Diet after an attack of pancreatitis
The main function of the pancreas is the breakdown of proteins, fats and carbohydrates with the help of special pancreatic enzymes. Malfunctions of the pancreas can lead to damage or necrosis of the liver parenchyma. Pancreatitis is a major disease of the pancreas that requires hospital treatment with a strict diet to restore the body.
The content of the article
- 1 Symptoms of pancreatitis
- 2 Why do I need a diet for acute pancreatitis
- 3 What is better to eat immediately after an exacerbation of pancreatitis
- 4 Exit from the hunger strike
- 5 Rules for expanding the diet after an attack of acute pancreatitis
- 6 Diet after the first week
- 7 Pevzner's diet
- 8 Allowed and prohibited foods after an attack of pancreatitis
- 9 An example of a daily menu for a patient with inflammation of the pancreas
- 10 Recipes for dietary cuisine for recovery after an attack of pancreatitis
Symptoms of pancreatitis
Acute pancreatitis is characterized by impaired pancreatic fermentation. Normally, enzymes are broken down in the duodenum to help digest food. If the gland malfunctions, the pancreatic juice begins to work even in the pancreas, the organ begins to digest itself.
In most cases, pancreatitis is chronic and is characterized by stages of remission and inflammation. During an exacerbation, the disease is manifested by a lack of appetite, acute abdominal pain, vomiting and stool with particles of undigested food.
An attack of acute pancreatitis is removed in a hospital with the help of droppers, injections and a strict diet. Untimely or incorrect treatment of pancreatitis can lead to diabetes and pancreatic necrosis, which is fraught with a high risk of death.
Why do I need a diet for acute pancreatitis
The pancreas is involved in the digestion of heavy foods. During periods of failure, the organ cannot perform its direct function. Recovery after an attack occurs with the help of medications and a strict diet. To facilitate the work of the pancreas, it is necessary to choose food from low-calorie chopped foods.
Nutrition after an attack of pancreatitis should be easily digestible. Over time, the load on the organ can be gradually increased, but immediately after the attack, a strict diet is recommended. Without proper nutrition prescribed by a doctor, the recovery process will slow down significantly.
What is better to eat immediately after an exacerbation of pancreatitis
The first three days after an attack of acute pancreatitis are called the fasting period. During this period, absolutely nothing can be eaten! You can drink water: plain or alkaline without gas.
All the necessary components for life support are administered intravenously. As a rule, glucose and saline are used as medicines for droppers. Thus, they reduce the load on the pancreas and allow the organ to recover.
Important! You can drink water after the cessation of vomiting, starting with a few sips. The water should be warm - never cold or hot!
Exit from the hunger strike
After stabilization of the condition, the patient is gradually withdrawn from fasting, starting to introduce fractional nutrition. The patient should follow a diet after fasting with pancreatitis, during this period, you can enter the following products:
- Grated vegetable soup without meat;
- Liquid buckwheat and oatmeal on the water;
- Compote of rose hips or dried fruits.
During the exit from fasting, it is important not to overload the stomach, eat in fractional portions 5-6 times a day, and pay attention to the reaction of the body after each meal. Food after a hunger strike should be crushed and warm.
Rules for expanding the diet after an attack of acute pancreatitis
To restore the functions of the pancreas and the proper functioning of the whole organism, it is necessary to adhere to the following rules for exiting from fasting:
- Each new product is introduced in fractional portions. During the day, the body's reaction to new food is observed. In the absence of negative consequences of taking a new product, the portion of the food eaten is gradually increased.
- Food is served warm. The consistency of food is grated, puree - this simplifies the process of digestion of food and eases the load on the pancreas.
- Cooking method: steam or boil. Fried foods are strictly prohibited.
- Drinking is given to the patient between meals, and not after meals.
- Meals should be taken every day at approximately the same time.
- Be sure to follow the diet. Products can be consumed only from the list approved by the doctor. A slight deviation from the norm can negate all efforts and provoke a new attack.
- Don't overeat. The number of meals up to 8 times a day in the first week after an attack. Gradually, the volume of servings can be increased, and the number of meals can be reduced.
- In addition to the diet, the doctor may prescribe vitamins A, B, C and folic acid.
- Compliance with the drinking regimen: you should drink at least 2 liters per day. water. Water helps restore water balance and improve the functioning of the gastrointestinal tract.
- In the first week of treatment, the daily calorie content of products should not exceed 600 kcal.
Diet after the first week
The most difficult, the first week has passed, and the patient is introduced to new products, the diet is expanding, it includes:
- Berry and fruit compotes and kissels;
- Jelly with natural fruits and berries;
- Baked apples;
- Dairy products: cottage cheese, kefir and yogurt without additives;
- Boiled and steamed vegetables;
- Vegetable purees: potato, squash, pumpkin;
- Kashi on the water: buckwheat, oatmeal, rice and semolina;
- Lean fish, steamed or baked in the oven;
- Boiled meat: chicken, rabbit and veal;
- Soups with vegetables and cereals. You can add dietary meat;
- Steamed omelet;
- Homemade croutons.
Compliance with the recommendations of the attending physician in matters of nutrition is the key to a successful recovery.
Pevzner's diet
For the concomitant treatment of an attack of acute pancreatitis, the patient is recommended to adhere to the therapeutic diet No. 5, invented by Mikhail Pevzner. Its essence lies in the use of the right amount of proteins and carbohydrates and minimizing the amount of fat consumed.
Prohibitions from diet number 5: cold food, fried and spicy. All meals consumed should be warm and grated. Minimize salt intake. Feeding in fractional portions, which reduces the load on the gastrointestinal tract.
