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

Dietary food for pancreatitis, What you can eat for pancreatitis May 13, 2013 34392

Pancreatitis is a disease caused by inflammation and disruption of the functional activity of the pancreas.

A necessary condition for recovery is the organization of therapeutic dietary nutrition - diet No. 5p for pancreatitis.

Today I answer the question - is it possible to eat broth, how to properly cook broth if you have pancreatitis.

The role of diet in pancreatitis

The pancreas secretes 1-2 liters of digestive juice per day. In acute inflammation, the outflow of active fluid into the intestines is disrupted. An unwanted activation of digestive enzymes occurs inside the gland itself, they begin to “eat away” its tissue. Severe pain and vomiting occur.

The most common course of pancreatitis in adults is chronic, recurrent. Periodically pains in the left upper part of the abdomen on the right. The duration of the pain syndrome ranges from several hours to 2 days.

At the onset of the disease, particularly strict adherence to the diet is required, including fasting.

To further treat the inflamed digestive gland, drug therapy is not enough.

A low-fat, low-calorie diet is required. Thanks to proper nutrition, the production of pancreatic juice is normalized, and symptoms of inflammation appear less frequently.

Features of the first days of diet therapy

In case of acute pancreatitis, after fasting for 24-48 hours, start drinking weak, unsweetened tea. If symptoms do not worsen at this stage of the disease, sweetened tea is allowed. Then foods containing predominantly carbohydrates are introduced. The entire amount of food is distributed into 6-8 small meals.

Dishes for a diet for pancreas during an exacerbation should be selected very carefully. We advise you the following:

• porridge with water;
• oatmeal soup;
• starchy soups;
• noodles in vegetable broth;
• jelly products;
• biscuits;

• banana puree;
• crackers;
• honey.

In the following days, the diet becomes more varied, but with the obligatory exclusion of certain foods. For example, the pancreas does not “like” milk (difficult for adults to digest) or caffeinated drinks. You are allowed to drink rosehip decoction and still table mineral water.

In recent years, doctors and nutritionists have been revising their recommendations regarding complete fasting in the first few days of an exacerbation of pancreatitis. The fact is that the lack of food is a strong stress for the gastrointestinal tract and the entire body. Therefore, if the recommended carbohydrate foods do not cause pain and vomiting, then they can be consumed in small quantities from the first days of illness.

Carbohydrate-protein diet

When the symptoms of acute inflammation disappear, protein products are added. If the food is well tolerated, a small amount of fat is introduced. This is the next stage of diet therapy - carbohydrate-protein with the addition of fats.

Low-fat carbohydrate-protein diet (after carbohydrate):

• Steamed fish;

• low-fat cottage cheese;
• mashed potatoes;
• yesterday's white bread;
• boiled poultry breast;
• pudding and pancakes cooked with diluted milk;
• spinach, carrots, asparagus;
• fruit soups and sauces.

Side dishes for fish and poultry are prepared from cereals (mainly oatmeal, buckwheat and wheat) and pasta. Cook porridge only in water or add skim milk. Season the finished dish with a small amount of butter or vegetable oil.

Diet for pancreatitis - table No. 5 according to Pevzner. According to the recommendations of this Soviet nutritionist, fatty foods should be excluded from the diet. Meals are split, 5-7 times a day. This diet allows the pancreas to “rest.”

Thanks to gentle nutrition, acute pancreatitis or exacerbation of chronic pancreatitis in 80-90% of cases disappears after 5-7 days. Among patients with symptoms of pancreatic inflammation, 10-20% of patients require emergency medical care due to a serious condition. If you experience acute, “girdling” pain in the abdomen, vomiting, weakness and a drop in blood pressure, you should call an ambulance.

Cauliflower soup

This vegetarian cauliflower soup recipe is perfect for winter as it contains many beneficial vitamins. To prepare the dish you will need 4 potatoes, 0.5 kg of cauliflower (can be frozen), two carrots, one leek, a little vegetable oil and salt.

• First of all, you need to chop the leek. Moreover, you can use both the white part and the green part in the soup.
• Then the prepared greens need to be mixed with grated carrots and the mixture simmered in a frying pan with the addition of vegetable oil.
• Potatoes cut into strips are placed in boiling salted water, cauliflower disassembled into inflorescences and sautéed vegetables are also added.
• After all the ingredients are ready, the soup should be left turned off for 15-20 minutes.
• This is necessary so that the broth is well infused. You can serve the dish with low-fat sour cream.

What products are prohibited or restricted?

It is recommended to avoid eating foods high in hidden fats. These are certain types of meat and cheese, sausages, rich in connective tissue. Whole grains and legumes containing hard-to-digest fiber are poorly tolerated by the pancreas. For pancreatitis the following are prohibited:

• salo;
• smoked meats;
• full fat milk;
• marinades;

• sour cream;
• cream.

It is recommended to abstain from alcohol, not to overeat, not to consume, or to significantly reduce the use of spices in dishes. Adhere to a strict diet after acute inflammation of the pancreas or exacerbation of a chronic disease for 9 months.

