The pancreas is a very small but capricious gland, and if everything is not in order with it, then a person should give up his favorite foods and products. To avoid acute pancreatitis or exacerbation of chronic pancreatitis, you should follow a diet called the 5P schedule.
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 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 avoiding using them, especially during an acute process or a mild exacerbation of chronic pancreatitis. You should definitely not eat unripe tomatoes, which contain many toxins that burden all organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (squeezed from fresh tomatoes, not juice from industrial bags) is a valuable pancreatic stimulant, especially when mixed with freshly squeezed carrot juice. You can also eat cooked or baked tomatoes. But moderation should be observed in everything, even the abuse of healthy foods can affect the work of the pancreas.
Tomato juice is choleretic. If you drink during an exacerbation of chronic pancreatitis, it will probably be worse, because secondary reactive pancreatitis will develop, as in cholelithiasis. Excess bile will drain into the common pancreatic duct, where it will activate pancreatic enzymes, which will digest the gland itself rather than food in the small intestine. As a result, acute pancreatitis, gurney, operating table for pancreatic necrosis, and then either disability or death.
So, tomatoes and tomato juice are allowed in the remission of chronic pancreatitis, if there is no pain, no swelling according to ultrasound, no increase in amylase, diastase, elastase and other inflammatory symptoms.
All recommendations in this article are indications for the 5P table for chronic pancreatitis after an exacerbation and in the recovery period outside of an exacerbation. To prevent acute pancreatitis, you should not drink alcohol (especially strong drinks) and certain medications.
cucumber
If you have pancreatitis, can you eat cucumber or not? Despite the fact that cucumber is 90% water, it is actually very rich in trace elements and vitamins. You can eat cucumbers for this disease, moreover, a cucumber diet is sometimes prescribed for pancreatitis, when a person eats 7 kg of cucumbers per week, it empties the pancreas and prevents inflammatory processes there. Again, let's talk about everything being moderately useful; with excessive consumption of cucumbers, especially if they contain nitrates or, 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 they are better stewed or boiled. The common white cabbage that we are most familiar with has very tough fiber, so it is forbidden to eat it raw, but it can be eaten rarely even after heat treatment. Of course, remember 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 included in the diet after careful sharpening.
Is sea kale healthy? The answer of 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 for residents of Southeast Asia (Japan), because the enzymatic systems there are different from European systems. Even on drugs in pharmacies in Japan, they show that they cannot help Europeans. Therefore, seaweed should not be eaten during pancreatitis, especially during an exacerbation. Unlike other types of cabbage, this product is closer to mushrooms, which means that its use will require a massive release of pancreatic enzymes, which will cause inflammation to worsen. Therefore, seaweed, like mushrooms, is not given to children under 12 years old (they do not have the appropriate enzymes) and is contraindicated for pancreatitis.
What fruits can be 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 onset of remission of pancreatitis. During chronic pancreatitis, you should also not abuse various fruits, it is enough to eat 1 of the allowed fruits per day. Of course, they have no equal in terms of the content of nutrients, vitamins and minerals, and therefore they are useful for the gland, but the presence of coarse fiber harms its functioning:
- 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
- Experiments with eating various fruits during remission are allowed, provided that they are treated with heat - in a double boiler, in the oven.
There are certain rules when and how to eat fruits with pancreatitis:
- Allowed fruits should be chopped, ground and crushed as thoroughly as possible.
- It is best consumed after cooking in the oven or steaming
- Do not eat more than one fruit per day
- You should know exactly the list of allowed and forbidden fruits and know the medicines to be taken in case you accidentally eat unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas can cope with a small amount of strawberries without exacerbation of pancreatitis, but everything is individual. It is better to avoid eating bananas.
Is it possible to drink alcohol if you have pancreatitis?
The pancreas strongly 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 contain enzymes 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 merry long party.
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 fibrotic foci progresses, which means that the pancreas is not only inflamed, but also decays.
So what should you not eat if you have pancreatitis?
Fatty food
The pancreas really doesn't like fatty foods, smoked foods, or foods high in protein or fat.
Meat. Therefore, fatty meats (pork, duck, goose), especially kebabs, cutlets, sausages, cooked meats and preserves prepared from them should be excluded.Fish. Fatty fish - sturgeon, salmon, trout, salmon, herring, flounder, mackerel, catfish, as well as caviar and canned fish, salted and smoked fish are excluded from the diet.broths. According to gastroenterologists, it is difficult to find a product more harmful to the pancreas than aspic, a rich bone broth. 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. There are practically no products on the shelves of our supermarkets without the chemical additives listed above, so recently the number of patients with pancreatitis of various degrees of severity is constantly increasing. This is especially scary for children, because they also consume large amounts of harmful chemicals (filled with preservatives, sweeteners and flavor enhancers) called "kids yogurt", smoked sausages, "kids sausages" - which by definition cannot be children's sausages. . , Children should never eat such foods! ! ! And then I wonder why a 10-year-old child has pancreatitis.
Dairy products
Glazed cheese curds, fatty types of curds, cheeses, especially smoked and salted ones, should not be consumed. Ice cream is also contraindicated, especially recently, it is made not from natural fat, milk and cream, but from palm oil, dry cream and milk, which has undergone several stages of chemical processes, which makes it very difficult for the gland. such products enter the body. organism.
Drinks
As for drinks, the pancreas really does not like soda and lemonade, which cause bloating and are generally 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 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, so when following a diet for pancreatitis, it should be excluded or only in very rare cases, not on an empty stomach, but by listening to your feelings; If you have the slightest discomfort after consumption, you should throw it away altogether.
