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Diet in acute and chronic pancreatitis

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Diet for pancreatitis, particularly if chronic, to comply with very important. Should eat more protein and thus need to reduce or completely eliminate fats and carbohydrates, especially sugar, which is 99% composed of carbohydrates, eliminate fried foods and any products containing coarse fiber. It is advisable to start taking vitamins. There should be little but often, i.e., for 5-6 times a day.

The pancreas is necessary to ensure normal functioning of the body; due to the digestive juice which it secretes into the lumen of the duodenum, and the splitting of the main components of food – proteins, fats and carbohydrates. In the process of digestion occurring at the site of the digestive tract, are more simple compounds entering the bloodstream after absorption of the intestinal mucosa. Thus, nutrients, amino acids and vitamins necessary for the flow of metabolic processes in the cells and build tissue, are formed from the food products in the area of the duodenum and reach all organs and systems of the body.

In addition, the pancreas produces the insulin needed for the normal course of carbohydrate metabolism, and lipoxin, which prevents the fatty degeneration of the liver.

The cause of pancreatitis is often an abuse of fatty food and alcoholic drinks. The disease can occur in both acute and in the chronic form. Diet for pancreatitis depends on the characteristics of the pathological process: the acute phase requires more rigorous attitude to the diet and the foods to eat.

In acute or chronic inflammation of the pancreas undergoing fundamental digestive disorders, including:

  • changes pH environment of the small intestines to the acid side, in consequence of this the patient experiences heartburn, burning in the intestines;
  • enzymes accumulate inside the gland begin the process of autodigestion of the tissues, causing severe pain in the abdomen in the umbilical region, right;
  • accumulated toxic substances, is self-poisoning organism;
  • violation of release of insulin, provokes diabetes diabetes.

The pathogenesis of pancreatitisdevelops according to the type acute or chronic inflammation. The principle of treating all forms of pancreatitis includes, according to testimony:

  • surgery;
  • drug substitution therapy, given the nature of inflammation, the patient's condition;
  • therapeutic diet.
  • Proper nutrition on the stages of rehabilitation pancreatitis, especially after the patient's discharge from the hospital significantly increases the chances of a full recovery or stabilization of the disease.

    Is in the home, often violated the principle of the diet. Meanwhile, it is important to observe the immutable rules of medical diet. Moreover, the diet does not contain expensive products, manufacturing them in the most simple, including: crushing, boiling, steaming.


    Diet for pancreatitis occurring in an acute form

    In acute attack of pancreatitis, to the arrival of the ambulance, supposed to apply cold compresses to the area of pain, usually pain podloucky. During this period you may drink mineral water (such as Borzhomi, Narzan). Daily volume of liquid up to five to six cups, under normal urination. Simple fluid inhibit the secretion of pancreatic juice into the lumen of the duodenum, reduce pain, remove toxins from the body.

    Upon receipt of the sick in the hospital the patient is assigned diet, developed by nutritionist.

    Sets of products, name of the diet, other information approved by the order of MH of the Russian Federation No. 330 of August 5, 2003 "On measures for improvement of therapeutic nutrition in medical institutions of the Russian Federation" and the letter of MZ of the Russian Federation dated 07.04.2004 № 2510/2877-04-32. These documents are at the time of this writing.

    To illustrate the principles of the diet for pancreatitis we made extracts from these documents. Number diet, officially, in hospitals are not used. With pancreatitis recommended diet with the acronym – SD and IAP.

    In acute pancreatitis in the first two days the patient is prescribed a famine. Allowed to only drink a decoction of rose hips or mineral water – one glass up to five times a day. On the third day allowed to eat, but only low-calorie products, excluding fats, salt, and meals, increase the secretion of gastric juice and stimulating the process of gas formation in the intestine.

    All subsequent days until the patient is in the hospital, he should clearlyadhere to the specified medical diet!

    The stage of decaying exacerbation of pancreatitis

    Recommended diet with regard to mechanical and biochemical madenia the mucous membranes of the intestines.

    This diet involves:

    • a physiological level of the main food components – proteins, lipids, carbohydrates;
    • an increased amount of fat - and water-soluble vitamins;
    • low contents of substances irritating the mucous membranes of the gut, including food seasonings;
    • prohibited use of sharp, salty, spicy, smoked.

    Methods of cooking: heat treatment for a couple. Food crushed, rubbed, and allowed small pieces of food. The temperature of the served food should not exceed 650C. the recommended number of meals to five or six a day.

    • The content in total daily servings of protein 90 grams of animal origin 40 grams.
    • Containing daily servings of fat, 80 grams, 30 grams of vegetable.
    • The contents of carbohydrates in the daily serving of 300 grams, 60 grams legkousvaivaemyh.
    • The energy value of 2480 calories.

