Pancreatitis what kind of disease what diet. Pancreatitis and therapeutic diet

Antipyretics for children are prescribed by a pediatrician. But there are emergency situations with fever when the child needs to be given medicine immediately. Then the parents take responsibility and use antipyretic drugs. What is allowed to be given to infants? How can you lower the temperature in older children? What medications are the safest?

Pancreatitis is an inflammatory disease of the pancreas, the cause of which is a violation of the speed and amount of outflow of juice and other enzymes responsible for digestion, which are produced by the pancreas into the duodenum.

This disease negatively affects the vascular system, can provoke inflammation and stones in the gall bladder and even cause death. Therefore, it is important to provide proper treatment if diagnosed, as well as adhere to a special diet so that the disease does not worsen and progress further.

Nutrition for pancreatitis during exacerbation

The daily volume of water should be no more than 1.5 liters (5-7 glasses). If the zero diet is extended for a longer period, then starting from the fourth day, various nutritional components are administered intravenously, and from the sixth to seventh day, liquid food is allowed to be introduced through a tube into the intestines.

After the symptoms subside and the patient’s general condition improves, certain foods and drinks are gradually introduced into the diet: porridge cooked in water; unsweetened compotes, jelly; puree soups.

Food can be eaten warm, it is strictly forbidden to be hot or cold, it must be prepared without adding vegetable or animal fat, contain as little protein as possible, and must also be liquid or semi-liquid in consistency, with a minimum calorie content.

When the patient’s well-being and condition have stabilized, you can expand your diet to vegetables, lean meats, fish, boiled or steamed potatoes; this stage of the disease no longer requires crushing to a puree state.

Principles of nutrition during exacerbation of pancreatitis and immediately after it:

small, frequent meals, 5 to 7 times a day;
small portion sizes;
exclude alcohol, spices, sauces, oils, fried and dairy products;
limit baking and salt;
You can use a small amount of yesterday’s, or better yet, the day before yesterday, dried bread.

And also, the body needs competent medicinal support to quickly restore the overall strength and functionality of the pancreas.

Diet for pancreatitis, what you can and cannot eat

Of course, in the presence of pancreatitis, a unique diet should always be followed, but in truth, few people succeed in this, because everyone is living people, and sometimes patients allow themselves to break the rules of the diet. The most important thing is to follow the correct diet and diet for the first 2-3 months, so that the pancreas gets stronger and enters its usual mode of operation.

What can you eat if you have pancreatitis:

What not to eat if you have pancreatitis:

Fatty meat: lamb, goose, pork, duck, especially fried (kebabs, cutlets, etc.), canned food, sausages, stewed meat, rich broths.
Fatty fish: sturgeon, mackerel, salmon, herring, catfish, smoked fish, caviar, canned fish.
Fat cottage cheese, glazed curds, sweet curds, spicy or smoked cheeses.
Hard-boiled eggs, scrambled eggs.
Vegetables: radish, raw onion, garlic, radish, beans, beans, bell peppers, sorrel, spinach, lettuce. Mushrooms are prohibited from being consumed in any form.
Fruits: citrus fruits, berries containing a large amount of acid, such as cranberries, lingonberries, as well as sweet and difficult to digest - figs, grapes, bananas, dates.
Sweets: chocolate, buns, ice cream, any nuts, coconut milk.
Drinks: coffee, strong tea, sparkling water, kvass.

Menu for pancreatitis

Everyone is familiar with the phrase “The best friends of the liver, stomach, pancreas are COLD, HUNGER and PEACE,” so it is important to get up from the table with a slight feeling of hunger, eat a portion that can fit in the palm of your hand and maintain emotional calm, then the course of the disease will be easier and a speedy recovery will follow.

The diet for pancreatitis is not as terrible as we imagine it to be; it can be quite varied, tasty, and most importantly, healthy and safe. We invite you to familiarize yourself with it.

Sample menu for every day

First day

Breakfast: steamed omelette from one egg, weak tea with bread;
Snack: 2-3 pieces of biscuits with cheese;
Dinner: 150 grams of buckwheat porridge (ready-made), zucchini, boiled or baked without spices and oil, 100-150 grams of cottage cheese with a fat content of up to 9%;
Snack: grated, sweet apple, or baked in the oven;
Dinner: oatmeal in water 150-200 grams, grated beetroot salad (possibly with the addition of boiled carrots).

Second day

Breakfast: 200 grams of cottage cheese with tea or compote;
Snack: salad of boiled green peas and carrots, seasoned with a few drops of vegetable oil;
Dinner: 200 grams of boiled beef with tomato stewed in its own juice without oil, 1-2 slices of bread, 150 grams of oatmeal in water;
Snack: 250 ml of jelly from permitted berries/fruits, with a minimum amount of sugar;
Dinner: vegetable soup without meat 300 -400 grams, a glass of low-fat yoghurt or fermented baked milk without dyes and sweeteners.

The third day

Breakfast: 150 grams of rice porridge with milk, 2 crackers;
Snack: one baked apple with cottage cheese;
Dinner: 300 ml of chicken broth soup with meat, a slice of bread, baked or boiled vegetable;
Snack: 2 pieces of dried apricots / jelly or yogurt (150-200 ml);
Dinner: 150 grams of carrot puree, one medium steamed cutlet.

Fourth day

Breakfast: a portion of cottage cheese casserole or 2 cheesecakes without eggs and butter, tea or rosehip decoction with sugar;
Snack: 30 grams of hard cheese;
Dinner: soup in meat broth with oatmeal or noodles, a piece of bread, a cutlet or a portion of steamed meat;
Snack: fruit jelly 150-200 grams;
Dinner: 150 grams of mashed potatoes without oil, 200 grams of steamed fish, 1-2 inflorescences of boiled cauliflower.

Fifth day

Breakfast: steamed cutlet, 150 grams of grated, boiled beets, tea;
Snack: a glass of still water, 2 crackers or biscuits;
Dinner: vegetable broth, buckwheat porridge 100 grams, 100 grams of boiled chicken fillet, bread;
Snack: a glass of natural yogurt;
Dinner: 200 grams of durum pasta, the same amount of salad from boiled peas, beets, carrots, seasoned with a few drops of olive oil, half a marshmallow.

Sixth day

Breakfast: baked pumpkin with half a teaspoon of honey, a glass of kefir, bread;
Snack: 100 grams of cottage cheese;
Dinner: souffle of rice and chicken baked in the oven, portion should be no more than 300 grams, steamed zucchini, rose hip decoction.
Snack: baked pear or apple / fruit jelly;
Dinner: oatmeal with water 200 grams, 100 grams of boiled veal, tea with a spoonful of milk, 1 dried apricots.

Seventh day

Breakfast: semolina porridge with milk – 200 ml, sweet compote with bread;
Snack: applesauce / cottage cheese casserole – 100 grams;
Dinner: vegetable puree 200 grams, 1-2 steamed fish cutlets, a glass of yogurt;
Snack: jelly or jelly from berries, fruits - one glass;
Dinner: chicken broth with potatoes and carrots -250-300 ml, a slice of bread, 1 boiled beetroot, weak tea.

You can also stew vegetables and meat in their own juices without adding oil; it is recommended to consume such dishes no earlier than 1.5 months after the period of exacerbation of the pancreas. In consultation with your doctor, you can introduce new foods and expand your diet with other, interesting dishes.

Stick to a balanced diet, with a complete combination of proteins and carbohydrates, do not overeat and drink enough clean, still water. Such simple rules of nutrition will help maintain the functions of the pancreas, will allow the disease not to progress further and will serve as good prevention and a healthy habit for the rest of the family.

Diet for acute and chronic pancreatitis

Pancreatitis is a whole group of diseases associated with inflammation of the pancreas. The disease can appear unexpectedly - one of its manifestations is pain. To relieve pain and prevent recurrent attacks, proper diet is important. Pancreatitis is divided into chronic and acute; depending on the nature of the disease, you need to choose the necessary nutrition.

In acute or chronic pancreatic disease, pancreatitis is diagnosed due to:

Eating disorder.
Eating fatty/spicy foods daily.
Chronic alcoholism.
Diseases of the biliary tract, including cholecystitis, cholelithiasis.
Gastric ulcer.

With exacerbation of pancreatitis there is a need for surgical intervention (opening the lining of the pancreas) in case of little effect from drug treatment, fasting, or removal of food debris from the stomach. Chronic pancreatitis worsens under the influence of overeating, alcoholism, long-term use of glucocorticoid hormones, estrogens, narcotic drugs, Indomethacin, Furosemide, against the background of a diseased liver (which requires a special diet) and gall bladder, which are quite common in adults. When the pressure inside the abdomen increases in women at the end of pregnancy, pancreatitis may develop.

