Diet for pancreatitis of the pancreas.

The pancreas is part of the gastrointestinal tract and at the same time a gland of mixed secretion.When food enters the human digestive system, it responds by producing enzymes that are secreted into the duodenum and help break down food in the intestines.On the other hand, the gland produces the hormones insulin and glucagon, which enter the blood and maintain normal blood glucose levels.

What is pancreatitis and its forms?

Pancreatitis is an inflammation of the pancreas, in which the gland tissue becomes inflamed and the process of production and entry of the necessary enzymes into the intestines is altered.The swollen gland increases in size, its internal ducts narrow, which does not allow digestive juices to pass into the duodenum.The enzymes remaining in the gland begin to break down the gland itself, which has sad consequences.

There is an acute form of pancreatitis, which is caused by poor diet or inflammatory diseases in the body and does not last long with proper treatment.If the action of irritating factors is prolonged or frequent, chronic pancreatitis occurs, which can develop after an acute process.

The approach to the treatment of pancreatitis is complex 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 acute pancreatitis diet are that fasting is generally recommended for the first 3 days.During this time, the necessary nutrition is administered through intravenous infusions without irritating the intestines.Food entering the intestine always leads to an increase in the production of digestive enzymes and, in case of acute inflammation, it is important to reduce this activity as much as possible;After a few days, the diet is gradually expanded.At first, only plain water is allowed, sometimes still mineral water, preferably alkaline water, weak tea.

Then, for chronic pancreatitis starting from day 3 and for acute pancreatitis after day 5, the following provisions are used:

• meal frequency at least 5 times a day to ensure uniform release of enzymes without significant stress and reduce inflammation;
• the amount of fats and carbohydrates is reduced as much as possible and protein products are increased;
• the volume of food at a time does not exceed 150-200 ml;
• use hot foods at 20-60 degrees in crushed or puree form;
• chew your food well and take your time;
• Do not drink during meals, limit salt to 4-5 grams per day;
• exclude foods that cause flatulence;
• To save chemicals, spicy spices and seasonings cannot be used;
• Use only boiled or baked foods and do not use fried, smoked or canned ingredients.

Features of the diet for pancreatitis

It is important to remember that the diet for pancreatitis of the pancreas must be followed constantly, otherwise the body will react with repeated inflammation and the consequences will be negative.In acute pancreatitis, the condition can be very serious and death cannot be ruled out.

Against the background of an increase in the proportion of protein products in the diet, the bulk of them should be animals in the form of turkey, chicken or young calf.Carbohydrates should be a little more than 300 grams per day with a limit of ordinary sugar or jam, fats in a minimum amount, and protein products make up more than half of the diet.

Allowed and prohibited foods in a diet for gastric pancreatitis.

There is a large number of foods allowed in a diet for gastric pancreatitis, so the diet can be made as varied as possible:

• boiled or baked (low-fat) rabbit meat, beef and poultry, boiled tongue;
• lean fish such as hake or haddock, boiled, baked or in the form of a soufflé;
• various cereals, preferably rice or oats as part of porridge, soups or stews;
• bread after drying in the oven, cookies, boiled pasta;
• Diluted low-fat dairy and lactic acid products as a complement to the main products or cottage cheese casserole, diet cheese and cottage cheese made from skimmed milk;
• boiled or baked vegetables: potatoes and pumpkins, root vegetables, beets or carrots, fresh pumpkin;
• eggs (whites only) in the form of omelettes or stews, vegetable oil in moderation;
• ripe unsweetened or baked fruits, jellies or berry purees;
• weak drinks, diluted juices, rosehip drinks.

In a diet during exacerbation of pancreatitis, the following foods are prohibited:

• fried or grilled meats, all offal;lamb or goose, lard and smoked meats, stews in jars;
• marinated sea dishes, rich fish broths or preserves;
• dishes prepared with legumes and rich broths;
• fresh bread, baked goods, fried pastries;
• sour cream with natural fat, cream, skimmed milk in large quantities;
• garlic, mushrooms and radishes are strictly prohibited (turnips and fresh vegetables are limited);
• egg yolks and fresh natural butter;
• a large amount of fresh sweet fruits, cabbage and sorrel;
• coffee, strong tea, concentrated lemonades and carbonated drinks, alcohol of any strength or energy;
• ice cream, buttercream cakes, chocolate, any cake;
• hot spices, marinades, sausages and smoked meats.

Contraindications of the diet for pancreatitis.

Taking into account the features of the diet for gastric pancreatitis, there are also contraindications.

They refer to patients with kidney diseases or protein metabolism disorders:

• with pyelonephritis or glomerulonephritis with decompensation of the process;
• patients with urolithiasis;
• in acute or chronic renal failure;
• in case of gout and disorders of purine metabolism;
• in the presence of multiple myeloma;
• with hormonal imbalance or problems with the thyroid gland;
• for underlying precancerous diseases, since excess protein is dangerous for malignancy;
• with severe obesity or diabetes, especially with diabetic nephropathy, i.e. kidney damage.

