Nutrition of patients with pancreatitis. Pancreatitis and therapeutic diet Pancreatitis diet and treatment what can be

Diet for pancreatitis is the most important therapeutic factor, much more important than all medicines. They play a supporting role. No wonder pancreatitis provokes overeating and poisoning.

Eliminate alcohol, seasonings, smoked meats. Buy a steamer. Eliminating fat will help you lose weight. It is better to chop veal, turkey into minced meat and make casseroles.

Diet 5 for pancreatitis

It has the following basic principles: you can not take hot and cold food, it must be ground. It is useful to drink rose hips.

A dietary table for pancreatitis is an obligatory part of the treatment. Diet 5 is a proper diet, useful even for healthy people.

Canned food and fatty broths are prohibited. All dishes are rubbed in a blender.

Useful products: boiled chicken fillet, vegetable soups, yesterday's bread, milk soups, buckwheat.

• How long to follow a diet for pancreatitis?

A diet for pancreatitis, if it is acute, is prescribed for a period of 6-9 months. With chronic pancreatitis - for several years.

• What should not include a diet for pancreatitis?

Beef fat, cabbage, radish, spinach, swede, alcohol, black bread.

Examples of 5 Diet Recipes for Pancreatitis

200 g beef, 30 g wheat bread, 3 tbsp. milk, 3 tsp. olive oil, a pinch of salt.

Mix ingredients. Divide minced meat into balls. Put in a double boiler, pour water, close the lid and cook until tender over moderate heat.

• Milk noodle soup

150g flour, 2 eggs, 10g butter, 10g sugar, 350ml milk.

Replace the dough with flour, water and eggs. Roll out thinly and chop the noodles. Pour noodles into milk and cook for 8-12 minutes.

Diet 5p for pancreatitis

Used to stimulate digestion, it restricts carbohydrates and fats. Caloric content - 2700-2800 Kcal. Read more.

What foods are allowed on the 5p diet?

• Yesterday's wheat bread, biscuit cookies.
• Soups on vegetable broth, fruit soups.
• Meat dishes: low-fat varieties of chicken and veal.
• Mushrooms, beans, spinach are prohibited. Zucchini and pumpkin are allowed.
• Beans are excluded.
• No more than 1 egg per day is allowed.
• Non-acid fruits, preferably pureed, berries.
• Low-fat cottage cheese is allowed.
• Gravy from berries, sour cream sauces are allowed.
• Fats: sunflower and olive oil. Limit butter.

Forbidden:

• Baking, mushrooms, smoked meats, fatty meats, legumes.

Diet 5a for pancreatitis

It is prescribed when the patient also has lesions of the biliary tract. This is a diet with limited intake of fats and cholesterol with sufficient calories.

Approved Products

Low-fat boiled beef and chicken, boiled steam fish, protein omelet, low-fat milk, vegetable oil, a small amount of butter, buckwheat, rice, semolina and buckwheat soufflé. Useful boiled zucchini slices. Vegetable soups with sour cream. Raw and baked fruits, berries. Marshmallow allowed.

Diet 1 for pancreatitis

It is prescribed when acute or chronic pancreatitis is combined with stomach diseases.

Approved Products

• Eggs: protein steam omelet.
• Milk and cereal soups (except pearl barley).
• Meat and fish: chicken, lean beef, lean fish.

• Dairy porridge made from low-fat milk.
• Vegetables: carrot puree, mashed beets, mashed potatoes.
• Berries: raw, non-astringent, sweet, jam. Rosehip infusion, compotes, kissels.

Recipes for pancreatitis

Do not forget that after an attack of acute pancreatitis, you need to follow a diet for 8-9 months.

Diet for a week with pancreatitis

It can be not only useful, but also very tasty. Yesterday's white bread and "Maria" and "Zoological" biscuits are allowed. Steam omelet, low-fat milk, kefir, sour cream - these products can be consumed. You can eat sweet fruits, dried fruits and raisins.

What should be excluded from the diet to avoid recurrence of attacks of pancreatitis? Strong broths, fried, smoked, muffins and chocolate.

So, the weekly menu for pancreatitis is something like this.

Monday

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

• Breakfast: cottage cheese.
• Second breakfast: carrot and green pea salad.
• Lunch: beef with bread.
• Dinner: vegetable soup, carrot puree, applesauce, yogurt.

• Breakfast: yogurt, apple.
• Second breakfast: baked apple, raisins.
• Lunch: fish, buckwheat, bread.
• Dinner: vegetable soup, bread, dried apricots.

• Breakfast: cottage cheese.
• Second breakfast: boiled meat, vegetable puree, kefir.
• Lunch: steam omelette, rosehip broth, bread.
• Dinner: rice-curd pudding, yogurt.

• Breakfast: mineral water without gas, crackers.
• Second breakfast: steamed cutlets, beetroot salad.
• Lunch: stew, carrot-pumpkin puree.
• Dinner: boiled rice, yogurt.

• Breakfast: steam omelet.
• Second breakfast: boiled meat, weak tea.
• Lunch: steamed rice, baked apples, rosehip broth.
• Dinner: rice pudding, yogurt.

Sunday

• Breakfast: cottage cheese.
• Second breakfast: lentil soup (in the period of persistent remission).
• Lunch: steamed chicken, apple puree.
• Dinner: boiled beets, boiled potatoes, steamed meat, tea.

Diet by day with pancreatitis

You need to eat 4 times a day. Beetroots, pork and goose, kidneys, sausage, salmon, sturgeon, lard, mayonnaise, cream, millet and barley side dishes, cabbage, radish, rutabaga, onions, sauces, vinegar, citrus fruits should be completely excluded from the diet.

Monday

• Breakfast: protein omelet, rice porridge, tea.
• Lunch: vegetable soup, steamed cutlets, carrot puree, apple compote.
• Dinner: fish dumplings, mashed potatoes and tea.

• Breakfast: protein omelette, milk buckwheat porridge, tea.
• Second breakfast: cottage cheese, kefir.
• Lunch: vegetable soup, boiled chickens, jelly.
• Dinner: boiled fish, boiled potatoes, weak tea.

• Breakfast: crackers, non-carbonated mineral water.
• Second breakfast: steam omelette, a slice of white bread, a glass of milk.
• Lunch: 200g boiled fish, a slice of white bread.
• Dinner: 200 g oatmeal, 200 g carrot puree, a slice of white bread, tea with milk.

• 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.

• Breakfast: 200 g of mashed rice porridge, a slice of white bread.
• Second breakfast: 200 g rice pudding, 200 g carrot puree, 200 ml milk tea.
• Lunch: 400 ml vegetable soup, 100 g cottage cheese casserole.
• Dinner: 200 g of chicken meat, 200 g of oatmeal, a glass of tea.

Diet menu for pancreatitis

Diet for pancreatitis is the main cure. Without following a diet, you cannot get rid of pancreatitis. We will tell you what foods you should refuse, and what you can eat and how to make sure that dieting does not turn into torture for you, than to replace forbidden sweets.

The first 4 days the patient observes therapeutic starvation, drinks only water. Starting from the 5th day, you can drink tea with crackers, eat a steam omelette. A week after the attack, you can eat vegetable soups. You can not eat black bread, puff pastry, cakes, pastries, ice cream, kidneys, smoked sausages and canned food.

You can eat lean boiled fish. Eggs are best consumed in the form of protein steam omelettes.

Milk is used in meals. Boiled pasta is allowed. Millet porridge can not be used for pancreatitis.

Of vegetables, carrots, potatoes, cauliflower are allowed.

From soups, it is better to give preference to oatmeal and rice. Okroshka, fish broths, meat broths are excluded.

From sweet drinks, compotes and mousses, baked apples, pureed fruits, fruit and berry sauces are allowed.

Eliminate all spices and spices from the diet.

Rosehip decoction is very useful. You can drink weak tea and a drink made from chicory. Eliminate cocoa and coffee.

Diet table for various types of pancreatitis

Diet for chronic pancreatitis

The dietary table excludes foods that have a juice effect and minimizes carbohydrates. Food is boiled and eaten pureed.

Only yesterday's white bread is allowed, baking is prohibited. Lean beef, rabbit meat, steam, lean fish are allowed. Eggs - only in the form of a steam protein omelet. Non-sour curd is allowed. Butter, sunflower oil should be added to dishes. Semolina and rice porridges are boiled in milk and water. Eat more carrots, zucchini, potatoes, green peas, young beans. Of the fruits, only baked apples are useful. Drink dried fruits. Take a thermos with rosehip broth to work. Prepare milk sauces - they are very tasty. Unsweetened sauces, seasonings, spices are prohibited.

You can not eat lamb, duck, smoked meats, sausage, sturgeon, carp, marinades, mushrooms, coffee, chocolate, sorrel, lettuce, turnips, legumes (except for young beans and lentils), cranberries, pomegranates and sparkling water.

Diet for acute pancreatitis

Severe and prolonged inflammation of the pancreas can sometimes lead to diabetes. Take care of yourself, do not make mistakes in the diet. When you are in the hospital for the first few days after an attack, you will not be given food at all. This is necessary in order to spare the iron as much as possible.

Diet for exacerbation of pancreatitis

The dietary table spares the pancreas as much as possible. On the first day, heated Borjomi mineral water, rosehip broth, and tea are allowed.

On the 3rd day, it is allowed to expand the diet: add mucous soups, milk jelly, liquid cereals without oil.

When the pains disappear, they follow an unwiped, detailed version of the diet. But still, for a very long time, up to a year, you can’t eat anything fried, fatty, no muffins and pastries.

Diet for pancreatitis in children

The dietary table should not interfere with their proper growth and development. Feed your baby often, in small portions.

Pay attention to lean meat: veal, chicken, turkey.

In case of exacerbation of pancreatitis, prepare a steamed protein omelet for your child, and in case of remission, a steam omelet from a whole egg.

A child with pancreatitis needs natural low-fat cottage cheese. It contains the calcium necessary for bone growth. Children love delicious homemade cottage cheese casseroles with carrots, apricots, apples. Apples can also be baked - in this case, they also help with anemia.

Buy butter in packs of 100 g and use only in dishes. Children with pancreatitis do not tolerate butter spread on bread.

The ideal soup for a child with a sick pancreas is a prefabricated vegetable, mashed in a blender. In winter, you can use sets of frozen vegetables.

Eliminate pork and duck from the baby's menu. Do not give sausages, marinades and mushrooms, fried fish, cocoa, chocolate, turnips, radishes, legumes and Ukrainian bread.

Healthy vegetables: carrots, zucchini, potatoes, beets. They should be served mashed and boiled. Cauliflower, not headed, add to soups.

You can sometimes give your child marshmallows and milk candies, but not much.

Diet for pancreatitis in adults

It is better for the patient to cook food in a double boiler.

What can be used:

1. Vegetable soups.
2. Idea, veal, chicken.
3. Curdled milk, non-acidic cottage cheese, Dutch cheese.
4. Butter in ready meals.
5. Buckwheat, oatmeal, rice.

1. Noodles.
2. Boiled vegetables: pumpkin, zucchini, potatoes, carrots, beets.
3. Baked sweet apples.
4. Compotes, kissels, juices, dried fruits.

Eliminate alcohol, fried foods, radishes, spinach and pickles.

Allowed 1 banana per day and 1 egg per day, boiled "in the bag."

Diet for reactive pancreatitis

The dietary table should take into account those concomitant diseases of the gastrointestinal tract, due to which the pancreas has become inflamed. The most common causes of reactive pancreatitis are diseases of the liver and gallbladder, stones in it, gastritis and hepatitis. Alcohol and fatty foods also provoke attacks, they must be permanently eliminated. Heavy metal poisoning often occurs in hazardous industries, after which workers are diagnosed with reactive pancreatitis. In women, the cause of inflammation of the pancreas can be the use of contraceptives. Genetic predisposition plays a role.

A diet for pancreatitis creates complete physiological rest for the pancreas. Meals should be fractional and frequent (4-5 times a day). Reduce carbohydrates to a minimum, give preference to protein foods. Lean beef, veal, chicken and boiled fish are allowed. Eliminate meat and mushroom broths, sour vegetables and fruits. Baked and boiled meat and fish, vegetables and cereals are the basis of the diet of a patient with pancreatitis.