About the causes, symptoms, treatment of pancreatitis:

Diet for acute pancreatitis for 10 days

The purpose of nutritional therapy for acute pancreatitis - relieve swelling, inflammation and infection from the pancreatic duct. To do this, in a hospital setting, drug treatment with enzyme preparations, antispasmodics, plus complete fasting for several days is used to avoid the use of surgery. Hunger is necessary to stop the production of gastric and pancreatic juices and to reduce enzymatic activity due to the lack of food in the esophagus. During this time, the gland will be restored.

In the first days of an exacerbation, you need to fast, you can only drink mineral water with alkali, but without gas, for example, “Borjomi”, “Essentuki” No. 4, No. 20, “Slavyanskaya”, “Smirnovskaya”, weak green tea or rosehip decoction. The drink should be taken 4-5 times a day, 200 ml. Water will eliminate intoxication of the body and prevent dehydration along with the use of parenteral nutrition - installing droppers with sodium chloride and glucose 5%.

They come out of hunger on days 2-3-4, trying to eat for a day:

dried wheat bread or loaf (unsweetened) - 50 g/day;
jelly, fruit drinks (it is better to prepare them from cranberries or black currants);
continue to drink at least 2.5 liters of liquid, including currant or cranberry juice with mineral water (2:1) without gas, as well as various decoctions (for example, rose hips).

If symptoms of acute pancreatitis do not occur again, add to the diet for 3-5 days:

salty slimy rice or oatmeal broth;
liquid mashed potatoes without oil;
semi-liquid jelly or jelly from juices;
liquid porridges: oatmeal (read our article: 3 recipes for oatmeal), semolina, buckwheat, rice (everything is prepared in water or milk, everything needs to be ground or chopped with a blender);
cracker;
dried bread.

Important nutrition rules! Daily calorie intake is 600-800 calories, daily protein intake is 15 g, up to 200 g. – carbohydrates (you can add honey to your diet). Fats are prohibited.

steam omelette made from whites
low-fat cottage cheese soufflé;
steamed meat (necessarily chopped or ground through a meat grinder/blender)
slimy cereal soups;
jelly or mousse from apples, pureed berries without skin;
vegetable purees (potatoes, zucchini, pumpkin, carrots are good, you can add a little oil)
vegetable puddings (steamed);

You can add liquids - green or black tea (not strong), add sugar or honey - 1 tsp each, or tea with milk, beet juice 50 ml / day with mineral water. Calorie content is increased to 1000 calories per day, up to 50 g - proteins, up to 250 g - carbohydrates, up to 10 g / day - fats. At night you need to drink a glass of water with honey, raisins (1 tsp), prunes (2-3 pcs.) or yogurt to prevent constipation.

From the 10th day after the attack, you can increase the calorie content by more than 1000 cal/day, up to 300 grams. – carbohydrates, up to 60 g. – proteins, up to 20 g/day – fats. Continue to eat pureed unsalted food.

Sample menu

Below is a menu for several days; you can create a similar diet yourself based on the list of permitted foods.

Dish recipes

Can be used after an acute attack of pancreatitis diet number 5p(read about the Table 5 diet) and follow it for a year. Food is eaten pureed, without salt; proteins can be increased - up to 100 g, up to 40 g. – fats, up to 450 gr. - carbohydrates. Be sure to follow the recommendations and regimen prescribed by your doctor!

For the decoction you will need 0.5 kg of dried rose hips and 4 liters of water. Rinse the rose hips, add water, and let the drink steep for 4 days. There is no need to cook the infusion; the rose hips should be infused in water at room temperature. This drink contains vitamin C. Attention! Since the drink is sour, consult your doctor before taking it.

Puree fish soup:

For the soup you will need 0.5 kg of fish (it is advisable to take boneless fillets, cod, pike, pike perch), 1.5 liters of water or vegetable broth, 50 ml. milk, 1 tsp. butter.

Cut the fish, add water or broth to the pan, and cook until tender. Remove the fish from the pan and grind using a blender. Heat the milk a little in a saucepan and add butter to it; as soon as the butter has melted, add the broth, bring to a boil, but do not boil. Add fish, cook over low heat for just a couple of minutes. Salt can be added only if your doctor allows it!

Carrot-pumpkin puree:

For this delicious dish you will need pumpkin (300-400 g) and carrots. Peel the vegetables, cut into 1.5-2 cm cubes. Boil until ready. Drain the water, reserving a little if you want the puree to be thinner. Grind using a blender. The puree is ready!

Forbidden for acute pancreatitis use:

alcohol;
eat fatty or fried foods;
eat any fats and foods that cause bloating: legumes, bran, white cabbage, turnips, rutabaga, peel/skin of fruits and vegetables, unripe fruits, berries or vegetables;
carbonated drinks with fermentation reactions: kvass, kefir.

Attacks of chronic pancreatitis can occur immediately after lunch, the menu of which included: hard-boiled eggs, confectionery, raw fruits, vegetables, juices, cold carbonated drinks, chocolate, milk or ice cream. The constant companions of the disease will manifest themselves every time: bloating, a feeling of fullness or heaviness, a lump that is “stuck in the bottom of the chest,” and periodic vomiting.

Against the background of chronic pancreatitis, diabetes mellitus can easily arise and proceed severely - also a serious disease in which it is necessary to adhere to a strict diet.

In case of chronic pancreatitis, it is recommended to drink alkaline drink for 1-2 days, rosehip decoction or tea - at least 1.5 liters. per day in 5-6 doses. You need to switch to a gentle low-calorie healthy diet, excluding almost all fats and carbohydrates. The content of protein and enzyme preparations should be moderate. With 5-6 meals a day, it is recommended to eat chopped or grated food.

The diet for chronic pancreatitis can include:

crackers from wheat bread (you can dry the bread yourself);
vegetable soups (pumpkin, potatoes, zucchini or carrots are best suited for soups);
cereal soups (with semolina, oatmeal, buckwheat or rice);
meat - beef or veal, chicken, rabbit. It is better to steam, bake or boil.
steamed egg omelettes (2-3 pcs.).
low-fat fish: flounder, pollock, cod, perch, pike perch, hake, perch or pike;
cottage cheese (not salted): can be eaten fresh or made into puddings;
cheeses - choose low-fat, unsalted varieties;
In dishes or during cooking, you can use butter or sunflower oil -10-15 g.
sour cream, kefir (low fat content only);
porridge - rice, pearl barley, oatmeal, buckwheat, vermicelli (their consistency should be liquid or semi-liquid);
vegetable puree/stew (don’t forget that cabbage and tomatoes cannot be added), vegetables can also be simply boiled or baked;
mousses/jelly from juices, compotes from dried fruits (apricots, pears, apples)
fruits (only baked or grated without skin)
dietary purees and puree-like canned food for baby or diet food;
multivitamin and mineral preparations.

Menu for the day

You should not eat foods that stimulate pancreatic secretion:

meat, fish, fatty poultry, forget about smoked meat and fish, sausages, canned food;
meat, mushroom, fish broth (as well as soups and sauces based on them);
cabbage soup, borscht, as well as cold soups (such as kholodnik or okroshka);
milk soups;
fish, fried, smoked, salted or canned meat;
high fat dairy products;
eggs - you cannot eat fried or hard-boiled eggs;
any beans, white cabbage, eggplants, turnips, radishes, radishes, onions, garlic, sorrel, spinach, mushrooms, sweet peppers;
bakery products, fresh bread, sweet, flour, chocolate, and other sweets;
black coffee, cocoa, carbonated drinks.

For pancreatitis with endocrine dysfunction exclude jam, sugar and honey, since they do not have a therapeutic effect, and they are classified as carbohydrates.

In case of an asymptomatic course of the disease or with the presence of mild symptoms, the list of prohibited dishes/products is gradually reduced to the category of products that should only be limited, but not completely excluded.

Recipes Vegetable puree soup:

For the soup you will need: 1 yellow or green bell pepper, broccoli, cauliflower, 1 small zucchini. All vegetables need to be washed and cut into cubes. Pour water (1-1.5 liters) into the vegetables in a saucepan and cook until tender. Drain the water and use a blender to puree.

Fish soufflé:

To prepare the dish you need: fish (400 g), 100 ml of water or milk, a tablespoon of flour, 2 eggs (separate the whites from the yolks), a piece of butter (20 g). Boil the fish in water, drain, mince or finely chop. Mix milk and flour (preheat the flour in a frying pan until slightly yellow) and you will get a milk “sauce”, slightly thick. Now we begin to mix: fish, egg yolks, milk sauce, butter (if your doctor allows, you can add salt). Separately, beat the whites until thick foam. Stirring, add them to the fish mixture.

Preheat the oven to 180-200 degrees. Place the fish mass in a baking dish or baking sheet, put it in the oven and bake until done.

