Pancreatic diseases diet. Diet for the pancreas: menu for the week. Effective treatment of pancreatitis with folk remedies: recipes

It is impossible to overestimate the role of this secretory organ, weighing about 70 grams, for the entire human body: its functions include the production of insulin, digestive enzymes, and hormones.

The most common of which are pancreatitis, which is dangerous and can lead to various complications, including death.

Diet therapy for this pathology is an important component of complex therapy aimed at preserving the structure and function of the organ, preventing the development of pancreaticonecrosis and other complications.

The secretory organ can become inflamed with the development of acute or chronic pancreatitis - this is one of the most common lesions, which has a different origin and can occur during a viral infection or with systematic alcoholization of the body.

A provoking factor in the occurrence of inflammation is an error in nutrition: abuse of too fatty, spicy, smoked foods, and alcoholic beverages.

When it has already arisen, it is important to understand that if you stick to the same diet before, the organ will simply stop working and serious consequences will occur in the body, including death.

Therefore, following a diet should become a habit and be strictly followed by all persons with such problems. Proper nutrition and diet for a sick stomach and pain in the pancreas is as necessary as air for life!

The basic principle of treating inflammatory processes in this organ is the following: “Cold, hunger and rest.” These methods were relevant many centuries ago, and they do not lose their significance to this day.

A patient with acute pancreatitis should be provided with complete rest and bed rest, apply cold to the diseased organ, and fast for several days.

In chronic forms outside of exacerbation, the tactics of therapeutic nutrition are not so strict and have their own characteristics that all patients must know. Violation of the diet, taking prohibited foods threatens the patient with exacerbation.

Diet treatment for inflammation of the pancreas

• Suppression of enzyme activity and pancreatic juice;
• Reducing pain;
• Reducing body intoxication;
• Reducing acidity gastric juice;
• Providing functional rest to the organ;
• Normalization of liver and intestinal function;
• Stimulation of reparative processes of gland tissue;
• Fight against intoxication.

In the acute period of inflammatory changes in the organ with severe pain, high levels of enzymes in the blood, the patient is recommended to fast for 1-2 days, ingest alkaline mineral water at least 1-1.5 liters, and weak tea is allowed room temperature.

If, on the doctor’s recommendation, the fasting period needs to be extended for more than two days, patients are transferred to intravenous parenteral nutrition with solutions of amino acids, which are necessary for protein synthesis and maintaining the body’s energy balance.

If the exacerbation is not very pronounced and there is no need to prescribe the patient fasting, the doctor will prescribe the patient a gentle version of table No. 5p.

When inflammatory phenomena subside or in the remission phase, a less gentle, more physiological complete diet is recommended - an expanded version of table No. 5p.

I version of table No. 5p

The duration of the first version of table No. 5p is up to seven days. This is a low-calorie, mechanically and chemically gentle diet for diseases of the pancreas, or when the stomach hurts.

The total caloric content should not exceed 1800-2000 kcal, the following content is allowed:

• Protein - 80 g
• Fat - 50 g
• Carbohydrates - 230 g
• Table salt - 6 g (in the absence of concomitant heart failure)

Food should be taken 5-6 times a day in small portions. Food should enter the stomach warm; it should not be too cold or hot.

The patient is allowed:

• Slimy cereal soups
• Vegetable puree
• Boiled river fish
• Steamed cutlets, meatballs, quenelles
• Meat soufflé
• Steamed egg white omelette
• Fresh low-fat cottage cheese
• Baked apples
• Grated buckwheat, boiled rice
• Dried fruit compotes
• Biscuits
• White bread

The patient is prohibited from:

• Raw vegetables (especially radishes, cabbage)
• High fiber fruits (legumes)
• Broths
• Sour juices
• Alcohol
• Soda
• Fast food
• Fatty fish and meat
• Spices
• Spices
• Canned food
• Pastries, cakes
• Mushrooms

All foods that are difficult to digest and digest gastrointestinal tract, have a sedative effect, contain extractive substances, cause increased gas formation and bloating and should be strictly excluded from the diet.

Extended diet table No. 5

When general well-being improves, pain subsides, laboratory parameters normalize, and pancreatic inflammation goes into remission, a less sparing, more physiologically complete diet is prescribed.

It allows culinary processing of food in the oven, steaming. The energy value of the daily diet increases to 2500-2700 kcal, the amount of protein - 11 g, fat - 80 g, carbohydrates - 330 g, table salt - up to 8 g.

Like the previous option, the diet is dominated by proteins that the body needs to build own cells and damaged tissues, replenishing protein “hunger”, accelerating recovery. Fats and carbohydrates are limited, especially those that are quickly absorbed - sweets, honey, jam.

This type of therapeutic nutrition is prescribed for a long time, and often it must be adhered to throughout life in order to avoid the development of repeated attacks and complications of pancreatitis.

The range of dishes and products allowed for consumption is approximately the same as in the list of acceptable consumption described above, with the difference that patients can also consume in moderate quantities:

• Lean meat not in pureed form, but in pieces
• Low-fat sour cream
• Soft-boiled egg
• Vegetable stew baked in the oven
• Raw mashed sweet apples
• Vegetable (10 g) or butter (8 g) oil, added to prepared dishes
• Well-cooked porridge with milk
• Stale bread, biscuits
• Hard cheese varieties

Alcohol, even in minimal quantities, is strictly contraindicated for patients with pancreatic damage; drinking it can provoke a severe attack of the disease and even cost the patient his life.

