The pancreas is a very small but capricious gland, and if everything is not in order with it, then a person has to abstain from many of his favorite dishes and products. In order not to develop acute pancreatitis or an exacerbation of chronic pancreatitis, you should adhere to a diet commonly known as the 5P table.
What can you eat if you have pancreatitis? We will talk about this in this article. Let's consider the most frequently asked questions regarding prohibited and permitted foods for this disease.
What vegetables can you eat?
Tomatoes
Can you eat tomatoes if you have pancreatitis? Regarding tomatoes, nutritionists' opinions are divided; some believe that they are very useful because they contain delicate fiber, which is so necessary for the gastrointestinal tract, and that they remove harmful cholesterol from the blood, which is very important for the pancreas.
Others believe that it is worth refraining from using them, especially during acute processes or even a mild exacerbation of chronic pancreatitis. Certainly, you should not eat unripe tomatoes, which contain many toxins that burden all organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (not juice from industrial bags, but squeezed from fresh tomatoes) is a very valuable product that stimulates the pancreas, especially when mixed with freshly squeezed carrot juice. You can also eat stewed or baked tomatoes. But, in all things, moderation should be observed; 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, probably, it will be even worse, since secondary reactive pancreatitis will develop, as with cholelithiasis. Excess bile will be thrown 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 disability or death.
Therefore, tomatoes and tomato juice are allowed in the 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 the recommendations in this article are indications for the 5P table for chronic pancreatitis during the recovery period after exacerbation and outside of exacerbation. To avoid acute pancreatitis, you should not drink alcoholic drinks (especially strong drinks) and certain medicines.
cucumber
If you have pancreatitis, can you eat cucumbers or not? Cucumbers, despite the fact that they are 90% water, are very rich in microelements and vitamins. You can eat cucumbers for this disease; in addition, for treatment, a cucumber diet is sometimes prescribed for pancreatitis, when a person eats 7 kg of cucumbers per week, this unloads the pancreas and prevents inflammatory processes there. Again, let's talk about everything being useful in moderation; with excessive consumption of cucumbers, especially if they contain nitrates or, even worse, pesticides, the benefits are reduced to zero.
Cabbage
Can you eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is better to be stewed or boiled. Regular white cabbage, which we are familiar with, has very tough fiber, so it is forbidden to eat it raw, but after heat treatment it can also be eaten rarely. And of course, don't forget that you should avoid fried vegetables. And it is better to avoid sauerkraut, since it greatly irritates the mucous membranes. Peking cabbage can sometimes be eaten raw, but any type of cabbage should be introduced into the diet after careful sharpening.
Is sea kale healthy? The answer from nutritionists is yes, it is the healthiest of all types, since it contains a very large amount of cobalt and nickel, which prevents the normal functioning of the glands. Can you eat seaweed if you have pancreatitis? Yes, . . . except for residents of Southeast Asia (Japan), since the enzymatic systems there are different from the European ones. Even for medicines in pharmacies in Japan they indicate that they may not help Europeans. Therefore, you should not eat seaweed during pancreatitis, especially during exacerbation. This is not like other types of cabbage, this product is closer to mushrooms, that is, it will require a huge release of pancreatic enzymes to use, which will make inflammation worse. Therefore, seaweeds, like mushrooms, are not given to children under 12 years of age (they do not have the appropriate enzymes) and are contraindicated for pancreatitis.
What results can you have for pancreatitis?
It is undesirable to eat all sour fruits, especially those with coarse fiber, especially during an exacerbation. You can eat fruits only 10 days after the start of remission of pancreatitis. In case of chronic pancreatitis, you should also not abuse various fruits; it is enough to eat 1 of the approved fruits per day. Of course, in terms of the content of nutrients, vitamins and minerals, they have no equal and this is why they are useful for the gland, but the presence of coarse fibers harms its functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapples, avocados, watermelons
- You can not eat: pears, all kinds of citrus fruits, sour apples, peaches, plums, cherry plums, mangoes
- During remission, experiments with eating different fruits are allowed, provided they are heat treated - in a double boiler, oven.
There are certain rules about when and how to eat fruit with pancreatitis:
- Approved fruit should be cut, ground, and crushed as thoroughly as possible.
- Best eaten after baking in the oven or steamer
- You should not eat more than one fruit a day
- You should know exactly the list of permitted and prohibited fruits and know the medications that should be taken if you accidentally eat unwanted fruits.
Can strawberries and bananas be eaten with pancreatitis and why? Most nutritionists believe that the pancreas, without worsening pancreatitis, is able to cope with strawberries in small quantities, but everything is individual. It is better to avoid eating bananas.
Can you 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 vulnerable to the toxic effects of alcohol. Unlike the liver, it does not have an enzyme that can break down alcohol. It is known that more than 40% of all cases of acute pancreatitis occur after heavy drinking, fatty snacks, or a long cheerful feast.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, resulting in functional and anatomical destruction of the pancreas. And as you know, unlike the liver, this gland is not fully restored. And with each intake of alcohol, progress is made in the formation of a focus of fibrosis, which basically means that the pancreas does not just become inflamed, but rots away.
So what should you not eat if you have pancreatitis?
Fatty food
The pancreas does not like fatty foods, smoked foods, foods with a high protein or fat content.
