Nutrition for chronic pancreatitis: why a diet is needed. Classic food recipes. Example of a daily menu during different periods of pancreatitis and recipes

When the disease worsens, a person experiences severe abdominal pain, hyperactivation of enzymes occurs in his body, which become aggressive to environment: they corrode the walls of blood vessels, digest pancreatic tissue, and if they end up in the blood, they attack nearby organs. The disease often leads to decreased immunity, obesity, and the risk of formation of low-quality tumors, so nutrition for pancreatitis is a constant diet that is part of a person’s life forever.

Therapeutic nutrition for chronic pancreatitis and cholecystitis

Pancreatitis is a problem with the pancreas, and cholecystitis is a disease of the gallbladder. The symptoms of these diseases are similar, and their diet is the same. Nutrition for pancreatitis or cholecystitis directly depends on the stage of the disease. For chronic illness the main objective what needs to be achieved with nutrition is the rest of the pancreas and gall bladder, so the diet provides complete failure from:

• Alcohol.
• Salty.
• Fried.
• Smoked.
• Spicy.
• Canned food.
• Chocolate.
• Sausages.

When pancreatitis is in chronic stage, doctors recommend the following dishes to the patient:

• meat, steamed fish;
• vegetarian first courses;
• porridge and vegetable stew;
• fruits with minimal acidity;
• cottage cheese;
• still mineral water, jelly.

Proper nutrition during acute pancreatitis or exacerbation of chronic

In case of exacerbation of chronic cholecystitis or pancreatitis, fasting is indicated for the first two days. You are only allowed to drink about 200 ml of alkaline 5-6 times a day mineral water or rosehip decoction. If the exacerbation is too severe, then drinking is prohibited, and nutrition is administered intravenously. Two days later, for the next week, a special diet for pancreatitis is introduced - diet No. 5p, which includes several options. Sample diet menu No. 5p:

1. Breakfast first: steam omelette without yolks, oatmeal, which should be wiped, tea.
2. Second breakfast: low-fat cottage cheese, rosehip decoction.
3. Lunch: boiled meat, rice soup, wheat cracker, fruit jelly.
4. Afternoon snack: baked apples.
5. Dinner: steamed carrot soufflé, boiled sea ​​fish, tea.
6. Dinner two: rosehip decoction.

Features of dietary nutrition after an attack

Diet is the main way to treat pancreatitis, so after an attack the patient undergoes tests to monitor pancreatic enzymes, and then, depending on their condition, the doctor prescribes dietary food. As enzymes decrease, the diet expands and already on the 3rd day it is allowed to eat 4 to 6 times a day in small portions, so as not to provoke a new attack of pancreatitis and not to overload the pancreas. The photo shows where the pancreas is located:

What is indicated after an attack?

• Boiled, baked, steamed food. The fish should just not be fatty varieties, for example, sturgeon, carp, silver carp or catfish.
• From meat products, choose low-fat varieties: chicken, rabbit, turkey, beef. Fatty meat irritates the abdominal cavity, causing pain.
• You are allowed to drink weak tea, freshly squeezed juices, and kefir. But juices must be diluted with water so as not to provoke a new attack.

Diet after an attack of pancreatitis should be rich in proteins, which are necessary for the stomach, so doctors recommend introducing daily diet products such as low-fat cottage cheese, one egg in Week, hard cheese low Fat, mashed potatoes, compotes, no full fat milk, yoghurts. The diet should contain a lot of greens, fresh vegetables, fruits, little sugar, and salt. Such nutrition will allow the patient after an attack of pancreatitis to quickly enter the usual rhythm of life.

Baby food regimen for pancreatitis

Although it is generally accepted that pancreatitis is an adult disease, children suffer from it no less often. Gastroenterologists are sounding the alarm; children are increasingly turning to doctors with chronic pancreatitis. Child nutrition with this dangerous diagnosis combines two main postulates: food should be warm, and feeding should be done in several doses. Nutrition should be gentle: reduce the amount of carbohydrates and increase protein intake. It is advisable to give food to a child in pureed form, especially during exacerbation of pancreatitis.

If you are ill, children should not be given:

• Fish, meat or mushroom broths.
• Canned food, marinades, spices.
• Fatty, spicy, fried, smoked.
• Fresh fruits, sorrel, juices, berries.
• Products containing high protein.
• Carbonated drinks.
• Strong coffee, tea.
• Creamy, pasta products.
• Fresh bread.

Children with pancreatitis are allowed:

• Low-fat fermented milk products.
• Milk diluted with water.
• Vegetable purees, soups.
• Oatmeal, buckwheat porridge.
• Omelette, steamed cutlets.
• Lean fish, meat.

To avoid the development of this dangerous disease, as a measure to prevent the appearance of gastritis, a child should be taught proper nutrition from the first years of life, avoid overeating, and minimize the amount of sweets, soda, fast food, chips and other junk food. Regularly carry out worm prevention and follow correct mode nutrition. What should a child's diet be like so that he does not have problems with gallbladder, we learn from Dr. Komarovsky from the video below:

Foods that can be included in the diet

For pancreatitis or cholecystitis, the daily diet should contain:

1. Carbohydrates, no more than 200 g.
2. Fats, no more than 60 g, proteins 150 g, of which vegetable – 30%, and animal – 70%.

The main factor in the development of these diseases is poor nutrition, therefore, the diet should be followed not for 3-4 months, but for the rest of your life, so as not to provoke more serious illnesses. Meals should be fractional, that is, you need to eat small portions every two or three hours. It is recommended to consume no more than 3 kg of food and at least 2 liters of water per day.

The right products not only will they weaken pancreatitis and put it into remission, but will also be an excellent measure to prevent its further development. Foods that doctors recommend including in the diet for pancreatitis:

• Grape.
• Herbal decoctions.
• Steamed vegetables.
• Low-fat dairy products.
• Non-acidic fruits.
• Liquid porridges: oatmeal, buckwheat, semolina, rice.
• Steamed egg white omelettes.
• Baked pears and apples.
• Unrefined vegetable oil.
• Natural yogurt without any additives, best prepared at home.
• Tomatoes.
• Vegetable soups.
• Stale bread.
• Lean meat and fish.

Diet recipes for pancreatitis of the pancreas

If you have a certain imagination and desire, then maintaining proper nutrition for pancreatitis is easy. Especially now when modern technologies made our life easier, and in stores we can buy steamers, yogurt makers, multicookers and other modern equipment for healthy nutrition no longer a problem. For patients with chronic pancreatitis, delicious meat salads with vegetables, various puddings and souffles are relevant. We offer a couple of simple ones for your consideration. delicious recipes:

• Pumpkin porridge is a healthy dish for pancreatitis.

To prepare it, you need to take a ripe, sweet pumpkin, cut off the peel, cut into large cubes and pour water in a saucepan so that it completely covers the vegetable. Boil the pumpkin for about 20 minutes, then add 7 tablespoons of washed rice, mix and cook until tender. Then add a glass of milk to the pumpkin-rice porridge and bring to a boil. If you stir the porridge until smooth, it will come out very light and tasty dish.

• Cauliflower soup is a delicious dish for pancreatitis.

It will require a medium cauliflower, previously disassembled into inflorescences, which are mixed with chopped onions and carrots. Vegetables are boiled in water and milk, mixed 1:1 until tender, and then blended in a blender, salted a little, sprinkled with grated hard cheese. Our tender soup is ready! Be healthy!

Pancreatitis is a fairly common disease that can be successfully treated, the main thing is to arm yourself necessary knowledge about what is useful and what leads to a deterioration of the condition. A specially selected diet for pancreatitis of the pancreas provides significant assistance in treatment.

What is not allowed, and what, on the contrary, is very useful to use, in what quantities and under what conditions, as well as other important information can be learned from this article.

What is pancreatitis

It's called pancreatitis painful condition pancreas, in which its functions are impaired. The juice secreted by this organ begins to have a destructive effect on the gland itself, digesting its tissue. Quite an unpleasant and unsafe condition. It can occur in a severe acute or milder chronic form, and have different consequences, depending on the severity.

Painful sensations in the abdominal area are one of the first possible signs pancreatitis

The onset of problems with the pancreas, in the overwhelming majority, is associated with excessive alcohol consumption, overeating, addiction to fatty, salty, smoked foods and unwillingness to follow a reasonable diet. At the same time, the person for a long time may not realize that he is sick with pancreatitis, and he can no longer lead his previous lifestyle, but needs to take care of his health.

