Diet in case of exacerbation of pancreatitis

Pancreatitis is a disease in which the mucous membrane of the pancreas inflames. The state of the body is affected by the person's lifestyle, including diet. The illness proceeds acutely and chronically. The disease has a tendency to relapse in the autumn and spring period.

Exacerbation of chronic pancreatitis can be caused by inadequate intake of protein foods, strong emotional experiences and stresses, poisonings, infectious processes, medication intake, gallbladder diseases.

There is a malaise in the form of such symptoms: intense or dull pain on the left side, which gives under the scapula and in the back, diarrhea, bitterness in the mouth, nausea, vomiting, impaired appetite. Exacerbation of pancreatitis provokes an increase in the activity of pancreatic enzymes, irritation and edema of the organ tissue, as well as worsening of the blood supply.

Treatment includes a whole range of therapeutic measures: taking medications, regular regimen and diet. What can you eat in the acute stage? What is better to give up? In this article, we will look in detail at the menu, which will help get rid of the disease.

General recommendations of

The diet for exacerbation of pancreatitis consists of mechanical, thermal and chemical shaking of the digestive tract. If the recommendations of the prescribed treatment table are observed, normal functioning of the gland, stomach and intestine is achieved. Patients should consume nutritious food, as well as protein products.

In the diet, the amount of carbohydrates and fats is minimized, it helps to prevent the development of normal cell degeneration into fatty. Diet for pancreatic pancreatitis implies the implementation of such rules:

• the correct mechanical processing of products. This means that the dishes used must be wiped, boiled or steamed;
• compliance with temperature conditions. You can not eat hot food, just like a cold one;
• do not forget about moderation. Try not to overeat. A large amount of food will create an increased burden on the pancreas and the entire digestive tract;
• fractional power supply. Try not to make big breaks between meals. Eat every two or three hours a little. Small portions are better absorbed by the body;
• give up alcohol. Alcoholic drinks lead to blockage of the lumen of the pancreatic ducts, which disrupts the outflow of digestive juice into the duodenum;
• stop smoking. Nicotine enhances the development of an inflammatory reaction.

Diet for exacerbation of chronic pancreatitis excludes the consumption of fatty and fried foods

Treatment for an attack of pancreatitis is based on the "three whales":

• Cold. To the abdomen, a bubble with ice is applied to the site of the projection of the pancreas.
• Hunger. In the first few days, patients should not eat at all.
• Peace. It is extremely important to observe complete physical and mental rest.

Consider the approximate nutrition with exacerbation of pancreatitis for two days:

• 1 day. For breakfast, prepare a pair of protein omelets and oatmeal on the water. You can have a snack with homemade yogurt with dry biscuits. Lunch - vegetarian soup, buckwheat porridge with chicken knels and berry jelly. For a mid-morning snack, you can eat fat-free cottage cheese. Dinner - mashed potatoes and boiled fish. Two hours before sleep - a glass of kefir;
• 2 day. Breakfast - semolina porridge with broth of rose hips. Lunch - milk with cottage cheese. For dinner, cook soup-puree from squash and pumpkin, oat porridge with fish balls and compote of dried fruits. Afternoon snack - Galette cookies with tea. For dinner it is allowed to eat a cheese soufflé and mashed buckwheat porridge. Drink a glass of curdled milk two hours before bedtime.

What can I eat?

In case of exacerbation of pancreatic pancreatitis, it is better to give preference to those products that will facilitate the work of the inflamed organ as much as possible and reduce the production of digestive enzymes. Eating food should not cause gas formation and painful sensations.

Instead of fresh bread, use crackers

Diet for pancreatitis during the period of exacerbation implies the use of such products:

• crackers, dry biscuits, dried bread;Vegetarian soups with mashed vegetables. The basis for soup can be zucchini, pumpkin, potatoes, carrots;
• meat of rabbit, chicken, veal, turkey, beef. Do not use skins and grease. From meat it is better to cook knals, cutlets, meatballs, soufflé;
• lean fish in boiled powdered form;
• buckwheat, oatmeal, semolina porridge. Cereals, puddings can be prepared from cereals;
• low-fat yogurt, yogurt, kefir, cottage cheese;
• a protein omelette for steaming;
• vegetable oil;
• soaked milled dried fruits;
• cauliflower, green peas, pumpkin, potatoes, beets;
• non-acidic fruit in the form of jelly, mousse, compote;
• tea with lemon, water without gas, broth of wild rose.

After attenuation of the exacerbation, the diet is gradually expanded. But at the same time, the goal of the diet remains the maximum discharge of the body.

Proper nutrition with pancreatitis during an exacerbation will help to eliminate abdominal pain

Consider some dietary recipes for dishes that can be cooked during a relapse.

Potato balls with chicken

To prepare the dish you will need the following ingredients: potatoes, chicken breast, greens, onions, carrots, olive oil. White meat is boiled together with onions and carrots, and then passed through a meat grinder or sent to a blender. In parallel with this, potatoes are boiled and then turned into puree.

