Pancreatitis is inflammation of the pancreas. Pathology occurs in acute and chronic forms. This condition has a characteristic symptom: severe pain in the left hypochondrium, sometimes of a girdle character, fetal feces, nausea and vomiting.
Diet for pancreatic pancreatitis is one of the main areas of treatment of pathology. The patient's menu depends on the general state of health and the duration of the disease. It is necessary to adhere to medical nutrition for several months.
general principles
Nutrition for pancreatitis of the pancreas should be sparing. Basics of the diet:
- fractional nutrition - food should be taken in small portions five to six times a day;
- Dishes should be mashed, which facilitates the process of digesting food;
- Allowed cooking methods are steaming and boiling;
- Fresh vegetables and fruits are strictly prohibited, i. e. not cooked;
- The permissible daily amount of salt does not exceed 5 grams;
- It is imperative to take infusions and decoctions on gulab jamuns;
- The dishes served on the table should be hot - hot and cold are contraindicated;
- Preservation, semi-finished products, fatty/fried/highly salty foods and products are strictly prohibited.
Deviation from the principles of dietary nutrition can provoke the development of an attack of pancreatitis.
Permitted and Prohibited Products
To reduce the production of pancreatic juice and reduce the load on the inflamed gland, it is necessary to completely exclude from the patient's diet:
- Soup cooked in rich meat, fish and mushroom broths, as well as complex soups - cabbage soup, pickles, borscht. Cold and dairy products are excluded.
- Bread - Today's wheat/rye flour baked goods, puff pastry and pastries, butter-fried pies, tortillas.
- Fatty meat - pork, lamb, duck, goose - sausage, offal, canned food and smoked meat.
- A fish. Fatty varieties, smoked, salted are prohibited.
- High-fat milk and lactic acid products.
- Groats - millet, pearl barley, wheat, corn.
- Fried and hard boiled eggs.
- Vegetables - turnip, radish, garlic, pepper, eggplant, cabbage, spinach.
- Sweets - jam, ice cream, fresh dates, grapes, bananas, figs.
- Spicy spices.
- Coffee, strong brewed tea, coffee, soda, grapefruit juice.
- Refractory fats - pork, beef, lamb.
When developing a menu for every day, it is necessary to take into account the recommendations of nutritionists and use only approved products. It:
- dried loaf, biscuits, homemade crackers;
- vegetarian soups with pureed vegetables - potatoes, zucchini, pumpkin, carrots - noodles, semolina or oatmeal;
- lean meats - chicken, rabbit, turkey - in the form of steam cutlets, soufflés, dumplings, beef stroganoff;
- low-fat fish varieties - pollock, carp, cod;
- cereals - porridge, semolina, rice - used for making cereals, casseroles, puddings;
- low-fat milk and lactic acid products;
- steam omelet without yolk;
- vegetables - potatoes, zucchini, beets, pumpkin, cauliflower, carrots, green peas;
- sweet berries and fruits in the form of mousses, jellies, puddings, oven-baked apples;
- Sauce - cooked in dairy and vegetable broth (when using flour, the latter is not sautéed);
- butter and vegetable oil;
- Weak tea with lemon, still mineral water, decoction of rosehip, juice diluted with water.
Diet for acute pancreatitis
If we talk about what kind of diet is recommended for a patient with acute inflammation, this treatment is Table 5P. During the first two to four days, a person is advised to have a full appetite. Only liquid intake is allowed - decoction of gulab jamun, borjomi (without gas), weak tea. Then the patient turns to nutritional therapy. It is permissible to include unsalted, but carbohydrate-rich dishes in the menu.
Approximate list of dishes that can be included in the menu:
- steam omelet on proteins;
- meat soufflés;
- fish and meat dumplings;
- Pure soups - rice and oatmeal - and vegetarian options;
- vegetable puree;
- mashed oatmeal - rice, buckwheat, oatmeal;
- apples in the form of jelly or mousse;
- fruit drinks from wild rose berries, cranberries, black currants;
- tea with milk;
- Cheese and dishes from it;
- Cereal pudding.
Before going to bed, you can offer kefir, yogurt, a spoonful of honey dissolved in a glass of water, prunes and raisins.
Estimated Weekly Menu
When creating a menu for a week, it should be remembered that the patient's diet should be varied. When developing a menu for a patient for a whole week, you can use the following recommendations.
Breakfast can be served with a salad of boiled beets and dried fruits, 150 g of low-fat cottage cheese and a decoction of gulab jamun, steam omelet without yolk, weak tea with biscuits, grated oatmeal and berry jelly, pumpkin porridge. Rosehip drink, cottage cheese with biscuits, rosehip broth, pure buckwheat porridge, compote.
