Pancreatitis is inflammation of the pancreas. The pathology appears in acute and chronic forms. The condition has a very specific symptomatology: severe pain in the left hypochondrium, sometimes of a generational character, fetid stools, nausea and vomiting.
Diet for pancreatic pancreatitis is one of the main areas of treatment of pathology. The patient's menu depends on the general state of health and the period of the disease. It is necessary to adhere to medical nutrition for several months.
General principles
Food for pancreatic pancreatitis should be spared. Basic principles of diet:
- partial food - food should be taken five to six times a day in small portions;
- dishes should be pureed, which facilitates the process of digestion;
- permitted cooking methods are steaming and boiling;
- fresh vegetables and fruits are completely forbidden, d. m. th. not cooked;
- the allowed daily volume of salt is not more than 5 grams;
- it is mandatory to take infusions and decoctions in rose berries;
- dishes served at the table should be warm - hot and cold are contraindicated;
- Canning, semi-finished products, foods and fatty / fried / very salty products are completely prohibited.
Deviation from the principles of dietary nutrition can provoke the development of a pancreatitis attack.
Allowed and Prohibited Products
To reduce the production of pancreatic fluid and reduce the load on the inflamed gland, it is necessary to completely exclude from the patient's diet:
- Soups cooked in soups rich in meat, fish and mushrooms, as well as complex soups - soup with cabbage, pickles, borscht. Cold and dairy products are excluded.
- Bread - today's bread products with wheat / rye flour, dough and pastries, fried pies with butter, 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.
- Cereals - millet, pearl barley, wheat, corn.
- Fried eggs and hard boiled.
- Vegetables - turnip, radish, garlic, pepper, eggplant, cabbage, spinach.
- Sweets - jam, ice cream, fresh dates, grapes, bananas, figs.
- Spicy spices.
- Coffee, strong tea, coffee, soda, grape juice.
- Refractory fats - pork, beef, lamb.
When creating a menu for each day, it is necessary to take into account the recommendations of nutritionists and use only approved products. Ajo:
- dried bread, biscuits, homemade crackers;
- vegetarian soup with the addition of mashed vegetables - potatoes, zucchini, squash, carrots - noodles, oatmeal or oatmeal;
- lean meats - chicken, rabbit, turkey - in the form of steamed cutlets, soufflés, noodles, beef stroganoff;
- low-fat fish varieties - pollock, carp, cod;
- cereals - oatmeal, oatmeal, rice - used to make cereals, casserole, pudding;
- low-fat milk and lactic acid products;
- yellow omelet steamed omelette;
- vegetables - potatoes, zucchini, beets, squash, cauliflower, carrots, peas;
- sweet berries and fruits in the form of mousse, jelly, pudding, baked apples;
- sauces - milky and cooked in vegetable juice (when using flour, the latter does not mix);
- butter and vegetable oil;
- weak tea with lemon, carbonated mineral water, rose decoction, diluted juices with water.
Diet for acute pancreatitis
If we talk about what kind of diet is recommended for the patient with an acute form of inflammation, then this is the 5P treatment table. During the first two to four days, a person is recommended complete starvation. Only juices are allowed - a decoction of rose berries, Borjomi (without gas), weak tea. The patient then undergoes food therapy. The menu is allowed to include unsalted dishes, but rich in carbohydrates.
An approximate list of dishes that can be included in the menu:
- steam omelette over protein;
- meat souffle;
- fish and meat trees;
- puree soup - rice and oats - and vegetarian options;
- vegetable puree;
- puree porridge - rice, buckwheat, oatmeal;
- apples in the form of jelly or foam;
- fruit drinks from wild rose berries, cranberries, black currants;
- tea with the addition of milk;
- cottage cheese and dishes thereof;
- cereal pudding.
Before going to bed, you can offer kefir, yogurt, a glass of water with a spoonful of honey dissolved in it, prunes and raisins.
Rough weekly menu
When designing a menu for a week, it should be remembered that the patient's diet should be varied. When developing a menu for a patient for the entire week, you can use the following recommendations.
Breakfast can be served with a salad of boiled beets and dried fruit compote, 150 grams of low-fat cottage cheese and a decoction of rose berries, a steamed omelette without yolks, weak tea with biscuits, minced oats and berry jelly, pumpkin porridge, pink drink, biscuit cheese, rose juice, buckwheat porridge, compote.
Second breakfast: well-cooked 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, baked apples with sugar.
