The pancreas is a very small but changeable gland, and if everything is not in order with it, then a person should refrain from many of his favorite dishes and products. In order not to lead to acute pancreatitis or exacerbation of chronic pancreatitis, you should adhere to a diet commonly called the 5P table.
What can you eat if you have pancreatitis? We will discuss this in this article. Let's consider the most frequently asked questions about prohibited and permitted foods for this disease.
What vegetables can you eat?
tomatoes
Can you eat tomatoes if you have pancreatitis? As for tomatoes, the opinion of nutritionists is divided; some believe that it is very useful because it contains fine fiber, which is very necessary for the gastrointestinal tract, and removes harmful cholesterol from the blood, which is very important for the pancreas.
Others believe that it is worth refraining from using it, especially during the acute process or even a mild exacerbation of chronic pancreatitis. Of course, you should not eat unripe tomatoes, which contain many toxins that burden all the organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (not juice from an industrial bag, 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 boiled or baked tomatoes. But, in everything, moderation should be observed; abuse of healthy food can affect pancreatic function.
Tomato juice is choleretic, that is, choleretic. If you drink it during an exacerbation of chronic pancreatitis, then most likely it will get worse, because secondary reactive pancreatitis will develop, as with 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 gurney, an operating table for pancreatic necrosis, and then either disability or death.
Therefore, 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 schedule 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 hard liquor) and certain medications.
cucumber
If you have pancreatitis, can you eat cucumber or not? Cucumber, although 90% water, is actually very rich in microelements and vitamins. You can eat cucumbers for this disease, moreover, for treatment, a cucumber diet is sometimes prescribed for pancreatitis, when a person eats 7 kg of cucumbers in a week, this unloads the pancreas and prevents the inflammatory process in it. Again, let's talk about the fact that everything is useful 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 boiled or stewed. Common white cabbage, which we are most familiar with, has very tough fibers, so it is forbidden to eat it raw, but after heat treatment it is also rarely eaten. And of course, don't forget that you should avoid fried vegetables. And it is better to avoid sauerkraut, because it is very irritating to the mucous membrane. Peking cabbage can sometimes be eaten raw, but any type of cabbage should be included in the diet after deterioration with caution.
Is sea kale healthy? The answer from nutritionists is yes, it is the healthiest of all types, because it contains a 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 to the people of Southeast Asia (Japan), since the enzymatic system there is different from the European system. Even on drugs in pharmacies in Japan they show that they may not help Europeans. Therefore, you should not eat seaweed during pancreatitis, especially during exacerbation. This is unlike other types of cabbage, this product is closer to mushrooms, that is, its use requires a large release of pancreatic enzymes, which will cause worsening inflammation. Therefore, seaweed, like mushrooms, is not given to children under the age of 12 (they do not have the appropriate enzymes) and they are contraindicated for pancreatitis.
What fruits can you have for pancreatitis?
It is undesirable to take all sour fruits, especially those with rough fibers, especially during exacerbations. You can eat fruit only 10 days after the onset of pancreatitis remission. In the case of chronic pancreatitis, you should also not abuse various fruits, it is enough to eat 1 allowed fruit per day. Of course, in terms of nutrient content, vitamins and minerals, they are not the same and this is why they are useful for the gland, but the presence of coarse fiber harms its function:
- You can eat: strawberries, sweet green apples, papaya, pineapple, avocado, watermelon
- You can not eat: pears, all types of citrus fruits, sour apples, peaches, plums, cherry plums, mangoes
- During remission, experiments with eating various fruits are allowed, provided they are heat treated - in a double boiler, oven.
There are certain rules when and how to eat fruits with pancreatitis:
- Allowed fruits should be chopped, ground, and crushed as cleanly as possible.
- Best eaten after baking in the oven or steamer
- You should not eat more than one fruit per day
- You should know exactly the list of permitted and prohibited fruits and know the medicines to take if you accidentally eat an unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas, without aggravating pancreatitis, can 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?
Pancreas absolutely rejects any alcoholic drink. Of all the organs of the gastrointestinal tract, this gland is most susceptible to the toxic effects of alcohol. Unlike the liver, it does not have enzymes 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 long merry feast.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, which leads to serious functional, anatomical destruction of the pancreas. And as you know, unlike the liver, this gland is not fully restored. And with each intake of alcohol, the formation of a focus of fibrosis develops, which basically means that the pancreas is not only inflamed, but rots.
