Food for pancreatitis of the pancreas. Food List

Pancreatitis - a disease of the pancreas, requiring an integrated approach to treatment, adherence to a strict diet, which includes only healthy food. With pancreatitis, fatty, fried, smoked and spicy foods are absolutely prohibited.

Why you need to follow a diet for pancreatitis and the consequences of malnutrition

Diet during the treatment of pancreatitis and during remission is the key to complete recovery. In addition, proper nutrition will reliably protect against relapses and complications of the disease. Otherwise, the patient may develop a number of serious complications.

These include:

• pancreas cancer;
• accumulation of pus in the abdominal cavity;
• necrosis of the tissues of the pancreas (pancreatic necrosis);
• purulent pancreatitis;
• liver failure;
• pancreatogenic diabetes.

Most of these diseases require immediate medical attention, the absence of which can be fatal.

Table of allowed foods and drinks for pancreatitis

Food for pancreatic pancreatitis should only be steamed. It is strictly forbidden to cook food using animal fats other than butter.

Products

The drinks

Unsweetened fruits (apples, pears and others), preferably baked in the oven or dried. Various vegetable oils. Butter. Steamed omelet. Cereals (rice, buckwheat, oatmeal). Pasta. Crackers. Lightly dried white bread. Vegetables (potatoes, carrots, beets) boiled or baked in the oven. Lean fish. Fat-free meat. Non-acidic cottage cheese. Mild cheese. Weak vegetable broth. Galette cookies. Not sweet revenue. Non-acidic sour cream. Berries. Natural sweets.

Green tea. Weak black tea. Rosehip drink. Kefir (curdled milk). Skimmed milk. Kissel. Dried fruits compote. Cocoa in milk. Fruit and berry juices.

It is preferable to eat hot, meat dishes and cereals in the form of mashed potatoes, especially with an exacerbation of the disease.

What you can't eat

For pancreatitis treatment to be successful, it is important to exclude any fatty, salty, smoked and fried foods from your diet. There are a number of foods that are prohibited for inflammatory processes in the pancreas.

These include:

• any rich fish, vegetable or meat broth;
• some vegetables (onions, radishes, spinach, radishes, rutabagas, lettuce, sorrel, cabbage);
• alcoholic drinks;
• eggs;
• spices;
• spices;
• drinks with gas;
• white and rye bread;
• fresh fruits, especially citrus fruits;
• dairy products with a high fat content;
• legumes.

Also, doctors recommend minimizing salt intake. It is best to add salt to ready-made dishes, so the salt content in them will be minimal.

The effectiveness of diets and food systems for patients with pancreatitis

The pancreas is one of the digestive organs that perform one of its important functions. She is responsible for the production of a special juice that is involved in the breakdown of nutrients. As a result, vitamins, amino acids and other elements that enter the bloodstream are released from food. The pancreas is responsible for the production of lipokine and insulin.

There are several types of diets and nutrition systems that are recommended for pancreatitis. The use of any of them directly depends on the stage and form of the disease. With pancreatitis, a table number 1,3, 5 or 6 may be prescribed.

In acute form

With this type of inflammation of the pancreas, as with other forms of the disease, food should be fractional (5-6 times a day), meals are grated, portions are small.

More often, in acute pancreatitis, a diet with an increased protein content is prescribed. Tables 1 and 5 meet these requirements. Which system the doctor prescribes depends on the presence of concomitant diseases. Diet No. 1 is prescribed for pancreatitis, accompanied by an ulcer of the duodenum or stomach. Table number 5 - with inflammation of the biliary tract and liver.

In the first two days, the patient is prescribed therapeutic fasting. You can only drink non-carbonated water. During this time, the load on the pancreas is significantly reduced.

To maintain the normal functioning of the body, nutrients (minerals and vitamins) are administered intravenously. On the third day, they are allowed to eat liquid food, then jelly, mashed potatoes, cereals.

When the patient's condition is stabilized, the menu includes a steamed omelet, cottage cheese, kefir. Only after the complete elimination of the acute form of inflammation is it allowed to eat lean meat, fish, bakery products. All dishes can only be eaten as mashed potatoes. Products should be free from stabilizers, flavorings, colorants and preservatives.

In chronic form

In the chronic form of pancreatitis, doctors also recommend following Pevzner's nutritional systems - table number 1 or number 5. Which one of them will be recommended directly depends on the concomitant diseases. At the same time, the attending physician can adjust the diet menu, taking into account the presence of individual intolerance to certain products and the patient's age.

