Allowed and prohibited foods for pancreatitis: list, how to create a menu. What can you eat if your pancreas is worsening? What you can do in case of exacerbation of pancreatitis list

Diet during exacerbation of chronic pancreatitis is a necessary measure to neutralize rather painful symptoms. The very fact that the disease has become protracted already indicates serious negative changes in the functioning of the pancreas. For this reason, special attention should be paid to the formation of the diet.

The effect of the disease on the body

If you have to deal with an exacerbation of chronic pancreatitis, diet and treatment in general are mandatory. Otherwise, quite serious consequences may arise.

A similar diagnosis is made if the process of inflammation periodically resumes in the pancreas. As the exacerbation develops, enzymes that destroy it are activated in this organ. Edema, necrosis, and in some cases even fibrosis or suppuration may develop.

Anyone who has been diagnosed with chronic inflammation of the pancreas should know what diet, treatment and symptoms look like for such a disease. Exacerbation of chronic pancreatitis does not pass without a trace: scars remain on the healthy tissue of the affected organ. This fact means that gradually there is less and less healthy tissue in the pancreatic gland.

Note. Patients with chronic pancreatitis are forced to constantly deal with periods of subsidence of the disease and its relapse. Therefore, knowing how to eat right is simply necessary.

You can understand that an exacerbation has begun by symptoms such as:

nausea;
sharp pain in the right and left hypochondrium, which becomes noticeably stronger after eating;
increased body temperature;
bloating;
painful and frequent vomiting;
loose stool.

If such symptoms appear against the background of chronic inflammation of the pancreas in the first two days, it is better to completely abstain from food. In this case, you can drink tea at room temperature or still alkaline water, but not more than 1.5 liters per day. When choosing water, it is better to focus on brands such as Polyana Kvasova, Luzhanskaya, although other options are possible.

Important! Therapeutic mineral water has a suppressive effect on the secretion of gastric juice. This, in turn, greatly facilitates the work of the pancreas.

stabilize metabolic processes after a disorder has occurred;
normalize the production of digestive enzymes.

At the same time, it is better to eat food in small quantities and often: 6 to 7 times a day.

How to select products

Creating an effective diet will not be easy without knowing what you can eat during an exacerbation of chronic pancreatitis.

Here are the foods and dishes you should start with when the pain subsides somewhat:

cheese, with the exception of spicy varieties;
steam puddings based on unleavened calcined cottage cheese;
butter and milk can only be used as ingredients for specific dishes, while you can drink kefir and yogurt;
pureed soups with various cereals (millet is an exception), provided that no broth is used for their preparation;
You can drink compotes and jelly from dry and fresh fruits; you should not ignore the rosehip decoction.

During the diet for chronic pancreatitis during the period of exacerbation, turkey, chicken and lean veal are used, and the meat should only be boiled. You can eat white bread, but it must be dried.

In general, the selection of products should be done with the accompanying consultation of an experienced doctor.

Advice. If you want something sweet, you can opt for pineapple and strawberries.

Decoctions of medicinal herbs have a beneficial effect on the body - you can safely drink them.

Exacerbation of chronic pancreatitis is a period when many products become prohibited. Here's what you'll have to give up:

pastries from butter dough;
ice cream;
bananas, figs, dates, grapes;
alcohol in any of its forms, coffee, sparkling water and sweet juices;
desserts containing rich cream and chocolate;
Eggs are prohibited, the only exception is omelette;
legumes, sorrel, onions and mushrooms;
sausages, sausages and sausages, pates;
lard, fatty foods, smoked meats, everything that was cooked in a frying pan, and offal;
canned food, fish roe;
You will also have to give up mayonnaise and other sauces.

Important. If symptoms of an exacerbation of the chronic form of the disease appear, you should stop eating until the pain goes away.

What should a diet look like?

The menu for exacerbation of chronic pancreatitis may be different, the main thing is to use suitable products. Two examples will help you better understand the essence of the diet.

First option

You can start your breakfast with liquid oatmeal without adding oil, supplementing it with a protein omelet and jelly. Fruit jelly is suitable for second breakfast. Lunch should include mashed potatoes and boiled beef stew, as well as weak tea.

Curdled milk is one of the best options for quenching thirst during an exacerbation of pancreatitis

The afternoon snack will consist of buckwheat porridge or low-fat cottage cheese with lightly brewed tea. A good option for dinner would be steamed chicken cutlets, zucchini puree and dried fruit compote.

At night you can eat white bread crackers and drink mineral water.

Note. Meals during exacerbation of chronic pancreatitis in the first days after an attack should include only steamed food, as well as liquid dishes.

Second option

For breakfast you can serve potato casserole with fish and tea. The role of second breakfast should be given to low-fat cottage cheese. At lunchtime, you can opt for carrot puree, steamed fish cutlets, oatmeal soup and jelly. Next, for an afternoon snack, an omelette is prepared from proteins (using steam), and for dinner - boiled pureed buckwheat porridge without oil and a curd soufflé.

Before going to bed, you can drink yogurt or a glass of fruit juice.

Having found out what you can eat during an exacerbation of chronic pancreatitis, it is easy to draw the following conclusion: due to the large number of prohibited foods, the therapeutic diet will not be as varied as the diet of a healthy person. But this measure is necessary to neutralize the symptoms.

In order not to lose your health, you need to take the problem of exacerbation of chronic pancreatitis extremely seriously. Treatment and diet in particular must be present without fail. In this case, the process of forming a diet must be coordinated with a doctor. For example, the period of fasting after the onset of exacerbation symptoms should be determined individually, taking into account the patient’s condition.

