What diet for pancreatitis is necessary to improve health

Recently, the number of patients with pancreatitis is increasing. Doctors and nutritionists assure that in order to improve health, it is absolutely necessary to adjust the diet. The question arises, what kind of diet for pancreatitis contributes to recovery? How to eat well with this disease? Are there any foods that can make it worse? What should you eat to improve your health?

Basic nutritional rules for pancreatitis

The diet is mandatory for those who suffer from pancreatitis, otherwise no medicine will help.

Experts have developed rules to follow:

• if the disease is acute, the diet should begin with fasting, it lasts from 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 does not exceed 80 g;
• reduce the amount of salt to 10 g;
• reduce sugar consumption to a minimum.

Based on these rules, a daily menu is formed.

How to eat with acute pancreatitis

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

At 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 drink not strong tea, prepare rosehip decoctions, mineral water is suitable without gas.

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

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

If you do not follow 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 should listen to diet advice #5.

Diet tips for chronic pancreatitis:

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

All dishes prepared by frying are strictly prohibited.

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

Table of permitted and prohibited products:

• baked goods: crackers, dried day-old bread, cookies;
• porridge cooked in water with a little milk;
• meat, steamed, baked, boiled chicken, turkey, lean beef;
• low-fat fish, crushed, chopped;
• first courses: fat-free soups, vegetables, mash;
• dairy products: all non-acidic, non-fat can be;
• vegetables: without coarse fibres;
• 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;
• high-fat dairy products;
• sauces;
• spices;
• oily fish;
• fried eggs;
• coarse fiber vegetables;
• mushrooms;
• legumes;
• soft drinks;
• alcohol;
• coffee;
• Chocolate.

If you have any 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 condition of the baby, differs little from the adult menu. But there are some peculiarities that should be taken into account when feeding children.

Nutrition rules for children:

• give hot food and drinks, feed more with chopped dishes, for example, mashed potatoes;
• the diet should contain all the components necessary for normal growth and development;
• even after the removal 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 wipe the food, grind it. All citrus fruits, freshly squeezed juices should be removed from the diet. Children should not be given berries with small seeds, a rough shell. Fresh vegetables are not necessary.

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

The most difficult thing is to protect the child from sodas, chips and other dangerous foods. At children's birthdays and parties, care should be taken that the child does not violate the diet. The child should explain the need for him 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 noticeably improve.

Menu formula for the week:

One day

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

2 days

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

3 days

• oatmeal, jelly;
• baked apple with cottage cheese, rosehip broth;
• vegetable puree 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;
• honey tea, cookies;
• rice pudding, jelly;

Day 5

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

Day 6

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

Day 7

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

Knowing the basic requirements for dishes, you can create 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.

Recipe for baked apples:

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. Cook in the oven.
5. Chill.

Beet salad recipe:

1. Boil 1 medium-sized beetroot, cool, chop with 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 the components, mix, salt a little.
5. Fill with olive oil.

Berry Jelly Semolina Pudding Recipe:

1. Prepare thick semolina porridge in water, pour into deep molds, cool.
2. Pour the strawberries with a little water, boil, remove, chop, put back in the broth.
3. Add the sugar, bring to a boil.
4. Prepare the starch, stir in cold water, carefully pour into the strawberry broth, boil without letting it boil. Remove from heat, cool.
5. When ready to serve, cut the thickened semolina pudding into pieces, pour the jelly over it.

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

We recommend a video on allowed and forbidden foods for pancreatitis:

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

Types of pancreatitis

The most general classification of pancreatitis is based on the nature of the course of the disease: 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 of 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 crisis 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, and all alcoholic beverages.
• 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, yellowing of 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. Painkillers only provide temporary relief, but do not affect the cause of the inflammation. In the absence of qualified assistance, the risk of serious complications increases rapidly: infection of inflamed tissues, necrosis and abscess.

Acute pancreatitis in a severe stage can lead to shock and multiple 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 foods, then the disease has a high risk of becoming 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 progressive 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
• bloating,
• 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 an acute one:

• 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, narrowed pancreatic ducts are usually found due to the formation of stones - calcifications. Hardware techniques can also detect cysts in atrophied tissue. Laboratory blood tests for chronic pancreatitis are not very informative.

Insufficiency of pancreatic function is determined by the 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 ensured by a complex system of interrelated and interdependent biochemical reactions. Thanks to special protein compounds - enzymes or enzymes - all these reactions are accelerated, ensuring rapid metabolism. The action of enzymes is very selective: each of them is capable of initiating, accelerating or slowing down a single reaction.