In the chronic form of pancreatitis, it is recommended to eat at least 8 times a day, while the portion does not exceed the mass of 250 g.

Food for pancreatitis of the pancreas should contain a minimum of carbohydrates, therefore, even in the stage of remission of the disease, it is necessary to minimize the use of foods with a high content of them.

New products can only be introduced after consultation with a specialist. In this case, you should carefully monitor your feelings. If you feel heaviness or pain, you must immediately abandon the new dish.

With exacerbation of pancreatitis

With an exacerbation of the disease, to normalize the condition, only table number 5 is used, the products of which contain a large amount of fiber and protein. Dishes can only be eaten warm. This type of therapeutic diet completely eliminates the use of vegetable oil and salt. The calorie content of the menu is selected individually for each patient.

With an exacerbation of pancreatitis, it is recommended to remove products from the menu:

• having an irritating effect on the mucous membrane of the organ;
• roast;
• smoked;
• salty;
• spicy;
• stimulating the work of the gland.

Meals should be fractional, small portions. Before using the dish, you must grind it thoroughly, you can use a blender.

With reactive pancreatitis

Reactive pancreatitis is one of the types of pancreatic lesions, which also requires adherence to a diet. Table number 5 is taken as the basis of nutrition for this type of disease.

In this case, the principle of nutrition will be as follows:

• the first 2 days from the onset of the development of the disease, only liquid can be consumed;
• in the third - porridge (oatmeal or buckwheat), liquid tea, crackers;
• in the fourth - fermented milk products, yesterday's bread, jelly;
• the menu for 5, 6, 7 days consists of vegetable soups and mashed potatoes.

A week later, it is allowed to gradually include heavier foods in the diet:

• steam cutlets;
• veal;
• chicken;
• fish.

With a noticeable improvement in well-being and stabilization of the state, you can add fresh berries, fruits and vegetables to the menu.

Table number 1

Diet No. 1, in turn, is subdivided into table No. 1a and No. 1b.

It is prescribed if pancreatitis is accompanied by the following diseases:

• stomach and duodenal ulcer;
• gastritis with different types of acidity in the chronic or acute stage;
• gastroesophageal reflux disease.

The term for adhering to this diet is 2-3 months.

General rules

Diet table number 1 refers to moderately sparing and is most often prescribed for mild acute pancreatitis or during remission.

The nuances of this diet are:

• Complete removal of broths, raw vegetables, spices and spicy foods from the diet.
• Refusal from "heavy" food.
• In the acute stage of the disease, dishes are consumed only in the form of mashed potatoes, in case of chronic course and in case of healing, it is allowed to refuse mashed potatoes.
• It is strictly forbidden to eat food that is too hot or cold.
• Salt is allowed (in small amounts).
• Meals are only fractional up to 5-6 times a day.
• The final meal is 3 hours before bedtime.

Before going to bed, you can drink a glass of milk or kefir. This will also count as a meal.

What should be the diet

Diet table number 1 physiologically full-fledged nutrition while chemically and physically careful.

The daily diet includes:

• carbohydrates - 420 g;
• fats - 100 g;
• proteins - 90-100 g;
• salt - 10-12 g;
• liquid - 1.5 liters.

The total mass of dishes per meal is 350 g. The daily calorie content of the menu is 2500-3000 kcal.

Sample menu for a week

The menu consists only of products approved by specialists and is adjusted by the attending physician taking into account the stage, type of disease, condition and age of the patient.

