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Diet in case of an attack of pancreatitis

, medical expert
Last reviewed: 16.10.2021
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Naturally, patients suffering from inflammation of the pancreas need to know, and what is the diet for an attack of pancreatitis. At the same time, it is necessary to distinguish between the drinking and feeding regimen precisely during the attack with the diet during the recovery period after this peak state.

Experts believe that a properly organized diet during an attack can help a patient improve their condition. Therefore, in the first two or three days of severe exacerbation of the disease, severe starvation is necessary. At this time, the reception of liquid, namely water - purified and not carbonated. In a day the patient needs to drink up to one and a half liters of life-giving moisture, and, in small portions - up to a quarter of a glass. This drink should be regular - once in half an hour, and in a warm form. You can drink alkaline mineral water as a drink.

Perhaps, if the expert will allow, use a weak broth of rose hips or lightly brewed green tea. Sometimes it is recommended to diversify drinks with weak tea with a little addition of honey or non-carbonated mineral water "Borjomi". But such additions to the drinking regime should not be done independently, but only after consulting with the doctor and not on the first day of the attack.

From other delights, which are now for the patient, all food and other drink will have to be abandoned until the patient's condition improves, and doctors are not allowed to get out of hunger and resort to restorative nutrition. Usually, such a diet lasts three days, and then comes the period of a long rehabilitation of the patient, including with the help of food.

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Eating after an attack of pancreatitis

The basic rules of nutrition after acute manifestations of the disease were removed are as follows:

  • The first three days after the attack the patient is on a medical starvation, which was described in more detail a little above.
  • From the fourth day after the onset of the attack, the patient begins to eat according to diet number 5n.
  • Food is taken fractionally, in small amounts, five or six times a day.
  • Overeating is prohibited. It is better to eat some food, feeling a feeling of mild hunger after eating.
  • Food should be prepared in the form of a mushy consistency that excludes mechanical irritation of the stomach and continued stimulation of inflammation of the pancreas.
  • Daily intake of food should contain a sufficient number of protein products.
  • Food, rich in carbohydrates, is reduced in its quantity.
  • Fatty foods and food are excluded from the diet of a sick person.
  • Under the ban also there are other products with a sharp taste - salty, spicy, smoked, pickled and canned dishes.
  • In the first year after the exacerbation of the disease, not only the above food is banned, but also fresh pastries and bread, as well as vegetables and fruits in fresh form. They, like other prohibited foods, cause fermentation in the body, which is not at all useful for restoring the pancreas.
  • If you neglect these recommendations, then the body will not win the disease, and the pancreas will again start to become inflamed and destroyed. In addition, throughout life a person who has experienced a peak condition in pancreatitis will need to eat in accordance with this diet, excluding from the diet of harmful foods and dishes. Nutrition after an attack of pancreatitis is a kind of medicine on the table that helps a person maintain their state of health in optimal condition.

Diet after an attack of pancreatitis

Three days of the patient awaited complete starvation (or hunger with the addition of broth of rose hips, weak tea and mineral water). On the fourth day after the onset of the attack, the patient passes to a special diet called diet No. 5p.

This type of diet is intended for people suffering from inflammatory processes in the pancreas, namely pancreatitis in acute or chronic form. This subspecies of diet is included in the diet number 5, which is intended for people who have problems with the digestive system.

If you touch just the diet № 5p, then it was created with such a consideration to restore the exocrine function of the pancreas. This applies to the regeneration of all food channels, as well as to prevent fat infiltration and dystrophic manifestations in the pancreas and liver. This diet contributes to a decrease in the state of excitability in the gallbladder, which is good for the processes of recovery in the pancreas.

The main principle of the above dietary nutrition is to do everything possible to protect the pancreas from mechanical and chemical influences. Diet No. 5p is divided into two components. The first is a diet in acute pancreatitis and with manifestations of exacerbation of chronic pancreatitis. The second - with chronic forms of pancreatitis, but during the period of symptom relief and in remission after the condition of exacerbation. At the moment we are interested in the first version of the diet.