What factors influence the development of the disease:

• viruses and bacteria;
• fungal infection;
• pancreatic injuries;
• helminth infection;
• infectious diseases;
• surgical intervention;
• disease of the gallbladder or its ducts;
• taking certain medications (furosemide, estrogens, etc.).

The disease attacks through severe pain in the abdomen, in the stomach area, and from the right side to the spinal column. Such crises can last up to several hours, accompanied by nausea, vomiting, severe pain and general poor health. This condition requires urgent medical intervention to prevent complications.

What foods are possible and what are not for pancreatitis?

The pancreas is designed to produce the so-called pancreatic juice, consisting of hormones and enzymes that are needed to break down proteins, fats, carbohydrates - everything that a person eats every day. If the synthesis of these substances is impaired, if there is inflammation and swelling of the duct, then fluid stagnation inevitably occurs, leading to disruption of the functioning of this organ.

What diet is indicated for pancreatitis of the pancreas, what foods are allowed and what is not allowed, it is necessary to know in order to maintain health. Dishes are selected in such a way as not to overload the inflamed gland. They should be nutritious, rich in protein, but easily digestible.

Authorized Products

The following products may be permitted:

• Wheat flour loaves or buns premium(fresh bread is not recommended, yesterday's bread is better), crackers, unsalted crackers.
• First courses with vegetables such as zucchini, pumpkin, potatoes. Vegetables can be additionally pureed, cereals can be boiled until pureed.
• Meat. Anything will do dietary varieties: rabbit, chicken or turkey. Before cooking, remove the skin from the meat, cut off all the skins and tendons and boil well. The meat is then ground into small pieces or into a pate.
• Fish. The best thing lean varieties, such as haddock, cod, blue whiting. You can cook fish soup or cutlets, pates, aspic.
• Boil porridge from the most common cereals until viscous. Prepare porridges or casseroles on skim milk or just on the water.
• Milk, fermented baked milk, Varenets, cottage cheese and other similar products with low or zero fat content.
• Omelet cooked in a frying pan without using oil from fresh chicken or quail eggs - no more than 2 times a week.

• Vegetables – baked without oil, boiled, baked or steamed.
• Fruits – any fruits that do not irritate the stomach in kind or baked.
• Oil without heat treatment can be added to already prepared dishes in small quantities (you can use either butter or any vegetable oil).
• Liquids – still mineral water, weakly brewed tea, compotes, natural juices diluted half with water, infusions medicinal herbs with anti-inflammatory properties.

Prohibited Products

In order not to cause a sharp exacerbation of the condition, you should consider what the diet should be for pancreatitis of the pancreas.

What you should not eat and what foods you should avoid are listed in the list:

• You should refrain from sausages, fried meats and dishes made from them, strong meat, mushroom and fish broths.
• Avoid cakes, pastries, waffles, and pastries during an exacerbation.
• Do not eat fatty, salted or finished fish and canned fish.
• Cheeses and sour cream should also be avoided.
• The use of pearl barley, barley and other coarse and difficult to digest cereals is not recommended.
• Any foods fried or stewed in oil are prohibited.
• Vegetables such as daikon, turnips, radishes, radishes, cabbage, peppers, onions, and garlic contribute to the exacerbation of the disease.

• Ice cream, dark chocolate, preserves or jams, figs, dried apricots, dates, prunes and other similar products should be forgotten during illness.
• It is unacceptable to eat dishes with hot seasonings, artificial colors, or monosodium glutamate.

The temperature of the prepared dishes is important - they should not be hot or too cold.

Use of spices, herbs and seasonings

Any spices improve the taste of a dish and make it more aromatic, however, if we are talking about pancreatitis, spices can negatively affect the patient’s condition. You will have to stop using mustard, vinegar, horseradish, garlic and onions. Any spicy seasonings can cause severe aggravation. Even salt needs to be limited, using it in a minimum amount, and it is better to take sea salt and add it to already ready dish- this way it will retain useful minerals.

Doctors allow ready-made dishes to be seasoned with caraway seeds, basil, parsley, and dill seeds.. You can also use saffron and oregano. Vanillin can be added to desserts. Turmeric occupies a special place in the list of spices. This spice has antioxidant properties and contains very beneficial essential oils, improves digestion, has anti-inflammatory and anti-cancer effects.

Another beneficial substance is cinnamon. Helps normalize blood sugar and restore impaired digestion. Even the smallest amount of cinnamon added to food can enhance the absorption of glucose by 20 times, which is truly invaluable for people with impaired carbohydrate tolerance.

Turmeric and cinnamon are beneficial for pancreatitis and help support the body

Using cinnamon will have positive influence on the well-being of any person suffering from pancreatic inflammation.

Duration of diet for pancreatitis

Let's take a closer look at the duration of the diet and what is not allowed for pancreatitis of the pancreas.

During an acute attack, it is recommended to refrain from eating for a period of 1 to 3 days.. Drink clean water or mineral water without carbon in small portions. To mitigate the symptoms of the disease, cold is applied to the inflamed area. You can use a heating pad filled with ice water or ice.

In the acute stage, the patient must be provided with bed rest and complete rest, because any noise, stress or nervous tension negatively affect the patient's condition.

Every day, without exacerbations, you should follow the diet recommended for pancreatitis of the pancreas, taking into account what you can eat and what you cannot eat. This dietary course is usually recommended for a period of 3 weeks to a month.

During this period you can eat the following dishes:

• soups with vegetable broth;
• viscous, lightly sweetened porridges boiled to a puree;
• steamed vegetables, egg white omelet;
• not very strong tea, rosehip and dried fruit compote;
• freshly squeezed juices diluted half with water.

Further, in the chronic course of the disease, it is advisable to constantly use a gentle diet. This is necessary for warning acute conditions threatening serious consequences. Careful attention to this problem will allow you to avoid damage to organs such as the liver, stomach, intestines, the activity of which is related to the pancreas.

Consequences of poor diet

It is important to remember that you should not violate the diet prescribed for pancreatitis of the pancreas. The consequences can be very dangerous.

There is a risk of developing very adverse consequences:

• stagnation of bile provokes jaundice;
• perforations and bleeding are possible;
• there is a high probability of stomach ulcers;
• diseases of the esophagus often occur;
• risk of developing hepatic hypertension;
• thrombosis of the portal or splenic vein;
• high probability of developing pleurisy;
• duodenal disease;
• pancreatic tumors;
• risk of developing diabetes.

Approximate dietary menu for pancreatitis of the pancreas: recipes

Cream soup

Ingredients:

• Processed cheese for soup – 1 piece
• Heads of broccoli – 200g
• Chicken breast – 150g
• Carrot – 100g
• Crackers – 1 tbsp
• Salt to taste

Place chicken meat in a saucepan with water, add salt to taste and cook until fully cooked. Add carrots and broccoli and cook for about 20 minutes. At the end, add processed or other mild cheese to the dish, bring to a boil and let the soup brew. Blend the soup in a blender and sprinkle with croutons when serving.

Fish salad

Ingredients:

• 1 tbsp. l. green peas
• 1 tbsp. l. boiled carrots
• 1 tbsp. l. low-fat cottage cheese
• sea ​​fish fillet – 60g
• boiled potatoes – 30g
• boiled beets – 30g

Cut the fish fillet and vegetables into small cubes, lightly add salt, season with sour cream, garnish with herbs if desired - the dietary salad is ready.

Dietary casserole of cottage cheese and vermicelli

Ingredients:

• vermicelli - 1 cup
• milk - half a cup
• cottage cheese - half a cup
• fresh egg – 1 pc.
• sugar - 1-2 tbsp
• salt - 0.5 tsp

Boil the vermicelli, cool slightly, add cottage cheese, beaten egg with milk, sugar and salt, mix and place in the mold. Bake in the oven until golden brown.

Cereal and pumpkin porridge

Ingredients:

• Boiled pumpkin – 300g
• Boiled rice – 300g
• Milk – 200g
• Sugar - 5 tsp
• Salt – 1 tsp

Grind all the hot ingredients into a puree and beat a little - the porridge is ready.

