The list of functions of the human pancreas includes the production of most digestive enzymes, without which the normal course of the vital processes of the gastrointestinal tract, as well as the synthesis of insulin, is impossible. When a malfunction occurs in the work of this organ, pancreatitis develops. This disease is inflammation of the pancreas, usually caused by stopping the normal excretion of enzymes.
Features of nutrition in acute and chronic pancreatitis
In the absence of pathologies in the body, enzymes enter the intestine, but due to pancreatitis they remain inside this organ, gradually starting to corrode its inner shell. Quite often, patients with pancreatitis develop intoxication, as a result of which intestinal particles and residues of enzymes enter the bloodstream. The acute course of the disease usually ends with surgery if therapy and diet do not give the desired results.
Chronic pancreatitis is usually caused by overeating, alcohol or drug abuse, the use of hormonal or estrogenic drugs, as well as existing diseases of the gallbladder and liver. With two types of this disease, gastroenterologists recommend adhering to a special diet for pancreatitis, which involves drawing up an approximate menu.
Acute pancreatitis: diet menu for one week
To normalize the condition of the patient's body, the nutritionist prescribes him special therapeutic nutrition in order to eliminate swelling and inflammation in the pancreas. In addition to treatment with drugs, short-term fasting is also prescribed, thanks to which surgery can be avoided. During fasting, gastric juice ceases to be produced and the activity of enzymes also decreases, which will help the damaged organ recover in a few days.
In the first days of such a fast, it is recommended to drink mineral medicinal water without gas, diluted green tea or rosehip broth in small portions several times a day. Drinking helps prevent dehydration, but after you finish your fast, you need to gradually switch to eating. In the presence of acute pancreatitis, a strict diet is followed, the menu for the week should be drawn up by a specialist. A standard 5-day diet includes the following foods:
- dry bread or wheat flour loaf;
- liquid jelly or fruit drinks;
- slimy rice or oatmeal broth;
- liquid mashed potatoes without adding oil;
- pureed cereals, for example oatmeal, rice, semolina or buckwheat;
- bread or crackers.
After 6 days, other foods and drinks may be included on the menu for pancreatitis. It can be black or green tea, sweetened with a small amount of sugar or honey with the addition of milk, beet juice with a small amount of mineral water. The list of allowed meals includes:
- steamed protein omelette;
- curd soufflé;
- minced or minced meat;
- liquid mucous soups;
- berry or apple mousse and jellies;
- mashed potatoes and vegetable puddings, steamed and oil-free.
Sample menu for pancreatitis for a week
The diet for acute pancreatitis should be quite strict, so the patient should adhere to the menu compiled for him for a week. An example of such a diet is presented below, but the exact list of dishes must be agreed with the doctor.
Liquid porridge based on rice or semolina, a fruit, for example, an orange, pear or apple, weak tea with the addition of honey.
Pumpkin puree, steamed fish or chopped chicken cutlets, rosehip broth.
Fish or beef broth, mashed potatoes, dry white bread, baked apple for dessert.
A small portion of cottage cheese and weak tea with the addition of honey.
A protein-based steamed omelette, a slice of dry white bread, vegetable puree.
Milk oatmeal, jelly or tea (green or black).
Apple puree mixed with cottage cheese.
Puree soup made from broccoli or cauliflower, steamed chicken meatballs.
Dry biscuits and green tea
Rice or ricotta pudding, jelly or tea.
Liquid porridge made from rice, green tea with a dry biscuit.
Baked apple with honey or cottage cheese.
Vegetable soup made from cauliflower, potatoes, peas or carrots paired with meatballs, made with dried fruit.
Pureed cottage cheese and weak tea.
Lean fish, baked or steamed.
A sample menu may include special recipes recommended for pancreatic pancreatitis. To prevent the condition from worsening, each of the components of an individual dish must be coordinated with a doctor or nutritionist, who usually advise themselves to prepare specific first and second courses, as well as special desserts.
Pumpkin and carrot puree
To prepare such a diet puree, you will need 400 grams of pumpkin and two carrots, they need to be peeled and cut into medium cubes. The vegetables are then boiled in boiling water until tender enough. After the end of cooking, the water from the pan can be drained completely or partially to obtain a thinner mass. Using a blender, you need to turn the vegetables into a homogeneous mass and serve.
To make a liquid puree soup, you need to take half a kilo of lean fish, for example cod, hake, zander or flounder, one and a half liters of water, a teaspoon of butter and 50 ml of milk. The fish fillets are cut into small pieces and boiled in water or vegetable broth until tender. Bring the preheated milk to the boil separately with the melted butter, sprinkle with the fish broth and add the fillets, then cook all together for a few minutes.
It is worth remembering that in the acute form of pancreatitis it is strictly forbidden to eat fatty and fried foods, foods that stimulate fermentation in the digestive tract, drinking alcohol, kvass, kefir and carbonated drinks.
Pancreatic inflammation menu
When it comes to the pancreatic pancreatitis diet and a rough menu, many gastroenterologists recommend adhering to the well-known diet No. 5, which is usually prescribed after improving the patient's condition in the acute form of the disease. Foods that are allowed as part of the diet can be safely included in the diet after fasting. Typically, such a diet is divided into two phases, each of which is different over time.
