Pancreatitis is an inflammation of the pancreas. The pathology occurs in acute and chronic forms. The condition has quite specific symptoms: severe pain in the left hypochondria, sometimes of a belt nature, fetal stools, nausea and vomiting.
Diet for pancreatitis Pancreatitis is one of the main areas of treatment of pathology. The patient menu depends on the general state of health and the period of the disease. It is necessary to follow medical nutrition for several months.
ᲖGogi Principles
Diet should be moderate during pancreatitis. Basic principles of diet:
- Fractional food - food should be taken five to six times a day in small portions;
- Dishes should be ground, which facilitates the process of digestion;
- Permissible methods of preparation are steam cooking and boiling;
- It is completely forbidden to eat fresh vegetables and fruits, e. g. ი. Not cooked;
- The permissible daily volume of salt is not more than 5 grams;
- Taking infusions and decoctions on rose berries is mandatory;
- The dishes served on the table should be warm - hot and cold are contraindicated;
- Conservation, semi-finished products, fatty / fried / very salty foods and products are completely prohibited.
Deviations from the principles of dietary nutrition can lead to the development of an attack of pancreatitis.
Permitted and Prohibited Products
In order to reduce the production of pancreatic juice and to reduce the load on the inflammatory gland, it is necessary to completely exclude from the patient's diet:
- Soups 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 pastries and cakes, butter fried pies, tortillas.
- Fatty meats - pork, lamb, duck, goose - sausages, by-products, canned food and smoked meat.
- Თեւზი. Fatty varieties, smoked, salted are prohibited.
- Milk and lactic acid products with high fat content.
- Cereals - millet, pearl barley, wheat, corn.
- Fried and hard-boiled eggs.
- Vegetables - turf, radish, garlic, pepper, eggplant, cabbage, spinach.
- Sweets - jam, ice cream, fresh dates, grapes, bananas, figs.
- Spicy spices.
- Coffee, strong brewed tea, coffee, soda, grape juice.
- Refractory fats - pork, beef, lamb.
When developing a daily menu it is necessary to take into account the recommendations of nutritionists and use only approved products. this:
- Dried bread, biscuits, homemade crackers;
- Vegetarian soups with the addition of ground vegetables - potatoes, zucchini, pumpkin, carrots - noodles, semolina or oatmeal;
- Lean meat - chicken, rabbit, turkey - in the form of steamed cutlets, soups, dumplings, beef stroganoff;
- Low-fat fish species - carp, carp, cod;
- Cereals - oatmeal, semolina, rice - used to make cereals, casseroles, puddings;
- Skim milk and lactic acid products;
- Steam omelet without hearts;
- Vegetables - potatoes, zucchini, beets, pumpkin, cauliflower, carrots, green peas;
- Sweet berries and fruits in the form of mousse, jellies, puddings, oven-baked apples;
- Sauces - dairy products and cooked in vegetable broth (when using flour the latter does not burn);
- Butter and vegetable oil;
- Weak tea with lemon, real mineral water, rose juice, juices diluted with water.
Diet for acute pancreatitis
If we are talking about what kind of diet is recommended for a patient with an acute form of inflammation, then this is the treatment table 5P. Complete starvation is recommended for the first two to four days. Only liquid intake is allowed - decoction of rose berries, Borjomi (without gas), weak tea. The patient then switches to nutrition therapy. Unsalted but carbohydrate-rich dishes are allowed on the menu.
Probable list of dishes on the menu:
- Steam omelet on proteins;
- Meat soup;
- Fish and meat dumplings;
- Puree soups - rice and oatmeal - and vegetarian options;
- Vegetable purees;
- Ground porridge - rice, buckwheat, oatmeal;
- Apples in the form of jelly or mousse;
- Fruit drinks from wild rose berries, blueberries, black currants;
- Tea with milk addition;
- Cottage cheese and dishes from it;
- Cereal puddings.
Before going to bed you can offer kefir, yogurt, a glass of water with a teaspoon of honey, plums and raisins.
Approximate weekly menu
When compiling a menu for a week, keep in mind that the patient's diet should be varied. You can use the following recommendations when designing a menu for the patient throughout the week.
Breakfast can be served with boiled beet salad and dried fruit compote, 150 grams of low-fat cottage cheese and rose berry decoction, steam omelet without hearts, weak tea with biscuit, grated oatmeal and berry jelly, dill with pumpkin, courgettePorridge, compote.
Second breakfast: well-cooked rice porridge with steamed raisins, carrot salad with vegetable oil, dried apricots and baked apples, pumpkin and carrot puree, boiled beets, baked apples with sugar.