Important. In general, the diet should be protein-carbohydrate. At the same time, the consumption of easily digestible carbohydrates may be questionable if diabetes is suspected.

Without following a diet, it will be extremely difficult to cope with the disease, or it will not be possible to do it at all.

Results

You need to understand that chronic pancreatitis is a disease that can be fatal, especially if it worsens. But if you visit a doctor on time, formulate a diet correctly and stick to it accurately, without taking liberties, then the chances of a positive outcome will increase significantly.

You need to know harmful and beneficial foods for pancreatitis if you have experienced what inflammation of the pancreas is. The principles of nutrition for pancreatitis, a list of foods, a diet, a nutritionist tells you in detail about all this to the patient. Those foods and their components that can cause deterioration in the health of the organ are prohibited. On the contrary, products that ease the load on the gland are welcome.

Pancreatitis can occur in acute or chronic form. Each stage is shown with a separate menu.

What not to eat with pancreatitis: prohibited foods

Treatment of acute inflammation begins with rescue fasting. Surely everyone has at least once heard such an expression as “Cold. Hunger. Peace." These three components are what the iron needs in the first place. Before the arrival of the ambulance, which is required to be called if an acute inflammatory process is suspected, you can apply a heating pad with ice to the abdominal area. After the required interventions, the patient is given absolute rest and bed rest.

Hunger is usually maintained for two/three days. At this time, you are allowed to drink Borjomi, Narzan or Essentuki 4 mineral water, 1 glass four times a day. Next, they begin to introduce products supplied in crushed liquid form. Food is steamed or boiled. Do not bake in the oven, fry or stew.

Upon reaching remission, the diet is noticeably enriched, but many things still remain prohibited.

The list of prohibited foods for pancreatitis is headed by alcohol, as one of the most likely causes of the disease. It is also advisable to give up smoking. Fatty and seasoned foods have a negative impact on the functioning of the pancreas. Any products that can load the gland, irritate the mucous membranes or stimulate the synthesis of enzymes and juice are strictly taboo.

Prohibited foods for pancreatitis: table

Flour	Fresh bread, puff pastry, rye bread pastries
Soups	Fish broth, mushroom broth, meat broth, poultry broth, borscht, okroshka, beetroot soup, cabbage soup
Fatty poultry, fish and meat	Pork, chicken liver, lamb, duck, brains, beef liver, salmon, lard, dumplings, cod liver, chicken gizzards
Smoking	Sausages
Marinades	Mushrooms, vegetables, fish, fruits, meat
Pickles	Sauerkraut, cucumbers, tomatoes, bell peppers, eggplants
Sweet	Condensed milk, waffles, pastry creams, sweets, jam, halva, oriental sweets, ice cream, corn sticks,
Legumes	Lentils, peas, beans, soybeans, chickpeas, corn
Dairy	Cream, sour cream, herbed cheese, milk
Cold appetizers	Sandwiches, cheese balls, cheese and cold cuts, crab sticks, red caviar, jellied meat, sushi and rolls
Vegetables	Radish, ginger, garlic, spinach, tomatoes, horseradish, radishes, cabbage, cucumbers, onions and green onions, sorrel
Fruits and berries	Lemon, pears, grapefruit, pomegranate, kiwi, cranberries, olives, cherries
Sauces and seasonings	Fish broth, soy sauce, meat broth, mayonnaise, vinegar, ketchup, squash caviar, bay leaf
Beverages	Alcoholic, carbonated, coffee, kombucha, chilled, grape juice, kvass, cocoa

Allowed products: pancreatitis

Products for pancreatitis and what you can eat are represented by the following list - vegetables, fruits, berries, lean meat, poultry, seafood and fish, drinks, etc. Meals for acute inflammation are recommended eight times a day, upon reaching remission - five times a day. Portions should be the size of a handful of one palm. The approximate interval between meals is 3-4 hours. Drinking plenty of fluids is an essential part of the diet. You need to drink at least two liters a day.

It is advisable to remove the peel from fruits, vegetables and berries. You need to choose fresh and ripe fruits. You will still have to abstain from sour varieties. Nuts are consumed with caution. Each new product is introduced with a minimum portion of several grams or pieces, gradually increasing the volume to the acceptable level.

What can you eat with pancreatitis food list

Drinks: not concentrated tea, rosehip decoction, milk tea, cranberry and lingonberry juice, Borjomi, jelly, apple juice, Narzan, homemade non-acidic fresh juices, Essentuki-4, .
Flour and sweet: honey, yesterday's bread, marmalade, marshmallows, crackers, oatmeal cookies.
First courses: soups with cereals and noodles, soups with vegetable broth.
Lean meat, poultry, fish and seafood: pike, shrimp, veal, bream, cod, mussels, carp, squid, pike perch, beef, rabbit, turkey, meat pates, capelin, chicken.
Fermented milk products: homemade cottage cheese, yogurt, yogurt, goat milk, fermented baked milk, soy milk, whey, cheese without spices, kefir.
Eggs: omelettes from chicken egg whites, quail eggs.
Cereals: buckwheat, rolled oats, rice, semolina.
Noodles and vermicelli.
Vegetables and greens: pumpkin, celery, zucchini, cauliflower, potatoes, carrots, broccoli, seaweed, dill, beets, artichoke.
Fruits, dried fruits and berries: apple, dates, prunes, raisins, dried apricots, blueberries, strawberries, viburnum, melon, watermelon, raspberries, peaches, cherries, plums, pineapple, bananas, goji, black currants, avocado, figs, mangoes, apricots , lingonberries, tangerines.
Nuts: cashews, pistachios, hazelnuts, almonds, peanuts.

