Diet in acute and chronic pancreatitis: medical advice and therapeutic nutrition sample menu

Pancreatitis never goes unnoticed. Once allowing the development of the disease, the patient will have to adhere to certain limits. But this is not a sentence. Accepting treatment and adhering to the assigned diet, it is possible to live a full life and avoid complications. If you run the pancreatitis, the consequences are unpredictable. Up to lethal. What is the recommended diet for pancreatitis (inflammation of the pancreas)?

diet for pancreatitis

In search of information on this topic people often use incorrect wording: "diet for pancreatitis of the pancreas." However, this is incorrect. The correct name of the disease consists of one word — "pancreatitis". That Latin translates as "inflammation of the pancreas".

Pancreas — one of the digestive system. Its weight is not more than 80 g, but the role in ensuring the functioning of the human body are incommensurable. No other body even partially is not able to "replace" the pancreas.

Why pancreatitis threat

The pancreas synthesizes enzymes, without which the body cannot digest food. Also body produces the necessary to the body's hormones. They are widely known as the hormones responsible for the maintenance of the necessary concentration of glucose in the blood. But their functions are much broader: they have a multifaceted effect on metabolism in almost all tissues of the human body.

When the pancreas is working properly, it instantly responds to the intake of food into the body. Man eats and iron prepares for digestion of food eaten. The intensive production of digestive juice that the pancreas displays its duct into the duodenum.

Problems occur if the path of the excretion of enzymes an obstacle appears. Then the outflow of enzymes designed to breakdown nutrients, is disrupted. What is the result? Inflammation, swelling, tissue damage.

Some sources describe pancreatitis: the pancreas itself "eats". Russia is a world leader in the incidence of pancreatitis. And for the last half a century the figures have doubled. The pancreatitis, "younger", by increasing the number of patients among teenagers and women.

The causes of the disease

causes of pancreatitis

Common causes of the disease.

  • Stones in the gallbladder. 20% of patients diagnosed with pancreatitis as a complication of gallstone disease. Gallstones can impede the outflow of secretions of the pancreas.
  • Obesity. 20% of patients, pancreatitis is accompanied by obesity.
  • Injury. About 5% of patients with pancreatitis — people who have received trauma to the abdomen. For example, a strong blow, wound or surgery on the organs located in the abdominal cavity.
  • Diseases of the digestive system. Pancreatitis can develop in the setting of gastritis, peptic ulcer, liver disease. Therefore, it is important to always respond to the slightest malaise in the abdomen, and to seek qualified help.
  • Uncontrolled appetite. Especially increases the risk of developing pancreatitis if you go easy on fatty and fried. It turns out the same principle of overloading the body, which provokes and alcohol. So, changes in diet are not only important in the treatment of pancreatitis. A healthy diet is an important preventive measure.

To provoke pancreatitis can also some medicines. For example, hormonal drugs with a long reception. Pancreatitis develops as a complication of viral, bacterial, fungal and parasitic infections. To cause pancreatitis may poisoning — food, alcohol, chemical. Some patients have a genetic predisposition to diseases of the digestive system and, in particular, to the pancreatitis.

The nature of the disease and its symptoms

In the case of acute pancreatitis there is a chance that the pancreas will return to a relatively normal functional mode. But provided that the patient has timely applied for assistance. But in the chronic form, the disease causes gradual, irreversible decline in organ function. And then the disease remains with the patient forever: periodically takes a "time out" and then returns with a recurrence of a worsening. Acute pancreatitis may eventually become chronic.

Disease in the acute form

Acute pancreatitis is called sudden and rapidly increasing inflammation of the pancreas. The patient requires immediate medical attention. Possible even hospitalization in intensive care or surgical ward. Self-medication is unacceptable, because 15% of patients with a diagnosis of "acute pancreatitis", the disease can lead to death. The symptoms bright, can't miss them.

What is happening with the patient:

  • abdominal pain, which is localized just above the navel, more left surrounding;
  • nausea;
  • vomiting, not bringing relief;
  • increased heart rate;
  • weakness;
  • flatulence (bloating);
  • diarrhea;
  • the stool becomes oily, food goes undigested.

