Diet for cholecystopancreatitis. Features and Description

2024 Author: Isabella Gilson | [email protected]. Last modified: 2023-12-17 03:14

Both pancreatitis and cholecystitis are serious diseases of the gastrointestinal tract. In the first case, we are talking about the defeat of the pancreas, and in the second - the gallbladder. Diseases are provoked by the same causes, they are able to aggravate each other. Sometimes they are called in one word - cholecystopancreatitis. When such a diagnosis is made, the patient is prescribed a diet. With cholecystopancreatitis, the diet determines the patient's condition radically.

Reasons

The causes of such ailments lie in malnutrition. At risk are people who regularly consume fatty, smoked, spicy foods. Also at risk are those who eat irregularly - with long breaks. Therefore, a diet is required for chronic cholecystopancreatitis.

However, sometimes this disease also occurs due to gallstones. But their appearance is provoked by malnutrition. In addition, an unbalanced diet leads tocalculous cholecystitis. It is noteworthy that exacerbations of pancreatitis occur against the background of chronic alcoholism very often, while the gallbladder does not become inflamed for this reason.

Manifestations

Both of these ailments are manifested in pain in the upper part of the abdominal cavity. They become even brighter after a person consumes fatty, smoked and spicy foods. But with pancreatitis, the pain becomes girdle. Cholecystitis manifests itself in certain areas of the hypochondrium.

As a rule, a diet for acute cholecystopancreatitis is designed to cope with vivid symptoms - bloating, a feeling of heaviness, problems with stools. Often exacerbations of cholecystitis are accompanied by signs of jaundice. The skin and mucous membrane in this case become yellowish. Sometimes the stool turns white and the urine darkens.

Pancreatitis is not accompanied by such symptoms.

Treatment

If you are going to treat such ailments, you need to see a doctor. The diet menu for cholecystopancreatitis is compiled individually by a specialist. It is necessary to contact a therapist or a gastroenterologist. Diet during exacerbation of chronic cholecystopancreatitis and with a calm course of the disease will be different.

If there is an exacerbation, you need to eat soft foods. So, the diet for exacerbation of cholecystopancreatitis is based on crushed foods that are boiled. We are talking about cereals, potatoes, meat purees. You can not fry food, smoke, preserve. Not recommendedadd spices, pepper, s alt.

To get rid of pain, you need to use antispasmodic drugs. At the same time, only a specialist can distinguish between the symptoms of pancreatitis and cholecystitis. Medicines in this case will also be different. If cholecystitis is eliminated, you need to choose drugs that provoke the production of bile. Also need choleretic agents. Therapy is determined by the characteristics of the course of the disease.

Eating he althy

Any error in diet when treating cholecystopancreatitis with a diet can lead to unpleasant consequences. Exacerbations of several interrelated ailments can begin at once. At the same time, diet is the most important part of therapy.

A diet is used for cholecystopancreatitis during an exacerbation, as well as in the chronic course of the disease. For people suffering from such diseases, they have developed a special diet number 5. It is recommended for those suffering from cholecystitis. Diet number 5 is also suitable for those who suffer from pancreatitis. The diet and calorie content of these diets are similar.

General Principles

When introducing a diet for cholecystopancreatitis during an exacerbation, fasting must be observed during the first days. After that, the assortment of the menu is gradually expanded.

It is necessary to introduce a fractional diet. In this case, food is consumed five to six times a day. An important role in the diet for cholecystopancreatitis for an elderly person is played by careful chewing of food. It is best to eat food at the same time throughoutevery day. It is important that the dishes are not excessively cold or hot - their temperature should reach 37-40 degrees.

When dieting for cholecystopancreatitis by an elderly person, as well as at any other age, preference should be given to steaming or baking in the oven. You can cook and eat food. Fried and spicy foods, marinades, pickles and spicy foods should be limited, as they provoke the release of pancreatic juices and bile.

For the same reason, it is worth abandoning products that take a long time to digest. The ban applies to products that lead to increased gas formation, constipation.

Diet for cholecystopancreatitis always includes a lot of protein foods. For the most part, it must be of animal origin. It is worth limiting the intake of fats and carbohydrates.

What to eat

On a diet with cholecystopancreatitis, the consumption of lean meat products is allowed. Suitable for her white dried bread. It is recommended to choose with cereals and bran, and it is better if it is yesterday. The diet for cholecystopancreatitis includes non-acidic dairy products, in which the fat content is reduced. We are talking about mild cheeses, dry cottage cheese, yogurt. Milk should not have a fat content of more than 3.5%.

Diet for cholecystopancreatitis is often based on vegetarian soups without frying. Milk soup is also worth it. Meat broth soup is allowed once or twice a week.

Meat products should not be fatty - you should choose rabbit meat, turkey, beef and skinless chicken. fitseafood, ham, boiled sausage. Be sure to include vegetable oil in the diet, but you should not add more than one or two tablespoons per day to food. It is worth eating and cereals, small pasta. Rarely allowed the use of millet groats, pearl barley. Vegetables and greens are eaten after being thermally processed.

The menu includes non-acid fruits, berries. It is best to pre-heat them. Useful for patients with cholecystopancreatitis and dried fruits.

As a rule, doctors advise eating one egg a day in the form of an omelet.

Marshmallows, marshmallows, caramel products and honey are recommended in small doses. Rosehip decoctions, herbal decoctions will be useful. If the patient drinks tea, it should not be strong. It is best to mix coffee and tea with milk, and compote, jelly, juice with water.

