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 pancreas inflammation under no circumstances. These include:
- Alcohol (any), grape juice, soda;
- Chocolate, fat cream;
- By-products;
- Sheep meat;
- Salt;
- FIG;
- Duck;
- All fatty fish;
- Goose;
- Smoked meat, lard;
- Banana;
- Fried, spicy;
- Boiled egg;
- Semi-finished products;
- Grape;
- cooking fats;
- Date;
- rich broths;
- Preserves, jams;
- Any canned food;
- Sundae (and ice cream in general);
- Omelet;
- cooking.
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. Organ regeneration occurs due to the fact that gastric and pancreatic juice is not secreted.
On the third day, you can eat but unsalted liquid foods that are high in carbohydrates. Wheat crackers, soups with vegetables and cereals, with weak broth are allowed. After that, you can insert steamed omelets, 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 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 on mashed carrots (potatoes), boiled low-fat fish or chicken (50g), rosehip broth;
- 150 g of broth (vegetables), 30 g of boiled fish (veal), applesauce, mashed potatoes for lunch;
- Second snack. 50 g of cottage cheese (0-2%) with sugar, sweet tea;
- Instead of supper - a spoon of honey and boiled water (250 ml).
Recovery after exacerbation
Nutrition for pancreatic pancreatitis after an exacerbation is more varied. If you try, you might actually find fun and delicious recipes of what's allowed. We eat 5-6 times a day. It is better to use steam when cooking, puree everything with a blender, cook.
You can eat:
- Meat with a minimum of fat (cut and cook). Cooking meatballs, steamed chops, meat souffles. Allowed lean meat, rabbit, turkey fillet, chicken, veal;
- Fish (you can use pollack, cod, pike, perch, halibut and other lean varieties). Boil or steam, steam chops are allowed;
- Porridge made from oats, buckwheat, semolina, rice. Barley with corn is rare. We cook in water (or milk and water in equal proportions);
- Pasta. Do not add sauce, just oil, butter. Do not fry with garlic, oil, onion;
- Milk derivatives. Whole milk is not recommended. Boiled fermented milk, kefir, cottage cheese up to 9%, soft cheeses are allowed;
- Egg. Just like an omelet or stew. Use rarely;
- Vegetables. Roasted, boiled, pureed, vegetarian soups, casseroles. Pay attention to carrots, potatoes, melons, beets, peas, cauliflower. You can't eat most of the cruciferous family, mushrooms, radishes, raw onions, spinach, garlic, beans (legumes in general), peppers, sorrel;
- We also bake fruit, cook jams, jellies, make mashed potatoes. Apricots, watermelons, melons are ideal;
- Dry white bread with pancreatitis, drink tea with savory and not rich biscuits;
- Homemade jam, mousse. Less commonly, marshmallows;
- Still mineral waters, jam, weak tea, rosehip broth, jam.
chronic form
The diet for chronic pancreatic pancreatitis differs from the menu for acute inflammation. The chronic "version" develops together with an acute inflammatory process of the gland, with cirrhosis, hepatitis, gallstones, ulcers of the intestine and stomach, atherosclerosis. The menu should take into account the history of the disease that 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 needed.
- Track your daily protein intake. You need 130 g a day, plant proteins need 30% of that amount. Veal with beef, rabbit, turkey, low-fat pork, chicken and lean fish is recommended. With constant pain, the meat is boiled minced or steamed. You should not give up on 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 fatty transformation is neutralized by homemade fresh cheese (not sour and with a minimum percentage of fat). Other dairy products are also needed. Whole milk is added to first courses, cereal, jam or drunk half a glass a day (if well tolerated). The fat content of milk should not exceed 2. 5%. If you feel good, say cheese (a little) with a minimum of fat and mild varieties. Don't forget kefir and fermented milk (homemade is the best option). There's no need to eat store-bought yogurts with flavors and starch: there's little benefit here;
- Eggs. Integers are not recommended. Eggs are acceptable as an addition to other dishes, in the form of steam omelet (protein), whipped proteins in other dishes;
- Vegetable proteins. We look for them in rice, pasta, yesterday's bread, oatmeal, semolina, breadcrumbs, buckwheat. Vegetables are prohibited;
- fats. There should be 70 of them in the patient's diet, 80% of which are of animal origin. They will be properly consumed with other foods and dishes. Butter the finished porridge or pasta before eating. Vegetable oils are allowed if you tolerate them well. Other types of fats (cooking, beef, margarine, pork) are prohibited;
- carbohydrates. They need up to 350 g a day. These are honey, sugar, syrups and jams. You need to eat semolina, oatmeal, buckwheat, barley, rice, pasta. From vegetables, carrots and beets, potatoes, melons (zucchini, squash, squash) are acceptable. It is better to cook them in steam or in water, steam pudding is also suitable, it would be ideal to eat vegetables in the form of mashed potatoes. Don't eat them raw. Bread is allowed white, black, gray;
- Fruit. Above all, apples of non-acidic varieties are needed. Bake, clean, boil the compote. For the latter, dried fruits are suitable;
- sauces. Of all the varieties with pancreatitis, a béchamel made from flour and milk is allowed. We do not pass the flour, we add a minimum of salt;
- First meal. We never turn them down. You can eat cereals, vegetables, lean poultry, meats, fruits, dairy soups;
- Drinks. In addition to the aforementioned compote, it is useful to drink fruit juices, tea with milk, mineral water;
- Supplements, special products. Add protein powder and vitamins to the diet;
Don't overeat, the volume of food (plus any liquid you drink) should not exceed two and a half kilos. No matter how strict a diet for pancreatic pancreatitis may seem, an approximate menu may not be boring and varied.
Here's how you can organize your meals for a chronic illness:
- 7 – 7: 30 am. Breakfast. Oatmeal with milk, boiled meat, sweetened tea;
- 9-9: 30 am. Lunch. Baked apple, steam omelet, rosehip tea;
- 1 pmWe had a lunch of vegetable soup, meat soufflé, pasta. For red fruit jelly and compote;
- 4: 30 pmAfternoon snack. Tea with curd;
- 20. 00. 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 also complex.
The main features 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 the norm, jellies, cakes, sweets, 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 any spices.
If remission occurs, the diet can be varied. Now it is allowed not only to boil or steam. You can cook and roast vegetables, fish and meat. Refuse to rub: eating whole foods is still allowed. Food should be hot, but not hotter than 60 degrees. We eat 4 to 6 times a meal, taking breaks of up to three hours between meals.
In numbers, it looks like this:
- 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 vegetable;
- We eat 350 g carbohydrates a day, 40 g of which are easily digestible;
- Calorie 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 the opportunity to explore culinary skills. Here are some inspirations and sweets for a pancreatic pancreatitis diet sample menu.
- Cottage cheese casserole in the microwave. Blend 2% cottage cheese with banana in a blender, add chopped dates. We bake for about five minutes in silicone molds. Use with plain yogurt (no sugar);
- Baked apple with cream cheese meringue. Wash the fruit, get rid of the middle, cutting it into two parts. Whisk the protein and powdered sugar separately until thickened. In the process of beating, put 2% cottage cheese into the mixture. We fill the fruits, bake in a regular oven (at 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. Having rolled it into a layer 3 mm thick and pierced with a fork, we bake it for a quarter of an hour at a temperature of 170 degrees.
A diet for inflammation of the pancreas should be prescribed by a gastroenterologist. So take our approximate diet menu for pancreatitis only as a recommendation, advice. Your task is not to make the diet bland and not to lose interest in food. Eat right.