Pancreatitis Nutrition: We discover what you can eat and what is impossible

Pancreas inflammation, or pancreatitis, is a serious disease that can significantly reduce the quality of human life.

It can be caused for many different reasons and proceed in different forms, but in all cases pancreatitis causes problems with the production of digestive enzymes, which means that the function of digesting food and nutrient absorption and nutrient absorption.

Doctors developed a special treatment regime for this disease, an important place where it takes proper nutrition.

Basic Energy Rules for Pancreatitis

The pancreas is one of the main participants in the digestive process.The enzymes developed by their actively divided foods, contributing to rapid and more complete assimilation.Healthy iron deals easily with this task, producing the right amount of pancreatic enzymes (enzymes).But in case of inflammation, too heavy fat or heavy foods cause an excessively larger load in the organ, even worsening their condition.

In case of pancreatitis, anyway, you should adhere not only to strict rules in choosing products you will talk about below, but also special dietary principles designed specifically to help the easiest to deal with your main function.

• Firstly, you should join the rules of fractional nutrition, that is, to often eat five to six times a day in small parts up to 300 g.
• Secondly, a chemical economy of the pancreas and other digestive organs is necessarily chemical.For this, everything that can cause your irritation and cause very active production of enzymes is excluded from the diet.Most products are cooked or baked.
• Third, the mechanical economy of the gastrointestinal tract is required, that is, eating chopped or even cleaned dishes (for acute pancreatitis or chronic form of the disease).

Important!

Very long use of clean dishes can also lead to inhibition of appetite and weight loss;Therefore, by removing exacerbation and improving the patient's condition, it is transferred as soon as possible to an impermeable version of the diet.

• Fourth, the diet should contain up to 60% of animal protein, ie about 200 grams daily.
• Fifth, the amount of fats up to 50 g per day is limited with their uniform distribution of meals during the day.Fat can only be used for cooking, as an independent dish, is prohibited.For example, a butter sandwich will have to be abandoned, since the high probability excessive fat load will cause an exacerbation of the disease and worsens its course.
• Sixth, the amount of sugar and sugar foods up to 30 to 40 g per day should be limited, while carbohydrate content should remain common, up to 350 g per day.It is allowed to replace sugar with xylitol or other sugar substitutes.
• In seven, the use of products that cause increased gas formation (flatulence) is excluded.
• Vosmys, salt consumption is limited.The allowed norm is three to five grams of the day.

On which products are allowed with the inflammation of the pancreas and which are strictly prohibited, we will tell you below.

Which can be consumed with pancreatitis, depending on the forms of the disease

In chronic pancreatitis, in the persistent remission phase, the patient should eat according to the basic requirements, but the food does not need to be chopped or clean.The goal of diet in chronic pancreatitis is to ensure good nutrition, a decrease in the inflammatory process in the pancreas and the restoration of their functions.

Fried dishes, products that contribute to the intestine fermentation and rich in essential oils are excluded from the diet, as well as all irritating mucous membranes of spices and gastrointestinal tract spices, extractive substances.For example, meat contains extractive substances divided into nitrogen and absurd.One kilogram of meat contains an average of 3.5 g of nitrogen extractive substances.Most nitrogen extractive substances in pork: their total content reaches 6.5 g in a kilogram of muscle tissue.The least amount of extractive substances is observed in the lamb - 2.5 g per kilogram of the muscles.In this sense, where it is necessary to limit extractive substances, low fat lamb may be recommended.

Nitrogenous extractive substances are carnosine, creatine, ascernivas, purine bases (hypoxanthin), etc.The main value of extractive substances is their taste properties and stimulating effects on the secretion of digestive glands.

Forgive extractive substances - glycogen, glucose, lactic acid - are found in meat in an amount of about 1%.In their activity, they are significantly lower than nitrogen extractive substances.

Adult animal meat is richer than extractive substances and has a more pronounced flavor than young animal meat.This explains the fact that strong broths can only be obtained from adult animals.Extractive substances of meat are energetic pathogens of gastric glands secretion and therefore strong broths and fried meat are more excited with the separation of digestive juices.Cooked meat does not have this property and is therefore widely used in a dietary diet and chemically sparing, for gastritis, ulcer disease, liver disease and other diseases of digestive organs.

The dishes are cooked steam or roasted.This type of energy is usually recommended for a long time to give the pancreas the ability to recover.The list of products allowed for chronic pancreatitis is quite wide;Therefore, the patient has the opportunity to eat not only right, but also tasty.

Therapeutic nutrition in the acute form of pancreatitis and with the exacerbation of chronic pancreatitis is almost the same.On the first day of the disease, it is included in the emergency system with an attack and aims to reduce pain and pancreatic activity.The traditional formula - “cold, hunger and peace” - perfectly reflects the treatment principles of acute pancreatitis and exacerbation in a chronic way.

To create a pancreas, the patient's functional gland is provided with the necessary nutrients (usually amino acids and vitamins) using parenteral nutrition called, ie by intravenous infusion (administration), ignoring the gastrointestinal tract.In some cases, if the patient has no vomiting and signs of spending, ie a slowdown in stomach activity, alkaline mineral water or weak tea, about 1.5 liters per day, is allowed.Approximately on the second or third day, the patient is gradually transferred to a limited enteric diet and then to a complete set.

