Diet for pancreatitis for adults and children. The correct diet - pancreatitis is a successful treatment. Diet after pancreatitis

Today, perhaps, diseases of the digestive system occupy a leading position among all the ailments. Indeed, improper nutrition, regular stress - all this directly affects our body. Some blamed and poor ecology. Most often, patients are diagnosed with so-called pancreatitis. Treatment and diet in this case play equal roles in the fight against this very common ailment. However, today not everyone knows how to eat properly with this disease, what foods should be excluded from the daily diet, what other issues should be given special attention. What is this ailment? What is the difference between diet and pancreatitis? Probably, you can do with the most usual medication therapy? It is these and many other related issues that we will discuss in this article.

General information

Under pancreatitis in medicine is understood such disease, at which the Inflammation of the pancreas itself. It carries in itself a lot of important functions necessary for normal vital activity of the whole organism. For example, it supplies a large number of different enzymes to the small intestine for the sequential cleavage of proteins, carbohydrates, and fats. In addition, the pancreas produces a number of hormones, including insulin and glucagon. In case of violations in its work, the enzymes do not reach, as they say, to the final point (small intestine) and begin to rapidly activate in the gland itself. In order to avoid this pathology, you need a special diet for pancreatitis, which is different from the usual diet of the average person. Otherwise, if you believe the experts, there can be malignant neoplasms, various complications, which can lead to death.

Causes

• Alcohol abuse;
• Taking certain groups of drugs;
• Inflammatory processes in the duodenum;
• Lack of proper healthy nutrition;
• Metabolic disorders at the hereditary level;
• Injury.

Pancreatitis: Symptoms

Diet, recommended by specialists for this disease, is primarily aimed at suppressing the main signs of the disease. Below we list the main symptoms:

• Discomfort and pain in the abdomen;
• Frequent swelling;
• nausea, vomiting;
• rapid pulse;
• Feeling of heartburn after another meal;
• fever.

Diagnosis

To confirm the diagnosis, the specialist, most likely, instead of the usual visual examination of the patient will ask for a number of tests. For example, in the presence of a disease in the blood, approximately three times more lipase and amylase will be contained than usual (in a healthy person). The thing is that this is the aforementioned enzymes, which are formed directly in the pancreas. In addition, changes in blood can be observed in the analysis for calcium, glucose, sodium, magnesium, potassium. When recovered, these indicators tend to improve. In addition, doctors often prescribe ultrasound and computer tomography, which, in turn, can determine inflammatory processes or disorders in the gland.

Therapy

As already noted above, the diet for pancreatitis is prescribed in conjunction with Drug treatment. Let's look at the last one in more detail. So, the basic medicines, as a rule, are aimed at reducing the secretion of the so-called pancreatic juice and suppressing the level of internal pressure. For these purposes, prescribed funds "Sandostatin" or "Octreotide", as well as "Almagel" and "Maalox." In some cases, with a serious inflammatory process, a doctor can prescribe various antibiotics. To remove the pain, non-steroidal drugs are used, for example, Paracetamol or Diclofenac. With very severe regular pain, drugs such as "Drotaverine" or "Papaverin" are prescribed intramuscularly. In order that iron during the course of drug therapy could be somewhat "relaxed", the means used to eliminate enzyme deficiency ("Creon", "Pancreatin", etc.) are used. Note that drug therapy should only be used as directed by a doctor. In no case should self-medication. So you not only harm your body, but also significantly change the entire clinical picture, which subsequently will not allow you to competently eliminate the disease.

Nutrition recommendations

First of all, it should be noted that nutrition for this disease is called "table 5 "The diet for pancreatitis recommends fasting for the first three days after the next attack, at which time it is necessary to completely stop eating food, only water without gas is allowed.It is a good option to use beverages such as Essentuki No. 4 or Borjomi. Before the fourth day, based on the following principles:

• It should be abandoned any products that increase acid formation in the stomach.
• Food should be taken in divided batches, in small portions and often (approximately 5-6 meals per day). It is strictly forbidden to overeat, it is better to stay a little hungry.
• Do not eat food that provokes the active work of digestive enzymes.
• As for the method of preparation, it is necessary to give preference to baked in an oven or a pair of products (for sure many people have a steamer at home).
• It is better to use such dishes, which have minimal mechanical effect on all digestive organs, and also are thoroughly processed thermally.
• Diet in pancreatitis in the early days recommends wiping food to a mashed state.
• The diet should be supplemented by a plentiful drink. The thing is that pancreas diseases, as a rule, are accompanied by various kinds of water-electrolyte disorders, which, in turn, provokes large losses of water in the body itself.
• As for the question of the chemical composition, the diet should contain a minimum of fats (60-80 g) and carbohydrates.
• Must eat daily dishes that are characterized by the so-called sokonnym effect (for example, cabbage broth, various broths, etc.).

