Pancreatitis is a long-term and complex disease of the pancreas with multifunctional causes. One of them: consumption of fatty foods, excess, rapid violation of alcohol addiction norms. Compliance with special dietary rules for pancreatitis is half the success in treatment. .
The diet for pancreatitis is designed to replace and supplement menus with substances that are poorly processed due to pancreatic enzyme deficiency.
Some patients find that nutritional therapy for pancreatitis is no different from Diet 5A and continues to follow its recommendations. This is understandable because most individuals initially have cholelitis, gallstones, or hepatitis. Long-term treatment was received. They are well acquainted with Table 5A and 5, which establish the nutritional standards required for these diseases.
But if pancreatitis is detected, diet 5A will have to be modified. Changes that occur when the pancreas is damaged require correction of the content of protein, fat, and carbohydrates. The diet for patients with pancreatitis is "5 P ". It has increased protein content by 150 grams (numbers 5 in 100–120 grams), reduced fat content (numbers 5 at least 70 grams) and carbohydrates (numbers 5 at least 300Gram). Rules limiting cooking and food choice are common.
essential dietary requirements
The proposed dietary rule number 5p does not exclude the use of concomitant diseases of the digestive system. They are important for making the pancreas optimum.
- Cooking only boiled, stew, baked or steamed. The frying method is completely prohibited.
- Observe the spread of the damaged limb by grinding all dishes during the most acute phase of the disease.
- A moderate temperature regime is required (no sharp fluctuations from cold to hot).
- It is necessary to feed the patient with small amounts of food, but every 3-4 hours.
- Avoid abundant one-time meals, even more than diet food.
- Maintain a daily calorie intake of at least 3000 kcal.
According to Pozner, options are taken into account during and beyond the recommended dietary periods, when the pain has disappeared, but in pancreatitis it is very important to maintain and continue proper nutrition.
5p dietary options for pancreatitis
Clinical manifestations of acute and chronic pancreatitis in the exacerbation phase (severe pain, vomiting, nausea, diarrhea) do not allow the patient to eat normally. Treatment requires two to four days of complete fasting. You cannot drink either. In the first days, the liquid is injected intravenously.
After stopping vomiting and pain, an initial 5P diet is prescribed. Its goal is to reduce the formation of gastric acid and enable the pancreas to focus all its forces on the process of struggle to survive. .
The diet cannot be used for more than two weeks, as it is not balanced in composition (protein 60 grams, fat 50 grams, carbohydrates up to 200-280 grams, with a total calorie content of 1800 calories). Of course, bed rest and lack of physical activity are recommended.
The menu of the diet table of the patient with pancreatitis includes mashed mucous cereal soup, liquid grains in water (semolina and rice are excluded), vegetable mashed potatoes or zucchini with carrots, boiled pumpkin (allIn the forms cabbage is excluded), jelly, jelly. , Some white crackers. Everything is served and cooked without oil. You can drink water up to 2 liters, a decoction of rose, a little sweet weak tea. After, on the recommendation of a doctor, they switch to another type of food.
Diet without diarrhea of 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 is expanding, but the maximum criteria for protein, fat, and carbohydrates are observed. To activate the body's defense, it is necessary to include vitamin sets in the current therapeutic regimen. The patient must follow this diet throughout his life.
Diet is clearly prohibited for pancreatitis:
- fatty meat, fish and rich vegetarian (with cabbage or mushrooms) soup;
- fatty meat of beef and pork, duck;
- Lord and cooking oil;
- smoked meats, hot snacks, sauces, canned food in any form, sausage;
- rich pastries, baking cream, chocolate, pie, black bread;
- Diet for pancreatitis from vegetables does not recommend radish, cabbage, turnip, sorrel, spinach;
- carbonated drinks, beer, wine, coffee.
Recommended products and food:
- white bread or crackers, dried biscuits;
- Steamed, Oven-Baked, Lean Meat and Poultry Recipes, Meatballs, Meatballs and Meat Casserole;
- Soup from cereal, with noodles, you can season with sour cream;
- non-acidic cheese, hard cheese varieties;
- Butter or vegetable oil should be added directly to the plate, no more than a teaspoon per day;
- semi-liquid porridge, boiled or diluted milk in water;
- unripe apple, jelly or fruit mixture;
- Lightly brewed tea with milk or wild rose in the broth, slightly sweet.
Diet for pancreatitis in treatment recommends the following sample menu for a working person for the day:
- Breakfast before work - You can make a steam protein omelette with two eggs or half of oatmeal with milk in it.
- Breakfast # 2 (at lunch) - Take boiled meat with mashed potatoes or vegetables, half a pack of cottage cheese, if at work you have the opportunity to heat it in the microwave, make sure to use it.
- light sweet tea.
- Lunch (at home after work) - half a plate of vegetarian potato soup, boiled meatballs with vegetable puree, apple jelly on xylitol.
- dinner - a piece of boiled chicken, paneer paneer casserole, tea with milk.
- Fruit jelly at xylitol at night (no more than 21 hours).
It is possible to take vegetables and fruits without diet, as well as diet is expanded only with the agreement of a doctor, after an examination, to ensure that the enzymatic activity of the pancreas is restored and there is no inflammation. is.