Complications of acute pancreatitis is extremely dangerous. If lost time, and developed pancreatic necrosis, the mortality rate increases to 70%. Probably the formation of cysts and fistulas. Possible peritonitis, and in the future — the development of diabetes. And chronic inflammation with scarring of tissues.

The disease in chronic form

Chronic pancreatitis can remain outside of the patient's history for decades. The disease in this form during remission (outside the period of exacerbation) does not give pronounced symptoms. In the early stages the person with this diagnosis feels discomfort after a meal, especially if allowed themselves something harmful.

Possible nausea, bloating, diarrhea. But these unpleasant sensations, the patient does not associate with a failure in the pancreas. After the attack continues to live as he lived is like eating. Meanwhile, the disease progresses and the pancreas tissue gradually die off. And instead of functioning tissue of the body grows connective tissue.

And here is manifested a certain clinical symptoms:

symptoms of pancreatitis
  • abdominal pain, in some cases with no clear localization;
  • nausea, loss of appetite;
  • frequent and liquid stools, sometimes with drops of grease;
  • flatulence;
  • fatigue;
  • pale and dry skin;
  • rapid weight loss, although the person may not adhere to any food restrictions.

Chronic pancreatitis can develop into pancreatic cancer, one of the heaviest and fastest types of cancer. And the prognosis is usually unfavorable. The disease resists the treatment, even the most modern and expensive.

Diet for pancreatitis: 5 stages

Pancreatitis treatment requires a comprehensive approach. And it's not just about medical techniques. Complications possible surgical intervention. But in any case, a patient with a diagnosis of "pancreatitis" needs to adhere to therapeutic feeding. About what and what not to eat with pancreatitis, says Andrew Raids.

A therapeutic diet of patient with a diagnosis of "pancreatitis" is assigned depending on the form of the disease and the characteristics of its currents. For example, the diet in acute pancreatitis first generally involves refusal of food. It is important to stop the intensive synthesis of enzymes, reduce inflammation.

The doctor stresses that pancreatitis is important to remove from the menu products, stimulating the secretion of the glands of food. It's coffee, chocolate, strong tea, rich broth of meat and fish, mushroom soups. Eliminated and rich in crude fiber food. Fatty meals will also provoke the symptoms of pancreatitis and progression of the disease.

The doctor identifies five main stages of change in diet of patient with acute pancreatitis or exacerbation of chronic pancreatitis.

  1. Hunger. It is indicated for patients with a diagnosis of "acute pancreatitis" in the presence of significant pain syndrome and signs of intoxication. Hunger prescribe for such a patient in a hospital for a period of up to three days. Prohibited any food. Valid only frequent drinking in small portions. Preferably alkaline water without gas. But hunger should not be prolonged. Otherwise, it runs the process of disintegration of indigenous energy resources and tissues, reduced immunity and function of the gastrointestinal tract.
  2. Intravenous feeding. On the background of restrictions of oral intake, the patient is prescribed parenteral nutrition. It is administered intravenously. In this case, the nutrients enter the body bypassing the gastrointestinal tract.
  3. A special mix. As the disappearance of dyspeptic disorders in a patient transferred to the next stage of diet — enteral nutrition. Namely, the feed mixtures through the tube.
  4. Diet № 5P. Prescribed after blends in acute pancreatitis and in chronic pancreatitis. In acute pancreatitis this can occur on the fifth or sixth day. But with worsening chronic — from the second or third day. Diet is designed specifically to meet the needs of people suffering from pancreatitis. In the diet table No. 5P emphasis on protein foods, but the amount of fats and carbohydrates is minimized. Such a diet for pancreatitis, in particular, reduces the load on the liver and gallbladder. Specified diet patients follow within weeks.
  5. Diet № 5. Table # 5 assigned to patients in times of decrease in acute pancreatitis and remission of chronic. It is also prescribed for cholecystitis, gastritis and ulcers. The set of products this diet is similar to table No. 5P, but here there are more carbs and not only has pureed food. Meat and fish make the stuffing. Porridge cooked with milk. Can be a bit more of sweets and sugar. Physicians are advised to adhere to the recommendation of a diet № 5 low two to four months. And ideally — especially not to go beyond life. Detailed rules of the diet table No. 5 and sample menu for the week is described in a separate article.

