Pancreatitis is a disease of the pancreas, during which the cells of the organ are destroyed by its own enzymes. In the exacerbation phase, the gland cells are destroyed, in the remission phase, connective tissue is formed at the site of the dead cells. This severely impairs the functioning of the pancreas. The most common causes of pancreatitis are alcohol abuse and eating disorders, and therefore treatment should begin with eating.
Nutritional recommendations for each patient should be selected individually, depending on the severity of the condition, the stage of the disease, food intolerance and comorbidities. The menu below for pantheitis is appropriate for the remission phase (ie the period when there is no exacerbation) and will help to avoid the next exacerbation.
The main principles of the menu in pancreatitis:
- The purpose of the diet is to improve the work of the pancreas, to reduce the load on the digestive system.
- Limit simple carbohydrates - pastries, baked goods, sugar. The sugar is partially replaced by xylitol or sorbitol. Of pastries allowed - jam, honey, jam.
- The fractional diet - 5-6 times a day.
- Cooking - steamed, baked and boiled. It is necessary to wipe the tough meat and vegetables rich in dietary fiber (carrots, broccoli, cabbage, fresh herbs).
- The temperature of the dishes is normal, cold dishes are excluded.
- During the remission period, the menu may include vegetable and grain soups in the diet. At the same time, the vegetables must be well cooked.
- You can use meat, skinless poultry, low-fat varieties of fish, cooked and baked. Do not use offal (liver, kidneys, brains), smoked meats, salted fish, caviar, sausages, canned food.
- Of the permitted dairy products - cottage cheese (up to 20%), milk, yogurt, sour cream in dishes.
- Eggs are recommended to be used in the form of omelets or soft-boiled. It is better not to use fried eggs or hard-boiled eggs.
- In the stage of remission with pancreatitis it is necessary to include various vegetables and fruits in the diet in raw, baked, cooked, stewed form. Fresh vegetables and fruits are excluded during the exacerbation.
- Drinks - weak tea, coffee with milk, rosehip broth and fruit drinks, half diluted with water, fruit juices without sugar. Excluded - black coffee, cocoa, carbonated drinks.
- Do not use foods that stimulate the digestive system: spinach, sorrel, radishes, radishes, garlic, mushrooms, pickles, pickles.
- Be careful with spicy spices - horseradish, mustard, black pepper. You can use - dill, parsley, basil, cinnamon.
- Alcohol with pancreatitis is strictly contraindicated.
Fresh fruits can be added to the menu below for pancreatitis, such as apples, pears, bananas, peaches, apricots, sour plums and more. and supplement the diet with fermented dairy products - kefir, yogurt, yogurt, fermented baked milk.
Weekly menu for pancreatitis, ready and proven recipes, shopping list for the whole week.
Monday
Breakfast:sweet pilaf with dried fruits;
Dinner:chicken noodle soup; zucchini and eggplant baked in the oven with cheese;
Snack:milk shake with strawberries and banana;
Dinner:flounder fillet in the oven.
Nutritionist's comment:
To make sweet pilaf suitable for a patient with pancreatitis, exclude nuts, cranberries and reduce the amount of sugar to 1 tbsp.
Add vegetables to the soup without frying, this will reduce the load on the pancreas.
Spicy spices should be excluded from recipes.
I recommend choosing a cocktail milk with a fat content of not more than 2, 5%, and as for coffee, it is better to exclude it from the recipe, it is not recommended to use this product with pancreatitis.
You can use any of the methods for making flounder fillets, both of which are good in case of illness. You can choose a side dish with grain, such as boiled buckwheat or vegetables - cauliflower, broccoli, potatoes, zucchini and more. Choose a method of cooking vegetables that does not overshadow the taste of the fish or cause deterioration, for example, boil or steam the vegetables.
Tuesday
Breakfast:sweet pilaf with dried fruits;
Dinner:chicken noodle soup; zucchini and eggplant baked in the oven with cheese;
Snack:baked apples with cottage cheese;
Dinner:flounder fillet in the oven.
Wednesday
Breakfast:oatmeal;
Dinner:rice soup with meatballs; zucchini stuffed with vegetables;
Snack: cheesecakes without flour;
Dinner:chicken souffle with steamed carrots in a slow cooker.
Nutritionist's comment:
The porridge recipe recommends reducing the amount of sugar or using sweeteners.
