Nutrition for chronic cholecystitis and pancreatitis, that you can eat nutritional rules and menus, diet, food

Cholecystitis and pancreatitis are diseases that are characterized by imperceptible development and can quickly turn into a chronic form in the absence of timely treatment. With these diseases, not only drug therapy is required, but also adherence to a special diet. With the normalization of the diet and revision of the diet, the risk of exacerbations can be minimized.

Basic provisions of the menu

The gallbladder, like the pancreas, secretes enzymes that regulate the breakdown of food consumed into easily digestible nutrients. Therefore, diet correction is one of the key factors in the treatment and prevention of inflammatory processes in the gastrointestinal tract.

Patients with cholecystitis and pancreatitis are advised to adhere to a diet according to table number 5. The essence of such a diet is as follows:

1. Eating 4-5 times a day in moderate portions.
2. Complete elimination of overeating and periods of prolonged fasting.
3. The temperature of the consumed food should be no higher than 45 C.
4. Food should not contain coarse fibers that put a strain on the digestive tract. Dishes should be chopped or grated to make them easier to digest.
5. Fiber intake should be limited.
6. Dishes should be steamed, baked or boiled. Fried foods and marinades are not allowed.
7. The number of consumed chicken eggs should be minimized - no more than 3 pieces per week. Yolks should be discarded, since they contain a large amount of cholesterol.
8. For the period of exacerbation, it is recommended to completely abandon coffee and strong tea.
9. Alcoholic drinks are completely prohibited.
10. Do not cook dishes with a lot of spices during the cooking process.
11. Meals should contain more protein and less fat.

Note! During periods of exacerbation, the diet should be strict. The rest of the time, a relaxation of the diet is allowed, but a number of dishes must be completely removed from the diet in order to avoid relapses.

What must be on the menu?

The following dishes are allowed:

• soups - without cooking frying, in the second broth from lean meat;
• bakery products - yesterday's bread, bran bread is allowed;
• baked goods - not butter biscuits, without cream;
• dairy products - non-acidic and non-fatty (no more than 3.5% fat);
• low-fat varieties of meat - chicken, rabbit, turkey, without skin and fat;
• fish - low-fat types of fish in a boiled or baked version;
• sausages - natural boiled sausage, low-fat chicken sausages;
• vegetable oil - in the composition of dishes no more than 1-2 tablespoons. per day;
• cereals - rice, semolina, buckwheat, oatmeal;
• seasonal vegetables - only after heat treatment;
• fruits and berries - after heat treatment or dried fruits;
• eggs - boiled no more than 1 pc per day (without yolk);
• marshmallow and natural marshmallow, homemade jelly from non-acidic varieties of fruits and berries;
• drinks - herbal teas, dried fruit compotes, rosehip broth, jelly, weak tea and coffee with milk;
• honey in small quantities.

Outside of periods of exacerbations, doctors allow the intake of any food, but in limited quantities. When you overeat and abuse foods that should be limited, the likelihood of a relapse becomes higher.

What do you need to limit yourself to?

In case of violations of the gastrointestinal tract, the following products are prohibited:

• saturated broths;
• mushroom soups;
• sour cabbage soup;
• fresh bread and pastries;
• fatty meat and fish, lard;
• canned fish and meat of our own preparation and industrial;
• fish caviar;
• smoked meats;
• pates and marinades;
• mustard and horseradish in any variations;
• spicy dishes;
• spices;
• vegetables with a high fiber content: cabbage, radishes, rutabagas, turnips, white cabbage;
• vegetables with a high content of phytoncides and substances that irritate the gastric mucosa - onions, garlic, sorrel;
• sour seasonal fruits and berries;
• confectionery products containing fatty cream, chocolate, ice cream, cocoa, sugar, baked goods;
• strong tea and coffee without sugar;
• carbonated drinks;
• alcohol.

Note! To normalize the digestive tract, it is recommended to take special mineral water - Essentuki, Borzhomi, Nagutskaya. They are usually sold as highly carbonated drinks. You can drink such water only after releasing carbon dioxide from it, that is, the bottle must be thoroughly shaken several times before use.

Features of the diet during periods of exacerbation

The acute stage is characterized by pronounced disorders of the gastrointestinal tract:

• discomfort and pain in the right hypochondrium;
• nausea;
• vomit;
• weakness.

