Pancreatitis and therapeutic diet. Diet for acute and chronic pancreatitis: what it is, what you can eat and what you can’t. Giving up bad habits

The first step to recovery is switching to a special diet. This diet is prescribed for a long time, but even with complete recovery, it is recommended to adhere to strict dietary restrictions until the last days of life. What rules should you follow when following a diet for chronic pancreatitis?

Steamed dishes - diet No. 5

Often patients, having received a diagnosis, perceive it as a death sentence, which clearly does not improve their mood and ability to set the body up for recovery. Another category of patients experiences a feeling of irritation from the need to change their habits and unwillingness to give them up, and begins to bully their loved ones. They say about such people - a bilious person.

Both of them can be understood: the basic function of the body has been disrupted. However, it should be borne in mind that according to statistics, about 80% of pancreatic diseases are caused by a person’s careless attitude towards his body. This is constant overeating, excess fatty, sweet and salty, fried and smoked foods. Alcohol has the most destructive effect on the organ.

If we talk about changing the diet, it is aimed at eliminating all of the above destructive factors. Otherwise, the patient’s table remains varied and nutritious. As for tasty food, eating habits change over the course of life: having learned to savor the dishes of their new diet, very soon a person recognizes them as truly tasty.

Diet No. 5 for chronic pancreatitis

• Hot and cold drinks and dishes are strictly prohibited, any food must be warm;
  you should stick to eating at the same time every day;
• the daily nutritional intake should be divided into 5-6 meals; it is strictly forbidden to overeat or endure hunger for a long time;
• the content of protein foods in the menu should predominate, the pancreas is restored on it; the amount of fat should be reduced to a minimum, including vegetable oil;
• the daily intake of salt is limited to 10g;
• You should be critical of the list of permitted products, focusing on your individual well-being. If you feel unwell when eating any dish or product, it should be immediately excluded from the diet;
• New foods should be introduced into the diet carefully, in small portions.
• at the slightest discomfort, you should refuse until the functioning of the pancreas is more completely stabilized;
• The recommendation to chew food thoroughly is also appropriate for a healthy body, but if you have a disease of the pancreas, this rule should be observed especially carefully, even if puree soup is served.

This significantly reduces the amount of food needed to receive a signal of satiety and, therefore, eases the load on the digestive system.

Diet No. 5 - list of allowed foods

Fish in a slow cooker is not only healthy, but also tasty

For pancreatitis in the chronic stage, the following foods and dishes from them are allowed:

• bread - wheat bread made from premium flour, yesterday baked (if fresh, then dried), crackers made from it, unsweetened and low-fat dry biscuits (crackers);
• cereals - oatmeal, buckwheat, semolina, rice in the form of semi-viscous or mashed porridges, cooked in water or with the addition of milk; cereal casseroles, puddings, soufflés with cottage cheese and adding a small amount of butter or sour cream;
• Only boiled, well-cooked pasta is allowed;
• - low-fat and non-acidic cottage cheese can be consumed in its natural form or in dishes made from it (casseroles, soufflés, puddings); hard cheese with low fat content and without spicy additives;
• sour cream, cream, butter are used for seasoning soups and cereals; fermented milk drinks are not too sour; skimmed whole milk, diluted with water - for making soups and cereals;
• meat and poultry - lean beef or veal, skinless chicken or turkey, rabbit. Use boiled. Meat dishes: chopped or ground in the form of meatballs, beef stroganoff in low-fat sauce, puree, soufflé, dumplings without hot seasonings;
• eggs - chicken egg white in the form of a steam omelet is recommended; It is better to discard the yolk; you can use one no more than 2 times a week, diluting it in half with water;
• fish - low-fat varieties: boiled in whole pieces or ground in the form of steam cutlets; boiled can be prepared in the form of aspic;
• vegetables - potatoes, carrots, beets, pumpkin, zucchini, cauliflower, green peas: used boiled or baked, preferably in the form of puree or cream soup;
• soups - vegetarian with vegetable broth or weak chicken. Vegetables are prepared in the form of pureed puree soup, adding half a spoon of sour cream when serving. Chicken soup is seasoned with noodles or well-boiled, pureed cereal;
• fruits and berries - ripe, non-acidic, can be eaten raw or pureed; apples should be baked. Pureed compotes, jellies, and mousses are prepared from dry and fresh fruits, using a little sugar or its substitute (sorbitol, xylitol) for sweetening;
• drinks - weak tea with lemon or milk without sugar or slightly sweetened, rosehip decoction, fruit juice without sugar diluted half with water;
• daily intake of butter 30 g, refined vegetable oil 10-15 ml (less than a tablespoon), added when preparing dishes.

