Pancreatitis is inflammation of the pancreas. The pathology occurs in both acute and chronic forms. The condition has a very specific symptomatology: severe pain in the left upper quadrant, sometimes with a waist feature, foul-smelling stools, nausea and vomiting.
The pancreatic pancreatitis diet is one of the main areas of treatment for the disease. The patient menu depends on the general state of health and the period of illness. It is necessary to follow medical nutrition for several months.
General principles
Nutrition for pancreatitis of the pancreas should be economical. Diet Basics:
- fractional nutrition - food should be eaten five to six times a day in small portions;
- the dishes must be kneaded, which facilitates the food digestion process;
- the permitted cooking methods are steaming and boiling;
- fresh fruits and vegetables are totally prohibited, ie it is not cooked;
- the permissible daily volume of salt is not more than 5 grams;
- it is mandatory to take infusions and decoctions in rosehip berries;
- dishes served at the table must be hot - hot and cold are contraindicated;
- Preservation, semi-finished products, fatty / fried / highly salty foods and products are completely prohibited.
Deviation from the principles of dietary nutrition can trigger the development of an attack of pancreatitis.
Allowed and prohibited products
To reduce pancreatic juice production and reduce the burden on the inflamed gland, it is necessary to completely exclude from the patient's diet:
- Soups cooked in rich broths of meat, fish and mushrooms, as well as complex soups - cabbage soup, pickles, borscht. Cold and dairy products are excluded.
- Bread - the current bakery products with wheat/rye flour, puff pastries, fried pies with butter, tortillas.
- Fat meat - pork, lamb, duck, goose - sausage, offal, canned food and smoked meat.
- A fish. Fatty, smoky, salty varieties are prohibited.
- High-fat dairy and dairy products.
- Groats - millet, barley, wheat, corn.
- Fried and boiled eggs.
- Vegetables - turnip, radish, garlic, pepper, eggplant, cabbage, spinach.
- Sweets - jelly, ice cream, fresh dates, grapes, bananas, figs.
- Spicy condiments.
- Coffee, strong tea, coffee, soda, grape juice.
- Refractory fats - pork, beef, lamb.
When developing a menu for everyday life, it is necessary to take into account the recommendations of nutritionists and use only approved products. This:
- dry bread, biscuits, homemade biscuits;
- vegetarian soups with added vegetable puree - potato, zucchini, pumpkin, carrot - pasta, semolina or oatmeal;
- lean meats - chicken, rabbit, turkey - in the form of steamed chops, souffle, dumplings, beef stroganoff;
- low-fat fish varieties - pollock, carp, cod;
- cereals - oats, semolina, rice - are used to make cereals, casseroles, puddings;
- low-fat milk and lactic acid products;
- steamed omelet without yolks;
- vegetables - potatoes, zucchini, beets, squash, cauliflower, carrots, peas;
- Sweet berries and fruits in the form of mousses, jellies, puddings, baked apples;
- sauces - dairy and cooked in vegetable broth (in the flour, this is not sautéed);
- butter and vegetable oil;
- weak tea with lemon, still mineral water, rosehip decoction, juices diluted in water.
Diet for Acute Pancreatitis
If we talk about what kind of diet is recommended for the patient with an acute form of inflammation, then this is the 5P treatment table. For the first two to four days, total hunger is recommended for one person. Only liquid intake is allowed - a decoction of rosehip berries, Borjomi (no gas), weak tea. Then the patient switches to nutritional therapy. The menu can include dishes without salt but high in carbohydrates.
An approximate list of dishes that can be included on the menu:
- steam omelet with proteins;
- meat souffle;
- fish and meat dumplings;
- pureed soups - rice and oats - and vegetarian options;
- vegetable purees;
- mashed porridge - rice, buckwheat, oats;
- jelly or mousse-shaped apples;
- beverages made from wild berries of wild roses, cranberries, blackcurrants;
- tea with added milk;
- cottage cheese and its dishes;
- cereal puddings.
Before bed, you can offer kefir, yogurt, a glass of water with a spoon of honey dissolved in it, prunes and raisins.
Approximate weekly menu
When preparing a menu for a week, it should be remembered that the patient's diet should be varied. When developing a menu for a patient throughout the week, you can use the following recommendations.
Breakfast can be served with a boiled beet salad and dried fruit compote, 150 grams of low-fat cottage cheese and a rosehip berry decoction, a steamed omelet without yolks, weak tea with biscuits, oatmeal grated and berry jam, pumpkin porridge, rosehip drink, cheese with crackers, rosehip broth, buckwheat porridge puree, jam.