Even in the stage of remission and the absence of pain and dyspeptic symptoms, it is important not to allow yourself to violate the food regime and make mistakes in the diet.

Fatty, spicy, overly peppery or salty foods should become taboo foods for patients for the rest of their lives.

Lovers of quiet hunting, home-cooked food and canned food need to reconsider their preferences and hobbies and abandon these home-made and store-bought products.

Sweet tooths and coffee lovers will also have a hard time getting rid of it at first. psychological dependence to sweets and caffeine, but after several months of abstaining from the “forbidden fruit,” the expended willpower will pay off handsomely: the patient will feel much better.

It is important to understand that without following medical recommendations on nutrition and without a responsible approach to food consumption, no drug treatment can guarantee success in the treatment of pancreatitis.

Patients should keep a food diary, where it is necessary to note each meal and the time of consumption. This makes it much easier to identify those products that can provoke an exacerbation and deterioration of well-being.

Often the course of inflammatory processes in the pancreas leads to the development of intestinal dysbiosis. In this case, the diet should be revised and fresh fruits and vegetables should be excluded from it; also, in case of steatorrhea (excessive excretion of fat in feces) and diarrhea, the “vegetable diet” is contraindicated.

Nutrition and diet after surgery to remove the pancreas

Surgical interventions to remove an important secretory organ or part of it can be performed for the following reasons: the development of complications of the inflammatory process with the formation of tissue death - pancreaticonecrosis, due to hemorrhages in the parenchyma of the gland, during oncological processes, peritonitis, cystic formations, abscesses, severe injuries with massive damage pancreas.

It is important to understand:

The body, left without part of an important glandular organ, or completely deprived of it, undergoes enormous stress and must have external support in the form of adequate medication, replacement therapy and lifelong diet.

In the early postoperative period, the patient is transferred to parenteral intravenous nutrition to reduce the load on the gastrointestinal tract.

A balanced composition of amino acids, broken down fatty acids, glucose is injected into the patient’s vein, nutrients enter the blood and are carried to organs and tissues, thereby supporting the body.

In the postoperative period, feeding through a tube with liquid semi-digested food can be performed. In the first postoperative week, caloric intake per day should not exceed 1000 kcal. You can drink water up to two times a day.

After seven days and the cessation of parenteral and tube nutrition, the patient is allowed to take food by mouth, but only in liquid and semi-liquid, pureed form.

This treatment is necessary for up to two months:

Liquid porridges, jelly, pureed vegetable soups are included in the list of permitted dishes. Calorie content at this recovery stage should not exceed 1900 kcal. The frequency of meals is 6-7 times a day, the volume of food eaten should not exceed the size of a fist.

After two months from the date of surgery, the diet gradually expands: dietary boiled meat, crackers, biscuits, low-fat cottage cheese and lactic acid products are introduced into it, and the consumption of bananas or baked apples is allowed.

The calorie content of food per day is 2000-2100 kcal. Meals are frequent, small, at least 6 times. The serving size is no larger than the palm of your hand.

During the recovery period, it is important to listen to your body, keep a food diary and carefully monitor the reaction of the gastrointestinal tract to the consumption of a particular product.

It is equally important, together with the diet, to carefully follow the doctor’s medication prescriptions and take prescribed enzyme and replacement drugs that normalize digestion and perform the functions of a remote organ exactly on schedule.

If a patient after a pancreatic surgery experiences discomfort in the abdomen after eating, vomiting, diarrhea or nausea, or other manifestations of dyspepsia, you should definitely consult a doctor.

The pancreas is the most important organ of the human body, responsible for regulating digestive processes. Its main function is to produce enzymes, without which the body is not able to process incoming carbohydrates, proteins, and fats in full. People with these conditions are more likely to develop diabetes because the pancreas is responsible for producing insulin. In case of pancreatic disease, a nutritious diet is necessary. Patients are recommended to follow a diet that should be followed not only during periods of exacerbations and inflammation. You should find out which foods you should give preference to and which should be completely excluded from your diet.

For a speedy recovery, the patient needs not only drug treatment, but also a strict diet. For diseases of the pancreas, preference should be given to dietary products. You need to consume only easily digestible foods, while the body must receive proteins, fats and carbohydrates.

If you have pancreatitis, avoid eating fried foods. It is recommended to boil or steam meat or fish; this will make the digestive system easier. The patient's diet should include the following products:

• cottage cheese;
• eggs;
• lean meat;
• fish;
• milk;
• vegetables;
• pasta from durum wheat;
• porridge.

Cottage cheese and milk should be chosen with a low fat content. In acute forms of the disease, you need to follow the diet for at least a year to avoid exacerbations. People with chronic pancreatitis need to follow a diet constantly.

Nutrition during exacerbation of the disease

Exacerbation of the disease is often accompanied by nausea and vomiting. At this point, the person is advised to completely abstain from food, while not forgetting to drink fluids. The water should be warm; it is better to give preference to mineral water without gas. Therapeutic fasting lasts 2-4 days. After this, the patient is allowed to start eating. Extract maximum benefit can be made from mashed porridges and vegetable purees. Porridge should be cooked exclusively in water, without adding milk or butter.

After 5 days, you can add butter, white bread (dried), low-fat cottage cheese and milk to the patient’s diet. Meat should be introduced gradually. A similar diet after an exacerbation should be followed for 10-14 days. After the inflammatory the process is underway to decline, can be introduced into the diet baked apples, jelly, fresh (diluted) juices.