Breakfast	2 breakfast	Dinner	Afternoon snack	Dinner
Monday	Steamed omelet, green tea	Baked apple	Vegetable cream soup, veal meatballs, buckwheat porridge	Low-fat cottage cheese with grated banana	Lean fish, zucchini puree, apple compote
Tuesday	Low-fat cheese, tea, oatmeal with banana	Applesauce and cottage cheese soufflé	Secondary chicken broth noodle soup, steamed fishcake and vegetables	Wheat croutons, fermented baked milk	Eggplant rolls with turkey, compote
Wednesday	Cottage cheese casserole, chicory drink	Vegetable salad dressed with olive oil	Any soup with secondary chicken broth, beef cutlet, pasta	Low-fat yogurt, biscuits	Meat and zucchini casserole, oat-milk jelly
Thursday	2 soft-boiled eggs, rosehip decoction	Cottage cheese soufflé	Soup with any cereal in a weak vegetable broth, turkey cutlet, buckwheat porridge	Milk and banana cocktail	Fish, vegetables baked without oil, tea with milk
Friday	Rice porridge, yesterday's cheese bread, green tea	Baked banana with cinnamon and nuts	Milk soup with noodles, zucchini with chicken breast	Prune and boiled beetroot salad	Fish pudding, fruit jelly
Saturday	1 boiled egg white, buckwheat porridge, still mineral water	Cauliflower with cheese, baked with a little oil	Mashed potatoes and zucchini, boiled beef	Fruit and yoghurt salad	Cheesecakes baked in the oven, cherry and apple compote
Sunday	Egg white omelet with herbs and vegetables, tea	Baked pears	Vegetable puree soup, meatballs, rice	Wheat croutons, fat-free kefir	Cherry kissel, meat pudding

Diet No. 1 is used more often than others for any digestive disorders occurring in a chronic form.

Table number 3

This diet is only prescribed if pancreatitis is accompanied by constipation. Improvement of the state occurs already at 5-7 after its observance. Basically, it is dominated by magnesium and dietary fiber, which accelerate the normal functioning of the intestines.

General rules

The predominant products that make up the dietary table No. 3 include fermented milk, cereals, dried fruits, fresh vegetables and meat.

The rules of this diet include:

• the menu contains drinks with gas and sweets;
• first courses are served exceptionally cold;
• banned fried foods, horseradish, mustard, hot spices;
• vegetables can be eaten both raw and boiled;
• be sure to drink at least 1.5 liters of any liquid per day;
• the number of meals - 4 to 6 times a day.

Diet number 3 includes a lot of products that improve intestinal motility, as a result of which the stool is normalized.

What should be the diet

The daily nutritional value of this diet is 2800-3000 kcal, which is quite enough for the normal functioning of all body systems.

The diet contains the following amount of nutrients:

• carbohydrates - 420 g;
• fats - 90-100 g;
• proteins - 90-100 g;
• salt - 15 g;
• liquid - 1.5 liters.

The total mass of dishes per meal is not more than 500 g.

Sample menu for a week

If you follow diet number 3, you are allowed to eat fresh vegetables. It is advisable to steam hot dishes, bake with a small amount of vegetable oil and boil.

Breakfast	2 breakfast	Dinner	Afternoon snack	Dinner
Monday	Steamed eggs, vegetable salad dressed with oil, tea	Rosehip drink	Borsch, boiled meat without fat, freshly squeezed fruit juice	Fruits	Lean sea fish, buckwheat porridge, yogurt
Tuesday	Dumplings with low-fat sour cream, tea	Fruits	Vegetable soup, white chicken meat	Yogurt	Fresh vegetables, meatballs Barley porridge
Wednesday	Soft-boiled egg, wheat cereal, milk tea	Yogurt	Vinaigrette, meatball soup	Cottage cheese seasoned with sour cream with added fruit	Vegetables, fish cutlets, mashed potatoes
Thursday	Steamed egg white omelet, beet salad dressed with butter	Fresh fruit salad	Potato soup with weak chicken broth with buckwheat, cheese salad with vegetables	Carrot and apple salad	Veal, cauliflower puree, vegetables
Friday	Barley porridge in milk with dried fruits, tea	Yogurt	Ukha in a weak broth with potatoes, seasoned with fresh herbs, fish, boiled vegetables	Baked apple	Vegetable salad with butter, stuffed cabbage
Saturday	Scrambled eggs with cheese, tea	Fruit puree	Borsch, beef tongue, tomato juice	Rosehip drink with honey	Stewed fish with baked vegetables, buckwheat
Sunday	Curd cakes with jam and sour cream, tea	Yogurt	Fresh cabbage soup, vegetable salad, meat in jelly	Fruit salad	Meatballs, vegetable stew, kefir

Foods that have a negative effect on the mucous membrane of the digestive system (spicy, fatty, gas-forming and others) are strictly prohibited with diet No. 3.

Table number 5

Diet table No. 5, in turn, is subdivided into No. 5a, designed to normalize bowel function, and No. 5p, used for pancreatitis. The staple foods in his diet are high in pectin and vegetable fiber.

General rules

Food in dietary table # 5 is served warm, as hot food is harmful for pancreatic pancreatitis. When preparing dishes, all products are crushed without fail.

