In the 21st century, diseases of the gastrointestinal tract are so widespread that every person faces their manifestations at least once in their life. Among the diseases of the digestive system, the leaders are various inflammatory processes, which include inflammation of the pancreas and gall bladder. In this article, we will talk about the causes and treatment, nutrition rules and diet features for inflammation of the pancreas and gall bladder.
Nutrition for gallbladder problems
This organ contains bile produced by the liver.
It is in the bladder until it is needed to digest fatty foods. After that, it enters the duodenum, which is one of the departments of the small intestine. When the gallbladder becomes inflamed, gallstones can form. The inflammatory process is accompanied by the appearance of various infections, which, in turn, cause pain and even greater inflammation.
To prevent this condition, it is important to know what kind of diet is used for pancreatic and gallbladder disease. Compliance with nutritional rules will minimize the risk of developing this problem.
The National Institute of Diabetes and Digestive and Kidney Diseases identifies factors that influence the risk of developing problems with the gastrointestinal tract and gall bladder.
Factors contributing to the development of diseases of the digestive system are:
- passive lifestyle,
- violation of the regime of the day,
- alcohol abuse and more.
Compliance with nutrition rules comes first in this list. Studies show that diets high in calories, easily digestible carbohydrates, and low in fiber increase your risk of gallstones.
The list of products containing a large number of easily digestible carbohydrates includes products such as white bread and white rice.
The treatment of any diseases of the internal organs should be carried out only after consulting a doctor.
Be sure to use medications, and nutrition is used to provide assistance to the body in the fight against pathologies.
Diet for the gall bladder and pancreas makes it possible to recover faster, increase the effectiveness of drugs. The diet is an essential component of therapy and its basic rules must be used.
If you do not use the basic principles of nutrition, then unpleasant symptoms of diseases, pain and exacerbation of pathologies may appear.
Most often, with a lesion of the bile and pancreas, a dietary table according to Pevzner No. 5 is prescribed, it is also used for liver diseases.
The essence of the diet is to reduce the burden on the digestive organs and the process itself, while patients receive a sufficient amount of useful and necessary substances.
Diet for inflammation of the pancreas and gall bladder gives an opportunity to improve the condition of organs and the withdrawal of bile. All the features of table No. 5 are indicated by the doctor during the examination and the preparation of the treatment regimen.
It is important to understand the rules of cooking. It is recommended that you follow the diet to use the following types of processing products:
All dishes are best done grated, porridge mucous. It is necessary to use products that are quickly absorbed, have light carbohydrates and have a choleretic effect.
For the normal functioning of the body and the digestive system, it will be necessary to add more food with vegetable proteins to the diet.
Rules for building a diet
The diet for inflammation of the gallbladder depends on the disease itself. If all the signs indicate an exacerbation of the pathology, then you need to use food and drinks in pure form.
For example, drink tea without sugar and other additives, it is better to dilute natural juices with water, grind the first dishes and make only on light broth from vegetables.
Be sure to use mucous porridge cooked in water every 4 days.
If the pathology proceeds in the chronic phase, then doctors are allowed to expand the diet. In any case, the food should be fractional, the number of meals per day about 5-7 times, in portions about 200 grams.
With chronic diseases, the diet should be rich in protein and a small amount of fat.
Strict diets are prescribed only after surgery, for example, after removal of the gallbladder. In this case, the menu is vegetarian.
During treatment, it is necessary to control the drinking regimen, drink 3 or more liters of water per day.
Throughout the diet, harmful and heavy foods must be eliminated, even healthy foods need to be eaten at the right temperature.
They should not be cold or hot. The optimal temperature is warming the food to 20-50 degrees.
Diet table No. 5 has an extensive list of allowed products, so the diet for gallbladder disease does not belong to a very strict and limited one.
Despite this, certain rules must be adhered to, otherwise pathology can only be exacerbated.
Among the main products that are allowed to be used during a diet are:
- Meat products can only be without fat, diet varieties are recommended. From meat you can beef, rabbit, chicken or turkey without skin. A similar rule applies to fish, it should not be oily.
- From vegetables, prefer potatoes, cabbage, pumpkin and carrots.
- Ripe and not sour fruits will be useful. It is recommended to eat strawberries, raspberries, sweet apples and pears.
- It is possible in small quantities vegetable and creamy pasla.
- Of drinks, it is allowed to use uzovram, compotes, jelly, fresh juices which are diluted in equal parts with water, weak tea with the addition of milk.
