Medical nutrition (diet) for pancreatitis of the pancreas

Diet therapy for pancreatitis is no less important than conservative treatment with medications, and there is a logical explanation for this. The inflammatory process in the pancreas (PG) disables the organ, that is, it stops producing pancreatic juice, without which the final digestion of fats, proteins and carbohydrates in the initial part of the intestine is impossible in principle, and therefore normal nutrition is also impossible.

In addition, the pancreas is part of the endocrine system and is responsible for the production of hormones, such as:

• insulin and glucagon, which regulate sugar metabolism;
• lipocaine - fats, as well as bicarbonate ions that neutralize the acidic environment of gastric juice.

An increased load on the inflamed area of ​​the digestive canal may result in a surgical operation to remove its necrotic parts. This development of the disease is extremely undesirable. Therefore, at home, nutrition for pancreatitis is designed to provide the pancreas with all types of sparing: mechanical, chemical, thermal.

Thanks to a special diet:

• the functioning of the digestive system improves;
• the intestines maintain their integrity;
• fewer toxins are formed that poison the body;
• the pancreas stops “devouring” itself;
• enzyme production returns to normal;
• pain is relieved;
• the development of various complications is prevented.

This is where the principles of diet for pancreatitis follow:

1. Food can be steamed; in extreme cases, it can be boiled and baked, but the first option is preferable, as it is healthier and retains more vitamins.
2. Hot or cold food aggravates the disease, so meals should be in the range of 20-50°C.
3. Eat 5-6 times a day. Portions are preferably small to avoid overeating and increasing the load on lifespan.

What not to do with pancreatitis

Within 3 days after an exacerbation of the disease, therapeutic fasting is recommended. From the 4th day, the patient follows table No. 5 according to Pevzner, which is also indicated for acute and chronic cholecystitis, gallstones and cirrhosis of the liver. Without a balanced diet, it is impossible to cure gastritis, diabetes and other diseases of the gastrointestinal tract.

In case of inflammation of the pancreas, foods that activate secretory function are prohibited, namely:

• lard, vegetable oils;
• fresh bread, pastries;
• lactic acid products from fat milk;
• candies and other sweets;
• alcohol;
• sparkling water, juices;
• pickles, marinades;
• rich broths from fatty meats;
• from vegetables, onions, garlic, chili peppers;
• citrus;
• corn, both fresh and canned;
• watermelon;
• melon;
• nuts;
• ginger root;
• seasonings;
• millet.

Chemical composition, trace elements and vitamins in buckwheat

The taste and nutritional properties of buckwheat directly depend on the variety and quality of the product itself. Buckwheat goes on sale in four production forms :

• groats - whole, uncrushed grain, cleared of the surface shell;
• prodel (cut) - peeled coarsely chopped grains;
• Smolensk groats - finely ground grains;
• buckwheat flour.

In addition to the usual dark or light brown grains, green (uncooked) buckwheat is gaining popularity . It is considered a healthy and dietary product; it is also used for preparing cereals and other dishes, but it costs two or more times more than regular processed cereals. In terms of usefulness for the body and availability when purchased, the most suitable is considered to be kernel cereal, as an alternative - prodel.

The energy value of whole grain cereals in raw form varies from 308 to 335 kcal. The glycemic index ranges from 50-60 units. During heat treatment, the nutritional value of the product decreases and is :

• 101 kcal/100 g - boiled in water without salt and oil;
• 104 kcal/100g - steamed in hot water.

What can you eat if you have inflammation of the pancreas?

Dishes from the following approximate list of permitted products are prepared by chopping on a grater or in a blender. Among them:

• soups in vegetable broth, seasoned with sour cream, including butter, vermicelli, eggplant, pumpkin, carrots, zucchini and potatoes;
• porridge from semolina, oatmeal, rice and buckwheat;
• hard cheeses;
• skim milk and the same cottage cheese;
• vegetables and fruits;
• crackers, stale bread;
• dietary varieties of meat and fish.

Beneficial properties of buckwheat

Cereals contain B vitamins, which promote restoration and healing of nails, skin and hair, and strengthen vision. Buckwheat contains proteins consisting of amino acids necessary for the body. There are iron, copper, manganese, molybdenum, calcium and other useful trace elements. The fiber contained in this cereal has an effective effect on cleansing the intestines.

