pancreatitis diet

With pancreatitis, especially chronic pancreatitis, it is very important to follow your diet.You should eat as much protein as possible, while you need to reduce or completely eliminate fats and carbohydrates, especially sugar, which is 99% carbohydrates, eliminate fried foods and anything containing crude fiber.It is recommended to start taking vitamins.You should eat it little by little, but often, that is, 5-6 times a day.

The pancreas is essential for ensuring the normal functioning of the body: thanks to the digestive juices it secretes into the duodenal lumen, the main components of food - proteins, fats and carbohydrates - are broken down.As a result of the digestive processes that occur in this part of the digestive tract, simpler compounds are obtained, which, after being absorbed by the intestinal mucosa, enter the bloodstream throughout the body.Therefore, nutrients, amino acids and vitamins required for cellular metabolic processes and tissue building are formed from the food in the duodenum and reach all organs and systems of the body.

In addition, the pancreas produces insulin necessary for normal carbohydrate metabolism and lipid factors that prevent hepatic steatosis.

Pancreatitis is often caused by the misuse of fatty foods and alcoholic beverages.The disease can occur in both acute and chronic forms.Diet in pancreatitis depends on the characteristics of the pathological process: the acute phase requires a more strict dietary attitude and foods to eat.

Acute or chronic inflammation of the pancreas can lead to serious digestive disorders, including:

• The pH of the small intestine becomes acidic, so patients experience heartburn and a burning sensation in the intestines;
• Enzymes accumulate in the glands and begin the process of tissue self-digestion, causing severe abdominal pain in the right navel area;
• Toxic substances accumulate and the body undergoes self-poisoning;
• Impaired insulin secretion leads to diabetes.

The pathogenesis of pancreatitis develops depending on the type of acute or chronic inflammation.Depending on the indication, principles of treatment for all forms of pancreatitis include:

• surgical intervention;
• Medication replacement therapy, taking into account the nature of the inflammation and the patient's condition;
• Therapeutic dietary nutrition.

During the recovery phase of pancreatitis, especially after the patient is discharged from the hospital, proper nutrition can significantly increase the chances of full recovery or pathological stabilization.

It is at home that the principles of dietary nutrition are often violated.At the same time, it is also important to follow the immutable rules of the therapeutic diet.In addition, the diet does not contain expensive products; their preparation is very simple, including: cutting, boiling and steaming.

Diet for acute pancreatitis

During an episode of pancreatitis, cold compresses can be applied to the painful area (usually upper abdominal pain) until the ambulance arrives.During this period, it is possible to drink mineral water (eg Borjomi, Narzan).Fluid intake is up to five to six glasses per day, and urination is normal.Simple fluids can inhibit the secretion of pancreatic juice into the duodenal lumen, relieve pain, and remove toxins from the body.

When a patient is admitted to a medical facility, a nutritionist will prescribe a diet prescribed by the nutritionist.

To illustrate dietary principles for pancreatitis, we have excerpted these literatures.Numbered diets are not officially used in medical settings.For pancreatitis, a diet with the abbreviations SG and IAP is recommended.

If you have acute pancreatitis, the patient should fast for the first two days.Only rosehip decoction or mineral water is allowed - one glass a day, up to five times.Food can be eaten on the third day, but only low-calorie foods, excluding fat, salt, and dishes that increase gastric juice secretion and stimulate the gas formation process in the intestines.

The patient must strictly abide by the doctor's instructions for the next few days during his hospitalization!

Pancreatitis worsening stage

A diet that takes into account the mechanical and biochemical protection of the intestinal mucosa is recommended.

This meal includes:

• Physiological levels of major food components - proteins, lipids, carbohydrates;
• Increase the content of fat-soluble and water-soluble vitamins;
• Low levels of substances that irritate the intestinal mucosa, including food seasonings;
• Hot, salty, spicy, smoked food is prohibited.

Cooking method: steaming and heat treatment.Food is crushed and mashed, and small pieces of prepared food are allowed.The temperature of food on the table must not exceed 65°C⁰C. The recommended number of meals is five to six per day.

• Daily serving contains 90 grams of total protein and 40 grams of animal protein.
• Contains 80 grams of fat and 30 grams of vegetables every day.
• The carbohydrate content of the daily serving is 300 grams, and the easily digestible version is 60 grams.
• Energy value 2480 kcal.

