The pancreas is a very small but capricious gland, and if everything is not in order, then a person will have to abstain from many of his favorite dishes and products. In order not to end up in acute pancreatitis or exacerbation of chronic pancreatitis, you should adhere to a diet which is usually called the 5P table.
What can you eat if you have pancreatitis? We will talk about this in this article. Let's look at the most frequently asked questions regarding prohibited and permitted foods for this disease.
What vegetables can you eat?
Tomato
Can you eat tomatoes if you have pancreatitis? Regarding tomatoes, the opinions of nutritionists are divided, some argue that tomatoes are very useful because they contain fine fiber, which is so necessary for the digestive tract, and remove harmful cholesterol from the blood, which is very important for the pancreas.
Others believe that it is best not to use it, especially during an acute process or even a mild exacerbation of chronic pancreatitis. What is certain is that you should not consume raw tomatoes, which contain many toxins that burden all the organs of the digestive system.
However, fresh tomato juice made from ripe tomatoes (not juice from industrial bags, but juice from fresh tomatoes) turns out to be a very valuable product in stimulating the work of the pancreas, especially when mixed with fresh carrot juice. You can also eat tomatoes boiled or grilled. However, in everything, moderation must be observed, abuse of even healthy food can affect the functioning of the pancreas.
Tomato juice is choleretic, that is, choleretic. If you drink it during an exacerbation of chronic pancreatitis, most likely, things will get worse, because secondary reactive pancreatitis will develop, as does gallstone disease. Excess bile will be excreted into the common pancreatic duct, where it will activate pancreatic enzymes, which will not digest food in the small intestine, but the gland itself. The result is acute pancreatitis, a gurney, an operating table for pancreatic necrosis, and then disability or death.
So, 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 of table 5P for 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 liquor) and certain medications.
cucumber
If you suffer from pancreatitis, is it okay to eat cucumbers or not? Cucumbers, although 90% water, are 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 reduces the load on the pancreas and prevents inflammatory processes in it. Once again, let's talk about the fact that everything is beneficial in moderation; with excessive consumption of cucumbers, especially if they contain nitrates or, even worse, pesticides, their benefits are reduced to zero.
Cabbage
Is it OK to eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is better to boil or stew them. The ordinary white cabbage that we are most familiar with has very tough fibers so it is forbidden to eat it raw, but after heating it is also rarely edible. And of course don't forget to avoid fried vegetables. And it is better to avoid sauerkraut, because it is very irritating to the mucous membranes. Peking cabbage can sometimes be eaten raw, but any type of cabbage should be introduced into the diet after an exacerbation with caution.
Is sea kale healthy The answer from nutritionists is yes, it is the healthiest of all types, because it contains a lot of cobalt and nickel, without which the normal functioning of the glands is impossible. Is it OK to eat seaweed if you have pancreatitis? Yes. . . only for residents of Southeast Asia (Japan), because the enzymatic system there is different from the enzymatic system in Europe. Even medicines in pharmacies in Japan show that they may not help Europeans. Therefore, you should not eat seaweed during pancreatitis, especially during an exacerbation. Unlike other types of cabbage, this product is more similar to mushrooms, so its use requires a large-scale release of pancreatic enzymes which will worsen inflammation. Therefore, seaweed, like mushrooms, is not given to children under 12 years of age (they do not have the appropriate enzymes) and is contraindicated in pancreatitis.
What fruits can you eat for pancreatitis?
It is undesirable to consume all sour fruits, especially those with coarse fiber, especially during an exacerbation. You can eat fruit only 10 days after the start of pancreatitis remission. In chronic pancreatitis, various fruits should also not be abused, just eat 1 permitted fruit per day. Of course, in terms of nutritional content, vitamins and minerals are incomparable and this is why they are beneficial for the glands, but the presence of coarse fiber impairs their 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 periods of remission, experiments with eating various fruits are allowed, provided they are heat treated - in a double boiler, oven.