Dietary table for pancreatitis and related diseases

Diet for cholecystitis and pancreatitis

Cholecystitis is an inflammation of the gallbladder. Cholecystitis sometimes causes inflammation of the pancreas - pancreatitis. The cause of pancreatitis is alcoholism, stress. Pancreatitis causes nausea, vomiting, and diarrhea.

Proteins should predominate in the diet of patients. Exclude sharp, smoked, fried, salty dishes. Food is cooked.

Drinks for cholecystitis and pancreatitis: non-acidic juices, rosehip broth.

Yesterday's white bread is allowed. From dairy products - homemade cottage cheese. Allowed vegetable soups, protein omelet, jam and honey.

What to exclude? The diet for pancreatitis excludes fresh pastries, fatty fish - trout, catfish, pink salmon, fatty meats, marinades, smoked meats, sour berries, alcohol, cocoa, chocolate, cream, soda, millet, corn, barley porridge, legumes, cabbage, grapes and figs.

Diet for pancreatitis and gastritis

Pancreatitis and gastritis are very insidious, now they occur even in children. We are used to pampering them, buying sweets - and this is the result.

The best meat is chicken and rabbit. Rolls and mashed potatoes are prepared from them.

For those who cannot imagine their table without fish, carp, bream and pike, cutlets and pate from them are suitable.

Very healthy vegetable dishes, carrots, mashed potatoes, lentils. Pureed stewed vegetables, stews (without sauce, with refined oil), mashed potatoes, puddings are popular.

Cottage cheese dishes, especially low-fat cottage cheese casseroles, can also include a diet for pancreatitis and gastritis.

Black bread, chocolate and cakes are prohibited.

Diet for diabetes and pancreatitis

By choosing the right nutrition, pharmacological treatment for diabetes and pancreatitis can be minimized.

The duration of fasting in acute pancreatitis is 1-4 days. For 3-4 days, therapeutic nutrition is prescribed in small fractional portions. For example, rice porridge with milk mixed with water and a protein omelette. Further, porridge can, with good tolerance, be cooked in whole milk, include low-fat cottage cheese without sugar in the diet. On the 8-9th day, meat is added in the form of steam soufflés, on the 10th day - in the form of quenelles. Meat, mushroom decoctions, lamb and pork fat, sour dishes, legumes, radishes, garlic and chocolate are excluded from the diet. Sugar, jam, sweets, sweet fruits, honey, grape juice are prohibited for diabetics!

Steam cutlets, soufflés, and dumplings are prepared from veal and chicken meat.

Cod, pike and other lean fish are steamed.

Fat-free non-acidic cottage cheese and non-spicy cheese, semolina and oatmeal, carrot and pumpkin puree, non-acid raw pureed apples, tea with milk without sugar are allowed. Use butter in ready-made dishes, and not on a sandwich.

If you have diabetes, diversify your diet with vegetable soups, 200 g per day of lean meat or boiled fish, pasta (up to 150 g per day).

The diet for pancreatitis and diabetes allows you to consume up to 250 g of potatoes and carrots per day. Eggs are allowed no more than 1 pc. in dishes. It is useful to drink 1 glass of kefir per day. Rarely eat cheese and sour cream. Natural low-fat cottage cheese is useful, as well as dishes from it (casseroles, cheesecakes).

Useful rosehip broth and green tea without sugar.

Diet for gastroduodenitis and pancreatitis

Gastritis, gastroduodenitis and pancreatitis overtakes many in their student years. How to eat right so as not to provoke another exacerbation?

What kind of bread can you eat? Only white, yesterday's, slightly dried.

Allowed vegetable soups and soups from cereals, incl. dairy.

From meat, lean beef and chicken are well suited. Cook meat pate and soufflé, steam cutlets, meatballs, quenelles.

Perch, cod and pike are perfect for making delicious fish soufflés and pâtés.

Suitable side dishes: mashed potatoes, beets, buckwheat.

Cook stewed vegetables and delicious casseroles from vegetables.

In the acute period, it is better not to offer the patient eggs, only whites, without yolks, in the form of a steam omelette can be used.

Exclude black bread and raw vegetables and fruits, sturgeon, pink salmon, pork, duck from the menu.

Diet for pancreatitis and hepatitis

Hepatitis is inflammation of the liver. It is often associated with pancreatitis. With hepatitis, only a part of the liver cells perform their functions, and some do not work and are replaced by connective tissue. This phenomenon is called fibrosis. Each liver cell performs a wide variety of functions in the neutralization, synthesis and production of bile, participates in protein and carbohydrate metabolism.

The body cleansing scheme and diet for pancreatitis and hepatitis looks something like this:

1. You can not eat fatty, fried, spicy foods. Poorly tolerated turnip, radish. You are guided by what disease is now leading according to laboratory parameters.
2. Take replacement enzymes as directed.
3. Treat dysbacteriosis if you have it.
4. Check for worms.
5. Do vitamin therapy.
6. Monitor your iron levels in your blood.

Of the carbohydrates, marmalade and marshmallows are very useful. Eat foods with magnesium, phosphorus, cobalt. You can use non-acidic juices.

What is prohibited? First of all, fatty meat, fatty fish, fish broths, mushroom broths, fish oil, heart, cocoa, canned food, onions, mustard, strong vinegar, alcohol and ice cream.

Useful cheese, buckwheat, low-fat fish (pike, cod).

Diet for pancreatitis is the main method of treatment that cannot be replaced by pharmacological agents, since only dieting helps to unload the pancreas.

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 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. The optimum temperature is 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 an approximate menu for a week with pancreatic pancreatitis.

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.
• Lunch: buckwheat porridge, 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.

In the rehabilitation period after arrival from the hospital, it significantly increases the likelihood of healing or stabilizing the patient's condition. It becomes a fundamental factor in the treatment of this disease.

More often at home there is a violation of the basics of the diet, instead of the necessary strict adherence to the basic principles of therapeutic nutrition. The established diet includes cheap foods that do not require long and difficult preparation. The main rule: food should be finely chopped, ground or ground, cooked by boiling or steaming.

It is necessary to eat more protein foods and at the same time exclude fatty and carbohydrate foods. First of all, the advice concerns sugar, fried foods, consisting of coarse fiber. If possible, start taking vitamin supplements. It is necessary to eat in small portions, at least 5-6 times a day.

General characteristics of the products used

Nutrition, which is prescribed at the stage of extinction, is that the consumption of proteins rises to the level necessary for the full functioning of the patient's body. Lipids and carbohydrate substances are presented in the form of various cereals. Complex sugars, honey, confectionery products are excluded from the menu, salt consumption is reduced.

Nutrition in chronic pancreatitis provides for the absolute exclusion from the diet of food that irritates the walls of the esophagus. These include: alcoholic beverages, acetic, citric acid and other seasonings.

Basics of use and composition of portions

Food is prepared by boiling, stewing, baking, steaming. It is advisable to eat foods that are pre-chopped in a blender or rubbed through a culinary sieve. Meals are carried out at regular intervals, after 3-4 hours. Food is offered warm, eating too hot food is unacceptable. The positions of the main daily menu should include: the total amount of proteins - 120 g, lipid mass - 90 g, carbohydrate substances - 350 g, and have an energy value of not more than 2700 Kcal.

Essence of dietary food intake

With pancreatitis of the pancreas at the time of the disease subsidence, the number of kilocalories included in the daily amount of food is equal to the daily load of the body. it is necessary six times a day, including foods with laxative abilities in the diet.

Proteins in the diet

Of particular importance is the control over the daily amount of protein eaten, which is indispensable for the regeneration of the body. The daily amount of protein consumed is set at least 130 grams, and 70% must have an animal origin.

The diet of a patient suffering from chronic pancreatitis includes beef, veal, rabbit, chicken, turkey proteins. Prohibited for consumption: lamb, pork, goose, duck and game proteins. If the patient constantly feels pain in the epigastrium, meat dishes must be chopped and boiled or cooked in a double boiler. It is strictly forbidden to eat baked, stewed, fried meat or fish. Consider the requirement that meat and fish should be lean, it is shown to use homemade cottage cheese. The implementation of the recommendations helps the patient's liver function at a normal level, prevents the organ from changing against the background of pancreatitis.

Due to poor tolerance by patients with inflammation of the pancreas, it is not recommended to use milk as an independent dish. It is better to introduce the product into the composition of cereals, soups, jelly. If a person cannot imagine life without a mug of milk, you need to drink the drink in small sips of half a glass a day.

It is forbidden to consume whole eggs, only in the form of additives and steam omelettes from protein. Proteins enter the patient's body with rice groats, semolina, oatmeal and buckwheat porridge, pasta, stale bread, crackers. Legumes with pancreatitis are prohibited.

Fats in the diet of a patient with pancreatitis

The dietary regimen assigned to a patient with inflammation of the pancreas should include 71 g of fat daily, 20% of which are vegetable fats. Eat as a supplement or in addition to other foods.

Oil is added to already cooked food, and it is better not to use vegetable oil. It is unacceptable to use margarine, lard, other cooking oils in the preparation.

Carbohydrates in the diet

The maximum amount of carbohydrates consumed per day should not exceed 350 g. Within the specified norm, it is permissible to use: sugar, honey, jam, syrup. Allowed to eat: crackers, semolina, oatmeal, buckwheat, barley, rice porridge, pasta. Patients are allowed to eat potatoes, carrots, beets, pumpkins, zucchini, squash. Vegetables must be steamed or boiled. It is advisable to wipe afterwards, mixing with cereals.

Patients on a diet are not allowed raw fruit. It is allowed to absorb baked fruits rubbed through a sieve, to prepare compotes and jelly. Dried fruits cooked in the form of compotes are of great benefit in this disease.

Dishes allowed for pancreatitis

The first dishes allowed for pancreatitis include:

• soups with the addition of buckwheat, rice, millet, barley;
• soups on vegetable broth;
• cereals with milk;
• broths from lean meat and fish;
• sweet fruit soups.

To the second:

• boiled beef, poultry, fish;
• scrambled eggs as a steam omelet.

The list of cereals includes: all kinds of cereals, pasta, bread, sunflower oil. From dairy it is allowed: milk, curd dishes, kefir, whey, yogurt, butter. In limited quantities, the use of confiture, products made from honey, sugar and sweeteners is allowed. It is allowed to eat baked and grated berries, fruits, boiled carrots and beets. Permitted drinks include: tea with the addition of milk, juices from fruits and vegetables.

What kind of food should be completely avoided?

Forget about eating a list of foods:

Sample menu for pancreatitis

An example of nutrition in the inflammatory process in the pancreas is similar options.

Example #1

Breakfast: boiled beef meat, dairy oatmeal, tea with milk.

Second breakfast: scrambled eggs from two egg whites, an apple baked with honey and nuts, rosehip infusion.

Lunch: soup, beef pate, spaghetti, dried apple compote.

Afternoon snack: cottage cheese casserole and tea.

Dinner: boiled fish, tea.

Example #2

Breakfast: mashed potatoes, boiled chicken, tea or jelly.

Second breakfast: cottage cheese and banana soufflé.

Lunch: milk soup, pasta with steam cutlets, jelly.

Snack: rice milk porridge, dried fruit compote.

Dinner: mannik and rosehip drink.

Example #3

Breakfast: rice or buckwheat porridge, steam omelet, tea.

Second breakfast: baked apple, compote with biscuit cookies.

Lunch: meat soup-puree, croutons, boiled fish, mashed beets.

Snack: oatmeal with berries, yogurt.

Dinner: boiled fish pate, mashed potatoes, kefir.

Example #4

Breakfast: wheat porridge, steam cutlet, fruit drink.

Second breakfast: boiled chicken meat, vegetable puree, tea.

Lunch: zucchini and pumpkin soup, steamed homemade sausage, mashed potatoes, rosehip drink or dried fruit.

Snack: steam cutlets, pasta, fat-free cottage cheese, compote.

