What Diet Should Follow Pancreatitis?

One in three people suffers from pancreatitis, but not everyone is aware of the need for a diet for pancreatitis.

Before talking about diet, it is important to understand what pancreatitis is, why it occurs and how it manifests.

What is pancreatitis?

Before starting the study of this disease, it is necessary to learn more about the organ in which the injury occurs. The pancreas is a hormonal organ with mixed activity (exocrine + endocrine).

Endocrine activity is manifested by the production of its own hormones (glucagon and insulin), which are aimed at regulating blood sugar levels.

Endocrine function consists of the production of secretions in the pancreas (pancreatic juice) that improve digestion. The organ itself is located behind the stomach in the left hypotension.

Pancreatitis is an inflammatory process in the pancreas that is associated with further damage to its structure.

Causes of pancreatitis:

1. Alcohol abuse.
2. Dietary inaccuracies, wrong diet.
3. Diseases associated with damage to the bile duct system (this includes the gallbladder with the bile ducts that run from it). Such diseases include: cholelithiasis, cholangitis, tumors of the large duodenal papilla, tumors of the liver).
4. Take certain medicines that are toxic to the pancreas (antibiotics, anti-tumor medicines).

Symptoms of acute and chronic pancreatitis

Chronic and acute pancreatitis are distinguished. Each of these forms has a kind of clinical treatment and requires the choice of individual treatment.

Acute pancreatitis is characterized by:

• Sharp pain in the upper body belt. The pain may be related to the food being eaten and also occurs on its own;
• Elevation of body temperature to temperature (38, 1-39, 0 degrees Celsius);
• Vomiting in food, sometimes bile (when the onset of the disease is due to damage to the bile duct system in the liver);
• Nausea ending in vomiting;
• Diarrhea (loose stools);
• Flatulence in undigested food eaten;
• High blood sugar number;
• On palpation (feeling) in the abdominal cavity - the anterior abdominal wall is tense, painful in special places, typical of the study of pancreatitis and gallbladder disease.

Important!If these symptoms are found, you should see a doctor immediately for further technical tests!

Chronic pancreatitis is characterized by:

• Pain in the abdominal area. Weight in the left hypotension (in the left side). Acute belt pain is more common with exacerbation of chronic pancreatitis and occurs 40-50 minutes after eating;
• gastrointestinal disorders (gastrointestinal disorders). These include: vomiting, after eating, constipation and then diarrhea (complaints of white stains in the stool are possible - these are undigested fat particles and products of its decay;
• Dizziness, caused by irritation of the nervous system due to non-neutral glucose molecules;
• Flatulence (gas in the stomach);
• Prominent weight loss.

Complications of pancreatitis

Complications of pancreatitis due to improper treatment or improper practice:

• Transition from acute to chronic;
• cystitis (cystitis);
• If an additional infection enters the inflamed organ, abscess (limited purulent inflammation) and phlegmon (diffuse purulent inflammation) may occur;
• Diabetes - occurs when a smaller structure of the pancreas (Langerhans islets) is affected;
• Bleeding;
• Inflammation of the abdomen (transition of the inflammatory process from the pancreas to the abdomen);
• Bleeding - occurs when the organ capsules rupture (rare).

Five Principles of Treating Pancreatitis

To prevent complications, it is necessary to consult a doctor immediately and seamlessly according to his advice.

Treatment of acute pancreatitis includes the following principles:

1. Detoxification treatment (getting rid of the body due to poisoning);
2. Neutralization of excess glucose in the body;
3. Removal of inflammation of the pancreas;
4. Complication Prevention;
5. Relieves symptoms.

When a patient with acute pancreatitis is admitted to hospital, the primary aim is to take measures to remove the toxicity (poisoning) of the body.