An important advantage of buckwheat is that it can be grown without fertilizers, nitrates or pesticides, and without being subject to genetic modification. The plant does not need this; it gets rid of weeds on its own. Therefore, buckwheat is considered a safe and environmentally friendly product.

Diet for different forms of inflammation

After an attack of acute pancreatitis, namely for 3 days, complete fasting is necessary. Its goal: to stop the production of juice that digests the pancreas itself. During this time, the signs of the disease subside. To neutralize the acidic environment of the stomach, it is recommended to drink alkaline mineral water. You can only eat dishes in the form of puree or soufflé.

Chronic pancreatitis is characterized by rapid loss of proteins. To replenish the body’s protein reserves, they must be constantly included in the diet; a third should be of plant origin. Dairy products can be taken both in the morning and in the afternoon. The source of energy remains carbohydrates contained in potatoes, crackers, pasta and cereals. These recommendations are also observed when organizing holiday feasts.

How to cook buckwheat correctly

Undoubted beneficial qualities and properties make it possible to include cereals in the diet immediately after an exacerbation. To ensure that the beneficial properties do not harm the body during illness, you have to adhere to a number of recommendations in preparation.

When the inflammatory process of the pancreas worsens, when preparing buckwheat porridge, it is necessary to cook the whole grain for a long time, achieving viscosity. Instead of whole grains, it is permissible to use crushed buckwheat. This version of the cereal contains fewer vitamins, but absorption by a weakened body will occur easily.

In both periods of the disease, buckwheat should be thoroughly washed and sorted, making sure to note the absence of uncleaned kernels. The peculiarity of cooking buckwheat is that when the grain is left in cold filtered water overnight, much more useful substances are retained than during regular cooking. The speed of cooking porridge will be much higher.

Folk remedies

A herbal mixture that contains the following plants, taken in a 1:1 ratio, relieves inflammation well;

• galangal (root);
• rose hip;
• green bean shells;
• horsetail;
• St. John's wort;
• dill (seeds);
• yarrow.

You need to add a little celandine to them. Take the mixture (2 tbsp), pour 500 ml of boiling water, leave for 8 hours. Drink 1/3 glass 3 times a day 30 minutes before meals. The treatment course lasts 6-8 months. In case of exacerbation, it is necessary to increase the plant material to 3 tbsp. l.

Contraindications

Despite the common misconception, it is not advisable for diabetics to often eat buckwheat porridge, as well as during exacerbation of pancreatitis. The glycemic index of this product is quite high - 50 (for comparison: GI of pearl barley - 22).

The starch contained in buckwheat can increase blood sugar, creating additional stress on the target organ. Do not include buckwheat dishes in your menu if you are allergic to protein.

The starch contained in buckwheat increases blood sugar

Dish recipes

Diet cake

Ingredients:

• natural unsweetened yogurt (without fat) - 500 ml;
• instant gelatin - 2 packs;
• bananas - 2;
• peaches -2;
• water - 1 glass;
• cookies - about 200 g.

Leave the gelatin to swell, then combine with yogurt and mix. Assemble the cake, alternating layers as you wish. Place in the refrigerator to harden.

Baked pike perch

Ingredients:

• fillet - 500 g;
• butter - 1 tbsp. l.;
• carrots - 2;
• greenery;
• lemon juice - 2 tbsp. l.

Salt a portion of fish, grease the top with oil, sprinkle with grated carrots and place on foil, form into balls, bake for half an hour at 200 °C. Serve sprinkled with herbs.

Diet for pancreatitis is an addition to conservative therapy. Medicines with antisecretory properties inhibit the production of enzymes. During pregnancy, the intake of medications has to be adjusted, since many of them can harm the fetus.

Nutrition rules after acute pancreatitis

16.06.2021

Typically, patients diagnosed with acute pancreatitis are hospitalized, and upon discharge, doctors recommend following a bland diet for two weeks or until symptoms improve. It is based on clear liquids such as chicken broth.

Nutrition rules after acute pancreatitis

After completing the liquid diet, you can gradually begin to eat solid foods. But you need to know which foods are harmful and which are beneficial in order to prevent relapse.

It is important to follow the following recommendations:

• do not consume more than 30 grams of fat per day;
• eat small portions;
• eat at least 6 times a day;
• include in your diet foods rich in carbohydrates and proteins, but low in fat;
• do not drink alcoholic beverages.

