(1 ratings, average: 5,00 out of 5)

Pancreas

If a person is healthy and happy, there is no reason to remember that a very important organ functions in his body - pancreas. It is located behind the stomach, closely adjacent to the duodenum, between them and the spine, transversely at the level of the bodies of I-II lumbar vertebrae. The pancreas of an adult has a length of 14-22 cm, a width of 3-9 cm, a thickness of 2-3 cm, and a mass of about 70-80 g. Why is this gland so hidden in the body ?!

Already in the Talmud there is a description pancreas, where it is called the "finger of God". Vesalius in 1543 writes about the pancreas: “in the center of the mesentery, there is a large glandular formation that reliably supports the very first and significant branching of the vessels.”

The pancreas is an essential part of the digestive process. it secretes the main enzymes for the digestion of fats, proteins and carbohydrates: pancreatic lipase y, amylase y, trypsin and chymotrypsin. The main pancreatic secret - ductal cells - contains bicarbonate ions involved in the neutralization of acidic gastric contents. The main excretory duct, which opens into the duodenum, receives the secret of the pancreas, which accumulates in the interlobular ducts. Enzymes are secreted in an inactive form, which prevents enzymatic damage to the pancreas, which can be observed in pancreatitis e. In response to the secretion of pancreatic juice, the cells of the stomach and duodenum, active substances are produced - of a hormonal nature - gastrin, cholecystokinin and secretin, which ensures hormonal regulation of the exocrine function of the pancreas.

Islet cells - islets of Langerhans, located between the lobules, function as endocrine glands, secreting directly into the bloodstream glucagon and insulin - hormones that regulate carbohydrate metabolism. Glucagon raises and insulin lowers blood glucose levels.

Reasons for the development of pancreatitis: frequent consumption of spicy, fried, fatty foods, overeating, alcohol abuse, neuropsychic overexcitation, past viral infections and intoxications.

The most important symptom of pancreatitis are burning pains in the upper abdomen, in the left hypochondrium, sometimes with irradiation to the region of the heart, to the spine, which can last from several hours to several days.

Seizures are characterized by strong pain, loss of appetite, weakness, belching, flatulence, rumbling in the abdomen. Nausea, vomiting often join, there may be a decrease in temperature, trembling in the body. Long-lasting diarrhea even with proper nutrition. A mushy stool with undigested food particles, may have a frothy texture with an unpleasant odor. The patient can very sharply lose weight. This type of pancreatitis in some cases leads to the development of diabetes.

Treatment more often acute pancreatitis in hospital, because with severe pain, loss of consciousness or a state of shock may develop. Chronic pancreatitis requires long-term complex treatment and medical supervision.

Diet for pancreatitis

After an acute attack or exacerbation of chronic pancreatitis, first 3-4 days- need strict observance of complete hunger, you can use only mineral water without gas. Diet nutrition begins not earlier than the fourth day. In medical institutions, they are prescribed, according to the general, accepted method diet for pancreatitis – diet number 5.

At the heart of the diet:

• eat small meals 5-6 times a day, excluding snacks;
• refuse all products that enhance acid formation in the stomach;
• do not eat food that provokes the active work of gland enzymes;
• eat dishes prepared according to the principle of "careful processing" and "reducing the mechanical impact" on the digestive organs;
• products need to be steamed or boiled;
• eat food in pureed or crushed form;
• any kind of oils - butter or vegetable - add to ready meals.

The oil is added cold, avoiding its heat treatment, roasting, because substances that are harmful to the pancreas and gallbladder are formed. It is necessary to exclude the consumption of products after frying, grilling, smoking, tarring;

• diet should be accompanied by plenty of fluids. Inflammation of the pancreas is accompanied by water and electrolyte disturbances, large losses of water in the body.

Allowed to eat:

• vegetables (boiled, steamed or stewed) - zucchini, carrots, pumpkin;
• from soups: only vegetables (except cabbage soup, borscht - do not use white cabbage, onion, garlic); in the absence of exacerbation, you can - soups on a secondary meat broth;
• lean meat, poultry or fish (boiled or steamed);
• boiled noodles or vermicelli;
• cereals (boiled on water) - from oatmeal, rice, buckwheat, except for millet;
• scrambled eggs, cottage cheese casseroles (steam);
• from drinks, you can: weak tea, compote, jelly.

Products prohibited for consumption:

• all sour, spicy and fatty foods;
• canned foods and pickles;
• hot spices and seasonings;
• fatty meat broths;
• meat by-products (sausage, frankfurters, sausages, etc.), smoked meats;
• fatty fish (catfish, halibut, salmon, carp, mullet), caviar;
• lamb and pork fat;
• yogurts, glazed curds and fat sour cream;
• from vegetables: turnip, radish, spinach, radish, sorrel.
• from fruits: citrus and sour;
• rye bread, cakes, cakes, caramel, chocolate and chocolates;
• french fries, cheeseburgers, hot dogs, chips, kirieshki, nuts, etc.
• from drinks: strong tea, cocoa, coffee, kvass, carbonated drinks;
• any alcoholic drinks, including low-alcohol cocktails.

After an exacerbation of the disease, it is recommended to follow a diet for at least 8 to 9 months. And then proper nutrition for life. Diet for chronic pancreatitis- This is a certain food culture that enters a person's life for a long time. Because even small deviations from the usual diet can put an additional burden on the function. pancreas and cause seizures pancreatitis.

The waste products of beneficial bacteria, their bacterial enzymes, can help and improve digestion processes. It can be taken for a long time to improve the absorption of nutrients and reduce the load on the pancreas, functional nutrition - Harmony of Life. The product contains live lacto - bifidobacteria, products of their vital activity with nutritional, protective mechanisms of action on mucous membranes, pectin, which reduces fermentation processes, gas formation, and most importantly, there are no proteins cow's milk and milk sugar, which is contraindicated in violation of the function of the pancreas.

Dislike 2+

The diet for pancreatic pancreatitis as such begins no earlier than from day 4 (before that, only complete starvation).

According to the generally accepted classification of diets, which is used in medical institutions, proper nutrition for pancreatitis is diet No. 5 Penza. Food should be taken in small portions 5-6 times a day, excluding snacks in between meals.

The essence of the diet is the rejection of all products that increase acid formation in the stomach and provoke the active work of pancreatic enzymes. After an exacerbation of the disease, doctors strongly recommend following a diet for a long time - at least 8 months.

A proper diet for pancreatitis every day is important to prevent pain attacks, or at least reduce their level of severity.

1. In acute pancreatitis or exacerbation of the chronic form, the entire food should be pureed, boiled or steamed, which provides maximum sparing of the stomach.
2. Better cook food for a couple- so it retains nutrients and does not harm the body.
   Eat small meals about 5-6 times a day.
3. Overeating is not allowed, because this creates not only an increased load on the pancreas, but also on the entire digestive tract as a whole.
4. Do not consume cold or hot meals, the food should be warm. Optimum temperature 20 - 50°.

Nutrition for pancreatic pancreatitis should be nutritious, contain an increased amount of proteins, but a reduced amount of fats and carbohydrates (in particular sugar) to prevent the degeneration of the liver into fatty hepatosis and the development of diabetes mellitus.

Prohibited Products

It is necessary to exclude from your diet or even give up forever the following:

• fatty;
• fried;
• pickles;
• sour juices;
• canned food;
• sausages;
• smoked meats;
• chocolate;
• confectionery;
• alcohol;
• hot spices and seasonings.

Make sure that the diet is varied and includes both plant foods and animal protein.

You should pay attention to such products:

1. Non-acidic cottage cheese, hard cheeses.
2. Vegetarian cereal and vegetable soups, pureed, with potatoes, zucchini, pumpkin, carrots, pasta, semolina, buckwheat, oatmeal. 5 g of butter or 10 g of sour cream are added to the soup.
3. Lean meats and poultry, steamed, oven baked, meatballs, meatballs and meat casseroles.
4. Unsweetened baked apples, jelly or fruit compote.
5. Dried White bread or crackers, dry cookies.
6. Boiled porridge (buckwheat, oatmeal, semolina, rice) or pureed, boiled in water or milk in half with water, boiled vermicelli.
7. Weakly brewed tea with milk or rose hips in broth, slightly sweetened.

