Diet for pancreatitis: inflammation symptoms, 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 the pain syndrome.

To relieve pain and prevent recurrence,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 worsening pancreatitisthere is a need for surgical intervention (opening of the pancreatic mucosa) in case of a small effect from drug treatment, fasting, removal of food debris from the stomach.

Chronic pancreatitisit worsens under the influence of overeating, alcoholism, prolonged use of glucocorticoid hormones, estrogen, narcotics, in the background of a diseased liver (in which a special diet must be followed) and gallbladder, which is quite common in adults. An increase in abdominal pressure in women at the end of pregnancy can develop pancreatitis.

Diet for acute pancreatitis 10 days

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

To achieve this, the hospital uses drug treatment with enzyme preparations, antispasmodics plus a few days of complete fasting to avoid the use of surgery.

Hunger is necessary to stop the production of gastric juices, the pancreas, in order to reduce the enzyme activity due to the lack of food in the esophagus. During this time, gland restoration will be performed.

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

dried wheat bread or loaf (non-sticky) - 50 g / day;
jellies, fruit drinks (it is better to cook them than 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, rods).

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

salty slimy soup of rice or oats;
liquid mashed potatoes without oil;
semi-liquid jellies or juice jellies;
liquid cereals: oatmeal, semolina, buckwheat, rice (everything is prepared in water or milk, everything should be ground or chopped with a blender);
crackers;
dried bread.

You can eat for 6-8 days:

steamed omelet made of protein
low-fat cottage cheese souffle;
steamed meat (necessarily minced or grated through a meat grinder / blender)
slimy cereal soups;
apple jelly or mousse, grated berries without shell;
vegetable porridge (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
vegetable puddings (steamed);

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

The calorie content increases to 1000 calories per day, up to 50 g - protein, up to 250 g - carbohydrates, up to 10 g / day - fat. At night you need to drink a glass of water with honey, raisins (1 teaspoon), prunes (2-3 pcs. ) Or yogurt to remove constipation.

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

Sample menu

Below is a daily menu, you can compose a similar diet yourself based on the list of allowed products.

Dani	Food	Approximate diet menu for pancreatitis
Day 1	Breakfast	Porridge of semolina or rice (on water) - 150 gr. , Fruit: orange or apple. Green tea (not strong) can be with honey (1 teaspoon)
Late breakfast	Pumpkin puree - 50 gr. , Steamed chicken breast or fish chops. Rosehip drink (recipe below), honey - 1 tsp.
Dinner	Vegetable soup of fish or beef 200 gr. , Mashed potatoes or broccoli - 100 gr. , White crouton bread. For dessert, you can bake an apple with honey in the oven, always skinless.
Afternoon snack	Tea with honey and a little fresh cheese (1% fat)
Dinner	Protein steam on 3 eggs, white bread croutons. Puree of allowed vegetables - 150 gr. , ,
Before sleeping	Boiled water - 1 cup with honey - 1 tsp. or curdled milk.
Day 2	Breakfast	Oatmeal with milk - 150 gr. Sour or green tea (not strong)
Late breakfast	Grated apple with soft curd
Dinner	Pumpkin or cauliflower puree soup. Minced chicken meatballs
Afternoon snack	Green tea with 1-2 slices of dry unsweetened cookies
Dinner	Rice pudding -150 gr. Tea or jelly
Before sleeping	Decoction of rose hips - 1 cup
Day 3	Breakfast	Liquid rice porridge - 150 g. Green weak tea with dry biscuits
Late breakfast	1 baked apple
Dinner	Soup of carrots, cauliflower, potatoes with meatballs. Beaten fruit compote
Afternoon snack	Fresh cheese - 100 g, green tea
Dinner	Cooked or baked lean fish
Before sleeping	Milk tea or kefir

Recipes for eating

Can be usedafter an acute attack of pancreatitisdiet number 5pand observe it throughout the year. They eat pureed food, without salt, proteins can increase - up to 100 grams, up to 40 grams. - fat, up to 450 gr. - carbohydrates. Be sure to follow the recommendations and regimens prescribed by your doctor!

Rosehip drink recipe:

For the soup you will need 0, 5 kg of dry rose hips and 4 liters of water. Rinse the pomegranate, add water, put the drink to infuse for 4 days. You do not have to boil the infusion, the rod should be poured with room temperature water. This drink contains vitamin C.Attention!since the drink is acidic, consult your doctor before taking it.

Mashed fish soup:

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

Cut the fish, pour water or soup into the sherpa, cook until soft. Remove the fish from the pan, chop with a mixer. Heat a little milk in a pot and add butter to it, as soon as the butter melts add the broth, bring to a boil, but do not boil. Add the fish, cook on low heat for just a few minutes. Salt can only be added if approved by your doctor!

Forbiddenfor acute pancreatitis use:

alcohol;
eat fatty or fried;
Eat any fatty or puffy foods, such as legumes, bran, cabbage, beets, rutabaga, peel / fruits and vegetables, unripe fruits, berries or vegetables;
carbonated drinks with fermentation reactions: yeast, kefir.