There are certain rules for when and how to eat fruit with pancreatitis:
- Allowed fruit should be chopped, ground and crushed as thoroughly as possible.
- Best consumed after baking in the oven or steamer
- You should not eat more than one fruit per day
- You must know exactly the list of permitted and prohibited fruits and know the medicines you should take if you accidentally eat unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas, without exacerbating pancreatitis, is able to cope with strawberries in small quantities, but everything is individual. It's best 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 most susceptible to the toxic effects of alcohol. Unlike the liver, the liver does not have enzymes that are able to break down alcohol. It is known that more than 40% of cases of acute pancreatitis occur after drinking a lot of alcohol, fatty snacks or a long fun party.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, leading to serious functional and anatomical damage to the pancreas. And as you know, unlike the liver, this gland has not fully recovered. And with each intake of alcohol, the formation of foci of fibrosis develops, which basically means that the pancreas is not only inflamed, but also rotted.
So, what should you not eat if you have pancreatitis?
Fatty foods
The pancreas really doesn't like fatty foods, smoked foods, foods with high protein or fat content.
- Meat.Therefore, fatty meat (pork, duck, goose), especially kebabs, cutlets, 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, salted and smoked fish are also excluded from the diet.
- broth.According to gastroenterologists, it is difficult to find a product more harmful to the pancreas than rich bone broth, 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 colors, flavors, preservatives
They also do not spare 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 of varying degrees of severity has been steadily growing. This becomes especially scary for children, because they also consume large amounts of dangerous chemical products called "children's yoghurts" (filled with preservatives, flavorings and flavor enhancers), children's smoked sausages, "children's sausages" - by definition, children's sausages should not exist. , Children should not eat such food at all! ! ! Then we wonder why a 10 year old child suffers from pancreatitis?
Dairy products
Layered cheese curds, fatty types of cottage cheese, cheese, especially smoked and salted, should not be consumed. Ice cream is also contraindicated, especially now that ice cream is made not from natural butter, milk and cream, but from palm oil, dry cream and milk, which go through several stages of chemical processing, making it very difficult for the glands when these products enter the bodyorganism.
Drink
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. Meanwhile, coffee and chocolate are also prohibited drinks, especially on an empty stomach. Strongly brewed kvass tea and bread are also harmful to capricious glands. Many manufacturers of soluble chicory claim that this drink is almost a panacea and can be drunk for stomach ulcers, pancreatitis and cholecystitis. In terms of its effect on the digestive tract, soluble chicory is as dangerous as coffee, therefore, when following a diet for pancreatitis, chicory should be excluded or consumed only in very rare cases, and not on an empty stomach, listening to your feelings; if there is the slightest discomfort after consuming it, it is best to throw it away altogether.
- confectionery- sweets, baked goods, chocolate - put a lot of stress on the pancreas.
- Egg.Boiled or fried eggs are contraindicated.
- Vegetables.Coarse, tough and spicy vegetables such as radishes, garlic, horseradish, lettuce, sorrel, mushrooms, beans, bell peppers, onions (raw) should not be eaten in any form. The rest of the vegetables are indispensable, but only boiled or steamed.
- Fast food.Such food is dangerous even for absolutely healthy people, and if we talk about pancreatitis, then there are ready-made products that are practically "poisonous" - 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 loves during an exacerbation - hunger, cold and peace. And beyond exacerbations, 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 eating patterns, the most important thing is to eat small amounts, quite often, preferably every 3 hours, limit food intake in the evening and of course not 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 pureed form, tomatoes, preferably in the form of juice, broccoli, cauliflower, potatoes, carrots, zucchini, beets, green beans - just baked or boiled - are useful. It's easy 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, avocados in the form of compote, jelly, it is very good to make fruit puree from apricots, and you should not eat more than 1 piece of watermelon or melon.