Daily ration of trace elements in diet No. 5:
- Proteins - 100 gr.;
- Fats - 60 gr.;
- Carbohydrates - up to 500 gr.;
- Salt - no more than 8 gr.
The recommended calorie intake per day is up to 3200 kcal.
Allowed and prohibited foods after an attack of pancreatitis
In order to follow a diet, you need to know the list of allowed and prohibited foods, and stick to it at the stage of recovery:
Diet after acute pancreatitis | |
Can | It is forbidden |
Boiled, stewed, baked and steamed dishes | fried food |
lean meat | Pork, lamb |
Dairy products | Milk in its purest form |
Vegetables and fruits steamed, boiled and baked | Raw vegetables: beets, cabbage |
Lean fish: pollock, hake, pike | Salted and smoked fish |
Drinking fractional, frequent, consisting of kissels, compotes and alkaline water | Carbonated drinks, coffee, strong tea |
Bread, only not fresh, but stale day | muffin |
Kashi: barley, semolina, rice, oatmeal, buckwheat and barley | Mushrooms in any form |
Small amount of vegetable oil: olive or refined sunflower | Butter, sour cream and cream |
Peas, beans, radish, horseradish | |
Hot herbs and spices | |
Sweets: candy, chocolate, ice cream |
Alcohol is one of the main causes of exacerbation of pancreatitis. From its use in any form (be it vodka, a cocktail or a can of beer) should be abandoned forever, to say nothing of the recovery period after an attack of pancreatitis.
Attention! If the patient has concomitant diseases of the gastrointestinal tract, the diet can be adjusted by a gastroenterologist!
An example of a daily menu for a patient with inflammation of the pancreas
There is no need to be afraid of a diet: adherence to a diet will not only prevent the risk of another exacerbation, but will also positively affect the entire body. Dishes from permitted products can be prepared varied, tasty and healthy. An example of a daily diet:
First breakfast: oatmeal, turkey or chicken steam cutlets and scrambled eggs.
Second breakfast: low-fat cottage cheese and dried fruit compote or weak green tea.
Lunch: soup with cereals and vegetables, fish with vegetables in the oven, jelly and a slice of bread.
Afternoon snack: vegetable casserole with boiled chicken;
Dinner: puree soup and a piece of steamed fish;
Second dinner : baked apple and kefir with biscuit cookies.
The main rule of recovery after an attack of pancreatitis is not to overeat. Compliance with the diet and the intervals between meals is the key to the normalization of pancreatic function.
Recipes for dietary cuisine for recovery after an attack of pancreatitis
The secrets to preparing tasty and healthy food are minimizing fat, avoiding frying and reducing salt intake. Top 5 recipes to help recover from an attack of acute pancreatitis.
Homemade cottage cheese
Ingredients:
- Milk - 1 liter;
- Kefir - 0.5 l.
Cooking:
Pour milk into a saucepan with a thick bottom, put on gas and bring to a boil. Add kefir to hot milk, stirring constantly. Then turn off the gas, strain the mass through a sieve. In the finished cottage cheese, add a little grated berries, or a baked apple.
Homemade cottage cheese can be used as a ready-made dish for an afternoon snack, or you can cook casseroles, baked apples with cheese or dumplings on its basis.
Attention: milk for cottage cheese cannot be used homemade, it is too fat! It is best to use store-bought milk with a fat content of 2.5%.
Turkey salad
Ingredients:
- Turkey fillet - 300 gr.;
- Soft cheese - 200 gr.;
- Yogurt without fillers - 0.5 l.;
- Chopped dill - 1 tbsp. l;
- Lettuce leaves - 1 bunch.
Cooking:
Cut the fillet and cheese into cubes, tear the washed lettuce leaves with your hands. Mix all components. Before serving, top the salad with yogurt. Keep the salad in the refrigerator for no more than 12 hours.
Meat soufflé
Ingredients:
- Veal - 250 gr.;
- Homemade cottage cheese: 50 gr.:
- Butter - 1 tbsp. l.;
- White bread - 1 slice;
- Grated cheese - 1 tbsp. l;
- Egg - 1 pc.;
- Chopped dill - 1 tsp;
- Salt is a whisper.
Cooking:
Soak bread in water. Pass the meat with cottage cheese through a meat grinder, add the egg, softened bread, salt to taste and mix thoroughly.
Lubricate the multicooker bowl with olive oil and put the mass into the bowl. Sprinkle grated cheese, herbs on top and put in the baking mode for 40 minutes. Readiness to check with a toothpick.
Protein omelette
Ingredients:
- Eggs - 4 pcs.;
- Salt - a pinch;
- Greens - to taste.
Cooking:
Separate the whites from the yolks. Beat egg whites with a mixer or whisk together with salt. Add herbs and stir gently. Pour the egg whites into a steamer and cook for 10 minutes, then transfer the omelet to a plate and let cool to 50°C.
Fish soup puree
Ingredients:
- Hake - 500 gr.;
- Milk - ¾ mill;
- Flour - 2 tbsp. l.;
- Celery, parsley - to taste;
- Salt - to taste;
- Onion - a small head;
- Parsley root - 1 pc. (for fat);
Cooking:
Boil the fish broth, strain through a sieve. Cut the hake meat into cubes, discard the bones. Add the chopped fillet to the broth, salt, add the parsley root and chopped onion. Cook over medium heat for 25-30 minutes. then grind the soup in a blender, add milk and herbs and mix. Fish soup is ready.
A strict diet after an attack of pancreatitis persists for 4-6 months, depending on the severity of the disease and the speed of recovery of the pancreas. But even after a full recovery, to prevent a relapse, you should forever abandon the use of alcohol, fast foods and spicy foods.