Dinner: baked rabbit in sour cream sauce, oatmeal without salt, boiled beets with nuts, jelly.

Be aware of the dangers of overeating. Eat little and often. If the principles are observed, the effectiveness of the treatment of the disease is significantly improved.

Pancreatitis never goes away. Once having allowed the development of the disease, the patient will constantly have to adhere to certain limits. But this is not a sentence. By taking qualified treatment and following the prescribed diet, you can live a full life and avoid complications. If you run pancreatitis, the consequences are unpredictable. Up to lethal. What is the recommended diet for pancreatitis (inflammation of the pancreas)?

The article was prepared with the participation of an expert

Doctor of the first category, specialist medical center"Gastro-Line", Associate Professor of the Department of Pediatrics and Children's Infections, Donetsk National Medical University. M. Gorky, candidate of medical sciences. She has been practicing gastroenterology for over ten years.

In search of information on this topic, users often use the erroneous wording: "diet for pancreatic pancreatitis." However, this is incorrect. The correct name of the disease consists of one word - "pancreatitis". Which translates from Latin as "inflammation of the pancreas."

The pancreas is one of the digestive organs. Its weight does not exceed 80 g, but the role in ensuring the vital activity of the human body is incommensurable. No other organ is even partially able to "replace" the pancreas.

It can be compared to a secret laboratory for the production of digestive enzymes and hormones. And any intrusion on this "object" is fraught. We talked more about the problems of pancreatitis with a member of the International Club of Pancreatologists, gastroenterologist Andrey Naletov.

Why is pancreatitis dangerous?

The pancreas synthesizes enzymes, without which the body will not be able to digest food. The body also produces the hormones insulin and glucagon necessary for the body. They are widely known as hormones responsible for maintaining the required concentration of glucose in the blood. But their functions are much wider: insulin and glucagon have a multifaceted effect on metabolic processes in almost all tissues of the human body.

When the pancreas works without failures, it instantly reacts to the intake of food into the body. A person eats, and the gland prepares for the digestion of the food eaten. Intensive production of digestive juice begins, which the pancreas through its duct brings into the duodenum.

Problems arise if an obstacle appears in the way of excretion of enzymes. Then the outflow of enzymes designed to break down nutrients is disrupted. What is the result? Inflammation, swelling, tissue damage.

In some sources, pancreatitis is described as follows: the pancreas "eats" itself. Russia is the world leader in the incidence of pancreatitis. And over the past half century, the figures have doubled. At the same time, pancreatitis "gets younger", increasing the number of patients among adolescents and women.

Drinking, overeating and other causes of illness

“You have already drunk your tank,” doctors say to patients diagnosed with pancreatitis, categorically forbidding the slightest use of alcohol. It is the regular "one hundred grams" for a high-calorie, fatty snack in 50% of cases that cause the development of this disease. Why?

More enzymes are needed to digest alcohol. Pancreatic juice turns out to be saturated, concentrated and can “work” earlier, without reaching the intestines.

In addition, alcohol itself causes spasm of the sphincter of Oddi. This is a kind of valve that regulates the flow of pancreatic juice into the duodenum. In this case, the digestive juice seems to fall into a trap - it is blocked in the ducts. The pressure increases, at which the enzymes are in the surrounding tissues, starting to digest them. Develops intoxication of the body. Various organs are affected, including the brain and heart.

Other common causes of the disease.

• Stones in the gallbladder. In 20% of patients, pancreatitis is diagnosed as a complication after gallstone disease. Gallbladder stones can interfere with the outflow of pancreatic secretions.
• Obesity. In another 20% of patients, pancreatitis accompanies obesity.
• Injuries. About 5% of patients with pancreatitis are people who have received an abdominal injury. For example, a strong blow, injury or surgery on organs located in the abdominal cavity.
• Diseases of the digestive system. Pancreatitis can develop against the background of gastritis, peptic ulcer, liver disease. Therefore, it is so important to always respond to the slightest ailment in the abdomen, and seek qualified help.
• Uncontrolled appetite. Especially increases the risk of developing pancreatitis, if you lean on fatty and fried foods. It turns out the same principle of organ overload, which alcohol provokes. So, changes in nutrition are important not only in the treatment of pancreatitis. healthy diet is an important preventive measure. It is no coincidence that doctors note an increase in the appeal of patients with pancreatitis during the New Year holidays. By tradition, people gather for sumptuous feasts and cannot stop until they empty the “basin” of Olivier and the “bucket” of champagne. Even more dangerous situations develop on Easter days. After the end of Lent and long food restrictions, a generous breaking of the fast with barbecue takes place.

Andrey Naletov, gastroenterologist, pediatrician, member of the International Club of Pancreatologists: “Infections, injuries, pathologies of the gallbladder and liver are the most common causes of pancreatitis in children. For adult patients, it is the toxic factor that comes to the fore: alcohol and fatty foods, and especially their combination. Against this background, acute pancreatitis or an exacerbation of a chronic one occurs.

The nature of the disease and its symptoms

In the case of acute pancreatitis, there are chances that the pancreas will return to a relatively normal functional mode. But provided that the patient asked for help in a timely manner. But in the chronic form, the disease leads to a gradual, irreversible decrease in organ function. And then the disease remains with the patient forever: it periodically takes a “time out”, and then returns with relapses in the form of an exacerbation. Acute pancreatitis can become chronic over time.

Acute illness

Acute pancreatitis is a sudden and rapidly growing inflammation of the pancreas. The patient requires immediate medical attention. Even hospitalization in the intensive care or surgical department is possible. Self-medication is unacceptable, since in 15% of patients diagnosed with acute pancreatitis, the disease can be fatal. The symptoms are so vivid that you can't ignore them.

What happens to the patient

• pain in the abdomen, which is localized just above the navel, more on the left, encircling;
• nausea;
• vomiting that does not bring relief;
• increased heart rate;
• weakness;
• flatulence (bloating);
• diarrhea;
• the stool becomes greasy, the food comes out undigested.

Complications of acute pancreatitis are extremely dangerous. If time is lost, and pancreatic necrosis develops, the mortality rate increases to 70%. Probably the formation of cysts and fistulas. Possible peritonitis, and in the future - the development of diabetes. As well as chronic inflammation with scarring of tissues.

Illness in a chronic form

Chronic pancreatitis can remain outside the patient's history for decades. The disease in this form during remission (outside the period of exacerbations) does not give severe symptoms. In the early stages, a person with such a diagnosis feels discomfort after eating, especially if he has allowed himself something harmful.

Nausea, bloating, diarrhea are possible. But the patient does not associate these unpleasant sensations with a malfunction in the pancreas. And after the attack, he continues to live as he lived and eat as he ate. Meanwhile, the disease progresses, and the tissues of the pancreas gradually become necrotic and die. And instead of the functioning tissue of the organ, connective tissue grows.

And here a certain clinical symptomatology appears:

• pain in the abdomen, in some cases without a clear localization;
• nausea, loss of appetite;
• frequent and loose stools, sometimes with drops of fat;
• increased gas formation;
• increased fatigue;
• pale and dry skin;
• dramatic weight loss, although a person may not adhere to any food restrictions.

Chronic pancreatitis can develop into pancreatic cancer, one of the most severe and fleeting types of cancer. And the prognosis is usually poor. The disease resists treatment, even the most modern and expensive. Pancreatic cancer caused the departure of Apple founder Steve Jobs, opera singer Luciano Pavarotti, actor and film director Oleg Yankovsky.

Diet for pancreatitis: 5 stages

Treatment of pancreatitis requires an integrated approach. And it's not just about medications. In case of complications, surgical intervention is possible. But in any case, a patient with a diagnosis of "pancreatitis" should adhere to therapeutic nutrition. Andrey Naletov tells about what can and cannot be eaten with pancreatitis.

Andrei Vasilyevich says that the therapeutic diet of a patient diagnosed with pancreatitis is prescribed depending on the form of the disease and the characteristics of its course. For example, a diet for exacerbation of pancreatitis at first generally provides for the rejection of food. This is important to stop the intensive synthesis of enzymes, to relieve inflammation.

The doctor emphasizes that with pancreatitis it is important to remove from the menu products that stimulate the secretion of the food glands. These are coffee, chocolate, strong tea, rich meat and fish broths, mushroom soups. Food rich in coarse fiber is also excluded. Fatty meals will also provoke the persistence of symptoms of pancreatitis and the progression of the disease.

The doctor identifies five main stages of change in the diet of a patient with acute pancreatitis or exacerbation of chronic pancreatitis.

1. Hunger . It is indicated for patients with a diagnosis of "acute pancreatitis" in the presence of severe pain and signs of intoxication. Hunger for such a patient is prescribed in a hospital for a period of up to three days. Any food is prohibited. Only frequent drinking in small portions is permissible. Preferred is alkaline water without gas. But the hunger doesn't have to be long. Otherwise, the process of disintegration of one's own energy resources and tissues starts, immunity and the function of the gastrointestinal tract decrease.
2. Intravenous nutrition. Against the background of restriction of food intake through the mouth, the patient is prescribed parenteral nutrition. It is administered intravenously. In this case, nutrients enter the body bypassing the gastrointestinal tract.
3. Special blends. As the patient's dyspeptic disorders disappear, he is transferred to the next stage of the diet - enteral nutrition. Namely: feed mixtures through a tube.
4. Diet number 5p. Prescribed after mixtures in acute pancreatitis and exacerbation of chronic pancreatitis. In acute pancreatitis, this can happen on the fifth or sixth day. And with an exacerbation of chronic - already from the second or third day. The diet is designed specifically for the needs of people suffering from pancreatitis. In the diet of table No. 5p, the emphasis is on protein foods, but the amount of fats and carbohydrates is minimized. Such nutrition for pancreatitis, among other things, reduces the load on the liver and gallbladder. Patients adhere to the specified diet within a week.
5. Diet number 5. Table number 5 is assigned to patients during periods of subsiding acute pancreatitis and chronic remission. It is also prescribed for cholecystitis, gastritis and ulcers. In terms of a set of products, this diet is similar to table number 5p, but more carbohydrates appear here and you can already eat not only mashed food. Minced meat is made from meat and fish. Kashi is boiled with milk. Maybe a little more sweets and sugar. Doctors advise adhering to the recommendation of diet number 5 for at least two to four months. And ideally - especially not to go beyond the whole life. The rules of the diet table number 5 and the approximate menu for the week are described in detail in a separate article.

If a patient is diagnosed with pancreatitis, then alcohol and cigarettes are out of the question. Doctors react harshly if a person who is literally being pulled out of the other world is not going to give up bad habits. Any treatment in this case is unpromising.

Diet rules No. 5p and food table

The fifth table marked "p", intended for nutrition in acute pancreatitis and during an exacerbation of chronic pancreatitis, provides a special approach to cooking. Products must be heat treated. All dishes are boiled, cooked in a double boiler or in a water bath. Roasting is occasionally allowed.

In this case, food should be consumed only in pure form. Even first courses. To achieve a slimy, liquid consistency, food is crushed with a blender or passed through a sieve with a metal base. Hot and cold food is not allowed. The allowable amount of salt is no more than 10 g per day. Sugar should be limited as much as possible - up to 30 g. In some cases, it is recommended to use a sweetener.

When planning meals for pancreatitis, you should focus on the list of products that recommends and categorically prohibits table number 5p. The table below describes the main food do's and don'ts for pancreatitis.

