Proper nutrition for the treatment of pancreas

With unhealthy weaknesses in the diet, all organs of the human digestive system are susceptible to disease. The first organ to be affected is the pancreas. A diet intended for the acute phase of the disease can have the opposite effect. This type of nutrition presupposes rest, and also the most gentle organization of pancreatic function. For pancreatitis, a dietary diet is considered one of the main components of therapy. Specific tips allow you to remove foods that are not beneficial from your diet and correctly prepare acceptable foods.

nutrition for pancreas damage

General rules

A painful disease of the pancreas is called pancreatitis. The gland performs secretory work, producing glucose, glucagon, lipocaine. Its participation in digestion is aimed at the secretion of juice.

There are acute and chronic forms of pancreatitis. The acute manifestation is associated with the enzymatic self-digestion of the organ, and in serious situations, necrosis of its tissues and organs located nearby is formed.

The disease often appears as a result of taking medications; half of the cases occur due to the formation of cholelithiasis, while others are associated with excessive alcohol intake.

The chronic development of pancreatitis is considered to be long lasting and increasing, and can worsen. In the chronic phase of the disease, altered tissues of a persistent nature are capable of developing and causing exocrine inferiority. At the stage of formation, the painful phenomenon is represented by a restrained warehouse, and as the disease develops, the organ changes completely.

The main signs of the disease include:

• nausea;
• painful outbreaks;
• weakness throughout the body;
• diarrhea;
• flatulence;
• increase in temperature;
• rarely jaundice.

weakness throughout the body

When the pancreas hurts, based on the symptoms, a comprehensive treatment will be prescribed, an important component of which is diet.

A healing diet for the pancreas is important at all stages of the pathology. Patients at a severe stage of the disease are given infusion treatment and fed formulas using a tube. The diet for patients who have a mild to moderate course of the disease is considered significant in stages, which implies an imperceptible switch from a hunger strike to a full-fledged dietary meal under No. 5.

During an acute course, dietary food can suppress hyperfermentation of the organ, reduce stagnation in the channels and secretions of the stomach. Nutrition for inflammation of the pancreas allows you to improve the functionality of the gland, resume dietary changes and prevent recurrences of attacks.

After visiting a doctor with painful discomfort in the organ, at the appointment he will explain what diet is prescribed for diseases of the stomach and pancreas, what is useful for the pancreas during a given period of illness, what food to remove from the diet or reduce consumption.

If you follow proper nutrition for diseases of the pancreas, the organ will work as usual.

How long does the diet last for pancreatitis?

The timing of compliance with dietary rules for both adults and children depends on the type of illness. Treatment of the disease in its acute form must be carried out only inpatiently, and exacerbation of the chronic stage - on an outpatient basis. How long does the diet last for pancreatitis of the pancreas in the acute stage? The course of treatment takes approximately 2-3 weeks. The diet after discharge should be followed for at least six months.

A correct, gentle attitude towards the pancreas prevents future exacerbations of the disease and protects the patient from the onset of diabetes. If the inflammation has become chronic, then the person must follow the dietary menu for pancreatitis all his life. Even after the disease has entered the stage of stable remission, one should not delude oneself into the hope of a complete recovery.

Principles of diet for illness

The diet for inflammation of the pancreas is designed to relieve excess pressure on the damaged pancreas, for its speedy recovery.

When an acute period of pancreatitis develops, the pancreas requires complete unloading with the help of a hunger strike for 3 days. It is allowed to drink Borjomi mineral carbonated water up to 1.5 liters per day or rosehip decoction up to 2 glasses.

starvation

Then, if the pancreatitis is not severe, then for the first time the 1st method of Diet No. 5 is prescribed - mashed. It involves intake: proteins 60-80 g, fats 50-60 g, carbohydrates 200-300 g.

After the aggravation in the gland subsides, the patient is prescribed the 2nd method of Dietary Table No. 5 - not ground. In this table, it is important to follow it regularly throughout the entire period of pathology and its transition into a stable phase of remission. The purpose of the treatment table is to prevent recurrences of the pathology and its intensification, and to correct the changes that have appeared in the body.

When disease outbreaks subside and due to chronic diseases, the dietary table suggests:

• increased presence of proteins, so 110-120 g are required in the diet;
• strict limit on fat consumption - up to 70 g;
• cutting carbohydrates – up to 300 g.

Prepared dishes during the diet for pancreatic disease should be placed on the table, steamed, boiled, baked, to avoid irritation of the digestive organs.

Completely fried foods should be avoided. It is recommended to serve food warm, close to human body temperature.

What should you not eat if you have pancreatic disease? It is necessary to sharply limit the intake of carbohydrates that are easily digestible:

• granulated sugar;
• confectionery products;
• freshly baked products.

What can you eat if your pancreas hurts? The amount of protein consumed needs to be increased by 30%, the main amount that is replenished with animal protein. Regarding fish and meat, it is allowed to consume dietary ones. Take fish - low-fat, river fish. Eggs are cooked by steaming, soft-boiled.

soft-boiled egg

In case of inflammation of the pancreas, a diet of relatively fresh vegetables and fruits implies special caution with those that have coarse fiber, because it additionally loads the organs of the digestive system. For this reason, products of plant origin are consumed pureed to a puree consistency or crushed. Based on the patient’s condition, after some time this ban is lifted.

The energy value of the consumed products should be suitable for the daily needs of the patient, relative to his body weight, age and employment. The amount of calories is divided into 5 approaches, 3 of which are basic.

Eating in the evening takes place 2 hours before bedtime. This is important for the body to fully process the food eaten.

Nutrition for pancreatitis during exacerbation

Often, in the phase of exacerbation of the disease, the patient is admitted to the hospital, where the first thing he does is wash out his stomach.
Always, regardless of whether you are at home or in a hospital, in the first few days it is forbidden to eat any food, that is, for 2-3 days you can only drink water, purified non-carbonated, or alkaline Borjomi (you must first release the gas), called This stage of treatment is a zero diet. The daily volume of water should be no more than 1.5 liters (5-7 glasses). If the zero diet is extended for a longer period, then starting from the fourth day, various nutritional components are administered intravenously, and from the sixth to seventh day, liquid food is allowed to be introduced through a tube into the intestines.

