What diet for pancreatitis is necessary to improve health?

Recently, the number of patients with pancreatitis is growing. Doctors, nutritionists assure that in order to improve health, the diet should definitely be adjusted. The question arises, what kind of diet for pancreatitis contributes to recovery? How to eat well with this disease? Are there foods that can worsen the condition? What should you eat to improve your health?

Basic nutritional rules for pancreatitis

The diet is mandatory for those suffering from pancreatitis; otherwise no medication will help.

Experts have developed rules that must be followed:

• if the disease is acute, then the diet should begin with fasting, it lasts 2-4 days;
• need to eat often, at the same time;
• portions should be small;
• avoid overeating;
• reduce the amount of sweets;
• 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;
• reduce sugar intake to a minimum.

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 stage of treatment, you need to fast for several days. The duration of food refusal is 2-4 days.

Only liquids are allowed. At this time, you can not drink strong tea, prepare decoctions of rose hips, mineral water is suitable without gas.

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

When compiling a menu, it's best 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 normalize the functioning of the diseased organ. You must listen to the advice of Diet No. 5.

Dietary advice for chronic pancreatitis:

• food and liquids entering the body should 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 recover or worsen your health.

Table of permitted and prohibited products:

• bakery products: crackers, yesterday's dry bread, cookies;
• porridge cooked in water with a little milk;
• meat, steamed, baked, boiled chicken, turkey, lean meat;
• low-fat fish, shredded, minced;
• first courses - fat-free vegetable puree soups;
• dairy products - all non-acidic, fat-free can be;
• vegetables: no coarse fiber;
• non-acidic fruits;
• eggs no more than 1 per day;
• butter no more than 30 g per day;
• vegetable oil no more than 2 tablespoons;
• non-acidic juices diluted with 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;
• full-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 peculiarities that must be taken into account when feeding children.

Child 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 the elimination of an acute condition, it is imperative to adhere to dietary restrictions;
• prohibit 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 and grind it. Any citrus fruit, freshly squeezed juices should be eliminated from the diet. Children should not be given berries with small seeds, a rough shell. Fresh vegetables are not required.

A child over 3 years old attends children's educational institutions, contacts with peers. First of all, he must take care of nutrition at school and kindergarten. To do this, talk to a medical worker, tell the teacher, educator.

The most difficult thing is to protect the child from soda, chips and other dangerous foods. When attending children's birthdays and parties, care must be taken that the child does not violate the diet. The child needs to explain the need to restrict food.

Menu for 7 days for patients with chronic pancreatitis

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

Menu option for the week:

1 day

• chicken meat, rosehip broth;
• oatmeal, tea;
• pumpkin puree soup, steamed fish, jelly;
• baby food jar;
• stewed zucchini, carrots, baked chicken fillet, juice;

2 days

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

3 days

• porridge, jelly;
• baked apple with cottage cheese, rosehip broth;
• mashed vegetable soup, steamed fish, compote;
• cottage cheese, tea;
• boiled fish, tea;

Day 4

• rice porridge, cracker, 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;
• baked fish, rosehip broth.

day 6

• grits, tea;
• baked apple, rosehip broth;
• vegetable broth with a piece of beef, vegetable puree, compote;
• tea, crackers;
• steamed omelette, jelly;

day 7

• rice porridge, cracker, rosehip broth;
• cottage cheese with chopped apple, tea;
• mashed vegetable soup, chicken meatballs, jelly;
• cottage cheese, tea, cookies;
• semolina pudding, jelly.

Knowing the basic requirements for 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 food restrictions, you want to indulge in something tasty. Nutritionists have developed special dishes that can be consumed with pancreatitis.

Baked apples 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.

Beet Salad Recipe:

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

Recipe for semolina pudding with berry jelly:

1. Prepare thick semolina porridge on water, pour into deep molds, let cool.
2. Pour strawberries with a small amount of water, bring to a boil, remove, chop and put back in the broth.
3. Pour in the sugar, heat to a boil.
4. Prepare the starch, add cold water, carefully pour into the strawberry broth, bring to a boil, do not allow it to boil. Remove from heat, cool.
5. When serving, cut the thickened semolina pudding into pieces, pour jelly on top.

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

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

Pancreatitis is a common disease that requires a strict diet for its treatment. To do this, you need to know which foods are okay to eat and which are not. 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:

• Intense pain in the left hypochondrium, radiating to other organs. The pain attack lasts about half an hour to an hour. The pain is especially strong 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 outflow of bile, a 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 provide temporary relief, but do not affect the cause of the swelling. In the absence of qualified assistance, the risk of serious complications increases rapidly: infection in inflamed tissues, necrosis and abscesses.

Acute pancreatitis in a severe stage can lead to shock and multi-organ failure.