- Among sweets, only honey, jam is allowed, but not more than 50-70 grams per day.
- Be sure to add greens.
- Of the cereals, it is useful to use rice, buckwheat, wheat and corn grits.
- Almost everything can be pasta, but it is better to give preference to hard varieties.
- Eggs are allowed in limited quantities, not more than 1 pc. per day, or even better, use only protein for cooking omelettes.
- Every day, morning and evening use skim milk products.
Using permitted products, adhering to the list during the preparation of the menu for every day, you can get rid of the symptoms of the disease and recover faster, reducing treatment time.
In order for therapy to be more effective and faster, some products will need to be removed from the diet.
The country needs to say that it is forbidden to use the frying method during cooking. The list of prohibited products is as follows:
- Fresh bread of any kind, only crackers or dried, 1-day bread are allowed.
- Fatty types of meat and fish.
- Smoked, pickled, pickled foods, spicy and fatty foods are completely excluded.
- Preservation, sausages and semi-finished products, all products that include stabilizers and other chemical additives.
- Fatty types of dairy or dairy products.
- Any kind of animal fat.
- Legumes, mushrooms.
- From vegetables, you need to remove onions, garlic, vegetables with oxalic acid, radishes and other sharp plant components.
- Sweets are completely excluded, except allowed.
In order for the therapy to proceed efficiently and quickly, and the symptoms do not appear anymore, you must refuse to drink alcohol, even with a minimum percentage of alcohol.
Sample menu for 5 days
There are many recipes that are suitable for diet table number 5, they allow you to make the diet not only healthy, but also tasty.
Below is a sample menu for 5 days, which will simplify the task during treatment. It can be used as the main one or make your own corrections:
- In the morning, you should use buckwheat with the addition of 10 grams of oil, drink a glass of yogurt, tea with biscuit cookies. After a couple of hours, drink kefir and eat an apple. For lunch, use light soup on a vegetable broth, millet porridge with boiled fish, and drink with a fry. For a mid-morning snack you can have a fermented baked milk with cookies, and in the evening make mashed potatoes with a slice of meat and drink jelly from berries.
- The second day, start with vermicelli and cottage cheese, drink kefir and cookies, before lunch, you can eat milk rice porridge and drink tea. For lunch, use oatmeal soup, meatballs or a steam patty, and drink homemade compote. At afternoon tea, there are dried fruits, for dinner, make buckwheat in milk and baked apples.
- The next morning you can milk vermicelli, a slice of boiled meat and jelly. Before lunch, drink a glass of yogurt with vegetable casserole. For lunch, eat meatball soup, steam fish and uzvar. In the afternoon, drink a glass of kefir, eat an apple. For dinner, you can buckwheat with meat, tea.
- Start the next day with omelet and fish, drink tea. Snack with buckwheat and yogurt. For lunch, vegetarian borsch, mashed fish and tea. For an afternoon snack jelly with cookies. In the evening, pasta with grated cheese and a glass of milk.
- Start the 5th day of diet with spring salad, steam cutlets of fish and bacon. Before lunch, eat an apple and yogurt. For lunch, you can light soup, baked vegetables with meat and an apple. At afternoon tea, drink a decoction of rose hips or raspberries with cookies. In the evening, cook buckwheat with fish and tea.
Using a sample menu, each person will be able to independently make a menu for a week or a month.
To use a delicious and wholesome diet, a list of allowed and forbidden products is used, as well as recipes based on them. The main thing to remember about the method of cooking.
Diet for gallbladder disease is an essential component of treatment, both acute and chronic cholecystitis, cholangitis (inflammation of the bile ducts) biliary dyskinesia. The basic diet for these diseases is Table number 5and its varieties.
At acute cholecystitis in order to maximize gastrointestinal sparing in the first days, complete starvation is indicated. Allowed only warm drink in small portions: weak sweet tea, berry and fruit juices diluted with water, broths of wild rose. For 3-4 days, an anti-inflammatory version of diet No. 5 is prescribed - 5V diet.
Light food in a pureed form without broth and butter is introduced into the diet in a limited amount: mucous soups (oat, rice, semolina), liquid mashed oatmeal and rice porridge with a slight addition of low-fat milk, mashed compotes, jelly, vegetable juices. Then include in small quantities well-mashed steam meat, low-fat cottage cheese, boiled fish, wheat bread or crackers.