Apple marshmallow (dessert):

To prepare marshmallow, you need to take 1 kg of apples, peel them, cut them, add water in a saucepan and cook. Boil the apples, remove from heat, drain, and let cool slightly. Rub the apples through a sieve or chop with a blender. Drain all the juice from the resulting puree and squeeze out the puree. Separately pour the juice into a small saucepan and cook until thickened (almost like syrup). Add sugar (100 g) to the boiled juice and cook a little more. Mix juice with puree. Place the resulting mass on a baking sheet, place in the oven (120 degrees), and dry the marshmallow until completely thickened.

The doctor talks about the diet for chronic pancreatitis:

Sample menu for acute and chronic pancreatitis for one week

Along with the regular use of medications, dietary nutrition is also indicated for pancreatitis. Only a comprehensive measure can relieve stress and swelling from the pancreas, help relieve inflammation and restore damaged tissue.

During an acute attack of the disease, the diet is very limited, even to the point of fasting for the first few days. After the acute symptoms of the disease are relieved, the patient’s menu gradually expands. Let's look at what a weekly diet should look like for a person with a painful pancreas.

Features of dieting for different forms of pancreatitis

Diet is not only a mandatory indication for the treatment of acute attacks of the disease, but also a measure to prevent relapses of the disease. The purpose of this method is to remove the load from the organ, reduce the amount of gastric juice and digestive enzymes produced, as well as reduce their activity. This is necessary to reduce swelling of the gland, stop inflammatory and infectious processes, and create conditions for healing and regeneration of damaged tissues.

In case of acute inflammation, the diet is very strict. On the first day of the attack of the disease, the patient is shown hunger. Depending on the severity of the disease and the presence of complications, fasting can last from one to three to four days. This measure is necessary for:

Suspension of the production of gastric and pancreatic secretions.
Decreased performance of digestive enzymes.
Preventing the development or reducing the severity of infectious processes.

When the gland becomes inflamed, swelling and spasms of the organ and its ducts are observed. For this reason, digestive enzymes cannot pass from the pancreas to the intestines, they are activated in the gland and begin to digest its walls.

The death of damaged organ tissues and undigested food debris provoke complications of the disease with various infections. That is why it is necessary to reduce the activity of the production and functioning of pancreatic enzymes, which is mainly achieved through a fast.

For the first 2-5 days of acute pancreatitis, only drinking liquids is recommended - up to 2.5 liters. After breaking the hunger strike during AP, the diet gradually expands according to dietary table No. 5 P (I). At the same time, the calorie content of food during the first ten days of the diet should not exceed 800 Kcal. Starting from the tenth day, with positive dynamics of treatment, the calorie content of food can be increased to 1000 Kcal.

In the chronic form of the disease, the patient’s menu is much wider. It includes cereals, most types of vegetables and berries, meat and fish (non-fat, medium-fat types), fermented milk, soft cookies, sweet berry jelly, marmalade, marshmallows and even some types of sweets.

In this case, to prevent relapse of pancreatitis, you must adhere to the following nutritional rules:

Eat only natural, fresh food.
Significantly limit the amount of sweet, fatty, and especially sour foods.
Meals should be fractional: 5-6 times a day in small portions.
It is advisable that the food be crushed and grated for better absorption.
Allowed cooking methods: boiling, baking, steaming, stewing.
Do not eat hot or cold – only warm foods and dishes.
Do not eat fruits and sweets on an empty stomach.
It is not recommended to eat fresh bread (better than the second day of freshness or crackers), or pastries with cream.
It is not recommended to use spices (salt can be used in small quantities).
Alcohol and snacks (chips, crackers, corn sticks, etc.) are strictly prohibited.

A healthy diet and maintaining fluid balance will help prolong the period of remission for a long time and preserve the health of the pancreas. In this case, dietary nutrition is the most effective medicine.

Sample menu for exacerbation of the inflammatory process

In the first days of an acute attack of the disease, fasting is indicated. During this period, the sick person is only allowed to drink non-carbonated mineral water with alkali. It could be:

You should drink water four to five times a day, 200 ml each, and the drink should be slightly heated (up to 27 degrees). If the water is carbonated, half an hour to an hour before drinking it should be poured into a glass so that all gases are released from the liquid.

On the third day, you can diversify the drink with a weak rosehip decoction. Drinking will help maintain water balance, replenish the body's reserves of essential microelements, and remove toxins.

Exit from hunger strike

The menu for patients with pancreatitis when returning from a hunger strike (2, 3 or 4 days) can be varied with the following products:

dried white wheat bread (no more than 50 grams per day);
jelly or blackcurrant juice;
At the same time, you are supposed to drink up to 2.5 liters of liquid per day (still mineral water, jelly, fruit drink, rosehip decoction).

On the third to fifth day, the diet can be supplemented with:

a decoction of mucous consistency from rice or oatmeal;
mashed potatoes (liquid, without butter and milk);
jelly from blueberries, black currants, strawberries, blueberries;
ground porridge with water from buckwheat, rice, oatmeal.

In the next two days you are allowed to start trying:

steam egg white omelette;
steamed or boiled chicken, rabbit, turkey meat chopped in a blender;
cereal soups cooked in vegetable broth or water;
vegetable puree (pumpkin, carrots, zucchini);
not strong black or green tea, prunes, yogurt.

Starting from the tenth day, subject to successful treatment and subsidence of the symptoms of the disease, the menu can be varied with unsalted butter, jelly, baked apples, boiled low-fat fish or steamed fish cutlets, soufflé. You can start using sugar in very small quantities. However, it is better to take its substitutes.

The diet for acute pancreatitis is strict, so the menu absolutely excludes the following foods: fried, smoked, very fatty foods, mushrooms, canned food, sausage, sausages, lard, egg yolks, fresh bread and pastries, spices, sauce, ice cream, alcohol, soda, radish, onion, garlic, radish, spinach, peas, beans, asparagus, sorrel.

Nutrition after complete relief of the attack

The menu of a patient with acute pancreatitis for a week should include only approved and safe products for the gastrointestinal tract.

Early meal: steamed omelette of 2 whites, oatmeal, rosehip broth.
Late meal: berry jelly.
Lunch time: rice soup, dried bread, steamed chicken cutlets with zucchini puree.
Afternoon snack: grated cottage cheese, lightly brewed tea.
Evening: fish souffle with a side dish of stewed vegetables, currant compote.
Late evening: crackers with yogurt.

Early meal: curd pudding, tea with crackers.
Late meal: strawberry soufflé, rosehip infusion.
Lunch time: vermicelli soup with vegetable broth, crackers, boiled turkey, berry mousse.
Afternoon snack: baked apples, compote.
Evening: noodles, steamed fish cake, green tea.
Late evening: crackers, tea.

Early meal: vegetable pudding.
Late meal: rice porridge, a piece of chicken.
Lunch time: buckwheat soup, crackers, steamed rabbit cutlets, jelly.
Afternoon snack: pumpkin porridge.
Evening: oatmeal, piece of chicken, black tea.
Late evening: biscuits with kefir.

Early meal: rice porridge, currant compote.
Late meal: steam omelette, chamomile decoction.
Lunch: cream soup from boiled meat, crackers, a piece of boiled rabbit meat, tea.
Afternoon snack: baked apple with cottage cheese, compote.
Dinner: oatmeal porridge, raspberry soufflé, rosehip infusion.
Late dinner: crackers and yogurt.

Early meal: oatmeal, omelette, black tea.
Late meal: pumpkin puree, strawberry compote.
Lunch time: buckwheat soup, crackers, steamed fish cutlets, tea.
Afternoon snack: cottage cheese casserole, rosehip broth.
Evening: carrot puree with chicken souffle, baked grated apple without peel and core, compote.
Late evening: one biscuit with tea.

Early meal: semolina porridge, chamomile decoction.
Late meal: steam omelette, jelly.
Lunch time: noodle soup, crackers, boiled chicken, tea.
Afternoon snack: berry soufflé, compote.
Dinner: vegetable puree, steamed turkey cutlet, jelly.
Late dinner: crackers with yogurt.

Early meal: carrot-pumpkin puree, boiled egg white, compote.
Late meal: cottage cheese soufflé, chamomile decoction.
Lunch time: grated fish soup, crackers, steamed chicken cutlets, tea.
Afternoon snack: baked apple, compote.
Evening: buckwheat porridge with steamed cutlet, boiled grated beets, jelly.
Late evening: crackers with kefir.

Before the disease enters the stage of stable remission, all food should be pureed and without spices (even salt is not recommended). Two weeks after the attack, provided there are no symptoms of the disease, you can start trying fresh apples, peeled and headed, as well as strawberries and bananas.