After the symptoms subside and the patient’s general condition improves, certain foods and drinks are gradually introduced into the diet: porridge cooked in water; unsweetened compotes, jelly; puree soups.

Food can be eaten warm, it is strictly forbidden to be hot or cold, it must be prepared without adding vegetable or animal fat, contain as little protein as possible, and must also be liquid or semi-liquid in consistency, with a minimum calorie content.

When the patient’s well-being and condition have stabilized, you can expand your diet to vegetables, lean meats, fish, boiled or steamed potatoes; this stage of the disease no longer requires crushing to a puree state.

Principles of nutrition during exacerbation of pancreatitis and immediately after it:

• small, frequent meals, 5 to 7 times a day;
• small portion sizes;
• exclude alcohol, spices, sauces, oils, fried and dairy products;
• limit baking and salt;
• You can use a small amount of yesterday’s, or better yet, the day before yesterday, dried bread.

And also, the body needs competent medicinal support to quickly restore the overall strength and functionality of the pancreas.

Varieties

If there are problems in patients who are sick with a chronic form of pancreatitis, clinical symptoms of the formation of diabetes, the diabetic table can be adjusted, taking into account the altered carbohydrate process, approaching the maximum to a normal diet. In these situations, Dietary Table No. 5P/9 is prescribed, which includes foods that are excluded from the table:

• promoting flatulence and fermentation in the stomach - cabbage, beans;
• products formed during frying;
• having a large volume of essential oils, and foods that irritate the mucous membranes - garlic, pepper, onion.

Dietary treatment in the presence of diabetes mellitus is similar in nutrient structure and energy value to the 5P diet, but the latter is more gentle.

dietary food

Regarding the nutrient structure, the treatment tables 5P and 5P/9 are identical.

It is necessary to eat 5-6 times a day, removing simple carbohydrates from the intake, more than 50% of fats are vegetable fats.

Thanks to multiple meals in diseases of the pancreas, the relationship between the presence of glucose in the circulatory system and the insulin ratio is equalized.

Diet for pain in the pancreas up to 50% of the daily energy requirement is covered by carbohydrates. For this purpose, sugar substitutes are used, taking into account individual intolerance.

1. Xylitol.
2. Sorbitol.
3. Saccharin.
4. Aspartame.

Products containing heavy carbohydrates are introduced into the diet:

• bread;
• cereals, vegetables;
• fruits and berries;
• The intake of vegetables and fruits, which contain from 5 to 10 g of carbohydrates, is limited.

introduction of fruits and berries into the diet

A special table has been developed that contains the necessary information. When using it, the patient is guided in the selection of products. The presence of fats in the diet of such patients is reduced relative to the norm, due to the refusal of fats and products that contain a large amount of cholesterol - goose, duck.

Dietary table 5P/9 includes a complex of vitamins in the required volume, namely vitamin B1, which can actively contribute to metabolic processes, micro and macroelements.

Sample diet for a week

Composing the correct menu for every day in case of pancreatic disease seems to be an important task. Taking into account all the wishes and recommendations of the diet, a sample menu can be compiled as follows:

1. Breakfast #1 is the first meal of the day, so it should be nutritious enough to provide the body with energy for the first half of the day. The main dish is porridge cooked in milk or water, always well boiled. Breakfast can be supplemented with a dish based on cottage cheese, for example, cottage cheese casserole or steam omelet. If desired, variety can be added with fruits - fresh or baked, dried fruits.
2. Breakfast No. 2 complements the first breakfast. This is a “planned snack” that doesn’t have to be heavy. You can eat yogurt or other fermented milk product with fruit, such as a baked apple.
3. Lunch is the second main meal of the day, providing the body with energy for the second half of the working day. The basis here is cereals and vegetables, supplemented with milk sauce, fish or meat dishes prepared according to dietary recommendations.
4. An afternoon snack helps you get through from lunch to dinner. It should be light. An afternoon snack can consist of compote, jelly, medicinal rosehip decoction with homemade cookies or crackers.
5. Dinner is the last meal of the day. To ensure that food has time to digest before going to bed, the calorie content of dinner should be about a third or half of the main meal. Cottage cheese, tea, salads made from raw or boiled carrots and other vegetables, which can also be steamed, are suitable here. Dinner can be based on milk or porridge, fruit dishes.

Diet for pancreatic diseases plays a major role in recovery. The diet should be balanced, well thought out and tasty. Then you won’t have to wait long for positive results.

Indications

The diet for the stomach and pancreas includes these types of healing foods.

1. 5P is the first method, prescribed when there is an acute manifestation, when there is an exacerbation of chronic pancreatitis. The duration of such a table is up to a week.
2. 5P is the second method, this table is prescribed after 7 days and until complete remission.
3. 5P/9 - prescribed if symptoms of diabetes appear in the presence of chronic pancreatitis.

It is worth considering what the pancreas likes and dislikes when pancreatitis changes. Although most of the usual products need to be eliminated from the everyday table, at home, with painful discomfort in the gland, the diet can be diversified by combining dishes and methods of preparing them.

nutritional consultation with a doctor

Diagnosis of pathology

If symptoms of pancreatic dysfunction appear, you should consult a physician. The doctor will conduct an initial examination, based on the results of which he will refer you to a gastroenterologist or endocrinologist.

The initial examination to determine the dysfunction of the entire pancreas includes:

• a general blood test to detect anemia;
• biochemical analysis assessing the condition of the pancreas based on the content of enzymes and glucose;
• coprogram that reveals dysfunction of the stomach and duodenum, colon;
• Ultrasound examination of the abdominal cavity, revealing concomitant pathology of the gallbladder and liver.