The above list consists of foods that can be included in your diet once you have achieved remission and have had no symptoms of pancreatitis for a long time. If you have a negative reaction to any of them (gastrointestinal upset, weakness, increased body temperature), exclude them until better times.

Nutrition should be varied and balanced. In case of chronic pancreatitis, the emphasis should be on proteins. This menu is suitable not only for people with disorders of the pancreas, but also for all those who face problems with the digestive system. Moreover, for anyone who wants to eat healthy and get in shape, these recommendations will come in handy.

The norm in adults and the structure of the organ are head, body, tail.

Gastroenterologists answer patients' questions.

Pancreas as the main factor in successful treatment.

Gastroenterologists assign a significant place to dietary nutrition in the treatment of pancreatitis. The pancreas needs to “restart”, and this can only be done by sparing the gastrointestinal tract as much as possible.

Therefore, it is very important to know the nuances of proper organization of the diet and not to consume prohibited foods for pancreatitis.

Organizing proper nutrition for a problem pancreas consists of simple rules:

Food is processed mechanically. All solid products are well boiled, crushed, and pureed.
Food is prepared only by boiling, steaming or in a slow cooker. It is unacceptable to fry, smoke, dry, pickle, or preserve anything.
Overeating is prohibited. The stomach is loaded in small portions, but regularly. The ideal diet plan is to eat every 3-4 hours, and 2 hours before bedtime, allow yourself only a glass of water or herbal infusion.
All products must be fresh. Vegetables and fruits are ripe. Meat – not defrosted. Milk - not the last day in the specified production period.
Food is taken at the optimal temperature – no more than 50°C, but not less than 20°C. You should not eat hot or cold food directly.

You will have to resolutely give up bad habits. We are not talking only about nicotine or alcoholic beverages (they are out of the question in case of pancreatic diseases). You need to reconsider your tendency to have chaotic snacks - on the run, dry food or at night.

What not to eat with pancreatitis: prohibited foods

Some products may have a double "reputation". For example, low-fat cottage cheese or 1% kefir are seemingly ideal dietary foods. But with gastritis with high acidity, milk can cause harm. Whether or not one product can be used often depends on the period of the disease (remission, attack, chronic course) or concomitant diseases.

However, there is a list of foods and dishes that are strictly forbidden to eat for any form of pancreatitis:

All fresh baked goods, all types of pies, cakes, buns.
Chocolate products, caramel, condensed milk, ice cream, nuts, figs, dried apricots.
All legumes.
Types of fatty, rich first courses are excluded - borscht, rassolnik, mushroom soup. Cold dishes such as beetroot soup or okroshka are also prohibited.
You need to forget about fatty fish, poultry and meat - especially pork and lamb. All smoked sausages, canned food, and dried fish are excluded.
If you have pancreatitis, do not eat fried or hard-boiled eggs.
Sour cream, yoghurt, margarine, fatty milk, cottage cheese and butter are excluded from dairy products.
Porridge is not cooked from pearl barley and millet.
As for vegetables, they forget about radishes, cabbage, peppers, spinach, onions and garlic.

Naturally, any fast food and spicy food is prohibited. Taboos are imposed on coffee, soda, grape and grapefruit juices.

What can you eat with pancreatitis: list of products

Despite the impressive list of prohibited foods, there is still a lot of room for good nutrition even with pancreatitis.

Flour products	Yesterday's bread (preference – whole grain, rye, wheat), homemade crackers, dryers, biscuits, crispbread. During periods of remission - noodles and spaghetti (up to 170 grams per serving).
Cereals	Rice, buckwheat, oatmeal, semolina.
Types of vegetables and herbs	Vegetables include potatoes, pumpkin, beets, carrots, eggplants, and zucchini. You can add 1 tbsp daily. l. chopped celery, parsley and dill.
Fish dishes	You can eat the pulp of varieties with the lowest fat content (hake, cod, pike perch), boiled or cooked in a slow cooker. Fish meatballs and broths.
Seafood	Sea kale.
Meat menu	For preparing broths, steamed cutlets and meatballs, preference is given to chicken, rabbit, turkey, and lean veal.
Fermented milk	Kefir, low-fat cottage cheese, cheese are not prohibited with normal or low stomach acidity.
Eggs	Steamed omelette made from chicken and quail eggs.
Oil	Refined sunflower, olive, flaxseed, pumpkin. In stable remission - creamy (no more than 30 grams per day).
Fruits	Bananas, baked apples.
Bee products	Honey, propolis, royal jelly.
Spices	Sesame, fennel, cumin, turmeric, cloves.

What vegetables can you eat?

You don’t have to be afraid to eat potatoes, carrots, and beets. Zucchini and pumpkin are also considered light vegetables for pancreatitis and gastritis. If the acidity of the stomach is not increased, eggplants and cauliflower are allowed.

You will definitely have to give up the following vegetables and types of greens:

pepper (bell pepper, salad, hot);
daikon and radish;
garlic and onions (onions and greens);
sorrel and lettuce;
rhubarb and horseradish.

During periods of remission, with great caution, allow yourself small portions of tomatoes and cucumbers. Naturally, you need to be sure that the vegetables are not full of nitrates and have not been stored in warehouses for a long time. It is best to buy vegetables from village markets during the appropriate season.