Sample menu for stable remission of pancreatitis

The weekly diet menu for chronic pancreatitis is much more varied. When the disease enters the stage of stable remission, you are allowed to try: medium-fat fish, beef, sweet and slightly sour fresh fruits, sugar, long-lasting, cottage cheese cookies, jelly candies, marshmallows, marshmallows, marmalade, berry jelly, hard cheese, milk, and other products . You cannot overdo it with the quantity of such products.

An example menu for pancreatitis for a week is as follows:

Diet No. 5p: weekly menu for pancreatitis. Recipes. What is possible and what is not?

Pancreatitis is one of the most popular diseases of internal organs. It is treated not only with medications, but also with special nutrition, which includes diet No. 5p. The menu for a week for pancreatitis requires the exclusion of many foods, as well as a special method of preparing dishes. The goal of the diet is to normalize all the functions of the pancreas.

What is diet No. 5p intended for?

Medical nutrition is often used for pathologies of the liver, pancreas, intestines, stomach and bile-forming organs. The food system here requires the consumption of certain foods that are prepared in a certain way. An important role is played by the frequency of meals and the temperature of the food consumed.

Diet No. 5p (weekly menu for pancreatitis) was developed in 1920 by general practitioner M.I. Pevzner and has not lost its relevance at present. It is prescribed for exacerbation of pancreatitis. It can not only provide the patient with adequate nutrition, but also normalize the functions of the pancreas. Positively affects bile secretion and liver. Promotes the accumulation of glycogen, relieves cholesterol and fat metabolism. Stabilizes the functioning of the gastrointestinal system.

Features of preparing dishes at table No. 5p

Dishes in diet No. 5p should have a high content of pectin, liquid, lipotropic components and dietary fiber. During the treatment period, a split meal regimen is introduced, patients take food 5-6 times a day. Products are steamed, baked or boiled. When preparing dishes, vegetables are not sautéed. Products rich in fiber are pureed, the rest are finely chopped.

The diet limits the consumption of fats and carbohydrates. The main diet consists of protein products. Dishes with oxalic acid, containing a lot of cholesterol, coarse fiber and containing purines are excluded from the menu. Remove foods that contain a lot of essential oils and fried foods. Salt should be consumed no more than 10 g per day, and water - up to two liters.

Food should be taken warm. Cold and hot foods are contraindicated.

Indications for dietary nutrition

Diet No. 5p (weekly menu for pancreatitis) is indicated for patients with acute and chronic pancreatitis, after therapeutic fasting, during a period of unstable remission.

Principles of dietary table No. 5p

Diet No. 5p is intended to stabilize the functioning of the pancreas. It spares the stomach and intestines as much as possible, relieves pain, and reduces the reflex excitability of the bile organ. When observing this, the following principles must be adhered to:

before the diet you need to fast for 3 to 7 days;
the eating regimen should be fractional, 5-6 times a day;
you need to eat in small portions, up to 300 g;
dishes should be steamed, boiled or baked;
a balanced diet should be introduced that will contain all the vitamins and minerals the body needs;
all food should be semi-liquid and ground;
temperature regime of ready-to-eat dishes is 20-25 °C;
the consumption of fats and carbohydrates is reduced to a minimum.

For therapy to be effective, all rules of therapeutic nutrition must be followed. You should not break the prohibitions until complete remission or recovery occurs.

Diet No. 5p: chemical composition

Diet No. 5p should have a daily calorie content of 1700-2500 kcal. The menu allocates 50 g for carbohydrates, 70 g for fats, and 100 g for proteins. Consume no more than 10 g of salt per day.

Allowed foods

Diet No. 5p requires compliance with all the necessary rules. It is recommended to take vegetable soups here, with the addition of cereals. You can't add frying to them. You are allowed to eat buckwheat, rice, noodles, oatmeal and semolina. The bread should be yesterday's wheat, from 1-2 grade flour. You can use unsweetened cookies.

Vegetables are eaten boiled or grated. It is allowed to eat lean meat and low-fat fish. You can eat soft-boiled eggs, as well as steamed omelettes, but not more than once a day. All porridges are prepared with low-fat milk or water. Baked and chopped apples, low-fat dairy products and dishes made from them are allowed.

Diet No. 5p also includes boiled vermicelli in the diet. The sample menu involves the use of fruits and berries. They can be eaten in the form of jelly, raw - pureed or baked. With this diet, they drink tea with lemon, not very strong, or rosehip decoction, natural juices diluted with water without added sugar. Vegetable oil is allowed - 15 g per dish, as well as butter - no more than 30 g per day.

Banned foods

Diet No. 5p has many restrictions on food. Foods that are prohibited to eat when treating pancreatitis are the following:

fatty meat and fish broths;
any alcohol, as well as strong tea and coffee;
cold, hot and carbonated drinks;
smoked products, sausages and frankfurters;
freshly baked and rye bread;
fish caviar;
radishes, turnips, radishes, sorrel and spinach;
fermented milk products, including yogurt;
flour products;
sour and spicy dishes;
mushrooms in any form;
salted and pickled dishes;
dairy products with a lot of fat;
canned food;
sweets;
citrus;
grape juice;
fast food, chips, nuts and crackers.

Despite the prohibitions of many foods, diet No. 5p (table) is very effective in the treatment of pancreatitis. What you can and cannot eat - this was discussed above, and then we will talk about the menu for the treatment of pancreatitis.

Type of medical nutrition

Diet No. 5p exists in two versions. The first is used for acute pancreatitis - No. 5a, and the second for chronic pancreatitis - No. 5b.

In diet No. 5a, the daily calorie intake should not be more than 1700 kcal. All food is liquid and pureed. Foods that can stimulate the secretory function of the pancreas are prohibited. This diet lasts about a week.

In diet No. 5b, calorie content increases to 2700 kcal. The amount of proteins, carbohydrates and fats increases. All broths and decoctions are excluded to reduce the release of pancreatic secretions. All food is taken pureed.

Diet No. 5p: weekly menu for pancreatitis

During the week, if pancreatitis worsens, the menu should be as follows.

Monday. In the morning, for breakfast: a steamed omelet made from one yolk and two whites, plus a decoction of rose hips. For the 2nd breakfast they eat baked pear. At lunchtime - borscht, meatballs made from lean fish, and boiled rice. In the afternoon, it is recommended to have a snack with crackers and drink a glass of milk. For dinner, boiled chicken breast, Hercules porridge and weak black tea are expected. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Morning: manna with raisins plus pudding with berries and low-fat cottage cheese, as well as tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch we recommend vegetarian soup, for main course: cabbage rolls with boiled meat. Drinks include jelly made from berries. Afternoon snack: low-fat cottage cheese and compote made from dried fruits. In the evening, for dinner, prepare rice porridge with low-fat milk and drink a glass of mineral water. Before bed: 250 g of carrot juice.

Wednesday. In the morning: cheesecakes with dried apricots, plus cheese and rosehip tea. During the 2nd breakfast, eat buckwheat porridge with apple juice. Beef cutlets with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening, they eat vegetable casserole and boiled chicken fillet, and drink weak tea. Before bed: berry juice with unsweetened cookies.

Thursday. In the morning: steamed omelette of two whites and tomato. A glass of weak tea. For the 2nd breakfast there is a vinaigrette without sauerkraut and pickles, and a piece of bread. For lunch they prepare boiled cod, rice soup and serve tomato juice. At midday they eat berry jelly and drink unsweetened tea. Dinner is beetroot salad with prunes and lean boiled meat, plus tea with milk. At night: a glass of fermented baked milk.

Friday. In the morning: semolina porridge, weak tea and bread with hard cheese. 2nd breakfast: cottage cheese with sour cream, pumpkin juice. At lunchtime, soup with vegetables and noodles, boiled low-fat fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm carrot salad plus berry jelly is offered. You can have dinner with a bowl of cottage cheese and buckwheat, and also drink green tea. 2nd dinner: 250 g of milk with crackers.

Saturday. For breakfast: curd pudding and a glass of milk. For the 2nd breakfast there is carrot puree with jam. Lunch consists of vegetarian borscht, steamed turkey cutlets, and weak tea with lemon. For an afternoon snack, berry jelly is recommended. For dinner - macaroni and cheese soup, pumpkin salad with apples and tea with one spoon of honey. Before bed – 250 g of fermented baked milk.

Sunday. In the morning: oatmeal with milk, fruit grated with cottage cheese, plus jelly. For second breakfast there is one apple baked in the oven. Lunch: zucchini soup, rabbit and buckwheat baked in sour cream, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They dine with fish dumplings, boiled rice and tea with a slice of lemon. Before bed: fruit jelly.