Symptoms of the disease will help you recognize the presence of pancreatic pathology. First of all, the disease is indicated by pain localized in the upper zone of the abdominal cavity. The pain syndrome can appear constantly or have a certain periodicity. The occurrence of discomfort is associated with the increased activity of the enzymatic components of this organ, which attack their own cells.

Pathological conditions of the pancreas are in close relationship with lesions of other organs of the digestive tract, liver and bile ducts. The most common pancreatic disease is pancreatitis.

With any damage to this organ, changes occur in its functioning. There is a disruption in the outflow of pancreatic juice, which enters the digestive canal. The result of this phenomenon is a disruption of digestive processes that do not proceed properly. Therefore, the body suffers from a lack of necessary components.

To alleviate the patient's condition, he is prescribed medications. However, if you do not adhere to the necessary therapy and do not follow a strict diet, the disease can become chronic, and over time even cause more serious changes, such as malignant neoplasms.

For patients suffering from pancreatitis or other pancreatic pathologies, a special strict diet No. 5 is prescribed. The main goal of such a measure is to reduce the load on the affected organ, correct impaired metabolic processes and supply the body with missing micronutrients.

Authorized Products

To reduce the pressure on the organ, therapeutic nutrition is attributed, it introduces dishes that can be eaten with inflammation of the pancreas. This table is aimed at preventing the formation of individual problems and normalizing the condition. It is based on the fact that foods for the pancreas with an increased presence of proteins - up to 130 g, in addition to foods that are rich in potassium.

What foods does the pancreas love?

1. In terms of meat, the table is replenished with turkey, chicken, lamb, and lean veal.
2. For fish, you can eat perch, cod, and pike perch.
3. Bird.
4. Flour products – bread, crackers, biscuits, regular bagels.
5. Dairy products – you can have 30% hard cheese, 1% milk, 0% yogurt.
6. Drinks – banana juice, strawberry juice, dried fruit compote.

In the therapeutic diet, useful foods for the pancreas include semolina, oatmeal, buckwheat and rice porridge, prepared in water.

Then they are ground and can be diluted with milk and water to achieve a semi-viscous consistency. If you prepare porridge using buckwheat and rice flour, the cooking process will be simplified.

dairy

What else can you eat if you have inflammation of the pancreas? Boil and puree potatoes, zucchini, cauliflower, carrots and other approved vegetables. Make steamed puddings from carrots and pumpkin. If we consider how many carbohydrates are in these vegetables and their nutritional value, then zucchini has fewer carbohydrates, as well as nutritional value - carbohydrates 5.99 g, calories 30.56 kcal. Vegetables, for example, such as cauliflower 4.72 g / 33.99 kcal, carrots 12.06 g / 41.07 kcal, potatoes include - 19.81 g / 85.57 kcal. After some time, it is allowed to include peeled tomatoes and grated cucumbers in the table.

Soups are prepared using vegetable broth, to which finely chopped vegetables or well-cooked acceptable cereals are then added. To season soups, use butter, cream, and sour cream.

From fermented low-fat milk products, milk is chosen, which is recommended to be added to food, since patients tolerate whole milk worse. It is also allowed to eat low-fat cottage cheese and make puddings and casseroles. If a person has a calcium deficiency, then it is better to fill the deficiency with calcined cottage cheese. Sour cream is used as a seasoning. Cheese is introduced into food grated.

Meat products are replenished with beef, rabbit, and chicken. It is allowed to eat meat dishes only as soufflés, meatballs, meatballs, and steamed cutlets. You can eat cooked rabbit and chicken meat in pieces.

It is allowed to prepare sauces using vegetable broth, seasoned with sour cream and milk. From fruits, the patient’s table with gland pathology is replenished with marshmallows, mousse, jelly, and jam. In a limited amount, it is allowed to eat berries with fruits that need to be ground in advance. Steam omelette and other dishes and side dishes are also allowed.

jelly

Eating right

In case of acute inflammation of the pancreas, the patient's menu may include the following foods:

• slimy soups from cereals (except millet) in weak vegetable broth or water;
• steamed cutlets, with minced meat made from any non-fat meat;
• dishes from lean fish in the form of soufflé;
• steamed omelet or soft-boiled eggs (no more than 1-2 eggs per day);
• milk in various dishes (pure milk is not allowed);
• fresh cottage cheese or in the form of steam puddings;
• vegetable side dishes in the form of puree;
• baked apples (except Antonov apples);
• weak tea, rosehip decoction, Borjomi;
• from sweets - jelly, compotes, jelly with sorbitol and xylitol.

Fatty meats and fish, high-quality vegetable broths, fried foods, raw fruits and vegetables, onions, radishes, cabbage, sorrel, radish, spinach, rutabaga, lettuce, smoked and canned foods, ice cream, rye bread, alcohol, are completely excluded from the diet. carbonated drinks, spices and herbs.

The patient's menu may include the following products:

• vegetarian soups (except cabbage), cereal soups (except millet) with a small amount of sour cream or butter;
• unhealthy cookies, dried out or yesterday's bread;
• lean meat, poultry, fish - in any form, just not fried;
• non-sour homemade cottage cheese, non-sour kefir;
• cheese of the “Dutch” or “Russian” varieties;
• unsalted butter, vegetable oil (refined);
• semi-viscous cereal porridges;
• non-acidic grated or baked apples;
• homemade noodles cooked in water or 50% to 50% water with milk;
• vegetables: grated beets, carrots, etc.;
• compotes and jelly without sugar;
• weak tea with lemon, decoctions of blackcurrant and rose hips, juices without sugar, preferably diluted with water.

