Pancreatic pancreatitis diet: inflammation symptoms, food menus, recipes

5 July 2021

pancreatitisIt is a group of diseases related to inflammation of the pancreas. The disease may appear unexpectedly-one of its manifestations is pain syndrome.

To relieve pain and prevent recurrence,The right diet is important. . .

Pancreatitis is divided into chronic and acute. According to the nature of the disease, it is necessary to choose the right food.

In acute or chronic pancreatic diseases, the diagnosis of pancreatitis is due to:

Eating disorders.
Eat fatty/spicy foods every day.
Chronic alcoholism.
Biliary diseases, including cholecystitis and gallstone diseases.
Stomach ulcer.

As pancreatitis worsensIf medication, fasting, and removal of food debris from the stomach have little effect, surgical intervention (opening the inner wall of the pancreas) is required.

Chronic pancreatitisIn the context of binge eating, alcohol abuse, long-term use of corticosteroids, estrogen, narcotic drugs, liver disease (special diet must be followed), and gallbladder, this condition can be aggravated, which is common in adults. As the pressure on the abdomen of women in the late pregnancy increases, they may develop pancreatitis.

Acute pancreatitis diet for 10 days

The purpose of nutritional therapy for acute pancreatitis——Remove pancreatic duct swelling, inflammation and infection.

For this reason, in the hospital, the use of enzyme preparations, antispasmodic drugs, and complete fasting for a few days of medication to avoid the use of surgery.

Due to the lack of food in the esophagus, hunger is necessary to suspend the production of gastric juice and pancreatic juice and reduce enzyme activity. During this time, the glands will recover.

They get rid of hunger for 2-3-4 days and try to eat for one day:

Dry wheat bread or bread (non-stick)-50 g/day;
Jelly, fruit drink (best boiled with cranberry or black currant);
Continue to drink at least 2. 5 liters of liquids, including gooseberry or cranberry juice with airless mineral water (2: 1), and various decoctions (such as rose hips).

If the symptoms of acute pancreatitis no longer appear, please add to your diet for 3-5 days:

Salty glutinous rice or oatmeal soup;
Liquid mashed potatoes without oil;
Semi-liquid jelly or fruit jelly;
Liquid cereals: oats, semolina, buckwheat, rice (everything is prepared with water or milk, everything needs to be ground or chopped with a mixer);
Cookies
Dry bread.

6-8 days you can eat:

Steam omelet made from protein
Soufflé made with fat-free cheese;
Steamed meat (must be chopped or grated by a meat grinder/blender)
Slimy grain soup;
Jelly or mousse from apples, peeled and grated berries;
Vegetable mash (potatoes, zucchini, squash, carrots are good, you can add a little oil)
Vegetable pudding (steamed);

You can add from the liquid-green tea or black tea (weak), add sugar or honey-1 teaspoon each, or add milk tea, beet juice, 50 ml/day and mineral water.

The calorie content is increased to 1000 calories per day, up to 50 grams-protein, up to 250 grams-carbohydrates, up to 10 grams / day-fat. In the evening, you need to drink a glass of water with honey, raisins (1 teaspoon), plums (2-3) or yogurt to eliminate constipation.

Starting from the 10th day after the attack, the calorie content can be increased by more than 1000 calories per day, up to 300 grams. -Carbohydrates, up to 60 grams. -Protein, up to 20 g/day-Fat. They continue to eat mashed unsalted food.

Sample menu

Below is the menu for a few days, you can make a similar diet based on the list of allowed products.