By increasing the amount of protein products in the diet, the load on the kidneys increases, and in the presence of chronic diseases, their work is disturbed.

Diet for pancreatitis: menu for the week.

Let's consider a model diet menu for a week for acute or chronic pancreatitis of the pancreas.

Monday

1. Breakfast.Water porridge made from ground buckwheat and boiled chicken breast.Curd pudding, weak tea.
2. Lunch.Fruit puree, shaken in a blender, cookies.
3. Dinner.Creamy rice soup, steamed beef cutlets, apricot jelly.
4. Sandwich.Carrot casserole with tea.
5. Dinner.Fish pate with oats.Apple compote.
6. Before going to bed.Currant juice.

Tuesday

1. Breakfast.Mashed potatoes with mashed meat.Cookies, fruit tea.
2. Lunch.Protein omelet, carrot puree.
3. Dinner.Ground buckwheat soup with rabbit meatballs.Zucchini casserole, mild tea.
4. Sandwich.Grated beet salad, fruit juice with breadcrumbs.
5. Dinner.Steamed turkey cutlets with mashed rice porridge.Apple jelly.
6. Before going to bed.Rosehip juice.

Wednesday

1. Breakfast.Sugar-free oatmeal.Carrot casserole with tea.
2. Lunch.Baked apples with crackers and apricot juice.
3. Dinner.Hake soup, mashed potatoes with sour cream.Pear jelly with croutons.
4. Sandwich.Zucchini casserole with tea and cookies.
5. Dinner.Steamed rabbit cutlets with buckwheat porridge puree.Currant compote.
6. Before going to bed.A glass of kefir.

Thursday

1. Breakfast.Rice pudding with boiled beef.Tea with cookies.
2. Lunch.Boiled beet salad with yogurt and crackers.
3. Dinner.Soup with mild chicken broth and buckwheat.Vegetable meatballs, fruit jelly.
4. Sandwich.Cottage cheese with skimmed sour cream, tea with marshmallows.
5. Dinner.Vegetable casserole with haddock.Dried fruit compote.
6. Before going to bed.Apple juice.

Friday

1. Breakfast.Crushed oatmeal porridge with steamed beef cutlets.Tea with fruit pudding.
2. Lunch.Steamed fish balls, apple jelly.
3. Dinner.Rabbit soup with boiled meat.Pumpkin casserole with sour cream, unsweetened tea.
4. Sandwich.Egg white omelette with apple juice.
5. Dinner.Turkey meat roll and vegetable stew.Tea with cookies.
6. Before going to bed.Ryazhenka is low in fat.

Saturday

1. Breakfast.Boiled pasta with chicken pate.Unsweetened tea.
2. Lunch.Pumpkin porridge with unsweetened yogurt.
3. Dinner.Pumpkin and beef puree soup.Zucchini and blueberry jelly stew.
4. Sandwich.Applesauce, a cup of kefir.
5. Dinner.Steamed fish cutlets with oats.Tea with cookies.
6. Before going to bed.Apricot compote.

Sunday

1. Breakfast.Beef and vegetable casserole.Ryazhenka with cookies.
2. Lunch.Curd pudding and fruit puree.
3. Dinner.Pumpkin and potato soup.Chicken meatballs with oats.Fresh fruit compote.
4. Sandwich.Carrot pudding with sugar-free tea.
5. Dinner.Hake and zucchini casserole.Apple jelly.
6. Before going to bed.Fresh fermented baked milk.

It is necessary to remember when creating a menu and preparing food that products should be fresh, and cooking methods should be boiled or baked.It is not advisable to combine different proteins at the same time, and small portions are recommended to reduce the load on the pancreas.

Diet for pancreatitis: reviews of nutritionists.

Nutritionists' comments on the diet for pancreatitis are as follows.Its main details aim to reduce the food load on the gland and reduce the production of digestive juice, which promotes inflammation.In addition to these effects, this diet prevents diseases of the liver and biliary tract, since it normalizes the frequency of bile secretion in the intestines.However, against the background of restrictions, it is worth remembering that there is a sufficient amount of vitamins in the diet to avoid avitaminosis.

If the patient's body lacks its own enzymes, the absorption of nutrients from food is reduced.To correct the absorption of nutrients, preparations containing the necessary enzymes in granular or encapsulated form are used.Special medicinal capsules promote the action of enzymes at a specific place in the digestive system to achieve maximum effect.

In acute pancreatitis, it is important to grind food as much as possible, but in chronic pancreatitis, to maintain the physiological functioning of the digestive tract, food should not be chopped or pureed, although heat treatment should be carried out without frying or roasting.The more balanced the diet, the less likely adverse results will occur.In case of acute pancreatitis, the diet should be followed for at least 2-3 months;In case of chronic disease, it is advisable to follow it for life.