Fully or partially limited products

If you have pancreatic pathology, you should not eat foods that increase the production of enzymes that break down food. This leads to the fact that the enzymes produced by the stomach are released in large quantities, causing the gland to become inflamed and painful. Among the foods that are harmful to the pancreas are soups that are cooked with meat, mushroom, or fish broth, as well as okroshka, beetroot soup, and borscht. And also excluded from the diet:

• meat - pork, lamb;
• duck;
• salo;
• smoked products;
• conservation;
• sausage products;
• fish – salted, fatty varieties;
• freshly baked bread.

What else the pancreas doesn’t like from food:

1. Strong tea.
2. Whole milk.
3. Fried pies, pancakes, pancakes and cheesecakes.
4. Fat cottage cheese.
5. Chocolate.
6. Cocoa.
7. Coffee.
8. Cranberries.
9. Spinach.
10. Salad.
11. Turnip.
12. Radish.
13. Vegetables and fruits in raw form. Fruits that contain simple carbohydrates that can lead to bloating - banana, grapes, dates.

giving up coffee

It is unacceptable to eat the following food if you have pathology of the pancreas: chicken eggs that are hard-boiled or fried, exclude flour and confectionery sweets, green onions, garlic, soda, ice cream, any type of dough, completely exclude fatty cheeses, cold dishes.

It is allowed not to completely exclude certain familiar foods for the pancreas from the diet, but only to limit their intake.

1. Salt – up to 10 g per day is allowed
2. Butter.
3. Egg yolks – 2-3 pieces for 7 days.
4. Millet groats.
5. Sugar.
6. Jam.
7. Sweet pastries.
8. Vanillin.
9. Cinnamon.

Strictly prohibited

With the development of any diseases of the pancreas, it is necessary to ensure the mandatory exclusion of products containing essential oils, acids, as well as substances that can activate increased production of pancreatic juice.

Fried, salty, spicy, pickled, and fatty foods are strictly contraindicated.

It is necessary to remove from the diet:

• the presence of fatty meat and fish broths, okroshka, mushroom soup, sour cabbage soup;
• fatty types of meat, fish, offal;
• smoked sausage;
• caviar, pates, canned food, lard;
• fried or hard-boiled eggs;
• fresh bread, baked goods;
• various seasonings, spices, horseradish, mustard;
• onions, garlic, rhubarb, sorrel, mushrooms;
• chocolate products, coffee, cocoa, confectionery;
• any alcoholic products.

Only by eliminating all of the listed products from consumption can you count on a speedy recovery.

There are broths, lamb, pork, smoked, fried and fatty foods, sausages, canned foods, caviar, pickles and marinades, mushrooms, sorrel, cabbage, radishes, lettuce, turnips, spinach, legumes, raw fruits or vegetables, cranberries, spices and spices, coffee, chocolate, cocoa, strong tea, baked goods, carbonated drinks, alcohol, ice cream, cold and hot dishes.

All food must be at room temperature. You don’t need to strictly follow a diet all your life, but following it for a long time is a must.

Power Mode Menu

The menu, on the advice of a doctor, for pancreatic disease is drawn up for 7 days, so that this week includes a complete list of required products. The volume of daily calories and the hour of food consumption are taken into account.

planning a diet

The main menu is designed to eat 5 times a day. If the menu is chosen correctly, after 14 days the inflammation in the pancreatic gland will go away and its normal functioning will be restored. The patient will feel much better, the disease will recede.

In case of prolonged remission of pancreatic pathology, a general dietary table will help.

To prevent acute attacks, exacerbation of pancreatic pathology, such a diet is adhered to throughout life. Diet for the pancreas, menu for the week.

On Mondays.

1. Breakfast - oatmeal, steamed omelette, jelly cooked with dried fruits.
2. Second breakfast – boiled pumpkin, pureed, rosehip drink.
3. Lunch – pearl barley soup, beef pate, tea.
4. Afternoon snack – vegetable puree, fruit juice.
5. Dinner – grated buckwheat porridge, diluted with milk, pike perch baked in the oven, kefir.
6. The second dinner is jelly.

On Tuesdays.

1. Breakfast - rice porridge cooked in water, meat dumplings, unsweetened tea.
2. Second breakfast – curd pudding, drink with fruit.
3. Lunch – buckwheat soup with vegetables, boiled chicken fillet, boiled carrots, tea.
4. Afternoon snack – curdled milk with biscuits.
5. Dinner – semolina, plum drink.
6. The second dinner is rosehip decoction.

rosehip decoction

On Wednesdays.

1. Breakfast – curd pudding, rice porridge, strawberry drink.
2. Second breakfast – omelet with jelly.
3. Lunch – oatmeal soup, boiled fish and carrots, sour milk.
4. Afternoon snack – cookies, weak tea.
5. Dinner – mashed potatoes, steamed chicken cutlet, jelly.
6. Second dinner - kefir.

On Thursdays.

1. Breakfast – semolina with water, cheese, apricot juice.
2. Second breakfast – carrot soufflé, rosehip infusion.
3. Lunch – oatmeal soup and boiled pumpkin, baked apples, kefir.
4. Afternoon snack – bagels, compote.
5. Dinner – boiled carrots, fish fillet dumplings, currant broth.
6. The second dinner is milk jelly.

On Fridays.

1. Breakfast - buckwheat porridge with water, calcined cottage cheese, peach drink.
2. Second breakfast – steamed egg white omelette, compote.
3. Lunch – vegetable soup seasoned with sour cream, chicken meatballs, noodles with a piece of butter, boiled beets, tea.
4. Afternoon snack – cookies, dried fruit decoction.
5. Dinner – vegetable stew, fish fillet with sour cream sauce, milk jelly.
6. Second dinner - kefir.

vegetable stew

On Saturdays.

1. Breakfast - carrot cheesecakes, oatmeal porridge with milk, plum drink.
2. Second breakfast – bagels, compote.
3. Lunch – vegetable soup, boiled chicken, rice porridge, fruit drink.
4. Afternoon snack – cottage cheese, jelly.
5. Dinner - boiled zucchini and pumpkin, pureed, meat cutlets, semolina with milk, tea.
6. The second dinner is yogurt.