Vegetarian soups are allowed for lunch, for example, borscht, boiled fish garnished with well-cooked rice, boiled beef, cottage cheese, steamed chicken cutlets, pasta cooked with minced meat, fried. Meal options: Allowed fruit jelly, vegetable rolls, fresh berry jelly, fruit pudding, baked potatoes, sandwiches with butter and a slice of cheese, bean puree.
Dinner: baked apple puree and low-fat yogurt, rice porridge with raisins, varenets, vinaigrette and yogurt, steamed cauliflower, one cup of yogurt, zucchini caviar, kefir, steamed bake, steamed bake.
By alternating dishes, you can create a "delicious" weekly menu that will provide the patient with all the necessary substances, but at the same time the pancreas will receive a minimal nutritional load. Recipes of several dishes can be found below.
Meal for a combined course of pancreatitis with gastritis or cholecystitis
If the underlying disease is accompanied by the development of cholecystitis, then the menu allows:
- Mucous soups made from rice, oatmeal or semolina;
- Ground porridge, boiled in water, is strictly forbidden to add milk and butter;
- Vegetable juices, compotes;
- Homemade white bread croutons;
- Ground boiled meat, fish;
- Low-fat cottage cheese.
In the combined course of pancreatitis and gastritis, the menu should include ground soups from oatmeal, rice and semolina, to which you can add egg yolks and a little butter, vegetable puree - potatoes, carrots, beets - with the addition of milk or cream. , Steamed soups, cutlets, etc. Sh. Minced meat and fish dumplings.
A strict option is recommended only in the acute period of the disease. After the condition stabilizes, the person switches to the diet recommended for chronic pancreatitis.
Peculiarities of diet in childhood
The leading principles of diet in children are fragmentation, maximum degree of grinding, compliance with the requirements of culinary processing and diversity. Small favors, if eaten often, prevent the child from feeling hungry. In this case there is no disturbance of the metabolic process.
Daily calorie intake is calculated according to the weight and age of the child. At the stage of remission, the menu allows fresh vegetables and fruits (limited), but the basis of the diet is cereal with milk, minced meat dishes - chicken, turkey, vegetable soups without the addition of meat, fish - cooked. Or baked, cooked vegetables, dairy products. In small quantities and daily it is allowed to give the child marshmallows, marmalade, jam, marmalade, honey.
ᲛImportant!It is necessary to monitor the condition of the child when adding a new product to the diet.
Recipes
Here are some recipes for dishes that can be prepared with a diagnosis of pancreatitis.
Beef pudding
Grind cooked beef pulp (130 g) in a blender bowl. To the puree add semolina (10 g), scrambled egg whites, heart and a little water (about 1/3 cup). Add a few crystals of salt. Grease the form, put the prepared minced meat and cook in a double boiler.
Fish pelmeni
Grind lean fish (300 g) in a meat grinder. Grind a quarter of the dried bread and pour milk (100 ml) on the slices. Squeeze the bread and mix with the minced meat, add a couple of whipped proteins. Add salt and mix thoroughly. Form small balls with two tablespoons and boil in salted water until softened. This will take about 15 minutes.
Vegetable puree soup
Boil the end of the boiled potatoes (2 pcs. ), Carrots and half a small zucchini. Drain the broth in a separate bowl and mash the vegetables until smooth. Pour the puree with the broth to the desired consistency and bring to a boil. Boil for 3 minutes. Serve warm in soup with a teaspoon of sour cream.
Fish pudding
The fish carcass should be divided into two fillets. Boil first and grind in a colander. Grind the second part in a meat grinder. Mix both masses, add egg yolks, butter, salt. Mix. Divide into portions and steam.
Chicken soup
Grind the cooked chicken in a meat grinder. Add egg yolks and butter to the minced meat. Mix thoroughly. Then gently add the whipped cream to the fluffy foam. Place the resulting mass in a form and steam.
Banana dessert
Open 2 packs of gelatin according to the instructions. From it add 250 ml of natural yogurt. Boil a few bananas and grated peaches. Place foil on the bottom of the plastic form. Layer the dessert in layers - biscuit crumbs, yogurt cream with gelatin, banana-peach puree. Alternate layers. Put the sweetness in the fridge to harden the jelly.
Adherence to dietary principles in pancreatitis is a prerequisite for achieving permanent and long-term remission. The menu of patients with pancreatitis in adults and children, with a proper approach to development, can be quite diverse and fully meet all the needs of the body.