The pancreas is a very small but capricious gland, and if everything is not right with it, then a person has to refrain from many of his favorite foods and products. In order not to lead to acute pancreatitis or exacerbation of chronic pancreatitis, you should follow a diet commonly called the 5P table.
What can you eat if you have pancreatitis? We will talk about it in this article. Let's consider the most frequently asked questions about prohibited and permitted foods for this 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 delicate fibers that are 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 the acute process or even a slight exacerbation of chronic pancreatitis. You should certainly not eat unripe tomatoes, which contain many toxins that burden all the organs of the digestive system.
But fresh juice from ripe tomatoes (not from industrial bags, but squeezed from fresh tomatoes) proves 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 baked. But moderation should be observed in everything, abuse of even healthy food can affect the functioning of the pancreas.
Tomato juice is choleretic, i. e. choleretic. If you drink it during an exacerbation of chronic pancreatitis, then, most likely, it will be even worse, because secondary reactive pancreatitis will develop, as in cholelithiasis. Excess bile will be expelled into the common duct of the pancreas, 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 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 Table 5P indications 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 drinks) and certain medications.
cucumbers
If you have pancreatitis, can you eat cucumbers or not? Cucumbers, although they are 90% water, are actually very rich in microelements and vitamins. You can eat cucumbers for this disease, moreover, a cucumber diet is sometimes prescribed for treatment of pancreatitis, when a person eats 7 kg of cucumbers per week, it relieves the pancreas and prevents inflammatory processes in it. Again, let's talk about everything being beneficial in moderation; by 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. Ordinary white cabbage, which is the most familiar to us, has very tough fibers, so it is forbidden to eat it raw, but after heat treatment it can rarely be eaten. And of course, don't forget that you should avoid fried vegetables. And it is better to avoid sauerkraut, because it irritates the mucous membrane a lot. Beijing cabbage can sometimes be eaten raw, but any type of cabbage should be introduced into the diet after deterioration with caution.
Is sea kale healthy? The nutritionist's answer is yes, it is the healthiest of all types, because 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 residents of Southeast Asia (Japan), since the enzyme systems there are different from European ones. Even on drugs in pharmacies in Japan they state that they may not help Europeans. Therefore, 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 cause inflammation to worsen. Therefore, seaweed, as well as mushrooms, are not given to children under the age of 12 (they do not have the appropriate enzymes) and are contraindicated in pancreatitis.
What fruits can you eat for pancreatitis?
It is undesirable to consume all sour fruits, especially those with coarse 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 of the allowed 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 fibers harms its functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapple, avocado, watermelon
- You cannot eat: pears, all types of citrus fruits, sour apples, peaches, plums, cherries, mangoes
- During remission, experiments with eating various 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:
- Allowed fruit should be chopped, ground and shredded as best as possible.
- It is best consumed after baking in the oven or steaming
- You should not eat more than one fruit a day
- You should know exactly the list of allowed and forbidden fruits and know the medicines to 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 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?
The pancreas categorically rejects any 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 have an enzyme to break down alcohol. It is known that more than 40% of all cases of acute pancreatitis occur after heavy drinking, greasy 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 is not completely restored. And with each intake of alcohol, 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?
High-fat food
The pancreas really does not like fatty foods, smoked foods, foods with high protein or fat content.
Meat. Therefore, you should exclude fatty meat (pork, duck, goose), especially kebabs made from them, cutlets, sausages, stewed meat and canned food.A 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.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 soup 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. There are practically no products on the shelves of our supermarkets without the above-mentioned chemical additives, so recently the number of people suffering from pancreatitis of various degrees of severity is constantly increasing. It becomes especially scary for children, because they also consume large quantities of harmful chemical products called "children's yogurt" (filled with preservatives, aromas and flavor enhancers), children's smoked sausages, "children's sausages" - by definition, there can be no children's sausages, children would neverthey should eat such food! ! ! And then we wonder why a 10-year-old child has pancreatitis?
Milk products
You should not consume glazed cheeses, fatty varieties of fresh cheese, cheeses, especially smoked and salty ones. 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 stages of chemical processes, which makes it very difficult for the gland to work when such products enter 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 colors, sweeteners, flavors and even preservatives. As for coffee and cocoa, they are also forbidden drinks, especially on an empty stomach. Strongly brewed tea and bread kvass are also harmful to the caprician gland. Many manufacturers of soluble chicory claim that this drink is almost a panacea and can be drunk for gastritis, pancreatitis and cholecystitis. According to its effect on the gastrointestinal tract, soluble chicory is as harmful as coffee, therefore, when you are on a diet for pancreatitis, it should be excluded or consumed only in very rare cases, not on an empty stomach, listening to your feelings; if there is even the slightest discomfort after consumption, you should throw it away.