Diet No. 5 - list of prohibited foods

Proper nutrition is the key to successful treatment

In chronic pancreatitis, the following foods and dishes are prohibited:

1. fresh wheat bread, rye bread, baked goods, puff pastry and shortcrust pastry products;
2. soups with meat and fish broth, strong vegetable and chicken broth, mushroom soups, dairy soups with undiluted milk, cold soups (okroshka), sour soups (cabbage soup, borscht);
3. all fatty meats, pork, duck, goose, liver, brains, kidneys, sausages, smoked meats, canned food;
4. fatty fish, fried and stewed, smoked and salted, canned fish and caviar;
5. fried and hard-boiled eggs;
6. all crumbly porridges and limit the consumption of dishes made from millet, corn, barley, and pearl barley;
7. from vegetables, avoid legumes, mushrooms, white cabbage, eggplant, radishes and radishes, turnips, sweet peppers, sorrel, spinach, onions and garlic, tomatoes and sauces made from them;
8. all spices;
9. : grapes, banana, dates, figs;
10. confectionery products: jam, chocolate, caramel, ice cream, cakes;
11. drinks: coffee, strong tea, cocoa, grape juice, soft drinks with gas;
12. alcohol.

Drinking mineral water

For chronic pancreatitis, a therapeutic course of mineral water is often prescribed. To achieve the effect, water is drunk not to quench thirst, but according to the recommendations for intake, certain types and according to the specified system.

The role of mineral water is enormous

As a rule, it is recommended to take frequent small doses at regular intervals. The greatest healing effect can be achieved if you drink water directly from the source, but a course of taking it at home will also be beneficial. The bottle should be opened no later than 10-15 minutes before use, the water should be slightly lukewarm. Consume half an hour to an hour before meals, drink water very slowly, in small sips.

For general stabilization of the digestive tract, you can use waters such as Essentuki No. 17, Naftusya, Arkhyz, Slavyanovskaya.

In chronic forms of pancreatitis, a course of taking water of the Essentuki No. 4, Borjomi and Smirnovskaya brands, which have a special effect on the organ, is prescribed:

1. prevent stagnant processes in the bile ducts and in the pancreas itself;
2. reduce the risk of inflammatory processes;
3. normalize the functioning of the stomach and intestines.

The course of treatment with mineral water lasts from three weeks to six months. or during attacks, it is recommended to stop drinking water.

Diet for pancreatitis, nutrition for pancreatitis. What they should be like - see in the video:

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Pancreatitis is a disease caused by inflammation of the pancreas. The disease can occur in acute and chronic form. The main signs of acute pancreatitis are: sharp pain in the left hypochondrium, encircling the entire left side, diarrhea, nausea, vomiting. If such symptoms appear, you should immediately seek medical help and call a team of doctors.

The therapeutic diet for this pathology is considered the basis of therapy, since the synthesis of digestive enzymes carried out by the zymogenic tissue of the pancreas directly depends on the composition of food.

All clinicians agree that in the first days of illness (after an attack), the patient needs to be hungry. Many doctors like to repeat that the pancreas loves “cold, hunger and peace.”

Dietary nutrition for pancreatitis is formulated in such a way as to achieve maximum chemical, mechanical and thermal sparing of all organs of the gastrointestinal tract.

Frequent and fractional intake of warm food in small portions over a long period of time reduces the load on the digestive tract as a whole and allows the pancreas to fully recover and normalize its functions.

