Chronic pancreatitis is the progressive destruction of pancreatic tissue. This leads to an increase in the connective tissue with fibrosis (increase in connective tissue cells) and scarring. As the disease progresses, exocrine and endocrine functional weaknesses appear.

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Anatomy of the pancreas & description of the endocrine & exocrine function:

Our pancreas consists of a head, a body and a tail.

The main task of the head area is to form enzymes for the utilization of our food and thus nutrients (= exocrine function). These are then released into the small intestine to break down carbohydrates, proteins and fats from our foods.

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The main task of the tail area of the pancreas is to produce hormones for the metabolism of carbohydrates - insulin and  Glucagon (= endocrine function).

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Causes:

• chronic alcohol abuse (alcohol abuse)

• chronic biliary tract disease

• idiopathic (unexplained causes)

• chronic pancreatitis

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Symptoms:

• pains

• Bloating

• nausea

• Vomit

• Intolerance symptoms

• Constipation & or diarrhea

• due to the progressive inflammatory process:

• exocrine and endocrine pancreatic insufficiency

Consequences of exocrine disorder:

• Steatorrhea

• Diarrhea

• Disturbances in protein digestion and absorption

• Consequences of the endocrine disorder:

• diabetic metabolism

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Therapy:

• Abstinence from alcohol

• medical therapy

• dietary therapy

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Why is nutritional therapy important?

Nutritional therapy supports you in promoting and supporting the healing process / regeneration process by ensuring a wholesome, wholesome food selection - and the preparation of the dishes using technical cooking methods. It also counteracts gas, bloating, pressure in the abdomen and pain. You will learn which foods you can safely eat.

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Pancreatic enzymes and MCT fat can help with symptoms such as diarrhea, unwanted weight loss, fat in the stool (= steatorrhea). Please only use this after receiving qualified advice, as there are important things to consider and both products do not have to be used in parallel at the beginning.

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The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. Weight reduction is recommended if you are overweight / obese. An anti-inflammatory diet can improve the state of health.

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​ You will learn how to reduce inflammation  can actively counteract this with foods that naturally have antifungal (against fungi), antibacterial (against bacteria), antiviral (against viruses) and antioxidant as well as immune-boosting properties - that is, they are almost natural antibiotics.

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Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

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Nutritional therapy

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• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

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Any questions? I look forward to your call or email. To contact form

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Assistance:

• KISS self-help groups

• Self-help network

• AdP eV pancreas patients - self-help group

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