Diet for pancreatitis (inflammation of pancreas)

Pancreas disease of inflammatory character is called pancreatitis. Iron performs a secretory function: produces insulin and glucagon, and the part in digestion is the secretion of pancreatic juice. The reasons for the defeat of its diversity: the toxic poisoning, trauma, pancreatic duct obstruction, vascular disturbances, diseases of the gallbladder and ducts, the impact of medicines, infectious and parasitic diseases.

diet for pancreatitis

There are acute and chronic pancreatitis. Acute pancreatitis is associated with self-digestion of pancreatic enzymes and in severe cases, there is necrosis of the tissues of the prostate and nearby organs. Often develops when medication. In half of the cases the reason is its development of cholelithiasis, and some associated with alcohol abuse.

Chronic pancreatitis — long-term current and progressive disease who are prone to exacerbations. There are several clinical forms:

  • asymptomatic;
  • pain is not expressed in constant pain, aggravated by worsening;
  • recurrent pains appear only during exacerbation;
  • pseudo tumore — very rare form, when the head of the gland by fibrous tissue grows and increases.

Diet in acute pancreatitis

In the acute form of the disease, there was intense pain, increasing the level of enzymes gland in the blood and in the urine.

The basic principles of nutrition in this period are:

  • hunger and the conduct of parenteral nutrition;
  • promptly after the seizure and remitting pain will go to the food, as the patient needs a complete protein;
  • the gradual expansion of the diet and the inclusion of new products;
  • a gradual increase in the volume of food and its caloric value;
  • compliance with mechanical and chemical magania body for a long time.

Further the power depends on the patient's condition, and sequentially assigned to two diet.

The first option is shown after acute pancreatitis and in severe exacerbation of chronic. This version of the diet recommended after the hungry days (usually three days), because it creates the maximum rest the gland and eliminates pain.

After a bout of necessary frequent meals (up to 8 times) and in very small amounts, ranging from 50-100 g. the First time is assigned a low-calorie food (fat 50 g protein 60 g). It does not correspond to physiological norms, so it is recommended that a period of 4-7 days.

The diet consists of cooked products having semi-liquid consistency, and only to the 6th day allowed the use of semi viscous food. Less carbohydrate food stimulates the secretion pancreaticum, so it is recommended immediately after the famine.

When you decrease pain and improve digestion the diet is expanded and assigned as the second option (it is also used in not sharp exacerbation of chronic pancreatitis). After acute pancreatitis the patient should be in the diet of 6-12 months. All dishes are prepared in boiled or steam form, first RUB on a grater, and a few days later just crushed. Since the older principles magania food does not cause excessive stimulation of the body.

diet in chronic pancreatitis

Diet in chronic pancreatitis the pancreas

In adults, the disease becomes chronic, this means that nutrition should be given due attention because it is able to prevent aggravation. Each exacerbation entails the replacement of a normally functioning gland tissue and fibrous. So over the years, the patient developed insufficiency of the gland externally and inside secretory secretory.

Key features of a second embodiment Diet 5P:

  • Dishes boiled in the form of mashed and shredded. The transition to such a diet is gradually.
  • Increased content of protein, fat and carbohydrates. However, the amount of fat not more than 70 g, and are they gradually.
  • In poor digestion of protein the amount of protein reduce the time and increase the carbohydrate content.
  • Excluded extractives and cellulose. For extraction of extractive substances meat cook pieces of 100 g, and merging the first water. Then it is used as a material for various dishes (chopped, soufflés and puddings).
  • The amount of salt to 6 g.
  • Recommended split meals (up to 6 times per day).
  • Prohibited hearty meal.

In the period of remission expands the list of products and shows the inclusion of vegetables and fruits for raw. Vegetables used in salads, side dishes, salads and as a separate dish. In addition to kas you can make pilaf with dried fruit and boiled meat, pasta. The soup, not pureed and carefully introduced soups made from beets, borscht and cabbage soup. To improve the taste of the sauces used are homemade and the spices.

Are prohibited cocoa, coffee, drinks with gas and alcohol. In remission is shown taking low - and middle-mineralized mineral waters. They are accepted in the form of heat the course of 3-4 weeks. Diet in chronic pancreatitis is observed for life.

Permitted foods

A healthy diet for pancreatitis of the pancreas include:

  • Cereals: grits, oatmeal, buckwheat, rice. Porridge prepared on water, grind, add water or milk, bring them to a semi viscous consistency. If you cook the porridge of flour (buckwheat and rice), this greatly facilitates the cooking process. Rice and semolina to make soufflés and serve with jelly, jam or preserves. Barley, millet, corn and barley grains are limited in the diet.
  • Boiled and mashed, puree potatoes, pumpkin, zucchini, carrots, green peas, beets, cauliflower. After a time, allowed the use of raw carrots and pumpkin in grated form, peeled tomatoes and grated cucumber.
  • Soups are cooked in vegetable broth and they introduce pureed vegetables. You can cook soups. In soups add allowed cereals, well-cooked or rubbed. In soups, you can enter the finely chopped vegetables, but roast them impossible. Soups seasoned with sour cream, cream, butter.
  • Lean fish steamed, boiled with a piece of or consumed in the form of cutlets. Preferred perch, hake, cod, carp, pike, Pollock, snapper, whiting. Not allowed poached fish, which is cooked in a saucepan with the water and all the extractives in it are saved.
  • For cooking choose beef, rabbit, veal, chicken. Meat is used in minced products (cakes, soufflés, meatballs, meatballs, dumplings), steamed. Cooked chicken and rabbit can be eaten a piece.
  • Low-fat dairy products. The milk is allowed to add to the dish as a whole is poorly tolerated. You are not very fat cottage cheese, cook casseroles and puddings from it. At deficiency of calcium is better to use calcined cheese. Sour cream seasoning to the dishes. You can enter mild cheese in grated form.
  • Wheat bread, only stale, to avoid bloating. The diet involves not eating butter cookies.
  • Omelettes mostly protein (1 egg per day).
  • You can prepare sauces with vegetable broth with the addition of sour cream and milk.
  • Baked sweet apples. Dried fruits are used rubbed. Sweet fruit and make jam, jellies, mousses, marshmallows. Allowed limited raw fruits and berries, but they need to wipe.
  • In the diet after the aggravation of very cautiously administered fats, first the butter and then refined sunflower.
prohibited products