Prohibited Products

For pancreatitis, alcohol should be completely avoided. Doctors say that alcohol abuse not only aggravates the course of the disease, but in some cases causes malfunction of a healthy organ. You should also avoid the following foods:

1. Fatty meat broths.
2. Fresh white bread.
3. Rye bread and pastry.
4. Sausages and smoked meats.
5. Mushrooms.
6. Millet porridge.
7. Spices and seasonings.
8. White cabbage, onions, legumes, sorrel and other unprocessed vegetables and fruits.

You should pay attention to the fact that nutrition must be complete. Only raw vegetables should be excluded from the diet. They can be prepared as a puree. For pancreatitis, it is useful to consume pumpkin puree at least 2 times a week.

The patient's daily diet

In accordance with the above recommendations, you can draw up sample menu for a patient with pancreatitis. IN mandatory You should take into account your doctor's recommendations regarding nutrition. Meals should be frequent, but not voluminous. The first breakfast should be high in calories, for example:

• milk porridge;
• protein omelet or curd pudding;
• steamed meat or fish cutlets.

The second breakfast should be less calorie, for example:

• vegetable puree;
• baked apples;
• tea with milk.

For lunch you should choose meat dishes with side dishes:

• vegetable broth soup with meatballs;
• soup with light meat broth;
• boiled chicken breast;
• potato, carrot or pumpkin puree;
• compote, jelly or non-concentrated juice.

The afternoon snack should be light; low-fat cheese or cottage cheese, steam or oven omelet are suitable for this.

You should have dinner no later than 4 hours before bedtime. Suitable for this:

• vegetable puree;
• steamed chicken meatballs;
• fish cutlets.

Before going to bed, you can drink a glass of kefir or yogurt. It is worth remembering that this is an approximate menu; a nutritionist can give more accurate advice regarding nutrition.

You should always follow a diet for pancreatitis. Patients need to remember that:

1. The food should be warm. Hot and cold food irritates the stomach.
2. You need to eat at least 5 times a day.
3. Doesn't go to bed feeling hungry.
4. Nutrition should be balanced; daily you need to consume not only animal protein, but also plant foods.
5. Bread consumption should be limited.

It is worth remembering that following a diet without proper treatment will not lead to a complete recovery.

A patient with pancreatitis should consume at least 2300 kcal per day. The right diet Only a specialist who has studied the characteristics of the course of the disease can select it. The diet for pancreatic disease is quite strict, but if it is strictly followed, you can forget about the manifestations of pancreatitis.

Accompanied by pain in the left hypochondrium and in the pit of the stomach. Any disturbances on the part of this organ affect the digestive processes, because it is the pancreatic enzymes that break down foods, and insulin and glucagon are irreplaceable participants in metabolic processes.

For pain in the pancreas they help not only medicines, but also dietary food. It should be aimed at reducing the production of gastric juice and preventing the development of complications. What are the principles of diet for gland pathologies, how to properly create a menu to relieve symptoms?

Proper nutrition in combination with a healthy and active lifestyle, as well as avoiding bad habits. If you have pancreas pain, follow these guidelines: proper nutrition:

• Eat regularly - every three to four hours. There should not be large intervals;
• the menu should be varied and balanced. The diet should contain a sufficient amount of proteins, fats and carbohydrates, as well as foods rich in fiber;
• try not to overeat, learn to eat small portions of food;
• do not eat cold or hot food, it should be warm;
• frying food is unacceptable if you have pain in the pancreas; it is best to steam, boil, or stew foods;
• You should drink up to two liters of water per day.

Nutrition for pain in the pancreas is prepared taking into account the recommendations of treatment table No. 5. Experts say that the organ is primarily responsible for carbohydrate metabolism, and incoming proteins will not lead to its overload. That is why they recommend introducing protein foods into the diet.

Completely exclude vegetable oil and butter, although the amount of their consumption should be controlled. The diet differs slightly depending on the phase of the disease. What can be eaten during a chronic process should absolutely not be consumed during the acute phase.

If you have pancreas pain, first consult a doctor for a diagnosis

A diseased pancreas is in dire need of gentle nutrition. Let's consider a sample menu for diseases of this organ. For breakfast, it is preferable to prepare oatmeal or semolina porridge. For lunch you can eat vegetable puree or pureed soup. For dinner, cook porridge again, such as oatmeal or buckwheat. For snacks, it is best to use fermented milk products, baked fruits and biscuits.

Now let's look at examples of dishes that can be prepared for diseases of the pancreas:

• Meat pudding. It is best to cook it in a double boiler. To prepare it you need to take beef, milk, eggs and butter. Be sure to clean the meat from fat and veins. First, the beef is boiled and then passed through a meat grinder. Separate the yolk from the white. You need to add milk, a little salt and yolk to the minced meat. Then the protein should be whipped using a mixer and also sent to a common container. Mix all the ingredients of the dish thoroughly, you should get a paste-like mixture. Oil is necessary to lubricate the container.
• Omelette in a steamer. You will need an egg, water, butter and salt. You can also add vegetables and cottage cheese to taste. All ingredients are mixed until smooth and then placed in a double boiler for twenty minutes.
• Curd soufflé. We will need the following ingredients: cottage cheese, milk, honey, gelatin, cocoa powder. First, you must soak the gelatin in water for thirty minutes. Next, you drain the water and add the remaining ingredients to the gelatin. Then the dish is placed on low heat and brought to a boil.

When your pancreas hurts, drink enough water

Nutrition depending on the cause of pain

Often pain signals developing pathological processes. Pancreatitis, an inflammatory disease, occupies a leading place among diseases of the pancreas.