Therapeutic nutrition in acute pancreatitis and chronic shape exacerbation differs a series of characteristics.First of all, it is necessary to introduce the right amount of proteins into the patient as soon as possible, as they are necessary for the synthesis of enzyme inhibitors that suppress the production of the last pancreas.To reduce the load in the organ, special mixtures for enteric nutrition are sometimes used through the probe or tube.About two weeks later, the patient can be an expanded diet with chemical economy and organic organic.

Patients during this period recommend various types of mucous soups on cereal decoctions or vegetable broths, low -fat meat and fish steam dishes, steam protein omelets, vegetable and fruits puree, newly -preparated gamma cheese, a little tea, rose broth, jam.Salt for cooking dishes is not used.

Therapeutic Diet "Table No. 5 P": Product List

By diagnosing pancreatitis, the patient, along with drug treatment, receives a recommendation for therapeutic nutrition.Especially for patients with pancreatitis, a special version of diet # 5 recommended for liver and gallbladder diseases - diet No. 5 p.

There are two options for this diet.The first is suitable for acute pancreatitis and chronic exacerbation, is prescribed after fasting for about a week.The caloric content of the diet is 2170-2480 kcal.

The second option, prescribed for chronic pancreatitis at the remission stage, is characterized by a high protein content, the daily diet with this diet should have an energy value of about 2440-2680 kcal.

Approximate menu for a day according to diet No. 5 p (second option):

• Breakfast: Water oatmeal, Cottage cheese souffle, carrot juice;
• Second breakfast: roasted apple;
• Lunch: Zucchini and carrots, meat roll with pumpkin puree, berry jacket;
• Afternoon Snack: Unprequent cookies, weak tea;
• Dinner: Pike cutter with kale -flor, jam.

The list of products allowed by diet No. 5 p is as follows:

1. Porridge and cereals: Semolina, oats, sarracene wheat nucleus, rice prepared in water.
2. Dairy products: Cottage cheese 1% fat, yogurt and low fat kefir, low -fat cheese varieties.
3. Soups: mucous membranes in cereal decoctions, vegetable soups, soups based on secondary meat broths, pure soups.
4. Meat and Fish: Chicken (breast), rabbit, low beef, turkey, cod, hacker, till, pike, pike, sole and other low -fat varieties, boiled or cooked in labels, chops, meatballs, rollers.
5. Vegetables and fruits: zucchini, potatoes, broccoli cabbage, colored cabbage, carrots, tomatoes (cautious), cucumber, pumpkin, apples and pears (preferably baked), dried fruits.Boil vegetables, sometimes cleaned.
6. Salugas: Emergency white sauces like Behamel, in a vegetable decoction, fruits.
7. Sweet: Fruit and berry jelly, mousses, jelly, marshmallows (in small quantities), honey, tablet, some varieties of non -accurate cookies.
8. Other products: butter and vegetable oil for cooking, chicken eggs (protein), wheat bread yesterday.
9. Drinks: juices - carrots, pumpkin, apricot, wooden, mineral water, weak tea.

The expansion of the well -improving diet can be performed only within the list of permitted dishes, without violating cooking technology and does not exceed the recommended volume.

Prohibited products during pancreas inflammation

Diet No. 5 P is strictly prohibited from eating the following products:

1. Porridge and cereals: peas, beans, barley and corn cereals.
2. Dairy products: milk, sour cream, cream with increased fat content, hard cheese, fat cheese.
3. Soups: Based on strong beef and fish broths, as well as too much vegetables such as gas station: borsch, pier, cabbage soup, ear.
4. Meat and Fish: Fish Varieties of Fish - Salmon, Trout, Salmon Caviar, Smoked and Salty Fish, Cogged Fish, Pork and Fat Meat, Sausages, Smoked Meats, Goose, Duck, Tied Meat.
5. Vegetables and fruits: All foods canned to vegetables and fruits, white cabbage, onion, radish, eggplant, pepper.
6. Salugas: ketchup, adjiki, mustard and all acute sauces.
7. Sweet: Chocolate, ice cream, sand pasta, confectionery creams.
8. Other products: Animal fats, rye bread and any sdoba, mushrooms anyway.
9. Drinks: juices - orange, grape, cherry, tomatoes, carbonated drinks, any alcohol, strong tea and coffee.

A violation of the diet can cause an attack, even if the patient's condition was stable for a long time.

The importance of enzymes when digesting foods

Food excavation in the body follows the participation of enzymes of various types produced by the stomach, pancreas and small intestine.Each of the enzymes is responsible for dividing certain food components.In this case, the enzymes are produced, dividing:

• Proteins - proteases (tripsine, quiriperipsin);
• Nucleic acids - nucleases;
• Fats - Lipases (steapsin);
• Carbohydrates are amylase.

In the case of pancreas inflammation, its ability to synthesize enzymes is significantly reduced, enzymatic deficiency occurs.This condition is manifested by a violation of the digestive functions of the body and the absorption of nutrients for them, various unpleasant symptoms, such as abundant liquid feces, body dehydration, symptoms of vitamin deficiency and anemia.Body weight may fall markedly, it usually occurs heartburn, nausea, vomiting and flatulence.Prolonged enzyme deficiency is very dangerous because, without proper treatment, it leads to complete exhaustion of the body.

Therefore, adequate nutrition, combined with enzymatic therapy designed to refuel the lack of Ezims, is very capable of reducing unpleasant manifestations of pancreatitis and enzymatic failure.The most important thing is to clearly comply with all the assistant doctor's commitments, avoiding amateur performances.