What diet is necessary for pancreatitis to improve health

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

Basic nutritional rules for pancreatitis

Diet is mandatory for people with pancreatitis, otherwise no medicine will help.

Experts have developed rules that must be followed:

• if the disease is acute, then the diet should be started with fasting, lasting 2-4 days;
• eat often at the same time;
• portions should be small;
• avoid overeating;
• reduce the amount of sweets;
• meals should contain pureed products that do not irritate the mucous membrane;
• the daily norm of fat does not exceed 80 g;
• reduce the amount of salt to 10 g;
• minimizes sugar intake.

Based on these rules, a daily menu is created.

How to eat with acute pancreatitis

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

During the first stage of treatment, you must fast for several days. The duration of food refusal is 2-4 days.

Only liquids are allowed. In such cases, you can drink mild tea, you can make decoctions from rose hips, and mineral water without gas is also suitable.

The next step is diet 5. Food is low in calories, salt and fat are prohibited, which can trigger a new attack. All food is prepared in liquid form. There is quite a bit to add.

When compiling the menu, it is best to keep a list of useful and harmful products before 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 helps to normalize the functioning of the diseased organ. It is worth listening to the advice of diet number 5.

Dietary advice for chronic pancreatitis:

• food and liquids entering the body must 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 fried food is strictly prohibited.

In order to create the right diet, you need to know the list of products that will help restore or worsen your health.

Table of permitted and prohibited products:

• bakery products: biscuits, dried yesterday's bread, biscuits;
• porridge boiled in water with a little milk;
• meat, stewed for us, in the oven, boiled chicken, turkey, lean beef;
• low-fat fish, mashed, chopped;
• first courses: fat-free, vegetable, puree soups;
• dairy products: everything can be non-acidic, fat-free;
• vegetables: without coarse fiber;
• non-acidic fruits;
• eggs up to 1 per day;
• butter up to 30 g per day;
• vegetable oil up to 2 tablespoons;
• non-acidic juices diluted with water;
• the tea is not strong, it is possible with lemon and milk;
• bakery products: fresh bread, muffins, puff pastry;
• soups cooked in strong broth;
• fatty meats;
• high-fat dairy products;
• sauces;
• spices;
• fatty fish;
• scrambled eggs;
• rough fibrous vegetables;
• mushrooms;
• legumes;
• carbonated beverages;
• alcohol;
• coffee;
• chocolate.

If you have any questions, we recommend discussing the use of certain products with your doctor.

Diet for pancreatitis in children

Parents often have the question, what kind of diet does a sick child need in case of pancreatitis? A diet that helps to improve a baby's condition hardly differs from an adult's menu. But there are peculiarities that should be taken into account when feeding children.

Children's nutrition rules:

• give warm food and drink, feed more chopped food such as mashed potatoes;
• the diet must contain all the components necessary for normal growth and development;
• even after the removal of the acute condition, dietary restrictions must be strictly followed;
• prohibit children from drinking carbonated beverages;
• fast food.

If the sick child is less than 3 years old, it is recommended to wipe and grind the food. All citrus fruits and freshly squeezed fruit juices should be removed from the diet. Children should not be given berries with small seeds and rough skin. Fresh vegetables are not necessary.

A child older than 3 attends childcare institutions and maintains relationships with peers. First of all, you need to take care of nutrition at school and kindergarten. To do this, talk to a health worker, inform the teacher or instructor.

The most difficult thing is to protect the child from soda, chips and other dangerous foods. When participating in birthday parties and children's parties, care must be taken to ensure that the child does not violate the diet. The child should explain that he needs to limit his meals.

Menu for 7 days for patients with chronic pancreatitis

It is recommended for patients to prepare a menu in advance, which allows a balanced diet, while the state of health improves noticeably.

Menu item for the week:

One day

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

2 days

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

3 days

• oatmeal porridge, jelly;
• baked apple with cottage cheese, rosehip broth;
• soup puree from vegetables, steamed fish, compote;
• cottage cheese, tea;
• boiled fish, tea;

4 days

• rice porridge, biscuits, rosehip broth;
• pumpkin puree, tea;
• vegetable soup, a piece of boiled fish, mashed potatoes, compote;
• tea with honey, biscuits;
• rice pudding, jelly;

5 days

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

6 days

• semolina, tea;
• baked apple, rosehip broth;
• vegetable soup with a piece of beef, vegetable puree, compote;
• tea, biscuits;
• steamed omelette, jelly;

7 days

• rice porridge, biscuits, rosehip broth;
• cottage cheese with chopped apples, tea;
• vegetable soup puree, chicken meatballs, jelly;
• cottage cheese, tea, biscuits;
• semolina pudding, jelly.

Knowing the basic requirements for food, you can create your own menu.

Recipes for pancreatitis

Knowing the basic rules of the diet, you can modify the menu. Due to dietary restrictions, you want to treat yourself to something delicious. Nutritionists have developed special foods that can be eaten with pancreatitis.