    After subsiding of the symptoms of acute pancreatitis it is better to switch to soups, eat lean meats and fish, fresh cheese, cereals and vegetables as well as puddings. Products such as fruit juices, honey, jam, sugar should be reduced or excluded from the diet. Bedtime useful laxative drinks: kefir, yogurt, etc. it is Important to completely abandon fatty foods, pastries, fried fish, bacon, sour cream, salted and smoked meals, pickles, onions, garlic, radish, alcoholic beverages.

    Recommended diet for pancreatitis in an acute form must be followed from six months to a year. Almost a hundred percent the health of the patient depends on how strictly he adheres to the doctor's instructions regarding diet. It is important to remember that all errors in the diet immediately affect the condition of the pancreas.

    Chronic pancreatitis in remission

    In this embodiment, a different approach to the nutrition of the patient. During this period, nutritionists recommend to include in the diet increased protein content, the physiological norm fat. A more complex approach to carbohydrates.Diet on remission suggests:

    • the protein is allowed just above the physiological norm;
    • the norm of fats and complex carbohydrates in form of cereals;
    • below normal to include in the diet sugar, honey, jam, cakes, sweet buns, also below normal salt.

    Under this option, it is forbidden to consume food substances irritating the mucous membranes of the gastrointestinal tract. Examples of these products include vinegar, alcohol, other substances used as condiments.

    Dishes are boiled, braised, baked, steamed. Allowed to serve food in a shabby, not shabby. Feeding via small intervals, small portions 4-6 times a day. Food is served in the form of heat. Its temperature not above sixty degrees Celsius.

    • The content in the daily serving of total protein 120 grams including of animal origin 50 grams.
    • Content in daily servings of fat 90 grams vegetable oil 30 grams.
    • The content in the daily servings of carbohydrates 350 grams, 40 grams of digestible.
    • The energy value of 2690 calories.

    Diet for pancreatitis occurring in the chronic form

    Chronic pancreatitis the pancreas develops in most cases on the background of acute disease. At the same time, it can be primary, if the patient suffers from liver cirrhosis, hepatitis, disorders of the duodenum, gallstone disease, allergies, atherosclerosis, abusing alcohol.

    Diet for pancreatitis occurring in a chronic form is considered basic for the therapy of this disease. In remission, the number of calories contained in the daily diet, must comply with physical activity. Food recommended to be taken up to six times a day, not forgetting the food, which possess a laxative effect.

    It is important to monitor your daily intake of protein. As it is required for the normal course of recovery processes, it should be consumed in sufficient quantities – up to 130 grams a day, and only 30% of the protein should be of vegetable origin.

    In the diet of the patient suffering with chronic pancreatitis, you should include beef, veal, rabbit meat, chicken, Turkey, lean pork. Prohibited: mutton, fat pork and goose, duck and game. If patients concerned about frequent pain, meat dishes are boiled in chopped or steamed, not baked dishes in the oven, sauté and simmer.Similarly prepared and lean fish.

    Meat and fish dishes that are low in fat help the patient to avoid fatty degeneration of the liver in chronic pancreatitis is of great importance. This property have cottage cheese, but only if it is non-acidic and fresh, store-bought cheese is not recommended.

    Milk in its pure form in chronic pancreatitis is often poorly tolerated, so it is better to add to cereals, soups, jellies during cooking. Even if milk is well tolerated by patients, they should not be abused, drinking no more than half a glass of warm milk a day in small SIPS. Much more useful for people suffering from pancreatitis, fresh dairy products. Prohibited during exacerbation of the disease cheese in remission you can eat in small quantities at good health. Cheese should be low-fat and non-spicy. Whole eggs excluded from the diet, at the same time resolved protein omelets, steamed dishes with beaten egg whites, in addition, eggs can be present as additives in other dishes.

    Proteins of plant origin can be represented by Fig, yesterday's bread, biscuits, semolina, oatmeal, buckwheat, pasta. Legumes to eat with pancreatitis is prohibited.

    Fats in the diet should be no more than 70 grams, with 80% of them fats of animal origin, it is better to eat together with other food and food products. The best oil to put in the finished dish just before eating, vegetable oil are permissible only under the condition of good endurance. Prohibited cooking fats, margarine, beef and pork fat.

    Of carbohydrates in the daily diet should contain no more than 350 grams, they can be sugar, honey, jam, syrup. From foods rich in carbohydrates, allowed crackers, semolina, oatmeal, buckwheat, barley, rice, pasta. Also, patients are allowed to eat potatoes, carrots, beets, pumpkin, zucchini, squash. Vegetables should be steamed or on the water, you can eat vegetable steam pudding. Boiled vegetables are better to eat in a shabby with the addition of a cereal decoction.

    Recommended fruit sour varieties of apples: the ripe fruit can be baked, wipe, cook compote are also useful compote of dried fruits.