Second breakfast: well-boiled rice porridge with steamed raisins, carrot salad with vegetable oil, apples filled with dried apricots and baked in the oven, pumpkin and carrot puree, boiled beets, with sugarBaked Apples.
For lunch, vegetarian soups are allowed, for example, borscht, steamed fish with well-boiled rice, boiled beef, cottage cheese casserole, steamed chicken cutlets, with boiled minced meatPasta, sauté. Snack options: Allowed fruit jelly, vegetable roll, fresh berry jelly, fruit pudding, oven-baked potato, sandwich with butter and a slice of cheese, bean puree.
Dinner: baked apple puree and low-fat yogurt, rice porridge with raisins, vernet, vinaigrette and yogurt, boiled cauliflower, a glass of yogurt, zucchini caviar, kefir, steamed omelet, fermented baked milk, Rice porridge pudding and low fat yogurt.
Alternative dishes, you can make a "tasty" weekly menu that will provide the sick person's body with all the necessary substances, but at the same time the pancreas will receive minimal nutritional load. You can find recipes for some dishes below.
Nutrition for the combined course of pancreatitis with gastritis or cholecystitis
If the underlying disease is accompanied by the development of cholecystitis, then it is allowed to include in the menu:
- slimy soup made from rice, oatmeal or semolina;
- It is strictly forbidden to add mashed porridge, boiled in water, milk and butter;
- vegetable juices, compotes;
- Homemade White Bread Croutons;
- mashed boiled meat, fish;
- Low fat cottage cheese.
With a combined course of pancreatitis and gastritis, the menu should include mashed soup from oatmeal, rice and semolina, in which you can add egg yolk and a little butter, mashed vegetables - potatoes, carrots, beets - with milk or cream. can add. Steam soups from minced meat and fish, cutlets, dumplings, etc.
Strict options are recommended only during the acute period of the disease. After the condition is stabilized, the person switches to the diet recommended for chronic pancreatitis.
Features of diet in childhood
The key principles of the diet in children are fragmentation, the maximum degree of grinding, compliance with the requirements of culinary processing and variety. Small portions, if served repeatedly, prevent the child from feeling hungry. In this case, the metabolic process is affected. There is no violation.
Daily caloric intake is calculated depending on the weight and age of the child. In the phase of remission, it is allowed to include fresh vegetables and fruits (to a limited extent) in the menu, but the basis of the diet is cereals, minced meat with milk. Cooked meat dishes - chicken, turkey, vegetable soups, uncooked meat, fish - boiled or baked, steamed vegetables, dairy products. It is permissible to give the child marshmallows, marmalade, jam, jam, honey in small quantities and daily.
Necessary!When introducing a new product into the diet, it is necessary to monitor the condition of the child.
Recipes
We offer you several recipes for such dishes that can be prepared with diagnosed pancreatitis.
beef pudding
Grind the boiled beef pulp (130 g) in a blender bowl. Add semolina (10 g), whipped egg white, yolk and a little water (about 1/3 cup) to the puree. Add a few crystals of salt. Grease the mold with oil, add the prepared minced meat and cook in a double boiler.
fish dumplings
Grind lean fish (300 g) in a meat grinder. Grate a quarter of the dried loaf and pour the pieces with milk (100 ml). Squeeze the bread and mix it with minced meat, add some whipped proteinAdd salt and mix well. Make small balls with two spoons and boil them in salted water till they become soft. This will take about 15 minutes.
vegetable puree soup
Cook until fully cooked potatoes (2 pcs. ), carrots and halved small zucchini. Drain the broth to a separate bowl, and using a blender, chop the vegetables until pureed. Puree with broth to desired consistencyAdd and boil. Cook for 3 minutes. Serve hot with a spoonful of sour cream in the soup.
fish pudding
The fish carcass should be divided into two fillets. First boil and filter through a sieve. Grade the second part in a meat grinder. Mix both masses, add egg yolk, butter, salt. Knead. Part moldsDivide it and steam it.
Chicken Soufflé
Grind the boiled chicken in a meat grinder. Add egg yolk and butter to the minced meat. Mix well. Then gently add the whipped whites to a fluffy foam. Pour the mass into a mold and steam.
Banana Sweets
Dissolve 2 packs of gelatin according to directions. Add 250 ml of natural yogurt to it. Steam a few bananas and peeled peaches. Place the foil on the bottom of the plastic mold. Prepare the dessert in layers - biscuit crumbs, yogurt with gelatinCream, banana-peach puree. Alternate layers. Put the sweetener in the fridge to set the jelly.
Compliance with the principles of dietary nutrition in pancreatitis is a prerequisite for achieving persistent and long-term remission. The menu for patients with pancreatitis in adults and children, with a proper approach to development, can be quite diverse and meet all the needs of the body. can be completely satisfied.