Baked apple recipe:

1. Remove the core from the washed apple, taking care 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. Calm down.

Beetroot salad recipe:

1. 1 medium-sized beetroot is boiled, cooled, chopped with a grater.
2. 2 sweet apples, peeled and cut into small cubes.
3. Grind the walnuts on a grater, you need about a tablespoon.
4. Mix all the ingredients, mix, add a little salt.
5. Fill with olive oil.

Recipe for semolina pudding with berry jelly:

1. Make a thick semolina porridge in water, pour it into deep moulds, let it cool.
2. Cover the strawberries with a little water, bring to a boil, remove, chop, and return to the broth.
3. Pour sugar, bring to a boil.
4. Prepare starch, mix with cold water, carefully pour into strawberry soup, bring to a boil, do not let it boil. Remove from heat and cool.
5. When serving, cut the thickened semolina pudding into pieces and pour jelly on top.

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

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

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

Types of pancreatitis

The most common 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 food. Sometimes the exacerbation is preceded by an attack of acute hepatic colic.

Symptoms of acute pancreatitis:

• Severe pain in the left hypochondrium, radiating to other organs. An attack of pain lasts from about half an hour to an hour. The pain is especially strong when lying on the back. The attack is worse after eating, especially fried and spicy food, and after drinking any alcoholic drink.
• Vomiting, often violent, bilious and bitter. Persistent nausea that does not go away after vomiting.
• Subfebrile or high temperature.
• Sometimes due to a violation of the outflow of bile, yellowing of the whites of the eyes 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 bring temporary relief, but do not affect the cause of the inflammation. In the absence of professional help, the risk of serious complications increases rapidly: infection of inflamed tissues, necrosis and abscesses.

In the severe stage of acute pancreatitis, it 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 food, the disease will most likely become chronic. Chronic pancreatitis develops with significant pancreatic damage in 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 needed to digest food. Exocrine insufficiency is manifested by:

• diarrhea
• bloating,
• change in the nature of feces - they get a sticky consistency due to the large amount of fat in them, and they are poorly washed off the wall 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 manifests itself with the same symptoms as acute:

• severe belt pain,
• nausea,
• What number,
• intestinal disorders.

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

The insufficiency of the functioning of the pancreas is determined by stool analysis. 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 interconnected and interconnected biochemical reactions. Thanks to special protein compounds - enzymes or enzymes - all these reactions are accelerated, ensuring rapid metabolism. The effect of enzymes is very selective: each one can start, speed up or slow down only one reaction.

Digestion is based on the work of digestive enzymes. Their main task is the quick and efficient implementation of the energy assimilation process. 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 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 more you chew the food, the easier it is for the salivary gland enzyme to convert the starch molecules into soluble sugars and facilitate further processing.

After initial processing, food passes through the esophagus into the stomach, where the gastric enzymes pepsin and hydrochloric acid begin to work. These substances create gastric juice, which:

• provides antibacterial protection for the body;
• stimulates the production of pancreatic hormones;
• regulates stomach motility;
• breaks down fats and performs many other functions.

In addition to pepsin, which is responsible for breaking down large protein molecules, other enzymes are also produced in the stomach, e. g.

• gelatinase - a solvent of collagen, gelatin and other connective tissue proteins;
• lipase - an enzyme that breaks down certain fat molecules into fatty acids and monoglycerides;
• chymosin - starts the digestion process of 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 passes into the duodenum, where the main process of food digestion takes place. It provides more than 20 pancreatic enzymes. The enzymes are found in the pancreatic juice, which the gland produces in a volume of about two liters per day.

Functions of pancreatic enzymes:

• proteases - breakdown of proteins into amino acids;
• nucleases - act on DNA nucleic acids;
• amylase - breaks down starch into simple sugars;
• lipases - fats are broken down into higher fatty acids and glycerol.

In case of violation of the enzyme production functions of the organs of the digestive system, especially the pancreas, the whole body is unbalanced. This imbalance leads to nausea, diarrhea, bloating, and then anemia and malnutrition.

What to take with pancreatic enzyme deficiency food

In the case of pancreatitis, the process of pancreatic production of digestive enzymes is interrupted, as a result of which a person suffers from discomfort and pain in the stomach. In this case, substitution therapy may be prescribed after a complete examination.

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

Important!The effect of all enzyme preparations begins 20-30 minutes after a meal, so you must drink it strictly before meals in the dose prescribed by the doctor!

Modern pharmacology offers a large number of different enzyme preparations of animal and plant origin. Some of them are aimed at replacing the lack of a single enzyme, for example, to break down lactose or fats. There are also tools with a complex effect, which are prescribed for the lack of many 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 also contain bile acids, adsorbents or other enzymes. Each drug is selected strictly individually, taking into account the nature of the course of treatment. severity of disease and symptoms.

What is the diet for pancreatitis?