Permitted Products

1. Incomplete tea with lemon and / or sugar substitute, broths of wild rose, fruit and berry juices, diluted with the most ordinary water.
2. Sour-milk drinks, low-fat cottage cheese, milk, curd pudding.
3. Mashed potatoes without sugar.
4. Eggs and albumen omelets. As for the latter, it is better to prepare it on water without adding oil.
5. Unsweetened biscuits, biscuits, wheat bread. Diet in pancreatitis recommends bread, as they say, yesterday's baking.
6. Semi-viscous porridge from buckwheat, oatmeal or rice cereal. Cook this dish better on the water. Of the above cereals, it is also useful to make puddings, casseroles or soufflé. In the absence of attacks for a long time, pasta is allowed.
7. Low-fat varieties of meat (for example, turkey, beef, chicken). Cook better for a couple or boil. Permissible and low-fat fish.
8. Vegan vegetarian soup with pumpkin, carrots, zucchini and cereals. A small piece of butter is allowed in the prepared dish.
9. Non-acid ripe berries and fruits.
10. Boiled or baked vegetables (potatoes, cauliflower, carrots, green peas, etc.).
11. Refined vegetable oils (no more than 15 grams per day).

Prohibited products

1. Coffee, all fizzy and alcoholic drinks.
2. Fatty dairy products.
3. Puff pastry, cakes, freshly baked wheat bread.
4. Fatty grades of meat and fish, canned food, smoked meat, caviar.
5. Bean and crumbly porridge.
6. Soups with meat broth, beetroot, okroshka, soup.
7. Spices.
8. Some vegetables (white cabbage, radish, eggplant, spinach, sorrel).
9. All confectionery, including chocolate, jam.
10. Fat.

What is the difference between food and acute forms of the disease?

• If the disease is exacerbated, the patient is recommended a hunger strike. Note that in case of a severe attack, even non-carbonated water is excluded. So, during the first four days, only the so-called parenteral nutrition is carried out with the subsequent mandatory transition to the probe insertion of the mixtures. In more mild cases, when it was already possible to suppress emetic urges, the patient is allowed to take liquid from the very first days. This can be like ordinary boiled water at room temperature, and decoctions of rose hips (up to 1.5 liters per day).
• With an improvement in overall well-being with acute pancreatitis, the diet allows food through the mouth. The following dishes should be present in the diet: liquid porridges on milk, mucous soups, fruit jelly syrups with sugar substitutes. Food should be as gentle as possible for the digestive system, fractional, room temperature. In acute pancreatitis, a diet of this kind, as a rule, lasts no more than seven days.
• With further stabilization of the patient's condition, the daily diet is consistently expanded, new products are introduced: kefir, compotes, vegetable cereal soups, cottage cheese, puddings, scrambled eggs. All food should be either boiled or cooked using a steamer. Gentle nutrition from a mechanical point of view is appointed for at least two months. Only in this way can pancreatitis be overcome.

Diet: Menu for the week

Monday:

1. Breakfast: oatmeal on the water, tea.
2. The second breakfast: pure cottage cheese, broth of a dogrose.
3. Lunch: carrot soup-puree on a herculean broth, steamed meat with buckwheat porridge, compote.
4. Afternoon snack: an omelet protein on the water.
5. Supper: steam fish roll, tea.

Tuesday:

1. Breakfast: usual carrot puree, steam fish, tea.
2. Second breakfast: cottage cheese, compote.
3. Lunch: vegetable soup, steamed chicken with mashed potatoes.
4. Afternoon snack: omelet protein.
5. Dinner: steamed meat balls, boiled vermicelli.

Wednesday:

1. Breakfast: carrot pudding with apples, boiled fish with mashed potatoes.
2. The second breakfast: pure cottage cheese, broth from a dogrose.
3. Lunch: vegetable soup-puree, curd steam souffle.
4. Afternoon snack: a protein omelette on the water.
5. Dinner: steamed meatballs, carrot puree, fruit jelly.

Thursday:

1. Breakfast: oatmeal on the water, tea.
2. The second breakfast: pure cottage cheese, broth from a dogrose.
3. Lunch: carrot soup-puree on a herculean broth, steamed meat with buckwheat porridge, compote.
4. Afternoon snack: an omelet protein on the water.
5. Supper: steam fish roll, tea.

Friday:

1. Breakfast: carrot puree, steam fish, tea.
2. Second breakfast: cottage cheese, compote.
3. Lunch: vegetable soup, steamed chicken with mashed potatoes.
4. Afternoon snack: omelet protein.
5. Dinner: steamed meat balls, boiled vermicelli.

Saturday:

1. Breakfast: carrot pudding with apples, boiled fish with mashed potatoes.
2. The second breakfast: pure cottage cheese, broth from a dogrose.
3. Lunch: vegetable soup-puree, curd steam souffle.
4. Afternoon snack: a protein omelette on the water.
5. Dinner: steamed meatballs, carrot puree, fruit jelly.

Sunday:

1. Breakfast: rice porridge on milk and water.
2. Second breakfast: cottage cheese, compote.
3. Lunch: steamed meat patties, soup of mashed oatmeal, tea.
4. Afternoon snack: albumen omelet.
5. Dinner: cottage cheese pudding, decoction of rose hips.

What should be food for children?