Fruit cake

Ingredients:

• bananas - 2 pcs.
• peaches - 2 pcs.
• apple – 2 pcs.
• berries - a handful
• yogurt – 200g
• cookie
• gelatin

Dilute gelatin in water according to the recipe on the package. Gradually add yogurt into the resulting jelly and stir until smooth. Place cookies on the bottom of the mold - this is the first layer, then a layer of jelly, the third layer is fruit puree. Next add the jelly and fruit again. There is another layer of cookies on top. Decorate the cake with fruit circles and any berries on top. Place the cake in the refrigerator, once frozen you can eat it.

Nutritional Features

The important point is to follow the prescribed diet. Products and dishes with this diagnosis are chosen very carefully. Products must be well boiled or steamed. Rough food needs to be pureed or chopped. Do not take hot or very chilled soups, cereals, and drinks that irritate the stomach. To prevent stomach overfilling, it is recommended to use split meals.

Important! Do not overload the digestive tract, observing the consumption rate: fats - no more than 70-80g, carbohydrates - 350g, proteins - 60-100g. Take food in small portions, slowly, slowly, chewing each piece.

You should not drink while eating

Since liquid dilutes gastric juice, impairing digestion.

You should completely avoid any over-salted, fried and smoked foods, and exclude carbonated drinks. Alcohol consumption is not permitted. Canned food is not beneficial for this disease. Cakes, muffins, sweets, hot or spicy foods are strictly unacceptable for pancreatitis.

Meat broths are allowed in the stage of stable remission, only chicken or turkey, and the first broth must be drained. Before eating, grind the meat in a blender to a paste.

Symptoms of pancreatitis

Pancreatitis is a serious and sometimes life-threatening condition, so it is important to know its symptoms so that you can begin proper treatment without delay. The earliest indicator of the disease is pain in the stomach area, on the right side under the ribs, or girdle pain.

It can be aching, stabbing, pulsating or of some other nature. Most often, pain occurs from foods that are too fatty, fried, too salty, spicy or smoked. The pain can be so severe that it cannot be relieved even by taking medications.

Other manifestations may be heartburn, belching, sharp increase temperature, abnormal bowel habits - diarrhea or constipation, while the stool often has an unnatural oily appearance. It might start severe vomiting or nausea. From the heart side vascular system- heart rhythm disturbance, feeling of lack of air.

What signs indicate pancreatitis:

• stool disorder;
• urge to vomit;
• high fever;
• pain in the stomach;
• girdle pain;
• pain in the stomach;
• distension in the abdominal area;
• nausea or vomiting;
• sudden weight loss;
• heat;
• weakness, powerlessness.

Maybe surgery pancreatitis or conservative. Compliance with nutritional rules plays an important role in treatment. A diet for pancreatitis of the pancreas, what is not allowed during the course or exacerbation of the disease, and what, on the contrary, is recommended, will help in creating the right diet, improve health and improve the quality of life.

What are the signs of pancreatitis? Learn about his treatment and diet from this useful video:

What foods can you eat if you have pancreatitis? Watch the video review:

What else do you need to know about pancreatitis? Watch the video consultation with specialists:

Pancreatitis is a disease of the pancreas that tends to be chronic.

Nutrition for pancreatitis not only provides the body’s energy needs, satisfies gastronomic desires, but also functions as a medicine.

Basic food requirements

At chronic pancreatitis The main task of the diet is to maintain a state of stable remission and prevent exacerbations of pancreatic disease. To do this, strictly adhere to proper nutrition.

Diet for acute pancreatitis

At the onset of the disease or during exacerbation chronic inflammation pancreas, a fast of 1-2 days is recommended. This will relieve pain. At this time, you can drink water in small portions, up to 1 liter per day.

After acute phenomena in the pancreas and gastrointestinal tract subside, the diet is gradually expanded. Enter into the menu:

• mashed porridge with water, skim milk, or low-fat milk;
• vegetarian pureed soups without the use of white and red cabbage and legumes, then possibly based on finely chopped vegetables;
• dishes made from lean fish, first minced into minced meat, then into small pieces;
• meat soufflés, with expansion to finely chopped dishes - cutlets, meatballs;
• dairy products;
• half-diluted non-acidic fruit juices, rosehip infusion, mint.

Steaming and boiling are allowed.

During the period of exacerbation and recovery after it, do not use:

• meat, fish and mushroom broths;
• fresh fruits and vegetables without heat treatment;
• stewed, fried, baked dishes due to their ability to cause increased secretion by the digestive organs;
• sour foods, canned food, marinades, smoked meats, hot seasonings and vegetables - garlic, mustard, pepper, horseradish, radish, radish;
• grapes, dates, pears, figs, mushrooms, peas, beans, lentils - even heat-treated ones;
• animal fats.

After an exacerbation of inflammation of the pancreas, a strict diet lasts at least six months. When stable remission occurs, the diet is slightly expanded.

Nutrition during remission of pancreatic diseases

The basic principles of the diet that you need to adhere to throughout your life in order to avoid exacerbation of pancreatitis are as follows:

• increased amount of protein – up to 150 g per day;
• sufficient intake of carbohydrates (without exceeding the norm) - 300 - 350 g per day, with a limitation of easily digestible sugars - honey, refined sugar, jam, etc.;
• exclusion of juiced products - strong broths (meat, fish, vegetables), sauces based on them;
• refusal of mechanically irritating substances to the mucous membranes - large pieces of food, fried, salted, smoked, etc.;
• fractional meals - regular intake nutrients at approximately equal intervals of time, excluding large single portions;
• exclusion of long breaks in food intake, fasting - except for periods of the onset of exacerbation, when refusal to eat should not exceed 2 days;
• regular use of products that prevent constipation - fresh fermented milk drinks (no more than 24 hours from the date of production);
• complete abstinence from alcohol;
• limiting strong tea and coffee; their use with low-fat milk is acceptable.

Read also: Principles drug therapy pancreatitis with modern medications

During the period of remission of pancreatitis, diet allows:

• bread – preferably wheat, dried or yesterday’s bread – up to 300 g/day;
• soup - from vermicelli, vegetable, from cereals, - with the addition of a small amount of butter or sour cream;
• meat - beef, turkey, chicken, and other lean - boiled or steamed;
• fish - in addition to boiled, steamed and chopped, can be in pieces - lean sea and river species;
• egg - an omelet made from whites, the yolk is occasionally included in other dishes;
• milk – whole milk rarely, as an additive to drinks or water when preparing porridges and sauces, fermented milk compositions are preferred – cottage cheese, drinks, mild cheese;
• fat – approximately 80 g/day, taking into account hidden animal lipids in protein and dairy products, vegetable oils (purified sunflower and olive) are used without heat treatment;
• vegetables - potatoes (source of potassium), carrots (carotene), beets (cleansing effect and prevention of constipation), zucchini (mild laxative), pumpkin, cauliflower, broccoli - cooked;
• cereals and flour - semi-liquid porridge with low-fat milk or water with milk from semolina, rice, buckwheat, oatmeal, boiled pasta or milk soup with noodles;
• fruits – baked sour apples, sometimes bananas;
• desserts – berry jelly, compotes, jellies using sweeteners;
• drinks - rosehip decoction, chamomile tea, mint infusion are very useful, oatmeal jelly(no fermentation).

Important! The preparation of medicinal drinks should preserve beneficial substances and make them available for absorption by the body.

Read also: What should be the diet for pancreatitis?

Preparation of rosehip decoction

Rinse the berries, without soaking, under the tap, place in an enamel (not metal!) container. Add boiling water, close with a tight lid and put on fire. Cook after boiling for 10 minutes. Turn off the heat, leave on the stove, do not remove the lid for 2 - 3 hours. Then strain the broth and squeeze out the fruits. The drink is ready to drink.

Per 100 g fresh fruits– 1 liter of water.

As you can see, the range of permitted food is quite wide. With the right approach to organizing meals, you can avoid the effect of institutionalization, restrictions and necessity, and enjoy food.

Nutrition management for pancreatic diseases

Therapeutic nutrition schemes have been developed by nutritionists and are successfully used in practice in the treatment of acute pancreatitis in hospital hospitals and chronic inflammation of the pancreas in medical institutions - dispensaries, rest homes, and sanatoriums.

Stick to healing principles A person suffering from pancreatitis has to eat for the rest of his life. This means that the recommended food should be included in the daily diet, and you should learn how to cook it.

So that the diet is not perceived as a punishment, but brings joy, you can master the process of cooking and achieve good taste qualities dishes from permitted products, without using what is not allowed.