Unprocessed food option: one day's menu

As soon as the pain begins to subside, you can introduce unprocessed foods into your diet. An approximate menu will look like this:

Breakfast. Loose buckwheat plus vinaigrette without adding pickles and sauerkraut. Boiled pureed meat. Semi-sweet tea is recommended as a drink.
2nd breakfast. Tea with cookies and some prunes.
Dinner. Soup made from permitted vegetables. Boiled potatoes with a piece of boiled chicken. For dessert – an apple and weak tea.
Afternoon snack. Low-fat homemade cottage cheese and compote made from dried fruits.
Dinner. Vermicelli with boiled fish and tea.
Before going to bed. Tea with milk and one cracker.

Two days after an exacerbation of pancreatitis, doctors advise drinking warm mineral water (“Borjomi” or “Slavyanskaya”) up to one liter per day. A rosehip decoction will be useful. From the third day, if the patient’s health has improved, liquid porridges and slimy soups, as well as vegetable purees and jelly, are administered.

Diet No. 5p according to Pevzner

The Pevzner diet suggests using the following menu when the symptoms of exacerbation of pancreatitis subside:

Breakfast. Mashed buckwheat or rice porridge, and milk jelly as a drink.
Lunch. Fruit jelly and a glass of Borjomi mineral water.
Dinner. Oatmeal soup, carrot puree and steamed meat soufflé. Weak tea.
Afternoon snack. Protein steam omelette plus rosehip decoction.
Dinner. Puree buckwheat porridge, curd soufflé.
Second dinner. A glass of mineral water with crackers.

The Pevzner diet does not involve the use of salt, and the daily dose of sugar is 20 g.

Diet No. 5p: recipes

The following dishes are suitable for diet No. 5p:

Vegetable stew. Large potatoes (5 pieces) are cut into cubes and placed in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. Vegetables are poured with 300 g of water, salted and simmered over medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
Baked fish. Low-fat fish is cut into pieces and placed in foil. Next, chop the onion and grate the carrots. Vegetables are placed on top of the fish, everything is sprinkled with lemon juice and sprinkled with salt. The fish and vegetables are wrapped in foil and stewed in the oven until cooked.

These recipes for diet No. 5p for every day will help diversify your menu. They will give you a feeling of satiety and satisfaction.

Chronic pancreatitis (diet No. 5p is very effective for this disease) in the acute stage is treated not only with medications, but also with appropriate nutrition. Doctors advise you to take diet No. 5p with all responsibility. Do not indulge in sweets without a doctor’s prescription, as consuming sugar in quantities of more than 60 g can cause an exacerbation of pancreatitis.

It is useful to drink mineral water during therapeutic nutrition. It is best to consume it warm before bed, in small sips. All food must be ground; rough pieces will irritate the internal organs. Parsley and dill are allowed from greens.

Doctors with pancreatitis advise not to disturb the pancreas again and stick to a gentle menu.

Nutrition for patients with pancreatitis

Diet for pancreatitis is one of the first and main measures taken after diagnosis. It aims to reduce the suffering associated with inflammation and ensure the least irritation of the gastric mucosa. Products must be properly prepared - there should be no deep-frying or baking to a crispy dark crust. Only boiled, steamed, baked foods without fat will be included in the menu indicated for inflammation of the pancreas.

Diet No. 5p was created especially for patients with pancreatitis: the first option is used during the acute course of the disease, and the second as the basis of nutrition for the chronic form.

This nutritional scheme creates the conditions necessary to ensure normal functioning of the pancreas and promotes:

reducing the irritant effect on the gallbladder;
preventing the accumulation of fat in the cells of the liver and pancreas;
reducing irritation of the digestive tract.

Diet for acute pancreatitis

During the acute course of the disease and as a diet for exacerbation of pancreatitis, the first version of table No. 5p is indicated.

The basic principles of nutrition here are as follows:

maximum inclusion of semi-liquid and pureed food in the menu;
avoiding eating foods and drinks at very low or high temperatures, it should be between 20–50°C;
frequent (6 to 8 times a day) meals in small portions (about 300 g each).
The body receives about 40 g of fat, 600 g of protein and 250 g of carbohydrates per day.
Salt intake is limited to 7–10 g, and the required volume of liquid drunk should be about 2 liters.

Important!
Due to its low energy value, which ranges from 1500 to 1700 kilocalories, and incomplete compliance with nutrient intake standards, the diet is not recommended for longer than a week.

Diet for acute pancreatitis - description of a sample menu for three weeks

The first week usually begins with two days of fasting, during which you can only drink water. It is desirable that it be low-mineralized alkaline water, which should be consumed 1 glass 5 times a day. You should exit this regime gradually after the symptoms subside, starting with uneatable crackers (no more than 50 g per day), rosehip decoction or oats.

Menu from 3 to 5 days

Breakfast- biscuits, tea.
Morning snack- dried bread with oatmeal broth.
Dinner- vegetable puree soup without adding fat, rosehip decoction.
Afternoon snack- jelly from sweet fruits.
Dinner- semolina porridge cooked in milk and water.
Evening snack- crackers with tea.
At this stage, the nutritional value should be no more than 800 kilocalories. Fats are completely excluded, proteins are reduced to 15 g per day, and the amount of carbohydrates consumed is no more than 200 g.

You should know!
For patients with acute pancreatitis, oatmeal jelly, especially those made from sprouted grains, is very useful.

Diet from 6 to 15 days

Breakfast- steamed pumpkin pudding.
Morning snack- low-fat cottage cheese in the form of soufflé, tea.
Dinner- puree soup with rice, chicken and carrots, protein omelet.
Afternoon snack- jelly from fruit or berry juice.
Dinner- meat soufflé, grated oatmeal with a teaspoon of butter, tea.
Evening snack- a glass of kefir (if tolerated) with a teaspoon of honey.
In the second week, honey and up to 10 g of fat per day are added to the menu. The volume of proteins increases to 50 g, and carbohydrates - to 250 g. The daily calorie content is already 1000 kilocalories.

Diet for exacerbation of pancreatitis on days 16–25

Breakfast- pureed rice porridge, boiled in water, low-fat cottage cheese, tea.
Morning snack- apple mousse without skin.
Dinner- soup with ground pearl barley with fish meatballs, squash soufflé, rosehip infusion.
Afternoon snack- fruit and berry jelly.
Dinner- vermicelli casserole, steamed meat cutlets, tea.
Evening snack- 50 g prunes.
From the third week, the diet for pancreatitis increases in nutritional value: up to 350 g of carbohydrates, 60 g of proteins, 20 g of fats and more than 1000 kilocalories.

Advice!
A healthy breakfast option is one tablespoon of buckwheat flour infused with a glass of kefir.

Diet for chronic pancreatitis

This version of treatment table No. 5p can be used for a long time. With a moderate energy value of the diet in the range of 2400–2700 kilocalories, the diet is rich in all vital substances. The diet for pancreatitis during remission is characterized by a high content of protein, which is necessary for the construction of new cells and strengthening of the pancreas. Its volume should be about 140 g, and most of it should be animal proteins. The approximate amount of carbohydrates in the diet is 300 g, and fats - no more than 80 g.

Important!
Vegetables and fruits rich in fiber should be heat treated before eating.

The diet for chronic pancreatitis allows the consumption of the following products:

slightly stale bread made from wheat flour;
veal, dietary poultry and rabbit;
fish (preferably river);
chicken egg white;
fermented milk products with reduced fat content;
thermally processed dishes from potatoes, zucchini, cauliflower, carrots, pumpkin and beets;
cereals (oatmeal, buckwheat, semolina, rice);
vermicelli;
black, green tea, rosehip decoction, compote of sweet fruits and berries;
non-acidic varieties of apples, pears, apricots;
mostly butter and a little vegetable oil.

alcohol;
broth from meat, mushrooms or fish;
borscht with sorrel, cabbage soup with sauerkraut;
offal, lard;
smoked meats;
foods with excess salt;
pork, duck, goose meat and fatty fish;
chicken egg yolk;
fresh and fried flour products, baked goods;
dairy products with high fat content;
radishes, garlic, green onions, sorrel;
mushrooms, legumes;
hot seasonings, ketchup;
coffee, cocoa.

Diet for pancreatitis - sample menu

Monday:
Breakfast- protein steam omelette, buckwheat porridge, chicory coffee.
Morning snack- cottage cheese pudding, tea.
Dinner- potatoes stewed with fish meatballs and Bechamel sauce, rosehip infusion.
Afternoon snack- berry jelly.
Dinner- oatmeal, steamed meat cutlets, apricot compote.
Evening snack- a glass of low-fat kefir.

Tuesday:
Breakfast- semolina porridge with diluted milk, biscuits, tea.
Morning snack- steamed cheesecakes with low-fat sour cream, chicory coffee.
Dinner- mashed potato soup with rabbit meatballs, stewed zucchini, pear compote.
Afternoon snack- baked apple, tea.
Dinner- cauliflower casserole, fish soufflé, tea.
Evening snack- prunes.

