Pancreatitis is a disease that occurs in the form of an inflammatory process in the pancreas. Its aggravation usually occurs due to a violation of diet and lifestyle. Adherence to dietary recommendations protects patients with chronic pancreatitis from severe exacerbations.
What is a diet for?
For many, diet is presented as a disabling process that in many ways forces them to deny themselves. For example, a diet for pancreatitis is really limited to many foods, but at the same time it is balanced and does not deprive the body of essential nutrients (proteins, fats, carbohydrates, vitamins). On the contrary, it leads the patient to a healthy and nutritious diet. It should be remembered that a patient with chronic pancreatitis, even in the remission stage (attenuation of symptoms), must follow a diet. Otherwise, the pancreas can become inflamed again, which can lead to an exacerbation of the disease.
Diet during exacerbation of chronic pancreatitis
Nutrition during an exacerbation is hunger and rest for 1-3 days. Only abundant drinking in the form of a decoction of rose hips or mineral water without gas is allowed. Weak green tea or jelly is also allowed. When the pain is relieved, you can add a small amount of cooked lean meat, low-fat cottage cheese or cheese and soup with vegetable broth. Basic nutritional principles for chronic pancreatitis
- The diet should mainly consist of protein foods. Protein is very beneficial for repairing damaged cells in the pancreas.
- Fats and complex carbohydrates in the body must come in the form of grains.
- Easily digestible carbohydrates (sugar, jam, pastries, honey) should be limited.
- Meals should be fractionated (every 3-4 hours), medium portions. You should not eat too much, but you should not starve either.
- Food should not be hot or cold, but hot, so as not to irritate the lining of the gastrointestinal tract and not cause increased secretion of enzymes.
- The food must be cooked in a double boiler, boiled or baked. It is not recommended to eat fried, spicy and canned foods.
- Doctors do not recommend smoking and abusing alcohol in chronic pancreatitis.
What can you eat with pancreatitis?
Allowed and forbidden foods are listed in a specially developed diet (Table number 5).
- Seafood (shrimp, mussels) is allowed as it is high in protein and very low in fat and carbohydrates. They can be eaten cooked.
- Wheat bread at 1 and 2 degrees is allowed, but dried or on another baking day you can also use untreated biscuits.
- Vegetables can be consumed in unlimited quantities. Boiled potatoes, beets, pumpkin, squash, cauliflower, carrots and green peas are allowed. You can make vegetable puree, stews, soups, stews.
- Dairy products are healthy because they contain a high protein content. However, milk as a whole can cause bloating or increased bowel movements, so it is not recommended. Porridge or soups can be added. It will be very useful to use fermented dairy products-kefir, low-fat cottage cheese, low-fat yogurt without fruit additives, fermented baked milk, yogurt. You can eat hard cheese but not salty, no spices and not fatty. You can make cottage cheese stews with the addition of apples.
- Eggs are allowed in the form of steamed omelets, you can add some vegetables to them.
- Cereal. Buckwheat, semolina, rice, oatmeal, cooked either in water or in milk, are allowed.
- Vegetable oil and butter (not more than 20 grams a day).
- Chicory can be a great alternative for coffee lovers. In addition, it contains useful substances that stimulate intestinal motility, lower blood sugar.
Is it possible to eat walnuts and seeds with pancreatitis?
Walnuts and seeds contain a large amount of proteins and fats, they can easily replace meat or fish in composition. During the period of exacerbation of chronic pancreatitis, the use of these products is not recommended. And during the period of good health, ie stable remission, the use of walnuts is allowed, but in small amounts (3 - 5 nucleoli per day). Sunflower seeds should not be eaten fried and in the form of kozinaki. You can have a small amount of raw sunflower seeds or in the form of homemade halva. Almonds, pistachios and peanuts should only be consumed in the absence of complaints when there are no manifestations of pancreatitis. You should start with 1 - 2 nuts, gradually increasing their number. Nuts can be added to prepared dishes (cereals, salads, stews).
What fruits can you eat with pancreatitis?
Raw fruit is not recommended. You can make fruit puree, fruit drinks, stews. Allowed to eat baked apples, bananas, pears. You can also watermelon and melon, but in small amounts (1 - 2 pieces). Grapes, dates, figs are not desirable as they increase the gas production in the intestines and contain a lot of sugar. Lemon, an orange that contains acid, increases the production of gastric juice, which is undesirable, as chronic pancreatitis is often combined with stomach diseases (gastritis) or liver (hepatitis).
What can not be eaten with chronic pancreatitis?
- Fatty meat (lamb, pork, duck). A large number of enzymes are needed to digest such food. And the inflamed pancreas functions in a limited state.
- Beef and chicken livers are not recommended as they belong to extractive substances, leading to increased production of digestive enzymes and activating appetite.
- Oily fish (mackerel, salmon, herring), especially fried ones, are strictly forbidden. You can also not eat canned fish.
- Vegetables for chronic pancreatitis should not be eaten raw. Prohibited vegetables include cabbage, tomatoes, cucumbers, spinach, onions, radishes, beans. When ingested in large quantities, they increase fermentation in the intestines, leading to bloating.
- Mushrooms are not recommended in any form, nor is mushroom meat.
- Scrambled eggs or raw eggs. Raw egg yolk especially stimulates the production of bile, which is undesirable for patients with chronic pancreatitis.
- The use of millet and pearl barley is not recommended.
- Smoked meat, sausages.
- Pickled food, pickles, spices.
- Black tea or coffee, hot chocolate and cocoa.
Trial menu for a patient with chronic pancreatitis during a period of stable remission
The list of foods that are allowed for pancreatitis is quite wide. Therefore, the patient's diet should have enough proteins and vitamins, but the amount of fat and easily digestible carbohydrates should be limited.
- First breakfast (7. 00 - 8. 00): oatmeal in water or milk, boiled beef or chicken, green tea or rosehip broth.
- Second breakfast (9. 00 - 10. 00): an omelette with two eggs, a baked apple without sugar and peel, a glass of chicory with milk or tea.
- Lunch (12. 00 - 13. 00): soup with vegetable broth, pasta or porridge (buckwheat, rice), soufflé or steam chops, berry jelly (raspberries, strawberries), dried fruit compote.
- Afternoon snack (16. 00 - 17. 00): cottage cheese without sour cream or cottage cheese casserole with fruit (apples, pears, bananas), tea or fruit juice.
- Dinner (19. 00 - 20. 00): fish fillet or steamed chop, green tea or compote.
- At night you can drink a glass of kefir with unpleasant cookies.