Pancreatitis is a disease that occurs in the form of an inflammatory process in the pancreas. Its exacerbation usually occurs due to violation of diet and lifestyle. Adherence to dietary recommendations protects patients with chronic pancreatitis from severe exacerbations.
What is the use of diet?
For many, dieting is presented as an exhausting process, forcing them to deny themselves in many ways. 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 the necessary nutrients (proteins, fats, carbohydrates, vitamins). Instead, it leads the patient to a healthy and nutritious diet. We must remember that a patient with chronic pancreatitis, even in the stage of remission (weakening of symptoms), must follow a diet. Otherwise, the pancreas may become inflamed again, leading to an exacerbation of the disease.
Diet during the exacerbation of chronic pancreatitis
The diet during the exacerbation is hunger and rest for 1 - 3 days. Only abundant consumption in the form of a decoction of rose or mineral water without gas is allowed. Light green tea or jelly is also allowed. When the pain is relieved, you can add a small amount of boiled lean meat, low-fat cottage cheese or cheese and vegetable broth soup. Basic nutritional principles for chronic pancreatitis
- The diet should consist mainly of protein foods. The protein is very beneficial for repairing damaged cells in the pancreas.
- Fats and complex carbohydrates in the body must come in the form of cereals.
- Digestible carbohydrates (sugar, jam, pastries, honey) should be limited.
- Meals should be fractional (every 3-4 hours), medium portions. You should not eat too much, but neither should you starve.
- The 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.
- Food should be cooked in a double boiler, boiled or cooked. Consumption of fried, spicy and canned foods is not recommended.
- Doctors are not advised to smoke and abuse alcohol in chronic pancreatitis.
What can you eat with pancreatitis?
Allowed and forbidden foods refer to a specially designed diet (Table 5).
- Seafood (shrimp, mussels) are allowed as they are rich in protein and very low in fat and carbohydrates. They can be consumed boiled.
- 1 and 2 grade wheat bread is allowed, but dried or on the second day of baking, you can also use uncooked cookies.
- Vegetables can be consumed in unlimited quantities. Boiled potatoes, beets, pumpkin, squash, cauliflower, carrots and peas are allowed. You can make vegetable puree, stew, soups, pots.
- Dairy products are healthy because they are high in protein. But milk as a whole can cause bloating or increased stools, so it is not recommended. It can be added to porridge or soups. It will be very useful to use milk-kefir fermentation products, low-fat cottage cheese, low-fat yogurt without fruit additives, fermented baked milk, yogurt. You can eat hard cheese, but not salty, without spices and not greasy. You can make pots with cottage cheese by adding apples.
- Eggs are allowed in the form of steamed omelette, you can add some vegetables to them.
- Cereals. Buckwheat, semolina, rice, oatmeal, cooked in either water or milk are allowed.
- Vegetable oil and butter (not more than 20 grams per day).
- Chicory can be a good alternative for coffee lovers. In addition, it contains useful substances that stimulate intestinal motility, reduce blood sugar.
Is It Possible To Eat Nuts And Seeds With Pancreatitis?
Nuts and seeds contain a large amount of protein and fat, they can easily replace meat or fish in the 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 recession, the use of nuts is allowed, but in small quantities (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, peanuts and pistachios are allowed to be consumed only in the absence of complaints, when there are no manifestations of pancreatitis. You should start with 1 - 2 nuts, gradually increasing their number. Walnuts can be added to cooked dishes (cereals, salads, pots).
What fruits can you eat with pancreatitis?
Raw fruits are not recommended. You can make fruit puree, fruit drinks, pots. He is allowed to eat baked apples, bananas, pears. You can also watermelon and melon, but in small quantities (1 - 2 pieces). Grapes, dates, figs are not desirable, as they increase gas production in the intestines and contain a lot of sugar. Lemon, orange, which contains acid, increases the production of gastric juice, which is undesirable, as chronic pancreatitis is often associated with diseases of the stomach (gastritis) or liver (hepatitis).
What can not be consumed with chronic pancreatitis?
- Fatty meats (lamb, pork, duck). A large number of enzymes are required for the digestion of such foods. And the inflamed pancreas works in a limited function.
- Beef and chicken liver is not recommended, as it belongs to extractive substances, leading to increased production of enzymes in the digestive system and activating the appetite.
- Fatty fish (mackerel, salmon, herring), especially fried, are strictly prohibited. Also, you can not eat canned fish.
- Vegetables for chronic pancreatitis should not be eaten raw. Prohibited vegetables include white cabbage, tomatoes, cucumbers, spinach, onions, radishes, beans. When consumed in large quantities, they increase fermentation in the intestines, leading to bloating.
- Mushrooms are not recommended in any form, nor mushroom broths.
- Scrambled eggs or raw eggs. Raw yolk particularly stimulates bile production, which is undesirable for patients with chronic pancreatitis.
- The use of millet and barley is not recommended.
- Smoked meats, sausages.
- Pickles, pickles, spices.
- Black tea or coffee, hot chocolate and cocoa.
Sample menu for a patient with chronic pancreatitis in a period of stable remission
The list of foods allowed for pancreatitis is quite extensive. Therefore, the patient's diet should have enough protein and vitamins, but the amount of fats and digestible carbohydrates should be limited.
- First breakfast (7. 00 - 8. 00): oatmeal in water or milk, boiled beef or chicken, green tea or rose broth.
- Second breakfast (9. 00 - 10. 00): an omelette of 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), meat soufflé or steamed cutlets, berry jelly (raspberries, strawberries), dried fruit compote.
- Afternoon snack (16. 00 - 17. 00): cottage cheese without sour cream or casserole with fruit (apples, pears, bananas), tea or fruit juice.
- Dinner (19: 00 - 20: 00): fish fillet or steamed cutlet, green tea or compote.
- At night, you can drink a glass of kefir with uncomfortable cookies.