After the symptoms of acute pancreatitis subside, it is best to switch to soups, lean meats and fish, fresh cheese, cereals and vegetables, and puddings.Products such as juice, honey, jam, sugar, etc. should be reduced or eliminated from the diet.Before going to bed, laxative drinks are useful: kefir, yogurt, etc.It is important to completely avoid fatty foods, baked goods, fried fish, lard, sour cream, pickled and smoked foods, pickles, onions, garlic, radishes and alcoholic beverages.

The recommended diet for acute pancreatitis should be followed for six months to a year.A patient's health depends almost one hundred percent on how strictly he follows his doctor's dietary instructions.It is important to remember that all errors in the diet will immediately affect the condition of the pancreas.

Chronic pancreatitis remission period

This option takes a different approach to feeding the patient.During this period, nutritionists recommend a diet that contains a high protein content and a physiological fat content.A more sophisticated approach to carbohydrates.Dietary recommendations during remission:

• Protein is allowed to be slightly above physiological standards;
• Standards for fats and complex carbohydrates in the form of cereals;
• The diet included sugar, honey, jam, cakes, sweet pastries, and salt was below standard.

With this option, it is prohibited to eat substances that irritate the gastrointestinal mucosa.Such products include vinegar, alcohol, and other substances used as flavorings.

Dishes can be boiled, stewed, baked or steamed.It is allowed to serve pureed food instead of pureed food.The feeding intervals are short and small amounts are fed 4-6 times a day.The food is hot.Its temperature is no higher than sixty degrees Celsius.

• Daily serving contains 120 grams of total protein, including 50 grams of animal protein.
• Daily serving contains 90 grams of fat and 30 grams of vegetable fat.
• The daily serving contains 350 grams of carbohydrates and 40 grams of easily digestible carbohydrates.
• Energy value 2690 kcal.

Chronic pancreatitis diet

Most often, chronic pancreatitis of the pancreas occurs in the context of an acute illness.At the same time, if the patient suffers from cirrhosis, hepatitis, duodenal lesions, cholelithiasis, allergies, atherosclerosis, alcoholism, etc., it may also be primary.

Diet in chronic pancreatitis is considered the mainstay of treatment for this disease.During the remission phase, the calories contained in the daily diet should correspond to physical activity.It is recommended to eat up to six times a day, not forgetting foods with a laxative effect.

It is important to monitor your daily protein intake.Since it is necessary for the normal recovery process, it must be consumed in adequate amounts - up to 130 grams per day, and only 30% of protein should come from plants.

The diet of patients with chronic pancreatitis must include beef, veal, rabbit, chicken, turkey and lean pork.Banned: mutton, fatty pork, goose, duck and game.If the patient often experiences pain, meat dishes should be minced or steamed, and should not be baked, fried or stewed in the oven.Low-fat fish is also prepared in a similar manner.

Low-fat meat and fish dishes help patients avoid fatty liver degeneration, which is very important in chronic pancreatitis.Homemade cheese has similar properties, but only if it is non-acidic and fresh; store-bought cheese is not recommended.

People with chronic pancreatitis often have a poor tolerance to pure milk, so it is better to add it to porridge, soups and jellies when preparing them.Even if a patient tolerates milk well, it should not be abused by sipping more than half a cup of warm milk per day.Fresh fermented dairy products are healthier for people with pancreatitis.If you feel well, you can eat small amounts of cheese that is contraindicated during exacerbations of the disease in remission.Cheese should be low-fat and mild.Whole eggs are not included in the diet, but steamed egg white omelets and dishes with whipped egg whites are allowed, in addition, eggs may be present as an additive in other dishes.

Proteins of plant origin can be represented by rice, fresh bread, biscuits, semolina porridge, oatmeal, buckwheat and pasta.It is not advisable to eat beans during pancreatitis.

Fats in the diet should not exceed 70 grams, 80% of which are animal fats; they are best eaten with other dishes and foods.It is best to add oil to prepared dishes immediately before eating; vegetable oils are only allowed if they are well tolerated.Cooking fats, margarine, beef and pork fat are prohibited.

The daily intake of carbohydrates in the diet should not exceed 350 grams; they can be represented by sugar, honey, jam and syrup.Foods rich in carbohydrates include crackers, semolina, oatmeal, buckwheat, pearl barley, rice and pasta.Patients can also eat potatoes, carrots, beets, squash, zucchini and squash.Vegetable dishes should be steamed or boiled; you can have steamed vegetable pudding.It is best to add grain soup to boiled vegetables and make them into a puree.