To optimize the cooking process, you need to purchase the necessary equipment in addition to the existing cookware and use it for its intended purpose:

• steamer - options are possible in the form of a separate kitchen appliance or simply in the form of a folding grill used with any pan available on the household - the main device in the kitchen;
• blender - there are electrical and mechanical devices - necessary for grinding pieces of food;
• kitchen scales for determining the mass of solid foods and portions;
• measuring utensils with a volume scale for measuring the amount of liquids;
• molds for preparing portioned dishes.

IN rehabilitation period after arrival from the hospital, significantly increases the likelihood of healing or stabilization of the patient’s condition. It becomes a fundamental factor in the treatment of this disease.

More often than not, a violation of the basics of diet occurs at home, instead of the necessary strict adherence to the basic principles of therapeutic nutrition. The prescribed diet includes cheap foods that do not require long or difficult preparation. The main rule: food must be finely chopped, grated or ground, prepared 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 containing coarse fiber. If possible, start taking vitamin supplements. You should eat in small portions, at least 5-6 times a day.

General characteristics of the products consumed

The nutrition that is prescribed at the stage of extinction is that the consumption of proteins is increased to the level necessary for the full functioning of the patient’s body. Lipids and carbohydrate substances are presented in the form of all kinds of cereals. Complex sugars, honey, confectionery, salt consumption is reduced.

Nutrition for chronic pancreatitis involves the absolute exclusion from the diet of foods that irritate the walls of the esophagus. This includes: alcoholic beverages, acetic, citric acid and other seasonings.

Basics of use and composition of servings

Food is prepared by boiling, stewing, baking, and steaming. It is advisable to eat foods that have been previously ground in a blender or rubbed through a culinary sieve. Nutrition is carried out at equal intervals, every 3-4 hours. Food is offered warm; eating too hot food is unacceptable. The main daily menu items should include: total protein - 120 g, lipid mass - 90 g, carbohydrate substances - 350 g, and have an energy value of no more than 2700 Kcal.

The essence of dietary food consumption

With pancreatitis of the pancreas, at the moment the disease subsides, the number of kilocalories included in the daily amount of food is equal to the daily workload of the body. it is necessary six times a day, including foods with laxative properties in the diet.

Proteins in diet

Of particular importance is monitoring the daily amount of protein consumed, which is essential for the regeneration of the body. Daily quantity The amount of protein consumed is set at least 130 grams, and 70% must be of animal origin.

The diet of a patient suffering from chronic pancreatitis includes beef, veal, rabbit, chicken, and 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. Take into account the requirement that meat and fish should be lean; it is recommended to use homemade cottage cheese. Following the recommendations helps the patient’s liver function properly. normal level, prevents modification of the organ 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 cereals, soups, and jelly. If a person cannot imagine life without a mug of milk, you need to drink the drink in small sips, half a glass a day.

It is forbidden to consume whole eggs, exclusively in the form of additives and steamed egg white omelettes. Proteins enter the patient’s body with rice cereal, semolina, oatmeal and buckwheat porridge, pasta, stale bread, and crackers. Legumes are prohibited for pancreatitis.

Fats in the diet of a patient with pancreatitis

The dietary regimen prescribed to a patient with inflammation of the pancreas should include 71 g of fats daily, 20% of which are fats of vegetable origin. 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 margarines, lard, and other cooking fats in cooking.

Carbohydrates in 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, pearl barley, rice porridge, pasta. Patients are allowed to eat potatoes, carrots, beets, pumpkins, zucchini, and squash. Vegetables must be steamed or boiled. It is advisable to subsequently wipe it, mixing it with cereals.

Patients on a diet are not allowed raw fruits. You can eat baked fruits, mashed through a sieve, and prepare compotes and jelly. Dried fruits cooked in the form of compotes are of great benefit for this disease.

Dishes allowed for pancreatitis

The first courses allowed for pancreatitis include:

• soups with the addition of buckwheat, rice, millet, barley;
• soups with vegetable broth;
• porridge 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. Dairy products allowed: milk, cottage cheese, kefir, whey, yogurt, butter. Confiture, honey, sugar and sweetener substitutes are allowed in limited quantities. It is allowed to eat baked and pureed berries, fruits, boiled carrots and beets. Allowed drinks include: tea with added milk, juices from fruits and vegetables.

What foods should you completely avoid eating?

Forget about using the list of products in your food:

Sample menu for pancreatitis

An example of nutrition during the inflammatory process in the pancreas will be similar options.

Example No. 1

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

Second breakfast: an omelette made from the whites of two eggs, an apple baked with honey and nuts, and rosehip infusion.

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

Afternoon snack: cottage cheese casserole and tea.

Dinner: boiled fish, tea.

Example No. 2

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

Second breakfast: cottage cheese and banana soufflé.

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

Afternoon snack: rice milk porridge, dried fruit compote.

Dinner: manna and rosehip drink.

Example No. 3

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

Second breakfast: baked apple, compote with biscuits.

Lunch: pureed meat soup, crackers, boiled fish, grated beets.

Afternoon snack: oatmeal with berries, yogurt.

Dinner: boiled fish pate, mashed potatoes, kefir.

Example No. 4

Breakfast: wheat porridge, steam cutlet, fruit drink.

Second breakfast: boiled chicken, vegetable puree, tea.

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

Afternoon snack: steamed cutlets, pasta, low-fat cottage cheese, compote.

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

Remember the dangers of overeating. You need to eat little and often. If the principles are followed, the effectiveness of treating the disease significantly improves.

There are acute and chronic pancreatitis. Acute pancreatitis is based on enzymatic damage to the pancreas. Often occurs when taking medicines (methyldopa, Azathioprine, 5-aminosalicylates, tetracyclines, Furosemide, Cimetidine, Metronidazole). In half of the cases, the cause is cholelithiasis, 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 (fine-focal necrosis of the gland) is characterized by persistent pain in the epigastrium, repeated vomiting, pallor skin, temperature rise.

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

Treatment solves the following problems:

• fight against shocked And toxemia;
• elimination of pain and spasm;
• suppression of the activity of glandular enzymes (hunger, proton pump inhibitors, aspiration of gastric contents).

Patients with severe forms require infusion therapy and continuous feeding with tubes (enteral nutrition mixtures).

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

Therapeutic nutrition (Diet 5P according to Pevzner) plays an important role at all stages of the disease and helps reduce stasis in the ducts, suppress hyperenzymemia, reducing the excitability of the gallbladder. For 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 the patient’s impaired nutrition, and helps prevent relapses and progression of the disease.

Allowed foods in the first week of the diet for pancreatitis

Basic Diet 5 with pancreatitis it changes somewhat and is called Diet 5P. In 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 provided);
• transition to good nutrition(since the patient needs complete protein);
• gradual expansion of the diet by including new foods and dishes;
• when expanding the diet, a gradual increase in the volume and calorie content of food is carried out;
• compliance with 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 shown when acute pancreatitis and a sharp exacerbation of chronic. The nutrition of this table creates maximum rest for the pancreas and helps eliminate pain syndrome. This most gentle diet is prescribed after fasting days from the third day of the disease, but since it does not correspond to physiological nutritional standards and human needs, it is prescribed for 3-7 days. It is characterized by a low-calorie diet containing 60-70 g of protein, 50 g of fat and 200-250 g of carbohydrates.

Vegetables allowed for pancreatitis

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

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

1-2 days after carbohydrate foods, it is allowed to introduce protein foods:

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

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

Depending on the severity of the phenomena and concomitant diseases The gastrointestinal tract can use food in pureed and non-mashed form. If the course of the disease is favorable, the pureed version 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. If their health worsens, they return to the first version of the table with reduced energy value. During an exacerbation, rest of the digestive organs also ensures a sharp limitation of foods with juice-containing 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 basic pancreatic diet changes - the amount of vegetables and fruits increases, the content of carbohydrates decreases (mainly easily digestible to avoid fermentation and bloating).

The tendency of chronic pancreatitis to progress, the presence of periodic pain and dyspeptic syndrome entails the need for constant adherence to a diet. Great importance has stopped drinking alcohol.

