The pancreas is a very small but capricious gland, and if everything is not right with it, then a person should refrain from many of his favorite dishes and products. In order not to get acute pancreatitis or an exacerbation of chronic pancreatitis, you need to adhere to a diet, which is usually called the 5P table.
What can you eat if you have pancreatitis? We will talk about it in this article. Let's look at the most frequently asked questions about prohibited and permitted foods in this disease.
What vegetables can you eat?
tomatoes
Can you eat tomatoes if you have pancreatitis? As for tomatoes, the opinions of nutritionists are divided, some believe that they are very useful because they contain delicate fiber, which is so necessary for the gastrointestinal tract, and remove harmful cholesterol from the blood, which is very important for the pancreas.
Others believe that it is worth refraining from their use, especially during an acute process or even a slight exacerbation of chronic pancreatitis. You should definitely not eat unripe tomatoes, which contain many toxins that burden all the organs of the digestive system.
But fresh tomato juice from ripe tomatoes (not juice from industrial bags, but squeezed from fresh tomatoes) turns out to be a very valuable product that stimulates the pancreas, especially when mixed with freshly squeezed carrot juice. You can also eat tomatoes stewed or roasted. But moderation should be observed in everything, abuse of even healthy foods can affect the functioning of the pancreas.
Tomato juice is choleretic, that is, choleretic. If you drink it during an exacerbation of chronic pancreatitis, then most likely it will be even worse, since secondary reactive pancreatitis will develop, as in cholelithiasis. Excess bile will be discharged into the common pancreatic duct, where it will activate pancreatic enzymes, which will digest not the food in the small intestine, but the gland itself. The result is acute pancreatitis, a wheelchair, an operating table for pancreatic necrosis, and then either disability or death.
Thus, tomatoes and tomato juice are allowed in remission of chronic pancreatitis, when there is no pain, no swelling according to ultrasound, no increase in amylase, diastase, elastase and other signs of inflammation.
All recommendations in this article are indications for the 5P table for chronic pancreatitis during the recovery period after an exacerbation and beyond an exacerbation. To avoid acute pancreatitis, you should not drink alcoholic beverages (especially strong) and certain medications.
cucumbers
If you have pancreatitis, can you eat cucumbers or not? Cucumbers, despite being 90% water, are actually very rich in trace elements and vitamins. You can eat cucumbers with this disease, in addition, a cucumber diet is sometimes prescribed for treatment of pancreatitis, when a person eats 7 kg of cucumbers in a week, this relieves the pancreas and prevents inflammatory processes in it. Again, let's talk about everything being good in moderation; with excessive consumption of cucumbers, especially if they contain nitrates or, even worse, pesticides, the benefits are reduced to zero.
cabbage
Is it possible to eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is better stewed or boiled. The ordinary white cabbage that we are most familiar with has a lot of healthy fiber, so it is forbidden to eat it raw, but after heat treatment it can also rarely be eaten. And of course, remember to avoid fried vegetables. And it is better to avoid sauerkraut, as it strongly irritates the mucous membranes. Beijing cabbage can sometimes be eaten raw, but any type of cabbage should be introduced into the diet after an exacerbation with caution.
Is sea cabbage healthy? The nutritionists' answer is yes, it is the healthiest of all types, as it contains a very large amount of cobalt and nickel, without which the normal functioning of the gland is impossible. Is it possible to eat seaweed if you have pancreatitis? Yes, . . . only for the inhabitants of Southeast Asia (Japan), because there the enzyme systems are different from the European ones. Even drugs in pharmacies in Japan state that they may not help Europeans. That is why you should not eat seaweed during pancreatitis, especially during an exacerbation. This is not like other types of cabbage, this product is closer to mushrooms, that is, its use will require a massive release of pancreatic enzymes, which will lead to worsening of inflammation. That is why algae, as well as mushrooms, are not given to children under 12 years old (they do not have the appropriate enzymes) and are contraindicated in pancreatitis.
What fruits can you eat with pancreatitis?
It is not desirable to consume all sour fruits, especially those with coarse fiber, especially during an exacerbation. You can eat fruit only 10 days after the onset of pancreatitis remission. With chronic pancreatitis, you should also not abuse various fruits, it is enough to eat 1 of the permitted fruits per day. Of course, in terms of the content of nutrients, vitamins and minerals, they have no equal and are therefore useful for the gland, but the presence of coarse fiber harms its functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapples, avocados, watermelons
- You can not eat: pears, all types of citrus fruits, sour apples, peaches, plums, cherries, mangoes
- During remission, experiments with eating different fruits are allowed, provided that they are thermally processed - in a double boiler, oven.
There are certain rules when and how to eat fruit with pancreatitis:
- Permitted fruits must be chopped, ground and crushed as thoroughly as possible.