So, what can you not eat if you have pancreatitis?
Fatty foods
Pancreas does not like fatty foods, smoked foods, foods with high protein or fat content.
meat. Therefore, fatty meat (pork, duck, goose), especially kebabs made from it, cuts, sausages, boiled meat and canned food should be excluded.fish. Fatty fish - sturgeon, salmon, trout, salmon, herring, sprat, mackerel, catfish, as well as caviar and canned fish, salted and smoked fish are also excluded from the diet.sauce. According to gastroenterologists, it is difficult to find a product more dangerous for the pancreas than rich bone broth, aspic. And many people try to bring strong chicken soup to the hospital to improve their health. This is a big mistake!
Products that contain artificial colors, flavors, preservatives
They also do not save the pancreas. On the shelves of our supermarkets there are practically no products without the chemical additives listed above, so recently the number of patients with pancreatitis to varying degrees of severity has been increasing. It becomes very scary for children, because they also consume large quantities of harmful chemical products called "children's yogurt" (filled with preservatives, seasonings and flavor enhancers), children's smoked sausages, "children's sausages"- by definition there cannot be any children's sausages , Children cannot eat such food at all! ! ! And then we wonder why a 10-year-old child has pancreatitis?
dairy
Layered cheese curds, fatty cottage cheese, cheese, especially smoked and salty, should not be eaten. Ice cream is also contraindicated, especially since recently it is made not from natural butter, milk and cream, but from palm oil, dry cream and milk, which goes through several stages of a chemical process, which makes it very difficult for the glands when the product enters thein the body. organisms.
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 prohibited drinks, especially on an empty stomach. Strongly brewed tea and bread kvass are also harmful to variable glands. Many manufacturers of soluble chicory claim that this drink is almost a cure and can be drunk for gastritis, pancreatitis, and cholecystitis. In terms of its effect on the gastrointestinal tract, soluble chicory is as dangerous as coffee, therefore, when following a diet for pancreatitis, it should be excluded or consumed only in very rare cases, not on an empty stomach, listen to your feelings; if there is some discomfort after eating it, you should throw it away altogether.
sweets - sweets, baked goods, chocolate - very strain the pancreas.Eggs. Boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radish, garlic, horseradish, lettuce, sorrel, mushrooms, beans, bell pepper, onion (raw) should not be eaten in any form. The remaining vegetables are very necessary, but only in boiled or steamed form.Snacks. Such food is dangerous even for a completely healthy person, and if we are talking about pancreatitis, then there are ready-made "poisonous" products - this is a direct path to a hospital bed.fruits. There are also restrictions here; they should not be eaten raw, especially sour ones (citrus fruits, cranberries) and too sweet ones - grapes, figs, persimmons.
Proper nutrition - what can you eat if you have pancreatitis?
Everyone knows that the pancreas likes during an exacerbation - hunger, cold and peace. And beyond exacerbations, it is very important how much, how often, when and what a person with pancreatitis eats.
It is very important to follow certain rules and diets, the most important thing is to eat small amounts of food, quite often, preferably every 3 hours, limit food intake at night and, of course, not to eat certain types of food.
Compliance with these rules is the key to long-term remission and a full life with pancreatitis. What can you eat with pancreatitis without damaging 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 beans - just baked or boiled - are useful. It is very easy and healthy to make vegetable casserole or vegetarian soup. White cabbage should be limited and eaten only in boiled or stewed form.
- Fruits:strawberries, sweet apples, pineapples, avocados in the form of compote, jelly, it is very good to make fruit puree from apricots, and you can eat no more than 1 piece of melon or watermelon.
- milk:Many people do not know if milk is ok for pancreatitis? It is not recommended to take milk in its pure form, because its breakdown requires enzymes, which are already insufficient for pancreatitis; after 14 years, no one can drink milk in its pure form, except rarely and separately from other products. In pancreatic disease, whole milk can cause both diarrhea and flatulence. Among dairy products, kefir, yogurt, and other liquid fermented milk products are considered the most ideal. You can also eat cottage cheese, but the fat content is up to 9%. It is very easy and quick to make various casseroles and lazy dumplings from cottage cheese. Sour cream and fatty, sharp hard cheeses are excluded, so only cheeses like Gouda and mozzarella remain.
