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
By no means is there anything to eat and drink with inflammation of the pancreas. ᲔYour include:
- Alcohol (any), grape juice, soda;
- Chocolate, greasy cream;
- By-products;
- Lamb meat;
- Salo;
- Figs;
- Duck;
- All fatty fish;
- ბატი;
- Smoked meat, fat;
- Bananas;
- Fried, spicy;
- გრ Hard-boiled eggs;
- Semi-finished products;
- Grapes;
- Cooking fats;
- Date fruits;
- Rich broths;
- Canned food, jams;
- Any canned food;
- Shanda (and ice cream in general);
- ლე მლეტი;
- Baking.
Acute pancreatitis
First of all, let's talk about nutrition during acute pancreatitis. You should not eat at all after the aggravation and for the next two days. Only five or six glasses of mineral water are allowed. Organ regeneration occurs due to the fact that the juice of the stomach and pancreas is not secreted.
On the third day you can eat, but liquid unsalted food with a high content of carbohydrates. Wheat crackers, soups with vegetables and grains, weak broth are allowed. You can then add the steam omelette, turkey fillet, chicken, lean fish.
On the fifth day, the caloric content increases to 700-800 kcal, of which 200 g are carbohydrates, 15 g are proteins. Fats are ingested between the sixth and ninth day.
The menu for this period should be as follows:
- We eat rice porridge without milk, tea with sugar, oranges (apples);
- Serve with carrot (potato) puree, cooked lean fish or chicken (50 g), rose broth;
- 150 g of broth (vegetables), 30 g of boiled fish (veal), apple puree, mashed potatoes for lunch;
- Second food. 50 g of cottage cheese (0-2%) with sugar, sweet tea;
- Instead of a table - one teaspoon of honey and boiled water (250 ml).
Recovery after exacerbation
The diet for pancreatitis after exacerbation is more varied. If you try, you can really find fun and delicious recipes out of the box. We eat 5-6 times a day. When cooking it is better to use steam, grind everything in a blender, bring to a boil.
You can eat:
- Meat with minimal fat (press and cook). Prepare meatballs, steamed cutlets, meat soups. Permitted lean beef, rabbit, turkey fillet, chicken, veal;
- Fish (you can use regiment, cod, peak, peak perch, flander and other lean varieties). Boil or steam, steam cutlets are allowed;
- Porridge made from oats, buckwheat, semolina, rice. Corn barley is rare. Cook in water (or milk and water in equal proportions);
- Მacaroni. Do not add sauce, only olive oil, butter. Do not burn with garlic, oil, onion;
- Milk products. Whole milk is not recommended. Fermented baked milk, kefir, cottage cheese up to 9% soft cheese is allowed;
- Eggs. As well as omelette or softly cooked. Use infrequently;
- Vegetables. Baked, boiled, ground, vegetarian soups, casserole. Pay attention to carrots, potatoes, melons, beets, green peas, cauliflower. Most of the cruciferous family should not be eaten, mushrooms, onions, raw onions, spinach, garlic, beans (generally legumes), sweet peppers, sour;
- We also bake fruits, make compotes, jellies, make mashed potatoes. Ideal for apricots, watermelons, melons;
- Dry white bread with pancreatitis, drink tea with savory and not rich cookies;
- Homemade jelly, mousse. Less often, marshmallows;
- Real mineral waters, compote, weak tea, rose broth, jelly.
Chronic form
The diet of chronic pancreatitis differs from the menu of acute inflammation. Chronic "version" develops with acute inflammatory processes of the gland, cirrhosis, hepatitis, gallstone disease, intestinal and gastric ulcers, atherosclerosis. The menu should be considered in the light of what disease developed pancreatitis.
The main treatment for you is not medication, but a diet for chronic pancreatitis, the approximate menu of which is based on several principles:
- We eat six times a day and slowly need products with a laxative effect.