Wednesday:
Breakfast- rice porridge with apricot puree, tea.
Morning snack- protein omelet, oatmeal jelly.
Dinner- pumpkin puree soup, buckwheat, compote.
Afternoon snack- cookies, fruit jelly.
Dinner- potato and fish casserole, carrot puree, tea.
Evening snack- unsweetened cracker, kefir.

Thursday:
Breakfast- carrot-apple puree, biscuits, tea.
Morning snack- dessert made from calcined cottage cheese, whipped with yogurt.
Dinner- boiled veal, vegetable soup, compote.
Afternoon snack- protein omelet, dried fruit decoction.
Dinner- rice porridge with pumpkin, fish baked in milk sauce, tea.
Evening snack- yogurt.

Friday:
Breakfast- oatmeal, seasoned with butter, tea with apricot marshmallow.
Morning snack- carrot-curd casserole, chicory coffee.
Dinner- mashed potato soup, fish roll, cauliflower whipped in a blender, tea.
Afternoon snack- baked apple, rosehip decoction.
Dinner- chicken meatballs, salad with boiled beets, compote.
Evening snack- kefir.

Saturday:
Breakfast- crackers, pear soufflé, tea.
Morning snack- curd dessert with the addition of xylitol.
Dinner- fish soup, boiled fish, mashed potatoes.
Afternoon snack- sweet fruit jelly.
Dinner- meat cake, rice porridge, kefir.
Evening snack- cookies with tea.

Sunday:
Breakfast- steam omelette, pear puree, tea.
Morning snack- Lenten manna, chicory coffee.
Dinner- stewed fish, buckwheat soup, rosehip decoction.
Afternoon snack- fruit and berry jelly.
Dinner- casserole of potatoes and chicken breast, seasoned with low-fat yogurt, compote.
Evening snack- yogurt.

Pancreatitis is an inflammatory process in the pancreas. There are acute forms and chronic forms of the disease. In this article we will look at the second option.

Etiology of the disease

We eat tasty and healthy

The causes of this disease are liver diseases, as well as gall bladder, excessive consumption of fatty foods, viral infections, operations on the pancreas (organ), trauma, as well as psychogenic influences - stress, nervous strain, causing spasm of blood vessels and ducts of the gland. But the most common cause of the disease is alcohol consumption along with heavy food intake.

Symptoms

Due to changes in the acidity of the environment in the small intestine (shift to the acidic side), the patient experiences heartburn. The most characteristic symptom of chronic pancreatitis is pain in the upper abdomen, and the pain can also be girdling. The pain intensifies after eating spicy, fatty or fried foods. Therefore, for a chronic disease, it is necessary to prescribe a special one.

Diet

Therapeutic fasting

In case of exacerbation, diet, therapeutic fasting and alkaline mineral waters are prescribed. During the period of remission, the energy needs of the body must be covered and specific ratios of fats, proteins and carbohydrates and increased doses of vitamins must be provided.

The amount of protein in the diet should be 100-120 g per day (preference should be given to animal protein (at least 60% of the total)). Sources can be the following dishes: low-fat cutlets and meatballs from rabbit meat, turkey or steamed chicken, or simply boiled meat, non-acidic low-fat cottage cheese, low-fat fish. The diet involves reducing the amount of fat in the diet to 70-85 g per day. If the daily norm is exceeded, enzyme preparations are required. The diet also limits carbohydrate intake to approximately 300-330 g per day (chocolate, carbonated drinks and ice cream, as well as fresh wheat bread are excluded).

What fats can you eat? Butter (up to 40 grams per day), refined vegetable oil (sunflower) (up to 20 grams per day), a small amount of sour cream or cream.

Diet meat

lean meat (rabbit, chicken, turkey), low-fat cottage cheese, low-fat fish;
porridges that contain a small amount of fiber (for example, rice porridge made from polished rice), semolina porridge, boiled oatmeal in water; buckwheat and wheat porridge in limited quantities;
vegetables (pumpkin, potatoes, carrots, zucchini, cauliflower, tomatoes, sweet peppers. Red and white cabbage, beets, radishes and radishes in small quantities);
fruits (unsweetened apples, baked pears, bananas, strawberries, watermelon, tangerines, pomegranate, dried blueberries, cherries, strawberries. You should limit your consumption of raspberries, peaches, apricots, plums, cherries, grapes, gooseberries, blackberries, dried apricots and raisins);
soups made from potato broth or chicken breast broth. You should not eat okroshka or cabbage soup;
you can eat dried rye or wheat bread;
jelly, weak tea with milk, fruit juices, rosehip decoction.

Junk food for pancreatitis

fresh bread, filled pastries, cookies, pasta and flour products;
fat meat;
fatty fish and fried fish;
canned food, sausages, smoked products;
margarine, lard;
pulses: peas, beans, chickpeas, lentils. Young green beans are allowed in small quantities;
cheese masses, fatty cottage cheese and yogurt with a high fat content;
hard-boiled chicken eggs;
mushrooms;
dishes with a lot of spices;
carbonated drinks and alcohol;
caffeinated drinks.

With chronic pancreatitis, you should eat small meals five to six times a day to avoid overeating and excessive stress on the gland. The diet involves preparing dishes from fresh ingredients. Meals are recommended to be taken at the same time every day.

Diet No. 5p was created especially for patients with pancreatitis: the first option is used during the acute course of the disease, and the second as the basis of nutrition for the chronic form.

This nutritional scheme creates the conditions necessary to ensure normal functioning of the pancreas and promotes:

reducing the irritant effect on the gallbladder;
preventing the accumulation of fat in the cells of the liver and pancreas;
reducing irritation of the digestive tract.

Diet for acute pancreatitis

During the acute course of the disease and as a diet for exacerbation of pancreatitis, the first version of table No. 5p is indicated.

The basic principles of nutrition here are as follows:

maximum inclusion of semi-liquid and pureed food in the menu;
avoiding eating foods and drinks at very low or high temperatures, it should be between 20–50°C;
frequent (6 to 8 times a day) meals in small portions (about 300 g each).
The body receives about 40 g of fat, 600 g of protein and 250 g of carbohydrates per day.
Salt intake is limited to 7–10 g, and the required volume of liquid drunk should be about 2 liters.

Important!
Due to its low energy value, which ranges from 1500 to 1700 kilocalories, and incomplete compliance with nutrient intake standards, the diet is not recommended for longer than a week.

Diet for acute pancreatitis - description of a sample menu for three weeks

Menu from 3 to 5 days

You should know!
For patients with acute pancreatitis, oatmeal jelly, especially those made from sprouted grains, is very useful.

Diet from 6 to 15 days

Diet for exacerbation of pancreatitis on days 16–25

Advice!
A healthy breakfast option is one tablespoon of buckwheat flour infused with a glass of kefir.

Diet for chronic pancreatitis

Important!
Vegetables and fruits rich in fiber should be heat treated before eating.

The diet for chronic pancreatitis allows the consumption of the following products:

Diet for pancreatitis - sample menu

Inflammation of the pancreas– pancreatitis – disables the entire digestive system. It synthesizes all the enzymes that help in the processing of proteins, fats and carbohydrates. Pancreatitis can be acute and chronic, but in any form you need to adhere to a diet.

General diet rules

With this pathology, the main task is to spare the digestive system in mechanical, chemical and thermal terms. A healthy diet for pancreatitis of the pancreas often cures inflammation, restores its function, protects the stomach and intestines from the effects of aggressive foods, reduces the active work of the gallbladder and prevents liver diseases.

Patients should eat the food provided for table No. 5p according to the Pevzner classification. Food should be nutritious, but low in fat and carbohydrates, namely sugar.

An increased amount of protein food is allowed. In this way, you can prevent the transition of the liver to fatty hepatosis and the occurrence of diabetes mellitus. You should consume a certain amount of nutrients per day:

Proteins – 100-120 g, of which 65% are of animal origin.
Fats – 80-100 g, of which 15-20% are of vegetable origin.
Carbohydrates – 300-350 g, sugar in them – 30-40 g.
Table salt – 6-10 g, it is better not to add enough salt to the food.
Fluid intake – 1.5-2 liters.

The energy indicator per day should not exceed 2500-2600 kcal. The daily calorie intake should be calculated by the doctor, taking into account the patient’s existing weight and health.

General principles:

The disease in question is insidious; it requires strict adherence to the rules of the diet, because otherwise, an exacerbation will occur and all treatment will be ineffective.

How long you need to go on a diet depends on the course of the disease. At first, a very strict diet is always followed, and then the boundaries of acceptable foods are gradually expanded.

What can you eat if you have pancreatitis?