If the patient is diagnosed with pancreatitis, alcohol, and cigarettes can not be even speech. Doctors harshly react if the man literally resurrect from the dead, is not going to give up bad habits. Any treatment in this case is virtually useless.

the rules of diet 5

The rules of a diet № 5P and grocery table

The fifth table is labeled "p", intended for nutrition in acute pancreatitis and in acute and chronic pancreatitis, provides for a special approach to cooking. Products must be heat treated. All meals are cooked, cook in a double boiler or water bath. Occasionally a valid baking.

While food should only be consumed in the mashed form. Even the first dish. To achieve the mucosa, fluid consistency, food is ground by using a blender or pass through a sieve with a metal base. Hot and cold is impossible. The permissible amount of salt is not more than 10 g per day. Sugar should be extremely limited — up to 30 years In some cases, it is recommended to use a sweetener.

When planning a diet for pancreatitis, you should focus on a list of products that encourages and prohibits table No. 5P. The table below describes the main food "possible" and "impossible" with pancreatitis.

Table 5P: 3 example menu

Recommendations on the General menu, and for adults and children with a diagnosis of "pancreatitis". With the exception of the babies first year of life: for infants provides special approaches to the organization of therapeutic feeding.

Proper nutrition in pancreatitis the patient may not appoint themselves. Moreover, in terms of inpatient food is prepared in the hospital canteen. If the patient is treated on an outpatient basis, necessarily need a preliminary discussion with a gastroenterologist about how to eat with pancreatitis at home. After all, a person can diagnose related health problems that require individual solutions on diet.

Doctor will not be able to paint detailed recipes for every day and to make the patient is strictly under the scheme. The main thing that the patient understood the main provisions of the diet, and food choices did not put him to a standstill. For example, in the store did not have walleye. On diet for pancreatitis it can be replaced by other non-fatty fish.

How about can be a menu for the week with recipes diet in acute pancreatitis and exacerbations of chronic? The following are some of the options for the daily diet, which you can navigate.

recipes for pancreatitis

Example 1

  • Morning. Mashed boiled Turkey. Porridge of crushed rice cereal. An egg-white omelette eggs, steamed. Tea.
  • Backup. Curd, whipped with a blender to a paste. Tea.
  • Lunch. Soup of oats, passed through a sieve. Pate from beef, steamed. Mashed potatoes. Jelly from apples.
  • An afternoon snack. App tea with biscuits.
  • Evening. Puree the boiled chicken. Porridge made from crushed buckwheat. Apple mousse. Tea.
  • Two hours before bedtime. The juice of strawberries.

Example No. 2

  • Morning. Mashed boiled beef. Porridge made from crushed buckwheat. Flummery. Tea.
  • Backup. Curd, whipped with a blender to a paste. Tea.
  • Lunch. Soup of rice, passed through a sieve. Souffle of chicken. Porridge made from crushed oats. The juice of carrots.
  • An afternoon snack. App tea with biscuits.
  • Evening. Pate of boiled Turkey. Mashed potatoes. Strawberry juice with a banana.
  • Two hours before bedtime. The drink from a dogrose.

Diet for pancreatitis (inflammation of the pancreas) must be observed in conjunction with changes in lifestyle of the patient. Andrew Raids stresses that it is important to establish a sleep mode, to observe the rules of hygiene and to strengthen the immune system. Your doctor may recommend additional vitamins. The main task now is to protect ourselves from any diseases. Because the pancreas may be sensitive to a concomitant treatment.

It is important to understand that pancreatitis is easier to prevent than to treat. So the advice of the gastroenterologist is to listen not only to patients but to all who value health.

14.03.2019