1. The patient should receive a dropper with 5% glucose solution plus 0. 9% sodium chloride solution in a volume of 1000-1200 ml;
2. "Starving" diet is prescribed (only rich drinks are allowed to rid the body of excess toxins and free glucose);
3. Diuretics should be prescribed to reduce blood flow and remove toxins from the body;
4. Protease inhibitors that reduce the increased exocrine activity of the pancreas.

After the removal of the intoxication syndrome, further medical measures are taken to combat this disease. For any type of pancreatitis, dieting is always recommended.

Interesting!In the form of acute pancreatitis and in the exacerbation of chronic pancreatitis, three main factors are mainly prescribed: Cold, hunger and rest.

Cold - an ice pack wrapped in unprepared material should be applied to the left hypotension for 40 minutes, then rest for 20 minutes. This operation slows down blood flow, which causes the development of inflammation.

Diet for pancreatitis

Diet is a normal amount of food that is used for medicinal purposes and is necessary to improve daily energy balance.

Diet in pancreatitis and its estimated content varies, both in the acute and chronic form.

Hunger. Nutrition for pancreatitis should be broken. For the first two days, you should not eat completely (to loosen your digestive tract and reduce the inflammatory process in your pancreas).

Patients during this period are recommended to use chamomile decoctions, dried fruit pulp, jelly, peppermint, rose hips, alkaline minerals, special solutions.

From day 3, nutritional treatment for pancreatitis is based on a mild diet.

Important!It is forbidden to eat too hot food, too cold food, spicy, spicy, sour, smoked, sweet, fried food.

Eat small portions 7-8 times a day. All products should be heat-treated well, shredded in a blender or shredded. It is recommended to consume up to 2-2, 5 liters of liquid, it can be freshly squeezed juices, decoctions of wild roses, chamomile, fruit drinks, jellies, compotes, alkaline drinks.

Nutrition for pancreatitis includes certain foods in strict portions: wheat husk no more than 50 g per day (rye trousers, premium bread, fresh bread are prohibited), lean meat (beef, chicken breast, turkey), fish (cod), gap, salmon), eggs (1 piece per day. Shift eggs are very rich in nutrients needed to improve the daily dose).

Low-fat dairy products (milk, cottage cheese, sour cream, whipped cream, fermented baked milk), the use of wildfire is strictly prohibited, as they contain live bacteria that can cause increased fermentation in the intestines of patients with pancreatitis and whole vegetable milk may be(steamed) and boiled), breakfast cereals (rice, oatmeal, groats, buckwheat, millet), fruit (only green apples are allowed - 1 apple per day, weighing not more than 300 g).

Tip!On average, the amount of calories received from food per day should not exceed 700 - 750 kcal. Such a diet for pancreatitis lasts for 3 days. From day 5 of exacerbation of pancreatitis, the diet should include the amount of calories consumed per day up to 1000.

For this it is necessary to increase the amount of protein consumed up to 10-15 g per day (products containing protein: cottage cheese, sour cream, eggs, chicken breast), simple carbohydrates up to 200 g (grains, honey, sugar, potatoes).

Example of a daily menu for a patient with acute pancreatitis, from day 5 onwards:

1. Breakfast.millet porridge (in water), wheat cakes 15 g, sweet tea.
2. Lunch.Boiled beets 45 g, grated, chicken breast 50 g, lemon balm broth
3. Lunch.Vegetable broth 150 g, wheat cakes 15 g, dried fruit compotes
4. Snarl.mashed potatoes 50 g, boiled fish 30 g, tea without sugar
5. Dinner.Low fat cottage cheese pot 60 g, rose meat broth
6. Another supper.skimmed milk with honey.

This diet should be followed for approximately 7-10 days. From day 10, the number of calories increases to 2000-2500 kcal. Food should restore the body's energy balance and not adversely affect the digestive process.

Nutrition for chronic pancreatitis

A strict diet for chronic pancreatitis is recommended. Meals should be broken into portions, small portions throughout the day.