Diet for chronic pancreatitis

Chronic attacks of pancreatitis can occur immediately after lunch, whose menu included hard-boiled eggs, pastries, raw fruits, vegetables, juices, cold sodas, chocolate, milk or ice cream. Constantly the companions of the disease will manifest each time: bloating, a feeling of bloating or heaviness, a bump that is "stuck in the lower part of the chest", occasional vomiting.

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

The diet for chronic pancreatitis may include:

wheat bread crackers (you can dry the bread yourself);
vegetable soups (for soups are best pumpkin, potatoes, zucchini or carrots);
cereal soups (with semolina, oatmeal, buckwheat or rice);
meat - beef or veal, chicken, rabbit. Better to steam, bake or boil.
steamed egg omelettes (2-3 pcs. ).
lean fish: flounder, pollock, cod, perch, pike, hake, perch or pike;
cottage cheese (unsalted): can be eaten fresh or made into puddings;
cheeses - choose unsalted, unsalted varieties;
in dishes or during cooking you can use butter or sunflower oil -10-15 gr.
sour cream, kefir (low fat only);
porridge - rice, pearl barley, oatmeal, buckwheat, noodles (their consistency should be liquid or semi-liquid);
vegetable purees / stews (remember that cabbage and tomatoes cannot be added), vegetables can be simply cooked or baked;
juice mousses / jellies, dried fruit compotes (apricots, pears, apples)
fruit (only roasted or grated without shell)
Dietary purees and preserved purees for baby or diet food;
multivitamin and mineral preparations.

Menu for the day

Food	Approximate diet menu for pancreatitis
Breakfast	Steamed meat (chicken or beef). Rosehip tea or decoction
Lunch	Oatmeal with milk. Broth or infusion rod
Dinner	Carrot and pumpkin puree soup. Steamed fish. Tea
Afternoon snack	1 jar of baby food
Dinner	Zucchini vegetable stew with carrots. A piece of cooking chicken. Dried fruit compote
At night	A glass of kefir

You cannot eat foods that stimulate pancreatic secretion:

meat, fish, poultry fatty varieties, forget about smoked meat and fish, sausages, canned food;
meat, mushrooms, fish soup (as well as soups and sauces on them);
cabbage soup, borscht, as well as cold soups (like cold soup or okroshka);
milk soups;
fish, meat in fried, smoked, salted or canned foods;
high fat dairy products;
eggs - you cannot eat fried or hard-boiled eggs;
any beans, white cabbage, eggplant, beets, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
bakery products, fresh bread, sweets, flour, chocolate and other sweets;
black coffee, cocoa, carbonated drinks.

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

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

Recipes

Vegetable soup in porridge:

For the soup you will need: 1 yellow or green pepper, broccoli, cauliflower, 1 small zucchini. All vegetables must be washed, cut into cubes. Pour the vegetables in a pot of water (1-1, 5 liters), cook until soft. Drain and blend with a blender.

Fish souffle:

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

Mix the milk and flour (heat the flour in the pan until slightly yellowed) to get a slightly thick milky "sauce". Now we start mixing: fish, egg yolks, milk sauce, butter (if your doctor allows, you can salt it).

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

Preheat oven to 180-200 degrees. Put the fish mass in a baking dish or tin, put in the oven and bake until soft.

Marshmallow (dessert):

To prepare marshmallows, you need to take 1 kg of apples, peel them, cut, pour water into a pot and cook. Boil the apples, remove from the heat, drain the water, allow to cool slightly. Rub the apples through a sieve or chop with a blender.

Squeeze all the juice from the resulting puree, squeeze the puree. Pour the juice separately into a small sherpa and cook until thickened (almost like syrup). Pour sugar (100 g) into the boiled juice, boil a little more. Mix the juice with the puree.

Place the resulting mass on a baking sheet, place in the oven (120 degrees), dry the lozenge until it thickens completely.

Sample menu for pancreatitis for the week: diet options and dietary rules

In addition to regular use of medications, diet is also indicated for pancreatitis. Only a comprehensive measure allows you to relieve and swell the pancreas, helps stop inflammation and repair damaged tissues.

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

Characteristics of adherence to diet for various forms of pancreatitis

In acute inflammation the diet is very strict. On the first day of the attack, the patient shows 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 production of gastric and pancreatic secretions.
Decreased performance of digestive enzymes.
Preventing the development or reducing the severity of infectious processes.

In inflammation of the gland, swelling, spasm of the organ and its channels are noticed. For this reason, digestive enzymes cannot get from the pancreas into the intestines, are activated in the gland and begin to digest its walls.

Death of damaged organ tissue, undigested food remains cause complications of the disease with various infections. Therefore, it is necessary to reduce the activity of production and functioning of pancreatic enzymes, which is mainly achieved by fasting.

The first 2-5 days of acute pancreatitis, only fluid use is indicated - up to 2. 5 liters. After leaving the hunger strike with OP, the diet gradually expands according to diet 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 the positive dynamics of the treatment, the content of calories in 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 (non-fat, medium-fat types), sour milk, unsweetened cookies, sweet berry jellies, marmalade, marshmallows, and even some types of sweets.