The main reason for the development of the disease is a violation of the outflow of enzymes, which can destroy organ tissue and even blood vessels. Fans of spicy, fried, fatty foods, as well as people who abuse alcohol and overeat are susceptible to the disease. The main manifestations of the disease are pain and intoxication.

Acute pancreatitis

An acute process is characterized by intense pain of a dull or cutting nature. Depending on which part of the pancreas was affected, pain may appear in the right or left hypochondrium, under the stomach. If the pathological process affects the entire organ, the painful outbreak is girdling in nature. The pain can radiate to the back, shoulder blade, chest.

Lack of timely medical care is fraught with painful shock, loss of consciousness and even death. In addition to pain, patients experience nausea and vomiting, bloating, belching, heartburn, diarrhea or constipation. There is tension in the abdominal muscles. The acute process can also cause an increase in body temperature, as well as changes in blood pressure.

Acute pancreatitis is an indication for hospitalization. The main goal of treatment is to neutralize pancreatic enzymes that have entered the blood, as well as to combat intoxication. During the acute period, minimal load on the organ should be ensured. In the first days, therapeutic fasting is indicated. In this case, solutions with nutrients are administered intravenously.

In the first few days of acute pancreatitis, therapeutic fasting is indicated

Important! Fasting is considered the most effective method of therapeutic treatment of acute pancreatitis.

Fasting can be dry or with liquid intake. The first method can last no more than 24 hours, then the patient is given a small amount of mineral water without gas, gradually increasing the dosage. After two days, you can consume vegetable broth, after which the diet expands.

Dry fasting is more often prescribed for the chronic form, and fasting with liquid intake - for the acute process. It will help not only relieve the symptoms of the disease, but also speed up the healing process of the organ. In acute pancreatitis, fasting is carried out in a hospital setting. The patient is allowed to drink liquid in unlimited quantities. This can be alkaline mineral water or rosehip decoction.

In case of a chronic process, dry fasting is carried out once a week, while the person must observe strict bed rest. After the acute process subsides, it is important to continue to monitor your diet. Food should be consumed in pureed puree form. Meals should be small portions five to six times a day. Dishes should be comfortably warm.

What can't you eat? The following products are prohibited for pancreatitis:

• fatty foods, broths, smoked meats;
• seasonings, pickles, marinades;
• spicy vegetables and sour fruits;
• confectionery, baked goods;
• soda, alcohol;
• chocolate, ice cream;
• cocoa, coffee.

For pancreatitis, sour fruits are prohibited

Therapeutic nutrition includes a sufficient amount of useful and delicious products:

• boiled, stewed or steamed vegetables;
• lean meat, fish and poultry;
• cereals;
• vegetable soups;
• baked apples;
• jelly, compotes;
• Vegetable oil is allowed to be included in the diet, but it should not be subjected to heat treatment.

Chronic pancreatitis

In a chronic process, an attack of pain can bother a person for a long period of time. Bends and squats increase the intensity of the pain syndrome. Errors in nutrition can cause another attack.

Chronic pancreatitis is a wave-like process. Relapse is replaced by a stage of remission. During an exacerbation, patients are prescribed fasting, as well as during an acute process. Adequate nutrition can be prescribed only a few days after the onset of an exacerbation, when the activity of pancreatic enzymes decreases, the inflammatory reaction subsides and the swelling of the pancreas subsides.

Starting from the third day, additional products are introduced. Dishes should have a homogeneous and viscous consistency. This could be mashed potatoes, porridge, pureed soups, biscuits, crackers.

Although diet alone cannot cure chronic pancreatitis, it will help improve the patient’s quality of life

Cancer

Pancreatic cancer is considered one of the most severe and rapidly developing oncological diseases. Treatment is a long and multi-stage process, in which dietary nutrition plays an important role. Patients should eat five to six times a day, and the interval between meals should not exceed three hours.

It is best to bake, stew or steam food. It is recommended to eat fresh, warm food. If you have pancreatic cancer, it is extremely important to stop smoking and drinking alcohol. Nicotine and alcohol destroy pancreatic enzymes, aggravating the condition even more.

Fatty foods put the greatest strain on the pancreas and contribute to the excessive production of enzymes, which is why the exclusion of fats, especially animal fats, is the main rule for cancer patients. Often the disease causes hypersensitivity to foods with a strong odor, so it is better to use products without a specific and strong aroma.

It is better to use wooden utensils when eating, as patients often complain of a metallic taste in the mouth. Before and after meals, it is recommended to rinse your mouth with a mild soda solution.

Limit salt intake, use mint, ginger, thyme, lemon juice as an alternative.

In severe cases, parenteral nutrition is indicated, in which nutrients are administered intravenously

The following products are allowed for pancreatic cancer:

• lean fish and meat;
• curdled milk, soft and hard cheeses with low fat content;
• vegetables and fruits;
• porridge;
• refined sugar;
• herbal decoctions;
• whole grain yesterday's bread.

When it comes to fruits and vegetables, preference should be given to seasonal products that do not contain chemicals. Nitrates and inorganic compounds significantly increase the likelihood of relapse of the tumor process. Prohibited foods include fatty foods, canned food, marinades, pickles, smoked foods, and semi-finished products.

In addition, patients should not consume fresh onions and garlic, sauces and seasonings, coffee, sweets, and fresh baked goods. Instead of spices, it is better to add fresh herbs to dishes. Best used as a dressing olive oil.

So, therapeutic diet for diseases of the pancreas will help relieve unpleasant symptoms during the period of exacerbation, as well as maintain a normal state during the period of remission. If you take your health lightly and do not adhere to a diet, the patient’s condition can deteriorate sharply and even lead to the development of dangerous complications.

