The pancreas is a very small, but capricious gland, and if everything is not right with it, then a person must refrain from many favorite foods and products. In order not to lead to acute pancreatitis or exacerbation of chronic pancreatitis, you need to follow a diet, commonly called the 5P table.
What can you eat if you have pancreatitis? This is what we will talk about in this article. Let's take a look at the most frequently asked questions about prohibited and permitted foods for the disease.
What vegetables can you eat?
Tomato
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 fine fiber, which is so 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 their use, especially in case of acute processes or even mild chronic pancreatitis. In any case, you should not eat unripe tomatoes, which contain a lot of toxins that burden all the organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (not squeezed from industrial bags, but from fresh tomatoes) turns out to be a very valuable product that stimulates the functioning of the pancreas, especially when mixed with freshly squeezed carrot juice. You can eat tomatoes steamed or fried. But moderation must be observed in everything, even the abuse of 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, it is likely to get worse, as secondary reactive pancreatitis develops, as in cholelithiasis. Excess bile flows into the common pancreatic duct, where it activates pancreatic enzymes, which digest not the food in the small intestine, but the gland itself. The result is acute pancreatitis, a tourniquet, an operating table for pancreatic necrosis, and then disability or death.
Thus, tomatoes and tomato juice are allowed in remission of chronic pancreatitis, when there is no pain, no swelling on ultrasound, no increase in amylase, diastase, elastase and other inflammatory signs.
All recommendations in the article are indications of the 5P table of chronic pancreatitis during the recovery period after an exacerbation and outside of an exacerbation. To avoid acute pancreatitis, you should not drink alcoholic beverages (especially strong drinks) and certain medications.
cucumber
If you have pancreatitis, can you eat cucumber or not? Despite being 90% water, cucumbers are actually very rich in microelements and vitamins. You can eat cucumbers for this disease, and sometimes a cucumber diet is prescribed for the treatment of pancreatitis, when a person eats 7 kg of cucumbers in a week, this relieves the burden on the pancreas and prevents inflammatory processes in it. Let's talk again about everything in moderation, with excessive consumption of cucumbers, especially if they contain nitrates or worse, pesticides, the benefits are reduced to zero.
cabbage
Can you eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli and Chinese cabbage can be eaten, but they are better steamed or boiled. The traditional white cabbage we know best has very tough fibers, so it is forbidden to eat it raw, but it can rarely be eaten after heat treatment. And of course, don't forget to avoid fried vegetables. It is better to avoid sauerkraut because it strongly irritates the mucous membrane. Beijing cabbage can sometimes be eaten raw, but any type of cabbage should be carefully introduced into the diet after an exacerbation.
Is sea kale healthy? The answer of nutritionists is yes, it is the healthiest of all varieties, as it contains a very large amount of cobalt and nickel, without which the normal functioning of the gland is impossible. Can you eat seaweed if you have pancreatitis? Yes, . . . only for residents of Southeast Asia (Japan), as the enzyme systems there are different from Europeans. Even medicines in Japanese pharmacies are labeled as not necessarily helping Europeans. Therefore, you should not eat seaweed during pancreatitis, especially during an exacerbation. It is not like other cabbages, this product is closer to a mushroom, i. e. its utilization requires a massive release of pancreatic enzymes, which causes worsening inflammation. Therefore, seaweed, like mushrooms, is not given to children under the age of 12 (they do not have the right enzymes) and is contraindicated in case of pancreatitis.
What fruits can you eat against pancreatitis?
It is not desirable to eat all sour fruits, especially fruits with coarse fiber, especially during exacerbations. Fruit can be eaten only 10 days after the onset of remission of pancreatitis. Even in the case of chronic pancreatitis, you should not abuse various fruits, it is enough to eat 1 of the permitted fruits per day. Of course, they have no match in terms of their nutrient, vitamin and mineral content, which is why they are useful for the gland, but the presence of coarse fibers damages its functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapple, avocado, watermelon
- You can't eat: pears, all kinds of citrus fruits, sour apples, peaches, plums, cherry plums, mangoes
- During remission, experiments with the consumption of various fruits are allowed, provided that they are heat treated - in a double boiler, in an oven.
There are certain rules when and how to eat fruits with pancreatitis:
- Allowed fruits must be cut, ground and crushed as precisely as possible.