What not to eat

You can not add fresh bread, pastries, confectionery to the diet. Strong meat or fish broths, mushroom soup, sour cabbage soup, okroshka will negatively affect the state of he alth. Fatty meats and poultry are not recommended - goose or duck. Offal can significantly worsen the patient's condition, like lard, animal fat.

You can not eat caviar, fatty fish, canned food.

Everything spicy, smoked, pickled - under the strictest ban, like fast food, other snacks. Fresh vegetables with coarse fibers (radish, white cabbage) can provoke an exacerbation of the disease.

Sour berries and fruits negatively affect the patient's condition, allfoods high in sugar. Preservatives and chocolate can lead to problems. Alcoholic products on a diet with cholecystopancreatitis must be prohibited.

It is important to consider that all these regulations must be strictly observed. Thanks to this, it will be possible to avoid exacerbations of pancreatitis and cholecystitis.

Exit

It is necessary to leave the diet gradually. Otherwise, a sudden change in diet can harm the patient's body. First of all, they are convinced that the person got rid of the manifestations of intoxication, endogenous infection. It is important to ensure that aggressive pancreatic enzymes have been neutralized. It is necessary to remove obstacles to the outflow of pancreatic juices, as well as any symptoms of pathology.

General Diet Principles

When the diet becomes more varied, and this happens on the 6-10th day, it is necessary to act gradually. The calorie content of the diet is increased in stages, as is the volume of dishes. It is important to gradually move from enteral nutrition to medical (the first replaces one meal). Enteral mixture remains in the diet for a long time. As a result, the load on the pancreas does not immediately increase.

As a rule, after two or three weeks the patient is transferred to a sparing diet. It must be adhered to throughout the entire time of the transition of the disease to the stage of remission - this is about three to eight weeks.

Diet therapy tactics

In the case when the patient does not need parenteral and enteral nutrition, and this is determined only by the doctor, nutrition is carried out inin accordance with the principle of "hunger, cold and rest." Within one to three days, depending on the condition of the person, the patient adheres to fasting. Nutrition is sharply limited to ensure complete rest for an organ in a pathological state.

Competent drinking regime plays a big role. You need to drink at least 1.5 liters of water per day. Recommended 200 ml 6 times a day. Mineral water without gas will be useful. It is better to include rosehip decoction, weak tea in the diet for cholecystopancreatitis. Starting from the third day of the disease, a sparing diet is also introduced for those whose disease is in the acute stage. After that, include elements of a high-protein diet.

Diet option

Every day, no more than 50 g of wheat crackers is recommended. You can not eat rye bread, confectionery, rich products. It is worth combining these products with soups from a variety of cereals on the water. Creamy meat soup recommended.

You can not eat meat, fish broth, mushroom soup. Pea, bean soup, okroshka, beetroot are contraindicated. Recommended lean beef, chicken, turkey. It is important to pre-clean the bird from the skin. You can not eat fatty meat, sinewy. Under no circumstances should food be fried.

The diet for cholecystopancreatitis must include low-fat fish. Eggs are cooked exclusively soft-boiled or omelettes are made from them. You can not eat more than one yolk per day, as well as hard-boiled, fried eggs.

Dairy products should berepresented by cottage cheese, milk only in dishes. You can not eat acidic foods, sour cream, cheese are contraindicated. It is allowed to add cream to dishes.

From vegetables it is permissible to eat potatoes, carrots, cauliflower. It is necessary to use pumpkin and beets in a limited amount. Do not eat white cabbage, garlic, radish, sauerkraut, pickled vegetables, mushrooms, canned foods.

Diet for cholecystopancreatitis involves the use of rice, buckwheat, oatmeal. In a limited volume they eat semolina, noodles, vermicelli. You can not eat millet porridge, pearl barley, corn grits. Whole pasta is also banned.

From fruits, baked apples are allowed. Under the ban - raw apples, other fruits, berries. The diet can include jelly, jelly, fruit baby food. The use of confectionery is prohibited.

From drinks, weak tea, mineral water, rosehip broth are allowed. From fatty products, butter without s alt is acceptable, but you can not eat more than 5 g of butter in one serving. All other fatty products are banned.

In the diet for cholecystopancreatitis, doctors often recommend including protein powder mixtures, but you can not buy and eat their varieties that were not produced according to the requirements of GOST.

Dairy, fruit and berry varieties of sauces are allowed. It is important not to sauté the flour. Sauces on broths, mushroom broths are prohibited. Tomato varieties are also undera ban, like spices, snacks.

It is necessary to severely limit the intake of s alt, any s alty products.

Throughout the special diet, it is important to steam or boil each dish. It is necessary that the diet mainly consists of liquid or semi-liquid foods. Meat products, fish are eaten in the form of mashed potatoes, steamed cutlets. The same goes for vegetables. It is important that the cereals are viscous or liquid. Dishes must be warm. You can not eat hot and cold - this quickly leads to an aggravation.

Diet for cholecystopancreatitis aims to provide the patient with good nutrition, help get rid of degenerative processes in the pancreas, restore its normal functioning. It is important to reduce the irritation of the gallbladder. Only comprehensive compliance with all requirements allows you to avoid periods of exacerbation of pancreatitis, cholecystitis.

It should be borne in mind that a competent diet for these ailments is an important component of the impact on the patient's condition. A specialist should track its results. Do not self-medicate. If the form of the disease is chronic, the diet is followed on an ongoing basis.