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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 the 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, with 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 branches of the vessels.”

The pancreas is the most important participant in the digestive process, it secretes the main enzymes for the digestion of fats, proteins and carbohydrates: pancreatic lipases, amylases, trypsin and chymotrypsin. The main pancreatic secretion - duct cells - contains bicarbonate ions, which are involved in neutralizing acidic gastric contents. The main excretory duct, which opens into the duodenum, receives pancreatic secretions that accumulate in the interlobular ducts. Enzymes are released in an inactive form, this prevents enzymatic damage to the pancreas, which can be observed with pancreatitis. In response to the secretion of pancreatic juice, the cells of the stomach and duodenum, active substances of a hormonal nature are produced - gastrin, cholecystokinin and secretin, which ensures hormonal regulation of the exocrine function of the pancreas.

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

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

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

Attacks are characterized by severe pain, loss of appetite, weakness, belching, flatulence, rumbling in the stomach. Nausea and vomiting are often associated; there may be a drop in temperature and tremors in the body. Long-lasting diarrhea, even with proper nutrition. Mushy stools containing undigested food particles may have a foamy consistency with an unpleasant odor. The patient may lose weight very sharply. This type of pancreatitis in some cases leads to the development of diabetes mellitus.

Treatment more often acute pancreatitis in hospital, because with severe pain, loss of consciousness or 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 only drink mineral water without gas. Diet food begins no earlier than from the fourth day. In medical institutions they are prescribed according to the general accepted method dietary nutrition for pancreatitis – diet number 5.

At the heart of the diet:

• eat small meals 5-6 times a day, excluding snacks;
• give up all foods that increase acid formation in the stomach;
• do not eat foods that provoke the active work of gland enzymes;
• eat dishes prepared according to the principle of “careful processing” and “reducing mechanical impact” on the digestive organs;
• foods need to be steamed or boiled;
• eat food in pureed or crushed form;
• add any types of oils - butter or vegetable - to prepared dishes.

The oil is added cold, avoiding heat treatment and frying, as substances harmful to the pancreas and gall bladder are formed. It is necessary to avoid consuming foods after frying, grilling, smoking, or tarring;

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

Allowed to eat:

• vegetables (boiled, steamed or stewed) - zucchini, carrots, pumpkin;
• from soups: only vegetable (except for cabbage soup, borscht - do not use white cabbage, onion, garlic); in the absence of exacerbation, you can use soups with secondary meat broth;
• lean meat, poultry or fish (boiled or steamed);
• boiled noodles or vermicelli;
• porridge (cooked in water) - from oatmeal, rice, buckwheat, except millet;
• omelet, cottage cheese casseroles (steam);
• Drinks include: 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 fats;
• yoghurts, glazed cheese curds and full-fat sour cream;
• from vegetables: turnip, radish, spinach, radish, sorrel.
• from fruits: citrus and sour;
• rye bread, pastries, cakes, caramel, chocolate and chocolate candies;
• 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 throughout your 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 cases of pancreatic dysfunction.

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The diet for pancreatitis of the pancreas as such begins no earlier than day 4 (before this only complete fasting).

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 main meals.

The essence of the diet is the rejection of all foods 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 painful attacks, or at least reduce their severity.

1. In acute pancreatitis or exacerbation of the chronic form, all food should be pureed, boiled or steamed, which ensures maximum stomach sparing.
2. Better cook food for a couple– this way it retains nutrients and does not cause harm to the body.
   You should eat small portions 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 use cold or hot dishes, the food should be warm. Optimal temperature 20 – 50°.

Nutrition for pancreatitis of the pancreas 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:

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

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

You should pay attention to the following products:

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

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

Nutrition during exacerbation of pancreatitis

In case of exacerbation of the chronic form of pancreatitis, the first 1-2 days are on a starvation diet, the patient is only allowed to drink 1-2 glasses of rosehip decoction 0.8-1 liter of alkaline mineral water such as Borjomi (1 glass 4-5 times a day). In total, 200 ml of liquids are given 6 times a day. In severe cases, drinking is also not allowed, nutrition is only given intravenously.

Two days later, for 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 for pancreatitis

To make it less difficult to get used to a new way of eating, we have prepared for you sample menu for a week for pancreatitis of the pancreas.