- It is best eaten after baking in the oven or steamer
- You should not eat more than one fruit per day
- You need to know exactly the list of allowed and forbidden fruits, and you need to know what medicines to take if you accidentally eat an unwanted fruit.
Can you eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas can cope with strawberries in small quantities without aggravation of pancreatitis, but everything is individual. Bananas are best avoided.
Can you drink alcohol if you have pancreatitis?
The pancreas categorically rejects all alcoholic beverages. Of all the organs of the gastrointestinal tract, this gland is the most sensitive to the toxic effects of alcohol. Unlike the liver, it does not contain an enzyme capable of breaking down alcohol. It is known that more than 40% of cases of acute pancreatitis occur after heavy drinking, fatty snacks or a fun, long feast.
Alcohol consumption in chronic pancreatitis increases the risk of repeated attacks of acute pancreatitis, which lead to severe functional and anatomical damage to the pancreas. And as you know, unlike the liver, this gland does not fully recover. And with each alcohol consumption, the formation of fibrosis foci progresses, which essentially means that the pancreas not only becomes inflamed, but also rots.
So what should you not eat if you have pancreatitis?
Fatty food
The pancreas really doesn't like fatty foods, smoked foods, foods with high protein or fat content.
Meat. Therefore, fatty meats (pork, duck, goose), especially kebabs made from them, slices, sausages, steamed meats 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.Meat soups. According to gastroenterologists, it is difficult to find a product more harmful to the pancreas than rich bone broth and aspic. And many people try to take strong chicken broth to the hospital to improve their health. This is a big mistake!
Products containing artificial coloring, aroma, and preservatives
The pancreas is not spared either. There are practically no products on the shelves of our supermarkets that do not contain the chemical additives listed above, so recently the number of people suffering from pancreatitis of varying severity has been steadily increasing. This becomes especially scary for children, because they consume large quantities of harmful chemical products, so-called "kids' yogurt" (filled with preservatives, aromas, flavor enhancers), children's smoked sausage, "kids' sausage" - by definition, it cannot be children's sausage. , Children should not eat such foods at all! ! ! And then we wonder why a 10-year-old child has pancreatitis?
Dairy product
Glazed cottage cheese, fatty cottage cheese, cheeses, especially smoked and salted cheeses, cannot be consumed. Ice cream is also contraindicated, especially since lately it is not made from natural butter, milk and cream, but from palm oil, dry cream and milk, which go through several chemical processes, which make it very difficult for the gland to function. such products enter the body. organization.
Drinks
As for drinks, the pancreas really does not like soda and lemonade, which cause bloating and are usually saturated with all possible colors, 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 mood gland. Many manufacturers of soluble chicory claim that this drink is almost a panacea and can be consumed for gastritis, pancreatitis and cholecystitis. Soluble chicory is just as harmful as coffee in terms of its effect on the gastrointestinal tract, so it should be excluded when following a pancreatitis diet, or it can only be consumed very rarely, not on an empty stomach, listening to your feelings; if even the slightest discomfort occurs after consuming it, it must be thrown away.
Confectionery - sweets, baked goods, chocolate - puts a lot of strain on the pancreas.Egg. Hard-boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radishes, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, bell peppers, onions (raw) cannot be eaten in any form. The other vegetables are very necessary, but only in boiled or steamed form.Fast food. Such foods are 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 a hospital bed.Fruits. Here too there are restrictions, they cannot be eaten raw, especially sour ones (citrus fruits, blueberries) 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. In addition to the exacerbation, it is very important how much, how often, when and what the person with pancreatitis eats.
It is very important to follow certain rules and diet, the most important thing is to eat small amounts of food, often enough, preferably every 3 hours, to limit the intake of food 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 in pancreatitis. What can you eat with pancreatitis without harming this small organ?
- Vegetables:As we said, cucumbers are useful in the form of puree, tomatoes, preferably in the form of juice, broccoli, cauliflower, potatoes, carrots, zucchini, beets, green peas - only fried or boiled. It is very convenient and healthy to prepare vegetable casseroles or vegetarian soups. White cabbage should be limited and consumed only in boiled or steamed form.
- Fruits:strawberry, sweet apple, pineapple, avocado candied, in the form of jelly, it is especially good to make fruit puree from apricots, and we can eat no more than 1 piece of watermelon or cantaloupe.
