Pancreatitis is a long-term and complex disease of the pancreas with multifactorial causes. One of them: a sharp violation of the norms of eating fatty foods, overeating, alcohol addiction. Adhering to special dietary rules for pancreatitis is half the success in treatment.
The diet against pancreatitis is intended to replace and supplement the menu with substances that are poorly processed due to a lack of pancreatic enzymes.
Some patients believe that nutritional therapy for pancreatitis is no different from Diet 5a and continue to follow the recommendations. This is understandable as most people initially received long-term treatment for cholecystitis, gallstone disease, or hepatitis. You are familiar with Tables 5a and 5, which set out the necessary nutritional standards for these diseases.
However, if pancreatitis is diagnosed, diet 5a must be changed. Changes that occur with damage to the pancreas require correction of the levels of proteins, fats and carbohydrates. The diet for patients with pancreatitis is called "5p". It increased the protein content up to 150 g (in No. 5 100–120 g), reduced the amount of fat (in No. 5 at least 70 g) and carbohydrates (in No. 5 at least 300 g). The rules for cooking and restricting the choice of food remain common.
Basic requirements for nutrition
The proposed dietary rules No. 5p do not exclude the use of concomitant diseases of the digestive system. They are important to achieve maximum relief for the pancreas.
- Only cook food boiled, steamed, baked or steamed. The roasting method is completely forbidden.
- Observe the sparing of the damaged organ by grinding all the shells in the most acute stage of the disease.
- A moderate temperature is required (no strong fluctuations from cold to hot).
- It is necessary to feed the patient small amounts of food, but every 3-4 hours.
- Avoid plenty of single meals and even overeat diet meals.
- Maintain a daily caloric intake of at least 3000 kcal.
Recommended Povzner nutrition tables consider options for periods of exacerbation and beyond, when the pain has gone, but maintaining and continuing proper nutrition in pancreatitis is very important.
5p diet option to worsen pancreatitis
Clinical manifestations of acute and chronic pancreatitis in the exacerbation stage (severe pain, vomiting, nausea, diarrhea) do not allow the patient to eat in the usual way. The treatment regimen requires a full fast for two to four days. You can not drink either, the liquid will be injected intravenously for the first few days.
After vomiting and pain have ceased, a first 5p diet is prescribed. Its goal is to reduce the production of stomach acid and allow the pancreas to focus all of its forces on the process of struggle for survival.
The diet can not be used for more than two weeks, as its composition is not balanced (proteins are reduced to 60 g, fats to 50 g, carbohydrates to 200-280 g and a total calorie content of 1800 kcal). Bed rest and sedentary lifestyle are of course recommended.
The menu of the nutrition table of a patient with pancreatitis consists of crushed cereal soups, liquid cereals on water (semolina and rice are excluded), vegetable mashed potatoes or carrots with the addition of zucchini, boiled pumpkin (cabbage of all kinds is excluded), jelly, jelly, Pudding, a couple of white crackers. Everything is served and cooked without oil. You can drink water up to 2 liters, rose hip broth, slightly sweet weak tea. After this option, they switch to the second type of food on the recommendation of a doctor.
Diet without worsening pancreatitis
The beginning of an effective recovery process is judged by the normalization of temperature, a decrease in the frequency of diarrhea and the absence of pain. The diet for pancreatitis expands, but the maximum norms for proteins, fats and carbohydrates are observed. It is necessary to include a vitamin set in the current therapeutic diet in order to activate the body's defenses. The patient must adhere to this diet all his life.
A diet against pancreatitis categorically prohibits:
- fatty meat, fish and rich vegetarian soups (with cabbage or mushrooms);
- fatty beef and pork meat, duck;
- lard and cooking oil;
- smoked meat, hot snacks, sauces, canned food in any form, sausages;
- rich baked goods, culinary products with cream, chocolate, cakes, black bread;
- from vegetables, the diet for pancreatitis does not recommend radishes, cabbage, beets, sorrel, spinach;
- carbonated drinks, beer, alcohol, coffee.
Recommended products and meals:
- dried white bread or crackers, dry biscuits;
- steamed, oven-baked, lean meat and poultry dishes, meatballs, meatballs, and meat casseroles;
- Muesli soups with noodles can be seasoned with sour cream;
- non-sour cottage cheese, hard cheeses;
- Butter or vegetable oil should not be placed directly on the plate more than one tablespoon per day.
- semi-liquid porridge, boiled in water or diluted milk;
- unsweetened baked apples, jelly or fruit compote;
- lightly brewed tea with milk or rose hips in broth, lightly sweetened.
The Diet for Pancreatitis in Remission recommends the following sample menu for a working person for the day:
- Breakfast before work - you can make a steamed protein omelette from two eggs or half a serving of oatmeal in milk, tea with milk.
- Breakfast No. 2 (at lunchtime) - take boiled meat with mashed potatoes or vegetables, half a pack of cottage cheese. If you have the option to heat it up in the microwave at work, be sure to use it.
- Slightly sweet tea.
- Lunch (at home after work) - vegetarian potato soup, half a plate, steamed meatballs with vegetable puree, apple jelly on xylitol.
- Dinner - a piece of boiled chicken, curd casserole, tea with milk.
- At night (no later than 21 hours) fruit jelly on xylitol.
It is possible to consume unpolished vegetables and fruits and only expand the diet with the consent of a doctor after an examination to ensure that the enzymatic activity of the pancreas is restored and that there is no inflammation.