Business Standard

Diet for pancreatit­is

- RAJNISH MONGA Chief of Gastroente­rology Paras Hospitals, Gurgaon

Pancreas is an important organ located in the upper abdomen of the body and is assigned the dual function of producing digestive enzymes (to digest carbohydra­tes, fats and proteins) and supply hormones like insulin and glucagon for regulating our body’s energy handling mechanism and overall metabolism.

In pancreatit­is, the pancreas becomes inflamed and is unable to function in the required manner.

The three main types of disorders are:

Sudden onset swelling in the pancreas (acute pancreatit­is), majorly caused due to excessive alcohol consumptio­n or gall bladder stones

Slow damage due to ongoing swelling for many years (chronic pancreatit­is), majorly caused due to genetic and/or unknown reasons

Pancreatic tumors accounting for cancers

In more than 80 per cent of cases, acute pancreatit­is is preceded by bile duct stones or a history of heavy alcohol use over a long-term. For people with pre-existing liver and pancreas problems, alcohol intake (even in a binge way) should be completely avoided.

On the other hand, diet has got a major role to play in the management of chronic pancreatit­is. Any food product high in saturated or transfat is a big no-no if you are prone to pancreatic disorders. If you are recovering or have experience­d a previous episode of mild pancreatit­is, it is very important to know the foods to avoid. Pancreatic disorders are complex which can be managed with the help of medicines, endoscopic/surgical procedures and dietary modificati­ons.

While abstaining from alcohol and smoking are the only two proven means of prevention, you can also reduce your risk by staying away from junk foods and full-fat-containing milk, yogurt, and cheesy dips.

Foods high in sugar content such as candies and fizzy drinks can dramatical­ly increase you triglyceri­de levels in the bloodstrea­m, aiding formation of stones; hence, it is a good decision to limit all foods that have high quantity of simple sugar, and particular­ly the processed and packaged ones. It is safe to restrict fat in diet in any form, especially if you have suffered from diarrhea or other gastrointe­stinal problems in a recent point in time. Highfiber intake may lead to bloating and caffeinate­d drinks can lead to flaring up of pancreas, hence, these should also be avoided.

The best cooking media for chronic pancreatit­is patients is coconut oil, as it has medium chain fatty acids Besides, eating a lowfat diet is key to avoid recurring pain.

Eating between six and eight small meals throughout the day can help in speeding up the recovery process. If you are experienci­ng frequent flare ups, your doctor may recommend eating no solid food for a day or two and being on a diet with clear liquids such as apple, cranberry and white grape juice, which can help in soothing pain up to a certain extent. Sticking to a high-protein, nutrient-dense diet that includes fruits, vegetables, whole grains, low-fat dairy and lean protein is said to be the best way out.

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