What fruits or berries can you eat?

If you have pancreatic disease, you can eat:

Non-sour apples and ripe pears. The best ones are baked and pureed. The skin and core are removed. Compotes made from dried fruits with sweeteners (sorbitol or xylitol) are good.
Bananas. Already 5–7 days after the exacerbation.

Decoctions of dried rose hips and black currants are very healing.

Compotes, jelly or jelly are useful from fresh lingonberries, chokeberries, bird cherry and blueberries. The only contraindication for these berries is a tendency to constipation.

On days of stable remission, you can treat yourself to:

ripe melon and avocado pulp;
a slice of pineapple;
several slices of tangerine (without film).

No grapefruit, pomelo, orange. These citrus fruits are highly acidic.

It is better to exclude grapes, plums and apricots completely.

Raspberries and strawberries are prohibited due to their hard seeds and increased sweetness. The same applies to fresh blackcurrants. These berries can be added outside of periods of exacerbation of pancreatitis.

What can you eat from meat?

The diet for pancreatitis and cholecystitis does not exclude poultry dishes - chicken, turkey, pheasant, duck. The meat is eaten well cooked and pureed. Before cooking, it is important to remove all membranes, visible fat, cartilage and tendons.

During the remission stage, the meat menu is varied with lean veal and rabbit. You can boil chicken gizzards and liver. But only when there are no dyspeptic symptoms, especially diarrhea.

The listed types of meat are used to make meatballs, steamed cutlets, and casseroles with semolina. Broths of the second boiling are used as a basis for vegetable puree soups.

If the recovery dynamics of the pancreas is positive, nutritionists allow supplementing the diet with boiled beef tongue, as well as doctor’s milk sausage (without spices or preservatives).

It goes without saying that meat cannot be fried, smoked, or marinated in onions or peppers.

What kind of fish can you

Of river and sea fish, the following varieties are allowed with a fat content of up to 4%:

the lowest fat content (less than 1%) is found in river perch, saffron cod, cod, pollock, whiting;
Fish with 2% fat content include roach, mullet, pike, flounder, lamprey and whitefish;
no more than 4 percent fat is contained in sea bass, hake, rudd, herring and carp.

Fattier fish, such as catfish, carp, tuna, pink salmon, anchovy and capelin, are allowed only in the remission stage.

The fish must be fresh, stored on ice. Frostbite can be judged by a yellowish tint on the belly.

For dishes, fillet that has been removed from skin and bones is used. The first month after an acute attack, fish is administered in ground form. Steam cutlets are prepared from it and added to vegetable puddings.

Milk

If you have pancreatitis, it is strictly prohibited to consume condensed milk, yoghurt, ice cream, processed or smoked cheese.

When choosing a dairy product in a store, you need to carefully study the composition for the absence of additives. Be sure to pay attention to the date of manufacture and fat percentage.

Milk is introduced into the diet no earlier than the second week after an acute pancreatic attack. Start with 1% kefir. Then you are allowed to add 50 ml of 1.5% milk or 5-10 g of unsalted butter to the porridge.

Remission and the absence of gastritis with high acidity allow you to add low-fat varieties of hard cheeses and cottage cheese to the menu.

Cereals

Rice and buckwheat can be called the safest for the gastrointestinal tract. They are cooked in a steam bath or in a slow cooker. Rice or buckwheat flour is used as a component for fish cutlets, vegetable puree soups, and in the preparation of homemade bread.

Following rice and buckwheat, semolina is introduced into the diet. Porridge is boiled in water or used in curd and fruit puddings prepared in a slow cooker.

To diversify the remission menu, you can eat wheat and oatmeal porridge. To ensure complete boiling and ease of digestion by the stomach, the cereals are pre-soaked for an hour or two.

In some cases, nutritionists allow these cereals soon after acute pancreatitis. The astringent, enveloping properties of oats restore the gastric mucosa well after relapses of gastritis, cholecystitis and other gastrointestinal diseases.

Sweets and pancreatitis

Natural sucrose is found in sufficient quantities in fruits and berries. Jelly, compotes, decoctions, puddings, and casseroles are made from the permitted ingredients.

Honey and bee products sweeten the lives of people suffering from pancreatitis. They not only provide a delicious variety of herbal infusions and breads, but also have a beneficial effect on the functioning of the gastrointestinal tract.

Dry bread or biscuits go well with tea or kefir. You need to choose them in the dietary departments of stores and check the composition on the packaging.

In the remission stage of pancreatitis, nutritionists allow meringue (protein soufflé). It is better to prepare it yourself by whipping the egg whites with a sweetener and drying them in the oven at low temperature.

Under no circumstances should condensed milk, ice cream, figs, chocolate or baked goods be consumed. High sugar and fat content will cause an acute attack of pancreatitis and complications.

Seasonings

Spices and herbs significantly improve the taste of dishes. The diet for pancreatitis does not prohibit the use of certain types of seasonings:

cinnamon, turmeric and cloves;
sesame and flax seeds;
parsley and dill (dried or fresh);
Provençal herbs and fennel.

Coriander, basil and mint are carefully introduced into the menu. After several months of successful treatment of pancreatitis, bay leaves are added to soups.

Horseradish, mustard, garlic, onions and vinegar are strictly prohibited at all stages of pancreatitis. You should absolutely not eat greens with a high level of acid - lettuce, sorrel, green onions and garlic, spinach.