Caring attitude to your health and proper adherence to medical recommendations regarding nutrition will prevent many problems and maintain the health of the pancreas.

Pancreatic disease is based on an inflammatory process with degenerative changes in the parenchyma of the organ, which in acute cases can lead to pancreatic necrosis , and in the chronic, often recurrent form - to the development fibrosis of parenchyma and sclerosis of gland tissue. In this case, the digestive function of the gland (mainly proteins) is disrupted, and then the intrasecretory function, in which the insular apparatus is involved in the pathological process, which is manifested by a violation of carbohydrate metabolism and the development hyperglycemia , glucosuria .

The main symptoms of the disease: nausea, an attack of pain (acute girdling or radiating to the left half of the lower back or chest), general weakness, vomiting, increased body temperature and, much less frequently, - jaundice . The treatment is complex, the most important component of which is therapeutic nutrition. Moreover, it is proper therapeutic nutrition that can normalize metabolic processes in the body, including the pancreas and improve its function.

Diet for pancreatic disease, basic principles

A diet for pancreatic disease should, first of all, be aimed at reducing pain, reducing the secretory function of the pancreas, reducing hyperenzymemia , restoration of disrupted processes. To the basic principles of diet therapy for patients with acute/chronic pancreatitis in the acute stage include:

• hunger and parenteral nutrition with pronounced metabolic and clinical signs of the presence of an autolytic process in the pancreas;
• transfer of the patient to as soon as possible for good nutrition (especially regarding protein levels);
• gradual expansion of the diet by including new foods and dishes in the diet;
• a gradual increase in caloric intake and the volume of the daily diet as the diet expands;
• ensuring maximum protection of the pancreas and gastrointestinal tract from adverse factors.

Along with bed rest and drug treatment In order to reduce the secretion of enzymes of the stomach and pancreas, a patient with acute/chronic pancreatitis in the acute stage is prescribed a 2-3 day fast. During this period, it is allowed to consume non-carbonated drinks. mineral water Borjomi at room temperature, 250 ml fractionally 4-5 times - a total of 1-1.5 l/day and rosehip decoction (1-2 cups).

From the 3rd day, if pancreatitis is not severe, patients are prescribed the pureed (first) option Diets No. 5P . The diet is low-calorie (1500-1800 Kcal: 60-80 g of proteins (25 g of animal proteins), 50-60 g of fats, 200-300 g of carbohydrates), as gentle as possible, the daily diet includes products that provide the physiological norm of protein with a sharp limitation in diet of fats and easily digestible carbohydrates.

Refractory fats and simple carbohydrates (honey, sugar, confectionery, jam) are limited. Avoid foods that stimulate the secretion of pancreatic juice and contain a lot of fiber.

The menu includes dishes of semi-viscous, liquid and semi-liquid consistency; 50 g white crackers; 5–6 g of table salt: these are cereal soups with a weak vegetable broth or water (slimy or thoroughly pureed), cream soup made from well-cooked meat; steam cutlets, soufflé, quenelles; chicken eggs soft-boiled, white omelet (1-2 per week); steam pudding made from fresh cottage cheese; puddings/purees from steamed vegetables (cauliflower, zucchini, potatoes, carrots), pureed porridge with water, jelly, jelly, pureed fresh/dried fruit compotes, mousses, fructose , weak tea, rosehip decoction; Butter is added to prepared dishes.

It is prohibited to introduce other foods and dishes into the diet. The drinking regime for patients is 2 l/day of free liquid. Meals for pancreatic disease are fractional (6–8 times/day), the volume of food consumed in one serving is no more than 300 g.

After 5-10 days, when the exacerbation subsides, the patient is transferred to the untreated (second) option Diets 5P which the patient must comply with throughout the entire period of the disease and the transition to the stage of stable clinical remission (3-12 months). Its goal is to prevent relapses and progression of pancreatitis, correcting nutritional disorders that have arisen.

The basis of the diet during the period of subsiding exacerbation and the stage of remission in chronic pancreatitis is an increased content of protein in the diet (110–120 g/day, 60% animal proteins) with a sharp restriction of fats to 60–70 g/day (20% vegetable ), and in some cases (with severe steatorrhea) up to 30–50 g/day and limiting carbohydrates to 300 g/day, mainly mono- and disaccharides, and in cases where they develop they are completely excluded.

It is also strictly forbidden to include in the diet foods that stimulate the secretion of digestive juices and are rich in extractive substances. It is important to add fat-soluble and enzyme preparations to the diet of such patients. The amount of table salt is reduced to 6–8 g/day. The energy value of this option Diets No. 5P - 2500-2700 Kcal.

The menu and range of products in the second version of the diet have been expanded. The diet includes dried wheat bread or crackers up to 200-300 g per day. Vegetable soups with the exception of cabbage and cereal soups (except millet), also with the addition of vermicelli, are allowed. Outside the period of exacerbation, you can add a little sour cream or butter. Meat dishes are prepared from low-fat varieties boiled meat or poultry (meatballs, cutlets, dumplings, rolls, mashed potatoes), fish dishes from lean river fish in pieces or steamed, boiled, chopped; chicken eggs only in the form of a white omelet; Among fats, it is allowed to consume vegetable oils (olive, sunflower) and unsalted butter.

Dairy products are presented in the diet in the form of homemade non-sour cottage cheese, mild cheese, fermented milk products. Potatoes, beets, carrots, zucchini, and pumpkin are introduced into the diet as vegetables and dishes made from them. Unsweetened baked apples, compotes, jelly, jelly are allowed. xylitol , weak tea, decoction of wheat bran and rose hips.