It is also important not to overeat, reducing the daily amount of food to 2.5 kilograms, taking into account the fluid you drink. Food is taken frequently and in small portions. Following all the rules of nutrition for pancreatitis can significantly increase the effectiveness of therapy in general.

Nutrition for exacerbation of pancreatitis

With an exacerbation of the chronic form of pancreatitis, the first 1-2 days - a starvation diet, the patient is only allowed to drink 1-2 cups of rosehip broth 0.8-1 liter of alkaline mineral water such as Borjomi (1 cup 4-5 times a day). In total, liquids are given 200 ml 6 times a day. In severe cases, drinking is also not allowed, food is only intravenously drip.

Two days later, the next week, a special diet for pancreatitis is introduced - diet No. 5p, which includes several options. Its goal is to reduce the formation of gastric acid and enable the pancreas to concentrate all its forces on the process of fighting for survival.

Sample menu for a week with pancreatitis

To make it not so difficult to get used to a new way of eating, we have prepared for you sample menu for a week with pancreatitis of the pancreas.

Example #1

• Breakfast. Meat (chicken or beef) steamed. Rosehip tea or decoction.
• Lunch. Oatmeal with milk. A decoction or infusion of wild rose.
• Dinner. Soup puree from carrots and pumpkin. Steamed fish. Tea.
• afternoon tea. 1 jar of baby food.
• Dinner. Vegetable stew of zucchini and carrots. A piece of boiled chicken. Dried fruits compote.
• For the night. A glass of kefir

Example #2

• Breakfast. Steamed meatballs or scrambled eggs from the whites of two eggs. You can also have cottage cheese pudding or boiled fish for breakfast.
• Lunch. Homemade cottage cheese - 150 grams. Mug of tea with milk
• Dinner. Vegetarian pureed potato soup with a little sour cream. Steamed meatballs.
• afternoon tea. Omelette from the proteins of 2 eggs or 30 grams of cheese. A glass of rosehip broth.
• Dinner. Meatloaf stuffed with scrambled eggs, consisting of 100 g of meat and 10 g of bread; steamed meatballs; boiled chicken - about 80-90 grams. Mug of tea with milk
• For the night. Fat-free cottage cheese that does not contain sugar - 100 grams. A glass of fruit jelly.

Example #3

• Breakfast: cheese biscuits.
• Second breakfast: steamed omelet, bread with tea.
• Dinner: buckwheat, boiled zucchini, cottage cheese.
• Afternoon snack: grated apple.
• Dinner: oatmeal, beetroot salad, baked apple.

Example #4

• Breakfast: boiled beef, oatmeal with milk, tea.
• Second breakfast: scrambled eggs, baked apple, rosehip broth.
• Lunch: vegetable soup, beef soufflé, pasta, sweet berry jelly, compote.
• Snack: cottage cheese and tea.
• Dinner: fish soufflé, tea.

Example #5

• Breakfast: 200 g of oatmeal, a slice of white bread, still mineral water.
• Second breakfast: 100 g of cottage cheese pudding, 100 g of apple puree, tea.
• Lunch: 400 ml vegetable puree soup, 200 g pumpkin porridge, 200 g cottage cheese.
• Dinner: 100 g meatloaf, 100 g cottage cheese casserole, 200 ml jelly.

Example #6

• Breakfast. Mashed potatoes(200g) with meatballs (105g), grated milk rice porridge (200g), tea.
• Dinner. Soup-puree of potatoes and carrots (250 g), toast, 110 g of steamed meat soufflé, buckwheat porridge (200 g), compote.
• afternoon tea. 110 g steamed egg white omelet.
• Dinner. Steamed fish roll (250 g), tea.
• For the night. A glass of curdled milk.

Example #7

• Breakfast. Oatmeal (300 g), meat soufflé (110 g), tea.
• Lunch. Cottage cheese (100 g).
• Dinner. Grated oatmeal soup (250 g), meat steam cutlets (110 g) with carrot and potato puree (200 g) and milk sauce, baked apple.
• afternoon tea. Protein omelet.
• Dinner. Meatballs (110 g) with milk sauce with carrot puree (150 g), tea.
• For the night. A glass of kefir.

For convenience, allowed products can be combined, or interchanged. Then your menu for the week will become more diverse.

What can you eat with pancreatitis? - this question certainly arises before those who have suffered an attack of acute pancreatitis or suffer from a chronic form of the disease, accompanied by unbearable pain. Here you will find answers about what not to eat, what products should be categorically avoided, and what can you eat with pancreatitis.

What can you eat with pancreatitis

Patients suffering from chronic pancreatitis are forced to comply for many years. No. 5p. may have individual preferences, sufficient in daily calorie content, complete in terms of the amount of proteins, fats, carbohydrates and minerals. The diet is fractional, products that mechanically irritate the mucous membrane of the digestive tract and have a juice effect are excluded.

In case of exacerbation of chronic pancreatitis, fasting is recommended in the first 3 days.. During this period, you can drink without gas, rosehip broth - in small portions of about 1 liter per day.

• From 4 to 6 days, it is allowed to drink unsweetened tea with crackers, mashed unsalted mucous soups, you can eat mashed buckwheat (or rice) porridge in milk, diluted by half with water, steam protein omelet.
• From day 6, you can add to cottage cheese, butter (up to 10-15 g per day), stale white bread, mashed vegetable soups or mashed potatoes without cabbage (carrots, beets, potatoes can be used in cooking).
• From 7-8 days, meat and fish of low-fat varieties are added to the diet in the form of steam soufflés from boiled products, on the 9-10th - in the form of steam meatballs, dumplings.

During the recovery period after an exacerbation and outside of an exacerbation, it is recommended to observe the following.

Remember! Food taken at emotionally favorable moments is absorbed better, and, on the contrary, if the patient is in a depressed state, then this state will interfere with the process of digestion, assimilation and lack of therapeutic effect from the supply side.

Tasks of modern dietology - increase the effectiveness of therapeutic measures, eliminate unwanted, side effects of medicines, maximally facilitate and unload the functions of damaged organs and systems, help restore disturbed processes and normalize the functional state of the pancreas (in this case) and other organs of the gastrointestinal tract.

A prerequisite in clinical nutrition for pancreatitis is the patient's compliance with the diet prescribed by the doctor.

If you are taking enzyme preparations (Creon, Mezim-forte), you should remember a few rules:

• take with meals
• drink plenty of pure water,
• separately from antacids,
• in accordance with the expiration date indicated on the package (enzymes quickly lose activity).

Write, the most frequently asked questions on the topic of what you can eat with pancreatitis, prohibited and permitted foods, will be published. Your questions and discussions in the comments help people suffering from this disease to navigate the diet. The topic of what you can eat with pancreatitis will be devoted to 87% of the pages of this site - read, discuss in the comments. I will be grateful if you share this article on social networks:

Discussion: 99 comments

Hi! doctor, I decided to at least eat right, it seems to me that proper nutrition is most of treatment. I would be grateful for the advice. Thank you!

Tatyana, regarding the treatment of chronic pancreatitis. Dietary nutrition for pancreatitis is a prerequisite in the treatment of pancreatitis. I repeat that it is possible to treat chronic inflammation of the pancreas (or maintain remission) only with strict adherence to the diet, without the use of drugs. And the opposite, to treat with pills, but not to follow a special diet - these are futile actions, a cure is impossible.

Hello. Thanks for the info. Now I will know what is possible and what is not. I already had three attacks within half a year. It used to happen once every 10-15 years. Your article is vital. I'm afraid of diabetes. Now if I drink sweet tea my head starts to spin. THANK YOU TOO!