Diet for acute pancreatitis

The diet for acute inflammation of the pancreas involves a smooth transition from hunger to an expanded table No. 5:

During the first day, nutrients enter the body exclusively through the parenteral route. If you manage to stop nausea and vomiting, give liquids at room temperature to drink - clean water, rosehip decoction, unsweetened tea - no more than 150 ml every 4 hours.
On the 2nd–3rd day you can already take liquid, warm, homogeneous food - slimy porridge, puree soup, berry jelly with a sweetener. Meals during this period are small and frequent, every 3 hours.
After about a week, the menu will be diversified with compote, fruit puree, broth soup with pureed vegetables, steamed omelet, 1% kefir, low-fat cottage cheese, baked apples, steamed meat and fish cutlets.
A month after an acute attack, it is already safe to eat food without thoroughly rubbing it during preparation. Small pieces of fresh fruit, boiled fillets of meat, fish, poultry, and day-old bread are thoroughly chewed during the meal. Single servings are becoming larger, up to 600 g.

All new ingredients are introduced gradually, no more than one per day.

The need to follow a diet

A competent diet and patient discipline are the basis for successful treatment of pancreatitis. You will have to follow a strict diet for many months. But, if you are patient, this path provides a chance to restore full functioning of the pancreas and even cure pancreatitis forever.

Dietary nutrition is the main aspect in the complex therapy of pancreatitis. Without this, it is impossible to stop the intoxication of the body by pancreatic enzymes. A break in the functioning of the gastrointestinal tract and the subsequent gentle regime give time to stop pathological processes, prevent pancreatic juice from starting to digest the pancreas itself and lead to irreversible processes in the tissues.

Consequences of not following the diet

Pancreatitis easily develops into a stomach ulcer, as bleeding opens in the damaged mucosa. And due to the fact that the outflow of bile is impaired, the liver is affected and there is a risk of developing hepatitis.

Refusal to follow the diet is fraught with other serious complications with the development of concomitant diseases:

duodenal obstruction;
gastritis;
cholecystitis;
duodenitis;
glb (cholelithiasis);
thrombosis of the splenic veins;
formation of cysts and malignant tumors.

In addition, a frequent companion to chronic pancreatitis is diabetes mellitus. The pancreas is responsible for producing enzymes for digesting food and insulin, which is necessary in the breakdown of sucrose. Only strict adherence to all the nutritionist’s instructions will stop pathological changes in pancreatic fermentation.

Sample menu for the week

Every week you can create combinations of dishes for dietary nutrition from permitted foods. Menu may vary. This is not important if you want to eat a dish that is usually eaten for breakfast for an afternoon snack.

It is more important to ensure that your daily diet is as varied as possible. That is, if some dairy product was already present at breakfast, something else is chosen for the afternoon snack.

Breakfast options:

oatmeal with water or milk (depending on the permission of the attending physician) with tea;
omelette (maximum of 2 eggs), a piece of black bread, a bowl of dried fruit;
curd-semolina pudding, cooked in a slow cooker, with herbal tea;
rice milk porridge and weak black tea with honey;
cheese biscuits with baked apples, berry compote;
oatmeal and blackcurrant decoction;
Greciano - carrot casserole, a slice of yesterday's bread with honey and green tea.

A light snack in the form of a second breakfast may consist of:

banana;
baked apple with honey;
berry jelly;
apple jelly;
fruit mousse;
vegetable mousse;
tea with bread.

Lunch dishes:

vegetable soup, steamed chicken fillet, compote;
carrot-pumpkin soup, steamed fish fillet, rosehip infusion;
chicken broth with crackers, boiled carrot or beet salad, green tea;
soup with turkey fillet and buckwheat, zucchini puree, herbal mixture;
fish soup, rice with boiled carrots, mixed vegetables;
rice soup in chicken broth with herbs, meatballs, dried fruit compote;
beetroot soup, mashed potatoes, fish cutlets, black tea.

Variations for afternoon snacks:

a glass of kefir with biscuits;
baby food (for example, a jar of fruit puree);
tea with milk and crackers;
banana;
applesauce with honey;
berry-fruit jelly;
steam omelette.

Sample menu for dinner:

zucchini stew, baked potatoes, tea with a slice of lemon;
steamed meat or poultry cutlets, grated boiled beets, rosehip decoction;
low-fat cottage cheese with honey, berry jelly;
fish fillet, vegetable puree, green tea;
pumpkin-carrot puree, dried, still mineral water;
steamed lean veal meatloaf with vegetables, herbal tea;
buckwheat with carrot and meat sauce (boil carrots with small meatballs), a decoction of dried blackcurrant fruits.

You can no longer eat anything two hours before bedtime. But an hour before lights out, you can drink some healing drink. This could be a glass of infusion of medicinal herbs or rosehip decoction.

Generally speaking, pancreatitis is inflammation of the pancreas. With this disease, especially in chronic form, you should follow a special diet. Ideally, throughout life, and not just during exacerbations.

Today we will talk about what a person eats before pancreatitis is diagnosed, i.e. about its causes, about a person’s diet after pancreatitis is diagnosed and other important things.

According to research, the most common cause of problems with the pancreas, including pancreatitis, is poor nutrition - addiction to fried, sweet and salty and other junk foods, as well as alcohol, overeating.

Read below about what a person’s nutrition should be after, in particular, what can be eaten and what needs to be “give up”.

Nutrition after diagnosis of pancreatitis

A person’s nutrition after diagnosing pancreatitis is based on 100% avoidance of fried, sweet and salty and other junk foods, and a normal amount of food. Otherwise, the table will be exactly the same as before - varied and nutritious. And don't think that healthy food doesn't taste good. This is wrong.