Example No. 1

• Breakfast. Steamed meat (chicken or beef). Rosehip tea or decoction.
• Lunch. Oatmeal with milk. Rosehip decoction or infusion.
• Dinner. Carrot and pumpkin puree soup. Steamed fish. Tea.
• Afternoon snack. 1 jar of baby food.
• Dinner. Vegetable stew made from zucchini and carrots. A piece of boiled chicken. Dried fruits compote.
• For the night. A glass of kefir

Example No. 2

• Breakfast. Steamed meat cutlets or an omelette made from the whites of two eggs. You can also have breakfast with curd pudding or boiled fish.
• Lunch. Homemade cottage cheese – 150 grams. Mug of milk tea
• Dinner. Vegetarian pureed potato soup with a little sour cream. Steamed meat cutlets.
• Afternoon snack. Omelet from the whites of 2 eggs or 30 grams of cheese. A glass of rosehip decoction.
• Dinner. Meatloaf stuffed with omelette, consisting of 100 g meat and 10 g bread; steamed meatballs; boiled chicken - approximately 80-90 grams. Mug of milk tea
• For the night. Low-fat cottage cheese, sugar-free – 100 grams. A glass of fruit jelly.

Example No. 3

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

Example No. 4

• Breakfast: boiled beef, oatmeal with milk, tea.
• Second breakfast: omelet, baked apple, rosehip infusion.
• Lunch: vegetable soup, beef soufflé, pasta, sweet berry jelly, compote.
• Afternoon snack: cottage cheese and tea.
• Dinner: fish soufflé, tea.

Example No. 5

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

Example #6

• Breakfast. Mashed potatoes(200g) with meatballs (105g), grated milk rice porridge (200g), tea.
• Dinner. Potato and carrot puree soup (250 g), crouton, 110 g steamed meat soufflé, buckwheat porridge (200 g), compote.
• Afternoon snack. 110 g steamed egg white omelette.
• 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), steamed meat cutlets (110 g) with carrot and potato puree (200 g) and milk sauce, baked apple.
• Afternoon snack. Protein omelet.
• Dinner. Meatballs (110 g) in milk sauce with carrot puree (150 g), tea.
• For the night. A glass of kefir.

For convenience, permitted products can be combined or swapped. Then your menu for the week will become more varied.

What can you eat if you have pancreatitis?? - this question certainly arises for 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 to what you should not eat, what foods you should categorically avoid, and what can you eat if you have pancreatitis?

What can you eat if you have pancreatitis?

Patients suffering from chronic pancreatitis are forced to comply for many years. No. 5p. may have individual preferences, sufficient daily calorie content, complete in the amount of proteins, fats, carbohydrates and minerals. The diet is divided, foods that mechanically irritate the mucous membrane of the digestive tract and have a juice-containing 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 decoction - in small portions of about 1 liter per day.

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

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

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

Challenges of modern dietetics - increase the effectiveness of therapeutic measures, eliminate unwanted side effects of medications, maximally facilitate and relieve the functions of damaged organs and systems, promote the restoration of disturbed processes and normalize the functional state of the pancreas (in this case) and other organs of the gastrointestinal tract.

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

If you take enzyme preparations (Creon, Mezim-Forte), you should remember several rules:

• take with meals
• drink plenty of clean 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 navigate nutrition. 87% of the pages of this site are devoted to the topic of what you can eat with pancreatitis - read and discuss in the comments. I will be grateful if you share this article on social networks:

Discussion: 99 comments

Hello! I’m new. The doctor said that I have pancreatitis, but he hasn’t prescribed any treatment yet (I took tests and went to the hospital about spinal surgery and I still can’t move further than to the toilet). I can’t get to the toilet yet. doctor, I decided to at least eat right, it seems to me that proper nutrition is most of treatment. I would be grateful for your 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 chronic inflammation of the pancreas can be treated (or maintained in remission) only with strict adherence to a diet, without the use of drugs. And vice versa, treating with pills, but not following a special diet, is an ineffective action, a cure is impossible.

Hello. Thanks for the info. Now I’ll know what’s possible and what’s not. I’ve already had three attacks within half a year. Previously it happened once every 10-15 years. Your article is vitally important. I’m afraid of diabetes. Now if I drink sweet tea I start to feel dizzy. I need to check my blood sugar. BIG THANK YOU TOO!

Ruslana, I wish you health.