For Sunday.

1. Breakfast - noodles, boiled piece of meat, boiled pureed carrots, juice.
2. Second breakfast – fruit jelly, cottage cheese casserole.
3. Lunch – soup with dumplings, vermicelli, meat roll baked in the oven, compote.
4. Afternoon snack – crackers with tea.
5. Dinner - rice porridge with butter, fish fillet dumplings, tea.
6. The second dinner is acidophilus.

Diet for acute pancreatitis for 10 days

The goal of therapeutic nutrition for acute pancreatitis is to relieve swelling, inflammation and infection from the pancreatic duct. To do this, in a hospital setting, drug treatment with enzyme preparations, antispasmodics, plus complete fasting for several days is used to avoid the use of surgery. Hunger is necessary to stop the production of gastric and pancreatic juices and to reduce enzymatic activity due to the lack of food in the esophagus. During this time, the gland will be restored.

In the first days of an exacerbation, you need to fast, you can only drink mineral water with alkali, but without the presence of gas, for example, “Borjomi”, “Essentuki” No. 4, No. 20, “Slavyanskaya”, “Smirnovskaya”, weak green tea or rosehip decoction . The drink should be taken 4-5 times a day, 200 ml. Water will eliminate intoxication of the body and prevent dehydration along with the use of parenteral nutrition - installing droppers with sodium chloride and glucose 5%.

They come out of hunger on days 2-3-4, trying to eat for a day:

• dried wheat bread or loaf (unsweetened) - 50 g/day;
• jelly, fruit drinks (it is better to prepare them from cranberries or black currants);
• continue to drink at least 2.5 liters of liquid, including currant or cranberry juice with mineral water (2:1) without gas, as well as various decoctions (for example, rose hips).

If symptoms of acute pancreatitis do not occur again, add to the diet for 3-5 days:

• salty slimy rice or oatmeal broth;
• liquid mashed potatoes without oil;
• semi-liquid jelly or jelly from juices;
• liquid porridges: oatmeal (read our article: 3 recipes for oatmeal), semolina, buckwheat, rice (everything is prepared in water or milk, everything needs to be ground or chopped with a blender);
• cracker;
• dried bread.

Important nutrition rules! Daily calorie intake is 600-800 calories, daily protein intake is 15 g, up to 200 g. – carbohydrates (you can add honey to your diet). Fats are prohibited.

On days 6-8 you can eat:

• steam omelette made from whites
• low-fat cottage cheese soufflé;
• steamed meat (necessarily chopped or ground through a meat grinder/blender)
• slimy cereal soups;
• jelly or mousse from apples, pureed berries without skin;
• vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
• vegetable puddings (steamed);

You can add liquids - green or black tea (not strong), add sugar or honey - 1 tsp each, or tea with milk, beet juice 50 ml / day with mineral water. Calorie content is increased to 1000 calories per day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fats. At night you need to drink a glass of water with honey, raisins (1 tsp), prunes (2-3 pcs.) or yogurt to prevent constipation.

From the 10th day after the attack, you can increase the calorie content by more than 1000 cal/day, up to 300 grams. – carbohydrates, up to 60 g. – proteins, up to 20 g/day – fats. Continue to eat pureed unsalted food.

Sample menu

Below is a menu for several days; you can create a similar diet yourself based on the list of permitted foods.

Dish recipes

You can use diet No. 5p after an acute attack of pancreatitis (read about diet Table 5) and follow it for a year. Food is eaten pureed, without salt; proteins can be increased - up to 100 g, up to 40 g. – fats, up to 450 gr. - carbohydrates. Be sure to follow the recommendations and regimen prescribed by your doctor!
Recipe for a rose hip drink:
For the decoction you will need 0.5 kg of dried rose hips and 4 liters of water. Rinse the rose hips, add water, and let the drink steep for 4 days. There is no need to cook the infusion; the rose hips should be infused in water at room temperature. This drink contains vitamin C. Attention! Since the drink is sour, consult your doctor before taking it.

Puree fish soup:

For the soup you will need 0.5 kg of fish (it is advisable to take boneless fillets, cod, pike, pike perch), 1.5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. butter.

Cut the fish, add water or broth to the pan, and cook until tender. Remove the fish from the pan and grind using a blender. Heat the milk a little in a saucepan and add butter to it; as soon as the butter has melted, add the broth, bring to a boil, but do not boil. Add fish, cook over low heat for just a couple of minutes. Salt can be added only if your doctor allows it!

Carrot-pumpkin puree:

For this delicious dish you will need pumpkin (300-400 g) and carrots. Peel the vegetables, cut into 1.5-2 cm cubes. Boil until ready. Drain the water, reserving a little if you want the puree to be thinner. Grind using a blender. The puree is ready!

Forbidden

for acute pancreatitis use:

• alcohol;
• eat fatty or fried foods;
• eat any fats and foods that cause bloating: legumes, bran, white cabbage, turnips, rutabaga, peel/skin of fruits and vegetables, unripe fruits, berries or vegetables;
• carbonated drinks with fermentation reactions: kvass, kefir.

Recipes

Doctors believe that in order to lead a healthy lifestyle, you need to eat right, excluding fatty and fried foods if you have a disease of the pancreas. The following recipes are allowed to be included in the diet for pancreatic pain.

Cream soup with milk and chicken fillet

The chicken is boiled, the meat is minced using a meat grinder, and then ground. Mix the thick mixture of boiled rice with the prepared meat and add salt to taste. Then boil the soup. Season the cooled soup to 80 degrees with a mixture of eggs and milk. Then add butter.

Cream soup

Baked fish fillet

For the dish you need:

• fish – 500 g;
• chicken broth - a tablespoon;
• boiling water - a glass;
• flour - 3 large spoons;
• low-fat milk - a glass;
• salt;
• paprika;
• pepper.

