The pancreas is a very small but capricious gland, and if everything is not right with it, then a person should refrain from many of his favorite dishes and products. In order not to lead to acute pancreatitis or exacerbation of chronic pancreatitis, you should adhere to 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? Regarding tomatoes, the opinions of nutritionists are divided, some believe that they are very useful because they contain fine fibers, which are so necessary for the gastrointestinal tract and remove harmful cholesterol from the blood, which is very important forthe pancreas.
Others believe that it is worth refraining from their use, especially during an acute process or even a mild exacerbation of chronic pancreatitis. You should definitely not eat unripe tomatoes, which contain many toxins that burden all the organs of the digestive system.
But fresh tomato juice made from ripe tomatoes (not juice from industrial bags, but squeezed from fresh tomatoes) turns out to be a very valuable product that stimulates the pancreas, especially when mixed with freshly squeezed carrot juice. You can also eat boiled or roasted tomatoes. But moderation must be observed in everything, 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, most likely, it will be even worse, as 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, 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 indications for table 5P for chronic pancreatitis during the recovery period after an exacerbation and outside 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, despite being 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 per week, this unloads the pancreas and prevents inflammatory processes in it. Again, let's talk about the fact that everything is useful in moderation; with excessive consumption of cucumbers, especially if they contain nitrates or, even worse, pesticides, the benefits are reduced to zero.
wrong conceptions
Is it possible to eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is better boiled or boiled. The common white cabbage, with which we are most familiar, has very strong fibers, so it is forbidden to eat it raw, but after heat treatment it can also be eaten rarely. And of course, don't forget to avoid fried vegetables. And it is better to avoid sauerkraut, as 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 a deterioration with care.
Is seaweed healthy? The answer of nutritionists is yes, it is the healthiest of all types, as 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), as the enzyme systems there are different from European ones. Even on drugs 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, 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 right enzymes) and are contraindicated for pancreatitis.
What fruits can you have for pancreatitis?
It is undesirable to consume all sour fruits, especially those with thick fibers, especially during irritations. You can eat fruit only 10 days after the start of remission of pancreatitis. In case of chronic pancreatitis, you should also not abuse different 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 are not equal, and that 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, pineapple, avocado, watermelon
- You can not eat: pears, all types of citrus fruits, sour apples, peaches, plums, cherry plums, mangoes
- During remission, experiments with eating different fruits are allowed, provided that they are treated with heat - in a double boiler, oven.
There are certain rules when and how to eat fruit with pancreatitis:
- Allowed fruits should be chopped, ground and crushed as fine as possible.
- It is best consumed after baking in the oven or steaming
- You should not eat more than one fruit a day
- You need to know exactly the list of allowed and forbidden fruits and know the medications to be taken if you accidentally eat an unwanted fruit.
Is it possible to eat strawberries and bananas with pancreatitis and why? Most nutritionists believe that the pancreas, without exacerbation of pancreatitis, is able to 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?
Pancreas categorically rejects any alcoholic drink. 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 capable of breaking down alcohol. It is known that more than 40% of all cases of acute pancreatitis occur after heavy drinking, fatty foods or a long happy feast.
In chronic pancreatitis, when you drink 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 has not been completely restored. And with each intake of alcohol, the formation of foci of fibrosis progresses, which basically means that the pancreas not only becomes inflamed, but rots.
So what should you not eat if you have pancreatitis?
Fatty food
The pancreas really does not like fatty foods, smoked foods, foods with high protein or fat content.
Meat. Therefore, fatty meat (pork, duck, goose), especially kebabs made from them, cutlets, sausages, boiled meat and canned food should be excluded.Fish. Fatty fish - sturgeon, salmon, trout, salmon, herring, pollock, 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 the 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 practically no products without the chemical additives listed above, so recently the number of patients with pancreatitis of various degrees of severity is constantly increasing. It becomes especially scary for children, because they also consume large amounts of harmful chemical products called "baby yogurt" (filled with preservatives, flavorings and flavor enhancers), smoked baby sausage, "baby sausages"- by definition there can be no baby sausages. , Children should not eat such foods at all! ! ! And then we wonder why a 10-year-old child has pancreatitis?