The products allowed for the pathology in question should be light, so as not to impede the work of the pancreas, then it will have to produce less enzymes.

Food should be quickly processed and pass from the stomach and intestines to the exit, without forming gas, which intensifies the already sharp pain in the abdomen.

Food should contain more proteins, because the enzymes that iron synthesizes consist of them. What foods you can eat without fear of another attack are presented in the list:

Bread. Dried, stale, dry cookies, crackers.

Soups. Preferably from pureed vegetables: pumpkin, potatoes, carrots, zucchini. Can be cooked with noodles, semolina or oatmeal.

Meat. Only lean varieties: pure veal fillet, chicken breast, turkey, rabbit. Only boiled or steamed: cutlets, dumplings, beef stroganoff.

Fish. Dry varieties: carp, pollock, cod, steamed or boiled fish.

Cereals. Allowed are pureed buckwheat, semolina, rice porridge in water with half and half milk, oatmeal, cereal casseroles with cottage cheese.

Milk products. Low-fat milk, low-fat cottage cheese, not sour, yoghurts, kefir, yogurt. You can eat low-fat and unsalted cheese.

Eggs. Prepare an omelet from whites, and only one yolk per week.

Vegetables. Potatoes, beets, cauliflower, pumpkin, zucchini, carrots, and boiled green peas are allowed.

Sweets. Instead of sand, use xylitol. What kind of fruits can be used for pancreatitis: ripe and not sour fruits and berries; you can prepare compotes, mousses, jellies from them, and wipe everything. You can eat sweet baked apples.

Sauces. You need to prepare it yourself from vegetable broth and milk, adding unroasted flour.

Fats. You can eat cow butter, but not more than 30 g per day, purified vegetable oil - 10-15 g and season ready-made food on a plate with it.

Beverages. You can drink weak tea with lemon, a decoction of rose hips, still mineral water, juices, first diluted with water in a 1:1 ratio.

This gentle diet is used for chronic pancreatitis during rest. During an exacerbation, the diet changes radically, which should be followed unconditionally.

What is prohibited?

The diet for inflammation of the pancreas does not allow the consumption of foods that increase the release of gastric juice and gland secretions. If more enzymes are produced and they are not entirely used to process food, they begin to eat away the tissue of the diseased organ. To reduce the secretion of enzymes and quickly eliminate inflammation, you need to avoid eating the following foods:

Soups. You should not eat soups with meat, fish and mushroom broth, consisting of many ingredients: cabbage soup, borscht. Dairy soups are also prohibited, as are cold ones, such as okroshka.

Fresh bread made from rye or wheat, fried pies, flatbreads, butter and puff pastries.

Meat. Pork and lamb, goose and duck, that is, fatty species, offal, sausages, smoked meats, canned food.

Fish. Fatty types, fried, smoked, salted and canned.

Milk products. You should not consume fatty types of dairy products: sour cream, cheeses, cream.

Cereals. Prohibited: pearl barley, millet, corn and wheat grits. They take a long time to digest, causing the release of hydrochloric acid.

Eggs. Hard boiled and scrambled eggs.

Vegetables. You cannot eat cabbage, radishes, turnips, eggplants, sweet and bitter peppers, spinach, garlic, and radishes.

Jam, chocolate, raw and unprocessed fruits and berries (grapes, figs, bananas), ice cream.

Spices. All hot seasonings: peppers, horseradish, vinegar and the like.

Coffee, strong tea, sweet soda, cocoa, grape juice.

It is prohibited to use solid fats when cooking: beef, lamb, pork, fat tail fat, bear fat, etc. All this is difficult for a gastrointestinal patient to process.

Chronic and acute pancreatitis. Video:

Diet for acute pancreatitis

Acute pathology of the gland in the first two days requires complete abstinence from food. The patient needs complete rest - both physical and emotional.

You can drink alkaline mineral water, weak and unsweetened tea and a decoction of rose hips. Additionally, you can place a heating pad with ice on your stomach. Then for a couple of days nutrition is administered in the form of droppers.

On days 4-5, the patient can be given low-calorie food in small portions in the form of liquid porridge or mucous decoctions. From 5-6 days you can give an omelet made from egg whites, pureed buckwheat or oatmeal porridge, boiled vegetables and some crackers. Take food 6 times a day in small quantities. Then you can eat puddings, mousses, casseroles. After the acute phase is over, the patient switches to diet No. 5p.

Diet for chronic pancreatitis

If pancreatitis has become chronic, then a person should almost always eat dietary food. Specialists have developed a special table No. 5p for this purpose, the task of the diet is aimed at maximizing the relief of the pancreas and its complete calm. This is achieved through the correct chemical composition of food and the volume of portions.

The menu is dominated by protein foods, carbohydrates and fats are reduced, and coarse fiber and heavy meats are completely abandoned. Cook food strictly by steaming, boiling or stewing.

You cannot drink alcoholic beverages or flavor food with hot spices. During the period of remission, you can expand the list of permitted products, but not go beyond the list of permitted products, which is located above.

The diet for pancreatitis of the pancreas during exacerbation, if the pathology has taken a chronic form, is exactly the same as for acute pancreatitis. First, two days of rest and only drinking, then liquid porridges and pureed soups, after which the diet expands to reasonable limits.

Diet for pancreatitis. Video:

Menu for every day

From the general list of allowed dishes, you can choose an acceptable combination for yourself so that the food does not become boring or boring. What you can eat during the day:

1. Breakfast:

Boiled beet salad, compote.
Low-fat cottage cheese, rosehip decoction.
Steamed omelette, tea and cookies.
Oatmeal, jelly.
Buckwheat porridge, tea.

2. Snack:

Carrot salad.
Baked apple with dried apricots.
Whipped whites.
Rice with raisins.
Carrot and pumpkin puree.

3. Lunch:

Soups and borscht with lean meat broth.
Chicken cutlet.
Steamed fish with rice.
Navy pasta.
Stewed vegetables.

4. Snack:

Jelly from fruits or berries.
Sandwich with butter and cheese.
Berry jelly.
Baked potato.
Bean puree.

5. Dinner:

Vinaigrette and matsoni cheese.
Omelet and fermented baked milk.
Rice pudding and yogurt.
Boiled cauliflower and yogurt.
Squash caviar and kefir.

This is an approximate menu from which you can take any dish or invent it yourself from those products that are allowed to be consumed, and prepare it in a way that is gentle on the diseased organ.

They can be used individually, but they work better when combined. During an exacerbation, the best herbal medicine is rosehip decoction.

Many patients are concerned about the question: is it possible to use honey for pancreatitis? Yes, you can, honey is easier to digest than sugar, so it can replace a well-known and rather harmful sweetener for the human body.

Moreover, patients with pancreatitis are prohibited from eating cakes, pastries and other sweets. Honey has great benefits for inflammation of the pancreas: it relieves inflammation, improves immunity, and helps in healing wounds.

Following a diet for pancreatitis of any form is the surest path to recovery. If this is neglected, serious complications may arise and it will be quite difficult to get out of this situation.

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Let's figure out what you can eat with pancreatitis and what is strictly prohibited, how to eat with pancreatitis so that the pathology goes away and does not return.

For pancreatitis of the pancreas, the therapeutic diet limits many foods, while providing adequate nutrition. Although this seems like an exhausting and unnecessary procedure to many, it is absolutely necessary to relieve the digestive gland and direct all its resources to restoration.

How does an exacerbation of the disease affect nutrition?

From the first attack until the onset of remission, a diet is mandatory. On the first day of illness, complete fasting is required; any food should be excluded.

The diet is restored gradually, over 3-4 days, only if signs of improvement are obvious. The first step is to limit fats and salt. Daily calorie content should not exceed 1000 Kcal. Meals - at least 6 times from 8:00 to 18:00. Only approved products are allowed.

Nutrition in the acute stage

As soon as the first symptoms of inflammation of the pancreas appear, it should be unloaded. At first there must be complete hunger. If the pain is severe, patients are admitted to the hospital. In the absence of medical care, the condition of patients quickly deteriorates.

Initially in the hospital, vitality is maintained with intravenous infusions of glucose and essential nutrients. Drinking plenty of non-carbonated mineral water or rosehip decoction is prescribed. After 3-5 days from the onset of an attack of pancreatitis, you can consume liquid or pureed food.

Until the condition stabilizes, everything spicy, fatty, pickled and sour is excluded from the menu. Banned are flour products, eggs, alcohol in any concentration, cocoa, coffee drinks, and whole milk.

Nutrition for chronic patients

The main condition for successful therapy for exacerbation of pancreatitis is 100% unloading of digestion, i.e. hunger. Therefore, the answer to those asking “what can you eat during an attack of pancreatitis” is one – nothing! Subsequently, after stopping the process, the daily diet is divided into at least 6 meals, including the easiest foods to digest. Calorie content is controlled taking into account the fact that a person, while lying in a hospital, spends little energy.

