- Causes of the disease
- Nutrition for pancreatitis in adults
- How to eat with acute pancreatitis
- Diet for chronic disease
- Diet with remission of chronic pancreatitis
- Pregnancy and Pancreatitis
- The diet of patients with a chronic form of the disease during pregnancy
- Pancreatitis in children. Causes of development
- Food for pancreatitis for children
- The most popular diets and nutrition systems for patients with pancreatitis
The text is for informational purposes only. We urge you not to use diets, do not resort to any medical menus and fasting without medical supervision. Recommended reading: “Why you can not go on a diet on your own.” Pancreatitis is a disease of the pancreas caused by inflammation of the organ. The disease has a number of distinct symptoms, including pain, and therefore needs adequate treatment. If measures are not taken to eliminate the symptoms, pancreatitis progresses, the pathological process spreads to the nearest organs, pancreatic enzymes “digest” the peritoneum, and its cells rapidly die. Delayed treatment leads to death. 25% of patients, ignoring the disease, become disabled.
Every year the number of people of working age suffering from pancreatitis is increasing. Many patients are light-hearted about the treatment of this disease and do not seek medical help. The main approach to the fight against pancreatitis is considered to be a proper diet and a healthy lifestyle. Each stage of the disease provides a regime with clear recommendations and prohibitions, from which you should not deviate under any circumstances. Despite strict restrictions, it is possible to live a long happy life with pancreatitis.
The course of pancreatitis is possible in several forms.
Acute. The development of acute pancreatitis occurs rapidly and suddenly. Patients do not pay attention to a slight tingling in the side, but after a couple of days they do not get out of bed due to sharp pains and other clearly expressed symptoms. Acute pancreatitis may result in complete recovery, the development of chronic pancreatitis, or the death of the patient from complications.
Chronic. For a long time, the patient lives with periods of exacerbations and improvement in health (remissions). Medicine is powerless in the fight against the disease; it is impossible to achieve a complete cure for chronic pancreatitis. The state of stable remission is the goal for patients, since inflammation may not bother for years. For life with pancreatitis, the diet is prescribed to all patients with chronic pancreatitis.
A separate form can be distinguished acute recurrent pancreatitis. This type of disease in terms of symptoms resembles chronic pancreatitis, but recurrence occurs more often than after 6 months. If similar symptoms occur after six months, these are signs of chronic inflammation.
Causes of the disease
Violation of the pancreas occurs due to damage to the tissues of the organ. Pancreatic pancreatic juice consists of trypsin, lipase and other digestive enzymes that easily break down proteins, fats and carbohydrates that enter the body.
In cases where pancreatic juice does not enter the intestine, it acts inside the gland, the process of “self-digestion” develops. Enzymes break down their own tissues. Under their influence, some of the cells die, the rest are resistant to digestion, inflammation of the pancreas begins.
The outflow of pancreatic juice is disturbed under the influence of the following factors:
- mechanical (drinking excessive amounts of alcohol, smoking, unhealthy diet, cholelithiasis, abdominal injuries);
- hereditary predisposition;
- autoimmune diseases (lupus erythematosus, arthritis);
In cases where the first attack of acute pancreatitis, the patient was not given the necessary medical care, the inflammation becomes chronic. Simultaneous disruption of the pancreas and biliary tract leads to cholecystopancreatitis and the further development of peritonitis.
Nutrition for pancreatitis in adults
The food system does not include the use of heavy and fatty foods. Diet for pancreatitis, which the doctor prescribes, is based on the principles of proper nutrition. Patients are advised to eat small portions of 5 once a day. From the diet forever have to eliminate unhealthy foods. In diseases of the pancreas, it is necessary to eat mainly protein foods, and the consumption of fats and carbohydrates is better to minimize.
Compliance with a diet without disruption is possible when compiling a menu for the week ahead. When compiling a diet, the following recommendations are taken into account:
- do not skip meals (eat every 3-4 hours);
- eat portions in 150 g;
- grind food if it can irritate the mucous membrane;
- it is better to choose dishes with a higher protein content;
- forget about the excessive consumption of fats and carbohydrates;
- refuse dishes with a high content of extracts;
- with severe pain, refuse to eat for two days.
It is much more difficult to endure such a diet for sweet teeth, because they should not eat their favorite candies, cakes and cookies.