A filleted piece of fish is placed in a baking vessel and seasoned with spices. Then the broth is mixed with water, flour, then milk is added and everything is mixed. Next, the fillet is poured with sauce and baked in the oven for 30 minutes at 250 degrees.

How do pancreatic diseases manifest?

The most common disease that affects the pancreas is pancreatitis (usually chronic). It often occurs after acute pathology and is characterized by alternating exacerbation and remission. The disease is characterized by inflammatory damage to the pancreas, changes in secretory function, compression of adjacent organs and blockage of the ducts. The result is a serious malfunction of the intestines and all organs.

During an exacerbation, pancreatitis manifests itself in the form of pain, nausea, vomiting, and lack of appetite. It’s not just that the person doesn’t feel like eating, it’s just that it’s very difficult for him to walk, lie down, and sit.

An attack can only be relieved in a hospital with the help of IVs, injections, a strict diet and medications. In no case should you ignore the symptoms, since medical care not provided on time can result in dire consequences.

For children

What can you eat when your child’s pancreas hurts? The children's diet is almost the same as that of adult patients. In young patients, the time for aggravation of the pancreas often passes faster. In case of pathology of the pancreas, therapeutic nutrition still remains for a long period and is suitable for the age category of the patient.

At the appointment after the prescribed diet for the pancreas, the doctor will tell you what can and cannot be given to the child when the organ hurts.

pediatrician

The dietary table for a child with pancreatic disease largely includes soups, as well as carefully boiled porridges. Cooking takes place with diluted milk or using water. Pureeed vegetables and baked apples are better suited for a child’s body. Fats and sweets should be kept to a minimum. Dishes made from meat products should be light.

Chronic pancreatitis - eat right

In case of chronic inflammation of the pancreas, diet is one of the constant therapeutic factors that can prevent exacerbations, complications and progression of the disease.

In case of chronic pancreatitis, easily digestible carbohydrates, which are contained in such products as candies, sugar, honey, any jam, carbonated sweet drinks, as well as fatty foods, are not allowed in the patient’s diet, since if the functioning of the pancreas is disrupted, the absorption of fat is impaired.

All food should be prepared pureed, steamed or baked. Large meals are prohibited. The principle of nutrition should be this: little, but often.

First meal

Prohibited foods and diet violations

Allowed and unhealthy foods are determined by the doctor. You should not rely on personal judgment to make adjustments to your diet. If the patient wishes to change the composition of meals in the diet, it is necessary to first consult with the attending physician.

Prohibited foods are poorly digestible for pancreatitis. This includes alcohol, coffee, soda, chocolate, mushrooms, pastry products, and legumes. Marinades, fried, smoked, spicy, sour, fatty foods should be excluded from the diet.

If you do not follow the diet, there may be consequences in the form of bleeding, thrombosis, jaundice, tumors, diabetes, and organ damage. In case of particularly severe violations, death occurs.

Forms of pancreatitis and diet

Pancreatitis comes in different types. They are classified according to the causes of occurrence, the degree of loss of function by the gland, and the possibility of restoring the damaged organ. In a simplified version of the classification, three types of inflammation are considered.

Classification of pancreatitis

• spicy. Inflammation of the gland with hemorrhages and necrotic processes occurs due to the fact that the organ begins to digest itself with pancreatic enzymes;
• chronic. With chronic pancreatitis, the pancreas loses the ability to produce digestive enzymes and hormones;
• reactive. The inflammation is caused by spasm of the pancreatic duct.

Which diet table is suitable?

Among the variety of dietary options from the Pevzner classification, for a diseased pancreas, subtypes of tables No. 4 and No. 5 are used. Table No. 4g - used when exacerbation of chronic pancreatitis is combined with intestinal pathology. It is prescribed in the attenuation phase of acute symptoms of pancreatitis immediately after a “starvation” diet, with severe intestinal dysfunction (pain, diarrhea), when it is too early to switch to a typical table No. 5.

Allows vegetarian liquid pureed soups (pumpkin, zucchini, cauliflower). Patients are recommended to eat sweet berries and fruits in a pureed state without skin; a little honey is allowed if there is no hypersensitivity and the product is well tolerated.

Table 5p is also indicated during the transition period, but in the absence of severe intestinal damage. Provides for a reduction in the amount of fats and carbohydrates in the diet, but an increasing proportion of protein products. Any fruits and berries, honey are not allowed. To prepare jelly, sorbitol and xylitol are used. In the remission phase, the patient is transferred to the classic table No. 5.

Patients with pancreatic disease have to follow dietary nutrition throughout their lives.

Diet for pancreatic disease: the most useful foods

In cases where a person is faced with the risks of an inflammatory process, it is necessary to understand which products are most beneficial for a given organ.
Modern practice involves the use of a fairly strict diet in the presence of pathologies of this gland, however, in a real situation, from acceptable components you can prepare a large number of delicious dishes that can create a balanced diet every day.

Pancreatitis and its signs

When we eat right, the amount of enzymes secreted is normal.
If there is a malnutrition, smoking, or alcohol abuse, the gland becomes inflamed. Enzymes, lingering in its ducts, begin to destroy the organ itself and, entering the blood, cause intoxication. This unhealthy condition of the pancreas is called pancreatitis. Symptoms:

• pain. The appearance of intense pain that causes cutting sensations. If medical assistance is not provided promptly and pain is not relieved, a person may experience painful shock. Depending on the affected area, it may hurt in the hypochondrium on the right or left. If the entire organ is inflamed, then the pain has a girdling character;
• complexion changes. First, the patient turns pale, and then the skin acquires a grayish tint;
• a rash appears on the skin;
• bowel dysfunction (diarrhea or constipation);
• the appearance of nausea, vomiting;
• severe bloating;
• the heart rate increases and shortness of breath may occur;
• Blue spots may appear in the navel and lower back area. This indicates that blood from the inflamed gland has penetrated the skin of the abdomen;
• temperature increase;
• low or high pressure.