- meat:with meat products everything is clear - no fat, therefore, all that remains is lean beef, chicken (without skin), turkey, stewed rabbit meat, you can also make soups with meatballs, soufflés and steamed cutlets.
- Eggs:no more than 2 eggs per week and only soft-boiled, it is very difficult for the pancreas to handle the yolk, so it is better to eat only the white.
- Porridge, cereal, pasta:This is the most diet food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and cereals are excluded as very difficult to digest grains. Pasta can also be eaten for pancreatitis, with the addition of a little sunflower or butter.
- fish:Also, fish should be lean, boiled or baked; you can make steam cut. Pike perch, pollock, cod, and pike are very useful.
- Bread:Brown bread is one of the forbidden foods, so you can eat white bread, preferably dry; cookies can only be cookies, sugar-free and sugar-free.
- sugar:Some people can eat without sweet food; with pancreatitis, sugar is a strong irritant, but sometimes you can make your own jelly. But you should leave all store-bought sweets; in addition to sugar, it contains harmful chemicals that are very difficult for the pancreas to cope with. You can occasionally treat yourself to marmalade, marshmallows or marshmallows.
- Drinks:Only weakly brewed tea, preferably green, compote, jelly, decoction of medicinal herbs, rose hips. Mineral water is very useful for this disease.
Question answer:
Is it possible to have goat milk?
Goat's milk is a rather difficult product for the pancreas. Because its fat content is two and a half times more than beef. People who traditionally use this product as their main product have an enzymatic system that is more adapted to its use. But if you're not used to it, goat's milk can cause indigestion. Therefore, when introducing types of milk and products made from them, one must be careful, start with small portions and gradually increase them with normal tolerance. The absence of nausea, loose or thick stools will indicate that the product is being digested normally.
Is it possible to have matsoni?
Matsoni, like other fermented milk products, is not contraindicated for chronic pancreatitis. The point is the fat content of the milk from which it (it) is prepared. Too rich milk is certainly not desirable.
Is it possible to make yeast baked goods, puff pastry, and gingerbread?
During the period of exacerbation of pancreatitis, yeast baking is not indicated. During remission, yeast baked goods should be dosed judiciously. Puff pastry is not contraindicated. In gingerbread cookies, the first place is the level of sweetness (in case of problems with insulin and pancreatitis) and the glaze it protects. Cheap confectionery products often use glazes based on refractory fats (coconut and palm oil), which do not improve pancreatic health.
Can I eat cinnamon?
Cinnamon is a spice sold only in specialty stores or carried by distributors. What we buy in bags at the big supermarket is a cheaper option called cassia. This pseudo cinnamon has been associated with stories that help with type 2 diabetes. This is not actually the work of the pancreas, but the response of insulin receptors in the tissue. There is no good evidence of this anywhere. In general, cinnamon increases the production of gastric juice, as a stimulant, so it is not recommended for exacerbation of 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 for pancreatitis if boiled or boiled. It is better not to eat these fried foods.
Is it possible to have processed cheese, coffee, chocolate, bread?
It is advisable to choose processed cheese without spicy seasonings and a large amount of emulsifiers and preservatives. You should not use chocolate excessively. You can eat bread. Coffee is not recommended frequently and during exacerbations. The solution is to add milk and rarely drink in small cups.
Can I have brown and white rice and olive oil?
Can eat rice. Add olive oil to salads and other dishes as usual. Without fanaticism.
Is it possible to pick cabbage?
Cabbage brine is contraindicated as a hangover remedy because alcohol destroys the pancreas. In general, outside the exacerbation of pancreatitis if there is no inflammation in the stomach or duodenum, a few spoons of salt water should not harm, but drinking it in a glass is not recommended.
salted lard?
Fat puts more pressure on the liver and bile ducts. In this case, the pancreas may have a second problem. Against the background of remission of pancreatitis, you can eat lard, but in reasonable portions a few pieces a day several times a week.