How to eat with acute pancreatitis
Acute pancreatitis is an inflammation of the pancreas that develops under the influence of various factors. This form of the disease requires medical supervision. According to statistics, 40% patients die from the diagnosis of acute pancreatitis. The disease is dangerous because it develops so rapidly that it is almost impossible to avoid complications. Properly chosen therapy and timely medical care prevent undesirable consequences and lead to the complete cure of the patient.
Treatment of pancreatitis is based on a strict diet, which should never be broken, especially after surgical treatment of pancreatitis. You need to adhere to the prescribed recommendations all your life, since only proper nutrition can protect the patient from relapses of the disease. The diet for acute pancreatitis is characterized by excessive rigor and consistency.
In the first two days after the onset of the disease, the patient abstains from food (starvation diet). To maintain the body elements, vitamins and minerals are injected intravenously in the form of special solutions. After removing the sharp painful symptoms, liquid food is added to the diet. The attending doctor, analyzing the patient’s condition, indicates how much to follow a diet.
With a decrease in the activity of pancreatitis, cereals, mashed potatoes, kissels are added to the patient’s menu. Dishes are served in crushed form: grated or crushed with a blender. A diet for a week with such strict restrictions improves the patient’s condition, and relieves inflammation of the pancreas. When the patient’s condition stabilizes, kefir, compote, cottage cheese, scrambled eggs are gradually added to the diet. Food continues to be steamed for 2 months, and the products are amenable to heat treatment.
After a while, if the state of health allows, it is allowed to eat bakery products, fish, lean meat. After acute pancreatitis, the patient will have to rebuild the menu and mode in accordance with the principles of proper nutrition:
- Fractional nutrition. Food should be consumed every 3-4 hours.
- Small portions. The volume of one meal should not exceed 500 g.
- You can not allow the appearance of a feeling of severe hunger.
In acute pancreatitis, patients should forget about fatty foods, spicy seasonings, smoked meats, sour fruits and vegetables.
An example of a daily diet for patients with acute pancreatitis:
|Breakfast||omelette, weak tea|
|Snack||cottage cheese, dogrose decoction|
|Dinner||lean soup, melon jelly|
|Snack||cottage cheese 0%, tea with milk|
|Dinner||fish patties, vegetable puree|
|Late Dinner||a glass of nonfat kefir|
When choosing products for the menu, patients with acute pancreatitis should carefully study the labels in order to avoid the use of preservatives, dyes, flavors, and stabilizers.
If you have doubts about the beneficial properties of the product, it is better not to include it in the diet.
Diet for chronic disease
Any chronic disease for a long time may not bother the patient, however, there are periods when remission gives way to acute attacks. 50% of exacerbations falls on the so called off-season “spring-autumn”. The cause of the attacks becomes a violation of the diet and drinking. Alcohol – the main enemy for patients suffering from diseases of the pancreas.
The first days after an acute pain attack, the patient is starving, it is allowed to drink only water. In the future, the attending physician prescribes a special diet, usually Diet 1 (table No. 1). The menu is formed mainly on protein products: lean meats, fish, 0% fat cottage cheese, etc. You should eat boiled and steamed dishes 8 times a day. The volume of one serving is 250 g (one handful).
In the acute stage, the patient is not allowed to eat food for three days, in other cases, liquid shredded meals are allowed. In severe attacks, the patient should be immediately hospitalized, prescribed the necessary treatment and parenteral nutrition.
During periods of exacerbations of mild and moderate severity, patients are recommended to drink rosehip decoction, but not more than 50 ml per hour.
Inflammation of the pancreas to a greater extent provoke carbohydrates, their amount should be reduced to a minimum. At one time, you can eat 3 tablespoons of liquid porridge, vegetable puree, or lean soup. You need to eat at least 5 once a day. For two weeks, servings increase by 40 per day. In a couple of weeks the size of one serving will be 250.
The list of products allowed for chronic pancreatitis is provided by diet No. 1, No. 5p. According to the recommendations of the doctor, the diet is replenished with new products. At the same time, attention should be paid to your own sensations and reactions of the body. The first pain symptom is a signal to refuse the “heavy product”
|Dinner||soup with oatmeal, milk tea|
|Late Dinner||cottage cheese soufflé|
Diet for chronic pancreatitis helps eliminate the exacerbation of the chronic form of the disease.