- Monitor your daily protein intake. He needs 130 g per day, 30% of this figure is plant protein. Recommended for veal, beef, rabbit, turkey, pork with minimal fat, chicken and lean fish. With constant pain the meat is cooked sliced or steamed. You should not refuse lean fish and meat dishes: they prevent fatty degeneration of the liver, which is characteristic of chronic inflammatory processes in the pancreas;
- Homemade fresh cottage cheese (not sour and with a minimum percentage of fat) opposes fat transformation. Other dairy products are also needed. In the first course add whole milk, cereal, jelly or drink half a cup a day (if well tolerated). The fat content in milk should not exceed 2. 5%. If you feel good, say cheese with (slightly) minimal fat and soft varieties. Do not forget the kefir and fermented baked milk (homemade is the best option). No need to buy store-bought yogurts to taste and starch: there is little benefit here;
- eggs. The whole is not recommended. Eggs are acceptable as a supplement to other dishes, in the form of steam omelet (protein), proteins in other dishes;
- Plant proteins. We look for them in rice, pasta, yesterday's bread, oatmeal, cereals, bread grains, buckwheat. Legumes are prohibited;
- Fats. The patient's ration should be 70, 80% should be of animal origin. They eat properly with other foods and dishes. Pour butter into prepared porridge or pasta before eating. Vegetable oils are permissible if they are well tolerated. Other fats (culinary, beef, margarine, pork) are prohibited;
- Carbohydrates. They need up to 350 g per day. These are honey, sugar, syrup and jams. You should eat semolina, oatmeal, buckwheat, pearl barley, rice, pasta. Potatoes, melons (zucchini, pumpkin, pumpkin) are acceptable from vegetables, carrots and beets. It is better to cook on steam or in water, steam pudding can also be used, it will be ideal to eat vegetables in mashed potatoes. Do not eat them raw. Bread is allowed in white, black, gray;
- Fruits. The most needed are non-acidic varieties of apples. Bake, squeeze, boil the compote. Dry is suitable for the latter;
- Sauces. Of all the varieties of pancreatitis, one Béchamel made from flour and milk is allowed. We do not mix flour, we add salt to a minimum;
- The first meal. We never say no to them. Cereals, vegetables, lean poultry, meat, fruits, milk soups are allowed;
- ᲡAssel. In addition to the above compote is useful to drink fruit juices, tea with milk, mineral water;
- Additives, special products. Add protein powder and vitamins to your diet;
Do not eat too much, the volume of food (plus all the liquid you drink) should not exceed two and a half kg. No matter how strict the pancreatitis diet may seem, the approximate menu may not be boring and varied.
Here's how you can organize your meal for chronic illness:
- 7-7: 30 p. m. Breakfast. Milk oatmeal, boiled beef, sweet tea;
- 9-9 p. m. 30 hours. Lunch. Baked apples, steamed omelet, rose tea;
- 13. 00. We have dinner with vegetable soup, beef soup, pasta. Sweet berry jelly and compote;
- 16. 30. Afternoon snack. Tea with cottage cheese;
- 20. 00. We have dinner with tea and fish soup.
Meals during remission
Here is a slightly different approach to diet planning. You can diversify 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 more protein than our physiological norm;
- Consuming fats and complex carbohydrates within our norm, carbohydrates are obtained from grains;
- Less than normal use jams, cakes, pastries, honey, sugar and salt.
During remission it is worth abandoning substances that irritate the mucous membranes of the gastrointestinal tract. It’s not just alcohol - skip the vinegar and any spices.
If remission has occurred, the diet may be changed. Now it is allowed not only to cook food or steam cooking. You can cook and bake vegetables, fish and meat. Refuse to grind: It is still permissible to eat whole foods. Food should be warm but not hotter than 60 degrees. We eat 4 to 6 times per shot, with an interval between meals of up to three hours.
In numbers it looks like this:
- Protein needs 120 g, of which 70 g is of plant origin;
- In the medical menu fat contains 90 g, a third of which are vegetables;
- We eat 350 g of carbohydrates a day, 40 g of them are easily digested;
- Caloric content - up to 2600 kcal.
Some good recipes
Do not be afraid of tasteless food and tasteless vegetables. With inflammation of the pancreas, there is also the possibility of spinning culinary skills. Here are some inspirations and sweets for the pancreatitis pancreas diet menu.
- Cottage cheese casserole in the microwave. Beat 2% cottage cheese with banana in a blender, add chopped dates. Bake in silicone molds for about five minutes. Use with natural yogurt (sugar-free);
- Baked apples with cottage cheese meringue. Wash the fruit, remove in the middle, cut into two parts. Whisk the egg whites and powdered sugar separately until thickened. In the process of whisking, add 2% cottage cheese to the mixture. Gather the fruit, bake in the usual oven (160 degrees) for one third of an hour;
- cake. Flour (6 tablespoons) Mix half a tablespoon of olive oil, the same amount of baking soda, warm water and a third of a teaspoon of salt, plus Italian herbs to taste. Bake in a 3 mm thick layer and bake with a fork, bake for a quarter of an hour at 170 degrees.
In case of inflammation of the pancreas, diet should be prescribed by a gastroenterologist. Therefore, in case of pancreatitis, take our approximate diet menu only as a recommendation, advice. Your task is not to make the diet gentle and not to lose interest in food. Ს Proper nutrition.