Ruslana, I wish you good health.

Thank you Natalia for your site. I accidentally stumbled upon it .... Mom has acute pancreatitis. Soon they should be discharged from the hospital .. I will definitely use your recipes ... otherwise I broke my head .. what to feed .... and I was very interested in oatmeal jelly ... I think. .what if we drink it won't get worse???/Elena

Elena, Izotov's oatmeal jelly recipe is one of the best recipes traditional medicine. Doctors-experts on the First Channel of the Central Television in the program "Habitat" confirmed healing properties kissel Izotov and the effectiveness of the treatment of diseases of the gastrointestinal tract (GIT) - here about it >> . Other media publications about oatmeal jelly - here >>

Natalia, thank you very much for such a necessary site. I am a diabetic with experience and + 3 years of chronic pancreatitis. I came here by accident, my friends suggested looking for oatmeal jelly. I learned a lot about nutrition. Thank you for the recipes for dietary dishes.

Tamara, thanks for the feedback!

Hello, I have a question about diet. Where is the source from? I saw a lot of diets on different sites, but the doctor did not give me a list (as for example with GERD). Many diets allow milk and sour cream. In fact, I eat them quite often. As well as eggs (mostly soft-boiled). I don't feel any discomfort. But if I eat stewed beef in small or large pieces - it doesn’t matter, an attack begins. And even if I boil it first. The question is to blindly follow the diet (if so, which one - I will repeat on different sites of discrepancies). Or listen to your body? Can I do hidden harm to the body if I eat foods that make me feel comfortable, but which are prohibited in your version of the diet. And again, I repeat, where does the source of the diet come from? Is this according to Posner? But I didn’t see any restrictions on milk and sour cream in him .... For me, this is a very important question, since the list of allowed foods is already very poor ...: (Where can I get the original of his diet, do you happen to know? Thank you

Yes, again, without aggravation, I read half a glass of dry wine is allowed - and in your version, alcohol is completely excluded. I tried - no discomfort. Maybe your version of the diet is designed to stop an attack? Posner seems to have 2 versions - during an exacerbation and less severe in the remission stage. And it’s so sad that you want to shoot yourself from these wiped soufflés and other rubbish ... (Sometimes you think what for such a life at all - not to drink, not to smoke, not to eat yummy ((

And another question - do not tell me where you can get delicious recipes for pancreatitis? I saw only some outdated Soviet versions like "snowballs", mousses, etc. I love to cook and eat delicious, I don’t want to feel flawed now, reading another dull version of steam cutlets. I believe that haute cuisine for pancreatitis is also available 🙂

Eugene, indeed, the basis of the recipes presented on the site is the diet No. 5p according to the classification of Manuil Isaakovich Pevzner (the founder of diet therapy and clinical gastroenterology). Diet No. 5p has two options: diet No. 5p (first option) - during an exacerbation of pancreatitis and diet No. 5p (second option) - during remission, if there is a persistent remission for more than 0.5 years - diet No. 5.
There are books on diet therapy for pancreatitis, reference books. I have a higher education - a biophysicist and retraining and improvement courses in the specialty of nutrition. This is the source of knowledge.
Now regarding milk and dairy products. Indeed, dairy products are part of numerous therapeutic diets. However, pancreatic disease is often accompanied by lactase deficiency. It is very good that you do not suffer from lactase deficiency. This means that your body produces the enzyme lactase in sufficient quantities. Lactase breaks down lactose (milk sugar) into monosaccharides - glucose and galactose. With a lack of lactase (enzyme), milk and dairy products (lactose = milk sugar) are not absorbed. Symptoms appear - bloating, flatulence, abdominal pain, nausea is possible.
About alcoholic drinks. It is strictly forbidden to take alcohol. Even in minimal quantities, even low-alcohol drinks. The fact is that the pancreas does not produce enzymes that break down alcohol. Alcohol enhances the secretion of the pancreas (sap secretion). Pancreatic juice cannot enter the duodenum due to inflammation and narrowing of the outflows. As a result, self-digestion of the organ occurs.
Further, that you are tired of tasteless "steam cutlets". However, that dishes that have a bright, rich taste have the ability to cause the activity of the digestive system. At the heart of all the requirements of dietary nutrition is the implementation of maximum rest for the pancreas. Therefore, fatty, spicy, sour and ... dishes, hot and cold, should be eaten often and in small portions. Diversity in nutrition is the solution to satisfying gastronomic tastes.
The most important! It is impossible to cure pancreatitis only with medical preparations. Diet is the most important and indispensable component in treatment.

The article is very useful, thanks Natalia. And I have the following question, the doctor diagnoses chronic pancreatitis. Ultrasound of the abdominal cavity revealed no pathologies, pancreatic amylase 306.0, but almost every day I have pain in the left hypochondrium. I try to follow the diet. Now I am preparing for IVF, respectively, this is hormone therapy. Can this somehow affect my pancreas, and what should I do? Thanks in advance for your reply.

Tatyana, I think that a face-to-face consultation with a gastroenterologist (pancreatologist) is required.

Hello Natalia! Thank you very much for your great work that helps keep you healthy! Your site provides comprehensive information necessary for successful treatment. The dishes offered are exquisite, delicate, and the recipes are set out by you in such a way that it feels as if nothing is tastier than simply and cannot be! The dietary food recommended by you gives excellent results!

Marina, thanks for the feedback. Stay healthy!

Hello Natalia! Thank you so much for your wonderful site and great work!
I learned a lot of new things for myself, in particular, that with chronic pancreatitis in the initial stage there are constipations and you need a completely different menu than my doctor recommended to me and from which constipation only intensified.
Please tell me if it is possible for me to use freshly squeezed vegetable juices, which previously helped me. Is it possible to drink "Narina" 2.7%, eat yeast-free bread from sprouted wheat, whole grain oatmeal?
Maybe you can also tell me the source of information about this, I can not find it.
Many thanks in advance and good luck to you!
Victoria

It would be more convenient if you could print your recipes. Thanks for the helpful tips.

Thank you for such a wonderful site! I was very surprised when I read about the fact that sea buckthorn is not allowed. On many sites about pancreatitis, it is not something that is not forbidden - it is recommended. I liked that you not only wrote that it was impossible, but also explained why.

Hello, please tell me why you can’t have white cabbage with an exacerbation of the pancreas?

Julia, really white cabbage is contraindicated in pancreatitis. White cabbage can cause exacerbation of pancreatitis.
This vegetable contains a large number of fiber, essential oils. Which helps to increase the secretory activity of the stomach and pancreas. In case of pancreatitis, maximum rest of the pancreas should be maintained, i.e. Juicy foods should be avoided. Secondly. With pancreatitis, enzymes are not produced enough, therefore cabbage fibers are not fully digested. This leads to bloating, flatulence, and pain.

Thank you for your site. bookmarked it. I will be treated after the wrong way out of fasting - I had a good attack. I have been starving for 30 years, but I was at a party and thought: it will pass, but ... I again sat down on hunger and, thank God, crawled out without much loss, but I want to go on a diet, but everything is accessible and understandable with you.

Marina, I wish you good health! Thanks for the recognition.

Natalia! Good afternoon Thanks for the very good information. I have hr. pancreatitis 7 years. I maintain the condition with mineral water Essentuki-4 times a year, courses of treatment with medicines. Please tell me how often it is necessary to carry out treatment with enzymes - according to the state of the body or courses? And can lifting weights (accidentally happened) cause an exacerbation of xp. pancreatitis? Thank you for your attention.

Natalia, thank you very much for your site. Over the past month, I have lost more than 3 kg of weight due to lack of appetite and the disgusting diet No. 5, which the gastroenterologist slipped me, but it turns out there are only DELICIOUS options. I hope I feel a little better now!