The main rule – the pancreas should rest from heavy food.
Diet with remission of chronic pancreatitis
During remission, the patient feels relieved and does not experience pain. Excellent well-being of the patient allows you to expand the range of approved products. However, you should not relax either, as the pancreas can still negatively respond to certain foods.
The basis of nutrition at the stage of remission should be taken Diet №5, adding to it a greater amount of easily digestible proteins and vitamins:
- split meals;
- boiled, baked, steam dishes;
- consumption of at least 150 g of protein per day, mainly animal;
- varied menu;
- minimizing animal fats;
- chopping and chewing food.
Patients suffering from pancreatitis, lead an active lifestyle. They should think over the menu every day. Ideal are hot meals (soup, soup, soup) and light snacks (yogurt, banana). Being on corporate parties, parties, do not hesitate to clarify the composition of the proposed dishes. Do not use unfamiliar delicacies, so as not to disturb the diet and not to provoke exacerbations.
Pregnancy and Pancreatitis
Many women of childbearing age suffer from chronic pancreatitis, so pregnancy and childbirth must be taken responsibly.
The pancreas does not interfere with the conception of a child and does not adversely affect its intrauterine development.
Problems arise with the acute form of the disease or at the time of attacks of chronic pancreatitis. In such cases, prescribed medication and a strict diet, because of which the child may receive less the amount of vitamins and elements necessary for his life.
Patients with pancreatitis should be regularly observed by a specialist and plan pregnancy at the time of complete remission of the disease. During an exacerbation of pancreatitis, it is better not to even think about conceiving a child for the following reasons:
- Pregnancy is a double burden on the female body. During 9 months, all chronic diseases, including pancreatitis, are exacerbated in women.
- Medications that are used to treat pancreatitis are strictly contraindicated during pregnancy and lactation.
It is better to plan a pregnancy with an initial consultation with a gynecologist and the attending physician, who will prescribe tests that reflect the readiness of the body to bear a baby and give birth. Select in advance qualified specialists whose experience allows you to supervise pregnant women with pancreatitis.
An exacerbation of pancreatitis has the same symptoms as toxicosis: vomiting, nausea, fever, abdominal pain, so in no case should you endure these symptoms. If you have at least one of them, you need to see a doctor and talk about your problems.
You should not self-medicate, because not only the life of the mother, but also the child depends on it. Treatment with folk remedies should also be left until better times, so as not to risk the health of the baby.
The course of pregnancy in women with pancreatitis depends on the number of exacerbations and their severity. Future mothers suffer from toxemia in the first and second trimester, but the remainder of the pregnancy passes without complications. For extremely severe attacks, if there is a threat to the life of the mother, abortion is applied.
Chronic pancreatitis is not a cause of caesarean section, a woman is able to give birth to a healthy baby by herself.
The diet of patients with a chronic form of the disease during pregnancy
For a woman suffering from pancreatitis, pregnancy is not a reason to relax dietary restrictions. On the contrary, adherence to the diet during this period should be under strict control in order to avoid inflammation of the pancreas. It is advisable for pregnant women to adhere to the following recommendations:
- Follow the instructions of the attending physician. The diet for pancreatitis and pregnancy does not differ from the nutritional systems intended for the treatment of the disease.
- The first three months of pregnancy should be eaten according to the menu of the first option of Diet No. 5 (eat boiled food and steamed dishes). From the second trimester, in the absence of visible complications, the diet menu can be gradually expanded.
- Limit consumption of fresh fruits and vegetables. During the remission period, you can eat only bananas, melons, apricots and cherries. Vitamins and minerals that the body receives from fruits and vegetables are replenished with special preparations.
- Suppress the desire to eat salty / spicy / sour foods that occur in women during the period of carrying a child.
- Eat every 3 hours before feeling hungry.
Pancreatitis in pregnant women is not a sentence, a woman can give birth to a healthy child. To do this, you must carefully follow the prescriptions of the doctor and carefully monitor the state of health.
Pancreatitis in children. Causes of development
Oddly enough, but children can also get pancreatitis. The pancreas of the baby is not pressured by alcoholic beverages, malnutrition, however, a number of factors can provoke the development of this “adult” disease.
In childhood pancreatitis occurs in three forms: acute, chronic and reactive.