Table - How to eat with pancreatitis: acute and exacerbation of chronic

Can

Absolutely not

- Crackers; - biscuit cookies; - first courses on vegetable broth; - the first dishes from cereals; - rabbit, beef, chicken, turkey; - pike perch, pollock, hake; - low-fat dairy and sour-milk products, including cheese and cottage cheese; - egg white; - cereals on water or diluted milk from crushed cereals: buckwheat, oatmeal, rice, semolina; - pasta; - starchy vegetables like potatoes, beets, zucchini; - semi-sweet berries and fruits; - weak tea; - rosehip drink; - fruit juices diluted with water; - kissel

- Freshly baked bread; - first courses on rich broths of meat, poultry, fish and mushrooms; - cold first courses such as okroshka; - fatty milk and sour milk; - yoghurts and curds with sweet flavors; - fatty varieties of slaves and meat; - salty, spicy, pickled and smoked; - canned food; - sausages; - offal; - egg yolks; - “heavy” barley-type cereals and all legumes; - mushrooms; - White cabbage; - radish; - sorrel; - pepper; - onion; - grapes and juice from its berries; - desserts, including ice cream, jam and chocolate; - chocolate; - coffee; - alcohol; - sweet soda

What else is impossible in the framework of diet No. 5p for pancreatitis? Overeat or starve. It is better to paint the diet for five or six meals. And navigate so that the daily calorie content remains within 2600 kcal. The main part of the diet is protein foods of both plant and animal origin. The amount of fat should not exceed 80 g. It is important to drink plenty of water - up to one and a half liters of free liquid.

Table number 5p: 3 menu examples

Menu recommendations are common for both adult patients and children diagnosed with pancreatitis. With the exception of babies in the first year of life: for infants, special approaches to the organization of therapeutic nutrition are provided.

Proper nutrition with pancreatitis, the patient cannot prescribe for himself. Moreover, in the conditions of inpatient treatment, meals are prepared in the hospital canteen. If the patient is being treated on an outpatient basis, a preliminary conversation with a gastroenterologist about how to eat with pancreatitis at home is necessary. After all, a person can be diagnosed with concomitant health problems, which requires an individual decision on the diet.

The doctor will not write detailed recipes dishes for every day and force the patient to eat strictly according to the scheme. The main thing is that the patient understands the basic provisions of the diet, and the choice of products does not confuse him. For example, there was no pike perch in the store. On a diet with pancreatitis, it can be replaced with hake, by no means smoked mackerel or salmon.

What could be the menu for a week with diet recipes for acute pancreatitis and chronic exacerbation? Below are a few options for a daily diet that you can focus on.

Example #1

• Morning . Puree from boiled turkey. Porridge made from crushed rice grains. Steamed egg white omelet. Tea.
• Dinner . Soup made from oatmeal, passed through a sieve. Steamed beef pate. Mashed potatoes. Kissel from apples.
• Evening. Boiled chicken puree. Porridge made from crushed buckwheat. Apple mousse. Tea.
• Two hours before bed. Strawberry juice.

Example #2

• Morning . Boiled beef puree. Porridge made from crushed buckwheat. Mango pudding. Tea.
• Reinforcement. Cottage cheese, whipped with a blender to a paste. Tea.
• Dinner . Soup made from rice cereal, passed through a sieve. Chicken soufflé. Porridge made from crushed oatmeal. Carrot juice.
• Afternoon snack. Tea with biscuits.
• Evening. Pate from boiled turkey. Mashed potatoes. Banana strawberry juice.
• Two hours before bed. Rosehip drink.

Example #3

• Morning . Puree from boiled fish. Mashed potatoes. Boiled cauliflower and carrots, beaten with a blender until puree. Tea.
• Reinforcement. Apples baked in the oven. Carrot juice.
• Dinner . Buckwheat soup passed through a sieve. Boiled chicken puree. Porridge made from crushed rice grains. Kissel from apples.
• Afternoon snack. Tea with biscuits.
• Evening. Pate of boiled beef. Porridge made from crushed oatmeal. Strawberry jelly. Tea.
• Two hours before bed. Strained dried fruit compote.

There are acute and chronic pancreatitis. Acute pancreatitis is based on an enzymatic lesion of the pancreas. Often occurs when taking medications ( methyldopa, Azathioprine, 5-aminosalicylates, tetracyclines, Furosemide, Cimetidine, Metronidazole). In half of the cases, it is caused by gallstone disease, and 25% are associated with alcohol abuse.

Symptoms and treatment of the disease depend on the degree of damage to the gland and intoxication. mild degree ( serous edema) is characterized by moderate pain, single vomiting, nausea and, in general, a satisfactory condition of the patient.

The average degree of intoxication (small-focal necrosis of the gland) is characterized by persistent pain in the epigastrium, repeated vomiting, pallor of the skin, and a rise in temperature.

Severe degree (widespread necrosis of the gland) is manifested by excruciating vomiting, severe pain and severe general condition. Often appears jaundice and symptoms peritonitis.

Treatment solves the following problems:

• fight with shock and toxemia;
• elimination of pain and spasm;
• suppression of the activity of gland enzymes (hunger, proton pump inhibitors, aspiration of gastric contents).

Patients with a severe form require fluid therapy, continuous feeding with tubes (mixtures for enteral nutrition).

Chronic pancreatitis is a long-term, progressive disease and each episode of exacerbation causes the replacement of pancreatic tissue with fibrous tissue. As a result, exocrine and endocrine insufficiency of the organ develops. Signs of exocrine insufficiency are steatorrhea and manifestations of malnutrition (lack of weight, disorders of calcium metabolism).

Therapeutic nutrition (5P Diet according to Pevzner) plays an important role at all stages of the disease and helps to reduce stasis in the ducts, suppress hyperenzymemia, reduce the excitability of the gallbladder. With symptoms of pancreatitis, treatment with Diet No. 5P has a positive effect not only in the acute period. In a chronic course, it helps to improve metabolic processes in the pancreas, restore its function and impaired nutrition of the patient, and helps prevent relapses and progression of the disease.

Allowed foods in the first week of the pancreatitis diet

Basic Diet 5 with pancreatitis, it changes somewhat and is called Diet 5P. For acute and exacerbation chronic disease it has a number of features, and the leading principles of diet therapy for pancreatitis are:

• hunger during the period of pronounced clinical manifestations and autolytic processes in the pancreas (only parenteral nutrition is carried out);
• in the shortest possible time, the transition to a complete diet is carried out (since the patient needs a complete protein);
• gradual expansion of the diet to include new foods and dishes;
• when expanding the diet, a gradual increase in the volume and calorie content of food is carried out;
• compliance with the maximum mechanical and chemical sparing of the pancreas.

Diet Table number 5 for pancreatitis is determined by the patient's condition and depends on its severity, and therefore has 2 options.

The first option is indicated for acute pancreatitis and a sharp exacerbation of chronic. The nutrition of this table creates maximum rest for the pancreas and helps to eliminate pain. This most benign diet is prescribed after hungry days from the third day of illness, but since it does not meet the physiological norms of nutrition and human needs, it is prescribed for 3-7 days. It is characterized by a low-calorie diet containing proteins - 60-70 g, fats - 50 g and carbohydrates - 200-250 g.

Vegetables allowed for pancreatitis

Since liquid and carbohydrate foods are the least stimulants of pancreatic and gastric secretion, after hunger they start eating with carbohydrate:

• mucous soups based on different cereals (millet, corn grits are excluded) or on vegetable broths;
• mashed liquid cereals on the water;
• weak tea with sugar;
• kissels, jelly and mousses from fruit juice on xylitol;
• vegetable purees without oil (potato, carrot, pumpkin, squash) and steamed vegetable puddings;
• mashed dried fruit compotes;
• white, yesterday's bread, dry biscuits and crackers.

1-2 days after a carbohydrate meal, it is allowed to introduce protein products:

• cream soup from boiled meat;
• 1-2 eggs in the form of a steam omelet, soft-boiled and in the form of a protein omelet;
• souffle, steam cutlets, beef, chicken, fish, turkey dumplings (before cooking, the meat is freed from fat, tendons, fish and chicken from the skin);
• cottage cheese paste and soufflé, steamed cottage cheese puddings from unleavened cottage cheese (preferably calcined);
• butter - in ready meals, vegetable oil is not yet introduced into the diet.

After the removal of acute symptoms and a decrease in pain, as the digestive function of the gastrointestinal tract improves, the diet gradually expands and the 5P Diet according to Pevsner is prescribed the second option, which is also indicated for a non-sharp exacerbation of chronic pancreatitis. It is recommended for a long time (up to a year) and is designed to prevent exacerbations in the future. It also retains the principles of thermal, mechanical and chemical sparing, which reduces the nutritional stimulation of the diseased organ. All dishes are boiled or steamed, at first they are used in a pureed form, and a little later - crushed.

Depending on the severity of the phenomena and concomitant diseases of the gastrointestinal tract, food can be used in a mashed and not mashed form. With a favorable course of the disease, the wiped variant is prescribed on average for up to 2 months, and then the degree of grinding of the products is reduced and the volume of food is gradually increased. When the state of health worsens, they again return to the first version of the table with a reduced energy value. In case of exacerbation, rest for the digestive organs also provides a sharp restriction of products with juice and choleretic effects: fresh fruits and vegetables, juices, vegetable oil, sugar, jam, honey and egg yolks.

Fruits and berries allowed for pancreatitis

In the presence of constipation the main pancreatic diet changes - the amount of vegetables and fruits increases, the content of carbohydrates decreases (mostly digestible to avoid fermentation and bloating).

The tendency of chronic pancreatitis to a progressive course, the presence of periodic pain and dyspeptic syndrome entails the need for constant dieting. It is important to stop drinking alcohol.

Approved Products

The 5P diet for pancreatitis includes:

• Potatoes, pumpkins, carrots, zucchini, green peas, cauliflower and beets can be eaten boiled and grated. After a while, with good tolerance, the use of raw grated carrots and pumpkins, tomatoes and cucumbers is allowed.
• Cereals are preferably buckwheat, rice, semolina, oatmeal and oatmeal. Porridges are boiled in water and ground, as a result of which they become a semi-viscous consistency. You can make semolina and rice soufflé, as well as porridge from buckwheat and rice flour, which speeds up the cooking process.
• Usually barley, millet, corn and barley groats are worse tolerated by patients, and they are limited in the diet.
• Soups cooked only in vegetable broths with grated vegetables. You can cook puree soups and cream soups, milk soups (milk is diluted with water). You can put cereals in soups (semolina, rice, oatmeal, but they are good to boil or wipe). It is allowed to chop vegetables very finely (potatoes, carrots, pumpkin, zucchini), but they cannot be fried for dressing soups.
• Soups are seasoned with sour cream, milk, cream, butter or simply dried flour.
• Lean beef, veal, rabbit, chicken. The meat of young animals and birds (veal, chickens) is consumed in a limited way, due to the high content of purines. Meat is recommended in boiled and steam form, and only chopped products (cutlets, soufflé, meatballs, meatballs, dumplings). Boiled chicken and tender rabbit meat and beef can be eaten in pieces. From the boiled pulp of a bird, previously crushed, mashed potatoes and soufflés are prepared.
• Low-fat fish, steam and boiled, in the form of cutlets and lumps. The ideal choice would be cod, pike perch, hake, carp, pollock, perch, pike, blue whiting. Cook fish whole carcasses or portioned pieces. Poached fish is not allowed (cooked in a saucepan with a small amount of water), because it contains more extractives than boiled.
• Wheat bread (grades I and II) is allowed only stale to prevent bloating.
• The diet is expanded by the introduction of lean cookies.
• Low-fat dairy products: kefir, acidophilus, yogurt. Milk is poorly tolerated, so it is allowed to add it to dishes (omelettes, cereals, sauces, soups). You can eat bold cottage cheese in its natural form and as part of casseroles, soufflés, puddings. Sour cream goes only as a seasoning for dishes. It is allowed to use mild cheese, but in grated form. With calcium deficiency, calcined cottage cheese is indicated.
• Omelettes are mostly protein, soft-boiled egg is allowed (1 pc. per day).
• You can use sauces on vegetable broth and mucous broth of cereals with the addition of sour cream and milk. Flour during their preparation is not fried.
• Ripe sweet baked apples. From fruits and berries you can make boiled, jelly, kissels and mousses. Dried fruits are used pureed. Jelly and xylitol mousses are made from fruits. You can eat marshmallow, jelly marmalade. Raw fruits and berries are allowed in pureed form.
• Fats are gradually introduced into the diet after an exacerbation, first - butter in cereals and mashed potatoes (15-20 g per day), and then refined sunflower oil (5-15 g).
• Drinks: weak tea with lemon, sweet fruit juices diluted with water, rosehip infusion, fresh and dried fruit compotes (pears, apples, apricots), still table water. Xylitol can be added to tea. Dried fruit compotes and carrot juice are useful for patients with potassium deficiency.