Good afternoon. Tell me the doctor diagnosed chronic pancreatitis and prescribed a strict diet. Your article describes that in acute pancreatitis, you should first fast for the first three days, and later start eating 5-6 times a day while adhering to a strict diet. The question is can I eat 2 meals a day, eating the same portions at a time as when eating 5-6 times a day? Or after a three-day fast you need to eat only 5-6 times a day? It’s just that because of work I can’t take food with me, and eating food in the canteen is harmful. So I thought maybe it’s better not to eat at work at all than to eat junk food.

Andrew, be sure to follow principles of dietary nutrition in pancreatitis. Diet No. 5p - performs a healing role. Without strict adherence to the diet, it is impossible to relieve inflammation of the pancreas and restore the functional activity of the organ. And, on the contrary, non-compliance with the diet leads to relapses of the disease and to pancreatic necrosis.
Therefore, it is strictly necessary to eat 5-6 times a day.
You can take pre-cooked food with you to work.

Hello. And can you eat soups if they are made from chicken without fat and vegetables? Or after cooking them, you can only eat meat and vegetables, and pour out the broth?

Andrey, if you have a period of stable remission and the doctor has allowed you to switch from diet No. 5p to diet No. 5, then chicken soup is allowed
For example, this recipe is included in diet number 5:

1. Boil chicken breast, cool, skip 2-3 times through a meat grinder.
2. Add some broth and mix well.
3. Cook rice until fully cooked. Rub through a sieve.
4. Bring milk to a boil.
5. Combine milk, rice and chicken puree. Mix.
6. Add salt and bring to a boil.
7. Season the finished soup with oil.

1. Is it possible to eat dumplings if the meat is not fatty and without spices?

   Andrei, dumplings are contraindicated in pancreatitis, even during a period of persistent remission.
   Meatballs, steam cutlets are allowed, but dumplings are contraindicated.
   If you still decide to eat dumplings, i.e. you do not have the strength to resist your desires, and the disease is in a period of stable remission, then:

   • dumplings should be homemade, not store-bought. In store dumplings, meat is not of particularly high quality, flavor enhancers, various spices, seasonings and additives are added. All this will load the pancreas.
   • minced meat for homemade dumplings is better to cook from chicken breast, can be from beef. Films are removed from the tenderloin, the meat is twisted 2-3 times using a meat grinder. Onions, garlic, pepper are not allowed to be added to minced meat.
   • limit the portion to the smallest possible, for the first time 5-7 pieces are enough. If, after eating, discomfort and pain do not occur, then next time you can increase the serving to 10 pieces. But don't eat dumplings more than once every 2 weeks

   I repeat. dumplings are contraindicated in pancreatitis.

   Hello again. Can you eat bananas?

   Andrey, bananas are not included in diet No. 5p, but diet No. 5 is allowed.
   Therefore, if you have chronic pancreatitis in remission, then you can include a banana in your diet.
   The recommended amount is no more than 100 grams, which means 1 banana per day.
   It is not recommended to take a banana in the morning on an empty stomach.
   I like to include banana in my meals.
   For example, banana with cottage cheese - very tasty! You can chop with a blender and add a banana to kefir, yogurt or other fermented milk product. But you should not add a banana to milk, because milk with pancreatitis is not digested well enough.
   Banana can be added to porridge.

   tell me what kind of bread can I eat with chronic pancreatitis? can I eat bran, with sprouted grains?

   Victor, what kind of bread and flour products are allowed in the diet for pancreatitis with pancreatitis you will find here >> .
   Wheat bread can be included in the diet for pancreatitis in the stage of stable remission, but in limited quantities. You should not eat during an exacerbation, with individual intolerance, if the bread contains additives.

   Hello. My daughter is 4.5. Did an ultrasound - Conclusion: Diffuse changes in the pancreas (reactive). From the mouth bad smell, V Lately complains of pain in the abdomen. What does this mean and what should be done? Thank you

   Gayane, diffuse changes in the pancreas are not a diagnosis. You can read about it here >> .
   You write that measurements are reactive. This means that changes in the pancreas are caused by some kind of disease. This can wash diseases of the liver, gallbladder, duodenum, etc. In addition, your daughter has pain in the tummy.
   I recommend that you undergo an in-depth examination, your daughter may have reactive pancreatitis (or rule out this disease).
   In any case, pay special attention to the nutrition of the child. No products containing dyes, preservatives. Not allowed: spicy, salty, fried, fatty, carbonated drinks, ice cream. Give preference to natural products. Follow the diet. Eating 4-6 times a day.
   Regarding bad breath. The smell from the mouth in children is due to the vital activity of bacteria. Odor localization - mouth, nose, teeth. It follows that the cause of the smell should be sought in diseases of the nose, mouth and throat. Bad breath and gastrointestinal diseases are not interconnected (although there are other opinions)

   Natalia, I want to ask:
   1. In the section “Food. Recommendations for diet therapy” you write: “... Excluded: ... lactic acid drinks, ...” And in the section “Diet for pancreatitis occurring in chronic form” indicate: “Much more useful ... .. fresh fermented milk products.” How do these 2 conflicting recommendations of yours agree with each other and answer - both! - safe and proper nutrition for those suffering from pancreatitis?
   2. You write: “In case of exacerbation of chronic pancreatitis, fasting is recommended. During this period, you can drink mineral water without gas. However, on the bottles of mineral water and Slavyanovskaya, and Essentuki and all the others, it is indicated: Use only without exacerbation. Where is the truth?

   Marianne,
   dairy products should be low fat(fat-free), and fresh. Otherwise, patients complain of discomfort, bloating, flatulence.
   Therefore, some discrepancy is observed indeed. To avoid confusion, I added an explanatory link to this paragraph. Thank you too.
   Regarding mineral water. Mineral water for pancreatitis, even during the acute phase are shown. But you must follow the rules. Mineral water must be:
   alkaline (hydrocarbonate) low and medium mineralization - "Borjomi", "Essentuki No. 17", "Slavyanovskaya", "Smirnovskaya" and the like;
   degassed (freed from gas);
   warm (warmed up);
   Under these conditions, mineral water has an anti-inflammatory property, lowers the secretion of the pancreas and, as a result, pain is reduced.

   Hello Natalia!
   Please tell me if coconut and almond milk can be used in a diet for pancreatitis.

   Marina, coconut and almond milk are often misunderstood as medicines.
   In fact, both coconut and almond milk can harm an inflamed pancreas.
   Coconut and almond milk are prohibited in the acute phase of the process, because it strongly stimulates the pancreas. They have a choleretic effect, stimulate pancreatic secretion. The main disadvantage of these drinks is very high content saturated fats.
   The opinion that coconut and almonds are useful for pancreatitis due to the content of mineral salts, vitamins, proteins in them that help restore pancreatic function is erroneous. However, coconut milk does more harm to the body than good, not only in pancreatitis, but also harms the cardiovascular system - it contributes to the development of atherosclerosis. Almonds are also good for the heart, because they contain magnesium and potassium, which are necessary for the normal functioning of the heart.
   In the phase of persistent remission of pancreatitis, after switching from diet #5p to diet #5, you can add almond and coconut milk to your meals with restriction(for making sauces, desserts)
   The advice is given for information and does not constitute medical advice. You can find out from your doctor what is right for you.

   Hello Natalia! Please tell me whether it is possible to ask questions about contraindications of drugs for pancreatitis on this page. Perhaps other visitors to the site have similar questions. For example, oriental medicine preparations contain spices. Is it possible to take Persen: there are no contraindications in the instructions for taking it with pancreatitis, but there is a contraindication for diseases of the biliary tract, and here everything is interconnected, can its components - valerian, lemon balm, mint - be harmed in combination or separately. How do antibiotics affect the pancreas? Thank you.

