Diet for exacerbation of chronic pancreatitis: list of allowed products and sample menu
Acute pancreatitis is a fairly severe disease that is associated with pancreatic dysfunction. To exacerbate the disease in addition to various lesions of the liver, stomach, intestines and biliary tract can lead to abundant and fatty foods, a violation of diet, large breaks between meals and the use of strong alcoholic beverages.
The diet for exacerbation of chronic pancreatitis allows not only to get rid of the unpleasant symptoms associated with it, but also to improve the process of drug therapy.
Diet for symptoms of exacerbation
Exacerbation of chronic pancreatitis is accompanied by such signs as:
- sudden and sharp pain in the right and left hypochondrium, which increase after eating;
- bloating;
- liquid stool is gray-dirty in color;
- nausea;
- frequent painful vomiting;
- elevated body temperature;
In the first couple of days with exacerbation of pancreatitis, the patient is recommended complete rest and refraining from eating. In this period only drinking mineral non-carbonated water or a weak tea at room temperature in a volume of not more than 1.5 liters per day is allowed.
The diet in the following days should be aimed at the maximum reduction in the load on the pancreas. Such a gentle regime can create only products that do not have fats in their composition, and also a hard or rough texture, which makes it possible to exclude not only mechanical, but also chemical irritation of the stomach. The basic components of the diet in the treatment of chronic pancreatitis is the use of easily digestible proteins with animal origin, while the intake of carbohydrates is desirable to reduce, and fats - to bring to naught.
Diet in the first few days after exacerbation of pancreatitis involves the reception of products and dishes such as: - rubbed soups from various cereals except for millet, cooked on vegetable broth or simply on water;
- cream soups made from boiled meat or fish;
- steam cutlets or fish knots from skinny lean, lean meat and poultry, peeled from skin, fat and tendons;
- semi-viscous and liquid porridges on water from buckwheat, oats, semolina and rice;
- eggs soft-boiled and protein omelet;
- milk and butter only in dishes;
- steam puddings from calcified fresh cottage cheese;
- cheese of non-varieties;
- puree from potatoes, cauliflower, courgettes, carrots and baked apples;
- jelly, jelly, compotes based on dry and fresh fruit;
- still mineral water, weak tea and rose hips.
During this period, it is mandatory to limit the intake of salt and adherence to the diet, which involves eating in warm form in limited portions with an interval of 3-4 hours.
After 5-7 days after the onset of exacerbation of chronic pancreatitis, food should be based on a sparing version of diets No. 5 or No. 5p, which presuppose rubbed products. These restrictions must be observed within 3-4 weeks until the symptoms of the disease completely disappear and the patient's condition improves, after which, upon agreement with the doctor and at the specified time from rubbing food, you can refuse. The basic diet regime in this period should be the main diet number 5.
Sample menu for exacerbation of
The menu for a patient on the 3rd-4th day of exacerbation of chronic pancreatitis can be of two variants.
First option:
- The first breakfast: a protein omelet, mashed oats porridge without butter, slightly boiled unsweetened tea.
- 2nd breakfast: fresh cottage cheese, milk.
- Lunch: buckwheat soup, boiled bovine stew, fruit jelly.
- Dinner: chicken steamed chops;Puree from courgettes, 200 ml of rose hips.
- Before going to bed: 1 cup kefir.
The second option:
- 1st breakfast: liquid semolina porridge, 200 ml decoction of rose hips.
- 2nd breakfast: apple jelly, 1 glass of mineral water.
- Lunch: oat soup, fish steamed meatballs, carrot puree, soft unsweetened tea.
- Dinner: souffle of cottage cheese, boiled on water buckwheat wiped porridge, oil-free.
- Before going to bed: 1 cup of fruit juice jelly.
At the same time, 15-20 grams of sugar and 30 grams of crackers are allowed for the whole day. All products are prepared without salt, you can add some ready-made meals.
List of Prohibited Products
During the period of exacerbation of chronic pancreatitis, the diet presupposes a categorical rejection of such products as:
- strong and boiling broths from meat and fish;
- is oily, spicy, salty, smoked, pickled and fried;
- beans, beans, peas;
- onion, garlic, mushrooms, radish, spinach;
- grapes, dates, figs;
- sausages, sausages, sausages;
- canned food;
- raw and fried eggs;
- fatty cottage cheese;
- fish caviar;
- jam, chocolate, ice cream;
- fresh baked goods, as well as baking;
- sauces and mayonnaise;
- fizzy drinks;
- coffee and strong tea;
- beer and spirits.
The implementation of dietary recommendations in the treatment of chronic pancreatitis will minimize the manifestation of the disease. Given that the restoration of the pancreas functions is rather slow, a sparing diet should be maintained for 4-7 weeks.
Some of the products excluded from the diet can be introduced gradually, with extreme caution and only with a permanent improvement in the patient's condition after agreement with the attending physician. In a period of persistent remission, the stomach is no longer so strictly spared, however, one should not forget about the list of prohibited products in order to avoid provoking new exacerbations.
Importance of dieting
After each exacerbation in the pancreas, a joint scar remains at the site of the inflammatory focus. The dimensions of the normally functioning glandular tissue decrease with each time, the subsequent decrease in the production of enzymes and hormones leads to a disruption in the digestive processes.
Because of this, a factor such as diet in the complex treatment of acute and chronic pancreatitis is one of the main. With its violation of compensation for the disease, it will be almost impossible to achieve.