Treatment with diet for symptoms of severe insufficiency of the exocrine function of the pancreas (syndrome of impaired absorption and digestion, steatorrhea ) it is advisable to diversify with the use of specialized products for dietary nutrition - pureed and homogenized products from veal, beef, chicken meat, beef tongues, vegetables and fruits.

After operations on the pancreas (especially often with a cyst, which is a tumor - a capsule with liquid contents), the passage of contents through the intestines is disrupted, which contributes to the development and. Signs of malabsorption are often absent. In such cases, the basic Diet 5 for the pancreas is modified. The diet increases the content of vegetables and unsweetened fruits, reduces the amount of easily digestible carbohydrates to avoid fermentation, etc.

At lipomatosis pancreas (fatty degeneration) dietary nutrition corresponds to the second option Table No. 5 according to Pevzner. Diet for exacerbation and deterioration of the patient’s condition who is in remission - the first option Stola 5P . At the same time, during an exacerbation, nutrition should be started again with a period of fasting.

Varieties

If there are problems with the appearance of clinical signs of development in patients with chronic pancreatitis diabetes mellitus Diet therapy is adjusted taking into account impaired carbohydrate metabolism, approaching the physiological norm of nutrition as much as possible. In such cases it is prescribed Diet 5P/9 , which excludes in the diet:

• purines (extractive nitrogenous substances);
• foods that promote bloating and fermentation processes in the intestines (cabbage, legumes);
• products formed during the frying process;
• foods rich in lipotropic substances and calcium;
• foods containing a lot essential oils and irritating the mucous membrane of the digestive tract (pepper, onion, garlic);
• salt - up to 6 g per day.

In terms of energy value and nutrient composition, the main diet for diabetes mainly coincides with Diet 5P , however, the latter is more gentle. In terms of nutritional composition, Diets 5P and 5P/9 are identical. 5-6 meals a day are prescribed, simple carbohydrates are excluded from the diet, by increasing the fiber content (bran, pectin), more than 50% of fats should be fats plant origin. Fractional meals throughout the day equalize the relationship between blood glucose and glucose levels.

In the diet, up to 50% of the daily energy requirement should be covered by the carbohydrate portion of the diet. Sweeteners are widely used for this purpose - xylitol , sorbitol , saccharin , aspartame taking into account individual tolerance.

The diet includes foods containing complex carbohydrates: bread, cereals (excluding semolina and rice); fruits, berries and vegetables that contain less than 5 g of carbohydrates per 100 g of product (cucumbers, zucchini, cauliflower) and vegetables/fruits containing 5-10 g of carbohydrates per 100 g of product (beets, carrots, oranges, tangerines) are limited. The ability of any food to increase blood glucose levels is characterized by glycemic index . And the lower the index, the more suitable this product is for a patient with diabetes.

There is a special table containing the necessary information, using which the patient can navigate when choosing products. The fat content in the diet of such patients should be less than the physiological norm due to the exclusion of refractory animal fats and foods containing a lot (geese, ducks, pork, liver, lamb, brains, yolks). Diet 5P/9 should contain a sufficient amount of vitamins, especially (vitamin B1), which is actively involved in carbohydrate metabolism, as well as myco/macroelements.

Indications

• Diet No. 5P (first option) - for acute pancreatitis or for exacerbation of chronic pancreatitis (for 5-7 days).
• Diet No. 5P (second option) - after 7 days and throughout the entire period of remission.
• Diet 5P/9 - when signs of diabetes mellitus appear against the background of chronic pancreatitis.

Authorized Products

The diet of patients with pancreatitis includes dried bread, unsweetened cookies and white wheat crackers in a total amount of 200-300 g/day, pureed or slimy cereal/vegetable soups with vermicelli, noodles with the addition of butter or sour cream. The diet must include lean meat (rabbit, lean young lamb, beef), boiled or steamed poultry (chicken, turkey), steamed, boiled or baked rabbit (mashed potatoes, cutlets, dumplings, soufflé, roll).

During the period of remission, lean meat, rabbit, and chicken can be served boiled in pieces. Fish dishes prepared from low-fat varieties of fish (cod, pike, icefish, perch, pike perch, carp) boiled, chopped or in pieces. Chicken eggs are included in the diet in the form of a soft-boiled egg or a steam omelet (up to 2 eggs per day).

It is important to include dairy dishes and especially low-sour cottage cheese in your diet (preferably homemade), as well as dishes based on it - puddings, casseroles. The diet should include porridges from various cereals and pasta viscous or mashed, vermicelli, homemade noodles, pasta that is prepared with the addition of milk in a ratio (1:1) or with water.

For vegetable side dishes, beets, carrots, cauliflower, young beans, and boiled, baked or pureed pumpkin are recommended. Fats are mainly unsalted butter and refined vegetable oils, which are added directly to prepared dishes. Sweet dishes in the diet include compotes from pureed fresh and dried fruits, jellies, jelly, mousses from juices with sorbitol or xylitol. Non-carbonated mineral water, rosehip decoction, unsweetened fruit juices, and weak tea with lemon are used as drinks.

