Diet Plan For Chronic Pancreatitis

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Diet plan for chronic pancreatitis is based on the World Gastroenterology Organisation 2006 Guidelines. It follows the diet plan of the Low fat Diet Plan and Proteins Restricted Diet Plan for Fibrocalculous Pancreatic Pseudocyst.

What Is The Difference Between Acute And Chronic Pancreatitis?

Here are the main differences between acute and chronic pancreatitis:

Acute pancreatitis involves active inflammation of the pancreas, causing sudden bouts of abdominal pain and an increase in the level of blood enzymes. The pain may increase after a meal and occurs in the upper middle or left part of the abdomen. In some cases, it may last for days. Severe cases of acute pancreatitis may need surgery.

Chronic pancreatitis is a condition in which the pain is not as severe as acute pancreatitis, but it causes damage to the pancreas by calcification, ductal inflammation, and fibrosis. And that’s bad news. Because it means that the pancreas has stopped working, and you may be prone to diabetes, liver problems, anemia, and malnutrition.

Now, let’s check out the symptoms of acute and chronic pancreatitis.

Acute Pancreatitis Symptoms

Around 30 out of 100,000 people suffer from acute pancreatitis (6). And the symptoms are usually as follows:

  • Upper abdominal pain that may come and go or persist
  • Fever
  • Inability to digest food
  • Nausea
  • Pain right after meals
  • Vomiting
  • Tender abdomen
  • Higher heart rate
  • Back and shoulder pain

Chronic Pancreatitis Symptoms

Around 5-12 out of 100,000 people develop chronic pancreatitis. Not being on a pancreatitis diet, even after being diagnosed with acute pancreatitis, leads to it. And here are the symptoms of chronic pancreatitis:

  • Drastic weight loss
  • Steatorrhea – fatty stool with foul smell
  • Difficulty in breathing
  • Fatigue
  • Dehydration
  • Diarrhea
  • Nausea
  • Vomiting
  • In some cases, the pain may reduce, indicating that the pancreas is ceasing to work.

Remember, you might experience abdominal pain due to various reasons. Do not panic. Call for help, and seek immediate medical attention.

To reduce the chances of recurrence of bouts of pancreatitis pain, you must take care of what you eat. Here are a few guidelines for your pancreatitis diet. Take a look.

Pancreatitis Diet Guidelines

Here are a few acute and chronic pancreatitis diet guidelines:

  • Focus on consuming healthy food, always.
  • Be on a low-fat diet to prevent aggravating the inflammation.
  • Stop drinking alcohol and smoking.
  • Consume MCTs (medium-chain triglycerides) as these do not require pancreatic enzymes to be digested.
  • Consult your doctor and get digestive enzyme supplements.
  • Consult your doctor and take supplements for vitamins A, E, D, K, and B12.
  • Consult your doctor and take minerals like calcium and iron.
  • Have 6 to 7 small meals throughout the day.
  • Do not consume too many high-fiber foods at one go.
  • Consume boiled and mashed veggies to put less strain on your stomach.

Risk of diabetes in chronic pancreatitis

Chronic pancreatitis also causes the pancreas to gradually lose its ability to function properly, and endocrine function will eventually be lost. This puts patients at risk for type 1 diabetes. Patients should therefore avoid refined sugars and simple carbohydrates. 

Enzyme Supplementation

If pancreatic enzymes are prescribed, it is important to take them regularly in order to prevent flare-ups.

The healthy pancreas is stimulated to release pancreatic enzymes when  undigested food reaches the small intestine. These enzymes join with bile and begin breaking down food in the small intestine.

Since your pancreas is not working optimally, you may not be getting the pancreatic enzymes you need to digest your food properly. Taking enzymes can help to digest your food, thus improving any signs or symptoms of steatorrhea (excess fat in the stool, or fat malabsorption). In turn this will improve your ability to eat better, lowering your risk for malnutrition.

Alcohol

If pancreatitis was caused by alcohol use, you should abstain from alcohol. If other causes of acute pancreatitis have been addressed and resolved (such as via gallbladder removal) and the pancreas returned to normal, you should be able to lead a normal life, but alcohol should still be taken only in moderation (maximum of 1 serving/day). In chronic pancreatitis, there is ongoing inflammation and malabsorption — patients gradually lose digestive function and eventually lose insulin function — so regular use of alcohol is unwise.

Smoking

People with pancreatitis should avoid smoking, as it increases the risk for pancreatic cancer.

Overview

The pancreas is an organ behind the stomach that makes hormones and enzymes to help your body digest food. Certain conditions can cause these enzymes to build up and attack your pancreas, which can cause pain and swelling. This is called pancreatitis and can affect your body’s ability to absorb fat. This causes oily bowel movements and vitamin deficiencies, especially vitamins A, D, E, and K.

Chronic pancreatitis may cause pain in the top part of your stomach that does not go away. You may be able to help relieve the pain by following the tips below.

Your doctor and dietitian can help you make an eating plan that does not irritate your digestive system. Always talk with your doctor or dietitian before you make changes in your diet.