Acute pancreatitis in children is manifested, as well as in adults, due to the violation of the outflow of pancreatic juice. On the outflow of juice affect:
- injuries to the abdomen;
- abnormal development of the pancreas;
- diseases due to infection with parasites;
- acute infectious diseases;
- chronic diseases of the stomach, intestines (gastritis, colitis).
Not only self-digestion provokes the development of pancreatitis in children, the causes of the disease are also:
- toxic damage to the pancreas by strong chemicals, poisons;
- malfunctions of the body due to hereditary predisposition.
Acute pancreatitis manifests itself in the form of pain (pain attacks) in the left side of the abdomen or in the center. Children cannot determine the nature of pain, so there are many problems with the correct diagnosis. After an attack, vomiting, dizziness, weakness and fainting are possible. Due to the strong toxic effect on the body, the baby may begin to hallucinate. It is also necessary to pay attention to the color of the skin (it becomes slightly yellowish), the tongue (a white coating appears on it). The inflammatory process provokes an increase in the body temperature of the baby.
It is problematic to diagnose acute pancreatitis in infants and children under the age of two years. They still can not independently tell about the nature of the pain. Often, babies cry, scream and shrink into a “ball”. Possible vomiting, fever, diarrhea.
It is imperative that the child be shown to a pediatrician, since symptoms may indicate the development of other diseases.
In children, chronic pancreatitis occurs rarely and occurs only after a neglected acute form or after reactive inflammation of the pancreas. The cause of chronic pancreatitis is the lack of treatment and the abnormal death of pancreatic cells after a severe form of acute pancreatitis.
The children’s pancreas actively responds to any manifestations of pathological processes by inflammation and swelling. Edema is replaced by a decrease in the activity of digestive enzymes. This phenomenon is called reactive pancreatitis. The cause of the development of this form of the disease are:
- inflammatory processes of organs adjacent to the pancreas;
- infectious diseases (viruses, bacteria, fungi);
- malnutrition of the child (lack of breastfeeding, fast foods, improper diet, consumption of unripe vegetables and fruits).
The chronic form in children develops in exactly the same way as in adult patients: abdominal pain in violation of the diet in pancreatitis, nausea after eating spicy, fatty foods, diarrhea, flatulence, deterioration of hair, nails, skin.
Reactive pancreatitis is treatable because the cells of the gland are damaged in a minimal amount. After eliminating the underlying cause of the disease, the work of the pancreas is normalized, and the child can return to the usual way of life. Of course, if you do not affect the course of the disease, it becomes chronic.
Reactive pancreatitis in children is manifested as follows:
- watery feces or chronic constipation;
- dull pain in navel.
Food for pancreatitis for children
Children’s diet is formed depending on the type of disease. In chronic pancreatitis, a small patient should adhere to the strictest diet at the stage of exacerbation of the disease, and when the pain syndrome subsides, you can switch to a sparing option. Unfortunately, the chronic form of pancreatitis requires lifelong dietary restrictions.
A strict diet for a period of one month is prescribed to a child with acute pancreatitis. Diet number 5 is the most effective nutrition system that allows you to completely get rid of a terrible diagnosis in five years.
Food should be treated very carefully, because small deviations delay the healing process.
Diet for reactive pancreatitis in children is observed for at least two weeks after an attack of the disease. In this case, do not limit the child too much. For complete cure, it is enough to adhere to the principles of proper nutrition of the age-appropriate baby.
Regardless of the stage of the disease, it is necessary to completely exclude from the menu:
- smoked and pickled foods;
- fast food;
- spicy, salty, fried;
- products with preservatives, flavors and flavor enhancers.
Diet for reactive pancreatitis in a child allows you to make the following diet:
|Breakfast||mashed potatoes with milk, boiled chicken|
|Snack||cottage cheese pudding, weak tea|
|Dinner||chicken soup, beetroot salad, boiled fish|
Diet for reactive pancreatitis is based on treatment table №5
In acute pancreatitis and attacks of the chronic form of the disease, the child must be hospitalized.