Table of permitted products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
zucchini	0,6	0,3	4,6	24
cauliflower	2,5	0,3	5,4	30
potato	2,0	0,4	18,1	80
carrot	1,3	0,1	6,9	32
cucumbers	0,8	0,1	2,8	15
pumpkin	1,3	0,3	7,7	28
green beans	2,0	0,2	3,6	24
Fruits
apples	0,4	0,4	9,8	47
Cereals and porridges
buckwheat (kernel)	12,6	3,3	62,1	313
semolina	10,3	1,0	73,3	328
cereals	11,9	7,2	69,3	366
pearl barley	9,3	1,1	73,7	320
white rice	6,7	0,7	78,9	344
barley grits	10,4	1,3	66,3	324
Flour and pasta
pasta	10,4	1,1	69,7	337
noodles	12,0	3,7	60,1	322
Bakery products
white bread crackers	11,2	1,4	72,2	331
wheat bread	8,1	1,0	48,8	242
Confectionery
fruit and berry marmalade	0,4	0,0	76,6	293
paste	0,5	0,0	80,8	310
Maria cookies	8,7	8,8	70,9	400
Raw materials and seasonings
milk sauce	2,0	7,1	5,2	84
Dairy
skim milk	2,0	0,1	4,8	31
kefir	3,4	2,0	4,7	51
sour cream	2,8	20,0	3,2	206
curdled milk	2,9	2,5	4,1	53
Cheeses and cottage cheese
cottage cheese 1.8% (low-fat)	18,0	1,8	3,3	101
Meat products
boiled veal	30,7	0,9	0,0	131
rabbit	21,0	8,0	0,0	156
Bird
boiled chicken breast	29,8	1,8	0,5	137
boiled turkey fillet	25,0	1,0	-	130
Eggs
chicken eggs	12,7	10,9	0,7	157
Fish and seafood
cod	17,7	0,7	-	78
hake	16,6	2,2	0,0	86
Oils and fats
vegetable oil	0,0	99,0	0,0	899
butter	0,5	82,5	0,8	748
Juices and compotes
juice	0,3	0,1	9,2	40
rose hip juice	0,1	0,0	17,6	70

Fully or partially limited products

It is prohibited to use soups with meat/mushroom/fish broth in the diet. Pork, lamb, goose, duck, fried foods, solid refractory animal fats (lard, cooking fats), smoked meats, canned fish/meat, salted and fatty fish, sausages, fresh bread, chum salmon caviar, stellate sturgeon, sturgeon, salmon, catfish, carp, pickles, marinades, spices, mushrooms.

Spicy and fatty snacks, whole milk, strong tea, fatty cottage cheese, coffee, cranberries, cocoa, chocolate, mature legumes, sorrel, spinach, lettuce, radishes, turnips, raw vegetables and fruits are prohibited. Fried or hard-boiled chicken eggs, flour and confectionery products, garlic, sorrel, radishes, green onions, white cabbage, rye bread, carbonated drinks, spinach, cold dishes and drinks, any dough (butter, puff pastry), ice cream, and alcoholic drinks.

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
vegetables legumes	9,1	1,6	27,0	168
eggplant	1,2	0,1	4,5	24
swede	1,2	0,1	7,7	37
cabbage	1,8	0,1	4,7	27
sauerkraut	1,8	0,1	4,4	19
green onion	1,3	0,0	4,6	19
bulb onions	1,4	0,0	10,4	41
cucumbers	0,8	0,1	2,8	15
canned cucumbers	2,8	0,0	1,3	16
salad pepper	1,3	0,0	5,3	27
white radish	1,4	0,0	4,1	21
turnip	1,5	0,1	6,2	30
canned tomatoes	1,1	0,1	3,5	20
horseradish	3,2	0,4	10,5	56
spinach	2,9	0,3	2,0	22
sorrel	1,5	0,3	2,9	19
Fruits
bananas	1,5	0,2	21,8	95
figs	0,7	0,2	13,7	49
Berries
grape	0,6	0,2	16,8	65
cranberry	0,5	0,0	6,8	26
Mushrooms
mushrooms	3,5	2,0	2,5	30
Nuts and dried fruits
dates	2,5	0,5	69,2	274
Snacks
potato chips	5,5	30,0	53,0	520
Cereals and porridges
corn grits	8,3	1,2	75,0	337
millet cereal	11,5	3,3	69,3	348
Bakery products
Rye bread	6,6	1,2	34,2	165
Confectionery
jam	0,3	0,2	63,0	263
jam	0,3	0,1	56,0	238
candies	4,3	19,8	67,5	453
Ice cream
ice cream	3,7	6,9	22,1	189
Cakes
cake	4,4	23,4	45,2	407
Chocolate
chocolate	5,4	35,3	56,5	544
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
ginger	1,8	0,8	15,8	80
ketchup	1,8	1,0	22,2	93
mayonnaise	2,4	67,0	3,9	627
ground black pepper	10,4	3,3	38,7	251
chilli	2,0	0,2	9,5	40
Dairy
milk 4.5%	3,1	4,5	4,7	72
cream	2,8	20,0	3,7	205
Meat products
pork	16,0	21,6	0,0	259
salo	2,4	89,0	0,0	797
beef liver	17,4	3,1	0,0	98
beef kidneys	12,5	1,8	0,0	66
beef brains	9,5	9,5	0,0	124
bacon	23,0	45,0	0,0	500
ham	22,6	20,9	0,0	279
Sausages
dry-cured sausage	24,1	38,3	1,0	455
sausages	10,1	31,6	1,9	332
sausages	12,3	25,3	0,0	277
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
smoked duck	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Fish and seafood
dried fish	17,5	4,6	0,0	139
smoked fish	26,8	9,9	0,0	196
black caviar	28,0	9,7	0,0	203
salmon caviar granular	32,0	15,0	0,0	263
salmon	19,8	6,3	0,0	142
sturgeon	16,4	10,9	0,0	163
canned fish	17,5	2,0	0,0	88
Oils and fats
animal fat	0,0	99,7	0,0	897
cooking fat	0,0	99,7	0,0	897
Non-alcoholic drinks
bread kvass	0,2	0,0	5,2	27
cola	0,0	0,0	10,4	42
green tea	0,0	0,0	0,0	-
black tea	20,0	5,1	6,9	152
* data is per 100 g of product