   Natalia, please tell me how to distinguish chronic pancreatitis from a single case. The fact is that I sometimes had heaviness in my stomach, sometimes after a fatty one I could feel nauseous, but it quickly passed. And about a month ago, my stomach began to hurt all the time and, according to the description, it looks like pancreatitis, I didn’t go to the doctor then, I just ate boiled chicken for a while and everything went away after about a week, but now two weeks have passed and such a heaviness happened again, went already to the doctor, the doctor confirmed pancreatitis and prescribed diet No. 5p for a fading exacerbation, Creon during meals 3-4 times. It becomes easier, almost does not bother the pain. But! a few questions remain.

   Is it chronic or is it a one-time exacerbation? (usually I eat quite right - I drink very little, this time the aggravation of these pains happened after I ate at lunch, and then only at 8 o'clock in the evening and also a salad with seasonings - salt, sour cream, tomatoes ... in general, everything no need ... There would be no need to cook porridge ...)
   If chronic, is it possible to completely recover from this? - Diet or medication?
   And what if chronic, then sweet is generally impossible in any form?
   And yet - is it possible to endure hunger in chronic pancreatitis or is it not necessary to allow it? And what to eat if you had to make a big gap between meals (which actually provoked the pain this time)

   And yet - if there are no unpleasant sensations from this or that food - does it mean that it can be eaten (of course, add a little and carefully)?
   Thank you very much in advance for your answer and for explaining everything in such a competent and understandable way.

   Sophia, the diagnosis of the disease is made as a result of the examination. Your doctor told you it was pancreatitis. You described the periodicity of the onset of discomfort associated with eating, in this regard, it seems that this is chronic pancreatitis. Chronic pancreatitis is a progressive disease, that is, over time, there is an increasing destruction of the pancreas. Chronic pancreatitis is characterized by a phase course of the disease, i.e. has phases of exacerbations and phases of remissions. Every effort should be made to ensure that the remission is stable in order to delay the onset of the exacerbation phase in time. To cope with this task, you should follow the doctor's recommendations - take enzyme preparations, if they are prescribed, strictly adhere to dietary principles, follow the memo. . Avoid stress, states of emotional and mental stress. Observe the regime of work and rest. Keep track of your night's sleep.
   Avoid long breaks in eating. Meals should be 5-6 times a day.
   You can eat sweets with pancreatitis, but it should be limited.

   Natalia, thank you, I will get used to the diet. I decided to take the issue seriously and in this regard, I, as for sure, and the rest will be interested to know more:
   in the period of remission, when nothing bothers you, is it permissible to eat stewed vegetables (stew on water, in vegetable broth, without heavy sauces)?
   I am a big lover of vegetables and fruits. I learned that white cabbage is not allowed, but as for eggplants, tomatoes, cucumbers - I didn’t quite understand - can they be cooked in remission? And in general, in the remission stage, fresh vegetables are also impossible? fruits - non-sour apples, pears, bananas? I understand that citrus fruits are not ...
   Chicken broth is also in remission - can I?

   I really hope for your help, I do not exclude that there will be more questions. And so many, many times thank you again. Oh, if only I could thank you!

   Hello Natalia, thank you for your valuable advice, I was discharged from the hospital - diagnosis: acute biliary pancreatitis, choledocholithiasis, purulent cholangitis. I figured out the diet, the question is: is it possible to boil a doctor's sausage and your attitude to weak coffee with milk.

   Larisa, the attending physician can answer the question of what you can eat.
   General recommendations such:

   • If you are in a state of stable remission and diet No. 5 is prescribed for you, then weak coffee with milk and boiled doctor's sausage is possible.
   • If you are shown diet No. 5p, then you can’t have coffee or sausage.

   Diet No. 5p should be followed for at least 0.5 years after acute pancreatitis.

   Thank you, given the whole bunch of my diagnoses, I think I should refuse, it's better to play it safe.

   Many thanks for the site, with such detailed, valuable, detailed necessary information, for a person who has experienced attacks of pancreatitis! Not a single doctor has told in such detail how to eat in the first week after an attack and then what plan, only general phrases, but here there is a detailed strategy and recipes. THANK YOU!

   Hello Natalia! Please tell me if we can have boiled asparagus.
   Another question, please: I heard from a patient suffering from pancreatitis that instead of tea and coffee she drinks a ginger drink or brews chicory, is this not a mistake?

   Marina, if your pancreatitis has not reached the phase of stable remission, then asparagus, ginger and chicory are prohibited foods.
   Asparagus has coarse fibers that are difficult to digest, resulting in pain, bloating, and flatulence. Ginger is a spicy seasoning that causes active secretory activity of the pancreas, which contradicts the requirement of diet therapy - food should provide the maximum possible rest to the diseased organ. Chicory also enhances the secretion of the digestive organs, not as pronounced as ginger, but nevertheless is a prohibited product in acute pancreatitis, exacerbation of chronic or chronic pancreatitis in the stage of unstable remission.
   When a period of stable remission occurs, the doctor will allow the transition from diet No. 5p to diet No. 5. Diet No. 5 does not include these products either. However, there are examples when patients include young boiled asparagus or chicory drink in their menu. You should know that the quantity of these products should be minimal and of good quality. I’ll say it again - this is an individual approach, for one, asparagus (or chicory) will go well; for another, it can cause an exacerbation. But ginger, I think, should not be included in the menu as part of any dishes.

   Good afternoon ... as I understand from the information of various sites (and you wrote that chronic pancreatitis is a progressive disease, and then the condition of the pancreas will only get worse), will this disease shorten the life of your husband? He was diagnosed 3 years ago after poisoning, he never drank or smoked, all these three years on a diet, sometimes he allows himself sweets or sandwiches (fried and smoked - never), periodically pricks a little, sometimes presses, but in general nothing worries, for these three years there has never been an exacerbation with pain, only slight discomfort. It turns out that in 10-15 years, in any case, everything will be bad?….

   Anna, indeed pancreatitis is a progressive disease. According to some doctors, destructive changes in the pancreas occur even during remission. The pancreas is such an organ that even an experienced doctor cannot predict. In order for the remission to be long-term, and the destructive changes in the organ to be minimal, you should clearly adhere to diet No. 5 (during stable remission) or diet No. 5p (unstable remission and exacerbations). You should control your emotional background - avoid anxiety, stress. It is useful for patients with pancreatitis to do breathing exercises, which activates abdominal breathing.

   Thank you. If there is not and will not be a clear forecast, the hope that life will not be shortened so much, at least is there? …

   Anna, I completely agree with Natalia. Diet is the foundation. Once on an ultrasound, the doctor told me, I see you are on a diet ... Do not worry so much about your husband, everything will be fine.

   I sincerely thank you, Natalia, and you, Lev. We are 27 years old, we want the whole life to be ahead, but when you read about the survival forecast of 10-year-old, 15-year-old, it becomes so bad. Thank you very much.

   Anna. Don't listen to anyone and don't worry. I have 10 years behind me, and I allow myself something like that on holidays. Diet. It is important to monitor bowel movements. If the stool is normal and there is no pain, then there is no reason to worry. Be healthy!

   Leo, thank you. My husband has constipation. Serious pain he had never since the diagnosis, only then, for the first time. Sometimes it can suppress (like a feeling of heaviness) or slightly prick. And for the most part, everything is fine. May you have many, many more years to come. Health to you from the bottom of my heart.

   Hello. My grandmother was diagnosed with acute pancreatitis. After discharge from the hospital, they began to drink the prescribed pills (but after a few days, the extract was not immediately given). after a day of taking pills (Duspatalin, Festal), vomiting began, blood pressure and sugar rose. Is it because of the pills? Or is something bad starting

   Veronica, get tested for diabetes.

   Hello Natalia. Thank you very much for the site useful information added to bookmarks. My wife had pancreatic necrosis, now she is being treated, the doctors said it turns into chronic pancreatitis. I reviewed many sites on a diet after pancreatic necrosis. Tell me please, I can’t figure out yet whether she can eat chicken and fish soups if they are made from chicken breast or low-fat fish, with the addition of allowed vegetables. After resuscitation, doctors allowed her chicken broth in small portions, and soups on meat and fish broth are prohibited in diets. Thanks, I'll wait for an answer.