In the process of the first stage, you can only take mashed food for two weeks, after its completion, the patient is transferred to the second less strict version of the menu, it lasts at least six to eight months. At the first stage, you can eat unsalted liquid dishes with a predominance of carbohydrates, drink fruit drinks, juices, rosehip decoction with the addition of honey or sugar. Fatty, fried or salty foods are strictly prohibited.
After the fifth day of the diet, the calorie content should be gradually increased, but at the same time the fat intake should be limited. From the sixth to the ninth day of this diet, the total calorie content of the foods consumed per day must not exceed 1000 calories. After the tenth, the number of calories can be increased and the patient is transferred to the second diet option for pancreatitis for a week.
Nutrition for the chronic form of the disease
Pancreatitis often becomes chronic, it is in this case that special diets for pancreatic pancreatitis are more relevant than ever, thanks to which it is possible to completely normalize the state of the gastrointestinal tract. Characteristic attacks periodically occur due to improper diet, especially if the list of dishes includes forbidden foods, including boiled eggs, sweets, chocolate, milk, soda and other similar foods. Symptoms of the disease are bloating, noticeable heaviness after the next meal, frequent vomiting. Quite often, chronic pancreatitis provokes the onset of diabetes mellitus, especially in cases when the patient did not go to the doctor in time and did not start taking special medications.
A nutritionist or gastroenterologist must necessarily develop a special menu for pancreatitis for a week, which includes light and quickly digestible foods. It will be especially useful to drink mineral water without gas for two days, as well as a decoction of rosehip or weak weak tea. It is necessary to switch to a low-calorie diet as soon as possible, prepare meals with a minimum content of fats and carbohydrates. Food intake should be fractional, it is necessary to eat at least 5-6 times a day. The list of products that make up the menu for chronic pancreatitis must include:
- wheat rusks (purchased or prepared yourself);
- liquid vegetable or cereal soups;
- baked or boiled meat, including chicken, veal or rabbit;
- steamed lean fish;
- low-fat cottage cheese;
- unsalted and low-fat cheeses;
- semi-liquid and liquid cereals;
- vegetable puree and stew;
- cooked and grated fruit;
- light jellies, mousses and compotes.
An example of a menu and a list of prohibited dishes
The menu for chronic pancreatitis in adults and children must certainly be varied, despite the rather strict restrictions, while it is necessary to carefully monitor compliance with the daily routine and eat by the hour. Usually a weekly menu is drawn up by a specialist who also provides the patient with detailed instructions and advice, helps to choose suitable recipes for the dishes and talks about the properties of some products. It is worth paying attention to the approximate menu for pancreatitis, which you can focus on when drawing up your diet:
Oatmeal in milk, rosehip decoction.
Steamed chicken or beef, weak tea.
Carrot and pumpkin puree soup, steamed fish and tea.
Ricotta for baby food.
Stewed zucchini with carrots, boiled chicken breast, dried fruit compote.
A glass of low-fat kefir.
The pancreatic inflammation diet and rough menu also implies strict restrictions, as many foods can excessively stimulate gland secretion and gastric juice production. The list of prohibited foods includes:
- fatty meats and fish, smoked meats, sausages and canned foods;
- broths from meat and fish, as well as mushroom soups;
- cabbage soup, borscht, okroshka;
- fatty dairy products;
- fried and boiled eggs;
- all types of legumes, cabbage, radishes, onions, garlic, spinach, sorrel, aubergines, peppers and mushrooms;
- rich and flour baked goods, sweets, chocolate;
- coffee, strong black tea, cocoa, carbonated drinks.
Chronic pancreatitis recipes
Nutrition for pancreatic pancreatitis and the correct menu should be selected by a specialist, patients will have to master several new recipes that are ideal for normalizing the gastrointestinal tract.
Vegetable puree soup
To prepare it you need an unsweetened yellow or green pepper, 200 g of broccoli and cauliflower, 1 courgette. Cut the vegetables into cubes, add 1. 5 liters of water and cook until tender. Then you need to drain the water and mash with a blender.
To make a healthy diet marshmallow, you will need 1 kg of apples, diced and peeled, they need to be folded into a saucepan, covered with water and left to cook. After they are sufficiently boiled, you need to remove the pan from the heat, drain the water and cool the apples. Then they are mashed with a blender, the resulting puree must be squeezed out, and the excess juice is poured into a separate container. Then the juice is boiled separately in a saucepan until thickened, add 100 g of liquid honey and cook until a syrupy consistency is obtained. After that, the juice is mixed with mashed potatoes, spread the mass on a baking sheet and put in an oven preheated to 120 degrees to dry the marshmallow.
Recommendations of doctors
In most cases, a diet with pancreatitis and adherence to a strict menu for a week gives excellent results, since such a nutritional system has a very mild effect on the internal organs. According to doctors, according to the results of such diets, the work of the pancreas is stabilized, mainly due to a decrease in the concentration of gastric juice. Experts recommend completely eliminating alcohol during treatment and constantly adhering to a balanced and correct diet. In addition to improving the functioning of the gastrointestinal tract, thanks to the menu with inflammation of the pancreas and light foods, you can significantly reduce weight and improve the general condition of the body.