Fractional nutrition, in small portions (at least 5 times), without sodium chloride, with a copious amount of fluid (up to 2.5 l / day). The calorie content of the daily diet is 1,600 kcal (50-60 g of protein, 40-45 g of fat, 200-250 g of carbohydrates). On day 8-10, the patient is transferred to Diet 5A and then on Diet number 5.
At chronic cholecystitis (without exacerbation) the basic principles of dietary nutrition is the maximum sparing of the gallbladder and liver with physiologically healthy nutrition, normalization of bile secretion and level cholesterol in the blood, in the absence diarrhea - increased bowel function (Diet number 5).
A fractional and frequent meal is provided, contributing to the outflow of bile. To enhance bile secretion, salads and vinaigrettes seasoned with unrefined vegetable oils are introduced into the diet. The diet includes various vegetables, berries and fruits that stimulate the process of bile secretion, and the high fiber content eliminates constipation.
All easily digestible carbohydrates (jam, sugar, sweets, honey) are excluded or sharply limited from the diet, since their use leads to stagnation of bile, as well as vegetables containing oxalic acid (sorrel, spinach) and essential oils in large quantities (citrus fruits). Chicken eggs (not more than one) are included in the diet, while remembering that yolks enhance the motor function of the gallbladder and have a choleretic effect.
For pain, the appearance of bitterness in the mouth caused by the consumption of eggs, only egg whites are included in the diet. The calorie content of the daily diet is at the level of 2700-2900 kcal (proteins - 100 g, including animals - 60%, fats - 90 g, including vegetable 30%, carbohydrates - 450 g).
The use of salt is limited (10 g), the liquid is at the level of 1.5-2 liters. With a sharp exacerbation chronic cholecystitis diet is similar to diet when acute cholecystitis.
With a combined disease of the pancreas and gall bladder (pancreatitis+ cholecystitis) is assigned Table number 5P. This table is characterized by an increased to 120 grams of protein content, vitamins and dietary restrictions on fatty and carbohydrate foods.
Products containing a lot of extractive substances and purine bases (cabbage broth, meat and fish broths), refractory animal fats, and sugar are excluded from the diet. Hot, spicy, sour, sweet and fatty foods that stimulate the function of the pancreas, as well as foods rich in fiber, are excluded. Food is cooked mainly on steam, fractional food, in small portions. The total calorie intake is reduced to 2500 Kcal.
To varieties Diet number 5 applies, in addition to the above, also lipotropic fat diet —5 l / f. It is prescribed for patients with cholecystitis with problems caused by stagnation of bile. Its main purpose is to stimulate the process of bile secretion, increase motor activity of the intestine and remove from it cholesterol.
In the diet, the fat content is increased (of which 50% are vegetable oils), the protein content is slightly increased (up to 100 g) and the amount of carbohydrates (300 g) is reduced due to sugar restriction. Total calorie content at 2600 kcal.
The diet provides for a sharp restriction on the consumption of extractive substances (broths from meat and fish), cholesterol and products containing a large amount of essential oils. The diet is enriched with lipotropic protein products (egg whites, cottage cheese, lean meat, fish), refined vegetable oils, wheat bran, vegetables and fruits.
All types of oils (butter and vegetable) are added only to ready-made dishes. Refractory animal fats, butter dough, spices, whole milk are excluded. Food is cooked by roasting or boiling, chopping is optional.
- Diet number 5V - sharp cholecystitisduring a sharp exacerbation of chronic cholecystitis.
- Diet number 5A- on 8 - 10 days of treatment.
- Diet number 5 - in the recovery phase, after Diet 5A.
- Diet 5 l / f — cholecystitisaccompanied by stagnation of bile.
- Diet number 5P - with a combination of cholecystitis with pancreatitis.
Causes and symptoms of inflammation of the pancreas and gall bladder
Pancreatitis is an inflammation of the pancreas that occurs as a result of impaired release of enzymes synthesized by the gland. In this case, instead of going to the duodenum to ensure normal digestion of food, enzymes are activated in the pancreas itself and destroy the walls of the organ. The disease is accompanied by shingles in the epigastric region, nausea, vomiting, flatulence and diarrhea.
Cholecystitis is an inflammation of the gallbladder, most often occurring as a complication of gallstone disease, in which the outflow of bile is disrupted and the development of conditionally pathogenic microflora in the lumen of the bladder. Symptoms of this ailment include abdominal pain on the right, vomiting, nausea, and fever.
Inflammation of the pancreas and gall bladder can be acute or chronic and occur with excessive alcohol consumption, excess fatty foods consumed, stress, and certain medications.