The patient should avoid vegetables with a spicy taste (onions, garlic, peppers), sour fruits, and limit salt and sugar in the diet.

Sometimes with pancreatitis, hypersensitivity to alcohol develops, even in small doses. The exact cause of the addiction is not yet known. If a particular patient has a connection between alcohol consumption and exacerbation of pancreatic inflammation, then he should not drink alcohol.

Sweet banana-curd soufflé

Almost all patients with pancreatitis lack sweets. Here is a simple recipe for curd soufflé that will not cause aggravation. The following ingredients will be required:

• a pack of low-fat cottage cheese;
• one banana;
• half a glass of skim milk;
• a teaspoon of powdered sugar.

Place all ingredients in a blender and blend until an airy soufflé is formed. Remember: you cannot eat this dessert cold! It, like all other dishes, should be at room temperature.

Basic principles of the diet

Within a week after the onset of acute inflammation, they gradually switch to a low-calorie diet. It is allowed to eat anything that does not cause an exacerbation of symptoms. Protein consumption should be 1.5 g per 1 kg of body weight, fat - from 7 to 15 g per 1 kg of body weight per day. It is recommended to provide the body with 25-35 kcal per 1 kg of body weight per day through food.

Consumption of vitamins and minerals:

Frequency - not 3-4 large meals, but 6-7 small ones with an interval of 2.5-3 hours. Diet and abstinence from alcohol are the best prevention of acute inflammation of the pancreas. Also, the risk of pancreatitis decreases with lower blood cholesterol levels.

The diet for chronic pancreatitis includes: protein 10-15%, carbohydrates 35-50%, fat 35-40%.

Previously, patients with pancreatitis were recommended diets with an absolute ban on fat. Enzyme replacement therapy makes it easier to digest any food. Trade names of drugs: Creon, Pancreatin. Festal is preferable when pancreatic inflammation is combined with gall and liver diseases. For acute pancreatitis, enzymes are not used.

What to eat

The diet should include food that does not irritate the mucous membrane. The products used for cooking should not contain any harmful impurities. It is all the more important to avoid chemicals, which can not only significantly worsen the clinical picture of the disease, but also become a provocateur for the development of oncology.

Food from the garden is especially healthy

Important! It is advisable to prepare food from products that were grown in your own garden.

If this is not possible, then you should purchase the ingredients in specialized stores.

In the first 2 weeks after acute symptoms subside, soups made from buckwheat and oatmeal are recommended.

Features of preparing dietary dishes

Therapeutic nutrition must be individualized. However, there are general principles of culinary processing of products to reduce the amount of irritants. Mechanical: fiber, lignin, hemicellulose in plant products, connective tissues in animal products. Chemical irritants are certain substances that increase the activity of the digestive glands and the entire gastrointestinal tract.

The following should be excluded from the diet during diet therapy for pancreatitis:

1. mushrooms, raw radishes, radishes, garlic and onions, rich in mechanical irritants;
2. salted, smoked, dried fish, containing many chemical irritants;
3. meat, mushroom and fish broths rich in extractive substances;
4. alcohol is a strong chemical irritant.

The content of mechanical irritants in products decreases during grinding and mild heat treatment (boiling, stewing). After being freed from cartilage and veins, the meat is thoroughly chopped. The cereals are pre-soaked and boiled in water. Frying is not allowed, as this heat treatment creates a harmful crust. Boiling is preferable. The content of chemical irritants in products decreases when cooked in water or steamed.

Unfortunately, any culinary processing leads to a decrease in the amount of vitamins and mineral components in food.

Stewing occupies an intermediate position between frying and boiling. With this method, new chemical irritants are not formed, but those already present in the products may remain. The advantage of stewing is the better preservation of bioactive substances in food after heat treatment.

List of dishes for the menu for the week

When choosing specific dishes for nutrition with pancreatitis of the pancreas, the menu for the week must take into account the requirements for nutrient content. It is advisable to use foods rich in vitamins and minerals. Wash down the meal with compote, green tea, rose hip decoction, and weak black tea.

Sample menu:

Before going to bed, it is recommended to drink jelly or low-fat kefir, eat biscuits, dry bread, and crackers. Outside of periods of exacerbation of pancreatitis, natural juices rich in antioxidants and other bioactive substances are included in the diet. You can wash down your meals, as plant enzymes improve food digestion. It is preferable to drink fruit juices in the morning, vegetable juices in the afternoon.

Secrets of preparing aromatic milk soups for people with pancreatitis

Patients on a diet often want to treat themselves to an unusual recipe for first courses. And they really miss desserts. Soup with processed cheese is just such an option for an unusual first course. The first portion should not be cooked too much, because you may not like the taste. It is very unique and largely depends on the quality of the processed cheese used. Sometimes it can be pure creamy, and sometimes it can give off an unpleasant chemical scent.