What to Eat If You Have Pancreatitis

If your pancreas becomes inflamed (a condition known as pancreatitis), your body has a harder time breaking down fat. You are also unable to absorb as much nutrition.

A pancreatitis diet takes all this into account, prohibiting fatty foods and emphasizing choices that are nutrient-rich, especially those high in protein.

Changing how you eat, either temporarily or for the long term, can help you manage your symptoms and prevent attacks, as well as keep you properly nourished despite your condition.

This article explains the benefits of following a pancreatitis diet. This article also addresses the two basic approaches to a pancreatitis diet and why it’s helpful to remain flexible, particularly if you’re living with another health condition at the same time.

About 15% of people who have an episode of acute pancreatitis will have another.

Benefits of pancreatitis diet

The most common cause of chronic pancreatitis is alcohol abuse. It accounts for about 80% of cases.

Keep in mind that diet does not directly cause pancreatitis. But it can contribute to gallstones and increase lipid (fat and cholesterol) levels in the blood, both of which can lead to the condition. And a sensible diet can soothe symptoms and prevent future attacks.

The benefits of following a pancreatitis diet go beyond comfort: It can help support an organ that’s already functioning inefficiently. And this is important because a pancreas that becomes unable to produce insulin can lead to diabetes.

Central to all of this is limiting dietary fat. The less you consume, the lesser the burden you place on your pancreas.

A 2013 study found that male patients with pancreatitis who ate a high-fat diet were more likely to have ongoing abdominal pain. They were also more likely to be diagnosed with chronic pancreatitis at a younger age.

Furthermore, a 2015 review of treatment guidelines developed by researchers in Japan found that patients with severe chronic pancreatitis benefitted from a very low-fat diet.

Meanwhile, people with milder cases usually tolerated dietary fat, especially if they took digestive enzymes with meals.

If you have recurrent attacks of pancreatitis and continued pain, your healthcare provider may ask you to experiment with your daily fat intake to see if your symptoms improve.

The pancreatitis diet’s promotion of nutrient-dense foods can also help you reduce the possibility of malnourishment. This can happen because several key vitamins (A, D, and E) are fat-soluble; issues with fat digestion can make it difficult to properly absorb these nutrients.

Being deficient in one or more fat-soluble vitamins comes with its own set of symptoms and health risks. For example, vitamin A deficiency can cause night blindness and vitamin D deficiency has been linked to an increased risk of osteoporosis, especially after menopause).

Chronic Pancreatitis Dos and Don'ts

About

About

Chronic pancreatitis diet is required to help with chronic pancreatitis. The pancreas is the organ in your body that regulates your sugar levels, produces enzymes and helps with your digestion process. Whenever pancreas becomes swollen or inflamed, they are unable to perform their functions and such a condition is called pancreatitis. Whilst acute pancreatitis occurs due to gallstones, chronic pancreatitis occurs primarily due to dietary habits. Chronic pancreatitis diet helps you in protecting your pancreas and aims at healing pancreatitis. Following are the essential points of a chronic pancreatitis diet. The aim of the diet is to keep the focus on fruits, vegetables and whole grains and to have proteins and fats as supplements. Fruits such as blackberries, blueberries, cherries, watermelon, mangoes and apples are recommended. Vegetables such as broccoli, spinach, kale and lettuce are often advised. Whole grains include brown rice, millets and buckwheat. Focus on foods that are low in fats, rich in protein and contain antioxidants such as lean meat, soups, beans and lentils, nuts (almonds, walnuts, pistachios and sunflower seeds) and low-fat dairy alternatives (flax, almond, skimmed milk). Completely avoid greasy and fried foods, alcohol and tobacco, caffeine, sugar and artificial sweeteners, and white flour foods such as bread and pasta.