Diet "No. 5": the basics

Diet “No. 5” was developed by Soviet doctors for people with chronic pancreatitis. Its goal is to reduce the production of pancreatic secretions. It involves a responsible approach to food selection, portion sizes and cooking methods.

More precisely, diet “No. 5” is based on:

the advantage of proteins;
minimum fats and carbohydrates;
excluding heavy meat and coarse fiber.

Portions should be no larger than your two fists clasped together.

It is best to cook by steaming, which, by the way, will not be superfluous even in the absence of pancreatitis. Thus, buying a steamer kills two birds with one stone: it is useful both for the patient and for all other family members.

During exacerbations, in order to improve the condition, you need to avoid eating for one or two days and without sugar.

Diet required:

give preference to proteins, as they contribute to the restoration of the pancreas;
do not overeat or be hungry for several hours (if you are going on a long trip, be sure to take a snack with you);
divide the entire amount of food per day into 5, and if possible, then into 6 meals;
do not eat or drink anything very hot or, conversely, very cold - everything that enters the gastrointestinal tract should be of medium temperature;
limit salt intake to 8–10 grams per day;
do not treat the list of what you can eat and what you cannot eat with constant pancreatitis as the ultimate truth;
you should take into account how you feel after preparing a recipe for this disease;
introduce new foods into the diet carefully, just a little at a time;
do not eat for one or two days and drink a decoction of rose hips without sugar during exacerbations.

If you follow all the rules and, just as important, do it regularly and not from time to time, the load on the digestive system will become much lower and, in particular, the pancreas will produce less secretion.

Diet “No. 5”: food

According to diet “No. 5”, with constant pancreatitis (not during exacerbations), it is allowed to eat:

bread, if it is made from premium flour and has been left for several hours (dry fresh baked goods), as well as other products made from premium flour, if they contain little sugar;
pasta;
cereals - oatmeal, semolina, buckwheat, rice in the form of porridge with water or with a small amount of milk; seasoned with a small piece of butter or a teaspoon of sour cream;
milk - if store-bought and diluted with water, if homemade, and then only for preparing porridge; cottage cheese with a low fat content in pure form or in the form of a dish, for example, cottage cheese casserole; with a low percentage of fat content and without any additives;

meat with a low percentage of fat, which is beef and veal, chicken and turkey without skin, simply boiled or in the form of boiled meatballs, steamed cutlets;
, and the yolk should be thrown out or, if you really want it, diluted in half with water and added to the same steam omelet;
fish with a low fat content, simply boiled or in the form of steam cutlets;
vegetables - potatoes, carrots, zucchini, cauliflower, pumpkin, simply boiled or in the form of puree soup;
– 100% ripe and sweet both raw and cooked, for example, apples baked in the oven;
drinks - with lemon, milk, juice without sugar.

Vegetable oil and butter are allowed - their volume should not exceed 10 - 15 ml and 30 ml, respectively, which is equal to less than a tablespoon. They can only be placed in a prepared dish.

As for exacerbations. As noted above, you need to not eat for one or two days and drink a decoction of rose hips without sugar. This drink can be replaced with another drink with an alkaline environment - green tea without sugar, mineral water with sodium bicarbonate without sugar.

If at this time you can’t go without food at all, then make a choice in favor of food with a uniform consistency - jelly, jelly, oatmeal decoction. It not only envelops the mucous membrane of the gastrointestinal tract, but also provides rest to the pancreas, making it less active. You can also eat a few pieces of yesterday's or today's food, but this does not stimulate the production of pancreatic secretions.

More information about nutrition during exacerbations

As soon as several days have passed after an exacerbation of persistent pancreatitis - from 3 to 5, depending on the patient’s condition, the diet is supplemented with foods with carbohydrates, because they least of all “affect” the pancreas. These include:

mashed potatoes;
porridge with water (low-fat milk and milk diluted with water, as during remission, are not allowed);

The amount of carbohydrates should not be more than 200 grams per day.

During this time you should under no circumstances eat:

meat, even with low fat content;
fish, even with low fat content;
milk;
vegetable and butter.

After seven to ten days, the diet expands:

meat with low fat content;
fish with low fat content;
fermented milk with low fat content;
vegetables;
fruits.

And over time the menu will increase.

Diet “No. 5”: prohibited foods

In turn, with persistent pancreatitis it is not allowed to eat:

bread, even if it is made from premium flour, but very recently; products made from puff pastry and shortcrust pastry; all kinds of goodies - chocolate, caramel, ice cream, jam;
cereals – pearl barley, millet, barley;
soups with strong broth - no matter from meat, poultry or fish, soups with undiluted milk, cold soups like okroshka and sour soups like cabbage soup and borscht with sauerkraut;
meat with a high percentage of fat content, such as pork and duck, sausage, canned meat;
fish with a high percentage of fat, any fish if it is stewed or fried, canned fish;
eggs, if hard-boiled or fried;
vegetables - mushrooms, white cabbage, radishes, sweet and bitter peppers, sorrel, garlic;
fruits - bananas, grapes, dates;
drinks - black and green tea, if they are strong, coffee, cocoa, juice with sugar, grape juice, even if without sugar, soda, alcohol.

Thus, we are convinced that the diet is varied and nutritious - there is little that cannot be eaten with this disease.

Indicative menu during remission

Since there are many foods allowed for the disease we are considering, there are no problems with choosing a diet that contains a large amount of proteins and a minimum of fats and easily digestible carbohydrates.