During this period, food should be as gentle as possible so as not to irritate the stomach and intestines. Therefore, in the first 2 days, it is recommended to refrain from eating food and drink only clean non-carbonated water. It is allowed to replace water with a decoction of rose hips.

From day 3, weak tea with stale bread is allowed. The use of grated soups or milk porridge is allowed. Allowed protein omelette cooked in a double boiler.

On day 7, low-fat cottage cheese, vegetable soups and side dishes are allowed. But for them you need to choose vegetables that do not contain coarse fibers. On days 9-10, it is allowed to introduce lean meat and steamed fish into the diet. It is possible to use meatballs and steam cutlets. Such a diet lasts up to 3-4 weeks from the moment of exacerbation of the disease. After the specified period, you can go to the usual menu, except for prohibited dishes.

Diet for chronic disease

In a chronic course, the diet is used to prevent relapse. The diet helps restore the normal functioning of the digestive tract. During this period, patients are not recommended products that irritate the mucous membrane of the gastrointestinal tract - with a high content of phytoncides, acids, and a large number of fibers.

In the chronic course of diseases, the organs of the gastrointestinal tract are under stress, and therefore the diet should be gentle, but balanced. It is recommended to remove food from the diet, which leads to increased gas production, stimulates an increase in the secretory activity of the stomach.

When compiling a diet, the following factors are taken into account:

• age;
• the presence of concomitant diseases;
• general condition of the body;
• the presence of complications;
• family history of similar disorders;
• individual sensitivity to food.

Based on the above factors, the menu for each case is selected strictly individually. With the initial forms of pathologies, a slight relaxation of the diet is allowed. In more advanced stages, patients may be advised to follow a strict diet for more than 8 weeks.

Note! Diet is only part of the treatment. Therapy necessarily includes an additional intake of drugs that are used to relieve acute symptoms, alleviate the condition of the digestive tract.

Menu options for cholecystitis and pancreatitis

The diet for pathologies of the gastrointestinal tract, despite the restrictions, is not meager. It can use a large number of products and combine different cooking options. An example of a menu for a week is shown in the table below.

Day of week	Breakfast	Dinner	Dinner
Monday	Oatmeal with bran on water and sweet tea	Light chicken soup with croutons, buckwheat porridge and steamed carrots, compote	Curd casserole with rice, rosehip broth
Tuesday	Macaroni with cheese and compote	Light rice soup, mashed potatoes and a slice of boiled chicken breast, tea	Vermicelli with cheese, dried fruit compote
Wednesday	Soft-boiled egg and green tea	Soup with meatballs, buckwheat porridge and baked fish, compote	Vegetable stew with chicken, sweet tea
Thursday	Steamed chicken cutlets with potato garnish, sweet tea	Mashed potato soup, noodles with beetroot caviar, chicory drink	Rice casserole with vegetables, steamed fish, milk
Friday	Cheesecakes and chicory drink	Vegetable puree soup, rice porridge with lean meat stew, tea	Mashed potatoes and milk sausages, dried fruit compote
Saturday	Beetroot caviar and baked fish, dried fruit compote	Chicken soup, noodles with cheese, zucchini caviar, rosehip broth	Potato zrazy with meat, low-fat sour cream, tea
Sunday	Cottage cheese casserole and a glass of warm milk	Buckwheat soup, baked potatoes with vegetables, egg white, tea	Steamed protein omelet, pasta, chicory drink

The following options can be used as snacks:

• apples - fresh and baked;
• nuts;
• kefir;
• fresh pears;
• non-acidic plums;
• banana;
• warm milk;
• cracker;
• jelly and jelly from non-acidic fruits;
• low-fat cottage cheese;
• vanilla crackers;
• salads from non-acidic berries and fruits with natural yogurt dressing.

To improve the functioning of the gallbladder, it is recommended to use baked pumpkin, flax seeds, and beets. These foods improve bowel function and improve motor skills. As drinks, you can use herbal infusions, rosehip decoction, dried fruit compote. The opinion is erroneous that tea is prohibited in pancreatitis and cholecystitis - it can be drunk, but in limited quantities, it must be sweet and weak.

Compliance with dietary recommendations helps restore normal digestive tract activity. With regular visits to the gastroenterologist, you can minimize the likelihood of exacerbations of gastrointestinal diseases.

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