Thank you Natalya for your site. I accidentally came across it.... Mom has acute pancreatitis. She should be discharged from the hospital soon.. I’ll definitely use your recipes... I’ve been scratching my head... what to feed... and I’m very interested in oatmeal jelly... I think. .what if we drink it won’t it make it worse???/Elena

Elena, Izotov’s oatmeal jelly recipe is among the best recipes traditional medicine. Medical experts on the First Channel of Central Television in the program “Habitat” confirmed healing properties Izotov’s jelly and the effectiveness of treating diseases of the gastrointestinal tract (GIT) - here about it >>. Other media publications about oatmeal jelly are here >>

Natalya, thank you very much for such a useful site. I am an experienced diabetic and have had chronic pancreatitis for + 3 years. I came here by accident, 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!

Good afternoon, I have a question about diet. Where is the source? I saw a lot of diets on different sites, but the doctor didn’t give me a list (like for example for GERD). Many diets allow milk and sour cream. In fact, I eat them quite often. Just like 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 follow a diet blindly (if so, which one - I repeat, there are different interpretations on different sites). Or “listen” to your body? Can I cause hidden harm to the body if I consume foods that make me feel comfortable, but which are prohibited in your version of the diet? And again, where is the source of the diet? Is this according to Posner? But I didn’t see any restrictions on milk and sour cream... For me this is a very important question, since the list of allowed products is already very meager...:(Where can I get the original of his diet, do you happen to know? Thank you

Yes, again, outside of an exacerbation, I read that half a glass of dry wine is allowed - but in your version, alcohol is completely excluded. I tried it - no discomfort. Maybe your version of the diet is designed to stop an attack? Posner seems to have 2 versions - during an exacerbation and a less severe one during remission. Otherwise it’s so sad that you want to shoot yourself from these mashed soufflés and other rubbish... (Sometimes you think what for is such a life at all - not drinking, not smoking, not eating something delicious ((

And another question - can you tell me where I can get delicious recipes for pancreatitis? I only saw some outdated Soviet versions like “snowballs”, mousses, etc. I love to cook and I love to eat deliciously, I don’t want to feel inferior now reading another dull version of steamed cutlets. I believe that haute cuisine is also accessible to pancreatitis sufferers :)

Evgenia, indeed, the recipes presented on the site are based on 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 the period of exacerbation of pancreatitis and diet No. 5p (second option) - during the period of remission, if persistent remission is observed 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 advanced training courses in the specialty of nutrition. This is the source of knowledge.
Now regarding milk and dairy products. Indeed, dairy products are included in 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 your body produces the lactase enzyme in sufficient quantities. Lactase breaks down lactose (milk sugar) into monosaccharides - glucose and galactose. If there is a lack of lactase (enzyme), milk and dairy products (lactose = milk sugar) are not digested. Symptoms appear - bloating, flatulence, abdominal pain, possible nausea.
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, dishes that have a bright, rich taste have the ability to cause activity in the digestive system. The basis of all dietary requirements is to ensure maximum rest for the pancreas. Therefore, you should avoid fatty, spicy, sour and…foods, hot and cold, and eat frequently and in small portions. Dietary diversity 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 Natalya. My next question is, the doctor diagnoses chronic pancreatitis. An ultrasound of the abdominal cavity revealed no pathologies, pancreatic amylase is 306.0, but I have pain in the left hypochondrium almost every day. I try to follow a diet. Now I am preparing for IVF, which means hormonal therapy. Could this somehow affect my pancreas, and what should I do? Thanks in advance for your answer.

Tatyana, I think that an in-person consultation with a gastroenterologist (pancreatologist) is required.

Hello, Natalia! Thank you very much for your great work which helps keep you healthy! Your website provides a variety of information necessary for successful treatment. The dishes offered are exquisite, delicate, and the recipes are presented by you in such a way that you feel as if nothing could be tastier! The diet you recommended gives excellent results!

Marina, thank you for your feedback. Stay healthy!

Hello Natalia! Thank you very 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 is constipation and you need a completely different menu than what my doctor recommended, which only made the constipation worse.
Please tell me if I can drink freshly squeezed vegetable juices, which previously helped me. Is it possible to drink Narine 2.7%, eat yeast-free sprouted wheat bread, and whole grain oatmeal?
Maybe you can also tell me the source of information about this, I can not find it.
Thank you very much in advance and good luck to you!
Victoria

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

Thank you for such a wonderful site! I was very surprised to read that you can’t eat sea buckthorn. On many sites about pancreatitis, it is not only not prohibited, but it is recommended. I liked that you didn’t just write that it’s not allowed, but also explained why.