Indicative menu for a person with persistent pancreatitis during remission:

Breakfast No. 1: porridge with water or milk - with a low percentage of fat or diluted with water (oatmeal, semolina, buckwheat, rice) or a piece of lean meat or poultry with day-old bread, plus black or green tea without sugar or, which is much better, a decoction rose hips without sugar.
Breakfast No. 2, approximately one to two hours after the first breakfast: the whites of two eggs, soft-boiled or in the form of a steamed omelet, a cup of chicory - a kind of analogue of coffee, only harmless.
Lunch: soup with light chicken broth or vegetable broth, or some thoroughly boiled pasta with steamed cutlets, plus a decoction of dried apricots and prunes.
Afternoon snack: 100 grams of 1% cottage cheese, except for those prohibited, plus compote of the same fruits.
Dinner: fish fillet, boiled or steamed, plus black or green tea without sugar.

You can also drink a glass of 1% kefir with two or three cookies like a cracker before going to bed.

Taking mineral water

Taking mineral water for persistent pancreatitis is very beneficial for the body. But only if it is drunk not to quench thirst, but according to a plan developed by a doctor.

It is necessary to take a little, in small sips several times a day, 20 - 30 minutes before meals. It is best to drink from the source itself, but you can also drink at home. The drink should be at room temperature, not from the refrigerator.

A general positive effect on the gastrointestinal tract is observed when taking mineral water such as:

Essentuki No. 17;
Arkhyz;
Slavyanovskaya;
Naftusya.

If pancreatitis becomes chronic, it is replaced with the following mineral water:

Essentuki No. 4;
Borjomi;
Smirnovskaya.

She cites:

reducing the likelihood of bile stagnation both directly in the pancreas and in the bile ducts;
reducing the risk of inflammatory diseases;
eliminating malfunctions of the digestive system.

All of the mineral water listed above can be purchased at any pharmacy. The duration of treatment is from two to three weeks to six months, depending on the complexity of the situation. During exacerbations it is suspended.

About seeds and nuts

Since sunflower and pumpkin seeds are high in protein and fat, they can act as an alternative to meat or fish. However, they should not be eaten during an exacerbation of this disease.

But there is one thing: the seeds can only be consumed raw or in the form of halva.

Regarding other nuts - peanuts, pistachios, almonds. They, like walnuts, are allowed, but only in remission.

Seeds and nuts can be eaten as a separate dish or added to other dishes, for example, porridge.

Pancreatitis, including permanent pancreatitis, is not so scary only if you follow a special diet. In order for the treatment to be most effective and life to remain almost the same as before, seek help from a specialist. He will create a meal plan that is right for you. Remember that self-medication may not only not give any result, but also aggravate the disease.

Pancreatitis is understood as an inflammatory process of various etiologies in the tissue of the pancreas (PG). One of the fundamental functions is the formation of pancreatic digestive juice, which is necessary in the normal act of digesting incoming food.

Another important task is hormonal function - the production and control of insulin and glucagon. Without the participation of the pancreas, a healthy act of digestion is not possible. What can you eat if you have pancreatitis? What foods can you eat if you have pancreatitis?

Those who have encountered pancreatitis are curious: “?”, “Which one?” What’s not allowed?” Let's consider what it should be.

In everyday communication you can often hear the following statement: “pancreatitis of the pancreas,” and if you look at it, pancreatitis carries this meaning, an inflammatory process in the tissue of the pancreas (translated from Latin “pancreas” - pancreas, and “ it" - inflammatory process).

Ideally, it is created for a person. When selecting, the doctor is guided by the following criteria:

severity of pancreatitis,
etiology of its occurrence,
intolerance to some food components,
the presence of concomitant diseases,
taste preferences.

In case of acute pancreatitis or decompensation of existing chronic pancreatitis (CP), a special approach is required. What can you eat if you have pancreatitis? For the first days, hunger is prescribed, even the sight and aroma of food is avoided. Treatment is carried out in a hospital, bed rest is issued, and is accompanied by examinations by doctors.

Can you drink if you have pancreatitis? In the first three days, the fluid is compensated through the intravenous route, then take water orally. The main route for obtaining useful components and water is intravenous.

The period of fasting in acute pancreatitis can vary from one day and in rare cases up to 20. However, the transition to oral nutrition should occur as early as possible.

Principle of diet therapy: The diet is introduced in stages, the list of products is gradually expanded and the volume of healthy food is increased.

The consistency of the dishes is semi-liquid or moderately liquid. The food first undergoes mechanical grinding, temperature processing and is served at a warm temperature.

All this helps to normalize the affected functions. Regulates the functioning of the body and produces a therapeutic effect:

elimination of pain syndrome,
regulation of elevated enzymes,
elimination of intoxication.

Allowed products for pancreatitis are grouped in a list. What can you eat if you have pancreatitis?

Stage 1. Configured to reduce protein and fat-containing foods in the menu and introduce carbohydrate foods:

The diet is represented by watery porridges, cereal soups and purees made from buckwheat, rice, and rolled oats.
Vegetables are present in the diet in the form of assorted vegetable soups, potato and zucchini purees, vegetable mousses, carrot and pumpkin purees, and soybeans.
Fruits are presented in the form of semi-liquid jelly, apple and pear puree and juice. Is it possible to eat fruits raw? Fresh fruits are not allowed, as they activate fermentative microflora in the intestines, and then cause flatulence and bloating, as well as increased loose stools.
Sweet tea is not strong, crackers or bagels a couple of pieces per day, dried bread, yesterday's bread, wheat, dry biscuits Maria.