milkweed
Cottage cheese with glazes, fatty varieties of cottage cheese, cheeses, especially smoked and salty, should not be consumed. Ice cream is also contraindicated, especially since recently 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 forgland 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, these are also forbidden drinks, especially on an empty stomach. Strongly boiled tea and bread kvass are also harmful to the capricious gland. Many manufacturers of soluble chicory claim that this drink is almost a medicine 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 be excluded or consumed only in very rare cases, not on an empty stomach, listening to feelingsyours; if after consumption there is the slightest discomfort, you should throw it away altogether.
confectionery - sweets, baked goods, chocolate - strain the pancreas too much.Eggs. Hard-boiled eggs or fried eggs are contraindicated.Vegetables. Thick, hard and spicy vegetables such as radishes, garlic, horseradish, 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, then there are practically "poisonous" ready-made products - this is a direct path to a hospital bed.Fruits. There are also limitations here; they cannot be eaten raw, especially sour ones (citrus, cranberries) and very sweet ones - grapes, figs, dates.
Proper nutrition - what can you eat if you have pancreatitis?
Everyone knows that the pancreas loves during an exacerbation - hunger, cold and peace. And outside of an aggravation, it is very important how much, how often, when and what a person suffering from pancreatitis eats.
It is very important to follow some 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 harming this small organ?
- Vegetables:As we said, pureed cucumbers, tomatoes, preferably in juice form, broccoli, cauliflower, potatoes, carrots, zucchini, beets, green peas - only baked or boiled. It is very convenient and healthy for making vegetable casseroles or vegetarian soups. White cabbage should be limited and eaten only in boiled or boiled form.
- Fruits:strawberries, sweet apples, pineapple, avocado in the form of compote, jelly, it is especially good to make fruit puree 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, 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 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 fat content of up to 9%. It is very convenient and quick to make various casseroles and lazy cottage cheese noodles. Yogurt and hard, fatty, sharp cheeses are excluded, so only cheeses like Gouda and mozzarella remain.
- Meat:with meat products everything is clear - no fat, therefore, all that remains is lean beef, chicken (without skin), turkey, boiled rabbit meat, you can also make meatball soup, souffle and boiled cutlets insteam.
- Eggs:no more than 2 eggs a 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 dietary food. Oats, buckwheat, oatmeal and rice porridge are healthy. Barley and millet are excluded as very difficult to digest grains. 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; cookies can be just cookies, sugar-free and sugar-free.
- 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 sweets bought in the store, except for sugar, they contain such harmful chemicals that the pancreas has a hard time coping with them. It is possible to occasionally treat yourself with marmalade, marshmallows or marshmallows.
- Drink:Only weakly brewed tea, preferably green, compote, jelly, decoction of medicinal herbs, 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 very difficult product for the pancreas. Since its fat content exceeds that of the cow by two and a half times. Peoples who traditionally use this product as their main product have enzymatic systems that are better adapted to 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 the products made from it, one should be careful, start with small portions and gradually increase with normal tolerance. The absence of nausea, loose or purging stools will indicate that the product is being digested normally.
Is it possible to have matsonia?
Matson, like other fermented milk products, is not contraindicated for chronic pancreatitis. The whole matter will be in the fat content of the milk from which (it) is prepared. Too rich milk is certainly undesirable.
Is it possible to make baked goods with yeast, puff pastry and gingerbread?
During periods of exacerbation of pancreatitis, yeast fermentation is not indicated. During remission, baked goods with yeast should be dosed wisely. Puff pastry is not contraindicated. In gingerbread cookies, the degree of sweetness (in case of problems with insulin and pancreatitis) and the glaze with which they are covered will come first. 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 cinnamon?
Cinnamon is a spice sold only in specialty stores or brought by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. This pseudo-cinnamon has been associated with history 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 good evidence for this anywhere. In general, cinnamon increases the production of gastric juice, being a stimulant, so it is not recommended for pancreatitis flare-ups.
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 boiled. It is better not to eat these foods fried.
Is it possible to have processed cheese, coffee, chocolate, bread?
It is advisable to choose processed cheese without spicy spices and a large number of emulsifiers and preservatives. You should not overdo it with chocolate. You can eat bread. Coffee is not advised regularly and during irritations. The solution is to add milk and drink rarely in small glasses.
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 cure because alcohol destroys the pancreas. In general, outside the exacerbation of pancreatitis in the absence of inflammation in the stomach or duodenum, two spoons of brine cannot harm, but drinking it in glasses is not recommended.
Salted pork?
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 of several pieces a day several times a week.