- It is best consumed after baking in an oven or steaming
- You should not eat more than one fruit per day
- You should know exactly the list of allowed and forbidden fruits and know the medicines to take if you happen to eat an unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas, without exacerbation of pancreatitis, is able to cope with strawberries in small quantities, but everything is individual. It is better to avoid eating bananas.
Is it possible to drink alcohol if you have pancreatitis?
The pancreas categorically rejects any alcoholic beverages. Of all the organs of the gastrointestinal tract, this gland is the most susceptible to the toxic effects of alcohol. Unlike the liver, it does not have an enzyme capable of breaking down alcohol. It is known that more than 40% of all cases of acute pancreatitis occur after heavy drinking, fatty snacks or a merry long feast.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, which lead to serious functional, anatomical destruction of the pancreas. And as you know, unlike the liver, this gland does not fully recover. And with each intake of alcohol, the formation of foci of fibrosis progresses, which essentially means that the pancreas does not just become inflamed, but rots.
So what should you not eat if you have pancreatitis?
Greasy food
The pancreas really doesn't like fatty foods, smoked foods, foods high in protein or fat.
meat. That is why fatty meats (pork, duck, goose), especially skewers prepared from them, cutlets, sausages, stewed meat and preserves should be excluded.Fish. Fatty fish - sturgeon, salmon, trout, salmon, herring, sprats, mackerel, catfish, as well as caviar and canned fish, salted and smoked fish are also excluded from the diet.Broths. According to gastroenterologists, it is difficult to find a more harmful product for the pancreas than the rich bone broth, aspic. And many people try to bring strong chicken broth to the hospital to improve their health. This is a big mistake!
Products containing artificial colors, flavorings, preservatives
They don't spare the pancreas either. There are practically no products on the shelves of our supermarkets without the chemical additives listed above, so recently the number of patients with pancreatitis of varying degrees of severity is constantly increasing. It becomes especially scary for children, because they also consume large amounts of harmful chemical products called "kids' yogurt" (packed with preservatives, flavorings and flavor enhancers), children's smoked sausages, "kids' sausages" - by definition, there can be no children'ssausages. , Children should not eat such foods at all! ! ! And then we wonder why a 10-year-old child has pancreatitis?
Dairy products
Glazed cottage cheese, fatty varieties of cottage cheese, cheeses, especially smoked and salted ones, should not be consumed. Ice cream is also contraindicated, especially since recently it is made not from natural oil, milk and cream, but from palm oil, dry cream and milk, which go through several stages of chemical processes, which makes it very difficult for the gland when such products get into the body. organism.
Drinks
As for drinks, the pancreas really does not like soda and lemonade, which cause bloating and are usually saturated with all possible dyes, sweeteners, flavors and even preservatives. As for coffee and cocoa, these are also forbidden drinks, especially on an empty stomach. Strongly brewed tea and bread kvass are also harmful to the capricious gland. Many manufacturers of soluble chicory claim that this drink is almost a panacea and can be drunk for gastritis, pancreatitis and cholecystitis. In terms of its effect on the gastrointestinal tract, soluble chicory is as harmful as coffee, therefore, when you follow a diet for pancreatitis, you should exclude it or consume it only in very rare cases, not on an empty stomach, listening to your feelingsyou are; if there is even the slightest discomfort after consumption, you should throw it away altogether.
Sweets - sweets, baked goods, chocolate - heavily burden the pancreas.eggs. Hard-boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radishes, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, peppers, onions (raw) cannot be consumed in any form. The rest of the vegetables are very necessary, but only in boiled or stewed form.Fast food. Such food is dangerous even for a completely healthy person, and if we are talking about pancreatitis, then there are practically "poisonous" ready-made products - this is a direct path to the hospital bed.Fruits. There are also restrictions here, they cannot be eaten raw, especially sour (citrus fruits, blueberries) and too sweet - grapes, figs, persimmons.
Proper nutrition - what can you eat if you have pancreatitis?
Everyone knows that the pancreas loves during an exacerbation - hunger, cold and peace. And outside of the exacerbation, it is very important how much, how often, when and what a person suffering from pancreatitis eats.
It is very important to follow certain rules and diet, the most important thing is to eat small amounts of food, quite often, preferably every 3 hours, to limit food intake at night and, of course, not to eat certain types of food.
Following these rules is the key to long-term remission and a full life with pancreatitis. What can you eat with pancreatitis without harming this small organ?
- Vegetables:As we said, cucumbers in the form of puree, tomatoes, preferably in the form of juice, broccoli, cauliflower, potatoes, carrots, zucchini, beets, green peas - only baked or boiled are useful. It is very convenient and healthy to make vegetable casseroles or vegetarian soups. White cabbage should be limited and eaten only in boiled or stewed form.
- Fruits:strawberries, sweet apples, pineapples, avocado in the form of compote, jelly, it is especially good to make fruit purees from apricots, and you can eat no more than 1 piece of watermelon or melon.