It is recommended to follow a number of important rules:

• eat dishes only in a grated form;
• exclude fried foods;
• the interval between meals should be 2-3 hours;
• be sure to adhere to five meals a day.

The duration of the diet is determined only by the attending physician and is usually no more than 3 months.

What should be the diet

The calorie content of diet No. 5 is only 2500 kcal / day, so it can be used not only for the treatment of inflammatory processes in the pancreas, but also for weight correction.

Energy value for daily consumption:

• proteins - 90 g;
• fats - 90 g;
• carbohydrates - 400 g.

During this diet, you must consume a sufficient amount of liquid, at least 2 liters per day. The allowed norm of salt is 10 g. The total mass of the dish for 1 meal is 300 g.

Sample menu for a week

The dietary table No. 5 menu is adjusted by the attending physician according to the form of the disease, the patient's age, and the presence of individual food intolerance.

Breakfast	2 breakfast	Dinner	Afternoon snack	Dinner
Monday	Semolina porridge, meatballs, tea	Apple, dried fruits, several pieces	Vegetable soup, lean meat roll, fruit compote	Crackers, rosehip drink	Beet cutlets, biscuits, tea
Tuesday	Buckwheat casserole, tea	Baked pear	Cabbage soup without meat, vinaigrette, beef goulash, horns, dried fruit compote	Kissel from apples, pie with jam	Turkey and potato roll, cabbage zrazy, rosehip drink
Wednesday	Cottage cheese and millet casserole, tea	Zrazy from carrots and apples	Beetroot salad with peas, barley soup, cottage cheese and beef cutlets, baked zucchini, dried fruit compote	Semolina and apple jelly	Braised rabbit in sour cream filling, salad of peas, boiled carrots, pickled cucumber with low-fat mayonnaise, tea
Thursday	Semolina and fruit casserole, rosehip drink	Vegetable cutlet, berry jelly	Beetroot, dried apricot and carrot salad, ground beef and potato casserole, coffee drink	Oatmeal cookies with cottage cheese	Cabbage with carrots with sour cream sauce, egg, tea
Friday	Curd casserole with oatmeal, tea	Apple and pumpkin casserole	Carrot and apple salad with prunes, horns, chicken meatballs, rosehip drink	Baked apples with honey and raisins	Cabbage casserole with beef, crispbread with apricot jam, rosehip drink or tea
Saturday	Pearl barley porridge with milk, weak coffee, cornmeal cutlets with jam	Bread with dill and cottage cheese	Vinaigrette with squid, zucchini and oatmeal soup, meat cutlets with carrots, dried fruit compote	Dessert with sugar and egg white	Cabbage rolls stuffed with eggs and rice, beef zrazy, milk jelly
Sunday	Buckwheat with milk, tea	Syrniki	Vegetable soup with pearl barley, fish with vegetable caviar, water infusion of hawthorn	Apple pie	Beef and rice pie, apple and cauliflower salad, rosehip drink or tea

The proposed menu is approximate, it can be adjusted at your discretion. At the same time, it is important not to consume prohibited foods and not to exceed the daily calorie content.

Table 6

Diet table number 6 is prescribed for pancreatitis, accompanied by gout, uric acid diathesis. This diet is aimed at reducing the formation of uric acid in the body.

General rules

The basis of this diet is dairy and plant products. All types of meat and fish allowed for pancreatitis are pre-boiled. Broths are not used in this case.

The nuances of diet number 6:

• banned products containing oxalic acid;
• soups are prepared only in secondary vegetable broths;
• the number of meals should be at least 4 times a day;
• you can use both hot and cold dishes;
• cooking methods may vary, including frying.

You can use this diet for an unlimited amount of time, the average duration is 2 months.

What should be the diet

During diet number 6, you can drink an unlimited amount of liquid, preferably at least 2 liters per day. The daily energy value is 2200-2400 kcal.

Content of nutrients:

• carbohydrates - 300-330 g;
• fats - 70-80g;
• proteins - 85-90 g.

The daily salt intake is 8-9 g, the total weight of meals for 1 meal is 300 g.

Sample menu for a week

This diet is the least commonly used for pancreatitis, as it is most effective for other diseases. It is important to remember that in case of inflammatory processes in the pancreas, especially in the exacerbation phase, all dishes should be consumed grated.

