The pancreas is part of the gastrointestinal tract and at the same time a mixed secretory gland. It responds to the entry of food into the human digestive system by producing enzymes that are secreted in the duodenum and help break down food in the intestines. On the other hand, the gland produces the hormones insulin and glucagon, which are released into the bloodstream and maintain normal blood glucose levels.
What is pancreatitis and its formsPancreatitis is an inflammation of the pancreas, in which the glandular tissue becomes inflamed, disrupting the production and entry of essential enzymes into the intestines. The inflammatory gland increases in size, its internal ducts are narrow, which does not allow digestive juices to pass into the duodenum. The enzymes that remain in the gland begin, as it were, to break down the gland itself, which leads to sad consequences.
There is an acute form of pancreatitis, which is caused by a violation of diet or inflammatory diseases in the body and does not last long with the right treatment. If the action of irritants is prolonged or frequent, chronic pancreatitis occurs, which can develop after an acute procedure.An integrated approach to the treatment of pancreatitis is used and a special diet plays an important role in it, without which the effectiveness of the treatment is extremely low.
Principles of the diet for pancreatitis
The principles of the diet for acute pancreatitis are that the first 3 days are generally recommended for monitoring hunger. During this period, the necessary nutrition is provided by intravenous infusion without intestinal irritation. Foods that enter the intestines always lead to an increase in the production of digestive enzymes, and in acute inflammation, it is important to reduce this activity as much as possible, after a few days the diet is gradually expanded. Initially, only plain water is allowed, sometimes mineral water without gas, preferably alkaline, weak tea.
Then, for chronic pancreatitis from day 3 and for acute pancreatitis after day 5, the following positions are used:
- the frequency of the diet at least 5 times a day for uniform release of enzymes without heavy load and reduction of inflammation.
- the amount of fats and carbohydrates is reduced as much as possible to increase protein products.
- the volume of food at the same time does not exceed 150-200 ml.
- use hot food 20-60 degrees, finely chopped or cleaned.
- chew your food well and dedicate your time.
- Do not drink during meals, limit salt to 4-5 grams per day.
- exclude foods that cause flatulence.
- for chemical performance purposes, you should not use spices and hot spices.
- Use only cooked or cooked foods, without using fried, smoked or canned ingredients.
Features of the diet for pancreatitis
It is important to remember that the diet for pancreatic pancreatitis must be followed constantly, otherwise the body will react with recurrent inflammation and the consequences will be negative. In acute pancreatitis, the condition is very serious and death is not ruled out.
In the context of increasing the proportion of protein products in the diet, most of them should be animals in the form of turkey, chicken or young beef. Carbohydrates should be a little more than 300 grams per day with the restriction of ordinary sugar or jam, fats in a minimal amount, protein products make up more than half of the diet.
Allowed and forbidden foods in the diet for gastric pancreatitis
There are many permitted foods in the diet for gastric pancreatitis, so the diet can be as varied as possible:
- boiled or cooked rabbit, beef and poultry (lean), boiled tongue
- lean fish such as cod or cod, boiled, cooked or in the form of soufflé.
- cereals are different, preferably rice or oatmeal as part of cereals, soups or pots.
- bread after drying in the oven, baked cookies, cooked pasta.
- low-fat milk and lactic acid products in the form of additives to the main products or casserole with curd, diet cheese and cottage cheese from skimmed milk.
- boiled or grilled vegetables - potatoes and squash, beets or carrots, fresh pumpkin.
- eggs (protein only) in omelets or pots, vegetable oil in moderation.
- fruit, ripe without sugar or baked, jelly or berry pulp
- lean drinks, diluted juices, fruit drinks with rosé.
The following foods are prohibited in the diet with worsening pancreatitis:
- fried or grilled meat, all offal, lamb or goose meat, bacon and smoked meats, preserved stew;
- pickled seafood dishes, rich fish broths or canned food.
- cooked dishes from legumes and rich broths.
- fresh bread, pastries, fried pies
- sour cream, sour cream, large quantities of sugar-free milk
- Garlic, mushrooms, radish are strictly forbidden (limit turnips and fresh vegetables).
- egg yolks and fresh natural butter?
- lots of fresh sweet fruits, cabbage and sorrel?
- coffee, strong tea, concentrated lemonades and any carbonated beverages, alcohol of any strength or energy.
- ice cream, butter cake, chocolate, cake,
- hot spices, marinades, sausages and smoked meats.
Dietary contraindications for pancreatitis
Considering the peculiarities of the diet for gastric pancreatitis, there are contraindications to it.
Refers to patients with kidney disease or protein metabolism:
- with pyelonephritis or glomerulonephritis with decompression of the procedure.
- patients with urolithiasis?
- in acute or chronic renal failure.
