If you have acute pancreatitis, or if you are diagnosed with chronic pancreatitis, your life will not be the same: you will have to change everything.
Basic taboos
There is something to eat and drink with inflammation of the pancreas under any circumstances. These include:
- Alcohol (any), grape juice, soda;
- Chocolate, fat cream;
- by-products;
- Sheep meat;
- Saló;
- FIG;
- Duck;
- All fatty fish;
- Goose;
- Smoked meat, lard;
- Plantain;
- Fried, spicy;
- Boiled egg;
- Semi-finished products;
- Grape;
- cooking fats;
- Fruit date;
- rich broths;
- Preserves, jams;
- Any canned food;
- Sundae (and ice cream in general);
- Tortilla;
- Baking.
Acute pancreatitis
First, let's talk about nutrition for acute pancreatitis. Immediately after an exacerbation and for the next two days, you should not eat anything. All we are allowed is five or six glasses of mineral water. Regeneration of the organ occurs due to the fact that gastric and pancreatic juice is not secreted.
On the third day, you can eat, but unsalted liquid food with a high carbohydrate content. Wheat crackers, soups with vegetables and cereals are allowed, with a weak broth. After that, you can enter steamed tortillas, turkey fillets, chicken, lean fish.
On the fifth day, the calorie content increases to 700-800 kcal, of which 200 g are carbohydrates, 15 g are proteins. Fats are introduced between the sixth and the ninth day.
The menu during this period should be as follows:
- We had breakfast with rice porridge without milk, tea with sugar, orange (apple);
- Snack with carrot (potato) puree, low-fat boiled fish or chicken (50 g), rosehip broth;
- 150 g of broth (vegetables), 30 g of boiled fish (beef), applesauce, mashed potatoes for lunch;
- Second snack. 50 g of cottage cheese (0-2%) with sugar, sweet tea;
- Instead of dinner - a tablespoon of honey and boiled water (250 ml).
Recovery after exacerbation
Nutrition for pancreatic pancreatitis after an exacerbation is more varied. If you try, you can really find fun and delicious recipes for what is allowed. We eat 5-6 times a day. It is best to use steam when cooking, puree everything with a blender, cook.
You can eat:
- Meat with a minimum of fat (chop and cook). Cooking meatballs, steamed cutlets, meat soups. Allowed lean beef, rabbit, turkey steak, chicken, veal;
- Fish (you can use haddock, cod, pike, walleye, sole, and other lean varieties). Boil or steam, steam cutlets are allowed;
- Porridge, buckwheat, semolina, rice. Barley with corn is rare. We cook in water (or milk and water in equal proportions);
- Pasta. Don't add sauce, just olive oil, butter. Do not fry with garlic, oil, onion;
- Dairy products. Whole milk is not recommended. Fermented baked milk, kefir, cottage cheese up to 9%, soft cheeses are allowed;
- Egg. Like an omelette or soft-boiled. Use rarely;
- Vegetables. Baked, boiled, pureed, vegetarian soups, stews. Pay attention to carrots, potatoes, melons, beets, peas, cauliflower. You can not eat most of the cruciferous family, mushrooms, horseradish, raw onions, spinach, garlic, beans (legumes in general), sweet peppers, sorrel;
- We also bake fruits, cook compotes, jellies, make mashed potatoes. Apricots, watermelons, melons are ideal;
- Dry white bread with pancreatitis, drink tea with salty and non-rich crackers;
- Homemade jelly, mousse. Less often, marshmallows;
- Still mineral waters, compote, soft tea, rosehip broth, gelatin.
chronic form
The diet for chronic pancreatic pancreatitis differs from the menu for acute inflammation. The chronic "version" develops in conjunction with an acute inflammatory process of the gland, with cirrhosis, hepatitis, gallstone disease, ulcers of the intestine and stomach, atherosclerosis. The menu should take into account the history of what ailment pancreatitis has developed.
The main method of treatment for you is not drugs, but a diet for chronic pancreatitis, the approximate menu of which is based on several principles:
- We eat six times a day and little by little products with a laxative effect are required.