Chronic pancreatitis

If, after an attack of acute pancreatitis, a person does not follow the recommendations of doctors and continues to drink alcohol and eat unhealthy food, the disease is very 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 is manifested:

• 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 bowl.

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,
• threw up,
• intestinal disorders.

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

Insufficiency of pancreatic function is determined by analysis of feces. 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, which provides fast metabolism. The action of enzymes is very selective: each one of them is capable of starting, accelerating or slowing down a single reaction.

Digestion is based on the work of digestive enzymes. Its main task is to make the process of energy assimilation 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 the food eaten.

The digestion of food begins in the mouth. Food ground by the teeth into small pieces mixes 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 the initial processing, the 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;
• it breaks down fats and performs a number of other functions.

In addition to pepsin, which is responsible for the breakdown of 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. It 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 more than 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 the nucleic acids of DNA;
• 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 whole organism is out of balance. This imbalance causes nausea, diarrhea, flatulence, followed by anemia and malnutrition.

What to take with pancreatic enzyme deficient foods

With pancreatitis, the process of producing digestive enzymes by the pancreas is disrupted, as a result of which a person suffers from discomfort and pain in the stomach. In this case, after a thorough examination, substitution therapy may be prescribed.

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

Important!The action of all enzyme preparations begins 20-30 minutes after a meal, so you need to drink them 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 are intended only to supply the lack of a single enzyme, for example, breaking down lactose or fats. There are also means of complex effects, prescribed for a 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 the 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 goal 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 on fried fatty foods, the pancreas begins to intensively produce enzymes for its digestion. If the ducts of the gland are narrowed, the extremely produced pancreatic juice accumulates in the gland, which aggravates the development of the disease - the affected pancreas begins to digest.

Signs that your gland is overworking include:

• heaviness in the abdomen after eating,
• acidity,
• belching
• episodes of pain in the stomach.

Of course, following a strict diet all the time is not easy, especially at home. People with severe dietary restrictions are forced to cook and resist the urge to eat something fried or spicy.

It is important to understand that a violation of the diet can cause an acute attack of pancreatitis with all the following 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 cannot eat with pancreatitis

The diet for pancreatitis has many restrictions both in the foods allowed and in the way of preparing them. Especially for people experiencing problems with the pancreas, one of the founders of domestic dietology and gastroenterology, Professor I. I. Pevzner developed a dietary table 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 foods and pickles;
3. in the acute stage 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 subject to a strict restriction - no more than 30 g per day;
7. products that increase flatulence are prohibited: sweet carbonated drinks, any legumes, sweet apples and grapes, sweet muffins and some others;
8. salt intake is minimized, no more than three to five grams.

Important!With pancreatitis, you can eat slow carbohydrates, while you need to monitor the ratio of nutrients in the dishes. Do not be fooled by the fact that sugar can be substituted for honey, its consumption should also be controlled. At first, you will definitely need a calculator. It is necessary to immediately calculate the calorie 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 on sites dedicated to proper nutrition and a healthy lifestyle. There are various mobile applications to count calories and nutrients.

All these principles are taken into account in diet number 5, which exists in 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 more strict with many restrictions. Its goal is to unload the pancreas and relieve the symptoms of acute inflammation. In the first 3 days of the acute stage, fasting is recommended so that the patient can rest the pancreas. Also, within 3-7 days, carbohydrate foods are allowed in small portions at short intervals. The calorie content of the diet on these days should be reduced, and food is consumed only in pureed or semi-liquid form.

Important!Rich broth, especially chicken broth, is widely believed to help well with any digestive issues. With pancreatitis, gallbladder diseases 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 normalization of the condition.

The diet includes cereals on the water and vegetable soups with various grains, except for millet and corn, mashed boiled or steamed vegetables. Of the drinks, soft tea, jelly, dried fruit compote are allowed. Only white and slightly dry bread is allowed, crackers and biscuits can be eaten as biscuits.

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

• lean meat soup, it is desirable to cook broth from beef, turkey or chicken breast, the meat from the broth must be passed through a meat grinder or chopped in a blender;
• steamed omelet or soft-boiled eggs;
• steamed cutlets of lean meat or low-fat fish;
• cottage cheese stews and cottage cheese soufflé with a minimum fat content.

It is recognized that diet number 5 spares the pancreas as much as possible, which needs complete rest in the acute stage. The permitted and prohibited foods for the basic diet are shown in Table 1.

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

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 is aimed at slowing the progression of the disease and preventing exacerbations. In the 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?

Adherence to 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 an increase in the secretion of the stomach and pancreas. Rest for the pancreas is very important to reduce the activity of inflammation. In the acute stage, a clean version of the diet is used, and when going into remission, an unmashed 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 is included in the diet, which slightly exceeds the physiological norm. At the same time, 60% of this amount must be animal proteins. The menu includes lean meat, poultry, fish, cottage cheese and egg white dishes. But fats and simple carbohydrates, on the contrary, limit.

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