The main emphasis is on lean meat:

poultry (chicken, quail, turkey);
beef;
rabbit meat.

Eggs should not be eaten, but they can be added to various dishes. Lean fish is good. A little milk is only allowed in porridges. When remission occurs, fermented milk products are introduced.

The main cooking method is boiling and steaming. Fried foods are completely excluded. Neutral fruits, vegetables, light cereals, jelly, tea, and compotes are allowed.

After the condition has stabilized, you can try new foods, spoonful at a time. If a negative reaction to them does not appear, then the dosage is gradually increased. If the product is not suitable, the body reacts with belching and nausea.

What do you eat if you have an inflamed pancreas?

If the gland is damaged, the patient must make a menu from what the doctor allows him to eat and a menu from any other diet, for example, from, will not work here. Any self-medication and initiative in nutrition can seriously complicate the situation. It is difficult to follow a therapeutic diet, especially for a long period, and even more so throughout your life. In order to always control their diet, it is better for sick people to make a list of what is permitted and prohibited, and keep it always at hand. Remember that it is impossible to cure pancreatitis without strict dietary restrictions.

Acceptable vegetables

To prevent digestion from rebooting, all vegetables must be thermally processed. The best way is boiling or steaming. Foods suitable for pancreatitis are stewed and baked. Puree soups are made exclusively with vegetable broths. Suitable vegetables:

table beets;
carrot;
zucchini;
cauliflower.

After the condition improves, you can gradually introduce white cabbage and tomatoes. They must also be heat treated.

Forbidden vegetables

eggplants (blue);
bulb onions;
radish;
turnip;
garlic.

Eggplants are considered dangerous due to solanine in overripe fruits. Radishes and other cruciferous vegetables irritate and aggravate chronic pancreatitis. Bell pepper contains a lot of ascorbic acid and other bioactive substances, so it is not allowed if acute pancreatitis has developed.

Fruit and berry diet

In the acute phase you can:

non-sour apples, better baked;
bananas;
pears.

Acceptable in remission:

avocado;
cowberry;
grape;
pomegranate;
melon – 1 slice per day;
papaya;
plum;
persimmon;
cherries.

Currant, gooseberry, lingonberry, and blueberry compotes and mousses are also allowed in remission.

Unripe fruits and berries are prohibited. Rose hip decoction is very useful, rich in vitamin C, antioxidants and other bioactive substances that help strengthen the immune system.

Meat ingredients

For pancreatitis, not all meat is allowed, because... it is difficult to digest and contains many substances that stimulate the release of digestive enzymes from the pancreas. Only low-fat varieties are allowed.

Meat must be thoroughly cleaned of skin and bones, tendons and cartilage, and fat deposits. It is allowed to cook any traditional dishes based on lean meat. Is it possible to eat kebab if you have pancreatitis? The answer is clear - you can’t!

Fatty broths, pork, and duck are an absolute taboo for pancreatitis. Breaking your diet and eating kebabs, for example, can lead to a sad (even fatal) outcome.

Allowed fish

The main thing with pancreatitis is to avoid fatty foods. If the percentage of fat in food (including fish) exceeds 8%, then the stomach immediately begins to hurt, vomiting and upset stool occur.

Fish can be consumed, but low-fat:

flounder;
mackerel;
pollock;
burbot;
perch;
haddock;
herring;
cod;
pike.

Medium fatty (8%) fish include:

pink salmon;
carp;
chum salmon;
capelin;
burbot;
tuna.

Not allowed:

sushi;
canned food;
dried and smoked fish;
products with fish caviar.

Steam cutlets and fish casseroles are good, or they are served boiled.

What to choose from dairy products

Fermented milk products (kefir, cottage cheese) with reduced fat content are irreplaceable. It is prohibited to consume raw cow's milk, however, you can use it to prepare liquid porridges, puddings, omelettes, and mashed potatoes. You can also add milk little by little to tea.

Instead of cow's milk, it is better to use goat's milk; it is beneficial for the pancreas, rich in minerals and macroelements. But it should be boiled before use.

You can add butter to a minimum. It is better to avoid store-bought yoghurts. They are stuffed with dyes, thickeners, flavors and other chemical additives. Also contraindicated:

hard cheese;
ice cream;
condensed milk;
any products with preservatives and other chemical additives.

Cereals, porridge

Buckwheat, oatmeal and sticky rice are allowed. Millet, barley (whole and crushed), corn and legumes are too difficult to digest, therefore they are prohibited.

Porridges for pancreatitis are changed so that the body can absorb more different nutrients. Traditionally, during exacerbation of chronic pancreatitis, oatmeal is consumed; it is the easiest. Oatmeal jelly can be drunk even on days of hunger, when other food is prohibited.

Can I have sweets?

Many people love sweets. How can such desires be satisfied in case of pancreatitis? As your condition improves, you can gradually include sweets in your diet, only those you prepare yourself. Prohibited:

alcohol;
chocolate;
condensed milk;
citric acid and vinegar;
creams.

gradually allowed:

homemade jam;
marshmallows;
muses;
souffle;
jelly;
paste;
shortbread;
"Korovka" candies.

The main thing is not to overdose on sweet foods, include them in your diet little by little.

Seasonings

It is better not to use them in most dishes. This even applies to onions. Hot peppers are strictly prohibited. However, food can be safely flavored with fragrant herbs.

Herbs, in addition to essential oils, also include vitamins and minerals and have an anti-inflammatory effect. You can add a little vanillin or cinnamon to porridges and confectionery.

Allowed drinks

You can drink tea, up to 1 liter/day. It is better to choose green tea. You can also drink rosehip infusion, fruit drinks and jelly, dill water, apple and pumpkin juices diluted with bottled water, and non-carbonated mineral water.

Concentrated juices, coffee, kvass, and any soda are prohibited. Alcohol in any doses is prohibited, incl. - in remission.

What is prohibited and what is the risk of violating the diet?

You cannot change your diet on your own! What is allowed and what is not allowed to eat during pancreatitis is determined only by the doctor. If you need to change your diet, always consult your doctor. Products are prohibited for a reason, but because of their poor digestibility, because... they overload the pancreas.

Completely exclude pickled, fried, fatty, smoked dishes, and spicy seasonings.

If the diet fails, serious complications appear: various organ damage, bleeding, jaundice, thromboembolism, tumors. Possible death.

initial stage

In acute inflammation, the symptoms of the disease manifest themselves to the maximum: Abdominal pain, excessive gas formation, vomiting.

During an exacerbation of pancreatitis, the most important condition for treatment is to reduce the load on the gland that it experiences when digesting food. The best results are achieved only with fasting. Therapeutic fasting should continue for up to 3 days, but during this time drinking plenty of fluids is indicated.

Since carbonated drinks are prohibited, it is best to give alkaline mineral water without gas. You can drink rosehip decoction in small doses. During this most crucial period, the patient should be under the supervision of a doctor.

Improvement stage

The next stage is improvement of the condition, it is characterized by a decrease in pain, normalization of body temperature, cessation of vomiting and nausea. Flatulence becomes less pronounced. At this stage of the disease, normal nutrition begins to be restored, but with a number of restrictions according to the therapeutic diet.

The diet is divided into 7-8 meals. On the first day when the patient’s condition begins to stabilize, the patient can eat pureed, mucous foods. Gradually, little by little, new products are introduced.

The daily calorie content of meals should not exceed 800 kilocalories, it should be increased gradually. If the patient has no appetite, you cannot force him to eat, unless you offer food by spoonful. The drinking regime must be strictly observed; the patient should drink 2 (or more) liters of water per day.

Food should be exclusively boiled or steamed. The consistency of food is allowed only liquid and semi-liquid. Protein food (omelet, minced meat) is introduced no earlier than on the 4th day of the remission stage.

We figured out what kind of meat you can eat with pancreatitis, but it, like fish, should be finely chopped, in the form of minced meat. Meat broths are prohibited.

Recovery

The third stage of pancreatitis is recovery. All symptoms of the disease stop. What can patients with pancreatitis eat after recovery? The diet can be expanded with vegetables and fruits, or new foods can be added. The basis is the officially accepted 5p diet.

Its principles include: separation of food into prohibited and permitted, strict adherence to food preparation technology and adherence to rules that help prevent exacerbation of the inflammatory process.

Nutritional features include:

Meat and fish - only in chopped form.
Cold and hot are excluded; food and drinks must be warm, maximum 50 degrees.
The maximum weight of one serving of food is 300 grams.
Fractional, 5-6-fold meals.
The diet includes low-fat dairy products.
Vegetables/fruits are consumed only stewed or baked.