Vegetables and greens

courgettes0,60,34,624broccoli3,00,45,228cauliflower2,50,35,430potatoes2,00,418,180carrots1,30,16,932cucumbers0,80,12,815tomatoes0,60,24,220pumpkin1,30,37,728

Fruit

apples0,40,49,847

Nuts and dried fruits

dried apricots5,20,351,0215 apricots5,00,450,6213 prunes2,30,757,5231

Cereals and cereals

buckwheat (ground kernel)12,63,362,1313semolina 10,31,073,3328oat groats12,36,159,5342rice6,70,778,9344

Bakery products

wheat bread8,11,048,8242

Confectionery

jam 0.30.263.0263 jelly2.70.017.979 marshmallow 0.80.078.5304 fruit and berry marmalade 0.40.076.6293 marshmallow 0.50.080.8310 maria cookies 8.78.870.9400

Raw materials and seasonings

honey0.80.081.5329 sugar0.00.099.7398

Dairy

kefir 1.5% 3,31,53,641 yogurt 1% 3,01,04,140 acidophilus 1% 3,01,04,040

Cheese and cottage cheese

cottage cheese 1%16,31,01,379 cottage cheese 1.8% (low fat)18,01,83,3101

Meat products

beef18,919,40,0187 rabbit21,08,00,0156

Bird

boiled chicken breast29.81.80.5137 boiled turkey fillet25.01.0-130

Eggs

chicken eggs12,710,90,7157

Fish and seafood

flounder16.51.80.083 pollock15.90.90.072 whiting16.10.9-72 cod17.70.7-78 hake16.62.20.086 pike18.40.8-82

Oils and fats

butter 0.582.50.8748 sunflower oil 0.099.90.0899

Soft drinks

water0.00.00.0-mineral water0.00.00.0-

Juices and compotes

apricot juice0.90.19.038carrot juice1.10.16.428peach juice0.90.19.540pumpkin juice0.00.09.038rosehip juice0.10.017.670

Wholly or partially restricted products

• Rye bread and fresh wheat bread, cakes, pastries with cream, puff pastry, muffins, yeast pies.
• Soups on meat, mushroom, and fish broths, borscht and cabbage soup, cold soups (okroshka, beetroot).
• All fried dishes, fried pies, cheesecakes, pancakes and pancakes.
• Fatty meat and fish (sturgeon, salmon, halibut), goose and duck meat, smoked meats, caviar, salted fish, sausages, canned food, fried and stewed fish. Offal (liver, kidneys, brains), because they contain a lot of cholesterol.
• Loose cereals (restrict or completely exclude barley, millet, corn, barley groats).
• Vegetables with coarse fiber (radish, turnip, radish, swede, white cabbage, eggplant), legumes, mushrooms in any form. The exception is soybeans.
• Raw vegetables and fruits are introduced very carefully. At the initial stage of the diet, they are recommended only in boiled or baked form.
• Cooking fats and lard (pork, beef and lamb) are excluded.
• Fruits containing a large amount of simple carbohydrates (bananas, grapes, dates), which can cause bloating.
• Milk soups.
• You can not eat hard-boiled and fried eggs, fatty milk, cream and fatty sour cottage cheese and salty, spicy cheese.
• Hot seasonings and spices: horseradish, herbs, mustard, pepper, ketchup, mayonnaise.
• Black coffee, chocolate, jam, honey, ice cream, cocoa, grape juice, alcoholic and carbonated drinks are also excluded.

Vegetables prohibited in pancreatitis

Table of prohibited products

	Proteins, g	Fats, g	Carbohydrates, g	Calories, kcal
Vegetables and greens
canned vegetables	1,5	0,2	5,5	30
eggplant	1,2	0,1	4,5	24
swede	1,2	0,1	7,7	37
peas	6,0	0,0	9,0	60
cabbage	1,8	0,1	4,7	27
onion	1,4	0,0	10,4	41
chickpeas	19,0	6,0	61,0	364
pepper salad	1,3	0,0	5,3	27
parsley	3,7	0,4	7,6	47
radish	1,2	0,1	3,4	19
white radish	1,4	0,0	4,1	21
dill	2,5	0,5	6,3	38
beans	7,8	0,5	21,5	123
horseradish	3,2	0,4	10,5	56
spinach	2,9	0,3	2,0	22
sorrel	1,5	0,3	2,9	19
Fruit
bananas	1,5	0,2	21,8	95
Berries
grape	0,6	0,2	16,8	65
Mushrooms
mushrooms	3,5	2,0	2,5	30
marinated mushrooms	2,2	0,4	0,0	20
Nuts and dried fruits
nuts	15,0	40,0	20,0	500
raisin	2,9	0,6	66,0	264
seeds	22,6	49,4	4,1	567
dates	2,5	0,5	69,2	274
Cereals and cereals
corn grits	8,3	1,2	75,0	337
millet groats	11,5	3,3	69,3	348
barley grits	10,4	1,3	66,3	324
Flour and pasta
pasta	10,4	1,1	69,7	337
dumplings	11,9	12,4	29,0	275
Bakery products
buns	7,9	9,4	55,5	339
Rye bread	6,6	1,2	34,2	165
Confectionery
confectionery cream	0,2	26,0	16,5	300
shortbread dough	6,5	21,6	49,9	403
Ice cream
ice cream	3,7	6,9	22,1	189
Chocolate
chocolate	5,4	35,3	56,5	544
Raw materials and seasonings
mustard	5,7	6,4	22,0	162
mayonnaise	2,4	67,0	3,9	627
Dairy
milk 4.5%	3,1	4,5	4,7	72
cream 35% (fatty)	2,5	35,0	3,0	337
whipped cream	3,2	22,2	12,5	257
sour cream 30%	2,4	30,0	3,1	294
Cheese and cottage cheese
parmesan cheese	33,0	28,0	0,0	392
Meat products
fatty pork	11,4	49,3	0,0	489
salo	2,4	89,0	0,0	797
bacon	23,0	45,0	0,0	500
Sausages
sausage with/smoked	9,9	63,2	0,3	608
Bird
smoked chicken	27,5	8,2	0,0	184
duck	16,5	61,2	0,0	346
smoked duck	19,0	28,4	0,0	337
goose	16,1	33,3	0,0	364
Fish and seafood
smoked fish	26,8	9,9	0,0	196
black caviar	28,0	9,7	0,0	203
salmon caviar granular	32,0	15,0	0,0	263
salmon	19,8	6,3	0,0	142
canned fish	17,5	2,0	0,0	88
salmon	21,6	6,0	-	140
trout	19,2	2,1	-	97
Oils and fats
animal fat	0,0	99,7	0,0	897
culinary fat	0,0	99,7	0,0	897
Alcoholic drinks
dry red wine	0,2	0,0	0,3	68
vodka	0,0	0,0	0,1	235
beer	0,3	0,0	4,6	42
Soft drinks
soda water	0,0	0,0	0,0	-
cola	0,0	0,0	10,4	42
dry instant coffee	15,0	3,5	0,0	94
sprite	0,1	0,0	7,0	29
Juices and compotes
grape juice	0,3	0,0	14,0	54

* data are per 100 g of product

Menu for the week (Meal mode)

As mentioned above, the diet involves a gradual expansion of the diet. At the initial stage of diet therapy, dishes in the diet are present in pure form and vegetables only in boiled form. During this period, wheat bread is allowed - 200 g per day and sugar - 20 g.

When switching to an extended version of the diet, the main dishes remain, but the use of raw vegetables in the form of salads is allowed. The amount of bread is increasing (100 g of rye and 200 g of wheat can be used), sugar up to 40 g and butter up to 20 g-30 g per day. Below are menu options for pancreatitis of a wiped and not wiped table.

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

This menu can be used for children.

Recipes for dishes of the Diet No. 5p table for every day

Table 5P, especially the extended version of the diet, contains a variety of dishes, so it is not difficult to plan a diet for a week. Stew of chopped vegetables and lumpy meat of tender varieties are allowed. You can even cook beef stroganoff from pre-boiled meat, and all steamed minced meat and vegetable dishes can be served with milk or sour cream sauce. Milk sauces are prepared in various consistencies: thick ones are added to minced poultry when preparing cutlets and dumplings, and semi-liquid sauces are added to cereal, vegetable and meat dishes. They are cooked in milk diluted with water.

Since recipes may vary slightly (different vegetables in soups or different meat supplements), it is not necessary to have a large supply of them. The dish will look different, their taste and nutritional value will also be different. Here are the recipes for the most common dishes.

Milk soup with meat puree

Boiled beef is passed several times through a meat grinder or whipped in a blender and rubbed. Mashed rice and slimy broth are added to the meat puree, salted, boiled, allowed to cool slightly and seasoned with lezon (a mixture of beaten egg and milk, which gives the soup a delicate taste). When serving, add butter.

Prepared from a mixture of carrots, potatoes and zucchini.

Carrot and squash soup

Potatoes and carrots are boiled, zucchini are cut and stewed until tender. Then all the vegetables are rubbed hot with a decoction, diluted to the required consistency with a decoction of vegetables or milk. While stirring, bring the soup to a boil and add salt.

Chicken dumplings with cottage cheese

Pass chicken meat through a meat grinder several times, add grated cottage cheese. Mix well, add beaten egg, butter, salt. Cut quenelles are steamed. You can serve with milk or sour cream sauce.

Eggs are introduced into the ground beef, salted, mixed well. Minced meat is laid out 2 cm thick on a wet towel, a steamed omelette (egg and milk) is laid on top.

Beef roll with scrambled eggs

Using a towel, roll the minced meat, giving it the shape of a roll, and transfer it to the grate of the double boiler, make a few punctures and cook for 25 minutes.

Boil viscous semolina and add peeled grated apples, egg yolk and sugar. Mix well and fold in the beaten egg whites. Pour into molds and steam for 30 minutes. Serve at the table, watering with fruit jelly. The finished pudding should retain its shape well, be fluffy and porous, retain the taste of apples.

Reviews and results

Therapeutic nutrition loses its meaning if it is not carried out strictly and if the patient is not convinced of the need for its implementation. This dietary table is complete in terms of protein content and can be observed by patients for a long time. The reviews note a quick relief of the condition: pain and bloating are eliminated, the stool is normalized. Many note that they are forced to constantly adhere to dietary nutrition in view of their state of health, since the expansion of the diet causes deterioration. Also, the reviews indicate certain difficulties: individual cooking requires knowledge of the technology of its preparation and time.

• “... I was hospitalized with acute pancreatitis. They found stones in the gallbladder and said that they were the cause of pancreatitis. The condition was not very serious, but all the same, she spent 3 weeks in the hospital (surgery, then gastroenterology). Therefore, I know the diet very well - I went through all its options. After discharge, I continue to perform, they said 6 months and painted approximately what foods and how to introduce when expanding the diet. I do everything very strictly, because I'm afraid of exacerbation. I don't want to have surgery - I'd rather eat right. I feel good: there is no pain and bitterness, my stomach does not swell, and food is digested well. Of course, it is difficult to fulfill it - tired of steam, grated and almost tasteless food, not familiar to a healthy person. But I have nowhere to go with my diseases”;
• “... In chronic pancreatitis, I strictly monitor nutrition and follow the main diet all the time (almost all products can and do not need to be ground, and this is already good). But even from the permitted products, I do not tolerate everything well. For example, pearl barley and millet porridge are heavy for me - immediately bloating and pain in the intestines (probably also colitis). For so many years, I have already adapted to cook the necessary dishes. At first, a simple double boiler helped out, and now I have acquired a slow cooker - it helps a lot and you can cook much more dishes in it. I teach the whole family proper nutrition»;
• “… I have chronic cholecystitis and pancreatitis. Diet number 5 is the main one for me and has studied it very well. Once a year I am treated in a hospital (usually an exacerbation in the spring), and the rest of the time - only diet food and periodically drink enzymes. Only this allows you to feel good (without pain and heaviness under the ribs). For a long "experience" of the disease, she adapted to quickly make steam dishes and soufflés. Of course, I don’t have the opportunity to cook every day, so I make cutlets and quenelles for 2-3 days, and then I heat them up for a couple. When there is no exacerbation, nutrition is complete and healthy (without fried, spicy and fatty foods). My family supports me."