- Milk:Many people don't know is milk good for pancreatitis? It is not recommended to consume milk in pure form, because its breakdown requires enzymes that are already insufficient for pancreatitis, after 14 years, no one should drink milk in pure form, unless rarely and separately from other products. In pancreatic disease, whole milk can cause 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 its fat content is up to 9%. It is very easy and quick to make various casseroles and lazy dumplings from cottage cheese. Fatty, tangy sour cream and hard cheeses are not included, so only cheeses like Gouda and mozzarella remain.
- Meat:with meat products everything is clear - lean, so all that remains is lean veal, chicken (without skin), turkey, boiled rabbit meat, you can also make soup with meatballs, soufflé and steamed cutlets.
- Egg: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 just eat the whites.
- Porridge, cereal, pasta:This is the most dietary food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and millet are not among the cereals that are very difficult to digest. Pasta can also be eaten for pancreatitis, with the addition of a little sunflower or butter.
- Fish:In addition, the fish should be lean, boiled or baked, you can make steamed cutlets. Pike perch, pollock, cod and pike are especially beneficial.
- Bread:Brown bread is one of the prohibited foods, so you can eat white bread, preferably dry, dry cakes can only be biscuits, unsweetened and unsweetened.
- Sugar:Few people can eat without sweets; with pancreatitis, sugar is a strong irritant, but sometimes you can make jelly yourself. But you need to give up all store-bought sweets, in addition to sugar, they contain harmful chemicals that are very difficult for the pancreas to cope with. Sometimes you can pamper yourself with marmalade, marshmallows or marshmallows.
- Drink:Only weakly brewed tea, preferably green tea, compotes, jelly, decoctions of medicinal herbs, rose hips. Mineral water is very beneficial for this disease.
Question answer:
Can I drink goat's milk?
Goat's milk is a product that is quite difficult for the pancreas. Because its fat content exceeds that of beef by two and a half times. Communities that traditionally use this product as their main product have an enzymatic system that is more adapted to its use. However, if you are not used to it, goat's milk can cause digestive disorders. Therefore, when introducing this type of milk and products made from it, you must be careful, starting with small portions and gradually increasing with normal tolerance. The absence of nausea, loose or pale stools indicates that the product is being digested normally.
Is it possible to have matsoni?
Matsoni, like other fermented milk products, is not contraindicated in chronic pancreatitis. The bottom line is the fat content of the milk used to prepare it. Milk that is too rich is of course undesirable.
Is it possible to make yeast baked goods, puff pastry and gingerbread?
During periods of exacerbation of pancreatitis, baking yeast cakes is not indicated. During periods of remission, yeast baked goods should be dosed judiciously. Puff pastry is not contraindicated. In gingerbread cookies, the first thing is the level of sweetener (in case of problems with insulin and pancreatitis) and the icing that covers it. Cheap confectionery products often use glazes based on refractory fats (coconut and palm oil), which do not improve pancreatic health.
Can I have some cinnamon please?
Cinnamon is one of the spices that is only sold in specialty stores or carried by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon has been linked to stories that it helps with type 2 diabetes. This is not actually the work of the pancreas, but rather the response of 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 exacerbation of pancreatitis.
Is it OK 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 boiled. This food should not be eaten fried.
Is it OK to process cheese, coffee, chocolate, bread?
It is recommended to choose processed cheeses without spicy seasonings and many emulsifiers and preservatives. You should not use chocolate excessively. You can eat bread. Coffee is not recommended regularly and during exacerbations. The solution is to add milk and rarely drink it in a small cup.
Can I have brown and white rice and olive oil please?
You can eat rice. Add olive oil to salads and other dishes as usual. No fanaticism.
Is it possible to pickle cabbage?
Cabbage brine is contraindicated as a hangover remedy because alcohol damages the pancreas. In general, outside of an exacerbation of pancreatitis in the absence of inflammation of the stomach or duodenum, a few tablespoons of salt water will not do any 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 be secondarily affected. Against the background of remission of pancreatitis, you can eat lard, but in reasonable portions, several pieces a day, several times a week.