- Keep track of your daily protein intake. You need 130 g per day, vegetable proteins need 30% of this figure. Veal with veal, rabbit, turkey, pork with a minimum of fat, chicken and lean fish are recommended. With constant pain, the meat is cooked minced or steamed. You should not give up low-fat fish and meat dishes: they will prevent fatty degeneration of the liver, which is characteristic of chronic inflammatory processes in the pancreas;
- The fat transformation is counteracted with fresh homemade cottage cheese (not sour and with a minimum percentage of fat). Other dairy products are also needed. Whole milk is added to the first dishes, cereals, jam, or drink half a glass a day (if well tolerated). The fat content of milk should not exceed 2. 5%. If you're feeling good, let's say cheese (a little) with minimal fat and mild varieties. Don't forget about kefir and fermented baked milk (homemade is the best option). There's no need to eat starchy, flavored store-bought yogurts - there are few benefits here;
- Eggs. Wholes are not recommended. Eggs are acceptable as a complement to other dishes, in the form of a steamed omelette (protein), whipped protein in other dishes;
- Vegetable proteins. We look for them in rice, pasta, yesterday's bread, oatmeal, semolina, breadcrumbs, buckwheat. Legumes are prohibited;
- FatsThere must be 70 of them in the patient's diet, 80% must be of animal origin. They will be consumed correctly with other foods and dishes. Put butter on porridge or prepared pasta before eating. Vegetable oils are allowed if you tolerate them well. Other types of fats are prohibited (culinary, beef, margarine, pork);
- CarbohydratesThey need up to 350 g per day. These are honey, sugar, syrups, and jams. You need to eat semolina, oats, buckwheat, pearl barley, rice, pasta. Vegetable, carrots and beets, potatoes, melons (zucchini, squash, squash) are acceptable. It is better to steam them or in water, the steamed pudding is also suitable, it would be ideal to eat the vegetables in the form of mashed potatoes. Don't eat them raw. White, black, gray bread is allowed;
- Fruit. Above all, apples of non-acidic varieties are needed. Bake, clean, boil the compote. For the latter, nuts are suitable;
- Sauces Of all the variety with pancreatitis, a flour and milk bechamel is allowed. We do not pass the flour, we add a minimum of salt;
- First food. We never reject them. You are allowed cereal, vegetable, lean poultry, meat, fruit, dairy soups;
- Drinks. In addition to the aforementioned compote, it is useful to drink fruit juices, milk tea, mineral water;
- Supplements, special products. Add protein powder and vitamins to the diet;
Do not overeat, the volume of food (plus all the liquid you drink) should not exceed two and a half kg. No matter how strict a pancreatic pancreatitis diet may seem, a rough menu may not be boring and varied.
Here's how you can organize your meals for a chronic illness:
- 7 - 7. 30 hours. Breakfast. Oatmeal with milk, boiled beef, sweetened tea;
- 9-9. 30 a. m. Lunch. baked apple, steamed omelette, rosehip tea;
- 13. 00. We had lunch with vegetable soup, beef souffle, pasta. For sweet berry jelly and compote;
- 16. 30. Afternoon snack. Tea with cottage cheese;
- 20. 00 We have dinner with tea and fish souffle.
Nutrition in remission
Here's a slightly different approach to diet planning. You can diversify the recipes. You need a lot of protein, more fat than in other cases. Carbohydrates are complex too.
The main characteristics of the diet are:
- We use protein more than our physiological norm;
- Fats and complex carbohydrates are consumed within the limits of our norm, carbohydrates are obtained from cereals;
- Less than normal jams, cakes, pastries, honey, sugar and salt are used.
During remission, it is worth giving up substances that irritate the mucous membranes of the gastrointestinal tract. It's not just alcohol - skip the vinegar and spices.
If remission occurs, the diet can be varied. Now it is allowed not only to boil or steam food. You can cook and bake vegetables, fish and meat. Refusing to rub - Eating whole foods is still allowed. Food should be warm, but not hotter than 60 degrees. We eat 4 to 6 times per meal, making intervals of up to three hours between meals.
In numbers, it looks like this:
- The protein needs 120 g, of which 70 g are of vegetable origin;
- Fat in the medical menu contains 90 g, a third of them are vegetables;
- We eat 350 g carbohydrates per day, 40 g of them are easily digestible;
- Caloric content - up to 2600 kcal.
several good recipes
Don't be afraid of bland food and tasteless vegetables. With inflammation of the pancreas, there is also an opportunity to wander through culinary skills. Here's some inspiration and sweets for a sample pancreatic pancreatitis diet menu.
- Cottage cheese casserole in the microwave. Beat the 2% cottage cheese with banana with a blender, add the chopped date. Bake for about five minutes in silicone molds. Use with natural yogurt (without sugar);
- Baked apple with curd meringue. Wash the fruit, get rid of the middle, cut it into two parts. Beat the protein and powdered sugar separately until thickened. In the process of whipping, put 2% cottage cheese into the mixture. We fill the fruits, bake in a normal oven (160 degrees) for a third of an hour;
- Cookies. Mix the flour (6 tablespoons) with half a tablespoon of olive oil, the same amount of baking powder, warm water and a third of a teaspoon of salt, plus Italian herbs to taste. After rolling it into a 3 mm thick layer and piercing it with a fork, we bake it for a quarter of an hour at a temperature of 170 degrees.
A gastroenterologist should prescribe a diet for inflammation of the pancreas. So, take our Rough Diet Menu for Pancreatitis only as a recommendation, advice. Your task is not to make the diet bland and not lose interest in food. Eat well.