Stage 2. Introducing protein-containing foods, starting with easily digestible ones:

Egg white: soft-boiled egg, steamed white omelette.
Meat puree from lean varieties of meat (beef, turkey, rabbit, veal, chicken).
Fish puree from lean varieties of fish (perch meat, pike fillet, cod fillet, pike perch fillet, pollock fillet).
Lactic acid products: semi-liquid lean cottage cheese, semi-liquid lean kefir. Can I eat dairy products? Milk is added to the finished dish or cooked with it.

Stage 3. Introducing fat-containing foods in small quantities.

Creamy natural butter (72%-82%) is added before serving the dish, starting from 2 grams and up to 20 grams per day.
Refined vegetable oil from 2 grams to 15 grams per day.

With pancreatitis, pancreatic tissue is damaged. The diet reduces the production of pancreatic juice. There are foods for pancreatitis that increase the formation of pancreatic juice; they are prohibited during this period.

What should you not eat if you have pancreatitis?

Food prepared from animal meat and fish by frying.
Rich, fatty broths made from mushrooms, fish or meat (lamb carcass, pork fillet, duck and goose fillet, sturgeon, stellate sturgeon fillet, catfish, carp).
Smoked or dried dishes, meat or fish.
Smoked sausages, liver and blood sausages.
Bakery products, freshly baked, soft, rich pastries are contraindicated.
Canned products.
Seasonings, spices, products with a high concentration of extractives (onions, garlic), ketchup, mayonnaise, ready-made sauces, including mustard and pepper or vinegar.
Strong teas, black coffee, acidified juices, sparkling water, energy drinks.
Alcohol and alcohol-containing drinks. Strict ban! Alcohol increases the production of pancreatic juice and changes its biochemical composition, which negatively affects the pancreas. The detrimental effect also affects neighboring organs: liver, duodenum, gall bladder, stomach, sphincter of Oddi, blood vessels, nerves.

As the condition of the pancreas normalizes, complaints regress, laboratory numbers stabilize, diet options diversify, and the volume of food received increases. A week later, introduction of diet No. 5. It is recommended to receive enzyme replacement therapy.

Diet No. 5 (gentle) according to Pevzner, explanation of the diet:

List of products:

With pancreatitis, what can you eat? The list of products consists of animal and plant products. Provides useful elements, the level of carbohydrates and vitamins, proteins, fats, as well as microelements, meets the stated requirements, an energy-rich diet.

When following a diet, the following products should be removed from the menu:

Nutrition during subsiding exacerbation of CP

Nutrition during a subsiding exacerbation of CP is important for:

achieving remission,
restoration of the gland and its function,
stimulation of repair and healing mechanisms,
rehabilitation of other organs,
strengthening the immune system.

The subsequent variety of nutrition takes into account the increased costs in protein products, and ensures the daily norm in fat-containing, carbohydrate-containing products, vitamins and minerals. Further variety of gentle diet No. 5 to No. 5 P.

Protein is increased to 120 grams per day. Protein has a restorative effect on the gland, activates repair processes, relieves inflammation, supports the immune system, and replenishes protein deficiency in the body.

Extended, diet decoding:

Rehabilitation of pancreatic functions, protection of neighboring digestive organs, decreased tone of the gallbladder.
Support of increased protein levels, the level of carbohydrates and fats, on the contrary, is minimized.
Mechanical crushing and chemically protecting diet.
The diet needs to be split up to six times a day.
Food is ground, baked or steamed.
Temperature range from 20 to 55 degrees.
Fat figures: 80 grams, protein: 120 grams, carbohydrates: 300 grams, energy value: 2600 kcal, fluid intake: up to 2 liters per day.

List of products:

A subsiding exacerbation of pancreatitis, what can you eat? For pancreatitis, you can eat animal and plant foods from the presented list of products.

The set of products is similar to the list for exacerbations, the diet is expanded in the form of:

Vegetable soups (except for red and white cabbage).
Vegetables are present in the diet in the form of potato and zucchini casseroles, soybeans, green peas, green beans, cauliflower casserole.
Fruits are presented in the form of semi-liquid jelly, casserole with cereals, without skin. Baked apples, excluding sour varieties.
Meat puree from lean varieties of meat. Fish puree from lean varieties of fish. Steaming, boiling, stewing, baking with cereals and vegetables are welcome.
Cereal porridges with half-and-half milk or water - buckwheat, pearl barley, rolled oats, rice.
Drink: rosehip decoction, black currant juice.
Light cheese, no additives, doctor's sausage, fresh grated vegetables, pasta, spaghetti, noodles.
Is it possible to eat soy for pancreatitis? It is possible, and in case of animal protein intolerance, switch to soy protein.
It is possible to include sets of some spices: vanilla, cumin, nutmeg, cloves, zest, cinnamon.

This diet is followed for 3 months, moderately expanding the diet and the amount of food needed. Prescription of enzyme replacement therapy, for unloading, with food. If digestion problems are detected, they return to the previous stage.

The goals of the diet during this period are as follows:

Relapse prevention,
Correction of nutritional deficiencies,
prevention of CP progression.

Decoding diet indicators:

Following a diet reduces the risk of relapse of pancreatitis, reduces the likelihood of complications, restrains the worsening of the disease, prolongs remission, provides a varied diet, and prolongs life in good quality. The selection of a diet is carried out by a nutritionist, taking into account the individual indicators of each person and the characteristics of the disease. Consult a specialist.