One of your biggest tasks as someone with exocrine pancreatic insufficiency (EPI) is to make sure your body gets the right amount of vitamins and nutrients.

Along with treatment, the right diet and lifestyle habits make a big difference. They can also ease symptoms that come with the condition, like diarrhea and stomach pain.

If your condition isn’t severe, these changes might be all you need to treat and manage the disease.

Daily Changes

Ask your doctor or a dietitian about taking on these habits to keep your EPI in check:

  • Take vitamins. You might need to take vitamins A, D, E, and K to replace what your body can’t absorb from food. Check with your doctor before you add any supplements to your diet, though.
  • Try five small meals. Smaller meals more often throughout the day will make it easier for your pancreas to digest what you eat.
  • Don’t drink or smoke. Alcohol and tobacco use can damage your pancreas. Drinking also makes it harder for your body to absorb fat. If you need help stopping these habits, talk to your doctor. There are programs that can make quitting a little easier.
  • Drink plenty of fluids. When you have diarrhea, your body loses a lot of liquid. Be sure you drink plenty of water throughout the day to stay hydrated. Other liquids in your diet -- like broth, fruit juices, and drinks without caffeine -- can help, too.
  • Avoid high-fiber meals and diets if you’re taking enzymes to treat your condition. A lot of fiber can make diarrhea and other symptoms worse.
  • Limit fat. If your EPI isn’t related to cystic fibrosis, you can focus on eating a low-fat diet.

Cystic Fibrosis

If you have this genetic disorder and you also have EPI, you need a high-fat, high-calorie diet to make sure your body can work well. That might mean eating 20% to 50% more calories than people who don't have cystic fibrosis. You want a well-balanced diet that has the right amount of salt, fat, and protein. Work with your doctor or dietitian to find a meal plan that works best for you.

Each case of EPI is different, but with treatment, the right diet, and help from your doctor, you can get what you need to stay well.

WebMD Medical Reference

WebMD Voices

Matt E., 58
Sinking Spring, PA
If you’re newly diagnosed, take comfort in knowing it typically takes weeks, if not months, to get your diet and enzyme dosing dialed in to where EPI symptoms may be under control. Don’t get too worried by bad days early on.
Jane C., 62
Phoenix, AZ
'No alcohol' goes without saying. If you’re socializing, try virgin drinks or simple club soda and lime. Fluid intake is important. I don’t go anywhere without my water bottle. I drink coffee on good mornings, tea in the evening, and ginger ale on tough days.
Roberta L., 63
Santa Ana, CA
When you're away from home, it’s good to know where restrooms are. There are apps out there like "Sit or Squat" and "Flush". You put in your location and it gives you the nearest bathrooms. Keep or carry an extra set of clothes in case of emergency.
Joe V., 79
Winneconne, WI
Look for a good support system -- friends, family, other survivors. Keeping positive people around you helps you get through the tougher days. It’s important to remain hopeful. I’m a 14-year pancreatic cancer survivor. A positive attitude and keeping my faith helps.
Jane C., 62
Phoenix, AZ
It’s easy to feel isolated with food restrictions. I eat before we go so I’m not hungry and tempted to eat something that may make me sick. With family or close friends, I bring my own meal. They’re happy to let me heat it up, and it takes pressure off them.
Roberta L., 63
Santa Ana, CA
It's not always easy, but a positive attitude really helps. Find a quote, write it down, and carry it with you. When things get tough, read it. My favorite is: Fate whispers to the warrior, ‘You cannot withstand the storm.’ The warrior whispers back, ‘I am the storm.
Liz J., 32
San Francisco
Some days are better than others -- and symptom severity can be influenced by our mental health and how we relate to the pain and discomfort. Meditation and deep breathing exercises have gotten me through some pretty intense episodes.

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