The pancreas is part of the digestive tract and at the same time a mixed secretory gland. It responds to the entry of food into the human digestive system by producing enzymes secreted in the duodenum and helping to break down food in the intestines. On the other hand, this gland produces the hormones insulin and glucagon, which are released into the bloodstream and maintain normal blood glucose levels.
What is pancreatitis and its forms
Pancreatitis is an inflammation of the pancreas, in which the tissues of the gland become inflamed, disrupting its production and entering essential enzymes into the gut. Inflammatory glands increase in size, its inner ducts narrow, preventing digestive juices from entering the duodenum. Enzymes that exist in the gland begin to break down on their own, with sad consequences.
This is an acute form of pancreatitis caused by a violation of diet or inflammatory diseases in the body and does not last long with appropriate treatment. If the effects of provoking factors are persistent or frequent, chronic pancreatitis occurs, which may develop after an acute course.
A holistic approach to the treatment of pancreatitis is used and a special diet plays an important role where, if not there is a very low therapeutic effect.
Principles of Diet for Pancreatitis
The principle of the diet for acute pancreatitis is that the first 3 days are often recommended to observe hunger. During this time, the necessary nutrition is provided by intravenous infusion without causing intestinal irritation. Food entering the intestine always leads to increased production of digestive enzymes. During acute inflammation, this activity should be reduced as much as possible, after a few days the diet is gradually expanded. First, only plain water, sometimes allowed to use non-carbonated mineral water, better alkaline, weak tea.
Then, for chronic pancreatitis from day 3 and for acute pancreatitis after day 5, the following regulations are used:
- nutritional frequency at least 5 times a day for uniform release of enzymes without a marked increase in load and reduced inflammation;
- the amount of fat and carbohydrates reduced as much as possible towards increasing protein products;
- the volume of single feed must not exceed 150-200 ml;
- use food that is 20-60 degrees warm, chopped or pureed;
- chew food well and take your time;
- do not drink with meals, limit salt to 4-5 grams per day;
- excludes gas-causing foods;
- for the purpose of saving chemicals, you must not use spices and hot food;
- Use only cooked or baked foods that do not have fried, smoked or canned ingredients.
Characteristics of the diet for pancreatitis
It is important to remember to adhere to a diet for people with persistent acute pancreatitis, otherwise the body will react to repeated infections and negative consequences. In acute pancreatitis, the condition is very serious and does not rule out death.
In the context of an increasing proportion of protein products in the diet, the majority of them should be animals in the form of turkey, chicken or young cow. Carbohydrates should be a little more than 300 grams per day with the minimum of sugar or jam, fat to a minimum, protein products make up more than half of the serving.
Food allowed and prohibited in the diet for pancreatitis
There are many foods that are allowed in the diet for acute pancreatitis, so the diet can be made as varied as possible:
- boiled or roasted rabbit, veal and poultry (lean), boiled tongue;
- lean fish such as heke or pollock, boiled, grilled or in soup;
- cereal is different, preferably rice or oatmeal as part of a cereal, soup or casserole;
- oven breads, baked cookies, cooked pasta;
- milk and low-fat diluted lactic acid products in addition to main products or curd, diet cheese and skim milk cheese;
- boiled or baked vegetables - potatoes and squash, beets or carrots, fresh squash;
- eggs (protein only) in omelets or casseroles, moderate vegetable oil;
- fruit, cooked without sugar or cooked in the oven, jelly or berry purees;
- weak drinks, diluted juices, drink from rose hip.
The following foods are banned in the diet for severe acute pancreatitis:
- fried or grilled meats, all offal; lamb or goose meat, bacon and bacon, canned stew;
- seafood pickles, rich fish broths or canned foods;
- bean dishes and rich broths;
- fresh bread, cakes, pies;
- bulk natural fatty sour cream, cream, sugar free milk;
- Garlic, mushrooms, and radishes are strictly forbidden (limit radish and fresh vegetables);
- egg yolks and fresh natural butter;
- lots of fresh sweet fruits, cabbage and sorrel;
- coffee, strong tea, concentrated lemonade and any other carbonated, strong or energy drinks;
- ice cream, buttercream, chocolate, any pastry;
- hot condiments, sauces, sausages and bacon.
Dietary contraindications for pancreatitis
Taking into account the peculiarities of the diet for acute pancreatitis, there are contraindications to it.
They apply to patients with kidney disease or protein metabolism:
- with pyelonephritis or decompensated glomerulonephritis of the process;
- patients with urolithiasis;
- in acute or chronic renal failure;
- in the case of gout and disorders of the purine basal metabolism;
- in the presence of multiple myeloma;
- with a hormonal imbalance or thyroid problems;
- for precancerous diseases, because too much protein is dangerous for malignancy;
- have severe obesity or diabetes, especially with diabetic nephropathy, that is, kidney damage.