   That is, if she has diabetes, then the pills are contraindicated?
   And what happens if these two diagnoses are together? Diet?

   Andrei, after pancreatic necrosis, you should follow a diet for a long time. Often surgeons recommend broths in order to improve the body as a whole. However, the inflamed pancreas is a very demanding, capricious and unpredictable organ. Broths are not allowed by the #5p diet, but are allowed by the #5 diet. Diet No. 5 is prescribed for pancreatitis in the stage of stable remission, i.e. when there were no exacerbations for more than 0.5 years. The transition from diet No. 5p to diet No. 5 occurs with the permission of the attending gastroenterologist.

   Veronica, you need to get tested. Two diagnoses together can be, it is necessary to take medications prescribed by a doctor. Diet is required. Diet in these diseases plays a therapeutic role.

   Natalia Thank you for your reply. I would like to clarify; in the hospital, she is occasionally offered rice or pasta with chicken sauce. Also rice casserole, I just don't think they separate the yolk from the white when they make the casserole. Can she eat it?

   Andrei, I don’t know how much time has passed since the acute condition.
   A rough estimate is:

2. at first, the patient is recommended hunger (and this is not necessarily 2-3 days, it may be longer in the hospital).
3. further diet No. 5p the first, wiped option - duration 2-3 weeks (all food is wiped)
4. then diet No. 5p is the second, not wiped option - the duration is about six months (pasta can also be included here, but meat sauces are not recommended). If during this time relapses (exacerbations) are observed, then longer.
5. If a period of stable remission has come, then diet No. 5 is prescribed, which should be followed for years.

Natalia is very grateful to you for your answer, now everything about the diet has become very clear. Thank you! For information: I stayed in the intensive care unit for a week after the operation, to improve my condition I was transferred to the ward. I have been in the ward for 3 weeks, there are no acute pains, they say on ultrasound, the pancreas, while inflamed, turns into a chronic process. But the temperature has been holding for a month, jumping 37-38.5. As I now understand, there are errors in the diet, because the hospital will not cook for her personally. There was at first the 0th table, but for some reason now they have placed the 4th table; from the proposed menu, she does not eat everything, but she constantly eats the same thing; She just doesn't have an appetite anymore.

Hello Natalia! New exotic fruits appear in stores, litchi are bought in large quantities, but can they be included in the diet for pancreatitis, it seemed to me that they have a laxative effect?

There are now a lot of good recipes on the Internet that can be used for gastritis and other diseases of the stomach. But it is clear that a diet is not a direct medicine, I took Helinorm, it helped, for a year now there have been no exacerbations. But I still follow the diet so as not to provoke.

Polina, I will answer that "diet is not a direct medicine."
In case of inflammation of the pancreas, diet is the best medicine.
The acute period is medicamentous, it is treated in a hospital in the surgical department, and then the restoration of the pancreas is possible only if a special diet is observed, which has a therapeutic effect.

Good day, Natalia! I really want to ask for your e-mail, or rather a phone number, in order to ask a few questions about Kisel Momotov. Now he is wandering with me, and will soon filter. Please allow me to contact you!

Sincerely, Milena.

Milena, my e-mail: and [email protected] You can write to these email addresses, I check them 2 times a day. But your questions may be of help to someone, so wouldn't it be better to ask them right under the article? But you can also write by e-mail, whichever is more convenient for you 🙂

Good afternoon, Natalia!
Everywhere they write that vegetable soups are allowed on a diet, but you indicate that vegetable broths are not allowed. But how then to cook? Boil vegetables separately and then pour water even if it's just potatoes and carrots?
And one more question. Soup curds processed too it is impossible?

Good afternoon Please tell me. It hurts on the maiden side between the ribs, ultrasound showed signs of chronic pancreatitis, FGD showed gastritis. On Friday we ate khinkali at work and on Saturday a stool in green (emerald color) already formed, on Sunday it smoothly flowed into liquid stool. An unpleasant odor comes from the mouth. Hiccups start in the morning. Sometimes belching. Prompt please, doctors cannot give the exact answer with me it is created. And what diet should I follow to get rid of colic in the left part under the ribs. And what should be my next steps?

Hello. Tell me please, is it possible to eat beets in their pure form. It is written that borscht is not allowed, but how easy it is with beets?

Victoria, there is an article on the site - Is it possible to eat beets with pancreatitis - https://website/dieticheskoe-pitanie/svekla-pri-pankreatite.html
The same article contains recipes for dietary beetroot dishes that can be included in the menu for chronic pancreatitis.
With pancreatitis, fresh beets are contraindicated, as well as beetroot juice - why read in the same article.
If you use the SEARCH form and write in it - beets, you will find all the articles on the site on the topic.

Thank you for your answer！What about avocados？It seems that everything is clear in terms of a set of products, but what about physical activity？Can it somehow affect the disease？

oh, and cigarettes？Do they somehow contribute to the deterioration？We know that smoking kills）

Hello Natalia! Is it possible with chronic pancreatitis black cumin oil is said to be healing. Thank you in advance.

Good evening Natalia. Please tell us, we had the flu for 2.3 years.
The disease gave complications to the pancreas, pancreatitis was diagnosed. What foods can be given, cottage cheese and milk are not eaten, cereals too, and is it possible to give apples? Thank you in advance.

Hello! Thank you for the information and for answering questions.
I have chronic pancreatitis, now in the acute stage.
Such questions: is it possible to do without medicines, following only a diet?
And one more thing: is it really possible to forget about this disease one day, if you eat right and play sports all the time? Or is it still for life, and will inevitably get worse? I am now 29, I had several attacks, I was not treated by anything, I just did an ultrasound, where I was diagnosed with chronic pancreatitis. The last exacerbation was 3 months ago, and now.
I drank a decoction on corn stigmas, on the advice of a doctor. Tell me, is this decoction good for the pancreas, and is it possible to drink it during an exacerbation? Thank you.

Good afternoon I have had chronic pancreatitis for many years, but when my amylase tests showed 500 pains, there was no pain .... it was many years ago, the story is long, but I have autoimmune thyroiditis with hypothyroidism, but antibodies to peroxidase are small now ... but ANA is on today is 1:3200, this is considering that I was on medrol for a month and the situation has not changed. I'm leading to the fact that doctors suspect autoimmune pancreatitis, and the podzhel becomes inflamed on empty place, a permanent diet, I don’t drink, I don’t smoke ... the treatment is only symptomatic .... can you tell me what else can I try in my situation?

read everything you can eat. After that, I didn't even want to live. And you can't eat anything. was a corporate party at work. Everyone ate, and I sat looking at my colleagues. because there is nothing to eat. Drinking is violet to me. What I didn’t drink before, what now. Almost all salads are with mayonnaise, except for vinaigrette, which should be with white beans instead of peas, smoked sausage, fatty cheese, sweet juices, chocolate candies, peppers are not allowed. there are only tomatoes with cucumbers. Bread and that only with breadcrumbs. And this is what you call life? even my favorite caviar is not allowed.

Very detailed article! Thank you
For prevention, I still take medication.

If you suffer from pain during an exacerbation of pancreatitis, then I personally sleep only with oatmeal, and of course I follow a diet. It is better to eat nothing at all in case of severe pain. Only water. (Cold-hunger and peace)

with pacriatitis, is there a lump in the throat, it usually appears at night, when you get up, it goes away, a little and there is a burning sensation, it mostly happens at night, thanks

Hello! Help me figure it out, I was admitted to the hospital with abdominal pain with undigested stools and burning in the sacrum, I was diagnosed with postinfection irritable bowel syndrome. They began to inject antibiotics, after a 5-day course of antibiotics drug-induced hepatitis began, I turned yellow, the pain in the right hypochondrium was strong, they began to give me hypoprotectors the pain left the right rib and appeared in the left rib, and now it’s completely encircling, the stomach is swollen, callas with mucus and undigested food. The ultrasound was done 2 times, they say everything is within the norm

Hello Natalia! Your site is a life saver! Thank you for your titanic work and for patiently answering all the difficult answers. My question is: after fasting, you need to take food 5-6 times a day, and drugs such as pancreatin or creon also need to be taken with each meal or, as indicated above, 3 times a day? Thank you in advance.