Authorized Products

The 5P diet for pancreatitis includes:

• Potatoes, pumpkin, carrots, zucchini, green pea cauliflower and beets can be eaten boiled and grated. After a while, if well tolerated, it is allowed to eat raw grated carrots and pumpkin, tomatoes and cucumbers.
• Cereals are preferable to buckwheat, rice, semolina, oatmeal and oat flakes. Porridges are boiled in water and ground, resulting in a semi-viscous consistency. You can make semolina and rice souffle, as well as porridge from buckwheat and rice flour, which speeds up the cooking process.
• Typically, pearl barley, millet, corn and barley cereals are less tolerated by patients, and they are limited in their diet.
• Soups prepared only in vegetable broths with pureed vegetables. You can prepare puree soups and cream soups, milk soups (milk is diluted with water). You can put cereals in soups (semolina, rice, rolled oats, but they are good to boil or puree). It is allowed to chop vegetables (potatoes, carrots, pumpkin, zucchini) very finely, but they cannot be fried to season 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 sparingly due to its high purine content. Meat is recommended boiled and steamed and only chopped products (cutlets, soufflé, meatballs, meatballs, quenelles). Boiled chicken and tender rabbit meat and beef can be eaten in pieces. Puree and soufflé are prepared from boiled poultry pulp, previously crushed.
• Low-fat fish, steamed and boiled, in the form of cutlets and pieces. The ideal choice would be cod, pike perch, hake, carp, pollock, perch, pike, blue whiting. They cook fish whole carcasses or portioned pieces. Poached fish (cooked in a saucepan with a small amount of water) is not allowed, since it contains more extractive substances than boiled fish.
• Wheat bread (grades I and II) is only allowed if it is stale, in order to prevent intestinal bloating.
• The diet is expanded with the introduction of savory cookies.
• Low-fat dairy products: kefir, acidophilus, yogurt. Milk is poorly tolerated, so it is allowed to be added to dishes (omelettes, cereals, sauces, soups). You can eat half-fat cottage cheese in its natural form and as part of casseroles, soufflés, and puddings. Sour cream is used only as a seasoning for dishes. It is allowed to eat mild cheese, but in grated form. For calcium deficiency, calcined cottage cheese is indicated.
• Omelettes are predominantly protein; soft-boiled eggs are allowed (1 piece per day).
• You can use sauces based on vegetable broth and mucous broth of cereals with the addition of sour cream and milk. The flour is not fried when preparing them.
• Ripe sweet baked apples. You can make boiled fruits and berries, jellies, jelly and mousses. Dried fruits are used pureed. The fruits are used to make jellies and mousses using xylitol. You can eat marshmallows and jelly marmalade. Raw fruits and pureed berries are allowed.
• After an exacerbation, fats are gradually introduced into the diet, first - butter in porridge and purees (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, compotes of fresh and dry fruits (pears, apples, apricots), still table water. You can add xylitol to tea. Dried fruit compotes and carrot juice are useful for patients with potassium deficiency.

Vegetables and greens

zucchini0,60,34,624broccoli3,00,45,228cauliflower2,50,35,430potatoes2,00,418,180carrots1,30,16,932cucumbers0,80,12,815tomatoes0,60,24,220pumpkin1,30,37,728

Fruits

apples0,40,49,847

Nuts and dried fruits

dried apricots 5.20.351.0215 apricots 5.00.450.6213 prunes 2.30.757.5231

Cereals and porridges

buckwheat (kernel) 12.63.362.1313 semolina 10.31.073.3328 oatmeal 12.36.159.5342 rice 6.70.778.9344

Bakery products

wheat bread8,11,048,8242

Confectionery

jam0.30.263.0263jelly2.70.017.979marshmallow0.80.078.5304fruit and berry marmalade0.40.076.6293marshmallow0.50.080.8310Maria cookies8.78.870.9400

Raw materials and seasonings

honey0.80.081.5329sugar0.00.099.7398

Dairy

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

Cheeses and cottage cheese

cottage cheese 1% 16.31.01.379 cottage cheese 1.8% (low-fat) 18.01.83.3101

Meat products

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

Bird

boiled chicken breast 29.81.80.5137 boiled turkey fillet 25.01.0-130

Eggs

chicken eggs12,710,90,7157

Fish and seafood

flounder 16,51,80,083 pollock 15,90,90,072 whiting 16,10,9-72 cod 17,70,7-78 hake 16,62,20,086 pike 18,40,8-82

Oils and fats

butter0.582.50.8748 sunflower oil0.099.90.0899

Non-alcoholic 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

Fully or partially limited products

• Rye bread and fresh wheat bread, cakes, pastries with cream, puff pastry, baked goods, yeast pies.
• Soups with meat, mushroom, and fish broths, borscht and cabbage soup, cold soups (okroshka, beetroot soup).
• All fried foods, fried pies, cheesecakes, pancakes and pancakes.
• Fatty meat and fish (sturgeon, salmon, halibut), goose and duck meat, smoked meats, caviar, salty fish, sausages, canned food, fried and stewed fish. By-products (liver, kidneys, brains), since they contain a lot cholesterol.
• Crumbly porridges (limit or completely exclude pearl barley, millet, corn, barley).
• Vegetables with coarse fiber (radish, turnip, radish, rutabaga, White cabbage, eggplants), legumes, mushrooms in any form. The exception is soybeans.
• Raw vegetables and fruits are introduced very carefully. On initial stage diets, they are recommended only in boiled or baked form.
• Cooking fats and lard (pork, beef and lamb) are excluded.
• Fruits containing a large number of simple carbohydrates (bananas, grapes, dates), which can cause bloating.
• Milk soups.
• You should not eat hard-boiled or fried eggs, full-fat milk, cream, fatty sour cottage cheese, or 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 for pancreatitis

Table of prohibited products

* data is per 100 g of product

Menu for the week (diet 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 pureed 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 consumption is allowed raw vegetables in the form of salads. The amount of bread increases (you can use 100 g of rye and 200 g of wheat), sugar up to 40 g and butter up to 20 g-30 g per day. Below are menu options for pancreatitis of wiped and non-wiped table.

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

This menu can be used for children.

Recipes for table dishes Diets No. 5p for every day

The 5P table, especially the extended version of the diet, contains a variety of dishes, so it is not difficult to create a diet for the week. Stews made from chopped vegetables and tender pieces of meat are allowed. You can even make 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 different consistencies: thick and added to minced poultry when preparing cutlets and quenelles, and semi-liquid - to cereal, vegetable and meat dishes. They are prepared with milk diluted with water.

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

Milk soup with meat puree

Boiled beef is passed through a meat grinder several times or beaten in a blender and pureed. 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-zucchini soup-puree

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

Chicken dumplings with cottage cheese

Pass the chicken meat through a meat grinder several times, add the grated cottage cheese. Mix well, add beaten egg, butter, salt. The cut dumplings are steamed. Can be served with milk or sour cream sauce.

IN Ground beef add eggs, salt, mix well. The minced meat is laid out 2 cm thick on a wet towel, and a steamed omelette (egg and milk) is placed on top.

Beef roll with omelette

Using a towel, roll up the minced meat, giving it the shape of a roll, and transfer it to the grill of a steamer, make several punctures and cook for 25 minutes.

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

Reviews and results

Nutritional therapy loses its meaning if it is not strictly followed and if the patient is not convinced of the need for it. This dietary table is complete in protein content and can be followed by patients for a long time. Reviews note rapid relief: pain and bloating are eliminated, stools are normalized. Many note that they are forced to constantly adhere to dietary nutrition due to their health status, since expanding the diet causes deterioration. The reviews also indicate certain difficulties: individual cooking requires knowledge of the technology of its preparation and time.

• “... I was admitted to the hospital with acute pancreatitis. They found gallstones and said that they were the cause of pancreatitis. The condition was not very serious, but I still spent 3 weeks in the hospital (surgery and then gastroenterology). Therefore, I know the diet very well - I went through all its options. After discharge, I continue to do it, they said 6 months and described approximately what products and how to introduce them when expanding the diet. I do everything very strictly, because I am afraid of exacerbation. I don’t want to have surgery - I’d rather eat right. I feel good: there is no pain or bitterness, my stomach is not swollen, and food is digested well. Of course, it’s difficult to do it - I’m tired of steamed, ground and almost tasteless food, which is not familiar to a healthy person. But with my illnesses, I have nowhere to go”;
• “... With chronic pancreatitis, I strictly monitor my nutrition and follow the basic diet constantly (almost all foods can and do not need to be ground, but this is good). But even from the approved products, I don’t tolerate everything well. For example, pearl barley and millet porridge are heavy for me - immediately bloating and pain in the intestines (probably also colitis). After so many years, I have already adapted to preparing the necessary dishes. At first a simple double boiler helped, but now I bought a multicooker - it helps a lot and you can cook much more dishes in it. I teach the whole family to eat properly”;
• “... I have chronic cholecystitis and pancreatitis. Diet number 5 is the main one for me and I 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 I only eat diet food and drink enzymes periodically. Only this allows you to feel good (without pain and heaviness under the ribs). Over the course of her long history of illness, she adapted to quickly making steamed 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 steam them. When there is no exacerbation, nutrition is complete and healthy (without fried, spicy and fatty foods). My family supports me."

