But one thing is certain about pancreatitis: the old way of life and diet will be a thing of the past, because the basis of pancreatitis treatment is an almost lifelong diet. The pancreas does not forgive mistakes in diet, responding immediately with pain and indigestion.Pancreatitis is one of the most serious diseases of the digestive system. Distinguish between acute and chronic pancreatitis, each of these types has its own characteristics and methods of treatment.
Basics of pancreatitis
Pancreatitis is an acquired disease, which develops as a result of abdominal trauma, viral damage to the pancreas due to liver and gallbladder disorders, after intoxication by alcohol and other toxic substances, with frequent and very severe, severe and severemet diets for weight loss.The main signs of pancreatitis are:
- Abdominal pain - sharp, dagger, almost to the point of loss of consciousness in acute pancreatitis or dull or chronic pain.
- nausea and vomiting
- stool disorders, more often severe diarrhea, fever?
- drastic weight loss.
Acute pancreatitis is usually admitted to the hospital. Chronic exacerbations can be treated at home, but only under the supervision of a doctor. Self-medication in case of pancreatitis is dangerous with the appearance of complications until the necrosis of the pancreas (enzymatic melting of the glandular tissue, self-digestion of the gland) and the development of peritonitis, which is fatal.
Nutritional treatment for pancreatitis
Drug, enzyme and dietary treatment for pancreatitis is chosen by the doctor based on the patient's condition and test results. However, the general principles of dietary correction always remain almost the same. They give rest to digestion and the pancreas, which means that they reduce pain and normalize well-being.Diet in pancreatitis is severely limited - most of the usual products should be forgotten.It is necessary to eat often, about 5-6 times a day - every 2, 5-3 hours, with a break for 8 hours of sleep. However, the portions by volume should be small - about 200-250 g, especially the first time after the disease has worsened.
All dishes are machined - almost all are used in pure form. Then, as the inflammation subsides, larger particles appear in the food, but you need to chew the food well.
Because the whole body suffers from an insufficient supply of nutrients in pancreatitis,must increase the protein component of the diet (meat, fish, dairy products) - on average, up to 140-150 g of protein per day.
However, fats and carbohydrates, which greatly soothe the pancreas, are kept to a minimum. Give about 300 g of carbohydrates per day, fat - no more than 70-80 g.Products that have a sokogonny effect - meat and fish broths, cabbage juice and broth - are removed from the diet. for the duration of a severely painful attack, therapeutic fasting for 1-2 days under the supervision of a physician is recommended.
In case of pancreatitis, it is necessary to drink more fluids -it is recommended to drink up to 2 liters of clean water a day, about every half hour to take 2-3 sips of water throughout the day.
Of course, with pancreatitis, you need to quit smoking and drinking alcohol altogether. They are the most powerful provocative seizures.
What should you exclude?
The list of forbidden foods will become quite impressive and can be frustrating at first. However, without complying with these restrictions, relief can be expected for a long time. Gradually, you can gently expand your diet, following the general principles of proper nutrition.
Therefore, for the entire acute period or at the time of the worsening of the chronic process, you should exclude:
- beetroot soup, cabbage and borsch soup, okroshka, meat-based soups, mushroom and fish broths, the same broths
- fatty meat - pork, lamb, goose and duck? entrails - kidneys, heart, brain, liver;
- fried, smoked, savory and spicy dishes.
- canned food?
- sausages?
- fatty fish (catfish, stellate sturgeon, carp); caviar;
- lard, margarine, mayonnaise?
- fatty dairy dishes - cream, sour cream, kumas?
- yolks, boiled eggs
- millet, corn, barley, beans
- cabbage, turnips, radishes, radishes, rutabagas, eggplants, onions and garlic, sorrel, cucumbers, tomatoes and peppers.
- citrus fruits, apples (sour varieties), grapes, pomegranates, blueberries;
- chocolate, canned food Spicy potatoes, sauces, marinades, vinegar, ketchup?
- all carbonated beverages, even mineral water (without gas only).
- strong tea and coffee, juices, cocoa
- all freshly baked products and sweets, pancakes, pies, cookies.
As you can see, the list of restrictions is quite long, but this only applies to the duration of the acute procedure. Then you can gradually expand the diet, but the annoying and "heavy" dishes should be forgotten almost forever.
What can you eat?
This is the first question that appears after reading the ban list. Of course, the diet is not very different, but it aims to keep the pancreas calm and relieve inflammation.
Allowed:
- yesterday dried bread, croutons?
- vegetable, pasta soups?
- steamed meat dishes and poultry - cutlets, meatballs, rolls, pate, meat puree?