This health food includes affordable products, but given that it has an increased protein content, protein products must be present at every meal, the cost of the diet increases to 1400 - 1500 rubles per week.

The essence of the diet

This diet was developed in a specialized nutrition institute under the guidance of physicians for people suffering from pancreatic damage, both acute and chronic.

Table number 5 is a generalized nutrition technique that has its own subtypes:

• Table No. 5a is assigned to people diagnosed with acute hepatitis and / or cholecystitis (exacerbation of a chronic course).
• Table No. 5sh is prescribed for patients with a diagnosis of postcholecystectomy syndrome, a period of exacerbation.
• Table No. 5 l / f - lipotropic-fatty diet - is prescribed to patients with the diagnosis of pathological changes in the liver, in the presence of congestion.
• Table No. 5 r - is prescribed to patients after removal of the stomach due to its ulcerative lesions.
• Table No. 5 p - is introduced into the protocol for the treatment of a patient with a diagnosis of pancreatitis.

In this article, we will try to consider table No. 5 in more detail. The essence of the diet is its gentle effect on the organs of the digestive tract, including the secretory functions of the pancreas. The developed combination of products makes it possible to prevent the development of fatty infiltration. Restriction in nutrition allows you to prevent the onset and progression of dystrophic processes in the cells of both the liver and the gland of interest to us.

A carefully designed diet with allowed and prohibited foods helps to reduce gallbladder irritation.

The basis of the diet of such a patient is made up of light, pureed dishes, which are served only warm. The temperature indicators of food should be close to the temperature indicators of the human body. Such a set of measures is designed to protect the patient from increased stress and irritation of the mucous membrane of a physical, thermal and chemical nature.

Type of food processing - cooking, steam processing, in rare cases - baking.

Daily changes in the diet are associated with an increase in the amount of protein foods, a decrease in the amount of fat and carbohydrates consumed.

From the diet of such a patient, products that can stimulate the increased production of secrets of the digestive glands are necessarily excluded. These mainly include foods high in coarse fiber, as well as spices and spices.

The daily volume of products is divided into four to six meals, with an interval of three to four hours.

But this diet has its own subsections:

• Part one is entered into the pathology protocol for acute pancreatitis or at the time of exacerbation of the chronic form of the disease.
• Part two is introduced into the protocol for stopping the problem in the chronic course of the pathology, during the period of remission, as well as in the case of an improvement in the condition after an exacerbation of the disease.
• The first version of the diet is prescribed to the patient from the third to fourth days after the onset of relief of the attack, when the main severity subsided.

The energy value of consumed products per day is reduced to 1.5 - 1.7 thousand kcal.

In this case, it is allowed:

• Proteins - 80 g. Of these, the third part is given to proteins of animal origin, the rest - vegetable.
• Carbohydrates - 200 g. Of these, only about 25 g of sugar can be taken throughout the day.
• Fats - about 50 g. Of these, a quarter of plant origin.
• Salts - from 8 to 10 g.

This diet has more stringent restrictions. Allowed products include:

• No more than 50 g of wheat crackers per day.
• From meat preference is given to poultry, rabbit meat and beef. In this case, pieces devoid of fascia, tendons and films should be selected.
• Non-greasy pieces of fish, crushed into a homogeneous mass. On their basis cutlets, meatballs, dumplings and so on are prepared.
• A steam protein omelette is allowed on the menu. But no more than one or two proteins per day. When entering into a dish, only half of the yolk can be used daily.
• Fresh cottage cheese or dishes from it: curd mass or soufflé.
• Milk only for cooking other dishes.
• Easily digestible porridge is allowed. These are mashed cereals or slurry (buckwheat, oatmeal).
• From the first courses, soups and cream soups are allowed, but cooked in water or light meat broth. They are prepared on the basis of such cereals as semolina, oatmeal, rice, barley, buckwheat.
• Of the sweet dishes, fruit and berry sauces can be called, but not sour.

The second version of the diet is prescribed to the patient in the phase of subsiding exacerbation in a chronic state of the disease from the fifth to seventh day after a more stringent diet in the form of the first option for stopping the exacerbation. Or against the background of remission of the disease - for two to four months.

The energy value of consumed products per day becomes more attractive and approaches the norm - up to 2.45 - 2.7 thousand kcal. In this case, it is allowed:

• Proteins - up to 140 g. Of these, the sixth - seventh part is given to proteins of animal origin, the rest - of vegetable origin.
• Carbohydrates - up to 350 g. Of these, only about 40 g of sugar can be taken throughout the day.
• Fats - about 80 g. Of these, a fifth of plant origin.
• Salts - up to 10 g.
• During the day, the amount of fluid consumed should reach the level of one and a half liters.

In this diet, the restrictions are somewhat softer. They affect the period when the patient gradually comes out of a serious condition or, in a chronic illness, maintains his digestive tract in a state of remission. Allowed products include:

• Bakery products made the day before or two or three days ago. Wheat flour. Bad cookie.
• From meat preference is given to poultry, rabbit meat and beef. In this case, pieces devoid of fascia, tendons and films should be selected. The skin is not used in the cooking process.
• Mostly sea fish (not fatty varieties). The fillet is crushed to a homogeneous mass. Cutlets, soufflés, meatballs, aspic, dumplings and so on are prepared on its basis.
• A steam protein omelette is allowed on the menu. But no more than one protein per day. When entering the dish, you can use both protein and yolk.
• Fresh low-fat cottage cheese or dishes from it: curd mass or soufflé.
• A little milk, if the patient's body perceives it normally. For cooking other dishes.
• Lactic products.
• From fats in food, a small amount of refined vegetable oil is allowed, as well as butter, which are introduced into ready meals.
• Easily digestible porridges cooked in pure water or with the addition of a portion of milk are allowed. These are mashed cereals or slurry (buckwheat, semolina, oatmeal, rice).
• Of the vegetables in the diet of such a patient, only potatoes, cauliflower, broccoli, zucchini and carrots are allowed. But their reception in raw form is excluded. Mandatory heat treatment with further grinding into a homogeneous mass.
• From the first courses, cream soups and classic soups are allowed, but cooked with water, milk diluted with water, or light meat broth. They are prepared on the basis of such cereals as semolina, buckwheat flour, oatmeal, rice, barley, buckwheat.
• Sweet dishes include sweet fruits and berries, fruit and berry sauces (not sour), marshmallows, marshmallows, marmalade.
• From drinks: mineral water without gas, mashed compotes, weak tea, fresh juices, mousses, rosehip broth, jelly or jelly. When preparing them, it is desirable to replace sugar with its analogues: xylitol or sorbitol.

Cholecystitis is a disease caused by an inflammatory process that affects the tissues of the gallbladder. At the same time, doctors quite often note that subsequently this process also affects the pancreas, provoking the development of pancreatitis.

In principle, dietary nutrition in the presence of a person's history of one or another disease is almost the same. Diet 5 for pancreatitis and cholecystitis has its own list of food products allowed for consumption, the same list is available for prohibited foods and foods.

From drinks, a decoction of rosehip berries, warm weak tea, juices made from fruits and berries that do not have a sour taste are allowed. The predominant volume in the diet should be occupied by proteins.

Soups are allowed - mashed potatoes and porridge - mash, mashed meat and fish dishes, slightly dried white bread, protein steam omelet.

Fatty, smoked, spicy and salty foods should be removed from the diet. We do not allow fresh pastries, including muffins, cakes with butter creams, and other confectionery products.

Method of thermal processing of products: steam, boiling in water.

In some cases, when the disease is in a chronically severe condition, the patient has to diet for the rest of his life.

At the same time, the products that fall on the patient's table must be fresh and of high quality.

Therapeutic nutrition is the basic component of a number of therapeutic protocols. It's no secret that food can both heal and lead to serious complications in human health. It deserves special attention in a situation where dysfunction affects one or more organs of the digestive system. Diet 5 for chronic cholecystitis (inflammation of the gallbladder) is aimed at providing a reduced functional load on the biliary system.

It involves the exclusion of a number of foods and dishes from the patient's diet. At the same time, the taboo extends to the way they are processed. No fried, smoked and salty foods. In the first days after the attack, the attending physician may prescribe to his patient a complete fast with the consumption of a small amount of water, mineral water without gas or unsweetened tea, rosehip broth.

Further, after removing the pain syndrome and improving the condition of the mucosa, the list of dietary products can be expanded, but dietary restrictions, all the same, must be followed further. In any situation, the patient must listen to the doctor and accurately follow all his requirements and recommendations. This is the only way to achieve the expected result as soon as possible.

When diagnosing any pathology associated with the digestive process, the patient is corrected nutrition. A diet of 5 p is prescribed for pancreatitis. At the same time, the main indication for its use is an acute, chronic form of the disease, as well as an exacerbation of chronic pancreatitis.

The essence of the restrictions in the appointment of low-calorie, easy-to-digest food, rich in protein, vitamins and minerals. At the same time, diet is the basis of treatment. Without fulfilling the necessary restrictive requirements, talking about effective treatment do not have to.

To overcome the disease or return it to a state of remission, you should follow all the recommendations of your doctor with accuracy.

In the acute phase of the disease or at the time of exacerbation, the patient will have to starve, taking only the liquid allowed by the doctor. This will relieve irritation of the mucous membrane, will unload the digestive system. Only a few days later (from one to four), after the exacerbation has subsided, the patient is allowed to expand the range of dishes and products on his table. That is, from diet number 5 (first option), the patient is transferred to diet number 5 (second option). If the patient has a period of remission, table number 5 (second option) may be recommended to him initially. Their differences from one another have already been described above in this article.

The main postulate is that products that can provoke increased gas formation, consisting of a large amount of coarse fiber, substances that irritate the mucosa of the tract, are subject to exclusion. The taboo also includes dishes and products that cause the activation of the production of pancreatic secretion and other secrets.

What products are allowed to be taken, and about which you will have to forget, and for a long time, we will recall in more detail below.

The purpose of this restriction is to bring, if possible, the function of the pancreas and the entire human digestive tract back to normal.

If chronic pancreatitis is diagnosed in the patient's history, then with the help of nutrition, the patient is able to independently maintain the state of his body in the remission phase. But if for any reason there was a failure, a relapse occurs and the disease returns.

In order to quickly stop the problem that has arisen, the patient is prescribed, with an exacerbation of chronic pancreatitis, diet 5.

At the same time, on the first day, two patients are kept on a "starvation diet", allowing them to drink only water (warm tea) or a decoction of rose hips. To maintain the level of minerals in the human body, it is allowed to take such mineral water as Borjomi or its analogues. One has only to remember that the liquid taken should not contain bubbles of carbon dioxide.

Only if the doctor is convinced that the patient's condition has stabilized, he allows you to switch to the selection of products specified by the diet No. 5 p (the first option) and only later, with the planned course of treatment, the doctor gives the go-ahead to receive the dishes allowed by the diet No. 5 p (second option). ).

Gradually, a person moves from mashed food to non-mashed food, but for about a year (if there are no new exacerbations), the patient needs to deny himself muffins and cakes, fatty, fried, smoked and a number of other dishes.

If the diagnosis considered in this article is made to a still small growing organism, then, naturally, its treatment protocol, and especially nutrition, should be selected in such a way as not to slow down the small patient in development and growth. It's no secret that what a child eats largely depends on his state of health and level of development.

Therefore, diet 5 for pancreatitis in children is designed with these factors in mind. Feed such a baby should be in small volumes, but often.

The basis of his diet should be mashed meat and fish dishes. Mostly it should be a rabbit, turkey, chicken, veal is possible. Exclude heavy-to-digest meat (pork, goose, beef, lamb, duck). Method of preparation of all dishes: cooking with steam and boiling in water.