Basic principles of diet for pancreatitis:

• 5-6 meals a day;
• A single serving should not exceed 350 g;
• Dishes are served only in ground form;
• All products are subject to mandatory culinary processing by boiling or steaming;
• It is unacceptable to consume raw vegetables, fruits or berries, even from the permitted list;
• The amount of table salt in the diet should not exceed 5 g/day;
• It is necessary to drink pure and mineral table and medicinal table water (as prescribed by a gastroenterologist), drinks based on rose hips (infusions, decoctions);
• All dishes are served only warm; consumption of both hot and cold food is contraindicated;
• Fatty, fried, canned, pickled, salted, smoked foods, fast food and semi-finished products are prohibited;
• The slightest violation of the diet can provoke inflammation of the pancreas and a new attack;
• Dishes are prepared only from the list of permitted products;
• An individual diet, taking into account all the patient’s characteristics (age, condition of the pancreas and other gastrointestinal organs, presence/absence of other chronic diseases, etc.), is prescribed exclusively by the treating gastroenterologist or an experienced nutritionist.

Treatment of acute pancreatitis is carried out in a hospital setting. To treat the acute phase of the disease, a diet for pancreatic pancreatitis during exacerbation is necessary, which has significant limitations, and compliance with which is the key to achieving stable remission.

Diet for acute pancreatitis - nutritional features

Depending on the stage of the disease, the diet for pancreatitis of the pancreas and the sample menu differ significantly. During an attack, the patient is prescribed complete fasting for 1-3 days to maximize organ sparing. At this stage of the pathology, normalization of enzyme production is necessary.

During this period, it is permissible to drink warm alkaline degassed mineral water of the Borjomi type, ½ glass 6-7 times a day. Starting from 3-4 days, the diet is gradually expanded due to carbohydrate nutrition, including in the menu mucous soups in water, pureed porridge, potato, carrot, pumpkin and zucchini puree, semi-liquid jelly, weak tea with wheat bread crackers and a small amount of sugar, infusion rosehip.

From day 5-6, protein foods are added to carbohydrate foods: steamed omelettes, semi-liquid pureed porridge with skim milk, steamed meat and fish soufflés, dumplings, meatballs, meatballs, cutlets, cottage cheese with 0% fat content. If the patient is feeling well, fats are gradually introduced into the diet: unsalted natural butter, which is used to season ready-made dishes, such as porridge.

A strict diet, which has the name, is applied for up to 2 weeks. Next, the patient is transferred to a diet for patients with pancreatitis in remission.

Diet for pancreatitis, what is not and what is possible, table 1

Diet for pancreatitis of the pancreas: sample menu

Delicious and varied dishes are prepared from the permitted list of products. Try to include as many foods as possible in your daily diet.

We offer several healthy food recipes for patients with pancreatitis:

Beef steam pudding

Puree 120 grams of boiled beef (without fascia, fat and veins) in a blender, mix with 10 grams of semolina, add whipped white to the minced meat, then the yolk and a third of a glass of water, lightly add salt.

Place the thoroughly kneaded mass into a multicooker or double boiler form, greased with butter, and cook in the kitchen unit until ready.

Fish dumplings

Pass 0.3 kg of lean sea fish fillet through a meat grinder, add ¼ of a dry loaf, previously soaked in half a glass of whole milk, to the minced meat, add 2 whipped egg whites to the mixture, add a pinch of salt and dried parsley.

Boil the quenelles (small balls) formed from minced meat in lightly salted water for at least a quarter of an hour.

Vegetable puree soup

Boil 2 peeled potatoes, 1 carrot and ½ zucchini in water until tender, drain the broth, puree the vegetables, mix the liquid and puree, add finely chopped parsley sprigs (2 pieces), simmer over low heat for 3 minutes.

Serve the soup warm, seasoned with low-fat sour cream (1 teaspoon or natural yogurt).

Banana dessert

Dilute 2 packs of gelatin in a glass of hot water until it is completely dissolved, cool slightly. Add ½ liter of low-fat natural (without additives or sugar) yogurt into the jelly mass. Steam 2 bananas and 2 peaches (without peel). Line the bottom of an enamel bowl or cake tin with foil, lay out the dessert in layers: crushed biscuits, yogurt-gelatin cream, banana and peach puree. There are several such layers (depending on the diameter of the mold). Place the cake in the refrigerator for the jelly to harden.