It is better to exclude garlic from the soup recipe and add vegetables without frying.
When cooking zucchini, try not to use hot spices and garlic and it is better to just stew the vegetables for the filling in a little water or broth.
You can complement your dinner with vegetables, fresh or steamed.
Thursday
Breakfast:cheesecakes without flour;
Dinner:rice soup with meatballs; zucchini stuffed with vegetables;
Snack:strawberry smoothies;
Dinner:chicken souffle with steamed carrots in a slow cooker.
Nutritionist's comment: In the recipe for smoothies I recommend a slight reduction in the amount of sugar, there should be no more than 1 teaspoon per serving, if this costs you a little, you can use sweeteners.
Friday
Breakfast:omelet with milk;
Dinner:salmon ear; casserole with pasta, broccoli and cheese;
Snack:cottage cheese with sour cream;
Dinner:stew on a low heat.
Nutritionist's comment:
You can add to the omelette a little grated cheese, herbs or stewed tomatoes.
I remind you again that hot spices and garlic should be excluded.
As a supplement to cottage cheese you can choose sweet fruits or berries, herbs, herbs, carrots or pumpkin. Be careful with nuts and sour fruits, they are not recommended for patients with pancreatitis.
Saturday
Breakfast:oatmeal in milk in a slow cooker with apples and raisins;
Dinner:salmon ear; casserole with pasta, broccoli and cheese;
Snack:carrot and apple salad;
Dinner:stew on a low heat.
Nutritionist's comment:
You can only use cinnamon to season the porridge; it is better to refuse ginger and nutmeg.
Unfortunately, you will also have to give up the walnuts in the carrot salad, this is a heavy food for the pancreas, but you can add dried fruits to the salad, such as dried apricots or a handful of raisins.
Sunday
Breakfast:poached egg;
Dinner:kulesh; zucchini stuffed with rice;
Snack:banana oatmeal smoothies;
Dinner:pangasius fillet in a slow cooker.
Nutritionist's comment:
You can add fresh vegetables or a few tablespoons of cooked rice to breakfast.
To make kulesha more suitable for our menu, vegetables should be stewed with a little water or broth. Try to choose beef without veins and bundles.
When cooking zucchini, you will need to discard the garlic and do not fry the vegetables, but stew them with a little water or broth.
Weekly shopping list (for 2 people)
Vegetables, fruits, dried fruits, herbs:
- zucchini - 6 pcs. ;
- eggplant - 2 pcs. ;
- tomatoes - 3 pcs. large;
- greens (parsley, dill, basil) - 5 bunches;
- onion - 700 g;
- Bulgarian pepper - 2 pcs. ;
- carrots - 10 pcs. ;
- cauliflower - 1, 5 heads of cabbage;
- potatoes - 15 pcs. ;
- broccoli - 200 g;
- green peas - 100 g;
- corn - 100 g;
- leeks - 70 g;
- dried tomatoes - 3 pcs. ;
- apples - 4 pcs. ;
- raisins - 150 g;
- dried apricots - 50 g;
- prunes - 50 g;
- berries - 200 g;
- banana - 2 pcs. ;
- raspberries - 2 tbsp
Meat, fish, eggs:
- eggs - 9 pcs. ;
- pangasius - 1 fillet;
- beef - 200 g;
- chicken fillet - 500 g;
- whole chicken - 0, 5 pcs. ;
- flounder fillet - 400 g;
- salmon - 800 g;
- turkey - 500 g;
- minced beef - 300g.
Dairy products:
- oil - 110 g;
- milk - 1500 ml;
- cottage cheese - 750 g;
- mozzarella - 120 g;
- feta cheese - 30 g;
- hard cheese - 100 g;
- sour cream - 170 g;
- kefir - 300 ml.
Foodstuffs, spices and others:
- buckwheat - 1 cup;
- rice - 500 g;
- oat flakes - 250 g;
- spaghetti - 70 g;
- pasta - 250 g;
- sugar - 180 g;
- millet - 80 g;
- vegetable oil - 100 ml;
- olive oil - 1 tablespoon;
- cinnamon - 1 pinch;
- dry herbs - 1 tsp. ;
- bay leaf - 4 pcs. ;
- wheat flour - 35 g;
- starch - 1 tsp. ;
- honey - 1 tbsp