What should be the diet for pancreatitis?

Despite the fact that modern medicine has created a number of powerful and effective medicines for the treatment of pancreatitis, without diet, such treatment is less effective. Moreover, with a mild or moderate course of pancreatitis, treatment may also consist of a nutritional correction.

Unfortunately, many patients follow the diet only while in the hospital, while after discharge they stop it and, referring to their recovery, consume forbidden foods. As a result, it leads to recurrent inflammation, which is much more difficult to treat than the primary one.

The importance of proper nutrition in pancreatitis

Acute and chronic pancreatitis are mostly treated with medication, and in some cases, surgical help is required. However, neither drug therapy nor surgical treatment are absolutely ineffective without correcting the patient's diet.

A diet is prescribed, without exception, to every patient with pancreatitis, regardless of the severity of the disease. Non-compliance leads to a second attack of the disease, which the patient will tolerate much worse than the initial one.

the doctor prescribes a diet for pancreatitis

Diet allows you to reduce the load not only on the pancreas, but also on the entire gastrointestinal tract system as a whole. Furthermore, the selection of foods in the diet aims to provide the patient's body with all the substances necessary for the regeneration of damaged organs.

In many patients, the disease in the acute period causes so serious damage to the pancreas that the patient's diet is prescribed for life. Patients who ignore the doctor's prescriptions regarding diet in such a situation may remain incapacitated, or even die.

A simple conclusion follows from this: a diet for pancreatitis (acute and chronic) is not only recommended, but necessary.

Who prescribes the diet?

Only a doctor can prescribe a certain diet and prescriptions for pancreatitis. At the same time, in this case, doctors of several specializations are suitable: therapists, endocrinologists, gastroenterologists and, in some cases, specialists in infectious diseases.

Self-administration of a diet is dangerous for both health (disability is possible) and life. It is especially dangerous to prescribe a diet for pancreatitis without consulting a doctor for children and pregnant women.

Dietary characteristics for acute pancreatitis

A distinctive dietary feature for acute pancreatitis can be called a benchmark in terms of fasting. This means that, in acute pancreatitis, the diet should contain the mildest food for the gastrointestinal tract in general and the pancreas in particular.

Furthermore, doctors prescribe to minimize the amount of food consumed in the first week of illness, and in the first 2-4 days of illness, complete starvation may be prescribed altogether (you can only drink).

fasting with pancreatitis

The purpose of this very restrictive diet is simple - to significantly reduce stress on the pancreas. In the absence of a diet in the acute phase of pancreatitis, treatment can be completely useless.

Dietary characteristics for chronic pancreatitis

The peculiarities of nutrition in chronic pancreatitis are that the patient should be limited to the use of fatty, fried, spicy and smoked foods throughout his life.

In this case, the patient is sometimes allowed to eat such food, but in small quantities. Alcohol is completely contraindicated, but most patients ignore this prescription, so doctors simply insist that the patient drink it as little as possible and in small amounts.

Characteristics of the diet with exacerbation of pancreatitis

With a worsening of pancreatitis, an extremely restrictive diet is introduced, in which in the first days of the disease it is recommended to completely refuse to eat. Moreover, during the week, only low-fat soups, cereals (usually buckwheat) and mashed potatoes are allowed to be used.

Once the deterioration worsens, the patient should smoothly switch to a standard diet for chronic pancreatitis. Furthermore, any changes in nutrition during a worsening of pancreatitis should be made exclusively in consultation with a physician. Self-administration of dietary therapy is dangerous not only for health but also for life.

What is not allowed with pancreatitis?

With pancreatitis of any kind, there is a fairly large list of products that are strictly forbidden to use (both until the end of treatment, and, much less frequently, for life).