What to give up

Fatty types of meat, fish, rich broths and jellies are strictly prohibited. As for dairy products, you should avoid glazed curds and sharp cheeses. It is also better to replace village cottage cheese with less fat one.

Fried or hard-boiled eggs should be completely excluded from the diet. Raw vegetables are allowed in limited quantities and only during the period of remission. Turnips and radishes, radishes and horseradish, garlic and raw onions, sweet peppers, beans and mushrooms - all this, alas, is prohibited.

Sour (oranges) and too sweet (dates, grapes) fruits should also be excluded from the diet. You'll have to get used to the idea that pastries, cakes and ice cream, chocolate and nuts are not treats for you.

Causes of the disease

In most cases, the causes of pancreatic disease are associated with alcoholic beverages. Moreover, it does not matter what was drunk the day before: expensive vodka or homemade wine. People are used to thinking that alcohol puts the main burden on the liver, which leads to cirrhosis, but up to a certain point it copes with alcohol with the help of its enzymes.

The following factors are also considered to be the causes of organ inflammation:

• Diseases of the biliary tract. When bile is thrown into the pancreas, special substances accumulate, which activate the gland’s own enzymes, creating tissue swelling, damage to blood vessels and various hemorrhages. If you do not take into account alcoholic pancreatitis, then this form of inflammation accounts for 70% of all pancreatic diseases.
• Formation of stone or sand. In the pancreatic duct, under the influence of improper nutrition, stones often form, which, when released, block the duct, causing inflammatory processes in the “pancreas”.
• Diseases of the duodenum or stomach. A stomach ulcer, gastritis or any other inflammation of the gastrointestinal tract contributes to the release of unprocessed intestinal contents into the pancreatic ducts, which leads to an exacerbation of pancreatitis.
• Hypertension, diabetes mellitus, atherosclerosis, pregnancy. In these cases, normal blood circulation is disrupted, limiting the nutrition of the pancreas, developing inflammation.
• Chemical or food poisoning. In case of poisoning with alkalis, acids, toxins, intoxication or helminthic infestation, pancreatic enzymes are activated, which often leads to pancreatitis.
• Uncontrolled use of medications. Some medications activate gland enzymes, so they must be taken strictly under the supervision of a doctor.
• Binge eating. If fat metabolism in the body is disrupted with a tendency to overeat, then the risk of pancreatitis increases significantly. Especially if a person abuses fried, fatty and spicy foods.
• Wounds or injuries to the abdomen. With wounds, blunt trauma or unsuccessful surgical interventions on the gastrointestinal tract, the risk of developing acute inflammation of the organ increases.
• Infections. Chronic hepatitis, chicken pox, liver failure, tonsillitis, mumps, purulent processes in the abdominal cavity, intestinal sepsis or dysentery increase the risk of pancreatitis.
• Genetics. Genetic disorders often cause inflammation of the pancreas in a child immediately after birth.

Basic principles of a diet designed to treat the pancreas

During the day, have 4-5 meals at approximately the same time interval. It is better to eat at the same time every day. To adhere to this fundamental principle, it is better to prepare food in advance and carry it with you in containers if you know you will not be home at the right time.

Dishes are steamed, bleached vegetables and soups are boiled. In the first half of the day, most of the calories are consumed; in the evening, food should be low-calorie and easily digestible. When cooking, no herbs or spices are added; a minimal amount of salt is added.

When choosing products and menu dishes, the main emphasis is on protein foods (meat and fish), and the consumption of fat is kept to a minimum. When serving, check the temperature of the dish; it should not be hot or cold. The human body temperature is most favorable for consumption.

Important! You need to stick to the diet for life. Compliance with the rules of the dietary menu should become a kind of credo for you in life. Even without an exacerbation, there is a risk of inflammation progression.

Methods for relieving inflammation and treating pancreatitis

How can you tell if you are developing this disease?
First of all, it is important to remember that any pain is a reason to see a doctor. Especially if it appears regularly. Pancreatitis is a serious disease characterized by severe attacks. Most often this happens after eating. Localization of pain is in the upper abdomen, right or left hypochondrium, usually of a girdling nature. It cannot be relieved with analgesics or antispasmodics. There is vomiting and stool disturbances, weakness and dizziness.

Often pancreatic diseases are asymptomatic. They are often detected during routine medical examinations. There are many types of diseases of this organ, but they can all manifest with similar symptoms.

The very first sign of the presence of the disease is pain in the left hypochondrium. The pain can be aching, pulling, sharp, paroxysmal and depends on the type of organ damage. Painful symptoms often occur after eating fatty, fried or spicy foods, eating too much food, or after drinking alcohol. The pain may be accompanied by nausea or vomiting, stool disturbances, and loss of appetite.

Chronic pancreatitis may be a consequence of poor treatment of the acute form of the disease

One of the most common diseases is pancreatitis (inflammation of the gland), which has acute and chronic forms. The acute form is characterized by severe pain, fever, nausea and vomiting. The chronic form is manifested by periodic discomfort in the upper abdomen, especially after eating, nausea and stool disturbances. Its exacerbation is often caused by non-compliance with the diet for pancreatic disease.

Other frequently occurring diseases of the gland are tumors and cystic formations, which can have different shapes, degrees of malignancy, location, etc.

The gland is located behind the stomach and close to the gallbladder, so if it hurts, the disease spreads to the pancreas. At the beginning of the development of inflammation, the signs and symptoms of pancreatitis are standard:

• girdling nature of pain;
• burning pain in the lower thighs from the back;
• decreased appetite;
• increased gag reflex;
• when bending forward, the pain decreases;
• Sometimes an increase in temperature is characteristic.

Patients often confuse pancreatitis with osteochondrosis, pyelonephritis, and even herpes zoster. But an experienced doctor quickly identifies inflammation of the pancreas, since the onset of the disease always occurs with acute pain.