Dear Natalia! I accidentally came across your site and was delighted. I learned so much useful information about pancreatitis and diet. Thank you so much for your attention and understanding answers! I wish you health, happiness and prosperity!!

Good afternoon. Tell me, please, can blood amylase be constantly slightly increased (maybe from birth)? It's just that I've never taken this test before. Once I was in gastroenterology, they wrote “chronic pancreatitis” in the discharge, without giving any recommendations. Yes, I was not bothered by any pain, discomfort, etc. And now, three years later, my left side began to hurt. She passed the tests - alpha-amylase 156, they said that the exacerbation of pancreatitis. Have appointed or nominated enzymes, a diet. After 2 months of treatment, she retaken biochemistry - amylase 138. She canceled the medications, only followed the diet. After another time - amylase 126, and then after 2 months again higher - 145. The doctor cannot explain why. Tell me, what is the norm of alpha-amylase (I am 31 years old)? And can it be constantly slightly increased in chronic pancreatitis? I just don't know how to lower it. Thank you

I forgot to say: apart from blood amylase, nothing bothers me, I don’t have vomiting, nausea, diarrhea, and never have. The only thing that was - it's pain in the left hypochondrium. And now only hung amylase remains. What can it say? Maybe this is normal for me? Thank you

Is it possible to eat walnuts and almonds, apricots with pancreatitis?

How long to follow the 5p diet which is up to the 10th day?

Let's figure out what you can eat with pancreatitis, and what is strictly forbidden, how to eat with pancreatitis, so that the pathology goes away and does not return.

With pancreatitis of the pancreas, the therapeutic diet limits many foods, while providing good nutrition. Although this seems to many to be a debilitating and unnecessary procedure, it is absolutely necessary to unload the digestive gland and direct all its resources to recovery.

How exacerbation of the disease affects nutrition

From the first attack until the onset of remission, the diet is mandatory. On the first day of the disease, complete fasting is required, any food should be excluded.

The diet is restored gradually, in 3-4 days, only if signs of improvement are obvious. First of all, fats and salt are limited. Daily calorie content should not exceed 1000 kcal. Meals - at least 6 times from 8:00 to 18:00. Only authorized products are allowed.

Nutrition in the acute stage

As soon as the first symptoms of inflammation of the pancreas appear, it should be unloaded. First, there must be complete hunger. With severe pain, patients are admitted to the hospital. With absence medical care The patient's condition is rapidly deteriorating.

Initially in the hospital, vitality is maintained by intravenous infusions of glucose and essential nutrients. A plentiful drink of non-carbonated mineral water or rosehip broth is prescribed. After 3-5 days from the onset of an attack with pancreatitis, you can consume liquid or mashed food.

Until the condition stabilizes, everything spicy, fatty, pickled and sour is excluded from the menu. Under the ban - flour products, eggs, alcohol in any concentration, cocoa, coffee drinks, whole milk.

Nutrition for chronic patients

The main condition for successful therapy in exacerbation of pancreatitis is 100% unloading of digestion, i.e. hunger. Therefore, the answer to those asking “what can you eat during an attack of pancreatitis” is one - nothing! In the future, after stopping the process, the daily ration is divided into at least 6 meals, including the easiest foods for digestion. Calorie content is controlled, taking into account the fact that a person, lying in a hospital, spends little energy.

The main focus is on lean meats:

• poultry (chicken, quail, turkey);
• beef;
• rabbit meat.

Eggs cannot be eaten, but their addition to various dishes is allowed. Lean fish is fine. A little milk is permissible only in cereals. At the onset of remission, fermented milk products are introduced.

The main cooking method is boiling and steaming. Fried food is completely excluded. Neutral fruits, vegetables, light cereals, kissels, tea, compotes are allowed.

After stabilization of the condition, you can try new products, spoon by spoon. If there is no negative reaction to them, then the dosage is gradually increased. If the product is not suitable, then the body reacts with belching and nausea.

What to eat with an inflamed pancreas?

If the gland is damaged, the patient must make a menu from what the doctor will allow him to use and a menu from any other diet, for example, from, will not work here. Any self-treatment and amateur nutrition can seriously complicate the situation. It is difficult to follow a therapeutic diet, especially for a long period, and even more so for a lifetime. In order to always control your diet, it is better for sick people to make a list of permitted and prohibited items, and keep it always at hand. Remember that it is impossible to cure pancreatitis without severe food restrictions.

Permissible vegetables

So that digestion does not reboot, all vegetables need to be thermally processed. The best way- this is boiling or steaming. Foods suitable for pancreatitis are stewed and baked. Puree soups - exclusively on vegetable broths. Suitable vegetables:

• table beets;
• carrot;
• zucchini;
• cauliflower.

After the condition improves, you can gradually introduce white cabbage and tomatoes. They must also be heat treated.

Forbidden vegetables

• eggplant (blue);
• bulb onions;
• radish;
• turnip;
• garlic.

Eggplants are considered dangerous because of the solanine in the overripe fruit. Radishes and other cruciferous vegetables irritate and exacerbate chronic pancreatitis. bell pepper contains a lot ascorbic acid and other bioactive substances, therefore, it is not allowed if acute pancreatitis has developed.

Fruit and berry diet

In the acute phase, you can:

• non-sour apples, better baked;
• bananas;
• pears.

Allowed in remission:

• avocado;
• cowberry;
• grape;
• pomegranate;
• melon - 1 slice per day;
• papaya;
• plum;
• persimmon;
• cherries.

Currant, gooseberry, lingonberry, blueberry compotes and mousses are also allowed in remission.

Unripe fruits and berries are prohibited. Rosehip decoction is very useful, rich in vitamin C, antioxidants and other bioactive substances that help strengthen the immune system.

meat ingredients

With pancreatitis, not all meat is allowed, because. it is hard to digest, contains many substances that stimulate the release of digestive enzymes from the pancreas. Only lean varieties are allowed.

The meat must be thoroughly cleaned of skin with bones, tendons with cartilage, fat deposits. On the basis of lean meat, it is allowed to cook any traditional dishes. Is it possible to eat barbecue with pancreatitis? The answer is unequivocal - it is impossible!

Under the absolute taboo with pancreatitis, fatty broths, pork, duck. Breaking the diet and eating barbecue, for example, can lead to a sad (even fatal) outcome.

allowed fish

Fundamentally with pancreatitis - avoid fat. If the percentage of fat content in food (including fish) exceeds 8%, then the stomach immediately begins to hurt, vomiting and upset stools occur.

Fish can be eaten, but lean:

• flounder;
• mackerel;
• pollock;
• burbot;
• perch;
• haddock;
• herring;
• cod;
• pike.

Medium oily (8%) fish include:

• pink salmon;
• carp;
• chum salmon;
• capelin;
• burbot;
• tuna.

Not allowed:

• sushi;
• canned food;
• dried and smoked fish;
• products with fish caviar.

Steam cutlets and fish casseroles are good, or it is served boiled.

What to choose from dairy products

Sour-milk products (kefir, cottage cheese) with reduced fat content are indispensable. Raw cow's milk is forbidden, however, you can cook liquid cereals, puddings, omelettes, mashed potatoes on it. Also, milk can be added little by little to tea.

Instead of cow's milk, it is better to use goat's milk, it is beneficial for the pancreas, rich in minerals and macronutrients. But it should be boiled before use.