From it further it is necessary to form balls, and in the middle to put forcemeat. Send the workpiece for half an hour to the freezer. Then the pan is greased with vegetable oil, spread the balls and sent to the oven for half an hour. Sprinkle with greens before serving.

Pear sauce with tomatoes

To prepare a garnish, take a pearl barley, carrots, tomato and half a liter of water. First you should boil the pearl barley, at the end adding a little oil. Then on a frying pan should be put out for ten minutes onions, carrots and tomatoes. Perl porridge is crushed in a blender, after which stews are added to it.

Homemade sausage

To make homemade sausage you will need chicken breast, sour cream, chicken proteins, greens and salt. The raw chicken should be finely chopped and crushed to a mushy condition in a blender. Then, protein, salt, greens and sour cream are added to the resulting mass. A homogeneous mixture is spread on the food film and sausages are formed. Boil them in a saucepan, and to keep the sausages from floating, they are covered with a saucer.

Vegetable stew

Cut small cubes of peeled potatoes, grate the carrots and add chopped onions. You can also add tomatoes and pumpkin. It is best to cook a dish in a double boiler, if this is not possible, then you have to put it out in a frying pan with the addition of water. Ready dish can be decorated with parsley and dill.

Prohibited products of

In chronic pancreatitis, you will have to abandon products that stimulate increased production of hydrochloric acid and pancreatic juice. Under the ban are:
milk soups, as well as on strong mushroom, fish or meat broths;

• soup, borsch, okroshka, beetroot;
• fried patties, fresh pastries, bread;
• offal, pork, sausages;
• peas, lentils, kidney beans;
• fried, smoked, salted fish, as well as canned fish;
• fatty sour cream and cheeses;
• some types of cereals: millet, wheat, corn;
• fried and hard-boiled eggs;
• some vegetables: garlic, onion, spinach, radish, sweet pepper, eggplant;
• confectionery;
• raw berries and fruits;
• dates, bananas, grapes;
• spices, sauces;
• fats.

With acute pancreatitis, one can not eat onions and garlic

Diet №5

This treatment table is prescribed for pancreatitis to reduce the pain syndrome, as well as improve digestion and normalization of digestion processes. Before the diet, patients should undergo a three-day fasting course. This measure is extremely important in order that the pancreas is in a state of complete rest and the digestive enzymes do not exert a destructive effect on it.

Diet No. 5a is prescribed in the first week of acute pancreatitis. The food is served in a liquid or maximally frayed form. It is recommended to eat seven times a day in small portions. Specialists recommend limiting the intake of table salt. The duration of the course of dietary nutrition is at least seven days.

Diet No. 5b is prescribed in a chronic process. Broths and decoctions are excluded from the diet. The food is served in a grated kind. To eat according to the treatment table №5п you can use the following products:

• vegetables;
• lean meat and fish;
• vegetable soups with the addition of cereals;
• baked apples;
• chicken eggs;
• porridge;
• sour-milk products;
• fruit and berry pudding;
• curd casserole.

According to the treatment table number 5 food should be stewed, cooked or cooked on a pair of

. Restrict in your diet follows oil, spices, sauces, biscuits. Completely refuse from the fatty broths, spirits, smoked products, sausages, sour, sharp products. The ban also includes bacon, mushrooms, citrus fruits, confectionery, strong coffee and tea, chips, crackers.

There are some limitations to diet number 5.Patients will have to refuse it if, in addition to chronic pancreatitis, they are diagnosed with such diseases as chronic hepatitis or cholecystitis, which have passed to the stage of exacerbation. Also, such a diet is inadmissible with cirrhosis of the liver, the presence of diverticula, polyps and cancer processes.

Medical starvation

Hunger in pancreatitis can be either dry or with the use of liquid. Complete abstinence from food and water can not last more than 24 hours. Then the patient is allowed mineral water without gas, and two days later the vegetable broth is introduced into the diet. Along with this, you should observe complete peace.

When exacerbation of chronic pancreatitis is prescribed therapeutic starvation with the use of liquid. This allows to stop the synthesis of pancreatic juices, which significantly reduces the clinical manifestations of inflammation. Temporary abstinence from food helps restore the functional activity of the body. At a pancreatitis in a stage of remission it is authorized to spend dry fasting once a week.

Fasting in an acute period is better spent under the supervision of a specialist in a hospital. To get out of hunger is necessary gradually, otherwise it will increase the burden on the gland, which is fraught with another relapse. Preheated water is first replaced with a warm vegetable broth. After a while, you can eat soup with mashed vegetables.

Hunger provides complete rest of the gland and contributes to the relief of the inflammatory reaction of

. So, when exacerbation of pancreatitis in the early days, therapeutic starvation is prescribed, during which it is allowed to consume liquid. Patients should comply with strict bed rest. Refusal of food will allow the pancreas to recover faster.

After the seizure of the attack, the diet continues. Patients should comply with the recommendations attributed to the treatment table number 5p. With chronic pancreatitis diet diet should become a way of life, otherwise the disease will again and again come back.