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

Eat only natural, fresh foods.
Significantly limit the amount of sweet, fatty and especially sour.
Meals should be broken down: 5-6 times a day in small meals.
It is desirable that the food is chopped, grated, for its better assimilation.
Allowed cooking methods: cooking, baking, steaming, stewing.
Don't use hot and cold food - only hot food 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.
The use of spices is not recommended (salt can be used in small quantities).
Alcohol, snacks (chips, crackers, corn sticks, etc. ) are strictly forbidden.

A healthy diet and maintaining hydration can help prolong remission and preserve pancreatic health. In this case, diet food is the most effective medicine.

Sample menu to worsen 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 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 the gases come out of the liquid.

On the third day, you can vary the drink with a weak rosehip soup. The drink will help maintain water balance, replenish the body’s reserves with necessary micronutrients and remove toxins.

Getting out of the hunger strike

The menu for patients with pancreatitis who go on hunger strike (2, 3 or 4 days) can be enriched with the following products:

dried white wheat bread (not more than 50 grams per day);
fruit drink made from jelly or black currant;
at the same time it is necessary to drink up to 2. 5 liters of fluid per day (non-carbonated mineral water, jelly, fruit drink, decoction of rose hips).

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

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

You can start trying in the next two days:

steamed protein omelet;
steamed or boiled chicken, rabbit, turkey chopped with a blender;
cereal soups cooked in vegetable broth or water;
vegetable puree (pumpkin, carrot, zucchini);
not 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 enriched with unsalted butter, jelly, baked apples, cooked fish with little fat or steamed fish cutlets, souffle. Sugar is allowed to start using 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 mitigation of the attack

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

Day 1:

Early meal: whipped 2 protein scrambled eggs, oatmeal, pomegranate soup.
Late meal: berry jelly.
Lunch time: rice soup, toasted bread, steamed chicken cutlets with zucchini puree.
Afternoon snack: grated cottage cheese, lightly brewed tea.
Evening: fish souffle with stewed vegetables, currant compote.
Late evening: croutons with yogurt.

Day 2:

Early meal: cottage cheese pudding, crouton tea.
Late meal: strawberry souffle, rosehip decoction.
Lunch time: soup with noodles in vegetable soup, crackers, boiled turkey, berry mousse.
Afternoon snack: baked apples, compote.
Evening: noodles, steamed cutlet, green tea.
Late evening: crackers, tea.

Day 3:

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

Day 4:

Early meal: rice porridge, currant compote.
Late meal: steamed omelette, chamomile decoction.
Lunch: cream soup of cooked meat, croutons, a piece of cooked rabbit meat, tea.
Afternoon snack: baked apple with curd, compote.
Dinner: oatmeal, raspberry souffle, rosehip soup.
Late dinner: crackers and yogurt.

Day 5:

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

Day 6:

Early meal: semolina porridge, chamomile decoction.
Late meal: steamed omelet, jelly.
Lunch time: noodle soup, crackers, boiled chicken, tea.
Afternoon snack: berry souffle, compote.
Dinner: mashed vegetables, steamed turkey, jelly.
Late dinner: croutons with yogurt.

Day 7:

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

Before the disease enters the phase of stable remission, all food should be grated without spices (salt is not recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh apples, peeled and heads 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:

Dan	Early meal	Snack	Lunch time	Afternoon snack	Evening time
Mon.	Oatmeal with low fat milk, cheese sandwich, chicory	Cottage cheese pudding, biscuit biscuits, pomegranate soup	Potato soup with chicken soup, 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, roasted hake, jelly candies, green tea	Cottage cheese casserole, chamomile soup	Mashed potatoes, baked fish, carrot salad, tea
Wed.	Oatmeal, jelly	Berry mousse, long-lasting biscuits, pomegranate soup	Fish soup, pumpkin pudding, crackers, compote	Cottage cheese pudding	Chicken fillet with zucchini, boiled cauliflower, green tea
Wed.	Semolina porridge, cheese sandwich, jelly	Sour milk, croutons	Rice soup with carrots, meatballs, rosehip soup	Vegetable pudding, compote	Stewed chicken with vegetables, jelly, tea
Fri.	Steam omelet, black tea	Carrot and grated apple pudding	Vegetable soup in puree, beef meatballs, chamomile decoction with jelly candies	Berry souffle, biscuit biscuits	Cooked rice with meatballs, tea
Sat.	Oatmeal, chicory	Omelet, apple compote	Buckwheat soup, meat loaves, boiled beet salad, tea	Sandwich with butter and hard cheese, baked apple, tea	Fish souffle, cooked noodles, tea
Sun.	Rice porridge with boiled turkey, rosehip soup	Vegetable souffle, berry jelly	Creamy soup of grated meat, fish balls, dried bread, tea	Cottage cheese biscuits, baked apple, tea	Fish roll, mashed potatoes, rosehip soup

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

Conclusion

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

Between main meals, it is allowed to enjoy small snacks with fruit, and sweets are allowed. It is useful to develop the habit of eating at approximately equal 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.