- Milk:Many people do not know whether milk is suitable for pancreatitis? It is not recommended to consume milk in its pure form, because enzymes are needed to break it down, which are already insufficient in pancreatitis, after 14 years no one should drink milk in its pure form, except rarely and separately from other products. In diseases of the pancreas, whole milk can cause both diarrhea and flatulence. Among dairy products, kefir, yogurt and other liquid fermented milk products are considered the most suitable. You can also eat cottage cheese, but up to 9% fat. It is very convenient and quick to make various casseroles and lazy cottage cheese dumplings. Sour cream and fatty, sharp hard cheeses are ruled out, leaving only cheese like gouda and mozzarella.
- Meat:with meat products, everything is clear - no fat, therefore, all that remains is lean beef, chicken (without skin), turkey, boiled rabbit meat, you can also make soup with meatballs, souffle and steamed cutlets.
- Eggs:no more than 2 eggs a week and only lightly, the pancreas is very difficult to deal with the yolk, so it is better to eat only the white.
- Porridge, cereals, pasta:It is the most dietary food. Oats, buckwheat, semolina and rice porridge are useful. Barley and millet are excluded as very difficult to digest cereals. Macaroni can also be eaten with pancreatitis, with the addition of a small amount of sunflower or oil.
- Fish:In addition, the fish should be lean, boiled or baked, you can make steam cutlets. Pike, pollock, cod and pike are very useful.
- Bread:Black bread is one of the forbidden foods, so you can eat white bread, preferably dry, cookies can only be cookies, unsweetened and unsweetened.
- sugar:Few people can eat without sweet foods, with pancreatitis, sugar is a strong irritant, but sometimes you can make jelly yourself. But you should give up all store-bought sweets, in addition to sugar, they contain so many harmful chemicals that it is very difficult for the pancreas to cope with them. It is possible to treat yourself with marmalade, marshmallows or marshmallows from time to time.
- Drinks:Only lightly brewed tea, preferably green, compote, jelly, decoctions of medicinal herbs, rosehip. Mineral water is very useful in this disease.
Question answer:
Is goat milk possible?
Goat's milk is a rather difficult product for the pancreas. Because the fat content exceeds the cow by two and a half times. People who traditionally use this product as a staple have enzyme systems that are more adapted to its use. But if you're not used to it, goat's milk can cause indigestion. Therefore, when introducing this type of milk and its products, care should be taken, starting with small portions and gradually increasing with normal tolerance. The absence of nausea, loose or pasty stools will indicate that the product is being absorbed normally.
Is it possible to have masons?
Matsoni, like other fermented milk products, is not contraindicated in chronic pancreatitis. The whole point will be in the fat content of the milk from which it is prepared. Milk that is too rich is of course not desirable.
Is it possible to make baked goods with yeast, puff pastry and gingerbread?
During periods of exacerbation of pancreatitis, yeast baking is not indicated. During remission, yeast bread products should be dosed judiciously. Puff pastry is not contraindicated. With gingerbread, the first priority will be the degree of sweetening (for insulin problems and pancreatitis) and the glaze with which they are covered. Inexpensive confectionery products often use glazes based on refractory fats (coconut and palm oil), which do not improve the health of the pancreas.
Can I have cinnamon?
Cinnamon is a spice that is only sold in specialty stores or supplied by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon is associated with stories that it helps with type 2 diabetes. This is not actually the work of the pancreas, but the response of the insulin receptors in the tissues. There is no decent evidence of this anywhere. In general, cinnamon increases the production of gastric juice, being a stimulant, so it is not recommended for acute pancreatitis.
Is it possible to eat liver - stomach, heart, liver?
Products related to the liver (heart, stomach), as well as the liver, are not contraindicated in pancreatitis if they are boiled or stewed. It is better not to eat these foods fried.
Can there be processed cheese, coffee, chocolate, bread?
It is recommended to choose processed cheese without spicy spices and a large number of emulsifiers and preservatives. You should not overdo it with chocolate. You can eat bread. Coffee is not recommended regularly and during an exacerbation. The solution is to add milk and drink rarely in small glasses.
Can I have brown and white rice and olive oil?
You can eat rice. Add olive oil to salads and other dishes as usual. No bigotry.
Is it possible to pickle cabbage?
Cabbage brine is contraindicated as a hangover cure, as alcohol destroys the pancreas. In general, outside of an exacerbation of pancreatitis in the absence of inflammation in the stomach or duodenum, a few spoons of brine can do no harm, but it is not recommended to drink it in glasses.
Salted bacon?
Fats put more strain on the liver and bile ducts. In this case, the pancreas may suffer secondarily. Against the background of remission of pancreatitis, you can eat lard, but in reasonable portions of several pieces a day several times a week.