Pancreatitis is an inflammation of the pancreas. Pathology occurs in acute and chronic forms. The condition has a fairly specific symptomatology: severe pain in the left hypochondrium, sometimes having the character of a girdle, foul stools, nausea and vomiting.
Diet for pancreatic pancreatitis is one of the main areas of treatment for pathology. The patient's menu depends on the general state of health and the duration of the disease. It is necessary to adhere to a medical diet for several months.
General principles
Nutrition for pancreatic pancreatitis should be frugal. Basic principles of diet:
- fractional feeding - food must be taken five to six times a day in small portions;
- dishes should be mashed, which facilitates the process of digesting food;
- allowed cooking methods are steaming and boiling;
- fresh vegetables and fruits are strictly prohibited, i. e. not cooked;
- the allowable daily amount of salt is not more than 5 grams;
- it is mandatory to take infusions and decoctions of rosehip fruit;
- dishes served to the table should be warm - hot and cold are contraindicated;
- preservatives, semi -finished products, foods and fatty / fried / highly salty products are strictly prohibited.
Deviations from the principles of dietary nutrition can trigger the development of attacks of pancreatitis.
Allowed and Prohibited Products
To reduce the production of pancreatic juice and reduce the load on the inflamed glands, it is necessary to completely exclude from the diet of patients:
- Soups cooked in a rich broth of meat, fish and mushrooms, as well as complex soups - cabbage soup, pickles, borscht. Cold and dairy products are excluded.
- Bread - wheat / rye baked goods today, puff pastries and pastries, butter fried pies, tortillas.
- Fatty meats - pork, lamb, duck, goose - sausages, offal, canned food and smoked meats.
- A fish. Fatty, smoked, salty varieties are prohibited.
- Milk and lactic acid products with high fat content.
- Groats - millet, pearl barley, wheat, corn.
- Fried and boiled eggs.
- Vegetables - radish, radish, garlic, pepper, eggplant, cabbage, spinach.
- Sweets - jam, ice cream, fresh dates, grapes, bananas, figs.
- Spicy seasoning.
- Coffee, strong brewed tea, coffee, soda, grape juice.
- Refractory fats - pork, beef, goat.
When developing a menu for each day, it is necessary to take into account the recommendations of nutritionists and use only approved products. To:
- dry bread, biscuits, homemade crackers;
- vegetarian soup with the addition of pure vegetables - potatoes, zucchini, pumpkin, carrots - noodles, semolina or oatmeal;
- lean meats - chicken, rabbit, turkey - in the form of steamed cuts, soufflés, dumplings, beef stroganoff;
- types of low -fat fish - pollock, carp, cod;
- cereals - oats, semolina, rice - used to make cereals, casserole, puddings;
- low -fat milk and lactic acid products;
- steamed omelet without yolk;
- vegetables - potatoes, zucchini, beets, pumpkin, cauliflower, carrots, green beans;
- sweet berries and fruits in the form of mousses, jellies, puddings, apples baked in the oven;
- sauce - dairy and cooked in vegetable broth (when using flour, the latter is not sauteed);
- butter and vegetable oil;
- weak tea with lemon, mineral water, decoction of rosehip, juice diluted with water.
Diet for acute pancreatitis
If we talk about the type of diet recommended for patients with acute forms of inflammation, then this is the 5P treatment schedule. During the first two to four days, full hunger is recommended to a person. Only liquid intake is allowed - decoction of rosehip fruit, Borjomi (without gas), weak tea. Then the patient switched to nutritional therapy. The menu is allowed to include without salt, but rich in carbohydrate dishes.
Estimated list of dishes that can be included in the menu:
- steam omelets on protein;
- soufflé meat;
- fish and meat dumplings;
- puree soups - rice and oats - and vegetarian options;
- vegetable puree;
- mashed porridge - rice, buckwheat, oats;
- apples in the form of jelly or mousse;
- fruit drinks from wild rose berries, cranberries, black currants;
- tea with the addition of milk;
- cottage cheese and dishes thereof;
- cereal pudding.
Before bedtime, you can offer kefir, yogurt, a glass of water with a tablespoon of honey dissolved in it, prunes and raisins.
Weekly menu budget
When creating a menu for a week, it should be remembered that the patient's diet should be changed. When developing a menu for patients throughout the week, you can use the following suggestions.
Breakfast can be served with boiled beet salad and dried fruit compote, 150 grams of low -fat cottage cheese and rosehip decoction, steamed omelet without egg yolk, weak tea with biscuits, grated oatmeal and berry jelly, pumpkin porridge, rosehip drink, cheese withbiscuits, rosehip soup, pure buckwheat porridge, compote.