- boiled fish fillet (lean), grilled fish, omelets
- milk, cottage cheese, low-fat and mild cheese, kefir;
- vegetable oils and butter (in porridge);
- vegetable puree and stew, boiled vegetables?
- pasta, pasta, cereals - oatmeal, semolina, buckwheat, rice;
- cooked fruits without sugar (pears, apples, peaches, plums);
- compote, jelly, jelly?
- wild rose decoction, herbal tea, bran pie.
Of course, the diet is limited, but in consultation with your doctor, you will gradually expand your menu.
Sample menu
It is worth remembering that this menu can be used at home, when the deterioration subsides, fasting and gradual food intake are prescribed in the acute stage of pancreatitis. When designing a diet, remember: there should be at least five meals, which is approximately equal to the calorie content and the load on digestion.
Menu for pancreatitis for 5 days
The first day
- Breakfast: mashed potatoes - 100-150 g, 2 croutons of white bread, 200 ml of mineral water (without gas! ).
- Second breakfast: steamed chicken cutlet - 100 grams, omelette - 100 grams, white dried bread - 1 slice, 200 ml milk (kefir).
- Lunch: vegetable soup - 200 ml, boiled fish - 100 g, zucchini puree - 100 g, white bread - 1 slice, rose broth - 200 ml, one third of the banana.
- Afternoon snack: fruit jelly - 100 g, non-fat cottage cheese -100 g, mineral water - 200 ml.
- Dinner: oatmeal -200 g, pumpkin puree - 100 g, steamed meatballs - 2 pcs. , weak tea with milk, a slice of dark bread.
Second day
- Breakfast: buckwheat porridge -200 g, 2 croutons white bread, 200 ml tea with milk
- Second breakfast: steamed beef cutlets - 100 grams, carrot souffle - 200 grams, dried white bread - 1 piece, 200 ml dried fruit compote.
- Lunch: pasta soup - 200 ml, boiled chicken - 100 g, vegetable puree - 100 g, white bread - 1 slice, mineral water - 200 ml, half a cooked pear.
- Afternoon snack: apple sauce - 200 g, mineral water - 200 ml, Maria biscuits - 100 g.
- Dinner: mashed potatoes -200 g, low-fat cottage cheese - 100 g, a cheese sandwich (30 g cheese, a piece of toast), weak tea with milk, a slice of dark bread
Third day
- Breakfast: squash and pumpkin puree - 100-150 g, 2 croutons of white bread, 200 ml of mineral water (without gas! ).
- Second breakfast: low fat cottage cheese - 100 g, half baked pear, white dried bread - 1 slice, 200 ml compote.
- Lunch: broccoli soup - 200 ml, boiled meat, ground into mashed potatoes - 100 g, mashed potatoes - 100 g, white bread - 1 slice, chamomile - 200 ml.
- Afternoon snack: vegetable stew - 200 g, cheese - 50 g, mineral water - 200 ml.
- Dinner: buckwheat porridge -200 g, kefir - 200 g, half a banana, a slice of white bread.
The fourth day
- Breakfast: mashed potatoes - 100-150 g, 2 croutons of white bread, 200 ml of mineral water (without gas! ).
- Second breakfast: rice porridge - 200 grams, white toast - 1 slice, 200 ml milk (kefir).
- Lunch: vegetable soup - 200 ml, boiled fish - 100 g, carrot puree - 100 g, white bread - 1 slice, rose broth - 200 ml, one third of the banana.
- Afternoon snack: omelette - 100 g, baked sweet apple, mineral water - 200 ml.
- Dinner: oatmeal -200 g, pumpkin puree - 100 g, steamed meatballs - 2 pcs. , weak tea with milk, a slice of dark bread.
Fifth day
- Breakfast: oatmeal -200 g, pumpkin puree - 100 g, steamed meatballs - 2 pcs. , weak tea with milk, a slice of dark bread.
- Second breakfast: steamed chicken cutlet - 100 grams, omelette - 100 grams, white dried bread - 1 slice, 200 ml milk (kefir).
- Lunch: pasta soup - 200 ml, steamed fish cutlet - 100 g, pumpkin puree with carrots - 100 g, white bread - 1 piece, rose broth - 200 ml, Maria cookies - 2 pcs
- Afternoon snack: baked fruit - 100 g, non-fat cottage cheese -100 g, mineral water - 200 ml.
- Dinner: mashed potatoes - 100-150 g, 2 croutons of white bread, 200 ml of mineral water (more! ).
By following your doctor's advice, strictly following your diet and following all prescriptions, relief can be achieved quickly. But a fairly strict diet with a restriction of "heavy" food will last from 3 to 6 months. And then you should constantly limit fatty, fried, spicy and canned foods.