Diet in the exacerbation of chronic pancreatitis in many ways resembles nutrition in acute pancreatitis, since these conditions are very similar. In both cases, the task of the doctor is to provide peace for the pancreas. With the help of diet and drug treatment it is necessary to achieve maximum inhibition of the secretion of digestive enzymes. They provoke inflammatory reactions, and sometimes destroy the pancreatic parenchyma.
The first few days after the onset of exacerbation are incredibly important for the patient. Therefore, during this period, in order to protect him as much as possible from possible complications of the disease, a person is forbidden to eat any food. He washes his stomach and is not allowed to drink anything but water. On a zero diet, he is forced to sit for several days until the cause of the exacerbation, leading to premature activation of the digestive enzymes or disturbance of their release from the pancreas into the intestine, is eliminated.
Sometimes the hungry period is delayed up to 1-2 weeks, and in case of severe exacerbation it can be more than a month. But usually with an exacerbation of pancreatitis a person is forbidden to eat food for 2-3 days. If the zero-point diet lasts longer, administration of nutrient solutions to the vein is prescribed. And starting from the 6-7 day of fasting, the patient is injected with liquid food through the probe into the intestine.
Diet in the early period of exacerbation
When the symptoms of the disease begin to fade, a diet with an exacerbation of pancreatitis can be expanded. The patient is gradually introduced into the diet of certain foods and drinks. This food should meet the following criteria:
- Do not be too hot or too cold;
- it should not contain a gram of fat;
- food should have a semi-liquid homogeneous consistency;
- food should contain a minimum of proteins.
Preference is given to the porridge on the water, kissels, compotes. In the initial period it is very important not to allow the functional tension of the pancreas. This leads to the consumption of proteins and especially fats. At the same time, carbohydrates are usually easily digested. Therefore, they should form the basis of the diet for exacerbation of pancreatitis.
Nevertheless, the calorific value in the first days of the disease should be minimal. Depending on the condition of the patient and the severity of the inflammatory process in the pancreas, it can be 500-1000 kcal per day. Such nutrition with exacerbation of pancreatitis in conjunction with drug treatment in most cases allows for gradual attenuation of clinical manifestations of the disease.
Diet in the period of attenuation of clinical manifestations
After most of the symptoms disappear, the patient is allowed to expand the diet even more. As before, the main goal of the diet remains to reduce the functional load on the organ affected by the pathological process. Also, gastric secretion should be reduced because it has an indirect effect on the secretory activity of the pancreas.
Diet in the aggravation of pancreatitis is based on the following basic principles:
- fractional food intake – up to 7 once a day;
- minimum serving size;
- spices are forbidden, salt is limited;
- you can not eat too acidic foods and foods;
- it is necessary to limit the consumption of baking to a minimum;
- smoked, fried, spicy is forbidden;
- you can not drink alcohol.
You can eat porridge, vegetables in a boiled form, dietary meats. Mashed potatoes are allowed, but you can not add butter to it. You can eat raw vegetables and fruits, but without adding fat (vegetable oil, mayonnaise, sour cream) or sauces. Fish are allowed, but not fatty varieties. Consumption of bread is allowed, but it is better that it is slightly dried. So it to a lesser extent stimulates the secretion of gastric juice.
Thanks to a diet alone, you can achieve a significant improvement in the patient’s condition. If, in addition, competent medication is used, the patient will quickly recover. Sometimes doctors have to resort to surgical interventions if there is a destruction of the pancreas. But in the overwhelming majority of cases, the treatment of exacerbation of pancreatitis ends successfully, and the patient’s symptoms are completely under the influence of conservative therapy alone.