In the early days of the baby, they practically do not feed through the mouth, but use exclusively parenteral nutrition. On the second day, if there are no attacks of vomiting, you can give water to drink, but not more than one glass a day. If an attack of pancreatitis passes, then from the third day it is allowed to use thin porridge, mashed potatoes, compotes based on dried fruits, jelly. Gradually, lean soups, omelettes can be added to the diet, and with positive dynamics – boiled beef, chicken. From the second week on the menu, you can already safely include low-fat dairy products, fish and meat, boiled or steamed. A detailed nutrition system is selected by the attending doctor.
The child often does not understand the seriousness of the disease, it is difficult for him to endure so much time without sweets. You can make jelly from apples or bake a tender casserole. Absolutely all the food can be eaten only warm and small pieces. From salt and sugar for the first time it is better to refuse at all.
Diet for pancreatitis in children after a month allows the use of Adyghe cheese, baked meat and fish, cottage cheese, pasta. The list of permitted vegetables is significantly expanding: zucchini, carrots, cabbage, pumpkin, beets. Be sure to eat more natural dairy products. In porridge, you can add a little butter, and mashed – cream.
During remission, the menu for the child must be expanded depending on the improvement in his well-being. If the pancreas negatively perceives the newly introduced product, it should be immediately excluded. Gradually, the baby in a limited amount can be given freshly squeezed juices, seasonal vegetables, berries. An approximate standard diet for pancreatitis includes protein foods, liquid cereals and white poultry meat. For a while, you need to abandon the use of whole milk, but it is allowed to cook cereals and soups based on it. Small sweet tooth can occasionally be pampered with jam, marshmallows, marmalade.
In order for a therapeutic diet to be effective, you should stick to your food intake schedule — eat every 3 – 4 hours. Ensure that the child does not have long hungry breaks.
If the child eats in the school cafeteria, carefully study the menu of the institution. Undoubtedly, educational and preschool institutions adhere to the principles of dietary nutrition, but not everything that is offered in the dining room can be consumed by patients with pancreatitis.
Before sending a child to a kindergarten or school, an entry should be made in his card about the presence of pancreatitis and the need for special medical nutrition. Prepare a list with all foods that are prohibited for the child, and pass it on to the educator, teacher. Be sure to conduct an explanatory conversation with the baby so that he understands the seriousness of the disease and knows that it is possible to eat out. When a child understands the situation, it will be easier for him to stick to the diet without disruption.
The course of pancreatitis in childhood depends on the responsibility of the child. A diet for children with chronic pancreatitis is a platform for building a nutrition system for life.
The most popular diets and nutrition systems for patients with pancreatitis
Depending on the form of the disease, the patient is prescribed a diet with clearly defined restrictions and a list of permitted foods. In determining the nutritional system, the history, the reaction of the body to certain groups of products and the presence of associated diseases are taken into account. Pancreatitis rarely develops as an independent disease. Most patients suffer from gastritis, ulcers, hepatitis, gallstone disease, etc. This factor also needs to be considered when designing the power system.
Since 1920, the system of the therapist Pevsner has been considered the most advanced nutrition system. The doctor has developed 15 variants of tables for patients suffering from diseases of the intestines, stomach, pancreas, etc. The diet number indicates a specific diet, consisting of a specific list of foods. Each group of diseases has its own “table”. So, for example, in case of cardiac diseases, patients are prescribed Diet 10, and in case of kidney problems – No. 7.
Compliance with the number of the table and the disease displays a special table:
|Table №1||Ulcers and problems with the 12 duodenum|
|Table №2||Gastritis and colitis|
|Table №3||Bowel disease, gastritis|
|Table №4||Bowel disease, diarrhea|
|Table №5||Chronic diseases of the liver, gallbladder and ducts|
|Table №5||Acute diseases of the liver, gallbladder and ducts|
|Table №6||Gout, urolithiasis|
|Table №7||Chronic kidney disease|
|Table №10||Cardiovascular diseases|
|Table №12||Impaired functionality of the nervous system|
|Table №13||Acute infectious diseases|
|Table №14||Urolithiasis disease|
Recipes for each table are freely available on the Internet. Which of the diets is suitable for the patient can only be determined by the doctor, after conducting the necessary studies.
Diet №1 (table 1)
It is prescribed to patients with gastrointestinal problems. You can start a diet after two weeks after an acute pain attack. Medical nutrition is changed by a doctor only 5 months after achieving a stable remission.
Diet No. 1 puts forward the following requirements for the patient:
- the use of products that are inherent in the area;
- increase in daily calories to 2800 kcal (proteins – 100 g, fats – 100 g, carbohydrates – 400 g).