Due to the increased amount of protein products in the diet, the load on the kidneys increases and when suffering from chronic diseases their work is interrupted.
Diet for pancreatitis: menu of the week
Review sample diet regimen for one week in patients with acute or chronic pancreatitis.
- Breakfast.Porridge from ground buckwheat, boiled chicken breast. Curd pudding, weak tea.
- Lunch.Puree fruit, whip in a blender, make cookies.
- Lunch.Rice broth puree, steamed veal, apricot jelly.
- Snacks.Carrot stew with tea.
- Dinner.Fish ball with oatmeal. Apple compote.
- Before going to bed.Grape juice.
- Breakfast.Mashed potatoes with ground beef. Biscuits, fruit tea.
- Lunch.Protein omelet, carrot puree.
- Lunch.Buckwheat soup with rabbit meat balls. Stewed zucchini, weak tea.
- Light snacks.Mashed beetroot salad, fruit juice with bread crumbs.
- Dinner.Steamed turkey cutlets with pureed rice porridge. Kiss from apple.
- Before going to bed.Drinks from rose hip.
- Breakfast.Unsweetened oat porridge. Stewed carrots with tea.
- Lunch.Grilled apples with toast and apricot juice.
- Lunch.Snakehead fish soup, mashed potatoes with sour cream. Pear jelly with toast.
- Snacks.Stewed zucchini with tea and cookies.
- Dinner.Steamed rabbit meat with pureed buckwheat porridge. Currant compote.
- Before going to bed.A kefir.
- Breakfast.Boiled beef rice paper. Tea with biscuits.
- Lunch.Boiled beets salad with yogurt and cookies.
- Lunch.Weak chicken broth soup with buckwheat. Jelly balls, fruit jelly.
- Snacks.Stick cheese with sour cream, tea with marshmallows.
- Dinner.Mustard greens. Compote dried fruit.
- Before going to bed.Apple juice.
- Breakfast.Chopped oatmeal with steamed beef. Fruit pudding tea.
- Lunch.Steamed fish balls, apple jelly.
- Lunch.Rabbit soup with boiled meat. Pumpkin stew with sour cream, unsweetened tea.
- Snacks.Protein omelet with apple juice.
- Dinner.Roll with turkey and stewed veg. Tea with biscuits.
- Before going to bed.Low-fat fermented baked milk.
- Breakfast.Boiled noodles with chicken pate. Tea without sugar.
- Lunch.Unsweetened pumpkin yogurt porridge.
- Lunch.Pumpkin soup and veal. Stewed zucchini and cranberry jelly.
- Snacks.Puree apples, one cup of kefir.
- Dinner.Fried fish cake with oats. Tea with biscuits.
- Before going to bed.The apricot writer.
- Breakfast.Beef stew with vegetables. Ryazhenka with cookies.
- Lunch.Pudding curd and pureed fruit.
- Lunch.Pumpkin and potato soup. Chicken balls with oatmeal. Fresh fruit compote.
- Snacks.Carrot pudding with unsweetened tea.
- Dinner.Hake and stewed zucchini. Apple jelly.
- Before going to bed.Fermented fresh milk.
It is important to remember that when preparing and preparing food, the food must be fresh and the cooking method must be boiled or baked. Combining different proteins at the same time is undesirable, and a small amount should be used to reduce the load on the pancreas.
Diet for pancreatitis: a review by nutritionists
Comments by nutritionists on pancreatitis diet as follows. Its major organs are aimed at reducing the nutrient load on the glands and reducing the production of digestive juices, assisting with inflammation. In addition to these effects, such a diet also prevents diseases of the liver and bile ducts, as it normalizes the frequency of bile excretion into the intestine. However, against the restrictions, one should remember about a sufficient amount of vitamins in the diet to avoid vitamin deficiency.
When the patient's body lacks its own enzymes, the absorption of nutrients from the food decreases. To regulate the assimilation of nutrients, drugs containing the necessary enzymes are used in either granular or encapsulated form. Special medicinal capsules promote the activity of enzymes at a specific location in the digestive system for maximum efficiency.
In acute pancreatitis, maximum food chopping is very important, but in chronic pancreatitis, in order to maintain the physiological activity of the gastrointestinal tract, it is not recommended to chop or clean up ready-made foods, although it should not be heat treated without frying or baking. The more balanced the diet, the less likely it is that side effects will occur. In acute pancreatitis, the diet should be followed for at least 2-3 months, in chronic diseases it is desirable for a lifetime.