Second breakfast: well-boiled rice porridge with steamed raisins, carrot salad with vegetable oil, apple stuffed with dried apricots and baked in the oven, pumpkin and carrot puree, boiled beetroot, baked apple with sugar.
For lunch, vegetarian soups are allowed, eg borscht, boiled fish garnished with well-cooked rice, boiled meat, cottage cheese casserole, steamed chicken cutlet, noodles with cooked minced meat, braised. Snack options: Permitted fruit jelly, vegetable roll, fresh blackberry jelly, fruit pudding, baked potato, sandwiches with butter and a slice of cheese, mashed beans.
Dinner: baked apple puree and low-fat yogurt, rice porridge with raisins, varenets, vinaigrette and yogurt, steamed cauliflower, a glass of yogurt, zucchini caviar, kefir, steamed omelet, fermented milk, porridge rice and low-fat yogurt.
By alternating the dishes, a "tasty" weekly menu can be created that will provide the patient's body with all the necessary substances, but at the same time the pancreas will receive a 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, the menu may include:
- slimy soups made from rice, oats or semolina;
- mashed porridge, boiled in water, it is strictly forbidden to add milk and butter;
- vegetable juices, jams;
- homemade white bread croutons;
- mashed boiled meat, fish;
- low-fat cottage cheese.
With a pancreatitis and gastritis combined course, the menu should include oatmeal, rice and semolina soups, to which you can add egg yolk and a little butter, vegetable puree - potatoes, carrots, beets - with the addition of milk or cream, steamed souffles, chops, etc. minced meat and fish dumplings.
The restricted option is only recommended during the acute period of the illness. After the condition has stabilized, the person switches to a diet recommended for chronic pancreatitis.
Childhood Diet Characteristics
The basic principles of the infant diet are fragmentation, maximum shredding, compliance with culinary processing requirements, and variety. Small portions, if served frequently, keep the child from feeling hungry. In this case, there is no violation of the metabolic process.
Daily caloric intake is calculated based on the child's weight and age. In the remission phase, the menu may include fresh vegetables and fruits (to some extent), but the basis of the diet is cereal with milk, minced meat dishes - chicken, turkey, vegetable soups without added meat, fish - cooked or cooked and roasted vegetables, dairy products. In small amounts and daily, it is allowed to give the child marshmallows, marmalades, jams, jams, honey.
Important!When introducing a new product into the diet, it is necessary to monitor the child's condition.
Revenues
We offer several recipes for dishes that can be prepared with diagnosed pancreatitis.
Meat Pudding
Grind the cooked meat pulp (130 g) in a blender. Add semolina (10 g), beaten egg white, yolk and a little water (about 1/3 cup) to the puree. Add some salt crystals. Grease the mold with oil, place the prepared minced meat and place in a bain-marie.
fish cakes
Grind the lean fish (300 g) in a meat grinder. Grind a quarter of the dry bread and pour in the pieces with milk (100 ml). Squeeze the bread and mix with the minced meat, add some whipped protein. Add salt and mix well. Form into balls with two spoons and boil them in salted water until soft. This will take about 15 minutes.
Vegetable puree soup
Cook until fully cooked the potatoes (2 pcs. ), carrots and half a small zucchini. Drain the broth in a separate bowl and chop the vegetables until pureed in a blender. Pour the puree with the broth to the desired consistency and bring to a boil. Cook for 3 minutes. Serve hot with a spoon of cream in the soup.
Fish pudding
The fish carcass must be divided into two fillets. Boil the first one and pass it through a sieve. Grind the second part in a meat grinder. Combine the two doughs, add the yolks, butter, salt. Crumple. Divide into serving molds and steam.
Souffle Of Chicken
Grind the cooked chicken in a meat grinder. Add the yolks and butter to the minced meat. Homogenize. Then gently add the whipped whites to the fluffy foam. Put the dough in a mold and steam it.
Banana Dessert
Dissolve 2 packets of gelatine as directed. Add 250 ml of natural yoghurt. Steam some bananas and peeled peaches. Place the aluminum foil in the bottom of the plastic mold. Form dessert into layers - biscuit crumbs, yogurt cream with gelatin, banana and peach puree. Alternative layers. Put the sweets in the fridge to solidify the jam.
Compliance with dietary nutrition principles in pancreatitis is a prerequisite for achieving persistent, long-term remission. The menu for patients with pancreatitis in adults and children, with an appropriate approach to development, can be quite varied and fully satisfy all the body's needs.