High calorie foods can adversely affect weight, so you need to add physical activity.
Diet for pancreatitis and gastritis allows you to use the following list of products:
- yesterday’s wheat bread;
- liquid porridge in a grated form;
- ground vegetable soup;
- boiled vegetables, fruits, dishes from them with added sugar;
- homemade sauces without the addition of hot, salty seasonings;
- fresh dairy products;
- mashed potatoes;
- lean types of fish, meat;
According to the allowed foods, diet number 1 offers the following menu:
|Dinner||mashed potatoes, vegetable soup, chicken breast|
|Snack||a glass of warm milk, crackers|
|Dinner||boiled perch, vegetable mix|
The combination of tables No. 1 and No. 5p is an excellent diet for duodenitis and pancreatitis.
A diet for pancreatitis with constipation suggests being wary of a large amount of fiber and bran, which provoke pain attacks. Diet #3 is based on eating soft, liquid foods that are low in starch and animal protein. Portions of the patient should be small – no more than 200 g.
The power system allows the use of the following products:
- bran, whole grain bakery products;
- vegetable soups based on chicken, fish broth;
- lean types of meat, fish;
- boiled chicken eggs, but not more than 1 pcs. in a day;
- non-acidic fruits and vegetables;
- vegetable, butter;
- milk, tea, coffee, dogrose broth, herbal infusions.
In no case can not eat white flour products, sticky dishes, pastries with cream, garlic, coffee, alcoholic beverages.
Approximate diet menu number 3:
|Breakfast||gray bread, salad (cabbage, cucumbers), sour milk|
|Snack||grated apple with kefir|
|Dinner||vegetable soup with meatballs|
|Snack||mousse with berries and pear|
|Dinner||baked fish, stewed cabbage|
Pevzner Diet for Pancreatitis (Table No. XXUMX)
This is a special nutrition system that is actively used during the treatment of diseases of the liver and biliary tract. Diet No. 5p is a modification of table No. 5, modified for patients suffering from pancreatitis.
Diet number 5 for pancreatitis is offered in several versions.
For patients with an acute form of the disease, diet No. 5b is suitable. Also, the menu of this table is attributed to patients during periods of exacerbation of chronic pancreatitis. The diet is prescribed after two days from the onset of the disease, after the end of curative starvation. During this period, the inflamed pancreas needs maximum rest.
With exacerbation of pancreatitis, it is necessary:
- completely eliminate from the diet foods that stimulate the pancreas, stomach;
- do not eat “heavy” dishes;
- remove from the diet products that damage the pancreas.
Throughout the day, the patient needs to eat small meals (200 g) every 2 hours (about 8 times a day). When cooking, products can be boiled or steamed. In the first days of the diet, the patient should be given food in crushed form.
The list of permitted products in the first version of the Diet №5п:
- rice, semolina, buckwheat, oatmeal, cooked in water or milk in proportions 50: 50. Cereals can also be used for cooking light soups;
- crackers, stale bread;
- boiled pasta from durum wheat;
- lean white meat (chicken, turkey, rabbit);
- skinny varieties of fish (zander, pollock);
- low-fat dairy products;
- vegetable and butter (no more than 5 per day);
- vegetables, fruits in processed form (mashed potatoes, jellies);
- chicken egg whites;
- herbal decoctions, fruit jelly and fruit drinks.
Patients are allowed to eat fresh warm meals without adding sugar, salt, seasonings. A week after the start of the diet, you can add sweeteners to the food. In no case, patients with pancreatitis can not eat semi-finished and finished products from supermarkets. The menu of this variant is used as a diet for hepatitis and pancreatitis.
The second version of the Diet №5 is intended for patients suffering from chronic pancreatitis after exacerbation subsides, during periods of remission. Power control allows you to maximize the work of the pancreas and prevent the exacerbation of the chronic form of the disease. The diet menu consists of foods rich in protein, vitamins and minerals to avoid the development of possible complications. The most terrible consequence of pancreatitis is recognized as diabetes.
The interval between meals should not exceed four hours. The volume of one serving, including liquid, is 500 g. This version of Diet No. 5 allows you to eat stews and baked dishes. At the moments of remission, the dishes must be crushed; in the normal state, it is enough to chew food thoroughly.
