the diet can cause an acute attack of pancreatitis with all the consequences: severe pain, nausea, vomiting and diarrhea. A single failure can nullify all efforts to maintain a long-term remission.

Diet Rules Number 5: What You Can and Can't Eat with Pancreatitis

The diet for pancreatitis has many restrictions on both the foods that are allowed and the way they are prepared. Especially for people with pancreas problems, one of the founders of dietology and home gastroenterology, Professor I. I. Pevzner has developed a diet chart number 5.

But, before getting acquainted with the specific provisions of this diet, it is necessary to take into account the general principles of nutrition for pancreatitis:

1. you need to eat 5 times a day in small portions;
2. exclude fried and pickled foods;
3. in the acute phase of the disease, food must be crushed or cleaned;
4. animal protein should predominate in the diet;
5. the amount of fat per day should not exceed 50 g;
6. sugar is also under strict restriction - no more than 30 g per day;
7. products that increase flatulence are prohibited - sweet sodas, any legumes, sweet apples and grapes, sweet muffins and a few others;
8. salt intake is minimized - no more than three to five grams.

Important!With pancreatitis, you can eat slow carbohydrates, while having to monitor the proportion of nutrients in the dishes. Don't be fooled by the fact that sugar can be substituted for honey, its consumption must also be controlled. At first, you will definitely need a calculator. It is necessary to immediately calculate the caloric intake per day and the balance of proteins, fats and carbohydrates based on the body mass index. This information is easy to find on the Internet at sites dedicated to proper nutrition and a healthy lifestyle. There are several mobile apps for counting calories and nutrients.

All these principles are taken into account in diet number 5, which exists in both basic and advanced versions.

The basic option is indicated for relapses of chronic pancreatitis and for the acute nature of the disease. In the acute phase, the diet is stricter with many restrictions. It is intended to unload the pancreas and relieve the symptoms of acute inflammation. In the first 3 days of the acute phase, fasting is recommended for the patient to rest the pancreas. Also, within 3-7 days, carbohydrate foods are allowed in small portions at short intervals. The calorie content of the diet these days must be reduced, and food is consumed only in puree or semi-liquid form.

Important!Rich broth, especially chicken broth, is believed to help well with any digestive issues. With pancreatitis, diseases of the gallbladder and other pathologies of the gastrointestinal tract, high-fat broths are categorically contraindicated! An excessive amount of animal fat significantly increases the load on the pancreas and prevents the condition from normalizing.

The diet includes cereals in water and vegetable soups with various cereals except corn and corn, boiled or steamed vegetables. Of drinks, weak tea, jam, dried fruit compote are allowed. Bread is allowed only white and slightly dry, you can eat crackers and cookies, like cookies.

On the third day of the carbohydrate diet, protein products are gradually introduced:

• lean beef soup, it is desirable to cook veal, turkey or chicken breast broth, the meat from the broth must be passed through a meat grinder or minced in a blender;
• omelet or steamed eggs;
• steam chops from lean meat or low-fat fish;
• curd casseroles and curd souffle with a minimum fat content.

Diet number 5 is recognized for sparing the pancreas as much as possible, which needs complete rest in the acute phase. Allowed and prohibited foods for the staple diet are shown in Table 1.

Important!The predominance of protein foods in the diet can lead to constipation. In that case, you need to add more raw vegetables and fruits from the allowed list. With gout, preference is given to proteins of plant origin or fish from the sea.

Can chronic pancreatitis be cured?

So far, no drug has been developed to stop and reverse the processes that occur in the pancreas during chronic inflammation. Therefore, treatment aims to slow the progression of the disease and prevent exacerbations. In later stages, when there is a significant decrease in pancreatic function, therapy is supplemented with agents to normalize digestion and blood sugar levels. To achieve remission of chronic pancreatitis, proton pump inhibitors, antispasmodics, analgesics, enzyme preparations are used, their choice is individual and depends on the clinical picture of the disease.

An important area of prevention is the timely treatment of diseases that lead to the development of chronic pancreatitis.

How to eat with chronic pancreatitis?

Compliance with a therapeutic diet is an effective and scientifically proven remedy to prevent outbreaks. There are several modifications of therapeutic diets for the stage of exacerbation and remission. The diets used are based on the exclusion of products that stimulate increased secretion from the stomach and pancreas. Rest for the pancreas is very important to reduce inflammation activity. In the acute phase, a clean version of the diet is used, and when it goes into remission, an uncrumpled version is used.

In chronic pancreatitis, it is important to provide the body with a sufficient amount of protein; 110-120 g of protein per day are included in the diet, which slightly exceeds the physiological norm. At the same time, 60% of that amount should be animal proteins. The menu includes dishes of lean meats, poultry, fish, cottage cheese and egg whites. But fats and simple carbohydrates, on the contrary, limit.

Nutrition in chronic pancreatitis should be regular and fractionated - 5-6 times a day in small portions. More on nutrition for pancreatitis