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Diet in chronic pancreatitis as part of the treatment
Last reviewed: 23.04.2024
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[What is the diet for chronic pancreatitis?
Regardless of the etiology of the inflammatory process in the pancreas and its nature, gastroenterologists recommend diet 5 for chronic pancreatitis according to Pevzner, or rather, a 5p diet prescribed for chronic pancreatitis in the remission phase, when an exacerbation occurs. The first important rule of this diet is a fractional food, that is, you need to take food five times a day, about every four hours. The daily calorific value should not exceed 2800 kcal, and the layout of the nutritional components looks like this: no more than 120 g of proteins, 70-80 g of fats (in the form of vegetable and butter), 400 g of carbohydrates (in the form of refined sugar - 35 g) and not more than 10 grams of salt per day. During the day it is useful to drink up to one and a half liters of water.
Since the main principle of dietary nutrition in this pathology is minimizing the physiological load and chemical effects on the digestive tract and pancreas, some foods, all extractives, and all dishes prepared by roasting should be excluded from the diet. The main methods of cooking in this pathology should be cooking, steaming, and baking in the oven (but not in an open manner, but in a sealed container or in foil - so that there is no crust).
In addition, the dishes should contain enough crushed or ground ingredients (to facilitate digestion and better assimilation of nutrients) and have a comfortable temperature for the esophagus - that is, within + 40-42 ° C. It is especially important to adhere to these rules if a diet is prescribed for exacerbation of chronic pancreatitis, when the first two to three days it is useful for patients to hunger and drink water and unconcentrated decoction of wild rose berries (without sugar).
Diet recipes for chronic pancreatitis
Diet recipes for chronic pancreatitis - with all excluded and allowed products - are almost the same as when dieting is necessary for pancreatitis, and their detailed description (dietary soup, oat soup, carrot and meat souffle) can be found in Our publication Diet regimens for pancreatitis, Diet for pancreatitis, Diet for exacerbation of pancreatitis, and Diet for inflammation of the pancreas.
We hope that this information will help you in the treatment of chronic pancreatitis.
What can not eat with chronic pancreatitis?
So, what can not be eaten with chronic pancreatitis? The category banned by doctors includes everything that has an excess of animal fat: fatty meats, poultry and fish (and, accordingly, broths); Pork lard (including in the form of a brisket or loin); meat and canned fish; cooking fats; containing a high percentage of dairy products; hard-boiled egg yolks; cakes and pastry with butter cream. Also it is necessary to refuse sausage products, as at their manufacturing in fat is put fat.
Complicate the digestive process with fresh bread, buns and pies from yeast dough, pasta (except for thin vermicelli), pearl barley and wheat cereals, so they are not recommended. Remember that chronic pancreatitis can not be eaten; pickles and marinades, sauces with spicy seasonings, ketchup, mayonnaise, mustard; You can not drink: carbonated, alcoholic and low alcohol drinks, strong coffee and tea, sour fruit and berry juices.
It is necessary to exclude from the diet such vegetables as cabbage (white cabbage), cucumbers, tomatoes, radish, sweet peppers, onions, garlic, spinach, sorrel, and also all legumes. Mushrooms are considered to be heavy food, so they too fall under the ban.
Nutritionists are also advised not to lean on the sweet and on foods with a high glycemic index, as with significant amounts of carbohydrates the pancreas will have to synthesize more insulin, which is unacceptable for a diet in chronic pancreatitis.
What can you eat with chronic pancreatitis?
Treatment with proper nutrition will be successful if all the foods and foods listed below are present in the diet menu for chronic pancreatitis.
These include: the first dishes based on low-fat chicken broth and vegetable soups with potatoes, carrots, zucchini, colored and Brussels sprouts, noodles and cereals; Sparse cereals in skim milk or milk in half with water (oats, rice and buckwheat are best suited); low-fat cottage cheese and dishes based on it; fermented milk products (except sour cream and cream).
Animal proteins necessary for the organism should come from the use of lean meat (young beef, chicken, rabbit), lean fish, skim milk products, light cheese and egg whites. Moreover, these products should be prepared without the use of fats. In the preparation of dishes allowed to use eggs (one per day), and in the ready meals you can add butter (25-30 grams per day) and vegetable refined oil (1,5-2 tablespoons).
It is possible to eat with chronic pancreatic wheat incompatible crackers, biscuits, cooked vegetables, ripe fruits and berries, milk dishes, jelly, soft tea and decaffeinated coffee beverages, butter and vegetable oil, add to ready meals.