Sample menu for pancreatitis for the day (Table No. 2):

An approximate diet menu for pancreatitis of the pancreas is intended to show that even in this case you can eat a varied and interesting diet. I’m sure that using a table of foods (what you can’t and can’t eat) and some recipes for dishes, it won’t be difficult to create your own interesting menu.

Dietary nutrition for inflammation of the pancreas is not only the most effective method in the treatment of this organ, but also a way to prevent the development of chronic pancreatitis, as well as achieve stable remission.

Be healthy!

Strict adherence to a certain diet for chronic pancreatitis in adults is an important part of the treatment process. What kind of disease this is, why it is dangerous and why such drastic measures need to be taken, this article will tell you.

What is pancreatitis

Pancreatitis is a progressive disease of the pancreas, in which in the acute period an inflammatory process is observed with subsequent changes in the tissues of the organ itself. This occurs due to the replacement of the normal structure with connective tissue. The consequence of such processes is disruption of the functioning of the pancreas and the development of enzymatic deficiency.

Pancreatitis is classified into acute and chronic. This division has important clinical significance due to the characteristics of the therapy provided for these options.

Symptoms of pancreatitis in adults; complaints due to pancreatic disease.

The most common symptoms of the disease in chronic pancreatitis in an adult patient are:

• pain in the upper third of the abdomen;
• dyspepsia: diarrhea, flatulence, heartburn;
• decreased appetite;
• weight loss.

In acute pancreatitis, patients complain of the following symptoms:

• stabbing pain in the abdomen;
• uncontrollable vomiting;
• severe weakness, up to loss of consciousness;
• drenching sweat;
• complete lack of appetite.

The pain syndrome is characterized by a clear connection with the intake of “harmful” foods (spicy, fried, fatty). It can be localized at one point, or it can be encircling in nature. The intensity of pain also varies. They can be aching, dull, sharp. In this case, the pain may radiate to the arm or shoulder.

The main reasons for the development of acute or chronic pancreatitis in adults and children

There are a lot of factors contributing to the occurrence of pathological processes in the pancreas. The most proven causes of pancreatitis are:

• cholelithiasis and other diseases of the biliary tract;
• damage to pancreatic tissue or its ducts (trauma, surgery);
• excess nutrition, increasing the secretion of enzymes and bile - fatty, spicy, smoked foods;
• consumption of alcohol, its surrogates and poisoning with them;
• diseases of the stomach and duodenum;
• diseases accompanied by impaired blood flow in the gland: diabetes mellitus, coronary heart and vascular disease, arterial hypertension;
• pregnancy;
• protein deficiency (burns, ascites);
• action of toxic substances;
• long-term use of certain medications from the groups of painkillers, antibiotics, hormones, diuretics;
• infectious and inflammatory diseases.

Goals of non-drug treatment of pancreatitis

The first stage of treatment for chronic and acute pancreatitis is the appointment of a special diet! In the second case, the patient must be in the hospital under the strict supervision of a general surgeon and therapist. The main objectives when prescribing a diet for pancreatitis in adults and children are:

• reduction of the main symptoms of the disease, especially abdominal pain;
• prevention of complications;
• prevention of relapses – repeated cases of exacerbation of pancreatitis.

Therapeutic nutrition for pancreatitis in adults: basic principles

Eating with this disease should occur “by the hour” - often and in small portions. This measure is called fractional therapeutic nutrition for pancreatitis. The recommended number of meals in adults is 5-6 times a day, more often in children. It is necessary to avoid overeating and feelings of hunger. An important aspect of therapeutic nutrition in adults and children with pancreatitis is the limitation of foods that cause the pancreas to actively function. These include:

• heat-treated fats;
• sour foods;
• hot, smoked and spicy food.

The daily diet includes:

1. Easily digestible proteins (egg, boiled lean meats and fish). Their quantity per day should not exceed 80-120 g.
2. Fats are limited to 50-75g.
3. Carbohydrates can be consumed up to 400g per day in the form of cereals.

For acute pancreatitis, doctors recommend 3 days of cold on the stomach, fasting and rest. If necessary, intravenous nutrition is prescribed, which slightly stimulates pancreatic secretion, but provides the patient’s body with the necessary amount of protein.