Menu (power mode)

Since the time period for prescribing the pureed version of the diet is short (3-5 days) and it is prescribed in a hospital, it is more advisable to provide a nutrition menu for the non-mashed (without mechanical sparing) version of the 5P Diet, which should be followed for 6-12 months in case of pain and discomfort. Needs to be organized fractional meals 5-6 times a day. The patient is allowed 200 g for the whole day wheat bread, 30-40 g of sugar (or 20-30 g of xylitol in sweet dishes) and 20 g of butter.

Monday

Tuesday

Breakfast	baked meat cutlets; semi-viscous buckwheat porridge; tea with added milk.
Lunch	curd soufflé; fruit juice.
Dinner	potato soup; chicken meatballs; mashed potatoes and green peas with butter; rosehip infusion without sugar.
Afternoon snack	steam omelette; apricot juice.
Dinner	fish dumplings with milk sauce; boiled carrots with butter; currant decoction.
For the night	curdled milk.

Wednesday

Thursday

Friday

Saturday

Sunday

Recipes

First meal

Vegetarian soup with zucchini

Vegetables: onion and chop the carrots and simmer in a saucepan in water with the addition of oil. Add water and potatoes, cook for 15 minutes. 5 minutes before the potatoes are ready, place the potatoes in the soup, add chopped zucchini, add salt and bring until ready. Sprinkle with herbs on the table and top with sour cream if desired.

Oatmeal soup with cauliflower

Chop carrots and onions in the usual way for soup, simmer in water with vegetable oil. Add water to the volume you need, add chopped potatoes. Boil for 15 minutes, lower cauliflower, disassembled into inflorescences, and oat flakes. Cook for 5 minutes. Serve with chopped herbs.

Second courses

Chicken meatballs with mashed potatoes

Wash and cook the rice. Ready minced chicken from the chicken fillet, add an egg, rice, a little sautéed onion, and salt. Knead thoroughly, form meatballs and bake in a mold with sour cream sauce.

Fish quenelles with milk sauce

Beat the fish fillet in a blender. Add wheat bread crumb soaked in milk or semolina. Mix everything and beat again. Gradually add a little cream and whipped egg white, add salt. Use two tablespoons to form quenelles from the dumpling mass, place them on a baking sheet and bake. Can be steamed. Serve with milk sauce.

Dessert

Lapshevnik with cottage cheese

Boil the noodles, add grated cottage cheese, sugar, egg and knead. Post to suitable shape and bake in the oven until a rough crust forms. Serve with sour cream.

Cheesecakes with carrots and dried apricots

Grate the carrots and simmer with the addition of water and butter. Finely chop the dried apricots, add the grated cottage cheese, add the egg, sour cream, flour, dried apricots and carrots. Form cheesecakes from the curd and carrot mixture and bake them in the oven.

For children

Dietary nutrition for pancreatitis in children is based on the same principles as in adults, based on Diets 5P However, it is necessary to adjust the energy value and nutrient composition of the child’s diet in accordance with age.

Abdominal pain indicates problems with internal organs

When a person has gland pain, it is necessary not only to take medications, but also to eat certain foods. If you eat everything in a row, then it is possible that the disease will worsen.
In order to find out what the diet should be for pancreatitis, you need to consult your doctor. and the set of foods that you can eat will help prevent pain from appearing, and will also help you get rid of inflammation faster. There is no need to be mistaken that if you go on a diet, it means everything will be tasteless. Products that are considered beneficial for pancreatitis can be combined in such a way that the dish turns out beautiful and tasty.

An organ such as the pancreas is important in the digestive system. How quickly and well food is digested will depend on how healthy she is. The pancreas produces enzymes and insulin.

Disturbances in the functioning of this organ can result from various inflammations that can occur both in the gland itself and in nearby organs.
If a person experiences pain in the upper abdomen, has nausea, or has begun to lose weight rapidly, then this is a reason to visit a doctor, who will tell you what you can take and what you can eat.

Prohibited foods for pancreatitis

Drinks of this kind are harmful to the pancreas

With a disease such as pancreatitis, there are a number of foods that are prohibited from being consumed, as they can provoke an exacerbation of the disease. These products include:

1. Any types of alcohol.
2. Energetic drinks.
3. Very cold drink.
4. Carbonated drinks.
5. Fast food.
6. Salty, fatty and spicy foods.
7. Baking, especially for cakes that have a lot of cream.

If a person has an attack of pancreatitis, then it is best not to eat anything for 3 days so that the pancreas is not overloaded. And in order to maintain strength, it will be necessary to make a glucose drip. You can start eating on days 4-6, and then only low-calorie foods. You need to pay attention to the fact that you need to eat often, but in small portions. You should avoid foods that cause constipation and bloating.
The main goal of the diet will be the complete exclusion of foods that can cause the formation of high acidity in the stomach. Most often, people whose pancreas does not work as it should should go on a diet for 7-9 months, and only after that it will be possible to gradually introduce foods that were previously prohibited.

What can you eat when your pancreas hurts?

Curd cheesecakes