In addition to the products allowed in the first version of the diet, the range is significantly expanded:
- barley, barley, wheat cereals;
- fresh (young) legumes;
- lean pastries (cookies, bread);
- lean parts of meat, cleaned of fat, tendons and films;
- lean fish;
- boiled soft-boiled eggs;
- sweets (marshmallows, honey, marmalade, marshmallow);
- some salt and sugar (not more than 10 per day).
Regardless of the Diet #5 option, there is a list of foods that should not be consumed under any circumstances:
- alcoholic beverages;
- spicy seasonings and spices;
- fatty meat and offal;
- smoked products;
- sharp / sour vegetables and fruits;
- baked goods with bran, on the basis of puff pastry;
- fried foods.
During treatment should take into account the characteristics of the body and its response to certain products. Introduction to the diet of new dishes is carried out gradually without causing discomfort to the pancreas.
Sample menu for the day according to diet No. 5p for pancreatitis:
|Snack||protein omelette, weak tea|
|Dinner||mashed potatoes, boiled chicken breast|
|Snack||cottage cheese 0%, tea with milk|
|Dinner||boiled pike perch, vegetable puree|
|Late Dinner||a glass of yogurt|
Diet No. 5a is a special diet that allows you to reduce the load on the gallbladder, liver and pancreas. The diet for pancreatitis and cholecystitis is not very different from the entire cycle of table number 5. In addition to the main list of prohibited foods, it is forbidden to use:
- soy bean;
- processed cheese, cottage cheese;
Table No. XXUMX with minor amendments can be used as a diet for pancreatitis and colitis.
This is a diet for gallstone disease and pancreatitis. Difficulties may arise in patients with acute pancreatitis, since the treatment of cholelithiasis (cholelithiasis) involves the use of a large number of vegetables and fruits that irritate the pancreas.
With diet number 6, it is allowed to use:
- vegetarian vegetable soups;
- fruit puddings;
- fresh wheat and bran bread;
- chicken eggs;
- raw vegetables (at each meal);
- fresh fruits;
- vegetable oil;
- weak coffee with milk;
- juices, fruit drinks, kvass.
Table No. XXUMX is a sparing diet, so the restrictions are not too strict:
- cocoa, strong coffee;
- sorrel, spinach;
- margarine, butter.
At the first symptoms of the pathology of the biliary system, it is necessary to consult a doctor, as biliary pancreatitis can develop.
In cases where inflammation of the pancreas develops with other diseases, doctors combine different nutritional systems.
- Diet for pancreatitis and liver disease combines tables №5, №5а, №5п. The same recommendations are used by the diet for ulcers and pancreatitis.
- With cholecystopancreatitis, diet number 1 is prescribed, especially in cases where the gallbladder has been removed.
- The diet for gastroduodenitis and pancreatitis includes a diet of tables No. 2, No. 5p.
In addition to the dietary system of therapist Pevsner, short diets and fasting days are popular:
- Protein diet. The diet is made up of protein products (cottage cheese, egg whites, chicken breast), so the pancreas is not significantly affected. However, for a long time you should not eat only proteins, since during this period the kidneys are subjected to a double load. Experts advise alternating protein days with mixed days (adding complex carbohydrates in the form of cereals, pasta, dry bread). This diet can be used during a period of minor inflammation of chronic pancreatitis.
- Buckwheat diet for pancreatitis is recommended by many therapists and nutritionists as a method of cleansing the body. The course of purification should be carried out no more than once every three months.
One cup of buckwheat is poured with a liter of kefir and brewed for 12 hours. The resulting volume is divided into two equal parts, one of which is eaten for breakfast, and the second for dinner. Reviews of the diet indicate a positive trend in the treatment of pancreatitis.
Dieting at home is a major step on the road to recovery. From the patient’s self-discipline depends on his state of health and the ability to completely get rid of pancreatitis.
- Sources of
- “TVNZ”. – Diet for pancreatitis of the pancreas.
- Gastroenterological center “Expert”. – Nutrition for the prevention and treatment of pancreatitis.
- Multidisciplinary Clinical and Diagnostic Center – a subdivision of the Federal State Budgetary Scientific Institution NCN. – Proper nutrition for pancreatitis: diet for exacerbation of pancreatic pancreatitis.