day	eat	General diet menu for pancreatitis
first day	breakfast	Semolina or rice porridge (water)-150 g, fruit: orange or apple. Green tea (not strong) can be added with honey (1 teaspoon)
Late breakfast	Pumpkin puree-50 grams, steamed chicken breast or fish fillet. Rosehip drink (recipe below), honey-1 teaspoon.
dinner	Vegetable soup with 200 grams of fish or beef, mashed potatoes or broccoli-100 grams, white bread croutons. For dessert, you can bake an apple with honey in the oven, always without the skin.
Afternoon snack	Honey tea and a little white cheese (1% fat)
dinner	Protein steam omlt 3 eggs, white bread croutons. From allowed vegetable puree-150 grams,
Before sleep	Boiling water-1 cup plus honey-1 teaspoon. Or curd.
Day 2	breakfast	Milk oatmeal-150 grams. Kissel or green tea (not strong)
Late breakfast	Apple crushed with soft tofu
dinner	Pumpkin or cauliflower puree. Shredded Chicken Meatballs
Afternoon snack	Green tea with 1-2 unsweetened dry biscuits
dinner	Rice pudding-150 grams. Tea or jelly
Before sleep	Rosehip soup-1 cup
3rd day	breakfast	Rice porridge-150 g green tea not strong tea dry biscuits
Late breakfast	1 roasted apple
dinner	A soup made from carrots, broccoli, potatoes and meatballs. Mashed dried fruit compote
Afternoon snack	Cottage cheese-100 grams, green tea
dinner	Boiled or grilled low-fat fish
Before sleep	Milk tea or kefir

can useAfter an acute attack of pancreatitisNumber of meals 5pAnd observe it throughout the year. They eat mashed food without adding salt, and protein can increase-up to 100 grams, up to 40 grams. -Fat, up to 450 grams. -Carbohydrates. Be sure to follow the recommendations and protocols prescribed by your doctor!

Rosehip drink recipe:

For the broth, you need 0. 5 kg of dried rose hips and 4 liters of water. Rinse the rose hips, add water, and soak the drink for 4 days. You don't need to boil the infusion, rose hips should be added with water at room temperature. This drink contains vitamin C.attention!As the drink is sour, please consult your doctor before taking it.

Fish puree soup:

To make soup, 0. 5 kilograms of fish (bone fillet, cod, pike, and pike), 1. 5 liters of water or vegetable soup, 50 ml. Milk, 1 teaspoon. butter.

Cut the fish open, pour the water or broth into a saucepan and cook until tender. Take the fish out of the pan and chop it with a blender. Heat a little milk in a pan, add butter, add the broth after the butter has melted, and boil, but do not boil. Add the fish and cook for a few minutes on low heat. Only add salt if authorized by your doctor!

ProhibitFor acute pancreatitis, use:

alcohol;
Eat greasy or fried food;
Eat any fatty or bloated foods, such as beans, bran, cabbage, radishes, kohlrabi, fruit and vegetable peels, immature fruits, berries or vegetables;
Carbonated beverages with fermentation reaction: kvass, kefir.

Diet for chronic pancreatitis

Chronic pancreatitis attacks immediately after lunch, and its menu includes: hardy eggs, pastries, raw fruits, vegetables, juice, cold soda, chocolate, milk or ice cream. Persistent companions of this disease will manifest every time: abdominal distension, bloating or heaviness, lump "stuck under the chest", periodic vomiting.

In the context of chronic pancreatitis, diabetes is prone to occur and progress, which is also a serious disease, and diet must be strictly controlled.

The diet for chronic pancreatitis can include:

Wheat bread biscuits (you can dry the bread yourself);
Vegetable soup (pumpkin, potatoes, zucchini or carrots are best for soup);
Cereal soup (contains semolina, oatmeal, buckwheat or rice);
Meat-beef or veal, chicken, rabbit. It is best steamed, grilled or boiled.
Steam omelette with eggs (2-3 pieces).
Low-fat fish: flounder, cod, cod, perch, zander, hake, perch or pike;
Curd (without salt): can be eaten fresh or made into pudding;
Cheese-choose low-fat, salt-free varieties;
In the dishes or cooking process, you can use butter or sunflower oil -10-15 grams.
Sour cream, kefir (low-fat only);
Porridge-rice, barley, oats, buckwheat, noodles (their consistency should be liquid or semi-liquid);
Vegetable puree/stew (don’t forget not to add cabbage and tomatoes), vegetables can also be simply boiled or roasted;
Mousse/jelly from juice, compote from dried fruits (apricot, pear, apple)
Fruit (only roasted or grated, without skin)
Meal puree and canned baby puree or nutritious food;
Multi-vitamin and mineral preparations.