The diet for children with pancreatitis generally does not significantly differ from nutrition for adults. Let's consider below its main principles:

• First of all it is necessary to provide frequent feeding of the child, that is practically For each of his demands. On the other hand, portions should be small. The thing is that the pancreas itself suffers from this disease, which is simply not able to digest large amounts of food.
• Another important point is the fact that the dishes should be warm, that is, the temperature is not more than 55 degrees. Too cold or, conversely, hot food can cause another attack of the disease at any time, which is highly undesirable.
• If a small patient is three to seven years old, then about 150 grams of cereals or vegetables are allowed per day. But the amount of protein food is recommended to increase dramatically. That's why doctors allow you to serve fish or meat without any side dish. After a regular meal, a good option is the use of jelly or broth of dog rose. The thing is that these drinks have a beneficial effect on the entire digestive system.
• It is more reasonable to include more protein of animal origin in the daily diet, since it not only strengthens the pancreas, but also contributes to the development of important enzymes for the life of the body. Meat should be chosen with special care, for example, pork is best left in the store. But beef or veal can be an excellent meal for a child.
• Many modern specialists strongly recommend that a couple of weeks after the last attack begin to expand the usual diet. For example, now you can give cheese for breakfast. Buy a better fat-free option, because it is less dangerous for the gland. To strengthen the body of the child, experts recommend giving the so-called calcium lactate. It can be purchased in almost every pharmacy. If you purchased the drug in tablets, you can simply crush them and add to the same cottage cheese.
• Many mothers are interested in whether it is possible to give a soup to a child with this diagnosis. Of course, you can. However, it is better to give preference to a vegetarian variant, which is not cooked on meat or fish broth, but, for example, on a vegetable broth. This dish, as a rule, is filled with cereals or the most ordinary vegetables. An excellent option is also soup, cooked on pearl broth. To do this, take a handful of cereals and pour two liters of boiled water. After that, boil the soup over low heat for three hours. After this time, the broth must be drained and cooked on it already a real soup.
• As noted above, the baby's diet should be consistently expanded, adding, for example, jelly, vegetables or compotes. As for vegetables, the most useful for this diagnosis are the following: green peas, zucchini, carrots, beets, potatoes. Experts strongly recommend some time not to use white cabbage when cooking, as it is very difficult to digest and even irritates the intestines. However, instead of it you can take a modern alternative - cauliflower. This vegetable is rich in useful vitamins and a variety of microelements.
• Are there any dietary restrictions? Yes, doctors advise to sharply limit the consumption of sweets, carbonated drinks, baked goods. Of course, occasionally you can pamper the child with biscuits or drying, but from cakes or other confectionery is still better to give up. The thing is that they contain a large amount of sugar and so-called quick-digestible carbohydrates, which adversely affects the pancreas (it can again cease to produce the necessary enzymes for normal life of the body). So, again there will be pain and discomfort.

What does a diet after pancreatitis mean?

Unfortunately, many patients after the next course of drug therapy and Strict diet with a diagnosis such as pancreatitis, instantly forget about past problems, returning to the old way of life. However, doctors warn that this kind of behavior is extremely wrong. Because even if the symptoms no longer make themselves felt, this does not mean that the disease has left the body forever. On the contrary, the pancreas will be restored for a long enough period after the illness, hence the diet should continue. Moreover, modern specialists recommend the most gentle nutrition with pancreatitis as an approximate diet for daily life. Certainly, there will be some indulgences concerning sweets and alcohol. So, the diet after pancreatitis also implies under itself frequent fractional meals in small portions. As for the approximate diet, then, in principle, it can be left the same. Food should be cooked for a couple, preference should be given to healthy foods (low-fat varieties of meat and fish, vegetables and fruits, berries, cereals, cereals, etc.). As they say, on holidays you can eat a small amount of red dry wine or a piece of cake. Listen to your body, it always tells you what is more useful for it.

Conclusion

In this article, we have examined in detail the question of what a diet should be for pancreatic inflammation. Pancreatitis is quite possible to avoid, of course, if you eat properly almost constantly, give up harmful habits and lead a generally healthy lifestyle. However, if you still had to deal with this ailment, you should immediately seek the advice of a qualified specialist. He, in turn, must necessarily appoint not only the appropriate drug therapy, but also recommend special nutrition. Only in this case there is a great chance to get rid of pain syndromes and avoid further complications. Note that a special diet after pancreatitis also has a place to be. It implies the use of exceptionally regular food, the restriction of alcoholic beverages, roast and smoked. Particular attention should be given to the very process of cooking. So, it's best to bake in the oven or use a well-known steamer. Thus, the food will not only preserve all the useful vitamins and trace elements, but it will be as useful as possible. If you still can not imagine your life without oil, then the preference should be given to olive oil of cold pressing. Just add a few drops to the ready-made dish. Thus, its taste will be felt, and at the same time all useful properties will remain, and excess carcinogens will not enter the body. If you believe the experts, this food can really become a guarantee of good health. Some adhere to such a diet for life and never complain about problems with the pancreas. Be healthy!