Acute pancreatitis is a common disease, which is a chemical inflammation caused by pancreatic enzymes digesting its own pancreas and its surrounding tissues. In severe cases, pancreatic necrosis or hemorrhage, shock and peritonitis can occur, the condition is dangerous and the mortality rate is high. The disease is more likely to occur at the age of 20-50 years old, and is more common in women than men.
A pancreatitis diet points.
1, chronic pancreatitis
In the acute phase of the same as acute pancreatitis, must be fasting, water fasting. Because it is a chronic disease, prolonged restriction of protein and fat tends to cause nutritional deficiencies, resulting in low recovery ability. The type and amount of food should be increased according to the digestive ability and in response to the symptoms. Staple foods should be gradually transitioned from a more dilute diet to a regular diet according to the stage. As the disease recovers, gradually increase protein and ensure the supply of calories to avoid physical exhaustion due to low nutrition. Patients with both acute and chronic pancreatitis must abstain from alcohol.
2.Acute pancreatitis
In the acute phase of severe pain, back pain, nausea and vomiting, water and food should be prohibited to avoid prompting the secretion of pancreatic juice. As the condition improves, you should start eating a sugary liquid diet, starting with a sugar diet that is easy to digest. Even if the diet can be ingested, its digestibility is low. Therefore, a diet should be made accordingly. In conclusion, the basic dietary principle for acute pancreatitis is to give a small amount of easily swallowed and digested sugar diet with low protein and fat content. Some symptoms require strict control of fat, and protein can be gradually increased when there are no abnormal symptoms.
Salt intake should be limited when there is swelling. The principles of low fat, high protein, high vitamin, high carbohydrate and non-irritating and easy to digest should be followed during the treatment of acute pancreatitis. During the acute attack period, fasting should be done for 1-3 days, and intravenous nutrition can be added to avoid stimulation of the pancreas; after remission, fat-free and low-protein fluids can be given, such as fruit juice, rice soup, lotus root powder, noodle soup, honey water, tomato juice, watermelon juice and green bean soup; after the condition is stable, low-fat semi-liquid food can be given, such as fish, shrimp, chicken, duck, lean meat, beans and soy products and fresh vegetables and fruits rich in vitamins A, B and C The food should be low in fat and semi-liquid, such as fish, shrimp, chicken, duck, lean meat, beans and soy products and fresh vegetables and fruits rich in vitamin A, B and C. To adhere to the principle of eating less and more meals. Avoid: absolute ban on alcohol, fried foods and high fat, spicy foods. Acute pancreatitis can be cured if the disease is mild; however, if it deteriorates further, it may be life-threatening.
Even if the disease is cured, if you do not change your diet, it is difficult to eliminate the risk of another attack. However, as long as alcohol is banned and a high-fat, high-calorie diet is controlled so that the pancreas gets sufficient rest, it is possible to delay the deterioration of the disease and prevent further decline in pancreatic function, which is the key to diet therapy. Regular diet: It is both common and very important.
Therefore, the diet should be quantitative, regular and with a certain degree of regularity. Overeating will bring the greatest burden to the gallbladder and pancreas. Patients with pancreatitis should do 4 to 5 meals a day, or even 6 meals. Because of this multiple and small amounts of food, it will reduce the stimulation of the pancreas, so that the inflammation tends to stabilize. Fat intake should be controlled at 20 to 40 grams per day. Sugar is mainly consumed from grain.
Sugar is the best nutrient for both the gallbladder and the pancreas. Sugar stagnates in the stomach for the shortest time and does not cause excessive secretion of bile and pancreatic juice, thus reducing the burden on the gallbladder and pancreas. However, excessive intake of fructose or white sugar may also lead to obesity, promote the synthesis of cholesterol, and easily develop diabetes in the well. Therefore, fruit should be eaten in small amounts. Grain and potatoes rich in vitamins, minerals and dietary fiber should be the main source of sugar. Active intake of fat-soluble vitamins prolonged control of fat can cause a shortage of fat-soluble vitamin A, vitamin D, vitamin E and vitamin K, manifested as a lack of nutrition. Some vitamin supplements can be taken under the guidance of a doctor or nutritionist, and it is important to try to obtain vitamins from food.
Yellow-green vegetables are rich in fat-soluble vitamins, so the daily consumption of yellow-green vegetables should be about 150 grams is good.
Ten ways to reduce the burden on the pancreas and inhibit pancreatic secretion
1. Food should be fasted for several days during the acute attack, and water supplementation via the mouth should also be prohibited. Intravenous infusion of glucose, amino acids, electrolytes, etc. can be used to maintain nutrition and water-electrolyte balance, avoid premature feeding.
2. When abdominal pain and vomiting basically disappear and leukocyte amylase is reduced to normal, pure carbohydrate fluids without fat can be given, including: rice soup, diluted lotus root powder, almond tea, fruit juice, jelly and other sugary foods. There is no stimulation of pancreatic exocrine secretion, so it can be used as the main caloric supplement for acute pancreatitis.
3. Fat-containing foods such as meat soup, fish soup, chicken soup, milk and egg yolk are prohibited. Strictly control fat and meat and protein foods.
4.After the above basic adaptations, appropriate increase over the porridge, steamed egg white, a small amount of southern tofu soup food.
5.After further improvement of the symptoms and stabilization of the disease, the diet can be changed to a fat-free (very low-fat) semi-liquid diet. In addition to the contents of liquid food also includes rice porridge, vegetarian noodles, vegetarian noodles, vegetarian wontons, bread, cookies (less oil) and a small amount of crushed soft vegetables, fruits, etc.
6.Less food and more meals: 5 – 6 meals per day. A reasonable diet of overeating and binge drinking can lead to gastrointestinal dysfunction, so that the normal activities of the intestinal tract and emptying is impaired, impeding the normal drainage of bile and pancreatic juice, causing pancreatitis. Therefore, do not overeat and overeat.
7. Absolute prohibition of alcohol: it takes 2 – 3 months to heal generally, and to prevent recurrence, it is still necessary to avoid fat-rich foods for a considerable period of time. Do not drink heavily in plain alcoholics due to chronic alcoholism and malnutrition resulting in damage to the liver, pancreas and other organs, the ability to resist infection is reduced. On this basis, acute pancreatitis can be caused by an alcoholism, so do not drink alcohol is also one of the prevention methods.
8, the prevention of biliary tract diseases first lies in the avoidance or elimination of biliary tract etiology. For example, the prevention of intestinal roundworms, timely treatment of biliary stones and avoid causing acute attacks of biliary disease are important measures to avoid causing acute pancreatitis.
9, upper abdominal damage or surgical endoscopic retrograde cholangiopancreatography can also cause acute pancreatitis, when both doctors and patients should be alert.
10, other things such as infection, diabetes, emotions and drugs can cause pancreatitis.