Menu of the day

eat	General diet menu for pancreatitis
breakfast	Steamed meat (chicken or beef). Rosehip tea or decoction
lunch	Oatmeal with milk. Rosehip broth or infusion
dinner	Carrot pumpkin puree soup. steamed fish. tea
Afternoon snack	1 can of baby food
dinner	Vegetables zucchini stewed with carrots. A piece of cooked chicken. Dried fruit compote
at night	A glass of kefir

Can not eat food that stimulates pancreas secretion:

Meat, fish, fatty poultry, forget bacon and fish, sausages, canned food;
Meat, mushroom, fish soup (and the soup and sauce on top);
Cabbage soup, borscht and cold soup (such as cold soup or okroshka);
Milk soup
Meat in fish, fried, smoked, salted or canned food;
High-fat dairy products;
Eggs-you cannot eat fried or hard-boiled eggs;
Any beans, cabbage, eggplant, turnips, turnips, turnips, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
Baked products, fresh bread, sweets, flour, chocolate, other sweets;
Black coffee, cocoa, carbonated drinks.

For pancreatitis with endocrine dysfunctionIt does not include jam, sugar, and honey because they have no therapeutic effect, and they refer to carbohydrates.

For asymptomatic courses or mild symptoms, the list of prohibited dishes/products is gradually reduced to product categories that should only be restricted but not completely excluded.

recipe

Vegetable puree soup for treating pancreatitis

Vegetable soup:

For the soup, you need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables must be washed and cut into cubes. Pour the vegetables into a pan filled with water (1-1. 5 liters) and cook until tender. Drain and puree with a blender.

Fish Souffle:

To prepare dishes, you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (to separate the egg whites from the yolk), a piece of butter (20 g). The fish is boiled in water, condemned, rolled or chopped in a meat grinder.

Mix the milk and flour (preheat the flour in a pan until slightly yellow) and you will get a slightly thicker milk "sauce". Now we start mixing: fish, egg yolk, milk sauce, butter (you can add salt if your doctor allows it).

Beat the egg whites separately until a thick foam is formed. While stirring, add them to the fish cubes.

Preheat the oven to 180-200 degrees. Put the fish pieces in a baking tray or baking tray, and bake them in the oven until tender.

Apple marshmallow (dessert):

To prepare marshmallows, you need to take 1 kg of apples, peel them, cut them into pieces, pour water into a pan and cook. Boil the apples, remove from heat, drain the water, and cool slightly. Rub the apples with a sieve or chop them with a blender.

Drain all the juice from the resulting puree and squeeze the puree. Pour the juice separately into a small saucepan and cook until thick (almost like syrup). Pour the sugar (100g) into the boiled juice and bring it to a boil. Mix the juice with the puree.

Place the resulting substance on a baking tray, put it in the oven (120 degrees), and dry the lozenge until it completely thickens.

Pancreatitis sample menu for the week: dietary choices and nutritional rules

With regular use of drugs, dietary nutrition is also applicable to pancreatitis. Only comprehensive measures can reduce the burden and swelling of the pancreas, help prevent inflammation and restore damaged tissues.

In the acute onset of the disease, the diet is very limited until the first few days of fasting. After removing the acute symptoms of the disease, the patient's menu gradually expanded. Let's take a look at what the weekly diet of a patient with pancreatic pain should look like.

Adhering to diet to treat different forms of pancreatitis characteristics

In acute inflammation, the diet is very strict. On the first day of the onset of the disease, the patient showed hunger. Depending on the severity of the disease and the presence of complications, fasting can last one to three to four days. This measure is effective for:

Stop the production of gastric and pancreatic secretions.
The performance of digestive enzymes decreases.
Prevent the development of the infection process or reduce its severity.

With inflammation of the glands, swelling and spasm of the organs and their ducts were observed. Therefore, digestive enzymes cannot enter the intestines from the pancreas, they are activated in the glands and begin to digest their walls.

The death of damaged organs and tissues and undigested food residues cause various infectious complications of the disease. This is why the production and functional activity of pancreatin must be reduced, which is mainly achieved through fasting.

For the first 2-5 days of acute pancreatitis, only fluids can be used-up to 2. 5 liters. After finishing the hunger strike with OP, gradually expand the diet according to diet table No. 5P(I).

At the same time, the calorie content of food in the first ten days of the diet should not exceed 800 kcal. Starting from the tenth day, through active treatment, the calorie content of food can be increased to 1, 000 kcal.