The list of forbidden foods for pancreatitis is as follows:

  1. Fatty meats, fried meats (kittens also fall here), canned foods, sausages, smoked products, stews.
  2. Fatty fish, smoked and salted fish, any canned fish and caviar.
  3. Fatty varieties of cottage cheese, cottage cheese (glazed cottage cheese is especially dangerous), spicy and smoked cheeses.
  4. Scrambled eggs or boiled eggs.
  5. Turnip, garlic, onion, horseradish, pepper, radish.
  6. Beans, beans, mushrooms.
  7. Raw and unroasted fruits, sour and incredibly sweet fruits (oranges, figs, grapes, for example).
  8. Rolls, cakes, as well as other sweet and / or fatty confectionery products (because of the cream).
  9. Chocolate, ice cream, nuts.

What can and is useful to eat with pancreatitis?

With pancreatitis, the following foods are allowed:

  • cereal and vegetable soups;
  • boiled meat from beef, fish, poultry;
  • chicken egg omelette;
  • a small amount of honey;
  • various cereals;
  • roasted or boiled vegetables;
  • Mashed potatoes;
  • carrots

What can and can not be drunk?

The use of the following drinks is prohibited:

  • any alcoholic beverage;
  • sweet and carbonated beverages (including store-bought juices);
  • cocoa;
  • coffee drink.

The following drinks are allowed:

  • kefir;
  • weak black and green tea;
  • rose decoction;
  • compost;
  • fermented milk.

alcohol

Alcohol with pancreatitis is contraindicated in any form of the disease. Alcoholic beverages have a detrimental effect not only on the pancreas, but also on the adjacent organs of the abdominal cavity, which in the vast majority of cases are also indirectly affected by pancreatitis.

rejection of alcohol with pancreatitis

Alcohol consumption against the background of chronic pancreatitis increases the severity of its symptoms and leads to the progression of the disease. Alcohol consumption in acute pancreatitis significantly reduces the effectiveness of treatment and increases the risk of death from pancreatic necrosis.

Sweet and honey

Honey and sweets (excluding chocolate) are only allowed for chronic pancreatitis. In the acute form of the disease or exacerbation of chronic pancreatitis, any dessert, including honey, should be excluded.

Moreover, with chronic pancreatitis, sweets can only be eaten in limited quantities, as infrequently as possible. The fact is that if the pancreas is damaged against the background of chronic pancreatitis, the use of sweets is a high risk risk of diabetes mellitus.

Dairy products

Although whole milk can be consumed, it is not recommended, as it often provokes diarrhea and bloating. It is recommended to consume low-fat kefir, fermented baked milk and yogurt, no more than one glass per day.

Also, from dairy products with pancreatitis, cottage cheese (up to 9% fat) and cheese (soft varieties, such as mozzarella, Adyghe and feta cheese) are allowed. Yogurt can be consumed only one tablespoon per day, but only as a supplement to soups.

porridge

With this disease, only certain types of cereals (buckwheat, oatmeal, rice and oatmeal) are allowed. Furthermore, porridge can only be cooked in water or milk, in a 1 to 1 ratio.

dishes and products with pancreatitis

In the chronic form of the disease, corn or barley porridge can be consumed once a week. But pearl barley and millet porridge is forbidden for any form of pancreatitis.

oils

With pancreatitis, it is permissible to add a small amount of butter to dishes. Vegetable and olive oil can also be added in small amounts to dishes, but only for the chronic form of the disease.

Sea buckthorn oil is strictly forbidden for pancreatitis due to irritation of the stomach and the creation of a serious load on the pancreas.

Baking, biscuits

Even with acute pancreatitis, after a few days of hunger strikes, certain types of pastries and biscuits are allowed. Namely:

  • white or slightly dried bread;
  • unbaked and sweetened biscuits;
  • biscuits biscuits.

Other baked goods and baked goods are either banned or simply not recommended. Fresh baked goods are especially dangerous, which can significantly worsen acute pancreatitis or provoke a worsening of chronic pancreatitis.