Diet Chart

Sunday
Breakfast (8:00-8:30AM)Aloo Parantha (1.5) + Raita (1 small bowl)/ Rice flakes Pulav (1 med. bowl) + Raita (1 small bowl).
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + 1 Guava
Lunch (2:00-2:30PM)Parboiled Rice (1 cup) + Arhar Daal (1/2 cup) + Chicken(2pcs.) curry/ Soy bean curry (1/2 cup) + 1/4th fresh lime + Raita (1/3rd cup)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Baked oats pakoda (3-4)
Dinner (8:00-8:30PM)2 Chapati + Mix Veg. curry/ Fish(1pc.) stew (1/2 cup)
Monday
Breakfast (8:00-8:30AM)1 med. bowl Boiled Veg. Salad (Carrots, onions, peas, garlic, cabbage, mushrooms/ corns) + 1 cup Milk (toned)
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + 1 Apple (unskinned)
Lunch (2:00-2:30PM)3 Chapatis + Bengal gram daal (1/2 cup) + Fish(1pc.) stew/ Mix Veg. curry (1/2 cup) + 1/4th fresh lime + Raita (1 small bowl)/ Roasted plain papad (1)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Roasted rice flakes (1/2 cup)
Dinner (8:00-8:30PM)2 Chapati + Ridge gourd curry/ Fish(1pc.) stew (1/2 cup)
Tuesday
Breakfast (8:00-8:30AM)Rice flakes pulav (1 med. bowl) + Raita (1 small bowl)
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + Grapes (1 small bowl)
Lunch (2:00-2:30PM)Flavoured Rice (1 cup) +Masoor daal (1/2 cup) + Fish(1pc.) stew/ Snake gourd curry (1/2 cup) + 1/4th fresh lime
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Mur-mure (1/2 cup)
Dinner (8:00-8:30PM)2 Chapati + Bottle gourd curry/ Fish(1pc.) stew (1/2 cup)
Wednesday
Breakfast (8:00-8:30AM)Chapati (2) + Veg. curry (1 small bowl)/ Rice flakes Pulav (1 med. bowl) + Raita (1 small bowl).
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + Pomegranate (1 small bowl)
Lunch (2:00-2:30PM)Khichdi- Moong daal (1 cup) + Fried Fish(1 pc.)/ Roasted parwal(1) n Beetroots + 1/4th fresh lime + Roasted plain papad (1)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Veg. sandwich (1pc.)
Dinner (8:00-8:30PM)2 Chapati + Taro curry/ Fish(1pc.) stew (1/2 cup)
Thursday
Breakfast (8:00-8:30AM)1 med. bowl Boiled Veg. Salad (Carrots, onions, peas, garlic, cabbage, mushrooms/ corns) + 1 cup Milk (toned)
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + 1 Orange
Lunch (2:00-2:30PM)Parboiled Rice (1 cup) + Urad daal (1/2) + Fish(1pc.) stew/ Bottle gourd curry (1/2 cup) + 1/4th fresh lime + Raita (1 small bowl)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Boiled Black grams (1/2 cup)
Dinner (8:00-8:30PM)2 Chapati + Mushroom curry/ Fish(1pc.) stew (1/2 cup)
Friday
Breakfast (8:00-8:30AM)Rice flakes pulav (1 med. bowl) + Raita (1 small bowl)
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + 2 Chiku
Lunch (2:00-2:30PM)3 Chapatis + Mix daal (1/2 cup) + Fish(1pc.) stew/ Cabbage curry (1/2 cup) + 1/4th fresh lime + Raita (1/3rd cup)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Boiled aloo chat (1/2 cup)
Dinner (8:00-8:30PM)2 Chapati + Carrot n Beetroot curry/ Fish(1pc.) stew (1/2 cup)
Saturday
Breakfast (8:00-8:30AM)Chapati (2) + Veg. curry (1 small bowl)/ Rice flakes Pulav (1 med. bowl) + Raita (1 small bowl).
Mid-Meal (11:00-11:30AM)1 cup Tender coconut water + 2 (green) Indian Plum
Lunch (2:00-2:30PM)Flavoured Rice (1 cup) + Rajma (1/2 cup) + Fish(1pc.) stew/ Cauliflower curry (1/2 cup) + 1/4th fresh lime + Raita (1/3rd cup)
Evening (4:00-4:30PM)1 cup Black Tea/ Coffee + 2 Biscuits + Roasted chana (1/2 cup)
Dinner (8:00-8:30PM)2 Chapati + Pumpkin curry/ Fish(1pc.) stew (1/2 cup)

Food Items To Limit

  1. White bread, pasta, sugar, and other refined foods are a strict no.
  2. Avoid red meat and organ meat if you can.
  3. Stay away from commercial foods that contain trans fats, such as doughnuts, cookies, etc.
  4. Avoid tea, coffee, and packaged drinks.
  5. Fried foods, pizzas, butter, eggs, potato chips, cheeses, and beans should be avoided at all costs.
  6. Smoking is not permitted.
  7. Avoid butter, margarine, ghee, full-fat dairy, and mayonnaise.
  8. The above mentioned foods are rich of simple carbs and fat which put pressure on pancreas for the secretion of pancreatic juices which may cause severe abdominal pain and may worsen the condition.

Do’s And Dont’s

Do’s:

  1. Eat a high-protein, low-fat diet with no more than 30 grams of fat per day.
  2. Eat smaller meals and more often.
  3. Lose weight (if you are overweight)

Don’ts:

  1. Red meat, pork, lamb and duck.
  2. Cooking oils, including olive oil and all fried foods.
  3. Dairy foods such as all cheeses, margarine, butter, cream, regular milk and ice cream.
  4. All nuts and nut butters.
  5. Quit smoking or chewing tobacco.
  6. Do not drink alcohol.

Food Items You Can Easily Consume

  1. Whole grains and cereals should be consumed as they work to protect your digestion and fight the free radicals that damage your pancreas.
  2. Low fat yogurt should be an important part of your daily diet, whether you have it with your meals or as a light snack. Veggie soups are great as well. If you love tomato soup, it’s fantastic as it has loads of antioxidants.
  3. Spinach is rich in iron, so consume loads of this veggie. Blueberries are great as they are rich in antioxidants that combat free radicals.
  4. Red grapes are rich in resveratrol that is great for treating pancreatitis.
  5. Vitamin B is important, so keep foods such as dark leafy veggies, whole grains, etc. in stock.
  6. Lean meat is a great choice. You could use tofu as a substitute.
  7. Fluids are a must. Water, juices, and soups are a big yes. Go for these any time of the day.

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