During the period of exacerbation, the baby can be given a steam protein omelette, if the disease is in remission, then this dish can be prepared from a whole egg without separating the yolk.

Such a patient should be given natural cottage cheese, it is only necessary to ensure that it is of low fat content. If the child gradually eats this product, this will fill the needs of his body for bone calcium.

To please a small patient, without causing damage to his body, baked vegetables (for example, carrots, pumpkin) or fruits (for example, apple, pear, peach, apricot) can be added to the curd. Baked fruits, especially an apple, will also be an effective prophylaxis in preventing anemia.

From fats it is allowed to use only a small amount of butter and vegetable oil, and then only as an addition to the dish being prepared.

Ideally, the first dish for such a patient looks like a vegetable platter boiled in water and whipped with a blender. As a result, the baby gets puree soup, and thanks to the wide variety of vegetables, by connecting imagination and / or experience, the baby can be pleased with their various combinations. If it is winter outside, then fresh ingredients can be replaced with frozen ones.

Exclude semi-finished products, sausage, legumes, smoked and canned foods, mushrooms, chocolate and caramel, carbonated and sour drinks from the child's diet.

To please the baby with sweets, you can offer him marshmallows or marmalade, of course, from natural products.

The first time after the discovery of the disease, it will be quite difficult for the patient or his relatives to correctly compose the daily menu. To facilitate this process, we are ready to offer one of the options for a weekly diet menu for pancreatitis.

• Mashed potatoes.
• Meat steamer.
• Tea with milk.
• Zoological cookies.

• Shredded cottage cheese.
• Kissel.

• Meat broth with vegetables.
• Fish soufflé.
• Buckwheat.
• Compote of fresh pureed apples.

Afternoon snack: fresh juice with crackers.

• Milk semolina porridge - 300 g.
• Protein steam omelet.
• Green tea with biscuits and a piece of soft cheese.

Immediately before going to bed - half a glass of Borjomi mineral water with released gas.

• Oatmeal porridge with fruit sauce.
• A decoction of rose hips.

Lunch: baked apple.

• Soup pureed buckwheat.
• Meat fricassee with carrot puree.
• Fruit compote.

Afternoon snack: rosehip infusion with crackers.

• Mango pudding.
• Tea with a slice of lemon and a piece of cheese.

Just before going to bed - a glass of acidophilus milk.

• Meatloaf stuffed with egg omelet.
• Boiled beetroot grated.
• Dry fruit compote.

Lunch: warm green tea with crackers.

• Ukha with fish meatballs.
• Mashed potatoes with sour cream sauce.
• Pureed apple jelly.

Afternoon snack: Apple puree with whipped protein.

• Vegetable puree.
• Meat dumplings.
• Rosehip broth with sugar and crackers.

Immediately before going to bed - a glass of fruit jelly.

• Liquid pureed rice porridge.
• Weak tea with a biscuit.

Lunch: cottage cheese and fruit casserole with tea.

• Soup puree with noodles and broccoli.
• Mashed potatoes.
• Fish cutlet cooked in a steam bath.
• A decoction prepared on rosehip berries.

Afternoon snack: milk jelly.

• Buckwheat porridge.
• Meat cheese.
• Fruit jelly with crackers.

Immediately before going to bed - half a glass of Borjomi.

• Vegetable puree.
• Buckwheat pudding with pureed lean meat.
• Fruit mousse.

Lunch: milk jelly.

• Mucous oatmeal soup.
• Rice boiled mashed.
• Meat fricassee.
• A piece of black bread.
• Compote on dried fruits.

Afternoon snack: Apple soufflé.

• Rice pudding.
• Lightly sweetened tea. You can add a slice of lemon or lime.

Just before going to bed - a glass of non-acidic fruit juice. The first time you can dilute it with water.

• Potato and egg casserole with bechamel sauce.
• Milk jelly with zoological cookies.

Lunch: apple baked with cinnamon.

• Vegetable puree soup with meatballs.
• Boiled vermicelli casserole.
• Meat dumplings.
• Mineral water "Slavyanovskaya" without gas.

Afternoon snack: protein steam omelet.

• Vegetable puree.
• Fish snowballs.
• Lightly sweetened tea with biscuits.

Immediately before going to bed - a glass of kefir.

• Vermicelli casserole.
• Liver paste.
• A glass of mineral water without gas.

Lunch: cottage cheese pumpkin casserole with tea.

• Dinner:
• Soup - assorted vegetables.
• Cauliflower puree.
• Fish fricassee.
• Fruit compote mashed with breadcrumbs.

Afternoon snack: baked fruit.

• Vegetable puree - assorted.
• Meat snow.
• Zephyr.

Immediately before going to bed - a glass of milk jelly.

In order to prevent the return of the disease or to promote a speedy recovery, it is necessary to withstand this diet. Recommendations for the preparation of dishes that make up the patient's diet should also be followed exactly. It will not be superfluous to get acquainted with the nuances of heat treatment of products and study diet recipes for pancreatitis.

Despite the rather stringent restrictions, the menu for such a disease can be varied. The recipe below can be used both in the case of diagnosing pancreatitis, and in recognizing cholecystitis.

• Any lean meat - 250 g
• Butter - 40 g
• Water - 100 ml
• Raw egg - one
• Semolina - 20 g.

• Boil the meat until done.
• Grind at least twice in a meat grinder.
• Add semolina, water and an egg to the minced meat. Mix all ingredients well.
• Mince beat off.
• Grease a baking dish with butter and lay out the minced meat.
• Bring to readiness using a steam bath.

For cooking you will need:

• Buckwheat - 50 g
• Light meat broth - 250 ml
• Salt with doctor's permission

Cooking sequence:

• To obtain a liquid on which porridge will be cooked, meat is boiled in water. To make the broth less heavy, it should first be cooled. Gently scrape off the hardened fat from the surface.
• Drain the liquid and dilute with water, twice as large as the taken broth.
• Place the container with the liquid on the fire and wait for it to boil.
• Rinse the buckwheat well. Introduce into boiled liquid.
• After the composition thickens, cover the container and simmer the dish on a low flame for about one hour.
• Before the end of cooking, lightly salt the almost ready dish (if the salt is allowed by the doctor).
• Cool slightly, pass through a sieve.
• Before serving, add a piece of butter.

To speed up the cooking process, buckwheat can be replaced with buckwheat.

For cooking you will need:

• One egg white
• Strawberries or peach (you can choose another fruit to taste, but of the appropriate consistency) - 100 g
• Wheat flour - 20 g
• Water - 120 g
• Sugar - 30 g
• Vanilla on the tip of a knife

Cooking sequence:

• Whisk the chilled egg white into stiff peaks.
• Very carefully introduce sugar (powdered sugar or substitute) and vanillin. To mix everything.
• Boil water in a saucepan and put the protein mass into it with a spoon. The lid is closed.
• After four minutes, I turn the snowball over, and keep it under a closed lid for another four minutes.
• After that, the finished product is removed from the water with a slotted spoon, allowing excess liquid to drain.
• Put the snowballs on a dish and top with strawberry sauce. It can be prepared by blending sugar (10 g), strawberries and flour with a blender.

For cooking you will need:

• Fruits, for example, black currants (can be dried, can be fresh) - dried - 15 g, fresh - a little more
• Potato flour (starch) - 8 g
• Sugar - 10 g

Cooking sequence:

• The berries are well reviewed and washed.
• Moved, pour a glass of water and put on the stove. Cook until the berries are completely softened.
• Cool the composition a little, separate the liquid.
• Combine starch with cold water and mix well. The ratio of water and starch should be 4:1.
• Gently add the diluted starch into the filtered boiling liquid.
• Sweeten and wait until it boils again.

Dietary jelly should be prepared only in this way. Adding fruit puree during cooking is not recommended. After the jelly has been poured into cups, it is advisable to crush the drink with powdered sugar. This will protect the surface from the formation of an acid film.

For cooking you will need:

• One ripe banana
• One ripe peach
• Low calorie yogurt - 250 ml
• Cracker
• Gelatin - 15 g
• Water - 200 ml

Cooking sequence:

• Soak gelatin in hot water and leave for a short time to swell.
• Gradually introduce, stirring, yogurt. Beat the resulting mass.
• Take the form. Cover it with aluminum foil.

We begin to form a cake, laying out in layers:

• Cookies at the bottom of the form.
• Next, fill the cookies with yogurt. We pour out the third part of the available volume.
• Lay out the sliced ​​banana.
• Yogurt cream again.
• layer of peach.
• We finish with a layer of yogurt.
• Place the form in a cold place to harden. For example, in the refrigerator.

For cooking you will need:

• Egg (or one protein) - 2 pcs
• Water - 80 ml
• Butter - 5 g
• Salt - 1 g

Cooking sequence:

• Lightly beat the contents of the egg.
• Add water and salt to the mixture. Okay, but mix gently.
• Throw the composition on a sieve and strain. This will rid the product of protein knots.
• Place the strained egg in a serving container and cook with steam. The filled layer should be less than four centimeters. The high height of the dish will not allow you to cook normally. Viable microbes may remain in the egg mixture.
• When serving, drizzle the top of the omelet with melted butter.

For cooking you will need:

• Light meat broth - 400 ml
• Carrot - 4 g
• Semolina - 20 g
• Salt - 1 g
• Onion - 4 g (if desired, you can not put it)
• Parsley - a couple of sprigs

Cooking sequence:

• Prepare the broth by boiling parsley, onions and carrots along with the meat. The liquid can be lightly salted.
• Cool the broth and remove the resulting fat from the top, drain well. This will make the liquid less oily and lighter.
• Put it back on fire and boil.
• In a thin stream, stirring constantly, gradually add semolina.
• Cook until fully cooked.
• Before serving, add chopped parsley.

Pancreatitis is an inflammation that affects the tissues of the pancreas, which is involved in the process of digestion. Therefore, diet 5 for pancreatitis is an integral part of the treatment process carried out during the relief of this disease. If you had to hear the diagnosis of pancreatitis in relation to yourself or your loved ones, then you should not ignore the recommendations of the attending physician about adjusting the diet, with the introduction of the necessary restrictions. After all, ignoring the diet will nullify everything drug treatment. In this case, the problem may worsen, rewarding the body with unwanted complications. An integrated approach to treatment, against the background of meeting the requirements of the diet, will allow you to quickly cope with the problem and protect the patient's body from negative consequences.

For people suffering from inflammation of the pancreas, a special diet table No. 5 has been developed. Thanks to the correct selection of ingredients, it is possible to stabilize the condition, gain weight for those who have a rapid decrease in it due to hunger and lack of energy value of the food received.

This diet is appropriate not only for exacerbations, but also in the treatment of chronic forms. It helps to normalize metabolism and unload the inflamed organ. It involves the use of predominantly protein-rich foods, with a serious restriction of sweet and starchy foods.

A balanced diet is prescribed simultaneously with medication treatment. It implies the exclusion of products that can lead to complications and reduce the functioning of the pancreas.

All ingredients should be pureed, finely chopped. They should be boiled or cooked using a double boiler. In this case, useful components are better preserved, cholesterol production and the load on the gastrointestinal tract are reduced.

The diet has two parts. The first is softer and more gentle. It can be started from the fourth day after the relief of acute symptoms. Assumes a watery or semi-watery consistency. In the second, a greater variety of products is allowed. Relevant during the period of normalization of the state.

At the stage of manifestation of vivid symptoms and with exacerbation of chronic pancreatitis, the leading principles of diet therapy are:

• Hunger during the onset of acute symptoms (first days), only parenteral nutrition is possible.
• Gradual expansion of the diet with the introduction of new dishes.
• Compliance with the rules for determining the volume and energy value of food.
• Implementation of all the advice of nutritionists and gastroenterologists to reduce the load on the pancreas.

The table for pancreatitis strictly prohibits alcohol-containing drinks and smoking, as they irritate the suffering organ. Eat foods that are rich in antioxidants.

Since liquid and carbohydrate foods pose a minimal danger to the secretory function of the organ, after hunger, you can supplement the diet with dishes that contain carbohydrates in addition to proteins. It can be mucous soups, liquid cereals, kissels, vegetable purees.