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

Julia, white cabbage is indeed contraindicated for 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. Products that have a soda-containing effect 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. I 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 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 heavy objects (happened by accident) cause an exacerbation of chronic disease? 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 case of acute pancreatitis, you must first fast for the first three days, and then start eating 5-6 times a day while adhering to a strict diet. Question: Can I eat 2 times a day, eating the same portions at a time as when eating 5-6 times a day? Or after a three-day fast, should you eat exclusively 5-6 times a day? The simple matter is that because of work, I can’t take food with me, and the food in the canteen is unhealthy. So I thought it might be better not to eat at all at work than to eat junk food.

Andrey, be sure to stick to it principles of dietary nutrition for pancreatitis. Diet No. 5p - plays a therapeutic 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 pancreatic necrosis.
Therefore, it is strictly necessary to eat 5-6 times a day.
You can take pre-prepared food with you to work.

Hello. Is it possible to eat soups if they are made from chicken without fat and vegetables? Or after cooking them, can you only eat meat and vegetables and discard the broth?

Andrey, if you are in 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 No. 5:

1. Boil the chicken breast, cool, and pass through a meat grinder 2-3 times.
2. Add a little broth and mix well.
3. Cook the 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 and steamed 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. Store-bought dumplings use low-quality meat; flavor enhancers, various spices, seasonings and additives are added. All this will put a strain on the pancreas.
   • minced meat for homemade dumplings is best prepared from chicken breast, can be made from beef. The films from the tenderloin are removed, the meat is twisted 2-3 times using a meat grinder. It is forbidden to add onions, garlic, peppers to minced meat.
   • limit the portion to the smallest possible, for the first time 5-7 pieces are enough. If you don’t experience any discomfort or pain after eating, then next time you can increase the portion to 10 pieces. But don't eat dumplings more than once every 2 weeks

   I will repeat. dumplings are contraindicated for pancreatitis.

   Hello again. Can you eat bananas?

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

   Tell me what kind of bread can I eat with chronic pancreatitis? Is it possible to eat bran bread with sprouted grains? I’ve been asking so many times and haven’t heard an answer anywhere, and can I also eat wheat bread?

   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 abdominal pain. What does this mean and what should be done? Thank you

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

   Natalya, 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 healthier…..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(low fat), 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 is indicated for pancreatitis, even during the acute phase. But you must follow the rules. Mineral water should be:
   alkaline (hydrocarbonate) low and medium mineralization - "Borjomi", "Essentuki No. 17", "Slavyanovskaya", "Smirnovskaya" and the like;
   degassed (free from gas);
   warm (warmed up);
   If these conditions are met, mineral water has anti-inflammatory properties, reduces pancreatic secretion and, as a result, pain is reduced.

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

   Marina, coconut and almond milk are often mistakenly perceived as medicines.
   In fact, both coconut milk and almond milk can harm an inflamed pancreas.
   Coconut and almond milk are prohibited during the acute phase of the process, because they strongly stimulate the pancreas. They have a choleretic effect and stimulate pancreatic secretion. The main disadvantage of these drinks is that they are very high content saturated fats.
   The opinion that coconut and almonds are useful for pancreatitis due to the content of mineral salts, vitamins, and proteins that help restore pancreatic function is erroneous. However, coconut milk does more harm to the body than good, not only for pancreatitis, but also causes harm to the cardiovascular system and contributes to the development of atherosclerosis. Almonds are good for the heart, as they contain magnesium and potassium, which are necessary for normal heart function.
   In the phase of stable remission of pancreatitis, after switching from diet No. 5p to diet No. 5, you can add almond and coconut milk to your dishes with limitation(for making sauces, desserts)
   Advice is provided for information and does not constitute medical advice. You can find out what is right for you from your doctor.

   Hello, Natalia! Please tell me whether it is possible to ask questions on this page about contraindications of medications for pancreatitis. Perhaps other site visitors have similar questions. For example, oriental medicine preparations contain spices. Is it possible to take Persen: the instructions do not contain any contraindications for taking it for 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 harmful 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, there is almost no pain. But! There are a few questions left.

   Is this chronic or just 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 there’s no need... I wish I could cook some porridge...)
   If chronic, can it be completely cured? — diet or medications?
   What if it’s chronic, then sweets are generally not allowed in any form?
   And one more thing - is it possible to tolerate hunger during chronic pancreatitis or should it not be tolerated? And what to eat if you had to take a long gap between meals (which actually caused the pain this time)

   And also - if there are no unpleasant sensations from this or that food - does that mean that you can eat it (of course, add a little at a time and carefully add it)?
   Thank you very, very much in advance for your answer and for explaining everything so competently and clearly.