With inadequate therapy, both of these diseases can lead to the development of inflammation of the peritoneum (peritonitis), therefore it is important to consult a doctor on time.
The anatomically close location and close interaction in ensuring the digestion process contribute to a significant mutual influence of the pancreas and gall bladder. The reason lies in the fact that the main bile duct and pancreatic duct flow into the duodenum and often merge before it flows. Scientists have called this the "common channel theory."
It is easy to guess that violations in one of the communicating ducts (pancreatic or bile) lead to changes in the other. So, if the pancreas is not working properly, its secretion can be released into the bile ducts and acute cholecystitis can occur. In turn, cholelithiasis provokes stagnation of the pancreatic secretion in its ducts and their inevitable rupture, accompanied by the release of enzymes, which triggers self-digestion of the organ.
Specialist advice. Do not start inflammation of the pancreas and gall bladder, as they can provoke the development of concomitant diseases and disturbances in the functioning of other organs.
“Leave cannot be excluded”: which products will be useful and which should be discarded
Doctors agree that compliance with nutritional rules for diseases of the gallbladder and pancreas is the key to success in treatment.
The main nutritional recommendations are as follows:
- Calorie intake should correspond to the level of physical activity.
- It is worth eating fractionally (in small portions up to 6 times a day).
- Avoid long breaks between meals.
- Avoid overeating.
- Eat warm food (up to 65 ° C): avoid too cold or hot dishes.
- Preferred methods of heat treatment of products are steamed, boiled, stewed or baked.
- Limit the use of spices and salt.
- Make sure that the body receives a sufficient amount of vitamins and minerals.
You can alleviate the condition and prevent relapses by excluding the following products from your diet:
- Spicy and salty dishes.
- Smoked meats and canned food.
- Fried food.
- Fatty meats and fish, as well as lard.
- Foods containing cooking fats (margarine).
- Limit some difficult to digest and irritating gastrointestinal tract products of plant origin: mushrooms, legumes, onions, sorrel, radishes.
- Sour fruits and berries, as well as juices from them.
- Chocolate and fat cream desserts.
- Bakery products from pastry.
- Alcohol, coffee, carbonated drinks, sweet juices (grape).
Despite a number of restrictions, you can eat deliciously. The list of allowed and recommended products is quite diverse:
- Low-fat varieties of fish and meat.
- Eggs (no more than 1 per day), optimally in the form of an omelet.
- Low-fat and mild cheeses, cottage cheese.
- Sour-milk products and milk (up to 2.5% fat) in moderation.
- Butter and vegetable oil in moderation.
- Porridge from various cereals (oatmeal and buckwheat are especially useful).
- Bread is black and white (preferably dried).
- Inedible cookies, biscuits.
- Vegetable and cereal soups and mashed soups.
- Vegetables such as carrots, pumpkin, cauliflower, beets, green peas (it is better to eat baked or steamed).
- Ripe and non-acidic fruits and berries (baked apples and pears are a good choice).
- Low sugar desserts: light mousse and jelly.
- Kissel, a rosehip broth.
- Herbal teas, weak black and green tea.
Diet for cholecystitis with pancreatitis
People suffering from this disease should eat right. Fats should be excluded from the diet as much as possible, replacing them with carbohydrates, thereby increasing the calorie intake. A prerequisite when following a diet is a plentiful drink. Water should be drunk at least two liters per day.
If a person has severe nausea, then the intake of water and food should be limited to small portions, as well as taking drugs for rehydration. Drinking mineral water will help to avoid disturbance of the water-electrolyte balance in the body. Eat should only be warmed up to a warm state (40–45 degrees Celsius).
Advantages and disadvantages
The diet has undeniable advantages, they look as follows:
- Helps prevent exacerbation of chronic diseases, and also improves overall health.
- Improves the functioning of the pancreas and gall bladder.
- Normalizes blood cholesterol.
- The diet is physiologically balanced.
- Easy to carry by the body.
- Not expensive in terms of buying food.
Among the shortcomings, the following can be distinguished:
- Very long (to normalize the general condition, you can sit on a diet for years).
- Separate preparation of various dishes, which requires culinary skills, abilities and time.
What foods are in the diet, what can I eat?
If you decide to go on a diet, you need to know what foods should be eaten. These include:
- Boiled eggs or scrambled eggs (no more than two per week).
- Vegetable and butter.
- Compote, juice or jelly.
- Various berries (not sour).