This therapeutic nutrition includes affordable products, but given that it has a high protein content, protein products must be present in every meal, the cost of the diet increases to 1400 - 1500 rubles per week.

The essence of the diet

This diet was developed at a specialized nutrition institute under the guidance of doctors for people suffering from damage to the pancreas, both acute and chronic.

Table No. 5 is a generalized nutritional method that has its own subtypes:

• Table No. 5a is prescribed to people diagnosed with acute hepatitis and/or cholecystitis (exacerbation of the chronic course).
• Table No. 5sch is prescribed to patients diagnosed with postcholecystectomy syndrome, a period of exacerbation.
• Table No. 5 l/f - lipotropic-fat diet - prescribed to patients diagnosed 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 included in the treatment protocol for a patient diagnosed with pancreatitis.

In this article we will try to look in more detail at table No. 5. 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 us to prevent the onset and progression of degenerative 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 reduce irritation of the gallbladder.

The basis of such a patient’s diet consists of light, pureed dishes, which are served only warm. The temperature of food should be close to the temperature of the human body. This 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 in rare cases- baking.

Daily changes in 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, foods that can stimulate increased production of secretions of the digestive glands must be excluded. These mainly include products with high content coarse fiber, as well as spices and herbs.

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

But this diet also has its own subsections:

• Part one is introduced 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 relieving the problem during chronic pathology, during remission, as well as in case of improvement after an exacerbation of the disease.
• The first version of the diet is prescribed to the patient from the third to fourth day after the onset of relief of the attack, when the main severity has 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 allocated to proteins of animal origin, the rest - of plant origin.
• 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 is of plant origin.
• Salt – from 8 to 10 g.

This diet has stricter restrictions. Permitted products include:

• No more than 50 g of wheat crackers per day.
• For meat, preference is given to poultry, rabbit and beef. In this case, pieces should be selected that are devoid of fascia, tendons and films.
• Non-fat pieces of fish, crushed into a homogeneous mass. They are used to prepare cutlets, meatballs, dumplings, and so on.
• A steamed protein omelet is allowed on the menu. But no more than one or two proteins per day. When adding to a dish, only half the yolk can be used daily.
• Fresh cottage cheese or dishes made from it: curd mass or soufflé.
• Milk is only used for preparing other dishes.
• Easily digestible porridge is allowed. These are pureed porridges or mush (buckwheat, rolled oats).
• Among 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.
• Sweet dishes include fruit and berry sauces, but not sour ones.

The second option of the diet is prescribed to the patient in the phase of a 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 allocated to proteins of animal origin, the rest - of plant 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 is 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 milder. They affect the period when the patient gradually recovers from a serious condition or, in case of a chronic illness, maintains his digestive tract in a state of remission. Permitted products include:

• Bakery products made the day before or two to three days ago. Wheat flour. Insipid cookies.
• For meat, preference is given to poultry, rabbit and beef. In this case, pieces should be selected that are devoid of fascia, tendons and films. The skin is not used in the cooking process.
• Mostly sea fish (not fatty varieties). The fillet is crushed to a homogeneous mass. On its basis, cutlets, soufflé, meatballs, aspic, dumplings, and so on are prepared.
• A steamed protein omelet is allowed on the menu. But no more than one protein per day. When adding to a dish, you can use both the white and the yolk.
• Fresh low-fat cottage cheese or dishes made from it: curd mass or soufflé.
• A little milk, if the patient’s body accepts it normally. For preparing other dishes.
• Lactic acid products.
• Of the fats in the diet, a small amount of refined vegetable oil is allowed, as well as butter, which are added to ready-made dishes.
• Easily digestible porridges cooked in clean water or with the addition of some milk. These are pureed porridges or mush (buckwheat, semolina, oatmeal, rice).
• Of the vegetables, only potatoes, cauliflower, broccoli, zucchini and carrots are allowed in the diet of such a patient. But their intake in raw form is excluded. Heat treatment with further grinding into a homogeneous mass is required.
• Cream soups and classic soups, but prepared in water, milk diluted with water, or light meat broth, are allowed as first courses. 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.
• Drinks: still mineral water, pureed compotes, weak tea, fresh juices, mousses, rosehip decoction, jelly or jelly. When preparing them, it is advisable to replace sugar with its analogues: xylitol or sorbitol.

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

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

Drinks allowed include a decoction of rose hips, warm weak tea, and juices made from fruits and berries that do not have a sour taste. Proteins should occupy the predominant volume in the diet.

Allowed are soups - puree and porridge - mush, pureed meat and fish dishes, slightly dried white bread, steamed protein omelette.

Fatty, smoked, spicy and salty foods should be removed from the diet. It is not permissible to accept fresh baked goods, including muffins, cakes with butter creams, and other confectionery products.

Method of heat treatment of products: steam, cooking in water.

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

At the same time, the products that end up on the patient’s table must be fresh and of high quality.

Nutritional therapy is a 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. Special attention it deserves 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 ensuring a reduced functional load on the biliary system.

It involves excluding a number of foods and dishes from the patient’s diet. At the same time, the taboo also extends to the way they are processed. No fried, smoked or salty foods. In the first days after an attack, the attending physician may prescribe his patient complete fasting with the consumption of a small amount of water, still mineral water or unsweetened tea, rosehip decoction.

Next, after the pain has been relieved and the condition of the mucous membrane has improved, the list dietary products may be expanded, but dietary restrictions must still be adhered to further. In any situation, the patient must listen to the doctor and strictly follow all his requirements and recommendations. This is the only way to achieve the expected result as quickly as possible.

When diagnosing any pathology associated with the digestive process, the patient’s diet is adjusted. The 5 p diet is prescribed for pancreatitis. At the same time, the main indication for its use is acute, chronic forms of the disease, as well as exacerbation of chronic pancreatitis.

The essence of the restrictions is to prescribe low-calorie, easy-to-digest foods 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 no need to.

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

During the acute phase of the disease or at the time of exacerbation, the patient will have to fast, taking only liquids approved by the doctor. This will relieve irritation of the mucous membrane and allow you to relieve digestive system. Only a few days later (from one to four), after the exacerbation has subsided, is the patient allowed to expand the range of dishes and products on his table. That is, from diet No. 5 (first option), the patient is transferred to diet No. 5 (second option). If the patient is in remission, table No. 5 (second option) may be recommended 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 mucous membrane of the tract. Taboos also include dishes and products that activate the production of pancreatic secretion and other secretions.

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

Target this limitation– bring, if possible, the function of the pancreas and the entire human digestive tract back to normal.

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

To quickly stop the problem, the patient is prescribed diet 5 in case of exacerbation of chronic pancreatitis.

Moreover, on the first day, two patients are kept on a “starvation ration”, 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 mineral water such as Borjomi or its analogues. You just have to remember that the liquid you take should not contain carbon dioxide bubbles.

Only if the doctor is convinced that the patient’s condition has stabilized, does he allow him to switch to the selection of foods specified by diet No. 5 p (first option) and only subsequently, with the planned course of treatment, does the doctor give the go-ahead for taking foods allowed by diet No. 5 p (second option ).

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

If the diagnosis discussed 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 inhibit the small patient’s development and growth. It’s no secret that what a child eats largely determines his state of health and level of development.

Therefore, Diet 5 for pancreatitis in children was developed with these factors in mind. Such a baby should be fed in small amounts, but often.

The basis of his diet should be pureed meat and fish dishes. Mostly it should be rabbit, turkey, chicken, possibly veal. Avoid meats that are difficult to digest (pork, goose, beef, lamb, duck). Method of preparing all dishes: cooking with steam and boiling in water.

During an exacerbation, the baby can be given a steamed protein omelet; 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, you just need to make sure that it is low in fat. If the child eats little by little this product– this will replenish his body’s needs for bone calcium.