- in case of metabolic disorders of gout and purine.
- presence of multiple myeloma.
- with hormonal imbalance or thyroid problems.
- with precancerous diseases, as too much protein is dangerous for malignancy.
- with severe obesity or diabetes, especially with diabetic nephropathy, ie kidney damage.
Due to the increase in the amount of protein products in the diet, the load on the kidneys increases and in the presence of chronic diseases their work is interrupted.
Diet for pancreatitis: menu for the weekConsider a sample diet menu for a week for acute or chronic pancreatitis.
- Breakfast.Porridge in water from ground buckwheat, boiled chicken breast. Pudding, weak tea.
- Lunch.Fruit puree, beaten in a blender, biscuit cookies.
- Lunch.Rice oatmeal soup, steamed beef cutlets, apricot jelly
- Snack.Carrot pot with tea.
- Dinner.Fish paste with oatmeal. Apple compote.
- Before bed.Raisin juice.
- Breakfast.Mashed potatoes with beef puree. Cookies, fruit tea.
- Lunch.Protein omelette, carrot puree.
- Lunch.Ground buckwheat soup with rabbit meatballs. Pot with zucchini, weak tea.
- Snack.Beet puree salad, fruit juice with crumbs.
- Dinner.Steamed turkey cutlets with mashed rice porridge. Kissel from apples.
- Before bed.Rosehip fruit drink.
- Breakfast.Oatmeal without sugar. Carrot pot with tea.
- Lunch.Baked apples with croutons and apricot juice.
- Lunch.Cod fish soup, mashed potatoes with sour cream. Pear jelly with croutons.
- Snack.Casserole with zucchini with tea and cookies.
- Dinner.Steamed rabbit cutlets with buckwheat porridge. Raisin compote.
- Before bed.A glass of kefir.
- Breakfast.Rice pudding with boiled beef. Tea with cookies.
- Lunch.Boiled beetroot salad with yogurt and cookies.
- Lunch.Soup in weak chicken broth with buckwheat. Vegetable meatballs, fruit jelly.
- Snack.Cottage cheese with whipped cream, tea with marshmallows.
- Dinner.Vegetable pot with pollock. Dried fruit compote.
- Before bed.Apple fruit drink.
- Breakfast.Chopped oatmeal with steamed cutlets. Fruit pudding tea.
- Lunch.Meatballs with steamed fish, apple jelly.
- Lunch.Rabbit soup with boiled meat. Pumpkin pot with sour cream, tea without sugar.
- Snack.Protein omelette with apple juice.
- Dinner.Turkey roll and vegetable stew. Tea with cookies.
- Before bed.Baked milk with low fat content.
- Breakfast.Boiled pasta with chicken pate. Sugar-free tea.
- Lunch.Pumpkin porridge with sugar-free yogurt.
- Lunch.Pumpkin and beef puree soup. Zucchini stew and blueberry jelly.
- Snack.Apple puree, a cup of kefir.
- Dinner.Steamed fish cake with oatmeal. Tea with cookies
- Before bed.Apricot compote.
- Breakfast.Casserole with beef and vegetables. Ryazhenka with cookies.
- Lunch.Pudding with curd and fruit puree.
- Lunch.Pumpkin soup and mashed potatoes. Chicken meatballs with oatmeal. Fresh fruit compote.
- Snack.Carrot pudding with tea without sugar.
- Dinner.Casserole and zucchini pot. Apple jelly.
- Before bed.Fresh fermented milk.
You must remember when preparing the menu and preparing the food that the food must be fresh and the cooking methods must be boiled or cooked. It is undesirable to combine different proteins at the same time, and small portions are recommended to reduce the load on the pancreas.
Diet for pancreatitis: nutritionist reviews
Nutritionists' reviews of the diet for pancreatitis are as follows. Its main parts are aimed at reducing the nutritional load on the gland and reducing the production of digestive juices that support inflammation. In addition to these effects, such a diet prevents liver and bile diseases, as it normalizes the frequency of bile secretion in the intestines. However, in the context of restrictions, we must remember a sufficient amount of vitamins in the diet in order to avoid vitamin deficiency.
Lack of ionic enzymes in the patient's body reduces the absorption of nutrients from food. Drugs that contain the necessary enzymes in granular or encapsulated forms are used to correct the assimilation of nutrients. Special drug capsules promote the action of enzymes in a specific place in the digestive system for maximum action.
In acute pancreatitis, maximum food shredding is important, but in chronic pancreatitis, to maintain normal digestive function, food should not be shredded or wiped ready-made food, although heat treatment should be performed. without frying or grilling. The more balanced the diet, the less likely the adverse effects are. In acute pancreatitis, the diet must be followed for at least 2-3 months, in chronic disease, it is desirable for life.