Recommended foods in the diet for pancreatitis

Whole grain breads and cereals, such as brown rice, as they contain high levels of selenium and magnesium. It is recommended to consume 1/2 cup of brown rice or pasta per day and 1 cup of ready-to-eat grains .

Vegetables should be included in your diet daily as they contain large amounts of antioxidants. Zucchini, onions, carrots, pumpkin, Brussels sprouts, cauliflower, asparagus, beets, chard, broccoli and spinach are suitable. They are rich in vitamins, folic acid and potassium. It is advisable to eat at least three types of different vegetables per day. Fruits can be eaten grated, in compote or raw. But those cooked in the oven are easier to digest. Typically doctors recommend cherries, apples, kiwis, peaches, papaya, melon, plums and bananas. It is enough to eat two small servings a day.

Proteins, as they contain iron and zinc. Lean meats such as skinless chicken and turkey are suitable. Any types of low-fat meat and white fish are also acceptable.

Chickpeas are a legume that contains large amounts of iron and zinc. (Consume any legumes in small quantities).

Low-fat cheeses such as ricotta, mozzarella.

Dishes should be prepared with a small amount of spices.

Menu for acute pancreatitis

After an exacerbation of pancreatitis, it is necessary to ensure easier digestion.

Dietary options for pancreatic .

Breakfast:

• 1 serving of papaya with low-fat cheese, maybe cottage cheese. Whole grain low fat turkey biscuits.
• 1 omelet with egg and vegetables such as tomatoes, peppers. A piece of bread. 1 glass of freshly squeezed orange juice.
• Whole grain porridge with a cup of skim milk, 1 banana.
• Whole wheat toast with unsweetened jam. Low-fat cheese. 1 glass of papaya juice.

Dinner:

• 1 serving of pasta (whole wheat) with skinless chicken and tomato sauce. 1 small bowl of steamed vegetables such as carrots and broccoli;
• 1 serving of baked white fish with asparagus and lentils.
• 1 grilled chicken breast with 1/2 cup rice and potato, carrot and onion salad.
• 1 serving of grilled lean tenderloin, 1 baked potato and grilled vegetables such as bell peppers, onions and banana.

Dinner:

• chicken soup with vegetables and noodles. Green salad of lettuce, arugula, mushrooms, peppers, tomatoes, onions and tangerines.
• 2 whole wheat tortillas with chicken and vegetables stir-fried. Salad of tomatoes, onions and parsley, garnished with lemon.
• 1 baked chicken breast, 1 cup baked vegetables.

Diet for pancreatitis is important for successful treatment, its purpose is to prevent malabsorption of nutrients, reduce stomach and reduce risk factors to prevent recurrence of pancreatitis .

Published in Surgery Premium Clinic

Consequences of not following the diet

Undisciplined behavior of the patient leads to serious complications, including:

• encephalopathy (dystrophy of brain tissue);
• diabetes;
• pancreas cancer;
• obstruction of the lumen of the duodenum;
• pleurisy (inflammation of the serous membrane of the lungs);
• blockage of blood vessels (splenic or portal) by a thrombus;
• hepatic hypertension (increased pressure in the portal vein system);
• bleeding in the digestive canal;
• disruption of the outflow of bile and, as a result, yellowness of the tissues.

Benefits and harms

The peculiarity of buckwheat is the combination of a large amount of vegetable protein with amino acids: lysine, lecithin, tryptophan, and the carbohydrates in its composition provide a long-lasting feeling of satiety. The beneficial properties of buckwheat include the following:

• quickly digested and easily absorbed by the body;
• does not burden the pancreas;
• improves the formation and secretion of bile, which gives impetus to the production of pancreatic juice;
• accelerates cell regeneration;
• normalizes intestinal function thanks to fiber;
• replenishes the body with vitamins E, PP, D, microelements: potassium, phosphorus, iron.

Buckwheat normalizes intestinal function thanks to fiber.
It is important that buckwheat contains B vitamins, which ensure metabolic processes in the body, including fat and carbohydrates.

Cereals are harmful to people with protein allergies. If you eat buckwheat daily and in large quantities, the starch contained in it can increase the level of glucose in the blood, which is extremely undesirable for pancreatitis.