In the process of treating pancreatitis, nutrition plays no less 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 an abundant feast of fatty fried foods, the pancreas begins intensively producing the enzymes necessary for digestion. If the ducts of the gland are narrowed, pancreatic juice produced in extreme mode accumulates in the gland, aggravating the development of the disease - the affected pancreas begins to digest itself.

Signs of an overactive gland include:

• difficulty in the stomach after eating,
• heartburn,
• burping
• attacks of pain in the stomach.

Of course, it is not easy to follow a strict diet all the time, 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 single violation of the diet can cause acute pancreatitis with all the consequences: severe pain, nausea, vomiting and diarrhea. A single failure can nullify all efforts to maintain long-term remission.

Dietary rules number 5: what to eat and what not to eat with pancreatitis

The pancreatitis diet has many restrictions on both the foods allowed and the way they are prepared. One of the founders of Hungarian dietology and gastroenterology, Professor I. I. , is especially helpful for people with pancreatic problems. Pevzner developed a diet table number 5.

However, before getting to know the special provisions of this diet, it is necessary to consider the general principles of nutrition for pancreatitis:

1. eat 5 times a day in small portions;
2. exclude fried and pickled foods;
3. in the acute stage of the disease, food must be crushed or wiped;
4. animal proteins should predominate in the diet;
5. the daily amount of fat should not exceed 50 g;
6. sugar is also strictly limited - no more than 30 g per day;
7. products that increase bloating are prohibited - sweet carbonated drinks, legumes, sweet apples and grapes, sweet muffins and others;
8. salt intake is reduced to a minimum - 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 food. Don't be fooled by the fact that sugar can be replaced with honey, its consumption should also be controlled. At first, you will definitely need a calculator. Based on the body mass index, the daily calorie intake and the balance of proteins, fats and carbohydrates must be calculated immediately. This information can easily be found on the Internet on sites dealing with proper nutrition and healthy living. There are various mobile apps available 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 the relapse of chronic pancreatitis and the acute nature of the disease. In the acute phase, the diet is stricter, with many restrictions. Its purpose is to relieve the pancreas and alleviate the symptoms of acute inflammation. During the first 3 days of the acute stage, fasting is recommended for the patient to rest the pancreas. Furthermore, within 3-7 days, carbohydrate-containing foods are allowed in small portions at short intervals. The calorie content of the diet should be reduced these days, and food should only be consumed in pureed or semi-liquid form.

Important!It is generally believed that rich broth, especially chicken broth, is good for all digestive problems. In the case of pancreatitis, gall bladder diseases and other pathologies of the gastrointestinal tract, broths rich in fat are categorically contraindicated! An excessive amount of animal fat significantly increases the load on the pancreas and prevents the condition from normalizing.

The diet consists of cereals on the water and vegetable soups with various cereals, except for millet and corn, boiled or steamed vegetable puree. Drinks include weak tea, jelly, and dried fruit compote. You can eat only white and slightly dried bread, crackers and crackers such as crackers.

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

• soup made from lean meat, it is desirable to cook broth from veal, turkey or chicken breast, the meat from the broth must be passed through a meat grinder or shredded in a blender;
• steamed omelette or soft-boiled eggs;
• steamed slices of lean meat or low-fat fish;
• cottage cheese casserole and soufflé made from minimal fat cottage cheese.

Diet number 5 is recognized to be as gentle as possible on the pancreas, which requires complete rest in the acute stage. Allowed and prohibited foods in the basic diet are listed in Table 1.

Important!An excess of protein-containing foods in the diet can lead to constipation. In this case, you need to add more raw vegetables and fruits from the allowed list. In case of gout, plant-based proteins or marine fish are preferred.

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, the goal of treatment is to slow the progression of the disease and prevent exacerbations. In the later stages, when the function of the pancreas decreases significantly, the therapy is supplemented with agents that normalize digestion and blood sugar levels. To achieve remission of chronic pancreatitis, proton pump inhibitors, antispasmodics, pain relievers, and enzyme preparations are used, the choice of which depends on the individual and 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?

Following a therapeutic diet is an effective, scientifically proven remedy for preventing flare-ups. There are many modifications of the therapeutic diet in the phase of exacerbation and remission. The applied diets are based on the exclusion of products that stimulate the growth of gastric and pancreatic secretions. Resting the pancreas is very important to reduce inflammatory activity. In the acute stage, the deleted version of the diet is used, and when in remission, the unpasteurized version is used.

In the case of chronic pancreatitis, it is important to provide the body with a sufficient amount of protein, the diet contains 110-120 g of protein per day, which slightly exceeds the physiological norm. At the same time, 60% of this amount must be animal proteins. The menu includes dishes made from lean meat, poultry, fish, cottage cheese and egg whites. But fats and simple carbohydrates, on the contrary, limit it.

In chronic pancreatitis, nutrition should be regular and partial - 5-6 times a day, in small portions. Learn more about nutrition for pancreatitis