Food should be eaten at a specified time at strictly specified intervals between meals (for example, 7: 00, 11: 00, 14: 00, 16: 00, 19: 30). Diet no. 5 with chronic pancreatitis. This is a gentle diet prescribed for the treatment of diseases of the pancreas, gallbladder, bile ducts, liver.

The following foods are recommended for maintaining energy balance and calorie intake for good physical activity.

Estimated food dose for treatment diet no. 5

Protein food.This is a very energy-rich food, when it is broken down a lot of energy is released. Allocate proteins from the animal kingdom and the plant kingdom. Products containing animal protein include: meat (lean beef mass, lamb, pork, chicken breast mass, turkey meat), fish (cod mass, lean salmon, redfish, red fish, seafood - shrimp, squid), dairy products, dairy products, dairy products, fermented baked milk, cheese, whey, yoghurt.

Important!It is not recommended to eat food containing live bifidobacteria to prevent intestinal decay and fermentation). The amount of animal protein should not exceed 80 g per day.

Products containing plant protein include: cereals (buckwheat, wheat, pearl barley, lentils, nuts (walnuts, almonds, nuts, sunflower seeds). Vegetable protein content should not exceed 100 g per day.

It is not recommended to eat legumes, as they cause fermentation in the body and so poorly digested food, which promotes bloating, reproduction of pathogenic microflora in the intestinal air.

Foods that contain fat.Fat must be from the animal kingdom.

Tip!The amount of fat contained in fat should not exceed 70 g per day. This product is recommended to add only ready-made products, just before eating (porridge, mashed potatoes).

Carbohydrate feed.Carbohydrates should be simple in structure and easily digestible. These products include: sugar, dust from 1st grade flour, wheat, semolina, potatoes, honey, apples, oranges, mandarins, pears, carrots, peppers, tomatoes, cucumbers, berries. The daily intake of easily digestible carbohydrates should not exceed 350 g.

For chronic pancreatitis, monthly fasting days are recommended. Fridays - are held 2-3 times a month and are characterized by a complete refusal of food; use only alkaline drinks (mineral water), extracts of wild rose, chamomile, lemon balm. This treatment facilitates the work of the pancreas, improves peristalsis (the process of movement of the food block with the gastrointestinal tract) and lowers the acidity of gastric juice.

Recommended meals for patients with chronic diabetes:

• soupsit is recommended to use vegetables with the addition of potatoes, carrots, beets, cabbage, fruit, low-fat meat broth (chicken, beef, beef). Broth should not be rich, without the addition of vegetable oils and animal fats;
• vegetable puree(made from potatoes, beets, carrots, broccoli) - vegetables must be worked carefully with heat, without the addition of milk and butter;
• second courses(boiled or steamed chicken breast, turkey, fish, beef) with a minimum salt content;
• whole wheat pasta is permitted,first grade wheat crust;
• breakfast cereals(buckwheat, barley, pearl barley, millet, oatmeal, oatmeal). Porridge should only be cooked in water, with a minimum amount of salt and sugar. It is strictly forbidden to add butter to the porridge;
• decoctionsrose hips, chamomile, lemon balm, alkaline mineral water, dried fruit roses, green tea, milk tea, fresh juice (apple, carrot, beetroot), skim milk;
• 1st grade wheat flour crust(it is not recommended to use fresh bread and crust made from premium flour, rye, corn flour)

Interesting!The total caloric intake of the pancreas should be 2000-2670 kcal.

Foods strictly forbidden for consumption in both acute and chronic pancreatitis:

• alcoholic beverages;
• Coffee, strong tea;
• Fresh flour and rye bread;
• Fatty meat broth (from fatty pulps of beef, pork, lamb);
• Animal fats (pork and lamb fat);
• Bananas, grapes, figs;
Subcultures (intestines of animals and birds - brain, liver, kidneys);
• Rice and grains of rice;
• Fried and smoked fish, fried flour products;
• Dairy, fresh milk;
• Chocolate, sweets.

With any disease, you should definitely follow a diet, as it has a positive effect on the treatment and prevents complications!