Vegetables

It is allowed to eat vegetables only in boiled or baked form, but it is much better to use them in puree form (chips, casserole, soup).

vegetables with pancreatitis

The following vegetables are allowed for consumption:

  • potatoes;
  • carrots;
  • beets;
  • pumpkin;
  • cauliflower;
  • green peas;
  • zucchini

In a limited amount and only in case of chronic pancreatitis, out of exacerbations, it is allowed to use cauliflower and tomatoes, but only in boiled form.

Fruits

With pancreatitis, it is permissible to eat ripe fruits or in the form of compotes and jellies. Fruit puree is also allowed. In limited quantities, you can eat a melon or watermelon.

Sour fruits (citrus fruits) are completely contraindicated, including juices made from them. It is also important to note that it is forbidden to use raw fruits for acute pancreatitis or exacerbation of chronic pancreatitis.

Dry fruit

In acute pancreatitis, dried fruits are strictly forbidden, while in the chronic form of this disease, they can be consumed only in the form of compotes.

The fact is that dried fruits contain no less fiber than fresh fruits. Fiber is contraindicated in pancreatitis.

dried fruits for pancreatitis

It is also worth noting that, although dried fruits are allowed in small quantities in the chronic form of the disease, there are those dried fruits that can not be consumed at all (figs, dates, raisins, dried apricots).

nuts

Walnuts are a very fatty product, which immediately speaks against their use for pancreatitis. They can be consumed only in the chronic form of the disease and only in small quantities. But even here there are some nuances.

So doctors stop using nuts for a year after acute pancreatitis or within a year after suffering a worsening of chronic pancreatitis.

An example of a menu for a week with pancreatitis

Importers it is important to consider: no more than 200 grams of white bread and no more than 30 grams of sugar are allowed daily. You should eat only partially, 6-8 times a day in small portions. It is advisable not to skip meals.

An example menu for pancreatitis for a week is given below.

On Monday

  • not more than 200 grams of mashed potatoes with 90-100 grams of meatballs, tea;
  • not more than 100 grams of cottage cheese;
  • carrot puree soup (not more than 250 grams), a toast, compote;
  • 100 grams of steamed omelet (protein only! );
  • a glass of yogurt.

Tuesday

  • 150 grams of boiled fish and 150 grams of carrot puree, tea;
  • not more than 100 grams of cottage cheese;
  • 100 grams of steamed omelette;
  • kefir

Wednesday

  • boiled fish with noodles (not more than 150 grams and baked only in the oven), 150 grams of puree;
  • 100 grams of cottage cheese;
  • cottage cheese souffle with tea (not more than 150 grams);
  • a glass of yogurt.

Thursday

  • 200 grams of mashed potatoes with the addition of steamed meatballs (not more than 10 grams), tea with milk;
  • oatmeal milk soup (not more than 250 grams), fruit jelly;
  • protein omelet (not more than 100 grams);
  • fermented milk.

Friday

  • apple and carrot pudding (not more than 200 grams);
  • 250 grams of vegetable puree soup with compote;
  • protein omelet (not more than 100 grams);
  • fermented milk.

Saturday

  • meatballs (not more than 100 grams) with mashed potatoes (not more than 150 grams), tea;
  • omelet protein;
  • minced oat soup (not more than 250 grams) with carrot puree (200 grams);
  • fermented milk.
partial meals per hour for pancreatitis

Sunday

  • 160 grams of milk porridge from rice, tea;
  • 200 grams of fruit jelly, 100 grams of boiled fish;
  • cottage cheese pudding (not more than 150 grams) with rose decoction (150-200 grams);
  • a glass of kefir.

starvation

Fasting is very effective in acute pancreatitis or worsening of the chronic form of this disease. It is recommended to adhere to the conditions described for 1-3 days, using only plain water during this period.

Fasting is necessary to discharge both the gastrointestinal system in general and the pancreas in particular. Importers It is important to note that during fasting, the use of soups, even low-fat ones, is not allowed.