If an acute form is suspected, fasting is prescribed on the first day with the use of water up to 1.7 liters. Liquid should be at room temperature.

When cooking outside the acute period, it is also recommended to observe the temperature regime. Do not eat hot or too cold food. The sparing diet lasts up to eight weeks.

In remission, 60% of the diet should be proteins. Their number is 120-130 gr. per day. In this case, the amount of daily fat consumed should not exceed 60 grams. It is contraindicated to use animal fat in its pure form.

The share of carbohydrates in the diet accounts for no more than 350 grams. in 24 hours. Replenishment of this component can be carried out in the form of fruits, honey, cereals. Even with good health, the patient should not deviate from the principles of the diet and the list of allowed foods. Otherwise, it is possible to get a severe exacerbation.

• bread: white, stale, crackers;
• cereals: semolina, rice, oatmeal, buckwheat in a semi-liquid state;
• meat: in the form of minced meat or soufflé, rabbit, chicken, turkey, veal and beef are suitable;
• milk: for cooking only;
• fish: pike perch, pollock, pike, boiled in pieces or used in the form of cutlets;
• dairy products: without dyes and additives;
• fruit: thermally processed apples;
• soups: on vegetable broths with grated ingredients (cream soup, puree soup), it is allowed to put cereals, but they should not be undercooked;
• omelets: predominantly protein, you can eat one soft-boiled egg;
• sauces: on a vegetable broth with the addition of sour cream, the flour is not fried in oil during their preparation;
• berries: for the preparation of jelly, jelly, dried fruits from compotes can be eaten in a small amount in grated form.

If we talk about drinks, weakly brewed tea, fruit juices diluted by half with water, infusions of rose hips, fruit compotes, mineral table water without gas are allowed.

Cakes, confectionery and sweets should be excluded from the diet. Soups on meat, mushroom or fish broth are prohibited. Under the ban and all fried foods, including pastries.

It is not recommended to use fatty meat, salmon, halibut, smoked meats, caviar, sausages, canned food, offal. Vegetables with coarse fiber can cause deterioration. Therefore, the following are removed from the diet: radish, turnip, swede, cabbage and eggplant. From fruits, you should not eat those that are rich in carbohydrates (bananas, dates, grapes). They can cause

flatulence

Spicy spices and seasonings, coffee, chocolate, cocoa, grape juice, alcohol and carbonated drinks are strictly prohibited.

At night every day it is recommended to drink fermented milk products without sugar. Since the diet involves the presence of a second breakfast and an afternoon snack, in between meals you can eat cottage cheese, biscuits, baked apples, drink jelly or diluted juices.

Delicious and nutritious is milk soup with meat puree. It's easy to prepare.

First, boiled beef is passed through a meat grinder several times and whipped in a blender. The mashed rice and slimy decoction are added to the puree. The resulting composition must be well boiled.

Wait for the dish to cool down a bit. It remains to add a mixture of beaten eggs with milk, add to the soup. You will get a soft texture.

Puree soup has a good taste. Boil potatoes and carrots until fully cooked. Vegetables are rubbed with broth, if desired, add a little milk. Bring soup to a boil, add salt. To enhance the taste, do not add pepper or other seasonings.

With pancreatitis, clear soups on a secondary broth help well. To prepare the dish, you need to put a piece of boiled meat without fat into a pan with clean water. Bring to a boil and drain. The meat must be put to cook a second time. Then add potatoes and onions. When the potatoes are cooked, add some durum vermicelli. It remains to cook for another 5 minutes, turn off the fire.

The following recipes are used as second courses:

1. Chicken quenelles with the addition of curd mass. Turn chicken meat into minced meat, add mashed cottage cheese. Mix well, add a beaten egg, a piece of good butter. Quenelles are steamed and served with sour cream sauce.
2. Beef roll. Eggs and salt are added to the minced meat. Minced meat is laid out 2 cm thick on a wet towel, covered with a boiled omelette on top. Using a towel, roll the minced meat so that you get a roll. Make a few punctures, cook for 25 minutes for a couple.
3. Semolina pudding with apples. First you need to cook semolina with the addition of grated apples, egg yolk and sugar. The mass is mixed, whipped proteins are introduced into it. It must be folded into molds, steamed for 30 minutes.

Thus, diet number 5 is balanced, can be used for a long time. It reduces the load on the pancreas. The disadvantages include the long cooking time of some dishes.

The diet for chronic pancreatitis plays a crucial role in restoring the normal functioning of the pancreas, and the “5p” table best meets the requirements of such a diet. With this diet, the main rule is its exact observance. The main task of the diet is to exclude from the diet those foods whose digestion requires a large amount of enzyme and causes hard work of the inflamed organ.

The main task of the diet is to exclude from the diet those foods whose digestion requires a large amount of enzyme and causes hard work of the inflamed organ.

What not to eat

Nutrition in chronic pancreatitis has its own characteristics. The list of foods prohibited in the No. 5p diet is long, but this is a necessary measure. It is necessary to completely exclude from the diet:

• fatty meat (this category includes pork, lamb, fatty beef, waterfowl meat, game);
• all types of by-products;
• all sausages and frankfurters;
• any canned food;
• fatty fish (sturgeon, salmon, catfish, Caspian sprat, caviar);
• vegetables containing a large amount of acid or coarse fiber (white cabbage, radish, radish, beans, corn, peas, sorrel, spinach);
• sugar and all confectionery products such as chocolate, cakes, cakes, lollipops, sweets;
• pastry products;
• fresh bread, both rye and wheat;
• mushrooms;
• hard-boiled or soft-boiled eggs, fried eggs;
• sour and too sweet berries and fruits (bananas, figs, gooseberries, cranberries, cloudberries, grapes, dates, and all citrus fruits);
• salted cheeses;
• fatty dairy products (thick sour cream, yogurt, fatty kefir);
• all spicy, pickled, bitter foods.

Nutritionists do not advise using fresh milk in its pure form, although they allow the addition of this product to other dishes. All meat and fish rich broths fall under the ban. To achieve a therapeutic effect during an exacerbation of chronic pancreatitis, all types of fats must be completely abandoned, and the protein content should be minimized.

In some cases, starch intolerance may occur. In this case, you will have to give up potatoes, jelly and other dishes containing this product.

In some cases, starch intolerance may occur.

Among the drinks on the list of foods prohibited in this diet are:

• strong tea;
• cocoa;
• alcohol;
• beer;
• kvass;
• carbonated drinks;
• sweet fruit juices.

When it comes to coffee, nutritionists disagree. Organic coffee should be completely eliminated, but many doctors allow the use of unsweetened coffee without caffeine. If possible, it is better to replace it with a chicory drink.

Many doctors allow unsweetened, decaffeinated coffee.

All dishes must be eaten warm: the pancreas cannot stand cold and hot.

It is a mistake to assume that if you follow a diet, there is absolutely nothing to eat. The number of acceptable products during this period is quite large:

1. A complete rejection of meat is not required, low-fat, dietary varieties are allowed for use. These include: lean beef, veal, rabbit meat, as well as chicken and turkey meat.
2. Cereals play an important role in stabilizing the gastrointestinal tract. In chronic pancreatitis, oatmeal, buckwheat, semolina porridge on water, boiled rice can be used as a side dish. Oatmeal porridge has the most beneficial effect on the pancreas.
3. From vegetables, you can use boiled carrots, cauliflower and Chinese cabbage, broccoli, zucchini, squash, pumpkin, potatoes, beets, cucumbers. All vegetables must be chopped: pureed or cooked in the form of a soufflé. Vegetable juices are beneficial.
4. The diet must necessarily include lean fish: these include cod, carp, pollock, lean mackerel, etc.
5. Of the fruits in the diet, sweet apples, pears, melons, strawberries, and watermelons are allowed in small quantities. They must undergo heat treatment: you can steam, cook compotes, make soufflé or jelly. In raw form, only apples are allowed, and then only during the period of remission.
6. From fats with such a diet, you can use refined vegetable oil and unsweetened butter (up to 30 g per porridge and not more than 10 g per day as part of a sandwich).
7. The list of fermented milk products allowed in the diet includes: kefir, unsweetened yogurt, low-fat cottage cheese. In small quantities, low-fat sour cream is allowed, but it must be entered into the menu carefully, carefully observing how you feel.
8. From flour products in the “5p” diet, you can eat wheat and bran bread, exclusively dried (stale or in the form of unsalted crackers), unsweetened biscuit cookies, as well as any pasta.
9. Eggs can be consumed only in the form of lean steamed omelettes, no more than 1-2 times a week. It is best to eat only protein with such a diet.
10. If the disease has gone into remission, you can occasionally indulge in homemade diet sweets with low sugar content or desserts for diabetics.

Particular attention should be paid to drinking. You need to drink at least 2 liters of fluid per day, not counting soups. It can be a rosehip drink, weak tea (black or with milk), vegetable juices, weak unsweetened coffee, mineral water, sea buckthorn tea, herbal decoctions.

The diet for pancreatitis severely limits portion sizes. The total amount of food per day can reach 2 kg, subject to 7-8 meals a day fractional nutrition. But nutritionists do not advise eating more than 250 g at a time. Accordingly, if the volume of the soup is 100 g, the number of other dishes should not exceed 150 g (excluding drinks).

In total, the daily diet with such a diet should contain:

• proteins - 120 - 140g;
• fat - 60 g;
• the amount of carbohydrates should not exceed 350 g, of which no more than 30 g may be contained in sugar or jam.

The total calorie content of food for 1 day should not exceed 2700 - 2800 kcal.

Liquid food must be present in the daily diet. Soups are recommended to be included in the menu in the morning (lunch, lunch).

The most useful first courses for chronic pancreatitis include:

• dietary vegetable soups in lean broth;
• milk soup with vermicelli;
• lean cabbage soup without adding tomato;
• potato soup with weak chicken broth;
• mashed potato and carrot soup;
• fish soup in a weak fish broth, etc.

Diet vegetable soup.

If possible, the first dishes to follow the diet should be in the form of pureed soup or cabbage soup with finely chopped vegetables.

As second courses, the requirements of the diet are best met by hearty, but low-fat meals. The most useful with such a diet are:

• slimy liquid cereals;
• a piece of meat (boiled);
• boiled, baked or steamed fish;
• steam cutlets;
• boiled chicken breast;
• dietary egg white omelet;
• potato and cottage cheese casseroles;
• boiled or crushed potatoes;
• egg white omelets.

Salads can also be attributed to the second dishes. Salads from boiled carrots, beets, zucchini meet all the requirements of the diet. In its raw form, only carrots grated with an apple are allowed, and only during a period of stable remission.

All vegetables should be finely grated or mashed.

Diet therapy requires adherence to a diet of 6 to 12 months. An approximate variant of the diet for 1 day may consist of the following dishes:

1. First breakfast: oatmeal, 1 egg steam omelette, weak coffee.
2. Second breakfast: grated carrot salad and a portion of boiled beef.
3. Lunch: dietary rice soup, steamed mashed potatoes, baked apple and dried fruit compote.
4. Snack: cottage cheese casserole with sea buckthorn compote.
5. Dinner: boiled fish, beetroot salad, tea with milk.
6. Late dinner: kefir.

During an exacerbation of chronic pancreatitis, it is better to completely refuse to take any food for 1-2 days of the diet. This will reduce the load on the pancreas and allow it to restore its functions. Fasting for more than 2 days is prescribed only in a hospital under the supervision of a doctor.

During an exacerbation of chronic pancreatitis, it is better to completely refuse to take any food for 1-2 days of the diet.

But even after the exacerbation is removed, nutritionists recommend, for the purpose of prevention, to arrange a hungry day at least 1-2 times a month.

The purpose of the diet is to provide the body with foods that contain the least amount of fat and carbohydrates.

A weakened pancreas can only produce a small amount of the enzyme. Accordingly, food should come in small portions, but often. The best diet option is 5-7 meals a day every 2-3 hours.

The 5p diet provides the best treatment; it is prescribed with minor changes both during exacerbation and during remission.