List of main permitted and prohibited foods included in the diet for pancreatitis in adults and children

During the acute phase of pancreatitis, strict adherence to the diet is recommended in children and adults. To do this, you need to know what you can eat and what you can’t eat.

Basic recommendations for dishes that can be consumed on a gentle diet

• steamed;
• bake in the oven;
• boil.

You can stew food only if there is no exacerbation of the disease.

Dishes should be pureed or served in the form of a homogeneous mass (mashed potatoes, soufflés, puddings). The second option involves grinding using a blender, which makes it possible to make a more uniform consistency. This is important when prescribing nutritional therapy for children with pancreatitis.

It is necessary to exclude the intake of hot and cold foods. In patients with pancreatitis, warm meals are recommended to reduce stomach irritation.

Some comments on the preparation of certain types of food during therapeutic nutrition in patients with pancreatitis

Egg whites must be included in the menu for adults and children for therapeutic nutrition for pancreatitis. Most often, a steam or boiled omelette is prepared. In the second case, a tied bag with an egg mixture is immersed in boiling water. After 20-25 minutes the dish is ready.

Meat dishes should be consumed 2 times a day. This is the main source of proteins in patients with pancreatitis. To diversify the diet, meat can be served in various forms: boiled, steamed cutlets, puddings, purees. If you decide to cook the dish in the oven, it is recommended to boil the food first. Fish can be eaten a couple of times a week.

Cereals are widely used in the preparation of various dishes. Porridges are prepared from them, added to soups, puddings, and used as a side dish for main courses. Cereal decoctions are very useful for severe gastrointestinal disorders. They can be added to first courses. Rice water is often prescribed for diarrhea. Consumption of permitted cereals is mandatory daily! They are an important source of carbohydrates for a sick person!

Dietitian advice: When preparing porridge with milk, it is recommended to dilute them with water in a 1:1 ratio. This will allow you to reduce the calorie content of the dish without significantly changing the taste. In the case of this porridge recipe, you can add a piece of butter and a little sugar when serving.

Fruits can be added to other dishes to improve taste and diversify the menu. They are often added to cottage cheese casseroles and puddings. During exacerbation of pancreatitis, a baked apple is considered the most useful. In this case, it retains all its beneficial properties, and the irritating effect on the digestive tract is significantly reduced. After the exacerbation subsides, you can add a little honey and butter when preparing it. This delicacy is perfect for little ones with a sweet tooth.

Vegetables should not be eaten raw! First courses, side dishes, purees, and casseroles are prepared from them. Cream soups are considered very healthy and tasty.

Indicative menu for 3 days for chronic pancreatitis in adults and children

The diet for such a serious disease is very varied. This allows you to maintain the proper quality of life of the patient.

What can be consumed if a person has pancreatitis and cholecystitis at the same time?

Often cholecystitis is the cause of pancreatitis. The presence of such a combined pathology requires more strict adherence to a certain diet. The diet is the same as for pancreatitis.

Basic recommendations regarding diet for acute pancreatitis

All patients with acute pancreatitis are subject to hospitalization in the general surgery department!

In such cases, only a doctor can prescribe a diet. Most often, fasting is prescribed for 3 days with possible parenteral nutrition in severe cases. It is allowed to drink liquid in the form of mineral water and rosehip decoction. Strict adherence to such serious measures improves the favorable prognosis of the disease.

The duration of fasting is determined by the attending physician in each specific case. Subsequently, there is a gradual introduction of dishes and an expansion of the diet.

Most often, they start with mucous cereal (rolled oatmeal) decoctions, gradually introducing vegetables, eggs, and meat last. At the same time, the doctor monitors the dynamics of the patient’s condition and adjusts the menu.

Features of prescribing a diet for pancreatitis in children

For children, choosing an adequate diet for pancreatitis is very difficult. This is due to the fact that it is often impossible to explain to a small child the reason for such drastic measures. Sometimes the baby completely refuses to eat. This should not be encouraged. The task of parents is to return the child’s food interest by preparing interesting and brightly decorated dishes.

Children with pancreatitis are recommended to be fed 6-8 times a day. Food should be homogeneous. The volume of meals should be less than normal for this age group. Overeating should not be allowed. To do this, you don’t need to persuade him to eat the “last spoon”. The result of such pushing can be an exacerbation of pancreatitis!