Digestion is based on the work of digestive enzymes. Their 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 food consumed.

Digestion of food begins 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 transformation process.

After the initial treatment, 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 - starts the process of digestion of milk proteins.

Bile plays an important role in the digestion process. It contains bile acids which 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 supplied 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 nucleic acids in DNA;
• amylase - breaks down starch into simple sugars;
• lipases - break down fats into higher fatty acids and glycerol.

In violation of the function of the production of enzymes by the organs of the digestive system, in particular the pancreas, the whole organism is unbalanced. This imbalance leads to nausea, diarrhea, flatulence, followed by anemia and malnutrition.

What to take with foods deficient in pancreatic enzymes

With pancreatitis, the process of production of 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 comprehensive examination, replacement therapy can 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 should 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 only aim to fill the lack of a single enzyme, for example by breaking down lactose or fats. There are also means of complex effects, prescribed for a deficiency of several 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 no less of a role than drugs. 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 with 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 an extreme mode accumulates in the gland, aggravating the development of the disease - the affected pancreas begins to digest.

Signals that your gland is overworked include:

• heaviness in the abdomen after eating,
• stomach pains,
• burp
• attack of pain in the stomach.

Of course, sticking to a strict diet all the time isn't 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 ensuing consequences: severe pain, nausea, vomiting and diarrhea. A single failure can undo all efforts to maintain long-term remission.

Diet rules number 5: what you can and cannot eat with pancreatitis

The pancreatitis diet has many restrictions on both what foods are allowed and how they are prepared. Especially for people with problems with the pancreas, one of the founders of home dietetics and gastroenterology, Professor I. I. Pevzner developed a food table number 5.

But, before getting acquainted with the specific provisions of this diet, it is necessary to consider 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 stage of the disease, food should be crushed or wiped;
4. animal proteins should predominate in the diet;
5. the amount of fat per day should not exceed 50 g;
6. sugar is also strictly restricted - no more than 30 g per day;
7. products that increase flatulence are prohibited - sweet carbonated drinks, all 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 monitoring the ratio of nutrients in dishes. Do not rely on the fact that sugar can be replaced with 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 according to the body mass index. This information is easy to find on the Internet on sites dedicated to good nutrition and a healthy lifestyle. There are various mobile apps for counting 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 stricter with many restrictions. It aims to unload the pancreas and relieve the symptoms of acute inflammation. During the first 3 days of the acute phase, fasting is recommended for the patient to rest the pancreas. In addition, within 3-7 days, carbohydrate foods are allowed in small portions at short intervals. The calorie content of the diet these days should be reduced and food is eaten only in pureed or semi-liquid form.

Important!It is widely believed that rich broth, especially chicken broth, helps well with all 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 normalization of the condition.

The diet includes cereals on the water and vegetable soups with various cereals, except millet and corn, boiled or steamed mashed vegetables. Of the drinks, weak tea, jelly, compote of dried fruits are allowed. Bread is allowed only white and slightly dried, you can eat crackers and cookies such as cookies.

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

• lean meat soup, it is desirable to cook broth from veal, turkey or chicken breast, the meat from the broth should be passed through a meat grinder or minced in a blender;
• steamed omelette or boiled eggs;
• steamed cutlets of lean meat or low-fat fish;
• cottage cheese casseroles and cottage cheese souffle with a minimum fat content.

Diet number 5 is recognized as sparing the pancreas as much as possible, which requires complete rest in the acute stage. The permitted and prohibited foods for the basic diet are presented in Table 1.

Important!The predominance of protein foods in the diet can lead to constipation. In this 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 marine fish.

Can chronic pancreatitis be cured?

So far, no drugs have 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. At later stages, when there is a significant decrease in pancreatic function, treatment is supplemented with agents to normalize digestion and blood sugar. 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 leading to the development of chronic pancreatitis.

How to eat with chronic pancreatitis?

Observance of a therapeutic diet is an effective and scientifically proven remedy to prevent flare-ups. There are several modifications of treatment regimens 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. Resting the pancreas is very important to reduce inflammation activity. In the acute stage, a wiped version of the diet is used, and during remission, a non-wiped 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 this amount should be animal protein. The menu includes dishes based on lean meat, poultry, fish, cottage cheese and egg whites. 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. Learn more about nutrition for pancreatitis