Breakfast	2 breakfast	Dinner	Dinner
Monday	Cottage cheese pancakes, chamomile infusion with honey	Compote, several prunes	Bell pepper and rice soup, stew, mashed potatoes, yesterday's bread	Beef, baked vegetables, rosehip drink
Tuesday	Oatmeal with banana and apple, chicory with milk	Rusks with jam, alkaline mineral water	Milk soup with noodles, vegetable salad	Fish, stewed zucchini and carrots, bread, yogurt
Wednesday	Boiled milk sausage, soft-boiled egg, fresh cucumbers, chicory	Cottage cheese with fresh fruit	Beetroot with sour cream, chicken dumplings, pasta	Potato casserole with cheese, chamomile broth
Thursday	Potato pancakes with sour cream, green tea	Cottage cheese with nuts and prunes, low fat milk	Rice soup with vegetables, vinaigrette, meatballs, bread	Green beans, carrots, fish cakes, bran infusion
Friday	Scrambled eggs, vegetable salad, tea	Several walnuts, fruits	Lean borsch with sour cream, buckwheat porridge	Pilaf with prunes, fruit juice
Saturday	Apple and carrot salad, croutons with jam, chicory	Kissel or jelly from berries	Oatmeal, tomato soup, beef or rabbit cutlet, bread	Stuffed bell pepper with sour cream, carrot juice
Sunday	Yogurt, cheese sandwiches, tea	Fruit drink from berries, cottage cheese	Pearl barley soup with vegetables, potato cutlets with sour cream	Lean pork, vegetable salad, buckwheat porridge, kefir

Patients suffering from pancreatitis and gout at the same time may be recommended a fasting day 1-2 times a week.

Diet table for pancreatitis and related diseases

Food for pancreatitis of the pancreas, accompanied by other diseases, should be selected especially carefully. Therefore, a therapeutic diet can only be prescribed by the attending physician.

Diet for cholecystitis and pancreatitis

With the combination of these diseases, the diet will have to be followed for a fairly long period. With an acute inflammatory process up to 1 year, with a chronic course - all life.

The nuances of the diet:

• In case of exacerbation, it is imperative to use a therapeutic diet for several days from the onset of the development of the disease.
• Non-dairy porridges, scrambled eggs, grated soups, weakly brewed tea are introduced gradually after the removal of obvious signs.
• The menu can only be extended by 10 days. It is allowed to eat lean meat, sour milk, some vegetables and fruits.

With pancreatitis, accompanied by cholecystitis, dietary table No. 5 is most often prescribed.

Diet for pancreatitis and gastritis

With a simultaneous disease of the stomach and pancreas, general recommendations should be followed for problems with the gastrointestinal tract. Eating a diet helps restore acid-base balance and stop inflammation. To normalize the condition, doctors recommend using a dietary table No. 1 or No. 2.

Diet for diabetes and pancreatitis

Often these 2 pathologies are diagnosed at the same time, due to the fact that patients seek help even with an advanced form of pancreatitis, when diabetes has developed against its background.

With the simultaneous course of diabetes and pancreatitis, gastroenterologists recommend using the Pevzner treatment table No. 9.

Diet for ulcers and pancreatitis

Diet food for pancreatic lesions, and gastric and duodenal ulcers helps to increase the effectiveness of drug therapy and accelerate recovery.

Food for pancreatitis and ulcers should not be spicy, greasy, smoked and too salty. All dishes are recommended to be steamed or baked with a little vegetable oil.

Diet for gastroduodenitis and pancreatitis

Pancreatitis often develops against the background of gastroduodentitis and is a complication of it. With the simultaneous development of these diseases, the work of the entire digestive system is gradually disrupted. This, in turn, can lead to other more serious illnesses or death. To correct the condition, diet number 1 is used.

Diet for pancreatitis and hepatitis

With a simultaneous violation of the functioning of the liver and pancreas, normalization of the diet will significantly enhance the effect of drug treatment. In this case, dietary table No. 5a is most often prescribed. It is recommended to take food in small portions 5-6 times a day.

Pancreatitis is a complex disease of the digestive system, which, in the absence of timely therapy, can lead to serious consequences. Food, regardless of the recommended diet, must be of high quality, without preservatives and dyes. With pancreatitis of the pancreas, it is important to adhere to all the recommendations of the attending physician, then the disease will pass in a short time without complications.

Diet video for pancreatitis

Nutrition for pancreatitis. How and what is correct: