My pancreas hurts, what kind of diet is needed? Nutrition for pain in the pancreas and stomach. Video: conversation with a doctor of sciences in surgical pancreatology

Healthy nutrition is the key to longevity and eternal youth. Proper nutrition is especially important for pathologies of the pancreas, for example, pancreatitis. Scientific medicine has proven that just following a strict diet, without the use of any medications, can cure the disease or achieve its stable remission.

How does diet help treat inflammation of the pancreas?

Dietary nutrition is the basis of conservative treatment of pancreatitis (or inflammation of the pancreas), especially if the inflammation is associated with diseases of the gallbladder and liver. The fact is that during inflammation, it is important to create functional rest for the gland, and this can only be achieved by following the rules of dietary nutrition. The right food, which has a beneficial effect on the functioning of the digestive tract, has less effect on the receptors of the mucous membrane of the stomach and duodenum, which reflexively leads to the suppression of secretion and normalization of the secretion of pancreatic juice.

Important! In the initial stages of inflammation, diet is the basis of treatment. It is prescribed by your attending physician, with whom you can always consult about eating certain foods. Doctors also recommend keeping a food diary, where you record all the foods eaten during the day, and notes about the reaction of the digestive tract and the body as a whole to them. Within a few weeks, together with your doctor, you will be able to understand which foods can be added to your diet, and which should be avoided due to intolerance.

What you need to know about the diet

First of all, fatty foods are excluded from the diet. The fact is that fats can be broken down into their constituent elements by the only enzyme in our body - lipase. Since this enzyme is produced exclusively by the pancreas, the intake of abundant food rich in fat causes stress on the work of this organ. And if a healthy pancreas is able to cope with the increased load, then the patient is not able to do this, which further worsens the inflammation.

Secondly, everything sweet is excluded. Foods rich in glucose cause increased production of insulin by the pancreas, which also has a bad effect on its functional state.

A diet for pancreatic disease also involves the exclusion of irritating foods: spicy, smoked, pickled, fried, spicy foods. They contain special substances that reflexively increase its functioning, which is undesirable during inflammation.

The pancreas is an important regulator of the processes of the digestive canal. It is assigned a number of vital functions, so any violations in its activities require immediate action. One of the most effective is a diet for pancreatic disease.

Symptoms of the disease will help you recognize the presence of pancreatic pathology. First of all, the disease is indicated by pain localized in the upper zone of the abdominal cavity. The pain syndrome can appear constantly or have a certain periodicity. The occurrence of discomfort is associated with the increased activity of the enzymatic components of this organ, which attack their own cells.

Pathological conditions of the pancreas are in close relationship with lesions of other organs of the digestive tract, liver and bile ducts. The most common pancreatic disease is pancreatitis.

With any damage to this organ, changes occur in its functioning. There is a disruption in the outflow of pancreatic juice, which enters the digestive canal. The result of this phenomenon is a disruption of digestive processes that do not proceed properly. Therefore, the body suffers from a lack of necessary components.

To alleviate the patient's condition, he is prescribed medications. However, if you do not adhere to the necessary therapy and do not follow a strict diet, the disease can become chronic, and over time even cause more serious changes, such as malignant neoplasms.

When the disease is in a state of exacerbation, it is recommended to completely abandon any food, because it is when it is taken that active production of enzymes occurs. As a rule, the occurrence of pain is accompanied by loss of appetite.

For patients suffering from pancreatitis or other pancreatic pathologies, a special strict diet No. 5 is prescribed. The main goal of such a measure is to reduce the load on the affected organ, correct impaired metabolic processes and supply the body with missing micronutrients.

General nutrition rules

According to the observations of specialists, if you follow all the nutritional rules, the stage of exacerbation of pancreatic pathologies can be alleviated.

If there are no symptoms of the disease, then the daily menu should be divided into 5 meals a day. All foods that contribute to the development of constipation or bloating should be excluded.

The main task of the diet is to bring relief to the patient. Prepared dishes should be selected in such a way as to avoid the development of new pain attacks.

The main rules of the diet for pancreatic pathologies are as follows:

• It is preferable to cook food by steaming. In this way, it is possible to preserve the maximum number of useful elements;
• You should consume foods at a certain temperature, no more than 64 0 C and no less than 16 0 C;
• Eat food frequently and in small portions;
• Minimize salt consumption (no more than 8 grams per day);
• Bring all dishes to a mushy consistency before eating;
• During the day, the patient should drink up to 2.5 liters of liquid;
• Food should not contain components that can lead to the activation of enzyme production and the release of hydrochloric acid.

For those faced with pancreatic lesions, it makes sense to stick to a diet consisting of a set of low-calorie foods. It is advisable to prepare first courses using a light vegetable broth.

A variety of recipes for vegetable dishes will help you prepare tasty and healthy dishes that will harmoniously complement boiled noodles or porridge.

If you adhere to all the listed standards for food consumption, you will be able to relieve not only the pancreas, but also the liver, which, in turn, will lead to a faster recovery.

Useful foods for pancreatic diseases

In order for the benefits of the diet to be maximum, it must be enriched with protein and those foods that cannot lead to fat and vitamin deposition.

Excess fat should be avoided, but it is advisable to give preference to protein foods.

The patient's daily diet may contain the following foods and dishes:

• low-fat dairy products
• chicken or turkey without skin
• rabbit, lean beef
• boiled vegetables
• vegetarian soups with grated vegetables and boiled cereals
• rice, oatmeal, buckwheat and semolina porridges should have a viscous consistency
• soft ripe fruits and berries are allowed
• It is possible to flavor ready-made dishes with vegetable or butter.

What dishes can be presented on the menu for lesions of the pancreas and liver:

For breakfast:

• cottage cheese with milk
• cheesecakes, only low-fat ones
• buckwheat or rice porridge
• cabbage cutlets
• boiled fish
• dishes prepared from lean meat.

• milk noodle soup
• cereal porridge with boiled chicken
• vegetables
• berry jelly

• vegetable stew
• potatoes with boiled fish
• porridge without adding oil
• kefir

Second dinner:

• Before going to bed, you are allowed to eat dried apricots or prunes.

If pancreatic pathology develops in children and adults, it is necessary to fast for two days and drink liquids only with the doctor’s permission. Only from the third day cottage cheese, vegetable puree, and liquid porridge are added to the diet. This diet must be followed for at least 7 days.

As the patient's exacerbation period passes, he is gradually transferred to a special diet.

The selection of dietary intake and nutritional adjustments for patients with pathologies affecting the pancreas should be carried out exclusively by a specialist.

Prohibited Products

With the development of any diseases of the pancreas, it is necessary to ensure the mandatory exclusion of products containing essential oils, acids, as well as substances that can activate increased production of pancreatic juice.

It is necessary to remove from the diet:

• the presence of fatty meat and fish broths, okroshka, mushroom soup, sour cabbage soup;
• fatty types of meat, fish, offal;
• smoked sausage;
• caviar, pates, canned food, lard;
• fried or hard-boiled eggs;
• fresh bread, baked goods;
• various seasonings, spices, horseradish, mustard;
• onions, garlic, rhubarb, sorrel, mushrooms;
• chocolate products, coffee, cocoa, confectionery;
• any alcoholic products.

Only by eliminating all of the listed products from consumption can you count on a speedy recovery.

Recipes for healthy dishes for pancreatic diseases

Finding yourself face to face with an unpleasant illness, first of all you will have to limit yourself to many foods. But even from that small list of permitted ones, you can prepare a variety of delicious delicacies. Here are the recipes for some of them.

1. Vegetable puree soup

To prepare such a soup, you cannot do without zucchini, broccoli, cauliflower, and sweet peppers. Well-washed vegetables are cut into small cubes. Place them in a saucepan, add 1.5 liters of water and boil until ready. Before use, the liquid is drained, and the cooked vegetables must be ground in a blender until pureed.

1. Steamed fish

The fish fillet is washed, placed on a steamer and simmered for 15 minutes. Before use, lightly add salt, you can flavor it with a little butter.

1. Pumpkin porridge

The peeled pumpkin is washed, cut into cubes, placed in water and cooked over medium heat for about 20 minutes. Then the liquid is drained and the pumpkin is mashed with a fork or chopped with a blender. It is allowed to add a small amount of butter, sugar or honey to the porridge.

1. Boiled chicken

Place chicken meat in water and let it boil. After this, the liquid is drained and vegetables are added to the chicken meat. Everything is filled with water and boiled until the chicken is ready. Mashed potatoes or porridge are suitable as a side dish for this dish.

Important! When dieting, consistency is important. You should train yourself to have meals at the same hours.

The nutritional regimen for the development of pancreatic pathologies should be developed individually for each specific case. If you strictly follow all the prescribed nutritional rules, the patient will be able to minimize painful attacks. Diet alone without the use of medications cannot cure a patient. But even without a well-designed diet, it will also not be possible to achieve the desired result.

Anton palaznikov

Gastroenterologist, therapist

Work experience more than 7 years.

Professional skills: diagnosis and treatment of diseases of the gastrointestinal tract and biliary system.

Pathology of the pancreas is usually closely related to diseases of other organs of the digestive system, most often with damage to the liver and biliary system. Among diseases of the pancreas, the most common is, of course, pancreatitis, which in its acute form can lead to the development of pancreatic necrosis. Existing for a long time can cause fibrosis of the gland tissue, as a result of which the organ loses its function. We should also not forget about cancer. Pancreatic cancer is unfortunately not uncommon these days.

With any disease of the pancreas, its function changes: there is a disruption in the outflow of pancreatic juice containing the necessary enzymes into the digestive tract, as a result of which the digestive processes do not proceed properly and the body suffers from a lack of nutrients. In addition, carbohydrate metabolism is disrupted, as the pancreas produces insulin, which is necessary for the body to utilize glucose. Therefore, the goal of the diet is to reduce the load on the affected organ, correct metabolic disorders and replenish the lack of nutrients in the body.

Special therapeutic diet No. 5 was developed for people suffering from pancreas, but a similar diet should be followed for any pathologies of the pancreas (especially since pancreatitis in the vast majority of cases leads to the development of more serious pathologies and complications).

At the beginning of an exacerbation of pancreatic diseases, patients are advised to fast for several days; only after fasting are they allowed to gradually begin to eat. During the first week after the onset of an exacerbation of the disease, frequent meals (6-8 times a day) in very small portions (no more than 250-300 g of solid food and liquids) are recommended. Food can only be cooked by steaming or boiling; it should be chopped before consumption; dishes should only be consumed warm, never hot or cold. The consumption of table salt is reduced to 5-10 g per day, the amount of protein foods is somewhat limited (only for 5-7 days), and the consumption of fats and carbohydrates is sharply reduced.

In the first week after the onset of an exacerbation of the disease, the following foods and dishes are allowed:

• wheat bread crackers;
• slimy soups from oatmeal, rice, semolina, vegetable puree soups;
• steamed dumplings, cutlets and soufflés made from dietary meats (rabbit, turkey, veal, chicken) and lean fish (cod, perch, pike perch, etc.);
• eggs in the form of a steamed protein omelet (no more than 1 per day);
• only in dishes, cottage cheese in the form of steam puddings;
• vegetables in the form of puree or steamed vegetable cutlets (potatoes, zucchini, cauliflower, carrots);
• baked apples of non-acidic varieties, compotes, jelly, jelly from fresh sweet fruits, without sugar;
• weak tea, rosehip decoction, mineral waters are allowed to be consumed only as prescribed by a doctor.

Excluded from the diet during an exacerbation of the disease:

• soups with meat, fish, mushroom broths, fatty meats and;
• raw vegetables and fruits, vegetables containing coarse fiber (white cabbage, radish, radishes, onions, spinach, etc.);
• canned food, sausages, smoked meats, pickles, marinades, spices, herbs;
• confectionery, baked goods, fresh bread;
• coffee, sweet carbonated drinks, alcohol.

After the exacerbation has passed, there are much fewer dietary restrictions, but adherence to the regime and diet is still required constantly. This will help avoid new exacerbations and complications of the disease. The diet must contain a sufficient amount of protein, since there is a protein deficiency in the body, in addition, this is necessary to stimulate regenerative processes in the pancreas. Due to the fact that internal secretion and hormone production are affected, it is necessary to reduce the amount of carbohydrates in the diet, especially easily digestible ones. Also, in diseases of the pancreas, fats are poorly broken down, so their quantity must be limited.

Since the digestive processes deteriorate to one degree or another, it is necessary to help the body digest food. Therefore, dishes should be steamed or baked, chewed or crushed thoroughly before consumption. It is also not recommended to overeat; you need to eat in moderate portions 5-6 times a day. It is necessary to drink at least 1.5-2 liters of liquid daily. The calorie content of the diet should meet the energy needs of an adult and average 2500-2800 kcal.

Allowed foods and dishes for chronic diseases of the pancreas without exacerbation:

• stale or dried wheat bread, bread crackers, baked pies;
• lean varieties of meat, poultry and fish;
• secondary boiled meat and fish broths;
• eggs in the form of omelets or soft-boiled;
• fresh cottage cheese (fat content no more than 9%), milk (fat content no more than 3.5%), sour cream, cream only in dishes;
• buckwheat, oatmeal, rice, semolina and pearl barley;
• vegetables that do not contain coarse fiber, steamed, boiled, baked;
• sweet butter up to 20 g per day in dishes, refined oils up to 2-3 tbsp. l. in a day;
• milk, cream, fruit and berry sauces;
• sweet fruits, marshmallows, marshmallows, marmalade, sorbitol or xylitol jelly, cookies;
• weak tea with lemon, rose hip decoction, sweet fruit and berry juices diluted with water, compotes of dried fruits and fresh fruits and berries.

What should you not eat if you have pancreatic diseases?

Any products that contain essential oils, acids, or extractives that stimulate the production of pancreatic juice are excluded from the diet. For the same reason, you will have to give up fried, spicy, salty, pickled, and fatty foods. Excluded:

• strong meat and fish broths, mushroom soup, okroshka, sour cabbage soup;
• fatty meats, fish, offal (kidneys, liver, brains, udders, etc.), caviar, pates, canned food, smoked sausages;
• lard, cooking fats;
• fried and hard-boiled eggs;
• fresh bread, puff pastry and pastry products;
• fatty dairy products;
• legumes, radishes, sorrel, rhubarb, onions, garlic, mushrooms;
• seasonings, spices, horseradish, mustard, ketchup;
• confectionery, chocolate, cocoa, black coffee;
• any alcoholic drinks.

There is not just an exact answer to this question; you can get a complete list of products from nutritionists. It will indicate only those that will not have an aggressive effect on the inflamed organ. With the help of therapeutic nutrition, the patient’s life is greatly facilitated.

What can you eat when your pancreas hurts?

Nutrition during inflammatory processes in the pancreas must be correct. Due to the benefits of the dishes, you can support the normal functioning of the diseased organ. It is important that there is balance in food and that foods are combined.

Allowed to eat:

• Vegetables and fruits that are baked or steamed.
• It is also useful to prepare light soups with vegetables, steamed meatballs, and cottage cheese puddings.
• Due to the fact that fatty foods are prohibited, the lack of this component in the body is compensated for with butter. Patients add a slice to porridge, soup, and season cutlets.

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With a diseased pancreas, gastroenterologists suggest giving preference to warm and viscous dishes. They have an enveloping effect and reduce the load on the diseased digestive system.

It is important that the menu appears:

• Cream soups;
• Fermented milk products;
• Butter;
• Fresh vegetables and fruits.

By the way, due to the fact that porridges are prepared from mucous cereals, microtraumas on the pancreas will heal faster.

Vegetables for pancreatic disease

The list of permitted fruits for exacerbation of pancreatitis is limited. Sometimes certain vegetables have overly hard or rough skins that are difficult to digest.

Excellently relieve inflammation:

• Zucchini;
• Pumpkin;
• Eggplants and squash.

Tomatoes

Unfortunately, it is forbidden to eat them, as their skin is very rough.

Sometimes you can enjoy a baked vegetable after removing the skin and getting rid of the seeds. Only the pulp is served to the table.

Cabbage

Due to the fact that cabbage can cause excess gas formation, you should not add it to dishes.

Even cabbage soups are not allowed for patients with pancreatitis. It can be replaced with cauliflower, which also tastes good.

cucumbers

In the summer, patients' menus allow them to include fresh cucumber salad. The vegetable should be young, not old. The peel is removed from it; these patients should not eat it.

Fruits for pancreatitis

What fruits can you eat if your pancreas hurts? Of course, a therapeutic diet is good, but sometimes you want to enjoy something other than steamed cutlets. According to gastroenterologists, it is acceptable to eat fruit occasionally. Moreover, some of their types have a beneficial effect on digestion.

List of allowed fruits:

• So, it is acceptable to eat some strawberries for an afternoon snack;
• A slice of ripe watermelon;
• Papaya;
• Kiwi;
• Melon or avocado;
• Also, if your pancreas hurts, you can eat bananas.

The main thing is that all the fruits are fresh, ripe and not sour.

Alcoholic drinks for inflammation of the pancreas

This organ is weakest in confrontation with alcohol-containing drinks. Toxic effects after excessive drinking of alcohol provoke attacks of pancreatitis. This is justified by the fact that the pancreas does not have an enzyme to break down such liquids.

More than a third of patients end up in hospital after a feast. Since the pancreas cannot regenerate, you will have to stop drinking alcohol forever. Otherwise, after each intake of these drinks, an exacerbation of pancreatitis will occur.

List of foods prohibited for pancreatitis

Inflammatory processes in the pancreas suggest limiting the consumption of certain foods. Even in small doses they can cause irreparable harm.

Doctors do not approve:

• Fatty meat and fish;
• All types of smoked products;
• Sausage products;
• Mushrooms, pickles, canned food;
• Caviar in any form.

You can occasionally enjoy products from the top list; the portion should be minimal:

• A small piece of sausage;
• Sandwich with caviar;
• A slice of smoked meat.

This behavior is acceptable at a time when there is no exacerbation.

You should forget about these foods and drinks forever:

• Carbonated drinks;
• Hot chocolate;
• Cocoa;
• Coffee;
• Strong tea and ice cream.

By the way, regular drinking water should also be at room temperature; cold has a bad effect on the diseased organ.

Read about it here.

Diet

The cult of food during periods of exacerbation of pancreatic diseases is put in first place. You will have to observe moderation in everything, and the breaks between meals should not be long.

In order not to provoke an exacerbation, the patient needs to adhere to some recommendations:

• Food should be slightly warmer than human body temperature. You cannot eat cold or excessively hot food, because this puts additional stress on the diseased organ.
• Dishes now need to be prepared differently, and fried foods must be completely abandoned.
• Food on diet No. 5 should be slightly viscous and have enveloping properties. You have to grind the food carefully; it is better to grind the side dish to the consistency of puree.
• Gaps in the eating schedule should be equal and short. It is better to have 5 meals a day.
• You should not go to bed immediately after eating; food is less digestible during sleep.
• Acute pancreatitis requires a period of fasting of at least 3 days. During these treatment days, the patient is given only mineral water without gas. As soon as the general condition stabilizes, he begins to follow a strict diet. Only after the pain has been relieved are they allowed to eat dishes from treatment table No. 5.

Diet table No. 5:

• Therapeutic diet No. 5 helps relieve inflammation in the digestive tract.
• At the same time, patients with pancreatitis should adhere to it constantly, and not just during relapses.
• With the help of therapeutic nutrition, the body's metabolic processes return to normal.
• The healing table contains quite a lot of food that is rich in proteins.
• Significantly limit the consumption of sweets.
• At the same time, all products with an impressive content of cholesterol and coarse fiber are excluded.

Read about it here.

Sample menus and recipes

Patients often think about what they can cook when their pancreas hurts. Despite the meager list of permitted products, the variety of dishes allows you to create a decent menu.

• Breakfast: Buckwheat porridge is perfect for a morning meal; it is advisable that the grains are well boiled. It is permissible to flavor it with a small piece of butter. If a portion of porridge is not enough for the patient, then a small steamed chicken cutlet is added to it.
• Lunch: It is possible to prepare a soufflé from cottage cheese; it is recommended to wash down the delicacy with tea diluted with low-fat milk.
• Dinner: a serving of vegetable soup seasoned with a slice of butter. For the second course, boiled fish is served without spices or dressings. Dessert will be fruit jelly, natural; packaged semi-finished products are prohibited.
• Dinner: In the evening, steamed meat zrazy and cottage cheese pudding are prepared. You can eat a little cheese and wash down your meal with dried fruit compote.
• Just before bed drink a glass of light kefir about half an hour before going to bed.

Delicious dishes for patients with pancreatitis:

1. Vegetable soup. It is very easy to cook, and the time spent on cooking will be minimal. You need to take potatoes, carrots and onions, corn, beans, peas and a slice of butter. All ingredients are washed, peeled and cut into small cubes. The entire mixture is poured with 2 liters of water, seasoned with oil and a pinch of salt. After boiling, the soup is cooked for 25 minutes.
2. Lean meat cutlets. For them you need 200 grams of permitted meat, a piece of stale bread, 50 grams of water and salt. The bread needs to be soaked in water to soften it. After that, it is twisted in a meat grinder along with beef or turkey. The finished mass is seasoned with salt and small cutlets are formed. The blanks are placed in a double boiler, where they should remain for at least 30 minutes. When eaten, season with butter.
3. Steam omelette. For a serving you need to take a couple of eggs, milk and butter. Only whites will be eaten; if there is no exacerbation, the yolk of one egg is added. Beat them with milk and put them in a double boiler. 15 minutes is enough and the omelette can be placed on the table. It is acceptable to add herbs, grated cheese or minced beef.

It is impossible to overestimate the role of this secretory organ, weighing about 70 grams, for the entire human body: its functions include the production of insulin, digestive enzymes, and hormones.

The most common of which are pancreatitis, which is dangerous and can lead to various complications, including death.

Diet therapy for this pathology is an important component of complex therapy aimed at preserving the structure and function of the organ, preventing the development of pancreaticonecrosis and other complications.

The secretory organ can become inflamed with the development of acute or chronic pancreatitis - this is one of the most common lesions, which has a different origin and can occur during a viral infection or with systematic alcoholization of the body.

A provoking factor in the occurrence of inflammation is an error in nutrition: abuse of too fatty, spicy, smoked foods, and alcoholic beverages.

When it has already arisen, it is important to understand that if you stick to the same diet before, the organ will simply stop working and serious consequences will occur in the body, including death.

Therefore, following a diet should become a habit and be strictly followed by all persons with such problems. Proper nutrition and diet for a sick stomach and pain in the pancreas is as necessary as air for life!

The basic principle of treating inflammatory processes in this organ is the following: “Cold, hunger and rest.” These methods were relevant many centuries ago, and they do not lose their significance to this day.

A patient with acute pancreatitis should be provided with complete rest and bed rest, apply cold to the diseased organ, and fast for several days.

In chronic forms outside of exacerbation, the tactics of therapeutic nutrition are not so strict and have their own characteristics that all patients must know. Violation of the diet, taking prohibited foods threatens the patient with exacerbation.

Diet treatment for inflammation of the pancreas

• Suppression of enzyme activity and pancreatic juice;
• Reducing pain;
• Reducing body intoxication;
• Reducing the acidity of gastric juice;
• Providing functional rest to the organ;
• Normalization of liver and intestinal function;
• Stimulation of reparative processes of gland tissue;
• Fight against intoxication.

In the acute period of inflammatory changes in the organ with severe pain, high levels of enzymes in the blood, the patient is recommended to fast for 1-2 days, ingest alkaline mineral water of at least 1-1.5 liters, and weak tea at room temperature is allowed.

If, on the doctor’s recommendation, the fasting period needs to be extended for more than two days, patients are transferred to intravenous parenteral nutrition with solutions of amino acids, which are necessary for protein synthesis and maintaining the body’s energy balance.

If the exacerbation is not very pronounced and there is no need to prescribe the patient fasting, the doctor will prescribe the patient a gentle version of table No. 5p.

When inflammatory phenomena subside or in the remission phase, a less gentle, more physiological complete diet is recommended - an expanded version of table No. 5p.

I version of table No. 5p

The duration of the first version of table No. 5p is up to seven days. This is a low-calorie, mechanically and chemically gentle diet for diseases of the pancreas, or when the stomach hurts.

The total caloric content should not exceed 1800-2000 kcal, the following content is allowed:

• Protein - 80 g
• Fat - 50 g
• Carbohydrates - 230 g
• Table salt - 6 g (in the absence of concomitant heart failure)

Food should be taken 5-6 times a day in small portions. Food should enter the stomach warm; it should not be too cold or hot.

The patient is allowed:

• Slimy cereal soups
• Vegetable puree
• Boiled river fish
• Steamed cutlets, meatballs, quenelles
• Meat soufflé
• Steamed egg white omelette
• Fresh low-fat cottage cheese
• Baked apples
• Grated buckwheat, boiled rice
• Dried fruit compotes
• Biscuits
• White bread

The patient is prohibited from:

• Raw vegetables (especially radishes, cabbage)
• High fiber fruits (legumes)
• Broths
• Sour juices
• Alcohol
• Soda
• Fast food
• Fatty fish and meat
• Spices
• Spices
• Canned food
• Pastries, cakes
• Mushrooms

All products that are difficult to digest and digest in the gastrointestinal tract, have a juice-like effect, contain extractive substances, cause increased gas formation and bloating should be strictly excluded from the diet.

Extended diet table No. 5

When general well-being improves, pain subsides, laboratory parameters normalize, and pancreatic inflammation goes into remission, a less sparing, more physiologically complete diet is prescribed.

It allows culinary processing of food in the oven, steaming. The energy value of the daily diet increases to 2500-2700 kcal, the amount of protein - 11 g, fat - 80 g, carbohydrates - 330 g, table salt - up to 8 g.

Like the previous option, the diet is dominated by proteins that the body needs to build its own cells and damaged tissues, replenish protein “hunger,” and accelerate recovery. Fats and carbohydrates are limited, especially those that are quickly absorbed - sweets, honey, jam.

This type of therapeutic nutrition is prescribed for a long time, and often it must be adhered to throughout life in order to avoid the development of repeated attacks and complications of pancreatitis.

The range of dishes and products allowed for consumption is approximately the same as in the list of acceptable consumption described above, with the difference that patients can also consume in moderate quantities:

• Lean meat not in pureed form, but in pieces
• Low-fat sour cream
• Soft-boiled egg
• Vegetable stew baked in the oven
• Raw mashed sweet apples
• Vegetable (10 g) or butter (8 g) oil, added to prepared dishes
• Well-cooked porridge with milk
• Stale bread, biscuits
• Hard cheese varieties

Alcohol, even in minimal quantities, is strictly contraindicated for patients with pancreatic damage; drinking it can provoke a severe attack of the disease and even cost the patient his life.

Even in the stage of remission and the absence of pain and dyspeptic symptoms, it is important not to allow yourself to violate the food regime and make mistakes in the diet.

Fatty, spicy, overly peppery or salty foods should become taboo foods for patients for the rest of their lives.

Lovers of quiet hunting, home-cooked food and canned food need to reconsider their preferences and hobbies and abandon these home-made and store-bought products.

At first, sweet tooths and coffee lovers will also have a hard time getting rid of the psychological addiction to sweets and caffeine, but after several months of abstaining from the “forbidden fruit,” the expended willpower will pay off handsomely: the patient will feel much better.

It is important to understand that without following medical recommendations on nutrition and without a responsible approach to food consumption, no drug treatment can guarantee success in the treatment of pancreatitis.

Patients should keep a food diary, where it is necessary to note each meal and the time of consumption. This makes it much easier to identify those products that can provoke an exacerbation and deterioration of well-being.

Often the course of inflammatory processes in the pancreas leads to the development of intestinal dysbiosis. In this case, the diet should be revised and fresh fruits and vegetables should be excluded from it; also, in case of steatorrhea (excessive excretion of fat in feces) and diarrhea, the “vegetable diet” is contraindicated.

Nutrition and diet after surgery to remove the pancreas

Surgical interventions to remove an important secretory organ or part of it can be performed for the following reasons: the development of complications of the inflammatory process with the formation of tissue death - pancreaticonecrosis, due to hemorrhages in the parenchyma of the gland, during oncological processes, peritonitis, cystic formations, abscesses, severe injuries with massive damage pancreas.

It is important to understand:

The body, left without part of an important glandular organ, or completely deprived of it, undergoes enormous stress and must have external support in the form of adequate medication, replacement therapy and lifelong diet.

In the early postoperative period, the patient is transferred to parenteral intravenous nutrition to reduce the load on the gastrointestinal tract.

A balanced composition of amino acids, broken down fatty acids, glucose is injected into the patient’s vein, nutrients enter the blood and are carried to organs and tissues, thereby supporting the body.

In the postoperative period, feeding through a tube with liquid semi-digested food can be performed. In the first postoperative week, caloric intake per day should not exceed 1000 kcal. You can drink water up to two times a day.

After seven days and the cessation of parenteral and tube nutrition, the patient is allowed to take food by mouth, but only in liquid and semi-liquid, mashed form.

This treatment is necessary for up to two months:

Liquid porridges, jelly, pureed vegetable soups are included in the list of permitted dishes. Calorie content at this recovery stage should not exceed 1900 kcal. The frequency of meals is 6-7 times a day, the volume of food eaten should not exceed the size of a fist.

After two months from the date of surgery, the diet gradually expands: dietary boiled meat, crackers, biscuits, low-fat cottage cheese and lactic acid products are introduced into it, and the consumption of bananas or baked apples is allowed.

The calorie content of food per day is 2000-2100 kcal. Meals are frequent, small, at least 6 times. The serving size is no larger than the palm of your hand.

During the recovery period, it is important to listen to your body, keep a food diary and carefully monitor the reaction of the gastrointestinal tract to the consumption of a particular product.

It is equally important, together with the diet, to carefully follow the doctor’s medication prescriptions and take prescribed enzyme and replacement drugs that normalize digestion and perform the functions of a remote organ exactly on schedule.

If a patient after a pancreatic surgery experiences discomfort in the abdomen after eating, vomiting, diarrhea or nausea, or other manifestations of dyspepsia, you should definitely consult a doctor.