- Various cereals: rice, buckwheat, oat, semolina.
- Sweet foods: honey, jelly, jam, marmalade or candy.
- Dairy, vegetable or cereal based soups.
- Fruits (in small quantities).
- Baked, stewed or boiled vegetables.
- All kinds of seafood.
- Rough flour bread.
- Sour-milk and dairy products (except sour cream, cream and fermented baked milk).
- Steamed or braised beef, veal and chicken.
- Braised or boiled fish (saffron cod, pike perch, cod perch).
The basics of a diet for cholecystitis with pancreatitis
These diseases can occur due to various reasons: heredity, environmental pollution, smoking, alcohol consumption, self-medication of various diseases, the use of harmful and heavy foods, infection of pathogens, etc. Such pathologies can be treated in various ways, but the main thing is to it is to comply with certain rules of food intake, which is included in diet No. 5.
Rules for preparing a treatment menu
Diet No. 5 involves eating foods that do not have pronounced taste, and also do not contain fats. Dishes are prepared using stewing, steaming or boiling. Food is consumed in small portions with a frequency of five to six times a day. Starving and overeating is strictly prohibited.
The diet should comply with the following standards:
- The energy value of the daily diet should not exceed 2800 kcal.
- Fluid intake, 0 should be at the level of one and a half liters (no less!).
- Fiber should be the basis of the diet.
- Only vegetable fats are allowed.
- The daily intake of carbohydrates is 450 grams.
- The daily protein intake is 150 grams.
How selected food works
With pancreatitis and cholecystitis, the necessary amount of enzymes does not enter the intestine, which leads to a malfunction in the functioning of the digestive system as a whole. This negatively affects the work of the stomachs and liver. The danger of pancreatitis is that it can contribute to the appearance of type II diabetes mellitus.
Compliance with the diet on the background of drug treatment provides effective therapy for pancreatitis and cholecystitis. At this period, the body needs an easily digestible food that contains a large amount of protein (the daily norm is 140-150 grams).
Diet No. 5 contains food that has the most gentle effect on the digestive system. First of all, the diet that makes up this diet does not irritate the walls of the intestines and stomach, as the products are prepared by boiling or baking, and also contain a small fraction of fat in their composition.
This diet involves the use of a small amount of food with a frequency of 5-6 meals per day. Small portions do not overload the stomach, but also do not give rise to hunger. It is important to eat food at a certain time, that is, observe the regimen. So, the body quickly adapts to a new diet.
What should be the food?
The main goal of the diet is to normalize the functioning of the gallbladder, pancreas and liver. Therefore, its main principles are:
- protein-rich diet
- lack of products that increase the secretion of gastric juice,
- dishes are consumed at the same time.
For pancreatitis and cholecystitis, you can use the following: vegetables, ordinary cereals, cheese (mild), kefir, cottage cheese (low-fat), cottage cheese casseroles, baked goods of wheat varieties, fish (low-fat), various cereal soups, vegetable soups (excluding white cabbage )
Also, various fruits are included in the diet, both raw and in the form of compote or juice. The use of milk is not contraindicated, but it is necessary to know the measure (no more than 200 ml per day).
In what case is special nutrition prescribed?
Special nutrition is prescribed in special cases when the gallbladder is removed (surgically) or a person experiences an acute attack of pancreatitis.
The liver, gall bladder, and pancreas are closely related. When one of these organs begins to function poorly, this affects the work of the remaining organs.
If a person experiences pain in the left hypochondrium after eating, then most likely he is ill with pancreatitis or suffers from secretory pancreatic insufficiency, from which serious changes in the body occur: weight change (excessive weight loss or extra pounds), nausea, systematic disorder intestines, etc. In a particularly acute form of pancreatic disease, unbearable pains, fever and vomiting occur.
Malfunctions of the gallbladder and liver, often provokes pancreatitis. With cholecystitis, congestive bile takes the form of flakes, which eventually harden and turn into stones. Gallstone disease does not pass for a person without a trace, and in the vast majority of cases requires surgical intervention. After surgical removal of the gallbladder, attacks of pancreatitis may begin. This is all due to malnutrition.
From this we can conclude that a diet is necessary both for people suffering from liver and gall bladder diseases, and for those who have had this gall bladder removed. It is proper nutrition that is the key to recovery and the normal functioning of internal organs. It helps to avoid serious consequences if you "sit" on it on time.
- In the morning - oatmeal or buckwheat porridge, tea with milk, a lean bun.
