Pancreatitis, sadly, is the most common disease of the gastrointestinal tract. It is caused by a variety of factors, including alcohol abuse and an unhealthy diet. This pathology has two forms - chronic and acute. Diet for pancreatitis is the main point in the treatment of this disease.
The fact is that the pancreas (its function is disrupted during the development of pancreatitis) plays a very important role in the digestive process. It produces special enzymes that help break down proteins, carbohydrates and fats.
After careful "processing, " these nutrients are converted into more modest compounds, permeate into the circulatory system and carried through arteries throughout the body. It should be noted that the condition of the liver also depends on the work of the pancreas. However, it produces lipokins, which prevent the deposition of fat deposits in liver cells. In addition, the pancreas also synthesizes insulin, which is needed for normal carbohydrate metabolism.
When there is a violation of the function of this organ, the following things happen in the body:
- in the gland itself, digestive enzymes begin to accumulate, which provoke self -digestion, which is felt by the patient himself - he experiences severe pain in the abdomen;
- the acidic environment in the small intestine changes, which leads to the appearance of unpleasant symptoms such as heartburn and burning;
- toxins accumulate in the body, which often causes its poisoning;
- insulin and lipokin production is disrupted, which provokes diabetes mellitus and the development of liver disease.
Unfortunately, it is very difficult to cure pancreatitis completely. But, if the diet is taken care of regularly with pancreatic pancreatitis, then the patient’s condition will be stable. If you deviate from the diet, then the possibility of the emergence of this disease, which is met with patient admission and the need for surgical intervention.
Therefore, it is very important to follow a diet for pancreatitis. Moreover, it should be noted that in contrast to chronic and acute forms of pathology.
Diet for acute pancreatitis
The first few days (2-4 days) of the development of acute pancreatitis, the patient is given a diet schedule No. 0. That is, he is forbidden to eat any food, even the lightest. Only allowed to drink in small and small amounts. In this case, the ideal solution is to use non -carbonated mineral waters.
Once the pain syndrome subsides, the patient’s diet gradually expands. It began to include "lightweight" products. At the same time, they must provide protein with the patient completely (there must be a large portion of it), fat and carbohydrates (the amount should be minimized).
The daily caloric content of patients suffering from acute pancreatitis is 2500-2700 kcal. All dishes he uses must be boiled or steamed. Stews and fried foods are prohibited, even cooked without oil.
The patient's main diet is protein. The amount must be at least 80% of the total, and 60% of it must be of animal origin. Daily fat intake for patients with pancreatitis is 40-60 g, and carbohydrates - no more than 200 g.
At the same time, it is very important to limit salt intake. Because it contributes to swelling of the walls of the pancreas and increased production of hydrochloric acid. Rejection of salt not only leads to an increase in the function of the organ itself, but also slows down the digestive process, which makes a person feel full longer.
For this reason the first few days after the introduction of regular foods into the diet, it is recommended to eat fresh foods. In addition, to avoid irritation of the pancreatic mucosa, all foods must be taken warm (ideal temperature is 45-60 C). In this case, the consistency of the dish itself is very important. It must be a liquid or puree.
After a week, the patient's diet gradually expanded. It includes:
- slime soup;
- pieces of beef;
- cheese mass;
- mashed potatoes;
- rare grains (with acute pancreatitis, millet groats are prohibited);
- kefir (non -fat);
- weak sugar -free black tea;
- rosehip broth.
If the patient's condition is stable (there is no exacerbation in 6-7 days after the expansion of the diet), the diet for pancreatic pancreatitis also includes:
- protein steam omelet;
- cheese pudding;
- carrot puree;
- baked apples (they can only be eaten in cleaned form).
What is forbidden at all?
If dietary rules are not followed, acute pancreatitis easily becomes chronic. To prevent this from happening, the patient must exclude from his diet for a long period of time (4-8 months):
- fried foods;
- various smoked meats;
- flour products made from butter dough;
- canned goods;
- packaged juices;
- alcoholic beverages;
- fatty dairy and fermented dairy products.
Diet for chronic pancreatitis
Chronic pancreatitis is characterized by a wavy journey. That is, the disease can be forgiven for a long time, after which its worsening is observed. It can walk easily, so many people don’t even ask for help from a specialist.
However, there are situations when increased pancreatitis is accompanied by some unpleasant symptoms, including severe pain. In such cases, the patient is hospitalized and conservative treatment is prescribed, which includes drugs that have anti-inflammatory and analgesic effects.
