Pancreatitis is a long and complex disease of the pancreas, with multiple factors. One of them: a sharp violation of the norms of consumption of fatty foods, overeating, dependence on alcohol. Adherence to special dietary rules for pancreatitis is half the success in treatment.
The pancreatitis diet is designed to replace and replenish the menu with substances that are poorly processed due to a lack of pancreatic enzymes.
Some patients believe that treatment for pancreatitis is no different from diet 5a and continue to follow its recommendations. This is understandable because most individuals initially receive long-term treatment for cholecystitis, gallstone disease, or hepatitis. They are well acquainted with Tables 5a and 5, which set the necessary nutritional standards for these diseases.
But if pancreatitis is detected, diet 5a should be changed. Changes in the pancreas require correction of protein, fat and carbohydrate content. The diet of patients with pancreatitis is called "5p". It has increased protein content up to 150 g (No. 5 100-120 g), reduced amount of fat (No. 5 at least 70 g) and carbohydrates (No. 5 at least 300 g). Ordinary and food restriction rules remain common.
Essential Dietary Requirements
The proposed diet rules No5p do not exclude the use of diseases accompanying the digestive system. They are important for creating maximum unloading of the pancreas.
- Cook food only when cooked, stewed, baked or steamed. The fried method is completely forbidden.
- Observe saving the damaged organ in the most acute stage of the disease by grinding all the dishes.
- Moderate temperature required (no sharp fluctuations from cold to hot).
- It is necessary to feed the patient with a small amount of food, but every 3-4 hours.
- Avoid copious one-time meals, even eating snacks.
- Keep your daily calorie intake to at least 3000 kcal.
Recommended diet charts according to Povzner provide for periods of exacerbation and after the pain is gone, but maintaining and maintaining proper nutrition during pancreatitis is very important.
5p diet option with exacerbation of pancreatitis
Clinical manifestations of acute and chronic pancreatitis in the exacerbation phase (acute pain, vomiting, nausea, diarrhea) do not allow the patient to eat normally. The treatment regimen requires complete fasting for two to four days. You can not even drink; In the first days, the fluid is injected intravenously.
5p starting diet is prescribed after vomiting and pain stop. Its purpose is to reduce the production of stomach acid and through the pancreas to be able to concentrate all its forces on the process of struggle for survival.
Diet allows you to use it for no more than two weeks, because its composition is not balanced (proteins are reduced to 60 g, fats to 50 g, carbohydrates to 200-280 g, total caloric content 1800 kcal). Of course, bed rest and exercise are recommended.
The menu of the diet table of a patient with pancreatitis includes puree, mucous cereal soups, liquid cereals on the water (excluding semolina and rice), vegetable puree or carrot zucchini, cooked pumpkin with the addition of cabbage, cabbage, all kinds of cabbage. , A few white crackers. Serve and cook everything without oil. You can drink up to 2 liters of water, rose pink decoration, slightly sweet weak tea. After this option, on the recommendation of a doctor, they switch to the second type of food.
Diet without exacerbating pancreatitis
Normalization of temperature, reduction of diarrhea frequency and absence of pain are assessed at the beginning of the effective recovery process. The diet of pancreatitis is expanding, but the maximum norms of proteins, fats and carbohydrates are observed. It is necessary to include a vitamin included in the current therapeutic diet to activate the body's defenses. The patient will have to follow this diet for the rest of his life.
The pancreatitis diet categorically prohibits:
- fatty meats, fish and rich vegetarian (cabbage or mushroom) soups;
- fatty beef and pork, duck;
- fat and baking oil;
- Smoked meat, hot food, sauce, canned food in any form, sausages;
- Rich cakes, culinary creams, chocolate, pies, black bread;
- From vegetables, pancreatitis treatment diet I do not recommend radish, cabbage, sorrel, acid, spinach; Fizzy drinks, beer, alcohol, coffee.
Recommended products and dishes:
- Dried white bread or crackers, dry biscuits;
- Steamed, oven-baked, lean meat and poultry dishes, onions, meat and meat dishes;
- Cereal soups, with noodles, you can add sour cream;
- Non-sour cottage cheese, cool cheese varieties;
- Butter or vegetable oil should be added directly to the plate, no more than a tablespoon per day;
- semi-liquid porridge, boiled in water or diluted milk;
- unsweetened baked apple, jelly or fruit compote;
- Lightly brew tea with milk or rose hips, slightly sweet.
Pancreatitis treatment diet in remission recommends the following menu for the following working day:
- Breakfast before work - you can make a steamed protein omelet from two eggs or half a part of oatmeal in milk, tea with milk.
- Breakfast # 2 (at lunch) - Take cooked meat with mashed potatoes or vegetables, half a box of cottage cheese, if it is possible to heat it in the microwave, be sure to use it.
- Slightly sweet tea.
- Lunch (after work at home) - vegetable potato soup with half a plate, steamed meat puree, vegetable jelly, apple jelly on xylitol
- Dinner - a piece of boiled chicken, curd casserole, tea with milk.
- at night (no later than 21 hours) on fruit jelly xylitol.
It is possible to eat unprocessed vegetables and fruits, as well as to expand the diet only with the consent of the doctor, after examination to make sure that the enzymatic activity of the pancreas is restored and there is no inflammation.