Pancreatitis is an inflammation of the pancreas, a violation of its functions. This organ produces glucagon, lipocaine and insulin, when digesting food secretes pancreatic juice. The pancreas can suffer from injuries, poisoning, vascular disorders, gallbladder diseases, obstruction of the pancreatic duct, infections and parasites as well as the strong impact of drugs. Diet in pancreatitis eliminates unpleasant symptoms and helps to restore the pancreas. The most important symptom of pancreatitis is abdominal pain. It can hurt under the ribs under the spoon or along the entire length of the belt. There is also a burp, vomiting and nausea, dry mouth, high temperature. Depending on the degree of exacerbation of chronic pancreatitis symptoms may vary.
Pancreatitis can be acute and chronic. The first type is characterized by the fact that the iron is self-digested resulting in tissue necrosis, including a number of organs.
Pancreatitis may occur due to reception:
Also, inflammation can occur as a result of alcohol abuse. Chronic pancreatitis can progress and have exacerbations.
There are several forms:
- recurrent-pain is observed only in exacerbation;
- pain-constant aching pain with exacerbations increases;
- pseudo tumor is a very rare form with her part of the pancreas acquires fibrous tissues increasing in size.
In chronic pancreatitis, all changes in the tissues of the gland are amplified growing into endocrine insufficiency. At the initial stage of pancreatitis affects only part of the body and with the progression of the entire pancreas suffers.
In the mild stage of pancreatitis, vomiting, minor pain and poor health can be observed. If the degree of pancreatitis is severe then there is intoxication, severe pain, frequent repeated vomiting, can be complicated by jaundice and peritonitis.
Treatment for chronic pancreatitis is characterized by:
- a decrease in the activity of enzymes;
- fighting shock and toxemia;
- pain relief.
An important part of the treatment of pancreatitis is a special diet especially in severe stage. If there was a slight degree of damage to the gland the patient from fasting returns to normal food (diet with inflammation of the pancreas is called 5P). In severe pancreatitis a probe for nutrition and infusion therapy will be installed. During exacerbation of pancreatitis proper diet reduces excessive secretion of pancreas enzymes reduces stasis in the ducts. In chronic type of pancreatitis dietary nutrition helps the gland function normally, reduces the likelihood of exacerbations and restores health.
During the exacerbation of acute pancreatitis severe pain is observed as well as amylasuria and increased levels of enzymes in the urine. The purpose of treatment and diet is to stop the production of pancreas enzymes. This is achieved by a complete rejection of any food and bed rest.
Especially nutrition in this period:
- fasting, installation of parenteral nutrition;
- immediately after the symptoms of relapse the patient should eat something protein as the body needs to be restored;
- as needed — the expansion of the diet; not a sharp but a smooth increase in the volume and caloric content of food;
- refrain from eating foods that trigger relapses.
During fasting is allowed only to drink water (without lemon and other additives). You can drink mineral water a decoction of rose hips or weak green tea. All liquids should be at room temperature you need to drink small SIPS and slowly. Fasting is necessary from 1 to 3 days depending on the patient’s health.
Nutrition after diet is prescribed by a doctor and is determined depending on the patient’s condition.
Diet after relapse of pancreatitis is characterized by a moderate diet and a diet consisting of low-fat products. A gentle diet is especially important after a few days of fasting to restore the functions of the body after an attack of pancreatitis.
In the first days you need to eat very often (7-8 times a day) one meal is 50-100 g.low-Calorie diet is prescribed for a week. The diet of adults and children includes boiled products, crushed to a liquid consistency, later allowed to include light solid food. A carbohydrate-rich meal (fruits, vegetables, cereals) is best suited because it does not stimulate the production of pancreatic juice.
In the first days after hunger resolved:
- liquid porridge, mashed;
- unsalted liquid soup;
- weak green or herbal tea;
- compote without berries;
- some crackers or stale bread.
2 days later allowed to eat protein foods: cottage cheese, a little egg white souffle. After a couple of days, you can eat soup with a small amount of finely chopped meat.
Later in diet is actually added cream oil, it with vegetables (except cabbage). After a week of this food is allowed to eat cutlets for a couple and other light meat dishes (without tendons, fat and skin).
In chronic pancreatitis it is necessary to constantly adhere to the diet.
Its basic rules are as follows:
- cooked and steamed dishes are mashed;
- a small amount of fat and protein, a gradual introduction to the diet of heavy food. The basis of the diet-vegetables, fruits and cereals;
- if the protein is poorly digested, its amount is reduced, and the amount of carbohydrates increases;
- fiber is prohibited in a large number of extractives. To remove these substances when cooking meat drain the first water;
- maximum amount of salt-6 g;
- fractional power in small portions;
- do not eat too much.
Instead of animal proteins, products with vegetable protein (soy, oatmeal, beans) are used for the first time. It is recommended to replace animal fats with vegetable fats, since the first ones are poorly tolerated by the body worsen health.
You can not eat a lot of meat, fish, mushroom and fried dishes. You also need to give up alcohol, soda and coffee, as all these products have a negative impact on the work of the pancreas. You can drink slightly and medium mineralized water be sure to heat to room temperature before use.
After an attack of pancreatitis, it is important to relieve your body, give it a rest. After 1-3 days of fasting can be included in the diet of light and fast food and then gradually introduce heavy meat and fish.