Due to the small portions, meat dishes for breakfast or lunch should be served without a side dish. This is compensated for during dinner, when vegetables are given.

Children are allowed to eat sweets during the afternoon snack - marshmallows, biscuits with jam, but in small quantities!

Why is it important to follow a diet if you have pancreatitis in adults and children?

Drug treatment of this disease is aimed at relieving the main symptoms. Prevention of complications and relapses of pancreatitis depends only on proper nutrition. With frequent and serious errors in the diet, complications may develop:

• pancreatogenic diabetes;
• liver failure;
• purulent pancreatitis (requires immediate medical attention);
• pancreatic necrosis (death of pancreatic tissue) is the most dangerous complication, which in 2/3 of cases ends in the death of the patient;
• abscesses (purulent cavities) in the abdominal cavity;
• pancreas cancer.

How long should you stick to a bland diet?

Doctors recommend following a diet for at least a year after acute pancreatitis. In the chronic form of the disease, it is necessary to adhere to proper nutrition constantly. With frequent exacerbations, a review of the diet and stricter adherence to it is necessary.

The outcome of the development of pancreatitis largely depends on the patient. Even with strict adherence to the diet described above, a person is not immune from exacerbation of the disease and the occurrence of complications, but the risks of their occurrence are significantly reduced.

During the rehabilitation period after arrival from the hospital, it significantly increases the likelihood of healing or stabilization of the patient’s condition. It becomes a fundamental factor in the treatment of this disease.

More often than not, a violation of the basics of diet occurs at home, instead of the necessary strict adherence to the basic principles of therapeutic nutrition. The prescribed diet includes cheap foods that do not require long or difficult preparation. The main rule: food must be finely chopped, grated or ground, prepared by boiling or steaming.

It is necessary to eat more protein foods and at the same time exclude fatty and carbohydrate foods. First of all, the advice concerns sugar, fried foods containing coarse fiber. If possible, start taking vitamin supplements. You should eat in small portions, at least 5-6 times a day.

General characteristics of the products consumed

The nutrition that is prescribed at the stage of extinction is that the consumption of proteins is increased to the level necessary for the full functioning of the patient’s body. Lipids and carbohydrate substances are presented in the form of all kinds of cereals. Complex sugars, honey, and confectionery products are excluded from the menu, and salt consumption is reduced.

Nutrition for chronic pancreatitis involves the absolute exclusion from the diet of foods that irritate the walls of the esophagus. This includes: alcoholic beverages, acetic, citric acid and other seasonings.

Basics of use and composition of servings

Food is prepared by boiling, stewing, baking, and steaming. It is advisable to eat foods that have been previously ground in a blender or rubbed through a culinary sieve. Nutrition is carried out at equal intervals, every 3-4 hours. Food is offered warm; eating too hot food is unacceptable. The main daily menu items should include: total protein - 120 g, lipid mass - 90 g, carbohydrate substances - 350 g, and have an energy value of no more than 2700 Kcal.

The essence of dietary food consumption

With pancreatitis of the pancreas, at the moment the disease subsides, the number of kilocalories included in the daily amount of food is equal to the daily workload of the body. it is necessary six times a day, including foods with laxative properties in the diet.

Proteins in diet

Of particular importance is monitoring the daily amount of protein consumed, which is essential for the regeneration of the body. The daily amount of protein consumed is set at least 130 grams, and 70% must be of animal origin.

The diet of a patient suffering from chronic pancreatitis includes beef, veal, rabbit, chicken, and turkey proteins. Prohibited for consumption: lamb, pork, goose, duck and game proteins. If the patient constantly feels pain in the epigastrium, meat dishes must be chopped and boiled or cooked in a double boiler. It is strictly forbidden to eat baked, stewed, fried meat or fish. Take into account the requirement that meat and fish should be lean; it is recommended to use homemade cottage cheese. Following the recommendations helps the patient’s liver function at a normal level and prevents modification of the organ due to pancreatitis.