Meat. Therefore, fatty meat (pork, duck, goose), especially kebabs made from them, cutlets, sausages, stewed meat and canned food should be excluded.Fish. Fatty fish - sturgeon, salmon, trout, salmon, herring, salt, 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 product more harmful to the pancreas than 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, flavors, preservatives
They also do not spare the pancreas. On the shelves of our supermarkets there are almost no products without the chemical additives listed above, so recently the number of patients with pancreatitis of various degrees of severity has been steadily increasing. It becomes especially scary for children, because they also eat a large number of harmful chemical products called "children's yogurt" (filled with preservatives, flavorings and flavor enhancers), children's smoked sausages, "children's sausages" - by definitionthere can be no baby sausages. , Children should not eat such foods at all! ! ! And then I wonder why a 10-year-old child has pancreatitis?
Dairy
Glazed curds, fatty types of cottage cheese, cheeses, especially smoked and fatty ones, 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 chemical processes, making itvery difficult for the gland when such products enter the body.
drinks
As for drinks, the pancreas does not like soda and lemonade, which cause bloating and are usually saturated with all dyes, sweeteners, flavors and even preservatives. As for coffee and cocoa, these are also forbidden drinks, especially on an empty stomach. Strong 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 following a diet for pancreatitis, it should not be excluded or consumed only in very rare cases, not onempty stomach, listening to your feelings; if there is the slightest discomfort after wearing it, you should wear it out altogether.
Dessert - sweets, baked goods, chocolate - stress the pancreas.Eggs. Hard boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radish, garlic, horse radish, lettuce, sorrel, mushrooms, legumes, bell 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, finished products are almost "poisonous" - this is a direct path to a hospital bed.Results. There are restrictions here too; they cannot 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 exacerbation - hunger, cold and peace. And 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, often, preferably every 3 hours, limit food intake at night and, onOf course, certain types of foods are not eaten.
Compliance with 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 - but 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.
- Results:Strawberries, sweet apples, pineapples, avocados in the form of compote, jelly, it is especially good to make fruit purees from apricots, and you can eat more than 1 piece of watermelon or melon.
- Milk:Many people don't know if milk is ok for pancreatitis? It is not recommended to eat milk in its pure form, since its breakdown 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 diseases of the pancreas, 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 up to 9% fat content. It is very convenient and quick to make various casseroles and lazy dumplings from cottage cheese. Sour cream and fatty, sharp cheeses are excluded, so only cheese like Gouda and mozzarella remain.
- Meat:with meat products everything is clear - no fat, therefore, only lean veal, chicken (without skin), turkey, boiled rabbit meat, you can also make soup with meatballs, soufflé 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, 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 for pancreatitis, but add a small amount of sunflower or butter.
- Fish:Also, the fish should be lean, boiled or baked; you can make steamed cutlets. Perches of pike, mange, cod and pike are very useful.
- On the: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; with pancreatitis, sugar is a strong irritant, but sometimes you can make your own jelly. But you should give up all store-bought sweets; as well as sugar, they contain such harmful chemicals that it is very difficult for the pancreas to deal with them. You can treat yourself to marmalade, marshmallows or marshmallows from time to time.
- Drinks:Only weak brewed tea, preferably green, compote, jelly, decoctions of medicinal herbs, rose hips. Mineral water is very useful for this disease.
Question answer:
Can you have goat's milk?
Goat's milk is a rather difficult product for the pancreas. Since its fat content exceeds two and a half times that of a cow. People who traditionally use this product as a primary product have enzymatic systems that are more suitable for its use. But if you're not used to it, goat's milk can cause digestive upset. Therefore, when introducing this type of milk and products made from it, one must be careful, start with small portions and gradually increase them with normal tolerance. The absence of nausea, loose or pasty stools will indicate that the product is being digested normally.
Can you 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 baked goods, puff pastry, and gingerbread?
During periods of aggravated pancreatitis, yeast baking is not advised. During remission, yeast baked goods should be dispensed judiciously. Puff pastry is not contraindicated. In gingerbread cookies, the first place will be the amount of sweetening (in case of problems with insulin and pancreatitis) and the glaze they are covered with. Cheap confectionery products often use a glaze based on refractory fats (coconut and palm oils), which does not improve the health of the pancreas.
Can I have a channel?
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-channel is associated with stories that it helps with diabetes type 2. This is not really the work of the pancreas, but the response of the insulin receptors in the tissues. There is no reasonable evidence of this anywhere. In general, cinnamon increases the production of gastric juice, being a stimulant, so it is not recommended for exacerbations of pancreatitis.
Can liver be eaten - stomach, heart, liver?
Products related to 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 the fried foods.
Can cheese, coffee, chocolate, bread be processed?
It is advisable to choose a processed cheese without spicy seasoning and a large number of emulsifiers and preservatives. You should not overuse chocolate. You can eat bread. It is not recommended to make coffee 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.
Can cabbage be picked?
Cabbage brine is contraindicated as a hangover remedy because alcohol damages the pancreas. In general, outside the exacerbation of pancreatitis in the absence of inflammation in the stomach or duodenum, a few spoons of salt can not harm, but it is not recommended to drink it in glasses.
Salted lard?
Fat puts more pressure 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 pieces a day a few times a week.