To please the little patient without causing damage to his body, you can add baked vegetables (for example, carrots, pumpkin) or fruits (for example, apple, pear, peach, apricot) to the cottage cheese. Baked fruits, especially apples, will also be effective prevention in the prevention of anemia.

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

Ideally, the first course for such a patient looks like assorted vegetables, boiled in water and whipped with a blender. As a result, the baby gets puree soup, and thanks to the wide variety of vegetables, using imagination and/or experience, the baby can delight them various combinations. If it's winter, 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 your baby with something sweet, you can offer him marshmallows or marmalade, naturally made from natural products.

At first, after the disease is detected, it will be quite difficult for the patient or his family to correctly create a daily menu. To facilitate this process, we are ready to offer one of the options weekly menu diets for pancreatitis.

• Mashed potatoes.
• Steamed meat cutlet.
• Tea with milk.
• Zoological cookies.

• Mashed cottage cheese.
• Kissel.

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

Afternoon snack: fresh juice with crackers.

• Milk semolina porridge – 300 g.
• Protein steam omelette.
• Green tea with cookies and a piece of soft cheese.

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

• Oatmeal porridge pureed with fruit sauce.
• Decoction of rose hips.

Lunch: baked apple.

• Puree buckwheat soup.
• Meat fricassee with carrot puree.
• Fruit compote.

Afternoon snack: rosehip infusion with crackers.

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

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

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

Lunch: warm green tea with crackers.

• Fish soup with fish balls.
• Mashed potatoes with sour cream sauce.
• Puree apple jelly.

Afternoon snack: Applesauce with whipped egg white.

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

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

• Liquid pureed rice porridge.
• Weak tea with biscuits.

Lunch: cottage cheese and fruit casserole with tea.

• Creamy soup with noodles and broccoli.
• Mashed potatoes.
• Fish cutlet cooked in a steam bath.
• A decoction prepared with rose hips.

Afternoon snack: milk jelly.

• Buckwheat porridge is a mess.
• Meat cheese.
• Fruit jelly with croutons.

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

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

Lunch: milk jelly.

• Oatmeal soup is slimy.
• Boiled rice, pureed.
• Meat fricassee.
• A piece of black bread.
• Dried fruit compote.

Afternoon snack: Apple soufflé.

• Curd rice pudding.
• Lightly sweetened tea. You can add a piece of lemon or lime.

Immediately before going to bed - a glass of non-acidic fruit juice. At first, you can dilute it with water.

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

Lunch: apple baked with cinnamon.

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

Afternoon snack: steamed protein omelette.

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

Immediately before going to bed - a glass of kefir.

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

Lunch: cottage cheese and pumpkin casserole with tea.

• Dinner:
• Soup – assorted vegetables.
• Cauliflower puree.
• Fish fricassee.
• Puréed fruit compote with breadcrumbs.

Afternoon snack: baked fruit.

• Vegetable puree - assorted.
• Meat snowball.
• Marshmallow.

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

To prevent the return of the disease or to promote a speedy recovery, it is necessary to maintain this diet. Recommendations for preparing dishes that make up the patient’s diet should also be strictly followed. It would be a good idea to get acquainted with the nuances of heat treatment of foods and study diet recipes for pancreatitis.

Despite fairly strict restrictions, the menu for this 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 egg to the minced meat. Mix all ingredients well.
• Beat the minced meat.
• Grease a baking dish with butter and add minced meat.
• Bring to readiness using a steam bath.

To prepare you will need:

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

Cooking sequence:

• To obtain the liquid with which the porridge will be cooked, meat is boiled in water. To make the broth less heavy, it should first be cooled. Carefully remove frozen fat from the surface.
• Strain the liquid and dilute with water, a volume twice as large as the broth taken.
• Place the container with the liquid on the fire and wait until it boils.
• Rinse buckwheat thoroughly. Add to boiling liquid.
• After the composition thickens, cover the container and simmer the dish over low heat for approximately one hour.
• Before finishing cooking, lightly salt the almost finished dish (if salt is approved by the doctor).
• Cool slightly and rub through a sieve.
• Before serving, add a piece of butter.

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

To prepare you will need:

• White of one egg
• Strawberry 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:

• Beat the chilled egg white into a stiff foam.
• Very carefully add sugar (powdered sugar or substitute) and vanillin. Mix everything.
• Boil water in a saucepan and spoon into it protein mass. The lid is closed.
• After four minutes, I turn the snowball over and leave it under the closed lid for another four minutes.
• After this, the finished product is removed from the water with a slotted spoon, allowing excess liquid to drain.
• Place the snowballs on a plate and pour strawberry sauce on top. It can be prepared by blending sugar (10 g), strawberries and flour.

To prepare 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 inspected and washed.
• Once sorted, pour a glass of water and place on the stove. Cook until the berries are completely softened.
• Cool the mixture slightly and separate the liquid.
• Combine starch with cold water and mix well. The ratio of water and starch should be 4:1.
• Carefully add the diluted starch into the strained boiling liquid.
• Sweeten and wait for it to boil again.

Diet jelly should be prepared only this way. It is not recommended to add fruit puree during the cooking process. After the jelly has been poured into cups, it is advisable to sprinkle the drink with powdered sugar. This will protect the surface from the formation of a jelly film.

To prepare you will need:

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

Cooking sequence:

• Gelatin soak hot water and leave for a short time to swell.
• Gradually add yogurt, stirring. Beat the resulting mass.
• Take the form. Cover it with aluminum foil.

We begin to form the cake, laying it out in layers:

• Cookies on the bottom of the mold.
• Next, pour yogurt over the cookies. Pour out a third of the available volume.
• Place the chopped banana.
• Yogurt cream again.
• Peach layer.
• Finish with a yogurt layer.
• Place the mold in a cool place to harden. For example, in the refrigerator.

To prepare you will need:

• Egg (or one white) – 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 carefully.
• Place the mixture on a sieve and strain. This will rid the product of protein knots.
• Place the strained egg in a serving container and cook using steam. The filled layer should be less than four centimeters. The high altitude of the dish will not allow it to cook properly. There may be viable microbes left in the egg mixture.
• When serving, sprinkle the top of the omelet with melted butter.

To prepare you will need:

• Light meat broth – 400 ml
• Carrots – 4 g
• Semolina – 20 g
• Salt – 1 g
• Onion – 4 g (if desired, you can leave it out)
• Parsley - a couple of sprigs

Cooking sequence:

• Prepare the broth by boiling parsley, onions and carrots along with the meat. The liquid can be slightly salted.
• Cool the broth, skim off any fat that has formed from the top, and strain thoroughly. This will make the liquid less greasy and lighter.
• Put it back on the 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 tissue of the pancreas, which takes part in the digestive process. Therefore, diet 5 for pancreatitis is an integral part of the treatment process carried out to relieve this disease. If you have heard a diagnosis of pancreatitis for yourself or your loved ones, then you should not ignore the recommendations of your doctor about adjusting your diet, introducing the necessary restrictions. After all, ignoring the diet will negate all drug treatment. In this case, the problem may worsen, rewarding the body with unwanted complications. An integrated approach to treatment, along with compliance with diet requirements, 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 dietary table No. 5 was developed. Thanks to the correct selection of ingredients, it is possible to stabilize the condition and gain weight for those who are experiencing rapid weight loss due to hunger and lack of energy value of the food they receive.

This diet is advisable not only for exacerbation, but also for treatment chronic forms. It helps normalize metabolism and relieve the inflamed organ. It involves eating primarily food rich in proteins, with a serious restriction of sweets and starchy foods.

A balanced diet is prescribed simultaneously with medication treatment. This involves the exclusion of foods that can lead to complications and decreased functioning of the pancreas.

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

The diet has two parts. The first one is softer and more gentle. You can start it from the fourth day after the acute symptoms have subsided. 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 condition.

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

• Hunger during the period 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.
• Follow 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. It is worth consuming foods that are rich in antioxidants.

Since liquid and carbohydrate foods pose minimal danger to the secretory function of the organ, after hunger you can supplement your diet with dishes that contain carbohydrates in addition to proteins. These can be slimy soups, liquid porridges, jelly, vegetable purees.

If you suspect acute form On the first day, fasting is prescribed with water consumption of up to 1.7 liters. The liquid should be at room temperature.