   Sophia, the diagnosis of the disease is made as a result of an examination. The doctor told you that it is pancreatitis. You described the frequency of onset of states of discomfort associated with eating, in this regard, it is thought that this is chronic pancreatitis. Chronic pancreatitis is a progressive disease, that is, over time, increasing destruction of the pancreas occurs. Chronic pancreatitis is characterized by a phased 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. To cope with this task, you should follow the doctor’s recommendations - take enzyme preparations, if prescribed, strictly adhere to principles of dietary nutrition, follow the instructions. . Avoid stress and states of emotional and mental tension. Follow the work and rest schedule. Monitor your night's sleep norm.
   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, your attending physician can answer your question about 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 diet No. 5p is indicated for you, then neither coffee nor sausage is allowed.

   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, 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 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 greatest 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 for acute pancreatitis, exacerbation of chronic or chronic pancreatitis in the stage of unstable remission.
   When a period of stable remission begins, 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 a 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, asparagus (or chicory) will go well for one person, but it may cause an aggravation for another. But ginger, I think, should not be included in the menu as part of any dishes.

   Good afternoon...as I understand from information on 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 my husband’s life? He was diagnosed 3 years ago after poisoning, he never drank or smoked, all these three years he has been on a diet, sometimes he allows himself sweets or sandwiches (fried and smoked - never), periodically he stabs a little, sometimes he crushes, but in general nothing worries, over these three years there has never been an exacerbation of pain, only mild discomfort. It turns out that in 10-15 years everything will be bad anyway?….

   Anna, pancreatitis is indeed a progressive disease. According to some doctors, destructive changes in the pancreas occur even during remission. The pancreas is an organ that defies the predictions of even an experienced doctor. In order for the remission to be long-lasting and the destructive changes in the organ to be minimal, you should strictly adhere to diet No. 5 (during stable remission) or diet No. 5p (unstable remission and exacerbations). You should control your emotional background - avoid anxiety and stress. It is useful for patients with pancreatitis to engage in breathing exercises, which activate abdominal breathing.

   Thank you. If there is no and will not be a clear forecast, is there at least hope that life will not be shortened so much? ...

   Anna, I completely agree with Natalya. Diet is the foundation. Once during an ultrasound, the doctor told me, I see you are following a diet... Don’t 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 our whole life ahead, but when you read about the 10-year, 15-year survival prognosis, it becomes so bad. Thank you very much.

   Anna. Don't listen to anyone and don't worry about it. I have 10 years behind me, and I allow myself something like this during the 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!

   Lev, thank you. My husband has constipation. He has never had serious pain since the diagnosis, only then, for the first time. Sometimes it can feel overwhelming (like a feeling of heaviness) or tingle slightly. But basically everything is fine. May you have many, many more years behind you. I wish you health from the bottom of my heart.

   Hello. My grandmother was diagnosed with acute pancreatitis. After being discharged from the hospital, they started taking the prescribed pills (but after a few days, they did not immediately give me a discharge). 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, she is now undergoing treatment, the doctors said it was turning into chronic pancreatitis. I reviewed many sites on a diet after pancreatic necrosis. Tell me, I can’t yet understand whether she can eat chicken and fish soups if they are made from chicken breast or lean fish, with the addition of permitted vegetables. After resuscitation, doctors allowed her chicken broth in small portions, and soups with meat and fish broths are prohibited in the diet. 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. Surgeons often recommend broths in order to improve the health of the body as a whole. However, an 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 must get examined. There can be two diagnoses together, you need to take medications prescribed by your doctor. Diet is required. Diet for these diseases plays a therapeutic role.

   Natalia Thank you for your answer. I would also like to clarify; at the hospital she is periodically offered rice or pasta with chicken sauce. And also rice casserole, I just don’t think that when preparing the casserole they separate the yolk from the white. Can she eat this?

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

2. First, the patient is recommended to fast (and this does not have to be 2-3 days; in the hospital it can be longer).
3. further diet No. 5p first, pureed option - duration 2-3 weeks (all food pureed)
4. then diet No. 5p, the second, non-puréed version - lasts about six months (pasta can also be included here, but meat sauces are not recommended). If relapses (exacerbations) are observed during this time, then longer.
5. If a period of stable remission has begun, then diet No. 5 is prescribed, which should be followed for years.