In the chronic form of the disease, the patient's menu is much broader. It includes cereals, most types of vegetables and berries, meat and fish (non-fat, medium-fat types), yogurt, non-sweet biscuits, sweet berry jelly, jam, marshmallows, and even certain types of candy.

At the same time, in order to prevent the recurrence of pancreatitis, the following nutritional rules must be adhered to:

Eat only natural, fresh foods.
Significantly limit the amount of sweetness, fat, and especially sourness.
The meal should be in fractions: 5-6 times a day, divided into small portions.
It is best to chop and grind the food for better absorption.
Allowed cooking methods: boil, roast, steam, stew.
Do not use hot and cold food-only use warm food and plates.
Don't eat fruits and sweets on an empty stomach.
It is not recommended to eat fresh bread (better than the freshness or biscuits the next day), butter baked pastries.
Spices are not recommended (salt can be used in small amounts).
Drinking alcohol and snacks (potato chips, biscuits, corn on the cob, etc. ) are strictly prohibited.

Eating a healthy diet and staying hydrated can help extend the remission period and keep the pancreas healthy. In this case, diet food is the most effective medicine.

Example menu of deterioration of the inflammatory process

Drink medicinal mineral water four or five times a day, 200 ml each time, while it is hot (maximum 27 degrees). If the water is carbonated water, it should be poured into a glass half an hour or an hour before drinking to allow all gas to escape from the liquid.

On the third day, you can change the drink with light rosehip broth. Drinking alcohol helps maintain water balance, replenish the reserves of trace elements needed by the body, and eliminate toxins.

Quit the hunger strike

The menu for pancreatitis patients on hunger strike (2, 3, or 4 days) can be diversified with the following products:

Dry white wheat bread (no more than 50 grams per day);
Jelly or blackcurrant fruit drink;
At the same time, you need to drink up to 2. 5 liters of liquid per day (still mineral water, jelly, fruit drinks, rosehip soup).

On the third or fifth day, the diet can be supplemented with:

A viscous decoction extracted from rice or oats;
Mashed potatoes (liquid, without butter and milk);
Jelly from blueberry, blackcurrant, strawberry, blueberry;
A porridge of buckwheat, rice, and oats grated in water.

In the next two days, you can start to try:

Steam an omelet from the protein;
Steam or boil chicken, rabbit, turkey and chop with a blender;
Grain soup cooked with vegetable broth or water;
Vegetable puree (pumpkin, carrot, zucchini);
Not strong black or green tea, plums, yogurt.

Starting from the tenth day, if the treatment is successful and the symptoms of the disease subsided, the menu can be diversified, including unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish steaks, and souffle. Allow to start using a very small amount of sugar. However, it is better to take alternatives.

The acute pancreatitis diet is strict, so the menu definitely does not include the following foods: fried, smoked, high-fat foods, mushrooms, canned foods, sausages, sausages, bacon, egg yolks, fresh bread and pastries, spices, sauces, ice cream, Alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.

Complete relief of nutrition after attack

A week’s menu for patients with acute pancreatitis should only include foods that are permitted and safe for the gastrointestinal tract.

first day:

Breakfast: 2 steamed egg white scrambled eggs, oatmeal, rosehip broth.
Supper: berry jelly.
Lunch time: rice soup, toasted bread, steamed chicken steak with pumpkin puree.
Afternoon snack: grated cottage cheese, light tea.
Evening: Fish Souffle with stewed vegetables and gooseberry compote.
Late night: croutons with yogurt.

the next day:

Breakfast: curd pudding, croutons tea.
Dinner: strawberry souffle, rose hip soup.
Lunch time: vegetable soup noodle soup, biscuits, boiled turkey, berry mousse.
Afternoon snack: baked apples, preserves.
In the evening: noodles, steamed fish steak, green tea.
In the evening: biscuits, tea.

The third day:

Breakfast: vegetable pudding.
Dinner: rice porridge, a piece of chicken.
Lunch time: buckwheat soup, croutons, steamed rabbit meat, jelly.
Afternoon snack: pumpkin porridge.
In the evening: oatmeal, a piece of chicken, black tea.
In the evening: kefir biscuits.