- Milk:Many people do not know whether milk is suitable for pancreatitis? It is not recommended to consume milk in its pure form, as it requires enzymes to break it down, which are insufficient for pancreatitis anyway. After the age of 14, no one should drink pure milk, except rarely and separately from other products. In diseases of the pancreas, whole milk can cause both diarrhea and bloating. Among dairy products, kefir, yogurt and other liquid fermented milk products are considered the most ideal. You can also eat cottage cheese, but with a maximum fat content of 9%. It is very convenient and quick to make various casseroles and loose dumplings from cottage cheese. Sour cream and fatty, sharp hard cheeses are excluded, leaving only Gouda and mozzarella cheese.
- Meat:with meat products, everything is clean - there is no fat, so only lean veal, chicken (without skin), turkey, boiled rabbit remains, we can also make soup with meatballs, soufflé and steamed slices.
- Egg:no more than 2 eggs per week and only soft-boiled, the pancreas has a very hard time handling the yolk, so it is better to eat only the white.
- Porridge, cereals, pasta:This is the most diet food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and millet are excluded from the cereals that are very difficult to digest. The pasta can also be eaten in case of pancreatitis, with the addition of a small amount of sunflower or butter.
- Fish:Also, the fish should be lean, boiled or fried; you can make steamed slices. Perch, pike, cod and pike are very useful.
- Bread:Brown bread is one of the forbidden foods, so you can eat white bread, preferably dried, cookies can only be biscuits, unsweetened and unsweetened.
- Sugar:Few people can eat without sweet foods, in the case of pancreatitis, sugar is a strong irritant, but sometimes you can make your own jelly. But you have to give up all store-bought sweets, in addition to sugar, they contain such harmful chemicals that it is very difficult for the pancreas to cope with them. It is possible to occasionally treat yourself to jam, marshmallows or marshmallows.
- Drinks:Only weakly brewed tea, preferably green, compote, jelly, herbal decoctions, rose hips. 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 its fat content is two and a half times that of the cow. Peoples who traditionally use this product as their main product have enzymatic 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 products made from it, it is necessary to proceed with caution, start with small doses and gradually increase with normal tolerance. The absence of nausea, loose or pasty stools indicates that the product is being digested normally.
Can I buy matsoni?
Matsoni, like other fermented milk products, is not contraindicated in chronic pancreatitis. The point will be in the fat content of the milk from which (it) is made. Too rich milk is of course not desirable.
Is it possible to make yeast baked goods, puff pastry, gingerbread?
Baking with yeast is not recommended during the period of exacerbation of pancreatitis. During remission, yeast-based baked goods should be dosed wisely. Puff pastry is not contraindicated. For gingerbread cookies, the amount of sweetness (in case of insulin and pancreatitis) and the glaze will be the first. Inexpensive sweets often use a glaze based on refractory fats (coconut and palm oil), which does not improve the health of the pancreas.
Can I have some cinnamon?
Cinnamon is a spice that is only sold in specialist shops or supplied by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon has been associated with stories of helping with type 2 diabetes. This is actually not 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, it can be said that cinnamon has a stimulating effect and increases the production of gastric juice, so it is not recommended in case of exacerbation of pancreatitis.
Can you eat liver - stomach, heart, liver?
Liver (heart, stomach) and liver-related products are not contraindicated in pancreatitis if they are boiled or steamed. It is better to eat these foods uncooked.
Can I have processed cheese, coffee, chocolate, bread?
It is advisable to choose bulk cheese, without spicy spices and a large number of emulsifiers and preservatives. Don't overdo the chocolate. He can eat bread. It is not advisable to drink coffee regularly and during exacerbations. The solution is to add milk and drink it rarely, in small cups.
Can I have brown and white rice and olive oil?
You can eat rice. Add olive oil to salads and other dishes as usual. Without fanaticism.
Can cabbage be pickled?
Cabbage brine is contraindicated as a hangover remedy because alcohol destroys the pancreas. In general, apart from exacerbation of pancreatitis, if there is no inflammation in the stomach or duodenum, a few spoonfuls of saline solution can do no harm, but it is not recommended to drink it in a glass.
Salted lard?
Fat puts 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, a few times a day a week.