Natalia is very grateful to you for your answer, now everything has become very clear about the diet. Thank you! For information: I spent a week in intensive care after the operation, and as my condition improved, I was transferred to a ward. I have been in the ward for 3 weeks, there are no acute pains, the ultrasound says that while the pancreas is inflamed it is becoming a chronic process. But the temperature has been holding for a month now, fluctuating between 37-38.5. As I now understand, there are errors in the diet, because the hospital will not prepare for her personally. At first there was a 0th table, but for some reason they now put a 4th table; She does not eat everything from the proposed menu, but she always eats the same thing; She simply has no appetite anymore.

Hello, Natalia! New exotic fruits are appearing in stores, lychees are being 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 many good recipes on the Internet for dishes that can be used for gastritis and other stomach diseases. But it is clear that a diet is not a direct medicine, I took Helinorm, it helped, and there have been no exacerbations for a year now. But I still follow the diet so as not to provoke it.

Polina, I’ll answer that “diet is not really medicine.”
In case of inflammation of the pancreas, diet is the best medicine.
The acute period is medicated, treated in a hospital in the surgical department, and then restoration of the pancreas is possible only by following a special diet that has a therapeutic effect.

Good day, Natalia! I really want to ask for your email, or better yet, your phone number, so I can ask a few questions about Kisel Momotov. Now it’s fermenting with me, and I’ll have to strain it soon. Please allow me to contact you!

Best regards, Milena.

Milena, my e-mails: 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 email, whichever is more convenient for you :)

Good afternoon, Natalia!
Everywhere they write that vegetable soups are allowed on the diet, but you indicate that vegetable broths are not allowed. How then to cook? Boil vegetables separately and then add water, even if it’s just potatoes and carrots?
And one more question. Processed cheese curds are also not allowed?

Good afternoon Please tell me. It hurts on the virgin side between the ribs, ultrasound showed signs of chronic pancreatitis, FGD showed gastritis. On Friday we ate khinkali at work and on Saturday a green (emerald-colored) stool had already formed; on Sunday it smoothly turned into loose stool. There is an unpleasant odor coming from the mouth. Hiccups begin in the morning. Sometimes belching. Please tell me, the doctors cannot give an exact answer to what is happening to me. And what diet should I follow to get rid of colic in the left part under the rib. And what should be my next steps?

Hello. Please tell me if it’s possible to eat beets in their pure form. It’s written that you can’t have borscht, but just with beets？Thank you.

Victoria, there is an article on the site - Is it possible to eat beets with pancreatitis - https://site/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.
For pancreatitis, fresh beets, as well as beet juice, are contraindicated - read why 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？Everything seems to be clear regarding the 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 me, we have had the flu for 2.3 years.
The disease caused complications in the pancreas, and a diagnosis of pancreatitis was made. 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.
Questions such as: is it possible to do without medications, 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 suffered several attacks, I was not treated with anything, I only did an ultrasound scan, where I was diagnosed with chronic pancreatitis. The last exacerbation was 3 months ago, and now.
I drank a decoction of corn silk, 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 amylase tests showed 500, there was no pain....that 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 it’s 1:3200, considering that I’ve been on Medrol for a month and the situation hasn’t changed. I'm leading to the fact that doctors suspect autoimmune pancreatitis, and the liver is inflamed empty place, constant diet, I don’t drink, I don’t smoke...the treatment is only symptomatic...can you tell me what else I can try in my situation?

I read everything you can eat. After that, I didn’t even want to live anymore. And you can't eat anything. was a corporate party at work. Everyone was eating, and I sat and looked at my colleagues. because you can't eat anything. Drinks are purple to me. I didn’t drink BEFORE, what now. Salads are almost all with mayonnaise, except vinaigrette and that should be with white beans instead of peas, smoked sausage, fatty cheese, sweet juices, chocolate candies, pepper is not allowed. There are only tomatoes and cucumbers left. The bread is only 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 medications.

If you suffer from pain during an exacerbation of pancreatitis, then I personally only sleep with oats, and of course I follow a diet. If you have severe pain, it is better not to eat anything at all. Only water. (Cold-hunger and peace)

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

Hello! Help me figure it out, I was admitted to the hospital with abdominal pain, undigested food in the stool and a burning sensation in the sacrum, they diagnosed me with post-infection irritable bowel syndrome. They started injecting me with antibiotics, after a 5-day course of antibiotics, drug-induced heppatitis began, I turned yellow, the pain in the right hypochondrium was severe, they started giving me hypoprotectors the pain went away from the right rib and appeared in the left rib, and now it’s completely girdling, the stomach is swollen, calla lilies with mucus and undigested food. Ultrasound was done 2 times, they say everything is within normal limits

Hello Natalia! Your site is the salvation of many! Thank you for your titanic work and for your patient answers to all the difficult answers. I have a question: after fasting, you need to eat 5-6 times a day, and should medications such as Pancreatin or Creon also be taken with every 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 many useful things about pancreatitis and diet. Thank you so much for your attention and clear answers! I wish you health, happiness and prosperity!!