    All of the best sauces is the Bechamel, based on milk and flour, and saute the flour, and the salt adds just a little bit.

    • The first dishes (soups, cereals, vegetables, milk, meat low-fat varieties of meat,fish and sweet fruit soups).

    • A second dish (boiled beef, poultry, fish, eggs from chicken eggs).

    • Foods that contain grains (cereals, pasta, white bread, black oil).

    • Milk, dairy products (milk 2.5%, dairy products, butter).

    • Berries, fruits, vegetables (sweet ripe) raw, baked, carrots, beets – cooked, as filling soups, as garnishes and independent dishes.

    • Dessert (of easily digestible carbs with pancreatitis give limited, i.e. below the physiological norm, jam, honey, sugar).

    • Drinks (milk tea, vegetable, fruit juices).

    • Specialized products (a mixture of protein composite dry) Add fat and water - soluble vitamins.

    It is also important not to overeat, reduce the daily amount of food to 2.5 kg with consideration of fluid you drink. Take food frequently and in small portions.

    Adherence to all food regulations in pancreatitis could significantly increase the effectiveness of therapy in General.

    Find out more: the Most effective recipes to restore the pancreas!


    Diet menu for pancreatitis

    The number of products must be calculated on the basis of the above regulations.

    Here is a sample daily diet menu for pancreatitis:

    The first meal (7:00- 7:30): boiled beef, oatmeal, milk, tea.

    The second meal (9:00-9:30) scrambled eggs, baked Apple, broth hips.

    The third meal (12:00-13:00): vegetable soup, a souffle from beef, pasta, jelly sweet berries, fruit compote.

    Fourth meal (16:00-16:30): cottage cheese and tea.

    Fifth meal (20:00-20:30): fish souffle and tea.


    What to exclude?

    As you can see, the diet for pancreatitis pancreas all dishes are made from lean meat and fish – and then only in boiled form. Fried foods are prohibited. You can consume dairy products with minimal fat content. Of liquids it is advisable to drink only natural juices and compotes and tea.

    To completely eliminate should:

    • All types of alcohol, sweet (grape juice) and carbonated beverages, cocoa, coffee
    • Animal products: organ meat, including first category, meat and pork fat, fatty species of fish allmeats, spicy, fried, fast food on the basis of extractives.
    • Plant products: legumes, mushrooms, spinach, sorrel, onions, bakery products, pastry based.
    • Desserts: chocolate, fat creams.
    • Figs, grapes, bananas, dates.
    • Confectionery, chocolate, ice cream, jam.
    • Fat, cooking fats.
    • Hard-boiled eggs, dishes with whole eggs, fried eggs

    Answers to popular questions

    • Does goat's milk? This is quite a greasy product that is difficult to read the pancreas. It is two times fatter cow. Peoples diet for centuries which includes goat's milk, are more adapted to the product. Have not used the body milk can cause the upset stomach. You need to include in the diet gradually, starting with small portions. If the body responds well (no nausea and vomiting, normal stools), portions can be increased.

    • Is it yogurt? This milk product is allowed in pancreatitis. Before use, you need to pay attention to the fat content of the milk from which it is made. Milk is high fat not recommended for use.
    • Resolved whether baking, puff pastry, gingerbread? In the acute stage of these products is impossible. In remission yeast cake is allowed in small quantities. The menu can include puff pastry. As for gingerbread, it is important the quality and quantity of the glaze (if any insulin, they must be minimally sweet). Cheap products coated with a glaze, cooked in palm or coconut oil, which is extremely harmful for the gland.
    • Is it cinnamon? Cinnamon is a spice that can be bought in a specialty store or supplied by distributors. What is presented in malls in packaged form – an inexpensive option called Cassia. With the "analog" connected myths about its healing effects in diabetes the second type. It is associated not with the work of the gland, and the response of the insulin receptors in the tissues. No official evidence that there is. As for this cinnamon, it enhances the production of digestive juice, which is undesirable during exacerbation of the disease. (See also: the Benefits and harms of cinnamon)

    • Resolved if the offal? Heart, stomach and liver are not a contraindication for pancreatitis with proper preparation. Such products may be eaten boiled or stewed. Fried is, they are not recommended.
    • Allow cheese, bread, chocolate, coffee? Cheese should be the most simple, i.e., without any seasonings and additives. Bread can be included in the menu. Chocolate is allowed in small quantities. Coffee is not recommended at any stage of the disease. As an option you can drink coffee with milk and in small quantities.

    • Allow rice, olive oil? Rice allowed. Olive oil can be added to salads and other dishes.

    • Allow the brine? Into remission a small amount of brine won't hurt, but drinking it in large amounts should not be.

    • Does salty bacon? Fat is hard on the liver and gallbladder. Upon consumption of the pancreas suffers again. Outside the acute stage, the fat is allowed, but in small amounts (up to two slices a day to two times a week).