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Acute Pancreatitis Diet

Thứ Sáu, 9 tháng 3, 2018 | 0 nhận xét


Acute Pancreatitis Diet


Sudden inflammation of the pancreas -- known as acute pancreatitis -- is one of the most common and painful conditions affecting the digestive system. If you are diagnosed with this potentially life-threatening illness, treatment usually involves a period of hospitalization. Initial priorities include treating the underlying cause of the inflammation, managing your pain, providing enough fluids, and managing your diet and nutrition. Depending on the severity of your condition, your initial diet might be limited to clear liquids or low-fat solid foods. In some cases, nutrition is provided through a feeding tube until your condition improves.

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Initial Diet Options

Cooked cereal with bananas
The nausea and vomiting common with acute pancreatitis may initially prevent you from eating or drinking. Guidelines published by the American College of Gastroenterology in September 2013 recommend that at least in mild cases of acute pancreatitis, eating and drinking can resume when your pain begins to resolve and you're able to keep food down. Your initial meal may be limited to clear liquids like ice pops, broth and clear juice. However, low-fat solids -- such as cooked cereal, a turkey sandwich and soft fruit -- may be offered as they provide more calories with no increase in pain. If you're unable to eat for several days, your doctor may begin tube feedings.

    Tube Feeding

    A variety of liquid supplements
    If you have severe pancreatitis and cannot eat, your doctor might start a temporary feeding tube that supplies liquid nutrition. The tube is inserted through your nose and extends into your stomach or small intestine. Your medical team can choose from a variety of liquid nutrition supplements. Although guidelines are not uniform on how promptly to start tube feedings with acute pancreatitis, a review article published in 2011 in "Gastroenterology Research and Practice" noted that starting tube feedings within 48 hours of hospital admission reduces the risk of infections and complications, and might shorten the length of hospital stay.

    Long-Term Diet Changes

    Broiled fish dinner with salad
    Your pancreas produces substances that help digest food and regulate blood sugar levels. Consequently, even after acute pancreatitis resolves, you might experience poor digestion or blood sugar abnormalities. A small study published in the November 2013 "World Journal of Gastroenterology" reported that 14 percent of people who recovered from acute pancreatitis produced fewer digestive enzymes, and 35 percent had elevations in blood sugar levels. It is unclear whether these abnormalities might eventually correct themselves as your pancreas heals. If you have poor digestion, a high-calorie, nutritious diet will be recommended. If you develop diabetes or prediabetes, you'll also need to incorporate blood sugar management strategies into your nutritional plan.

    Warnings

    Doctor speaking with woman in office
    Inform your doctor of any signs of poor digestion -- such as unintended weight loss or oily and foul-smelling stools. Also report any signs of diabetes, such as extreme thirst, frequent urination or unintended weight loss. A March 2009 study published in "BioMed Central Gastroenterology" reported that nearly 17 percent of people with a history of acute pancreatitis suffered another episode within a year. Therefore, alert your doctor if you have signs of pancreatitis, including severe upper abdominal pain, nausea and vomiting. Because excessive alcohol consumption is a common cause of pancreatitis, discuss alcohol safety with your doctor.

    A Post Pancreatitis Diet

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    A Post Pancreatitis Diet


    The pancreas is a small organ tucked behind your stomach in the upper area of your abdomen. The organ facilitates the digestion of protein, fat and carbohydrates by secreting enzymes which, in ordinary circumstances, become active once they reach the small intestine. Additionally, the pancreas produces a hormone called insulin which regulates blood sugar. Since the pancreas is integrally tied to digestive processes, diet is an essential part of post-pancreatitis treatment.

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    About Pancreatitis

    Eat whole grains.
    Pancreatitis is an inflammation of the pancreas which occurs when digestive enzymes produced by the pancreas begin to eat away at the organ. The causes of pancreatitis vary, but it is most commonly the result of either alcoholism or a gallstone which blocks the pancreatic duct. Infection, surgery, certain drugs, abdominal injury, high triglyceride levels and hereditary disease may also cause pancreatitis.

      Low-Fat Foods

      Eating low fat foods will aid your recovery.
      Individuals recovering from pancreatitis often experience indigestion, weight loss and abdominal pain and may produce oily stools because their pancreas isn't producing enough enzymes to handle digestion properly. A low-fat diet is key to treating the symptoms of malabsorption because it allows the pancreas to rest. Individuals with pancreatitis should keep their fat consumption below 30 grams per day, according to MedlinePlus.

      Nutrient-Dense Meals

      Dark, leafy greens will help you combat malnutrition.
      Pancreatitis often leads to weight loss and malnutrition, so it's important to make every meal nutrient-dense. The University of Maryland Medical Center recommends eating frequent, small meals rich in protein and whole-grain carbohydrates. Protein should come from lean meat, poultry, fish and beans, while consumption of red meat should be limited. Antioxidants are particularly beneficial for recovery, so berries, tomatoes and vegetables are an important part of post-pancreatitis nutrition. To combat malnutrition, incorporate iron and B-vitamin-rich foods such as whole grains and dark leafy greens in your diet.

      Stimulants and Allergens

      Avoid stimulants like tobacco.
      Avoid stimulants including coffee, alcohol and tobacco which exacerbate the malabsorption problems associated with pancreatitis. Additionally, according to the University of Maryland Medical Center, it may be necessary to eliminate common allergens including eggs, gluten, dairy, soy and preservatives.

      Supplements

      You may need to take a multivitamin.
      Your doctor may recommend a multivitamin and supplements including omega-3 fish oil, coenzyme Q10, vitamin C and probiotics to combat malnutrition. Do not take supplements without your doctor's permission.