Confectionery products - sweets, pastries, chocolate - put a lot of strain on the pancreas.Eggs. Hard-boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radish, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, peppers, onions (raw) cannot be eaten in any form. The remaining vegetables are very necessary, but only in boiled or steamed 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 a hospital bed.Fruits. Here too there are restrictions, you cannot eat raw, especially sour (citrus, cranberries) and too sweet - 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. Even outside of 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, 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, best 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, pineapple, avocado in the form of compote, jelly, it is especially good to make fruit porridge from apricots, and you can eat no more than 1 piece of watermelon or melon.
- Milk:Many people do not know if milk is good for pancreatitis? It is not recommended to consume milk in its pure form, because its decomposition requires enzymes, which are already insufficient for pancreatitis. After 14 years, no one should drink milk in its pure form, except rarely and separately from other products. In pancreatic disease, whole milk can also cause diarrhea and flatulence. Among dairy products, kefir, yogurt and other liquid fermented milk products are considered the most ideal. You can also eat fresh 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 excluded, leaving only cheeses like Gouda and mozzarella.
- meat:with meat products, everything is clear - there is no fat, therefore, only lean veal, chicken (without skin), turkey, boiled rabbit meat, you can also make soup with meatballs, souffle 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 yolks, so it is better to eat only the whites.
- Porridges, cereals, pasta:This is the most diet food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and millet are excluded as grains that are very difficult to digest. Pasta can also be eaten with pancreatitis, with the addition of a small amount of sunflower or butter.
- fish:Also, the fish should be lean, boiled or baked, you can make steamed cutlets. 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, and cookies can only be biscuits, unsweetened and unsweetened.
- Sugar:Few people can eat without sweet food; in pancreatitis, sugar is a strong irritant, but sometimes you can make jelly yourself. But you should give up all sweets that are bought in the store, they contain so many harmful chemicals in addition to sugar that it is very difficult for the pancreas to deal with them. It is possible to occasionally treat yourself with marmalade, marshmallows or marshmallows.
- drinks:Only lightly brewed tea, preferably green, compote, jelly, herbal decoctions, rose hips. Mineral water is very useful for this disease.
Answer to the question:
Is it possible to have goat milk?
Goat's milk is a rather difficult product for the pancreas. Because the fat content is two and a half times higher than cow's. People who traditionally use this product as their main product have enzyme systems that are more adapted to its use. But if you are not used to it, goat milk can cause indigestion. Therefore, when introducing this type of milk and its products, one should be careful, start with small portions and gradually increase them with normal tolerance. The absence of nausea, loose or mushy 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 whole point will be in the fat content of the milk from which (it) is prepared. Milk that is too rich is of course undesirable.
Is it possible to make yeast pastry, puff pastry and gingerbread?
During the period of exacerbation of pancreatitis, yeast baking is not indicated. During remission, baked goods with yeast should be dosed wisely. Puff pastry is not contraindicated. With gingerbread, the first place will be the degree of sweetness (in case of problems with insulin 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 some cinnamon?
Cinnamon is a spice sold only in specialized stores or brought by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon is associated with stories of helping with type 2 diabetes. It is not actually the work of the pancreas, but the response of the insulin receptors in the tissues. There is no decent evidence of that anywhere. In general, cinnamon increases the production of gastric juice, since it is a stimulant, so it is not recommended for exacerbations 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 they are boiled or stewed. It is better not to eat this food fried.
Is it possible to eat processed cheese, coffee, chocolate, bread?
It is recommended to choose processed cheese without hot spices and a large number of emulsifiers and preservatives. Chocolate should not be overdone. You can eat bread. Coffee is not recommended regularly and during exacerbations. The solution is to add milk and drink 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. No fanaticism.
Is it possible to pickle cabbage?
Cabbage brine is contraindicated as a hangover remedy because alcohol destroys the pancreas. In general, outside the exacerbation of pancreatitis in the absence of inflammation in the stomach or duodenum, a couple of tablespoons of brine can not harm, but it is not recommended to drink in glasses.
Salt fat?
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 fat, but in reasonable portions of several pieces a day several times a week.