Nutrition for chronic pancreatitis and cholecystitis: a diet during an exacerbation
Proper nutrition in chronic pancreatitis will help significantly reduce the number of exacerbations. The diet significantly reduces the risk of complicating pancreatitis, in which the bile ducts narrow, and sometimes completely clogged. This leads to premature maturation of enzymes, which, when activated, begin to involuntarily digest the pancreas itself. During this period, there is an exacerbation of the disease.
Interdependence of organs
Chronic pancreatitis is often accompanied by gallbladder inflammation. The organs are different, but they perform a similar function. The gallbladder accumulates bile, which comes from the liver. And then it gives out portionwise in the process of digestion. With cholecystitis, stagnation of bile in the bladder occurs, resulting in an exacerbation.
With the normal functioning of these two organs, the intestine is able to process the resulting food. If only one of these organs fails, a complete imbalance of digestion occurs. Pancreatic juice can get into the gallbladder, it inevitably causes the erosion of its walls. Therefore, doctors note that with chronic pancreatitis cholecystitis is highly likely.
Importance of the
diet When cholecystitis and pancreatitis, a sufficient number of enzymes do not enter the intestine. This leads to a breakdown in the digestive system, which negatively affects the normal functioning of the liver and stomach. Pancreatitis is also dangerous because there is a threat of developing type 2 diabetes.
Diet in combination with drug therapy provides effective treatment for chronic pancreatitis. The body needs an easily digestible food with a high protein content. On the day of his need is 140 g. Carbohydrates should be strictly limited, primarily removing sweets from the diet: sweets, honey, jam, etc.
Nutrition for chronic pancreatitis should be as gentle as possible for the digestive system. First of all, food should not irritate the walls of the stomach and intestines. In acute cholecystitis or pancreatitis, also in their chronic course, a dietary diet involves eating baked or boiled food with a minimum amount of fat, which should be limited to 80 grams. And strictly monitor its content in products.
The diet of a chronic patient consists of 5-6 meals a day. Small portions do not overload the stomach, but they will not let them feel hungry. It is recommended to adhere to a clear mode of eating and not to violate it. For better absorption, the temperature of the dishes should not be hot or, conversely, cold.
Foods and dishes from the approved list
To avoid exacerbation of pancreatitis, it is recommended to cook fried food. Very tasty you can make soup-mashed potatoes. In addition, liquid food is easier to digest, reduces the burden on the pancreas and does not irritate the gastrointestinal tract.
Nutrition for cholecystitis and chronic pancreatic disease is aimed at reducing the production of enzymes and reducing gassing.
For nutrition in chronic pancreatic pancreatitis, the following products are recommended:
- Bread products. It's better if it's yesterday's bread, a little dried up. Various breadcrumbs and biscuits.
- Any vegetarian scrub soups. Varyatsya on vegetable broth. You can use a mixture of vegetables in different proportions: zucchini, potatoes or pumpkin. Avoid cabbage, which will increase flatulence.
- Meats of low-fat varieties: turkey, rabbit, chicken breast, beef and veal. The diet implies the use of boiled or stewed meat.
- Fish of low-fat varieties are very useful in exacerbating pancreatitis. It's an easily digestible protein. Haddock, cod, pollock, pike, icy - that fish, which should be on the table of a chronic patient and, of course, only in a boiled form.
- Cereals and various puddings, casseroles from pasta. Semi-viscous porridge with milk. Lactic acid products and milk. There are practically no restrictions, the only point, they all have to be low in fat or defatted.
- The diet prescribes the use of eggs, but only protein can be used without restriction. Yolk not more than 2 times a week.
- Vegetables can be: potatoes, zucchini, carrots, pumpkin, peppers. When pancreatitis it is desirable to cook stewed vegetable stew with a low content of vegetable oil.
- Fruits and berries. They are a source of vitamins and fiber. At an exacerbation it is desirable to limit the use. During the remission period, melon, watermelon, cherry, pear, apricots and strawberries are allowed. Bananas with pancreatitis can be in small doses and only not with exacerbation of pancreatitis.
- Sugar and sweets. Eat better foods rich in pectin: pastilles, marshmallows, soufflé.Honey, jam, chocolate and caramel should be limited.
Prohibited list of products
Eating a patient with a diagnosis of chronic pancreatitis implies some limitations. It is not recommended to use those products that promote the stimulation of gastric juice and secretion of the pancreas.
To eat properly, should be avoided:
- Soups prepared on strong meat and fish broths.
- Butter buns, fried pies and fresh bread.
- Fatty varieties of meat, poultry. And also by-products, lard, sausages. Oily fish, canned food. With cholecystitis and pancreatitis, it is strictly forbidden to eat smoked, salted and fried fish.
- From the croup under the ban falls: pearl barley, wheat, millet, corn. To digest the body requires a long time, and this leads to excessive stimulation of the pancreas.
- Vegetables that cause flatulence: cabbage, string beans, radish, turnip, radish.
- Spicy spices, sauces are banned. Diet of a chronic patient also implies the rejection of refractory fats, coffee, carbonated drinks, alcohol. Reduce salt intake.
Exemplary therapeutic diet for one day
Nutrition for exacerbation of the disease implies the consumption of food rich in protein. It is important for the normal course of recovery processes. During the remission of pancreatitis, strict adherence to dietary rules remains.
menu for the day( gentle treatment) :
- Breakfast 1: cheese souffle steam 150g, buckwheat groats friable 90 c, tea;..
- Breakfast 2: soufflé from boiled meat 80 gr.;
- Lunch: vegetable soup of vegetarian 250 g., Beef stroganoff from boiled meat 110 g., Mashed potatoes 150 g., Mousse of fruit juice;
- Dinner: boiled fish 100 gr., Pudding curd 130g., Tea.
At night, the diet prescribes to drink a glass of low-fat kefir. Bread during the day is only dried or yesterday's baking. Sugar is not more than 20 g.in a day. Kalloraz per day will be approximately 2300-2500 kcal.
Beverages suffering from pancreatitis
The chronic nature of the disease forces patients to take seriously the drinks that he uses. With concomitant cholecystitis need to use mineral water, but first listen to the recommendation of the attending physician. You can not mindlessly absorb it in liters. This medicinal - table water, which are obliged to treat and not to quench their thirst.
Chronic pancreatitis does not prohibit the use of decoctions of herbs with anti-inflammatory action, which positively affect the pancreas and gallbladder. Non-staple teas, compotes and diluted juices do not prohibit the presence of pancreatitis to drink.
Kissel, yogurt, ayran, rose hip broth is also allowed in the presence of a chronic disease, only it should not be very acidic drinks. Remember that alcohol in any of its manifestations is prohibited, both with exacerbation, and in the stage of remission. Pancreatitis completely excludes the consumption of coffee.
Pancreatitis is not a sentence. With him you can live for a long time under one condition - diet and compliance with drug therapy. Once, breaking it, you can get an aggravation. Pancreatitis is a way of life for many years.