Ingredients:

• one good quality creamy processed cheese;
• a piece of chicken fillet 200-220 grams, pre-boiled and finely chopped;
• a couple of potatoes, cut into cubes;
• one carrot, grated on a fine grater;
• a sprig of dill and parsley for flavor.

Place a liter of water in a saucepan and add salt to taste. Immerse vegetables in it, bring to a boil and boil until tender. Five to seven minutes before turning off the heat, put chicken and cheese into the pan and mix thoroughly. The cheese will begin to spread before your eyes and very soon, in two to three minutes, will dissolve completely. Soup with processed cheese is also called creamy or milky. It turns out aromatic and satisfying.

Foods and drinks to reduce inflammation

To obtain a detoxifying drink, mix a glass of carrot juice, a cup of Brussels sprouts, and a sprig of celery in a blender. Add 1/2 cup of water. It is recommended not to use sugar. You need to drink slowly, in sips.

Medicinal herbs help treat inflammation and rid the pancreas of toxins. Choose plants that have anti-inflammatory, analgesic, antimicrobial and antispasmodic properties. Herbs are used individually or in the form of collections (mixtures).

On the third or fourth day of inflammation of the pancreas, take an infusion prepared from equal parts of crushed peppermint leaves, immortelle flowers, and fennel fruits. For 500 ml of boiling water you will need 4 tbsp. l. collection Brew and infuse in a thermos. Accept according to? a glass of drink 15 minutes before main meals (only 3-4 times a day).

Useful herbs for pancreatitis:

• chamomile flowers;
• hawthorn fruits;

• St. John's wort;
• oregano;
• corn silk (hair);
• large plantain;
• Linden blossom;
• celandine.

Herbal tea prepared from medicinal plants helps eliminate pain, bloating, and heartburn. Dried hawthorn fruits can be ground together with seeds and brewed like coffee. Herbal medicines are taken for at least 12 days. Then take a break for 2 weeks.

Nutrition outside the acute stage

When stable remission has occurred and the latent period has been observed for more than 2-3 months, you can introduce lean meat, soups and other favorite dishes into the diet. It is important to remember that if you have pancreatitis, you should always follow portion sizes. It should be no more than 100-150 g. for one meal.

Fractional meals should be observed throughout the entire period of illness. Liquids should also be drunk in small portions.

Mushrooms for pancreatitis in the stage of stable remission can be introduced into the diet only after consulting with your doctor. You need to start with champignon broths, cooked according to the rules. To begin with, you should eat mushroom dishes no more than 1-2 times a month, with a break of 10-15 days. This period is needed to monitor the state of health, whether an exacerbation of the disease will occur.

If the body accepts champignon broth well, then you can switch to light puree soups and dietary mushroom dishes.

Prevention of pancreatic inflammation

One of the ways to prevent pancreatitis is to eliminate the causes of the disease. These could be infections or gallstones. If, during cholecystitis, a stone gets stuck in the common duct, then the enzyme-rich pancreatic juice is blocked. This condition is one of the most common causes of irritation and inflammation of the gland.

Pancreatitis usually develops against the background of poor diet, alcohol abuse, and in women during pregnancy.

Preventing inflammation consists mainly of proper nutrition. It is important to avoid difficult to digest, fatty foods. We must give up alcohol, tobacco, fast food, learn to manage our emotions, and avoid stress.

The risk of pancreatic problems is reduced after gallstones are removed. Pancreatitis is very often combined with cholecystitis, and a sharp deterioration in the condition of the pancreas usually occurs when the bile duct is blocked. It is in this case that severe girdle pain appears.

The following foods cause chronic inflammation of the pancreas:

• sucrose (50% glucose and 50% fructose); fructose, syrups rich in these carbohydrates;
• trans fatty acids (hydrogenated fats), margarine, which reduce the amount of healthy cholesterol and negatively affect the vascular walls;
• vegetable oils obtained with the help of chemical solvents, for example, hexane (sunflower, corn, soybean, safflower, canola, peanut, sesame);
• refined carbohydrates (purified sucrose, glucose, fructose);
• industrial meat processing products.

Inflammation is not always bad. On the contrary, under certain conditions, this process helps the body protect itself from toxins, infections, and stimulates the healing process. Chronic disease causes the greatest harm because it depletes the immune system.

Diet against inflammation

An inflammatory reaction in the tissues of the pancreas occurs in response to various irritants. Diet therapy for pancreatitis depends on the cause and form of the organ disease. With the help of nutrition, you can speed up the recovery of the pancreas and avoid relapses.

The basis of nutritional therapy for pancreatitis is reducing the amount of lipids. Inflammation of the gland leads to a deficiency of lipase, which breaks down fats. In the first days, the patient's diet should be dominated by carbohydrate foods, then protein foods should be added. Outside the period of exacerbation, they begin treatment with enzymes and take such drugs for a long time, sometimes for life.

Alcohol should be avoided in acute and chronic pancreatitis. Drinks and foods containing antioxidants are beneficial. This group includes green tea, pomegranate and other fruit juices that are red, orange, dark green and purple.