Confectionery - sweets, baked goods, chocolate - stress the pancreas a lot.Egg. Hard-boiled eggs or fried eggs are contraindicated.Vegetables. Rough, hard and spicy vegetables such as radish, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, bell pepper, onion (raw) cannot be eaten in any form. The rest of the 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, there are almost "poisonous" ready-made products - this is a direct path to a hospital bed.Fruits. There are also restrictions here, they cannot be eaten raw, especially sour ones (citrus fruits, cranberries) and very sweet ones - grapes, figs, dates.
Proper nutrition - what can you eat if you have pancreatitis?
Everyone knows what the pancreas loves during an exacerbation - hunger, cold and peace. And outside of exacerbations, how much, how often, when and what a person with pancreatitis eats is very important.
It is very important to follow certain rules and diet, the main thing is to eat small amounts of food, often enough, preferably every 3 hours, to limit food intake at night and, of course, not to eat certain types of food.
Following 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, pumpkin, beets, green peas - only cooked or boiled - are useful. Making vegetable stews or vegetarian soups is very convenient and healthy. White cabbage should be limited and eaten only in boiled or baked form.
- Fruits:it is especially good to make fruit puree from strawberries, sweet apples, pineapple, compote, avocado in jelly, apricots, and you can eat 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, because its breakdown requires enzymes that are no longer sufficient for pancreatitis; After 14 years, no one should drink milk in its pure form on rare occasions and separately from other products. In diseases of the pancreas, whole milk can cause both diarrhea and constipation. 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 convenient and quick to prepare various stews and lazy pieces from cottage cheese. Sour cream and fatty, sharp hard cheeses are excluded, so only cheeses like Gouda and mozzarella remain.
- Meat:everything is clear with meat products - there is no fat, so lean veal, chicken (without skin), turkey, boiled rabbit remains, and you can also make soup with meatballs, souffles and steamed cutlets.
- Egg:no more than 2 per week and only soft-boiled eggs, it is very difficult for the pancreas to control the yolk, so it is better to eat only the white.
- Porridge, cereal, pasta:It is the most nutritious food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and millet are excluded as cereals that are too difficult to digest. Pasta can also be eaten for 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. Pike perch, pollock, cod and pike are very useful.
- Bread:Brown bread is one of the prohibited foods, so you can eat white bread, preferably dried, and cookies can only be biscuits, without sugar and without sugar.
- Sugar:Few people can eat without sweet foods; with pancreatitis, sugar is a strong irritant, but sometimes you can make jelly yourself. But you should give up all the sweets bought in the store, in addition to sugar, they contain so many harmful chemicals that it is very difficult for the pancreas to cope. Sometimes it is possible to treat yourself with marmalade, marshmallows or marshmallows.
- Drinks:Only weakly brewed tea, preferably green, compote, jelly, decoctions of medicinal plants, hips. Mineral water is very useful for this disease.
Question and answer:
Can it be goat milk?
Goat's milk is a very difficult product for the pancreas. Because its fat content is two and a half times more than that of a cow. People who have traditionally used this product as a staple have enzymatic systems that are more adapted to its use. But if you're not used to it, goat milk can cause digestive upset. Therefore, when introducing this type of milk and products made from it, it is necessary to be careful, start with small portions and gradually increase with normal tolerance. The absence of nausea, loose or pasty stools will indicate that the product is being digested normally.
Is it possible to do Matsoni?
Matsoni, like other fermented milk products, is not a contraindication for chronic pancreatitis. The whole point will be in the fat content of the milk from which it is prepared. Too rich milk, of course, is undesirable.
Is it possible to make baked goods, puff pastry and gingerbread with yeast?
Yeast baking is not indicated during the exacerbation of pancreatitis. During remission, yeast baked products should be dosed wisely. Puff pastry is not contraindicated. In gingerbread cookies, the first thing will be the degree of sweetness (in case of problems with insulin and pancreatitis) and the juice in which they are covered. Cheap confectionery often uses a glaze based on refractory oils (coconut and palm oils) that do not improve pancreatic health.
Can I have cinnamon?
Cinnamon is a spice sold only in specialized stores or supplied by distributors. It is a cheaper option called cassia, which we buy in bags in hypermarkets. 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 the response of the insulin receptors in the tissues. There is no decent proof of this anywhere. In general, cinnamon increases the production of gastric juice, is a stimulant, so it is not recommended for exacerbation of pancreatitis.
Is it possible to eat liver - stomach, heart, liver?
Liver (heart, stomach), as well as liver-related products, boiled or cooked, are not contraindicated for pancreatitis. It is better not to eat these foods when they are fried.
Can it be processed cheese, coffee, chocolate, bread?
It is advisable to choose processed cheese without spicy seasonings and many emulsifiers and preservatives. You should not use too much chocolate. You can eat bread. Coffee is not recommended 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. As always, add olive oil to salads and other dishes. Without fanaticism.
Is it possible to make sauerkraut?
Because alcohol destroys the pancreas, cabbage brine is contraindicated as a hangover treatment. In general, in the absence of inflammation of the stomach or duodenum, a few spoons of salt water will not do any harm, except for the exacerbation of pancreatitis, but it is not recommended to drink it in glasses.
Salted lard?
Fat overloads the liver and bile ducts. In this case, the pancreas may suffer secondary. Against the background of remission of pancreatitis, you can eat lard, but in reasonable portions, several times a week.