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

During the remission stage, 60% of the diet should be protein. Their quantity is 120-130 g. per day. At the same time, the amount of daily fat consumed should not exceed 60 grams. It is contraindicated to consume animal fat in its pure form.

The share of carbohydrates in the diet is no more than 350 grams. within 24 hours. This component can be replenished in the form of fruits, honey, and cereals. Even if the patient is feeling well, he should not deviate from the principles of the diet and the list of permitted 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: only for cooking;
• fish: pike perch, pollock, pike, boiled in pieces or used in the form of cutlets;
• dairy products: without dyes or additives;
• fruits: heat-treated apples;
• soups: on vegetable broths with pureed ingredients (cream soup, puree soup), it is allowed to put cereals, but they should not be undercooked;
• omelettes: predominantly protein, you can eat one soft-boiled egg;
• sauces: in vegetable broth with the addition of sour cream, the flour is not fried in oil when preparing them;
• berries: To make jelly, jelly, dried fruits from compotes can be eaten in small quantities, grated.

If we talk about drinks, weakly brewed tea, fruit juices diluted half with water, infusions of rose hips, fruit compotes, still mineral table water are allowed.

Cakes, confectionery and sweets should be excluded from the diet. Soups with meat, mushroom or fish broth are prohibited. All fried foods, including baked goods, are also prohibited.

It is not recommended to use fatty meat, salmon, halibut, smoked meats, caviar, sausages, canned food, and offal. Vegetables with coarse fiber can cause the condition to worsen. Therefore, the following are removed from the diet: radishes, turnips, rutabaga, cabbage and eggplants. As for fruits, you should not eat those that are rich in carbohydrates (bananas, dates, grapes). They may cause

bloating

Under strict ban hot spices and seasonings, coffee, chocolate, cocoa, grape juice, alcohol and carbonated drinks.

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

Milk soup with meat puree is tasty and nutritious. It's easy to prepare.

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

Wait for the dish to cool down a little. All that remains is to add a mixture of beaten egg and milk and add to the soup. You will get a delicate consistency.

The puree soup has good taste. Boil potatoes and carrots until fully cooked. The vegetables are rubbed with the broth, and a little milk is added if desired. You need to bring the soup to a boil, add salt. To enhance the flavor, do not add pepper or other seasonings.

For pancreatitis, clear soups made with recycled broth help well. To prepare the dish, you need to place a piece of boiled meat without fat in a pan with clean water. Bring to a boil and drain. The meat must be cooked a second time. After this, add potatoes and onions. When the potatoes are cooked, add a little durum noodles. It remains to cook for another 5 minutes, turn off the heat.

The following recipes are used as second courses:

1. Chicken dumplings with added curd mass. Turn chicken meat into minced meat, add grated cottage cheese. Stir the mixture well, add a beaten egg and a piece of good butter. The dumplings are steamed and served with sour cream sauce.
2. Beef roll. Add eggs and salt to the minced meat. The minced meat is laid out 2 cm thick on a wet towel and covered with boiled omelette. Using a towel, roll the minced meat to form a roll. Make several punctures and steam for 25 minutes.
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 egg whites are added to it. Place it in molds and steam for 30 minutes.

Thus, diet No. 5 is balanced and can be used for a long time. It reduces the load on the pancreas. Disadvantages include the long cooking time for some dishes.

Diet for chronic pancreatitis plays a role vital role in recovery normal operation pancreas, and the “5p” table best meets the requirements of such a diet. With this diet, the main rule is its strict adherence. The main task of the diet is to exclude from the diet those foods whose digestion requires a large amount of enzyme and causes intense 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 intense work of the inflamed organ.

What not to eat

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

• fatty meat (this category includes pork, lamb, fatty beef, waterfowl, game);
• all types of offal;
• all sausages and sausage products;
• any canned food;
• fatty fish (sturgeon, salmon, catfish, Caspian sprat, caviar);
• vegetables containing a large amount of acid or coarse fiber (white cabbage, radish, radishes, beans, corn, peas, sorrel, spinach);
• sugar and all confectionery products such as chocolate, pastries, cakes, lollipops, candies;
• 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 fermented milk products (thick sour cream, yogurt, full-fat kefir);
• all spicy, pickled, bitter foods.

Nutritionists do not recommend consuming fresh milk in its pure form, although they allow this product to be added to other dishes. All rich meat and fish broths are prohibited. To achieve a therapeutic effect during an exacerbation of chronic pancreatitis, all types of fats must be completely abandoned and the protein content reduced to a minimum.

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, the list of foods prohibited in this diet includes:

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

When it comes to coffee, nutritionists disagree. Natural coffee should be avoided completely, but many doctors allow the consumption of unsweetened decaffeinated coffee. If possible, it is better to replace it with a chicory drink.

Many doctors allow the consumption of unsweetened, decaffeinated coffee.

All dishes must be eaten warm: the pancreas cannot tolerate cold or hot.

It is a mistake to assume that when following a diet there is absolutely nothing to eat. Quantity acceptable products during this period is quite large:

1. A complete abstinence from meat is not required; low-fat, dietary varieties are allowed for consumption. These include: lean beef, veal, rabbit, as well as chicken and turkey meat.
2. Cereals play an important role in stabilizing the gastrointestinal tract. For chronic pancreatitis, you can use oatmeal, buckwheat, semolina porridge in water, or boiled rice as a side dish. Most beneficial effect Oatmeal porridge has an effect on the pancreas.
3. Vegetables you can eat boiled include carrots, cauliflower and Chinese cabbage, broccoli, zucchini, squash, pumpkin, potatoes, beets, and cucumbers. All vegetables must be chopped: pureed or prepared in the form of a soufflé. Beneficial effects provide vegetable juices.
4. The diet must include low-fat fish: these include cod, carp, pollock, lean mackerel, etc.
5. Fruits allowed in the diet include sweet apples, pears, melons, strawberries, and watermelons in small quantities. They must undergo heat treatment: you can steam them, cook compotes, make soufflés or jelly. Only apples are allowed in their raw form, and then only during the period of remission.
6. For fats on this diet, you can consume refined vegetable oil and unsweetened butter (up to 30 g in porridge and no more than 10 g per day in a sandwich).
7. In the list of allowed in the diet fermented milk products includes: kefir, unsweetened yogurt, low-fat cottage cheese. Low-fat sour cream is allowed in small quantities, but it must be introduced into the menu carefully, carefully monitoring how you feel.
8. Of the flour products in the “5p” diet, you can eat wheat and bran bread, exclusively dried (stale or in the form of unsalted crackers), unsweetened biscuits, as well as any pasta.
9. Eggs can only be consumed in the form of steamed lean omelettes, no more than 1 - 2 times a week. It is best to eat only protein with this diet.
10. If the disease has entered the remission phase, you can occasionally treat yourself to homemade dietary 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 liquid per day, not counting soups. This could be a rosehip drink, weak tea (black or with milk), vegetable juices, weak unsweetened coffee, mineral water, sea buckthorn tea, herbal infusions.

A diet for pancreatitis strictly limits portion sizes. Total food per day can reach 2 kg, provided 7-8 meals a day fractional meals. But nutritionists do not advise eating more than 250 g at a time. Accordingly, if the volume of soup is 100 g, the amount of other dishes should not exceed 150 g (not counting drinks).

Total daily ration with such a diet it should contain:

• proteins - 120 - 140g;
• fat - 60 g;
• the amount of carbohydrates should not exceed 350 g, of which no more than 30 g can 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. It is recommended to include soups in the menu in the first half of the day (lunch, second breakfast).

To the most useful first Dishes for chronic pancreatitis include:

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

Dietary vegetable soup.

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

As second courses, diet requirements are best met by nourishing, but low-fat dishes. The most beneficial things with this diet are:

• slimy liquid porridges;
• 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 omelettes.

Salads can also be considered second courses. Salads made from boiled carrots, beets, and zucchini meet all dietary requirements. In their raw form, only carrots, grated with an apple, are allowed to be consumed, and only during a period of stable remission.

All vegetables should be finely grated or pureed.

Diet therapy requires adherence to a diet for 6 to 12 months. Approximate option The dietary ration for 1 day may consist of the following dishes:

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

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

But even after the exacerbation is relieved, nutritionists recommend having a fasting day at least 1-2 times a month for prevention purposes.

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 small amounts of the enzyme. Accordingly, food should come in small portions, but often. The best option The diet is considered 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.