As a rule, the first 2-4 days after an exacerbation, patients, as in acute pancreatitis, are given a diet schedule No. 0. If the patient is in a very serious condition, the fasting period may be prolonged. During this period, nutrients are injected through veins or tubes that are inserted into the nasal passages and reach the intestines.
Patients are allowed to eat regular meals only after a few days, as soon as the pancreatic edema subsides and the inflammatory process subsides. However, there are strict restrictions. Diet for chronic pancreatitis in the first days after improving health allows:
- drink plenty of plain water (needed to restore water electrolyte disturbances);
- drink beverages with alkaline medium (these include mineral water, green tea, rosehip broth);
- homogeneous food consumption (jelly, oat broth, jelly, etc. );
- dry bread (only a few slices of bread are allowed per day, it does not provoke the production of pancreatic enzymes and gives it a complete rest).
If the patient's condition is stable, food products containing large amounts of carbohydrates are included in the diet. They are easily digested by the body and do not burden the pancreas. In this case, the use of homogeneous or viscous food is mandatory.
Patients are allowed:
- biscuit biscuits;
- mashed potatoes;
- mashed vegetable soup;
- rare grains.
During this period, you should not eat fatty and fried foods. All meals are prepared without the addition of oil and salt. In addition, the amount of protein is also reduced to 15 g per day. For the first few days, patients should not eat:
- meat, even food;
- fish and seafood;
- dairy products and fermented milk;
During this period, the patient's diet consisted of carbohydrate products. However, the amount of carbohydrates consumed should not exceed 200 g per day.
7-10 days after the exacerbation of chronic pancreatitis, the following are included in the patient's diet:
- protein steam omelet;
- low -fat cottage cheese;
- fermented milk products not more than 3% fat;
- steamed diet meats;
- non -acidic fruit varieties (mashed potatoes made from them);
- almost all types of vegetables (they are also used in cleaned form);
- vegetable and meat soups.
During this period, it is very important to prevent recurrence of the disease. Therefore, you need to adhere to the diet strictly. Even after 10-12 days after suffering, patients should also not forget the prohibition on food.
Keep in mind that the diet for chronic forms of pancreatitis must be followed throughout life. Therefore, even after discharge from the hospital, patients have to adhere to strict restrictions for the long term. He should not be eaten:
- sour fruits and berries;
- alcoholic beverages;
- fatty and fried foods;
- smoked meat;
- canned food, etc.
The diet should contain an excess of foods rich in carbohydrates and not have the effect of stimulating receptors.
Diet in remission
Chronic pancreatitis is a "lifelong" disease, in which strict dietary rules must be observed at all times, not only at times of exacerbation, but also at times of stable remission. At that time, the patient's diet must include foods rich in vitamins and minerals, for example:
- fresh vegetables;
- non-acidic fruits and berries;
- various grains (except legumes);
- dairy product;
- soups (they can be cooked either in vegetable broth or secondary meat broth);
- dried fruit;
- lean meats;
- Fish and seafood.
It is also allowed to eat bread. But at the same time, it must be prepared from coarse flour and slightly dry. In addition, agar and jelly must be present in the patient's diet.
It is also permissible to use vegetable oils, but only in very small amounts. Doctors recommend using it exclusively for styling vegetable salads.
Keep in mind that during a stable remission period, overeating should also be excluded. You need to eat up to 5-6 times a day in small portions. All food eaten must be lukewarm. Hot and cold foods irritate the pancreas, which provokes an increase in disease.
In general, patients have been on a 5p diet for pancreatitis throughout their lives, which does not include the following foods:
- cabbage soup;
- fatty meats and fish;
- cold soup;
- chocolate and various products made from it;
- fried egg;
- onions and garlic;
- caffeinated beverages;
- carbonated drinks;
- rich products.
Sugar should also be eliminated from the diet. These contain a lot of "moderate" carbohydrates that should be avoided as much as possible. It is best to eat bee honey instead. However, you should not get carried away with them. While this product helps relieve the inflammatory process, it also contains moderate carbohydrates, although not in as large amounts as granulated sugar.
During this period, one must take care of his health and pay special attention to nutrition. It must be fractional, but nutritious. A small amount helps to prevent excessive pressure on the pancreas, which reduces the risk of the disease.
Remember that alcohol and fatty foods are your enemies, which in just a few hours can "put" you in a hospital bed. Therefore, you should put a "taboo" on them. Discuss your menu carefully with your doctor and follow all the recommendations he or she gives you.