- Before dinner - 2 apples (baked), cottage cheese with sour cream (not more than 1 spoon).
- Dinner - vegetable soup, chicken breast (boiled), grated beets, rosehip compote.
- Snack - one pear.
- Dinner - vermicelli with grated cheese (boiled), compote.
- The second dinner is kefir (200 ml).
- In the morning - a boiled egg (soft-boiled), tea (green), dry cookies or crackers.
- Before lunch - one apple.
- Lunch - celery soup, steamed fish, tomato and cucumber salad, kissel.
- Snack - one banana.
- Dinner - rice casserole, compote.
- The second dinner is a glass of milk (1%).
- In the morning - 3-4 cheesecakes, cocoa with milk, cracker.
- Before lunch - biscuits, jelly.
- Lunch - carrot and rice soup, stewed carrots, steamed cutlet, dried fruit compote.
- Snack - dry biscuits, fruit jelly.
- Dinner - dairy sausage (boiled), vegetable stew (stew), green tea.
- The second dinner is kefir (200 ml).
- In the morning - cottage cheese casserole (you can add a spoonful of sour cream), green tea.
- Before lunch - crackers, oatmeal jelly.
- Lunch - soup with meatballs, buckwheat porridge with steamed meat (chicken or beef), compote from
- dried fruits.
- Afternoon snack - sweet plums (4–5 pieces).
- Dinner - milk sausage (boiled), mashed potatoes, tea (can be with milk).
- The second dinner is fermented baked milk (1%).
- In the morning - pasta with cheese, green tea.
- Before dinner - cottage cheese with low-fat sour cream.
- Lunch - pumpkin soup, pasta with boiled meat, berry compote.
- Snack - a banana.
- Dinner - steamed fish, stewed vegetables, tea (not strong).
- The second dinner is kefir (200 ml).
- In the morning - protein omelet (steamed), coffee with milk, dry cookies.
- Before dinner - crackers with jam (not sour), green tea.
- Lunch - noodle soup, meat pudding, stewed carrots, fruit compote (fresh fruit).
- Snack - crackers, fruit jelly.
- Dinner - boiled rice with dried fruits, fruit jelly.
- The second dinner is a glass of milk.
- In the morning - fruit and berry pudding, green tea.
- Before dinner - fruit salad, yogurt (not fatty).
- Lunch - potato soup, pasta with boiled meat, dried fruit compote.
- Snack - dried cookies or crackers, milk.
- Dinner - steamed fish, potato patties, tea (can be with milk).
- The second dinner is kefir (200 ml).
Baked apples with cottage cheese
For cooking you will need:
- Sour cream - 1 tbsp. spoon.
- Sugar - 0.5 tbsp. spoons.
- Chicken Egg - 1 pc.
- Cottage cheese (fat-free) - 300 gr.
- Medium (not sour) apples - 6 pcs.
Cooking: Wash the apples, cut them in half and remove the core (make a recess in its place). Mix cottage cheese with sugar and sour cream until a homogeneous, creamy mass is obtained, which is laid in the indentations made in apples. Preheat the oven to a temperature of 180-190 degrees and place a baking sheet in it, with apples laid for 25 minutes.
For cooking you will need:
- Boiled water - 50 ml.
- Chicken Egg - 1 pc.
- Semolina - 2 tbsp. spoons.
- Beef - 120 gr.
Cooking: Boil beef and mince. Separate the protein from the yolk and beat it with a whisk. Combine water and semolina, add boiled minced meat, whipped protein and yolk to the resulting slurry. Mix everything thoroughly until a homogeneous mass is formed. The dish is cooked steamed. The resulting mass is placed in a greased form and kept for a couple - 30 minutes.
For cooking you will need:
- Chicken Egg - 2 pcs.
- Milk - 100 ml.
- Long loaf (dried) - 100 gr.
- Low-fat fish - 300 gr.
Cooking: The fish is passed through a meat grinder. Baton is kneaded and mixed with warm milk, stirring until a homogeneous consistency. Then the milk mass is combined with minced fish and pre-whipped proteins are added to them. All are thoroughly mixed and molded from the mass of knels, which are boiled in boiling water for 15-20 minutes.
Disease of the gallbladder and pancreas is not a sentence. These pathologies can and should be fought. Along with complex drug therapy, there is an additional opportunity - this is a diet. This article describes all the nuances of observing a diet for these pathologies, and also presents a menu drawn up and written by a professional nutritionist.