What can you eat with pancreatic disease?
It is impossible to overestimate the significance of the pancreas.It produces digestive enzymes, and in specialized cells - the hormone insulin, responsible for the cleavage of glucose.Insulin deficiency is the cause of diabetes.Table of contents: Symptoms of pancreatic disease General principles of the diet What foods can I consume?What foods and dishes can not be eaten?
Symptoms of pancreatic diseases
In clinical practice, the most common lesions of this body are:
- pancreatitis( acute or chronic pathologies of inflammatory genesis);
- tumor neoplasm( benign or malignant nature).
Most pathologies are characterized by similar clinical manifestations:
- pain syndrome;
- Dyspeptic disorders( nausea, vomiting, diarrhea, bloating);
- decrease or total absence of appetite;
- weight loss.
Important: , when one or more symptoms appear, it is strongly recommended not to postpone the visit to the doctor.The earlier the diagnosis is made and adequate treatment is prescribed, the sooner the condition stabilizes.
As a rule, pain is localized in the epigastric region or in the left hypochondrium.Rarely they have a shingles or irradiate in the back and under the shoulder blade.Patients can complain of both permanent and paroxysmal pains, the intensity of which increases with the overeating or consumption of fried, fatty and spicy food, and also alcohol, so it is important to know what to eat when a pancreas disease occurs.The pain syndrome has the property of increasing under the influence of heat and palpation( probing) and decreasing with the application of cold and the adoption of "forced positions".
Acute pancreatitis usually develops against a backdrop of gallbladder and duodenal ulcers, alcohol abuse and constant errors in the diet.Violation of the outflow of the secretion of the pancreas causes the negative effect of enzymes on the tissues of the organ itself, that is, it actually refers to "self-digestion."As a consequence of damage, acute inflammation develops, accompanied by swelling of the tissues of the organ, and in some cases - hemorrhages.
Chronic pancreatitis is characterized by a gradual development and a prolonged recurrent course.The main causes of inflammation are alcohol, cholelithiasis and duodenal pathology( in particular - its ulcerative lesions).To provoke chronic pancreatitis is capable of atherosclerosis, because blood supply to the pancreas can be violated against its background.Intensive pain in the period of exacerbations is poorly controlled by analgesics and NSAIDs.
Important: Diabetes signs are an increase in diuresis, a constant sense of thirst and increased blood sugar.
Treatment of pancreatitis is the task of a specialist gastroenterologist .An indispensable condition for effective therapy is strict adherence to patients prescribed diet.Patients suffering from pancreatic diseases are recommended fractional food and table number 5.
General principles of the diet: what can and can not be eaten in pancreatic diseases
The diet is needed to reduce gastric secretion.It allows you to stabilize the condition( reduce the severity of acute symptoms) and prevent relapses.
Note : a strict diet alone will not cure the disease of the pancreas, but will not let the situation deteriorate.
It is necessary to exclude from the diet the food containing coarse fiber, as it increases the functional activity of the glands of the digestive tract.One of the important components of the therapeutic diet for pancreatitis is the observance of a drinking regimen, which presupposes consumption of a rather significant amount of liquid( preferably pure water).
Patients need to completely eliminate the consumption of alcohol.
In the acute phase of the disease, it is recommended to start a diet with a 3-day fasting.In this period, it is necessary to observe a bed( or half-bed regime) and drink 1.5-2 liters of mineral water every day( 1 glass per reception).A decoction of rose hips with astringent and anti-inflammatory properties is also useful;He is drunk 1-2 glasses a day.
Then, during a week, a low-calorie diet is needed with the complete exception of refractory( animal) fats, restriction of carbohydrates( especially "fast"), but sufficient intake of proteins( protein).
The fractional nature of the food is recommended, ie in small portions 5-6 times a day, preferably with approximately equal time intervals( 3-4 hours).
Fried and spicy - excluded.The food should be boiled, stewed or steamed.It is advisable to consume dishes of liquid or semi-liquid consistency - low-fat and not very strong broths, mucous soups and purees.
What products can I consume?
List of dishes that can be eaten with pancreatitis and other pancreatic diseases:
- mucous soups on water or vegetable broth( any cereals except millet are allowed);
- soft-boiled eggs( 1-2 pcs.);
- Lean fish;
- steam cutlets from low-fat meat( including chicken);
- fresh cottage cheese( better - home made);
- non-acid kefir( as an option - yogurt);
- vegetable purees;
- non-fast hard cheeses;
- boiled young beans;
- dried or stale( yesterday's) bread;
- cookies( from uncomfortable dough);
- vegetable oil;
- baked apples( "antonovka" is undesirable);
- black or green tea( not necessarily strong);
- fruit jelly, cooked with sugar substitutes( xylitol or sorbitol);
- natural juices( without sugar and preservatives, ie, not "store").
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Note: is extremely undesirable to drink whole milk, but it is acceptable to include it in some dishes.It is also allowed to add a small amount( 1 teaspoon) of sour cream or butter to the food.
Food should not be too hot or vice versa - cold.To avoid increased secretion of the digestive glands, it is advisable to consume food at room temperature.
What foods and dishes can not be eaten in pancreatic diseases
The following products are excluded from the diet:
- fatty meat and fish;
- any fried foods;
- raw vegetables and root vegetables;
- fresh fruit;
- smoked products;
- canned food;
- rye bread;
- cakes( including homemade cakes);
- any spices and spices;
- homemade pickles and marinades;
- ice cream;
- any carbonated beverages;
- strong tea.
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Most likely, a strict diet does not have to stick all your life.The usual products can be consumed after recovery, but certain adjustments in the diet will still have to make.
Plisov Vladimir, medical reviewer