Vegetarian soups are allowed for lunch, p. sh. , borscht, boiled fish garnished with well-cooked rice, boiled beef, casserole with steamed, steamed chicken kitten, pasta with minced boiled meat, kaurdisen. Food options: permitted fruit jelly, vegetable rolls, fresh fruit jelly, fruit pudding, baked potatoes, butter sandwiches and a slice of cheese, bean puree.
Dinner: baked apple puree and low-fat yogurt, rice porridge with raisins, varenets, vinegrette and yogurt, steamed cauliflower, a glass of yogurt, zucchini caviar, kefir, steam omelette, fermented baked milk, porridge with a little rice pudding with a little yogurt.
By alternating dishes, you can create a "delicious" weekly menu that will provide the patient's body with all the necessary substances, but at the same time the pancreas will receive a minimal nutritional load. Below you can find recipes for some dishes.
Nutrition for the combined course of pancreatitis with gastritis or cholecystitis
If the underlying disease is accompanied by the development of cholecystitis, then the menu is allowed to include:
- sliding soups made from rice, oatmeal or oatmeal;
- puree porridge, boiled in water, it is strictly forbidden to add milk and butter;
- vegetable juices, compotes;
- homemade white bread croutons;
- mashed meat, fish;
- low-fat cottage cheese.
With a combined course of pancreatitis and gastritis, the menu should include oatmeal, rice and oatmeal soups, to which you can add egg yolk and a little butter, mashed vegetables - potatoes, carrots, beets - with the addition of milk orcream. , steam soufflés, kittens, etc. , noodles from minced meat and fish.
Strict option is recommended only during the acute period of the disease. After the condition stabilizes, the person switches to a diet recommended for chronic pancreatitis.
Characteristics of diet in childhood
The main principles of diet in children are fragmentation, maximum grinding rate, compliance with the requirements of culinary processing and variety. Small pieces, if served frequently, prevent the child from feeling hungry. In this case, there is no violation of the metabolic process.
Daily calorie intake is calculated based on the weight and age of the child. In the forgiveness phase, the menu is allowed to include fresh vegetables and fruits (to a limited extent), but the basis of the diet are cereals with milk, minced meat dishes - chicken, turkey, vegetable soup without added meat, fish -boiled. or roasted, boiled vegetables, dairy products. In small quantities and every day, it is allowed to give the child marshmallow, jam, jam, marmalade, honey.
Important!When introducing a new product to the diet, it is necessary to monitor the condition of the child.
Recipe
We offer you some recipes for dishes that can be prepared with diagnosed pancreatitis.
Beef pudding
Grind boiled beef pulp (130 g) in a blender bowl. To the puree add oatmeal (10 g), beaten egg white, egg yolk and a little water (about 1/3 cup). Add some salt crystals. Grease the mold, place the prepared minced meat and cook in a double boiler.
Fish fish
Grind lean fish (300 g) in a meat grinder. Grind a quarter of the dried noodles and pour the pieces with milk (100 ml). Squeeze the bread and mix with the minced meat, add a couple of beaten proteins. Add salt and mix thoroughly. Form small balls with two spoons and simmer in salted water until softened. This will take about 15 minutes.
Soup with vegetable puree
Cook until potatoes (2 pieces), carrots and half a small zucchini are fully cooked. Drain the juice in a separate bowl and grate the vegetables until pureed using a blender. Pour the gravy puree to the desired consistency and let simmer. Cook for 3 minutes. Serve warm with a tablespoon of sour cream in the soup.
Fish pudding
The carcass of the fish should be divided into two fillets. Boil the first one and rub through a sieve. Grind the second part in a meat grinder. Combine the two masses, add the egg yolks, butter, salt. Cook. Divide into molds and steam.
Puff souffle
Grind the boiled chicken in a meat grinder. Add egg yolks and butter to the minced meat. Mix thoroughly. Then gently add the beaten egg whites to the fluffy foam. Place the mixture in a mold and steam it.
Banana dessert
Distribute 2 packets of gelatin according to the instructions. Add 250 ml of natural yogurt. Steam some peeled bananas and peaches. Place foil on the bottom of the plastic mold. Form the dessert in layers - crumb biscuits, sour cream with gelatin, banana-peach puree. Alternate layers. We place the dessert in the fridge to harden the jelly.
Compliance with the principles of dietary nutrition in pancreatitis is a prerequisite for achieving continuous 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.