Fourth day:

Breakfast: rice porridge, gooseberry compote.
Dinner: steamed egg rolls, chamomile soup.
Lunch: boiled meat cream soup, croutons, a piece of boiled rabbit meat, tea.
Afternoon snack: baked apples with cottage cheese, preserves.
Dinner: oatmeal, raspberry souffle, rosehip broth.
Dinner: biscuits and yogurt.

The fifth day:

Breakfast: oatmeal, scrambled eggs, black tea.
Supper: pumpkin puree, strawberry compote.
Lunch time: buckwheat soup, croutons, fish steamed cakes, tea.
Afternoon snack: cottage cheese casserole, rosehip broth.
Evening: Carrot puree with chicken souffle, roasted apples, peeled and cored, and candied.
Late at night: a biscuit and tea.

Sixth day:

Breakfast: semolina porridge, chamomile decoction.
Dinner: steamed egg rolls, jelly.
Lunch time: noodle soup, biscuits, boiled chicken, tea.
Afternoon snack: berry souffle, candied fruit.
Dinner: vegetable puree, steamed turkey steak, jelly.
Dinner: yogurt croutons.

Seventh day:

Breakfast: carrot and pumpkin puree, boiled egg white, candied fruit.
Dinner: curd souffle, chamomile soup.
Lunch time: shabby fish soup, biscuits, steamed chicken steak, tea.
Afternoon snack: baked apples, candied fruit.
Evening: Buckwheat porridge with steam schnitzel, cooked grated beets, jelly.
Late night: croutons with kefir.

Before the disease transitions to a stable remission stage, all foods should be ground without spices (even salt is not recommended). Two weeks after the onset, as long as there are no symptoms of the disease, you can start to try fresh apples, peeled cabbage heads, as well as strawberries and bananas.

Sample menu for stable remission of pancreatitis

An example of a pancreatitis menu for a week is as follows:

day	breakfast	snack	lunch time	Afternoon snack	Evening time
Monday	Oatmeal with low-fat milk, cheese sandwich, chicory	Curd pudding, biscuit biscuits, rosehip broth	Potato soup with chicken broth, croutons, steamed chicken balls	Baked apples, jelly	Buckwheat porridge, butter-boiled beet salad, beef patties
on Tuesday	Rice milk porridge, jelly or tea	Egg white omelet, boiled turkey, preserves	Vermicelli soup, wheat bread, grilled cod, jelly sugar, green tea	Tofu casserole, chamomile broth	Mashed potatoes, grilled fish, buttered carrot salad, tea
Wednesday	Oatmeal, jelly	Berry mousse, aftertaste biscuits, rosehip broth	Fish soup, pumpkin pudding, biscuits, preserves	Tofu Pudding	Zucchini Chicken Fillet, Boiled Cauliflower, Green Tea
Wednesday	Semolina porridge, cheese sandwiches, jelly	Sour cream, croutons	Carrot rice soup, meatballs, rose hip soup	Vegetable pudding, preserves	Stewed chicken with vegetables, jelly, tea
Friday	Steamed egg rolls, black tea	Carrot and grated apple pudding	Vegetable puree soup, beef balls, chamomile soup with jelly sugar	Berry soufflé, biscuit biscuits	Cooking rice with meatballs and tea
on Saturday	Oatmeal, chicory	Omelet, candied apple	Buckwheat soup, meatloaf, boiled beet salad, tea	Butter and hard cheese sandwiches, baked apples, tea	Fish souffle, boiled noodles, tea
sun.	Cook turkey porridge, rose hip soup	Vegetable souffle, berry jelly	Tattered broth, fish dumplings, rusks, tea	Tofu biscuits, baked apples, tea	Fish rolls, mashed potatoes, rosehip soup

You can drink a glass of fermented dairy products (yogurt, kefir, yogurt) and dietary biscuits 1-2 hours before going to bed.

in conclusion

The one-week menu for patients with pancreatitis is an approximation-other dishes can be changed during the stable remission phase.

Between meals, you can also enjoy small snacks with fruits and candies. Develop the habit of eating at roughly equal intervals, drink at least 1-1. 5 liters of water a day and avoid overeating-you should have a slight hunger after eating.