Second breakfast: boiled rice porridge with steamed raisins, carrot salad with vegetable oil, apples stuffed with dried apricots and baked in the oven, pumpkin and carrot puree, boiled beets, apples baked with sugar.
For lunch, vegetarian soups are allowed, for example, borscht, boiled fish garnished with well -boiled rice, boiled beef, cottage cheese casserole, steamed chicken pieces, pasta with boiled minced meat, sauteed. Snack options: allowed fruit jelly, vegetable rolls, fresh berry jelly, fruit pudding, baked potatoes in the oven, sandwich with butter and a slice of cheese, peanut puree.
Dinner: baked apple puree and low -fat yogurt, rice porridge with raisins, varenet, vinaigrette and yogurt, steamed cauliflower, a glass of yogurt, zucchini caviar, kefir, steamed omelet, fermented toasted milk, rice porridge pudding and low -fat yogurt.
Alternating meals, you can create a weekly menu of "delicious" that will provide the body of the sick person with all the necessary ingredients, but at the same time the pancreas will receive a minimum nutritional load. You can find recipes for some of the dishes below.
Nutrition for combined pancreatitis with gastritis or cholecystitis
If the underlying disease is accompanied by the development of cholecystitis, then the menu is allowed to include:
- slimy soup made from rice, oats or semolina;
- mashed porridge, boiled in water, strictly forbidden to add milk and butter;
- vegetable juices, compote;
- homemade white bread croutons;
- mashed boiled meat, fish;
- low -fat cottage cheese.
With a combination of pancreatitis and gastritis, the menu should include mashed soup from oatmeal, rice and semolina, to which you can add egg yolks and a little butter, mashed vegetables - potatoes, carrots, beets - with the addition of milk or cream, steamed soufflé, cut, etc. dumplings from minced meat and fish.
Strict selection is recommended only during the acute period of the disease. After stabilization of the condition, the person switched to the diet recommended for chronic pancreatitis.
Dietary characteristics in childhood
The main principles of the diet in children are breakdown, maximum degree of grinding, compliance with the requirements of culinary processing, and diversity. Small portions, if served regularly, prevent children from feeling hungry. In this case, there is no violation of metabolic processes.
Daily caloric intake is calculated based on the weight and age of the child. At the stage of remission, the menu is allowed to include fresh vegetables and fruits (to a limited extent), but the basis of the diet is cereals with milk, minced meat dishes-chicken, turkey, vegetable soups without adding meat, fish-boiledor roasted, boiled vegetables, dairy products. In small quantities and every day, allowed to give the child marshmallows, marmalade, jam, jam, honey.
Important!When introducing new products into the diet, it is necessary to monitor the condition of the child.
recipe
We offer you several recipes for dishes that can be prepared with diagnosed pancreatitis.
Beef pudding
Grind the pulp of boiled meat (130 g) in a blender bowl. Put the semolina (10 g), whipped egg whites, egg yolks and a little water (about 1/3 cup) into the puree. Add some salt crystals. Grease the mold with oil, add the prepared minced meat and cook in a double boiler.
Fish dumplings
Grind lean fish (300 g) in a meat grinder. Grind a quarter of dry bread and pour the slices with milk (100 ml). Squeeze the bread and mix with the minced meat, add some beaten protein. Add salt and mix well. Form small balls with two tablespoons and boil in salted water until soft. This will take about 15 minutes.
Vegetable puree soup
Cook until potatoes are fully cooked (2 pcs. ), Carrots and half a small zucchini. Pour the broth into a separate bowl, and chop the vegetables until pureed using a blender. Pour the puree with the broth to the desired consistency and bring to a boil. Cook for 3 minutes. Serve warm with a tablespoon of sour cream in the soup.
Fish pudding
The carcass of the fish must be divided into two fillets. Boil the first and rub through a sieve. Grind the second part in a meat grinder. Mix the two masses, put the egg yolks, butter, salt. Uli. Divide into portions and steam.
Chicken souffle
Grind boiled chicken in a meat grinder. Put the egg yolks and butter into the minced meat. Mix well. Then gently insert the whipped whites into the fluffy foam. Put the mass into a mold and steam.
Banana dessert
Dissolve 2 packs of gelatin according to instructions. Add 250 ml of natural yogurt from it. Steam some peeled banana seeds and peaches. Place the foil on the bottom of the plastic mold. Dessert form in layers - biscuit powder, yogurt cream with gelatin, banana -peach puree. Alternate layers. Put the sweetness in the fridge to solidify the agar.
Adherence to the principles of dietary nutrition in pancreatitis is a prerequisite for achieving sustained and long -term remission. The menu for patients with pancreatitis in adults and children, with the right approach to development, can be quite diverse and fully meet all the needs of the body.