Good afternoon. Please tell me, can blood amylase be constantly slightly elevated (maybe from birth)? I've just never taken this test before. Once I was in the gastroenterology department, and on the discharge they wrote “chronic pancreatitis”, without giving any recommendations. Yes, I was not bothered by any pain, discomfort, etc. And then three years later, my left side began to hurt. I took tests - alpha-amylase was 156, they said it was an exacerbation of pancreatitis. Have appointed or nominated enzymes, a diet. After 2 months of treatment, I retook the biochemistry test - amylase 138. I stopped taking medications, just followed the diet. After some more time, the amylase level is 126, and then after 2 months it is higher again - 145. The doctor cannot explain why. Tell me, what is the norm for alpha-amylase (I’m 31 years old)? And can it be constantly slightly elevated in chronic pancreatitis? I already know how to reduce 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 happened was pain in the left hypochondrium. And now all that's left is the hanging amylase. What could this mean? Maybe this is normal for me? Thank you

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

How long to follow the 5p diet until the 10th day?

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

For pancreatitis of the pancreas, the therapeutic diet limits many foods, while providing adequate nutrition. Although this seems like an exhausting and unnecessary procedure to many, it is absolutely necessary to relieve the digestive gland and direct all its resources to restoration.

How does an exacerbation of the disease affect nutrition?

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

The diet is restored gradually, over 3-4 days, only if signs of improvement are obvious. The first step is to limit fats and salt. Daily calorie content should not exceed 1000 Kcal. Meals - at least 6 times from 8:00 to 18:00. Only approved products are allowed.

Nutrition in the acute stage

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

Initially in the hospital, vitality is maintained with intravenous infusions of glucose and essential nutrients. Drinking plenty of non-carbonated mineral water or rosehip decoction is prescribed. After 3-5 days from the onset of an attack of pancreatitis, you can consume liquid or pureed food.

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

Nutrition for chronic patients

The main condition for successful therapy for 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! Subsequently, after stopping the process, the daily diet is divided into at least 6 meals, including the easiest foods to digest. Calorie content is controlled taking into account the fact that a person, while lying in a hospital, spends little energy.

The main emphasis is on lean meat:

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

Eggs should not be eaten, but they can be added to various dishes. Lean fish is good. A little milk is only allowed in porridges. When remission occurs, fermented milk products are introduced.

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

After the condition has stabilized, you can try new foods, spoonful at a time. If a negative reaction to them does not appear, then the dosage is gradually increased. If the product is not suitable, the body reacts with belching and nausea.

What do you eat if you have an inflamed pancreas?

If the gland is damaged, the patient must make a menu from what the doctor allows him to eat and a menu from any other diet, for example, from, will not work here. Any self-medication and initiative in nutrition can seriously complicate the situation. It is difficult to follow a therapeutic diet, especially for a long period, and even more so throughout your life. In order to always control their diet, it is better for sick people to make a list of what is permitted and prohibited, and keep it always at hand. Remember that it is impossible to cure pancreatitis without strict dietary restrictions.

Acceptable vegetables

To prevent digestion from rebooting, all vegetables must be thermally processed. The best way- This is boiling or steaming. Foods suitable for pancreatitis are stewed and baked. Puree soups are made exclusively with 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 due to solanine in overripe fruits. Radishes and other cruciferous vegetables irritate and aggravate 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.

Acceptable 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. Rose hip decoction is very useful, rich in vitamin C, antioxidants and other bioactive substances that help strengthen the immune system.

Meat ingredients

For pancreatitis, not all meat is allowed, because... it is difficult to digest and contains many substances that stimulate the release of digestive enzymes from the pancreas. Only low-fat varieties are allowed.

Meat must be thoroughly cleaned of skin and bones, tendons and cartilage, and fat deposits. It is allowed to cook any food based on lean meat. traditional dishes. Is it possible to eat kebab if you have pancreatitis? The answer is clear - you can’t!

Fatty broths, pork, and duck are an absolute taboo for pancreatitis. Breaking your diet and eating kebabs, for example, can lead to a sad (even fatal) outcome.

Allowed fish

The main thing with pancreatitis is to avoid fatty foods. If the percentage of fat in food (including fish) exceeds 8%, then the stomach immediately begins to hurt, vomiting and upset stool occur.

