Diet for pancreatitis

diet for pancreatitis

Pancreatitis or pancreatitis is a complete disaster for the entire digestive tract.

The pancreas produces hormones (insulin, glucacagon, lipocaine), enzymes that are necessary for normal digestion and digestion of proteins, fats and carbohydrates, and bicarbonate ions that neutralize the acidic secretion of the stomach.

Pancreatitis is divided into acute and chronic, but in any case it is necessary to adhere to a diet for this disease.

General principles of nutrition

The task of nutrition in pancreatitis is mechanical, chemical and thermal sparing of the gastrointestinal tract. That is, by observing the table of treatment of pancreatitis, its normal functioning, protection of the stomach and intestines from aggressive food products, reduction of gallbladder activation and prevention of liver disease are achieved.

The table for the treatment of pancreatitis according to Pevzner's classification is table number 5p. Table No. 5p differs somewhat from Table No. 5, which is prescribed for liver diseases, but it also has a number of similar dietary restrictions.

Diet for pancreatitis should be nutritious, contain an increased amount of protein, but a reduced amount of fat and carbohydrates (especially sugar) to prevent liver degeneration into fatty hepatosis and the development of diabetes mellitus.

Daily amount of essential nutrients on the diet table for pancreatitis:

  • proteins: 100 - 120 gr. (of which 65% are animals);
  • fat: 80 - 100 gr. (of which 15-20% are vegetables);
  • carbohydrates: 300 - 350 gr. (sugar not more than 30 - 40 gr. )
  • table salt 6 - 10 gr. (food should be salted);
  • free liquid 1, 5 - 2 liters.

The energy value of a child is 2500 - 2600 kcal.

General principles of nutrition in pancreatitis

Mechanical food processing

In case of acute pancreatitis or worsening of the chronic form, all food should be crushed, boiled or steamed, which ensures maximum gastric sparing.

Temperature mode

Food must not be served hot or cold. The optimal food temperature is 20-50 ° C.

Sense of proportion

In pancreatitis, it is very important to follow the measure with food. Overeating is not allowed, because it creates not only an increased load on the pancreas, but also the entire digestive tract as a whole.

Number of meals

Food intake during the day should be partial, up to 5-6 times a day. You should not try to satisfy hunger with a large meal at once, you must follow the principle: "a little better, but often. " This will facilitate the work of the pancreas, food is better absorbed, and the pain after eating will practically disappear.

Stop bad habits

Alcohol consumption is dangerous not only with the development of alcoholism, but alcoholic beverages in pancreatitis cause the formation of "accumulations" of proteins - plaques in the pancreatic ducts, clog them, disrupt the secretion of glands into the duodenum and thus worsen the inflammatory process in the body and provoke improvement. digestion.

Nicotine in turn prevents the production of enzymes that detoxify acetaldehyde (this substance is formed during the breakdown of alcohol in the body, causes inflammation of the pancreas).

Prohibited Products

With pancreatitis, you should refuse foods that stimulate the production of gastric juice and, consequently, the secretion of the pancreas. That is, the production of pancreatic enzymes significantly exceeds the need for them for the digestive tract as a whole, and therefore in pancreatitis, the excess enzymes are spent on the digestion of the pancreas itself.

In order to reduce the amount of synthesized enzymes and alleviate organ inflammation, it is necessary to abandon a number of products:

nutritional rules for pancreatitis
  • Soups.Soups cooked in meat, mushroom and fish broths, complex (cabbage soup, borscht, pickle soup), milk, cold (okroshka, beetroot soup) are forbidden.
  • Bread.Fresh wheat or rye, puff pastry and pastry products, tortillas, fried pies.
  • Meat.Fatty meat (pork, lamb) and poultry (duck, goose), sausages, liver, kidneys and brain, smoked meat and canned food.
  • Fish.Oily fish, salted and smoked, fried, canned food.
  • Milk and lactic acid products.Of the products with lactic acid should be abandoned those that have a high percentage of fat - sour cream, fatty, salty and spicy types of cheese.
  • Cereals.Prohibition of pearl barley, millet, corn and wheat cereals, because they are long in the stomach and intestines, stimulating the production of pancreatic juice.
  • Eggs.Fried and hard boiled.
  • Vegetables.Cabbage, eggplant, radish, beet, radish, garlic and spinach, paprika.
  • Sweets.Chocolate, unprocessed raw fruits and berries (dates, grapes, figs, bananas), ice cream, jam.
  • Spices.Black and red peppers, coriander, horseradish, hot tomato sauce, vinegar and more.
  • Drinks.Coffee, cocoa, strong tea, sweet carbonated drinks, grape juice.
  • Fat.All refractory fats (pork, beef, lamb fat), beet fat, bear fat and others