Due to poor tolerance by patients with inflammation of the pancreas, it is not recommended to use milk as an independent dish. It is better to introduce the product into cereals, soups, and jelly. If a person cannot imagine life without a mug of milk, you need to drink the drink in small sips, half a glass a day.

It is forbidden to consume whole eggs, exclusively in the form of additives and steamed egg white omelettes. Proteins enter the patient’s body with rice cereal, semolina, oatmeal and buckwheat porridge, pasta, stale bread, and crackers. Legumes are prohibited for pancreatitis.

Fats in the diet of a patient with pancreatitis

The dietary regimen prescribed to a patient with inflammation of the pancreas should include 71 g of fats daily, 20% of which are fats of vegetable origin. Eat as a supplement or in addition to other foods.

Oil is added to already cooked food, and it is better not to use vegetable oil. It is unacceptable to use margarines, lard, and other cooking fats in cooking.

Carbohydrates in diet

The maximum amount of carbohydrates consumed per day should not exceed 350 g. Within the specified norm, it is permissible to use: sugar, honey, jam, syrup. Allowed to eat: crackers, semolina, oatmeal, buckwheat, pearl barley, rice porridge, pasta. Patients are allowed to eat potatoes, carrots, beets, pumpkins, zucchini, and squash. Vegetables must be steamed or boiled. It is advisable to subsequently wipe it, mixing it with cereals.

Patients on a diet are not allowed raw fruits. You can eat baked fruits, mashed through a sieve, and prepare compotes and jelly. Dried fruits cooked in the form of compotes are of great benefit for this disease.

Dishes allowed for pancreatitis

The first courses allowed for pancreatitis include:

• soups with the addition of buckwheat, rice, millet, barley;
• soups with vegetable broth;
• porridge with milk;
• broths from lean meat and fish;
• sweet fruit soups.

To the second:

• boiled beef, poultry, fish;
• scrambled eggs as a steam omelet.

The list of cereals includes: all kinds of cereals, pasta, bread, sunflower oil. Dairy products allowed: milk, cottage cheese, kefir, whey, yogurt, butter. Confiture, honey, sugar and sweetener substitutes are allowed in limited quantities. It is allowed to eat baked and pureed berries, fruits, boiled carrots and beets. Allowed drinks include: tea with added milk, juices from fruits and vegetables.

What foods should you completely avoid eating?

Forget about using the list of products in your food:

Sample menu for pancreatitis

An example of nutrition during the inflammatory process in the pancreas will be similar options.

Example No. 1

Breakfast: boiled beef, milk oatmeal, tea with milk.

Second breakfast: an omelette made from the whites of two eggs, an apple baked with honey and nuts, and rosehip infusion.

Lunch: soup, beef pate, spaghetti, dried apple compote.

Afternoon snack: cottage cheese casserole and tea.

Dinner: boiled fish, tea.

Example No. 2

Breakfast: mashed potatoes, boiled chicken, tea or jelly.

Second breakfast: cottage cheese and banana soufflé.

Lunch: milk soup, pasta with steam cutlets, jelly.

Afternoon snack: rice milk porridge, dried fruit compote.

Dinner: manna and rosehip drink.

Example No. 3

Breakfast: rice or buckwheat porridge, steam omelette, tea.

Second breakfast: baked apple, compote with biscuits.

Lunch: pureed meat soup, crackers, boiled fish, grated beets.

Afternoon snack: oatmeal with berries, yogurt.

Dinner: boiled fish pate, mashed potatoes, kefir.

Example No. 4

Breakfast: wheat porridge, steam cutlet, fruit drink.

Second breakfast: boiled chicken, vegetable puree, tea.

Lunch: zucchini and pumpkin soup, homemade steamed sausage, mashed potatoes, rose hip or dried fruit drink.

Afternoon snack: steamed cutlets, pasta, low-fat cottage cheese, compote.

Dinner: baked rabbit in sour cream sauce, oatmeal without salt, boiled beets with nuts, jelly.

Remember the dangers of overeating. You need to eat little and often. If the principles are followed, the effectiveness of treating the disease significantly improves.

With a disease such as chronic pancreatitis, adherence to a diet is necessary for all patients, this will help prevent exacerbation of the disease. For people suffering from this disease, a special therapeutic diet No. 5 has been developed, which is recommended for patients during remission of chronic pancreatitis, as well as during the recovery period after an exacerbation of the disease.