At a minimum, you can add butter. It is better to refuse store-bought yogurts. They are crammed with dyes, thickeners, flavors and other chemical additives. Also contraindicated:

• hard cheese;
• ice cream;
• condensed milk;
• any products with preservatives and other chemical additives.

Cereals, cereals

Allowed buckwheat, oatmeal and viscous rice. Millet, barley (whole and crushed), corn and legumes are too hard to digest, therefore they are banned.

Porridge with pancreatitis is changed, so the body can absorb more different useful substances. Traditionally, with an exacerbation of chronic pancreatitis, oatmeal is used, it is the easiest. Oatmeal jelly is allowed to be drunk even on days of famine, when other food is prohibited.

Is it possible sweets?

Many people love sweets. How to satisfy such desires with pancreatitis? When the condition improves, you can gradually include sweets in the diet, only cooked with your own hands. Forbidden:

• alcohol;
• chocolate;
• condensed milk;
• citric acid and vinegar;
• creams.

little by little allowed:

• homemade jam;
• marshmallows;
• muses;
• souffle;
• jelly;
• paste;
• shortbread;
• sweets "Korovka".

The main thing is not to overdose on sweet foods, include them in the diet little by little.

spices

In most dishes, it is better not to use them. This applies even onion. Hot peppers are strictly prohibited. However, food can be safely flavored with scented herbs.

Herbs, in addition to essential oils, also include vitamins and minerals and have an anti-inflammatory effect. You can add a little vanillin or cinnamon to cereals and confectionery.

Allowed drinks

You can drink tea, up to 1 liter / day. Better choose green tea. You can also drink rosehip broth, fruit drinks and jelly, dill water, juices from apples and pumpkins diluted with bottled water, non-carbonated mineral water.

Concentrated juices, coffee, kvass, any soda are prohibited. Alcohol in any dose is prohibited, incl. - in remission.

What is forbidden and what is fraught with a violation of the diet

You can't change your diet on your own! What is allowed and what cannot be eaten with pancreatitis is determined only by the doctor. If you need to change your diet, always consult your doctor. Products are not just forbidden, but because of their poor digestibility, tk. they overload the pancreas.

Completely exclude pickled, fried, fatty, smoked dishes, spicy seasonings.

When the diet is disrupted, serious complications appear: various organ damage, bleeding, jaundice, thromboembolism, and tumors. Possible death.

initial stage

In acute inflammation, the symptoms of the disease are most pronounced: Abdominal pain, excessive gas formation, vomiting.

During an exacerbation of pancreatitis, the most important condition treatment is to reduce the load on the gland, which she experiences when digesting food. Best result achieved only when starving. Until 3 days, therapeutic fasting should continue, but at this time, plenty of drinking is indicated.

Since carbonated drinks are prohibited, it is best to give alkaline mineral water without gas. In small doses, you can drink a rosehip decoction. During this most crucial period, the patient should be under medical supervision.

Improvement stage

The next stage is the improvement of the condition, it is characterized by a decrease in pain, normalization of body temperature, cessation of vomiting and nausea. Flatulence becomes less pronounced. At this stage of the disease, normal nutrition begins to be restored, but with a number of restrictions according to the therapeutic diet.

The diet is divided into 7-8 receptions. On the first day of the stabilization of the condition, the patient can eat pureed, slimy food. Gradually, spoon by spoon, new products are found.

The daily caloric content of dishes should not exceed 800 kilocalories, it should be increased gradually. If the patient has no appetite, it is impossible to force him to eat, except to offer food in a spoonful. The drinking regimen must be strictly observed, the patient should drink 2 (or more) liters of water per day.

Food should be exclusively boiled or steamed. The consistency of food is allowed only liquid and semi-liquid. Protein food (scrambled eggs, minced meat) is administered no earlier than on the 4th day of the remission stage.

What kind of meat can be eaten with pancreatitis, we figured it out, but it, like fish, should be finely chopped, in the form of minced meat. On meat broths - a ban.

Recovery

The third stage of pancreatitis is recovery. All symptoms of the disease are stopped. What can patients with pancreatitis eat with the advent of recovery? The diet can be expanded at the expense of vegetables and fruits, add new food. The basis is the officially adopted 5p diet.

Its principles include: the division of food into prohibited and permitted, strict adherence to food preparation technology and adherence to rules that help prevent the aggravation of the inflammatory process.

Nutrition features include:

1. Meat with fish - only in chopped form.
2. Cold and hot are excluded, food and drinks should be warm, maximum 50 degrees.
3. The weight limit for one serving of food is 300 grams.
4. Fractional, 5-6 times, food.
5. The diet contains low-fat dairy products.
6. Vegetables / fruits are consumed only stewed or baked.

Reading 11 min. Views 2.3k.

Treatment and diet for pancreatic pancreatitis, an approximate menu and other features of the patient's nutrition are issues that cannot be ignored. During exacerbations, the diet is very limited; during periods of remission, the patient can afford some variety. To control the diet, it is recommended to make a list of dishes for the week, this will make the food varied and tasty, avoid unwanted breakdowns and the use of prohibited foods.

Nutrition principles

Pancreatitis, symptoms and treatment, diet during exacerbations and remissions are issues that concern all people who have problems with the gastrointestinal tract.

The disease often occurs on the background of malnutrition.

Abuse of fatty and fried foods, excessive alcohol consumption cause abdominal pain, nausea, and a general deterioration in well-being. This is due to a change in acidity in the small intestine, with an excess of enzymes and toxins. In the absence of adequate treatment, the disease progresses, the characteristic signs appear brighter. During the period of exacerbations, the patient's condition deteriorates sharply, after the attack has passed, the patient gradually begins to feel better. A balanced diet will help speed up the onset of remission. Treatment in adults and children supplements the intake of drugs prescribed by a doctor.

Therapeutic nutrition for pancreatitis is the key to the normalization of the pancreas.

Properly selected products do not irritate the gastrointestinal tract, providing the body with the necessary amount of proteins, carbohydrates, fats and vitamins. The menu depends on the stage of the disease. During exacerbations, complete fasting is recommended, then the diet is gradually expanded. The attending physician should explain what you can eat with pancreatitis. You need to stick to a strict diet for six months, then you can switch to a freer eating schedule. However, forbidden foods should be avoided even in the chronic phase. They can provoke an attack, after which the treatment will have to start all over again.

A patient with pancreatitis should eat often, in small portions. The daily diet is preferably divided into 4-5 meals, before going to bed you can eat fruit, drink vegetable juice or any sour-milk drink without sugar. It is not recommended to starve and greatly reduce portions; refusal to eat is necessary only at the onset of illness or after severe attacks. However, you shouldn’t overeat either, exceeding the daily calorie intake worsens digestion, provokes problems with stool and can cause discomfort in the pancreas. It is recommended to discuss all the nuances of nutrition with pancreatitis with your doctor.

Food must be prepared daily, it is preferable to refuse to visit restaurants where there is no way to control the freshness of products and the composition of dishes. The therapeutic diet includes steamed, boiled, baked in the oven or microwave oven. Proper nutrition is necessary for the normal absorption of drugs. For example, when taking Pancreatin, the diet should exclude acidic foods and animal fats.

Menu for exacerbations

An acute attack of pancreatitis is a good reason for hospitalization. Further treatment is under the supervision of a doctor.

In the first 3 days after the attack, it is desirable to maintain a starvation diet, giving rest to the pancreas.

Rice broth, mineral water, rosehip infusion and weak tea based on herbs will help maintain strength. Drink 5-6 glasses of liquid a day, this stimulates the elimination of toxins and reduces the level of acidity. In some cases, there is intravenous administration solutions that support the body.

After 2 days, a strict diet allows you to include new dishes in the diet: grated boiled carrots, mashed potatoes or zucchini, meatballs or soufflé from low-fat fish or chicken fillet. During this period, liquid cereals on the water, pureed vegetable soups, homemade jelly are useful. If health permits, you can introduce steamed vegetables and fruits into the diet.