Fish can be consumed, but low-fat:

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

Medium fatty (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 they are 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, it can be used to cook liquid cereals, puddings, omelettes, mashed potatoes. 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 stuffed 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, porridge

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

Porridge with pancreatitis is changed, so the body can absorb more different useful substances. Traditionally, during exacerbation of chronic pancreatitis, oatmeal is consumed; it is the easiest. Oatmeal jelly can be drunk even on days of hunger, when other food is prohibited.

Can I have sweets?

Many people love sweets. How to satisfy such desires with pancreatitis? As your condition improves, you can gradually include sweets in your diet, only those you prepare yourself. Prohibited:

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

gradually allowed:

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

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

Seasonings

In most dishes, it is better not to use them. This even applies onions. 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. It's better to choose green tea. You can also drink rosehip infusion, fruit drinks and jelly, dill water, apple and pumpkin juices diluted with bottled water, and non-carbonated mineral water.

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

What is prohibited and what is the risk of violating the diet?

You cannot change your diet on your own! What is allowed and what is not allowed to eat during pancreatitis is determined only by the doctor. If you need to change your diet, always consult your doctor. Products are prohibited for a reason, but because of their poor digestibility, because... they overload the pancreas.

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

If the diet fails, serious complications appear: various organ damage, bleeding, jaundice, thromboembolism, tumors. Possible death.

initial stage

In acute inflammation, the symptoms of the disease manifest themselves to the maximum: Abdominal pain, excessive gas formation, vomiting.

During the period of exacerbation of pancreatitis, the most an important condition treatment is to reduce the load on the gland that it experiences when digesting food. Best result achieved only during fasting. Therapeutic fasting should continue for up to 3 days, but during this time drinking plenty of fluids is indicated.

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

Improvement stage

The next stage is 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 meals. On the first day when the patient’s condition begins to stabilize, the patient can eat pureed, mucous foods. Gradually, spoon by spoon, new products are found.

The daily calorie content of meals should not exceed 800 kilocalories, it should be increased gradually. If the patient has no appetite, you cannot force him to eat, unless you offer food by spoonful. The drinking regime 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 (omelet, minced meat) is introduced no earlier than on the 4th day of the remission stage.

We figured out what kind of meat you can eat with pancreatitis, 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 stop. What can patients with pancreatitis eat after recovery? The diet can be expanded with vegetables and fruits, or new foods can be added. The basis is the officially accepted 5p diet.

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

Nutritional features include:

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

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Treatment and diet for pancreatitis of the pancreas, a sample 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 allow himself some variety. To control your diet, it is recommended to make a list of dishes for the week; this will make the food varied and tasty, and avoid unwanted breakdowns and consumption of prohibited foods.

Principles of nutrition

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 due to poor nutrition.

Abuse of fatty and fried foods, excessive alcohol consumption cause abdominal pain, attacks of nausea, and a general deterioration in health. This occurs due to changes in acidity in the small intestine, with an excess of enzymes and toxins. In the absence of adequate treatment, the disease progresses, and the characteristic signs become more and more pronounced. During exacerbations, the patient's condition deteriorates sharply; after the attack passes, the patient gradually begins to feel better. Following a balanced diet will help speed up the onset of remission. Treatment in adults and children is complemented by taking medications prescribed by a doctor.

Therapeutic nutrition for pancreatitis is the key to normalizing the functioning 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 more relaxed eating schedule. However, forbidden foods should be avoided even in the chronic phase. They can provoke an attack, after which treatment will have to start all over again.

A patient with pancreatitis should eat often, in small portions. It is preferable to divide the daily diet into 4-5 meals; before bed, you can eat a fruit, drink vegetable juice or any fermented milk drink without sugar. Fasting and greatly reducing portions are not recommended; refusal to eat is necessary only at the beginning of the disease or after severe attacks. However, you should not overeat; 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 avoid visiting restaurants where there is no way to control the freshness of food and the composition of dishes. The therapeutic diet includes dishes that are steamed, boiled, baked or microwave oven. Proper nutrition is necessary for the normal absorption of medications. 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 carried out under the supervision of a doctor.

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

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

After 2 days, a strict diet allows you to include new dishes in your diet: grated boiled carrots, potato or zucchini puree, meatballs or lean fish souffle or chicken fillet. During this period, liquid porridge with water, pureed vegetable soups, and homemade jelly are useful. If your health allows, you can introduce steamed vegetables and fruits into your diet.