Fully or partially restricted products

Diet for inflammation of the pancreas should not contain:

  • Vegetables with crude fiber (rutabagas, cabbage, radish, turnip, eggplant, radish), legumes, mushrooms.
  • Soups broths (meat/mushroom/fish), borscht, beetroot soup, soup, soup.
  • Fatty fish, meat, goose and duck, all fried dishes, stewed meat and fish, smoked products, caviar, salted fish, sausages, canned food.
  • Offal refers to the content of the excess amount of cholesterol.
  • Rye bread and fresh wheat, pastry cream, cakes, puff pastry, muffin, yeast sweet baked goods, fried pies, pancakes, cheesecakes and muffins.
  • Crisp cereal (excludes barley, corn, barley and millet).
  • Raw vegetables and fruits need to enter into the diet with caution. At the initial stage they are eaten boiled or baked.
  • Excluded: black strong coffee, chocolate, honey, grape juice, ice cream, jam, cocoa, soda, and alcoholic drinks.
  • Eggs fried and boiled, cream, fat cottage cheese high acidity, rich milk, and salty sharp cheese.
  • Cooking fats, lard, condiments and spices (horseradish, herbs, ketchup, mustard, pepper, mayonnaise).
  • Fruits that contain simple carbohydrates (bananas, grapes, dates) — they can cause flatulence.

Menu for inflammation of the pancreas (diet)

Menu nutrition in acute pancreatitis are scarce. At the initial stage of diet meals in the diet are only present in boiled and mashed form. Allowed the use of 50 g of breadcrumbs from white bread. Menu for the week can be varied, if you include liquid and poloveckie porridge from different cereals (except millet), souffle and mashed vegetables are allowed.

Every day you need to prepare fresh cheese. It is prepared from milk by adding during boiling of calcium chloride, thus, it turns out not sour, calcined cottage cheese. On its basis it is possible to make a dough, bake and steam puddings. Milk is only allowed as an additive in foods (cereals with milk, cream soups). Allowed 1-2 eggs a day boiled, the protein omelets or steam.

For dessert, brunch or afternoon tea, the patient can be offered baked apples or stewed in a puree, jelly, fruit jelly, pureed fruit drinks (can use dried and fresh fruit). Butter in small quantity is added to the finished dish. If you think of it by day, it will look like this:

Further, the diet involves the expansion of the diet. When moving to the extended main dishes are the same but produce (vegetables and fruits) you can already use is not rubbed, and a few days later raw. An increasing number of wheat bread, 300 grams of butter to 20-30 g per day are allowed unsweetened biscuits.

Added to the diet of casseroles from cereals, semolina, cream and cooked pasta. Continue to limit crisp cereal, barley, corn, barley, etc. From vegetables is added cauliflower, beets, pumpkin, green peas. pureed raw ripe fruits and berries. Dairy products take low-fat, non-acidic yogurt, sour cream in dishes. Sample menu diet for pancreatitis of the pancreas might look like this:

For children

Acute pancreatitis in children is relatively rare. Its development is possible in children of substance abusers, people with viral infections, septic conditions, poisonings, against medication and after injuries of the abdomen. For the most part acute pancreatitis is found in the age category 11-15 years. The clinical picture is dominated by pain (from mild pain to cramping and strong), localized in the epigastrium, left hypochondrium and around the navel.

The correction of disorders of the gland function should include the treatment of the disease, which led to its development. An important aspect is diet, the nature of which is also determined by the underlying disease. It is recommended to use age amount of fat. Baby food should not contain reduced amounts of fat, as highly effective drugs replacement therapy can compensate for the lack of lipase. This approach to power allows to improve nutritionis status, which is very important for a growing child's body.

Chronic pancreatitis involves the observance of a strict diet during the exacerbation, then made a gradual transition to less sparing diet (not only mechanical sparing), but the food must be selective and keep his need for life.

diet for children

In remission in the diet are fresh fruits (sweet apples, melons, apricots, plum, cherries, strawberries, grapes, currants, raspberries, citrus, pineapple), vegetables (carrots, greens, cucumbers, tomatoes). The number is limited and give the child can not every day. Occasionally you can consume cabbage, young corn and eggplants. Basic menu consists of milk porridge, a dish of minced meat, chicken and Turkey, vegetarian soups, roasted fish, boiled vegetables and dairy products. Allowed sweets: jam, marshmallow, jams, honey, marmalade, sugar, but in moderation.

After acute pancreatitis and in chronic excludes:

  • carbonated beverages;
  • condensed milk;
  • ice cream;
  • sour and salty foods;
  • broths, fatty meats;
  • fried and fatty foods;
  • sausages, canned goods, pies;
  • sour fruits (sour apples, cherries, cranberries);
  • spices;
  • millet and barley cereals;
  • culinary baking (cakes) and pastries, chocolate, nuts;
  • vegetables with crude fiber (over Mature peas, bell pepper, radish, radish, horseradish, onions, garlic).

In the case of reactive pancreatitis recommended diet observed for 2 weeks, after which stringent restrictions are not required, but you need to provide the child with food, age appropriate.

21.03.2019