Approved Products

Food recommended for pancreatitis should maximally facilitate the work of the pancreas, reduce the amount of enzymes that are synthesized in it, quickly evacuate from the stomach and small intestine, and not cause bloating, which causes pre-existing abdominal pain.

In addition, to facilitate the synthesis of protein-containing enzymes in the pancreas, food should be digestible and rich in protein.

Allowed products list:

  • Bread.Yesterday's or dried white bread, dry unsweetened biscuits, crackers.
  • Soups.Soups should be vegetarian, with mashed vegetables (carrots, pumpkin, zucchini, potatoes), noodles, semolina or oatmeal.
  • Meat.Low fat varieties (beef without films and tendons, veal), white chicken, turkey, rabbit. The meat should be cooked and, if possible, mashed (souffles, steamed cutlets, dumplings), beef stroganoff.
  • Fish.Low fat varieties (cod, pollock, carp) cooked or chopped, aspic.
  • Cereals.Buckwheat (mashed), oatmeal, semolina, rice porridge on water with milk 50/50, puddings and pans with cereals, cottage cheese.
  • Milk and fermented milk products.Low fat milk, acid-free and non-fat cottage cheese, yoghurts, kefir, skimmed milk not more than 2% fat, unsalted and non-fat cheeses.
  • Eggs.Omelettes, steamed egg whites, 1 egg yolk once a week.
  • Vegetables.Potatoes, carrots, zucchini, beets, cauliflower, pumpkin, green peas.
  • Sweets.It is better to replace sugar with xylitol, use only ripe and non-sour varieties of fruits and berries, make mousses, jellies, puddings, compotes (all in puree form), baked apples.
  • Spices and sauces.Dairy products or sauces in diluted vegetable broth, when flour is added, do not simmer.
  • Fat.Butter (not more than 30 grams per day), refined vegetable oil (10 - 15 grams), add oil to ready meals.
  • Drinks.Lightly brewed tea with lemon, non-carbonated mineral water, rosehip decoction, juices, half diluted water.

Diet for acute pancreatitis

rod broth for pancreatitis

In the first days of the disease, when the pain syndrome is expressed, it is necessary to adhere to the principle: "hunger, cold and peace. "peace.

It is allowed to drink non-carbonated alkaline water up to 1. 5 - 2 liters per day. From 3 to 4 days, slimy decoctions, unsweetened tea and rosehip decoction, liquid, cooked porridge are introduced into the menu. Protein omelette, grated buckwheat or oatmeal, a little crackers, cooked vegetables, meals up to 6 times a day in small meals are allowed for 5-6 days.

Puddings, mousses, pans, diluted juices are gradually introduced into the menu. With the reduction of the acute period, they switch to the treatment table no. 5p.

The necessity of nutrition

The diet for pancreatitis is aimed at maximizing the savings of the pancreas, reducing inflammation in the gland, stopping the painful attack and preventing the development of possible complications.

In addition, diet normalizes the production of digestive enzymes, itself blocks the "eating" of the pancreas, maintains the integrity of the intestinal mucosa, limits the intake of toxic substances into the body and normalizes the functioning of the gastrointestinal tract as a whole.

Consequences of non-compliance with the child

In case of non-adherence to diet in acute pancreatitis or exacerbation of chronic pancreatitis, the following complications occur:

  • jaundice (due to impaired bile outflow);
  • bleeding in the digestive tract (gastric ulcer, varicose veins of the esophagus, Mallory-Weiss syndrome);
  • portal hepatic hypertension;
  • portal or splenic vein thrombosis; pleurisy;
  • duodenal damage (obstruction);
  • malignant tumor of the pancreas;
  • diabetes mellitus;
  • brain damage (encephalopathy).