For any pain in the gastrointestinal tract, it is better to consult a doctor immediately. Treatment of pancreatitis usually occurs in a hospital setting. During the acute period, doctors anesthetize the pancreas, suppressing its secretory functions.

They also relieve spasm of the excretory flows with medications and prescribe broad-spectrum antibiotics to prevent inflammatory changes or secondary complications. If complications in the pancreas are serious, surgical intervention is used.

Exacerbation of a chronic disease is treated on an outpatient basis. The patient is prescribed a thermally gentle diet with steamed dishes. Proper nutrition is combined with taking medications that block active gland enzymes.

Regardless of the form of the disease, to treat inflammation of the pancreas it is necessary to follow a strict diet. If the disease worsens, you should not eat any food in the first two days. Only rosehip decoction, still mineral water or weak and unsweetened tea are allowed.

It is imperative to exclude from the diet during exacerbation of the disease:

• alcohol;
• spices, seasonings;
• fatty, fried;
• sausages, smoked meats;
• pickles, canned food;
• confectionery, chocolate, sour juices.

What principles is the diet based on?

To unload the pancreas during exacerbation of inflammation, fasting will be required for a period of no more than two days. A cold heating pad is placed on the patient's stomach, he is allowed to wet his lips, rinse his mouth, and even drinking water is limited. From the second or third day, a strict diet for the pancreas is prescribed.

Diet specifics:

Treatment of pancreatitis by fasting

• the amount of protein consumed with food increases due to dishes made from meat, fish, cottage cheese up to 150 g;
• carbohydrates are limited to 300–350 g, easily digestible types of sugar are excluded, honey is limited;
• products for the pancreas that stimulate the secretion of juice (concentrated broths, boiled cabbage) are contraindicated;
• the amount of fat is reduced to 70–80 g;
• it is required to prepare food in a gentle form, pureed;
• the nutrition schedule is observed - every 3-4 hours;
• a significant increase in the volume of food and breaks in nutrition should not be allowed;
• the temperature of food during feeding should approach 38 degrees, hot and cold varieties are prohibited;
• You can cook only by boiling, stewing, baking, steaming;
• a sufficient amount of water is turned on (from 1.5 to 2 l/day).

It is necessary to draw up a diet menu taking into account the individual manifestations of pathology and the condition of other organs. Nutrition for pancreatic disease in patients with food allergies and diabetes mellitus causes particular difficulties.

Low-calorie diet (1800 kcal/day), recommended for several days

How to treat with herbs and folk remedies

An ancient and effective method of treatment is herbal therapy. In addition to the correct diet for pancreatitis, avoiding fried, fatty and spicy foods, in order to relieve acute inflammation in the pancreas, you need to drink choleretic herbs.

To do this, take 10 g of dry herbs:

• celandine;
• corn silk;
• anise fruit;
• dandelion root;
• tricolor violet;
• bird knotweed.

Grind everything, mix, pour ½ liter of boiling water and boil for 3 minutes. After cooling, the decoction should be drunk during exacerbation of the disease three times every day before meals for two weeks in a row. Then you need to prepare a drink from the following herbs:

• dill, peppermint 30 g each;
• immortelle flowers, hawthorn fruits 20 g each;
• chamomile flowers 10 g.

Pour ½ liter of boiling water over the crushed herbs and leave for 20 minutes, then strain and take three times daily after meals for a month. It is also useful to drink sauerkraut juice without carrots and spices. The juice will quickly relieve acute pain, because it contains lactic acid, which is especially useful for exacerbation of pancreatitis.

Localization of the inflammatory process

If the pancreas is inflamed, then the pain can be different: aching, cutting, stabbing, with a specific localization, for example, under the right rib, or without localization at all throughout the abdominal cavity, in the back or groin.

Aching pain in the middle part of the abdominal cavity indicates that the body of the pancreas is inflamed; if the pain is felt in the right side, the head of the gland is inflamed, and if in the left, the tail is inflamed. The presence of the last two cases is much worse, because a space-occupying formation (tumor) forms in these parts.

A general change in the size of the pancreas is much safer than enlarging any part of it. The head of the gland has a special shape and unique structure: in an adult it is located at the level of the first two vertebrae, and in a newborn baby it is slightly higher.

A mass formation in the head of the pancreas is usually detected during an ultrasound of the abdominal cavity and is considered a dangerous disease. It can be benign or substandard, which requires immediate removal.

This disease often occurs in people over 60 years of age. Even visually, an experienced doctor can detect the first signs of inflammation of the head of the gland: a change in skin color and yellow coloration of the whites of the eyes. Treatment of this form of the disease occurs in a hospital setting.

In the tail

The tail of the pancreas has an upwardly curved pear-shaped shape and comes close to the spleen. In an adult healthy person, the optimal width of the tail of the organ is 20-30 mm, and its length is about 15 cm.

A tumor in the tail of the gland occurs rarely: about a quarter of all gastrointestinal diseases. But if it is diagnosed, then often the tumor is immediately malignant and almost impossible to treat, since it is discovered late, when it has already reached a significant size.

Useful and harmful products

It is believed that the diet for pancreatic diseases is quite strict. But all because of the habit of semi-finished products and fast food. In fact, you can prepare a lot of delicious dishes from permitted products. And giving up some of them will not make your diet poor.

Allowed fruits and berries will help to fortify your diet.

Table. Which foods can be consumed and which are prohibited.

Fresh white cabbage is prohibited, but sauerkraut with a small amount of salt can sometimes be eaten. It does not cause gas formation and enriches the body with vitamin C in winter.

Sauerkraut

Spices, ketchups and excess salt are not recommended for pancreatitis. But to ensure that the dishes are not bland, you can use turmeric, cinnamon and a drop of soy sauce.

Healthy foods include nuts. They contain bioflavonoids that fight inflammation and vitamin E, which strengthens cell membranes. The best for pancreatitis are walnuts. But you can eat them only in small quantities, since nuts contain a lot of fat.

Walnuts