For fruits, it is recommended to use non-acidic varieties of apples: ripe fruits can be baked, pureed or candied; compotes made from dried fruits are also useful.

Of all sauces, sauces based on milk and flour are considered the most ideal, in which the flour is not fried and very little salt is added.

• First course (cereal soup, vegetable soup, possibly with milk, lean meat, fish, and sweet fruit soup).
• Main course (boiled beef, poultry, fish, egg omelet).
• Products containing cereals (porridge, pasta, white and brown bread, vegetable oils).
• Dairy products, fermented dairy products (milk 2.5%, fermented dairy products, butter).
• Berries, fruits, vegetables (ripe, sweet) raw, baked, carrots, beets - boiled, as a condiment for soups, as a side dish and as a stand-alone dish.
• Desserts (pancreatitis easily digestible carbohydrates are limited, that is, below physiological standards, jam, honey, sugar).
• Beverages (milk tea, vegetables, juice).
• Specialty product (Protein Complex Dry Mix) with added fat-soluble and water-soluble vitamins.

It is also important not to overeat and reduce the amount of food you eat per day to 2.5kg, taking into account the fluids you drink.Food should be eaten often and in small amounts.

Following all nutritional rules for pancreatitis can significantly improve the overall effectiveness of treatment.

Pancreatitis diet menu

Product quantities must be calculated based on the above specification documents.

The following is a rough daily diet menu for pancreatitis:

The first meal (7:00-7:30): boiled beef, oatmeal with milk, tea.

Second meal (9:00-9:30) Omelet, baked apple, rosehip soup.

The third meal (12:00-13:00): vegetable soup, beef soufflé, pasta, sweet berry jelly, candied fruits.

The fourth meal (16:00-16:30): cheese and tea.

The fifth meal (20:00-20:30): fish soufflé, tea.

What to exclude?

As you can see, in the diet for treating pancreatitis, all dishes are made of lean meat and fish, and only boiled versions.Fried foods are prohibited.You can consume dairy products with the lowest percentage of fat.It is recommended to drink only natural juices, preserves and liquid teas.

The following situations should be completely excluded:

• All types of alcoholic beverages, sweet drinks (grape juice) and carbonated drinks, cocoa, coffee
• Products of animal origin: offal, including category 1, pork and lard, fatty fish, all smoked products, spicy, fried, ready-to-eat products based on extracts.
• Products of plant origin: beans, mushrooms, spinach, sorrel, onions, baked products based on butter dough.
• Dessert: Chocolate, heavy cream.
• Figs, grapes, bananas, dates.
• Candy, chocolate, ice cream, jam.
• Lard, cooking fat.
• Boiled eggs, whole egg dishes, fried eggs

Answers to frequently asked questions

• Is cinnamon allowed?Cinnamon is a condiment that can be purchased in specialty stores or supplied by dealers.Sold in packaged form in large supermarkets is an inexpensive option called cassia.This “analog” has been linked to its efficacy in treating type 2 diabetes.This has nothing to do with the working of the glands but everything to do with the response of the insulin receptors in the tissue.The matter has not yet been officially confirmed.As for real cinnamon, it enhances the production of digestive juices, which is undesirable during the exacerbation of the disease.
• Are by-products allowed?With proper preparation, the heart, stomach, and liver are not contraindications to pancreatitis.These products can be cooked or stewed.Not recommended for deep-frying.
• Are processed cheese, bread, chocolate, and coffee allowed?Processed cheese should be kept as simple as possible, meaning without any added flavorings or additives.Bread can be included in the menu.A small amount of chocolate is allowed.Drinking coffee is not recommended at any stage of the disease.As an option, you can drink a small amount of coffee with milk.
• Can I use rice and olive oil?Rice is allowed.Olive oil can be used to season salads and other dishes.
• Is salt water allowed?There is no harm in drinking a small amount of salt water during the remission period, but it is not advisable to drink large amounts.
• Can salted lard be added?Fat is bad for the liver and gallbladder.When it is used, the pancreas can be injured again.Outside of the acute phase, lard can be taken, but in small amounts (up to two tablets per day, up to twice per week).