Diet after an attack of pancreatitis implies under itself the following diet:

  • The food is cooked on steam or cooked on the water.
  • Dishes should be liquid or semi-liquid - mashed, mushy consistency, well-ground.
  • The patient should eat food every three to four hours.
  • The total number of meals a day should be at least five to six times.
  • Protein in food and dishes should be an increased amount. In the quantitative composition of proteins, about eighty grams per day are taken, of which one-third must be proteins of animal origin.
  • The maintenance of fats is reduced to a minimum - all from forty to sixty grams a day, from them the quarter should be a plant origin.
  • Essentially reduced the amount of carbohydrates in food - up to two hundred grams per day, of which only twenty-five grams refers to sugar.
  • Prohibited to use extractives that can stimulate the secretory function of the digestive system.
  • It is forbidden to use coarse fiber.
  • Free liquid, drunk a day, should be one and a half liters.

The list of recommended foods and drinks is as follows:

  • Bakery products are recommended only in the form of breadcrumbs from wheat bread, in the amount of fifty grams per day.
  • Meat dishes can be eaten low-fat and non-fat. Therefore, beef, rabbit, chicken, and turkey are allowed. They can be steamed or boiled. Also, good-looking dishes are good - in the form of a souffle and so on.
  • Fish are allowed low-fat varieties and only in the frayed type - souffle, knel and so on.
  • You can use only a protein omelet for a couple of one or two eggs a day. Yolk is mixed in other dishes in the amount of half a day.
  • From dairy products are allowed milk, added to the dishes, low-fat cottage cheese with a non-acidic taste, which is prepared, like pasta, steam puddings from cottage cheese.
  • From fats you can use unsalted butter and vegetable refined oils, added to ready meals.
  • Recommended porridge in the form of rubbed and semi-liquid of buckwheat, oatmeal, pearl barley, wheat cereal, mango, rice and so on. You can make puddings and soufflé from cereals.
  • Vegetables are represented by potatoes, carrots, zucchini, cauliflower. Of these, you need to prepare mashed potatoes and steam puddings.
  • You can eat mucous cereal soups from oatmeal, pearl barley, rice and manga.
  • From sweet dishes you can use grated compote, jelly, mousse and jelly, cooked with xylitol or sorbitol.
  • From drinks you can drink only light tea and broth of rose hips.
  • Of the sauces suitable semi-sweet fruit and berry gravy.

The list of prohibited foods and food is as follows:

  • All bakery products and flour dishes are prohibited, except those listed on the permitted list.
  • Fatty varieties of meat and poultry, which include dishes from mutton, pork, goose, duck, liver, brains, kidneys, as well as sausage, canned food and smoked meat. Do not use low-fat meat in fried and stewed.
  • Fatty varieties of fish, as well as fried, stewed, smoked, salty fish dishes. Canned food and caviar are forbidden.
  • Eggs are excluded, except for the permitted form of preparation and quantity.
  • Milk products can not be consumed with milk as a drink, as well as sour cream, cream, sour milk drinks, fatty cottage cheese and sour cottage cheese, cheeses - especially fatty and salty.
  • All fats, except recommended. Especially, frying foods with fats.
  • Of cereals - millet, barley, crumbly porridge.
  • All beans.
  • Macaroni dishes.
  • From vegetables, you will have to refrain from eating white cabbage, radish, turnips, radish, rutabaga, spinach, sorrel, garlic and onions.
  • You can not eat soups prepared on meat, fish, mushroom and vegetable broths. Dairy soups, cabbage soup, borsch, okroshki and beetroot soup are forbidden.
  • All sweets are excluded, except those permitted above.
  • All drinks, especially carbonated sweet and mineral, fruit and vegetable juices, coffee, cocoa and so on.

What can you eat when you have a pancreatitis attack?

Nutrition with an attack of pancreatitis plays an important role in restoring the normal state after the activation of the problem. More precisely, his absence, as one of the main factors provoking the deterioration of the human condition.

Therefore, within three days of the diagnosis of the attack of the disease, the strictest abstinence from food, or rather, hunger, is necessary. Complete fasting is important because food, getting into the digestive system, starts to activate the development of inflammation in the pancreas. This is due to the fact that the digestive processes stimulate irritation in the organ, which leads to the development of enzymes that are necessary for processing food. Thus, the organ is not at rest in order to recover, and further participation in the cleavage and assimilation of nutrients by the pancreas provokes inflammation in it itself. In parallel with the inflammatory processes, painful sensations increase, which worsens the general condition of the patient and can aggravate the disease and slow the recovery.

For the three specified days, it is recommended to drink only. And clean water in small doses. Because water also has an effect on the pancreas, which is inadmissible for the treatment of the disease.

Therefore, when answering the question of a patient and his close people about what can be eaten with an attack of pancreatitis, we can say with absolute certainty: "Nothing." And it will be absolutely right and fair decision.

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