The diet for chronic pancreatitis is aimed at normalizing the function of the gland, preventing its fatty infiltration, and the intestines, which to one degree or another also suffer from pancreatic pathology.

The diet increases the content of proteins, vitamins and minerals, reduces the amount of fats and carbohydrates, especially easily digestible ones, and sharply limits coarse fiber, refractory fats, and essential oils. Every day the body should receive 60–120 g of proteins (60–65% of which should be animal proteins), 60 g of fats (at least 15–20% vegetable), 300–350 g of carbohydrates (no more than 30–40 g of sugar) , no more than 10 g of table salt and no less than 1.5 liters of liquid. The average calorie content of the diet should be 2500–2700 kcal; depending on the individual characteristics and type of activity of the patient, the energy value may decrease or increase slightly.

Recommended methods of cooking: boiling with steam or water, baking in foil or in a special bag in the oven, stewing. Fried, fatty, spicy and salty foods are strictly excluded, as they increase the production of pancreatic secretions, which is undesirable in case of pancreatic diseases. The food you eat should be warm; consuming very cold and hot foods and drinks is contraindicated. The diet is divided, food should be taken 5-6 times a day, in small portions, preferably at the same time every day, overeating is unacceptable.

Allowed foods and dishes

• dried or yesterday's bread from wheat flour of 1 or 2 grades, crackers from it, dry cookies, uneaten yesterday's pastries;
• boiled porridge from buckwheat, rice, semolina, rolled oatmeal, cooked in water or with the addition of milk (ratio of water and milk 1:1), pasta;
• low-fat fresh dairy and fermented milk products (non-sour cottage cheese, fermented milk drinks, sour cream, and in dishes if tolerated, cream for adding to dishes, milk sauces, low-fat and mild cheeses);
• meat and poultry of low-fat varieties in the form of cutlets, meatballs, quenelles, soufflés, in stews, in boiled pieces, you can eat veal, rabbit meat and lean chickens;
• low-fat varieties of fish in boiled form, in the form of cutlets or aspic;
• soups cooked in a weak secondary broth or vegetarian, it is recommended to give preference to pureed soups;
• vegetables that do not contain coarse fiber in boiled, baked or mashed form, salads from vegetables boiled in water or steamed (potatoes, cauliflower, beets, broccoli, pumpkin, zucchini, green peas);
• ripe non-acidic fruits and berries, it is allowed to eat them raw, pureed, in the form of compotes, jellies, mousses, soufflés (when preparing dishes, you must use as little sugar or sorbitol as possible);
• eggs in the form of omelettes, no more than 2 whites and 1 yolk per day (the eggs used in cooking must also be taken into account);
• butter no more than 30 g per day, 1–2 tbsp. spoons per day;
• drinks (tea with xylitol, lemon or milk, herbal teas, rosehip decoction, if tolerated, non-acidic fruit and berry juices are allowed, always diluted with water, mineral waters only as prescribed by a doctor).

Foods and dishes that should be excluded for chronic pancreatitis

• rye and fresh white bread, baked goods, puff pastry products;
• soups with strong meat and fish broth, mushroom broth, as well as milk and cold soups, such as okroshka or beetroot soup;
• fatty meats and poultry, offal, pates, canned food, sausages, smoked meats, fatty fish, salted fish, caviar;
• fatty and sour dairy products, especially those high in sugar;
• eggs, hard-boiled and fried;
• sauces based on mushroom, meat or fish broth, tomato sauce, ketchup, mustard, spices and herbs;
• crumbly porridges; pearl barley, millet, corn and barley groats are rarely allowed;
• vegetables containing coarse fiber (white cabbage, turnips, radishes, bell peppers, eggplants), as well as legumes, mushrooms, onions and garlic;
• ungrated raw berries and fruits, excluding grapes, bananas, dates, figs;
• chocolate, jam, ice cream, confectionery, especially with fatty creams and cream;
• coffee, cocoa, grape juice, carbonated drinks, alcohol.

“Be Healthy” program on the topic “Chronic pancreatitis: symptoms, treatment, diet.”