The pancreas is a very small but capricious gland, and if everything is not in order, then a person needs to abstain from many of their favorite dishes and products. In order not to lead to acute pancreatitis or exacerbation of chronic pancreatitis, you should follow a diet commonly known as 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 regarding prohibited and permitted foods for this disease.
What vegetables can you eat?
Tomatoes
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 fiber, so necessary for the gastrointestinal tract, and remove harmful cholesterol from the blood, very important for the pancreas.
Others believe that it is worth refraining from their use, especially during an acute process or even a slight exacerbation of chronic pancreatitis. You absolutely 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) turns out to be a very valuable product that stimulates the pancreas, especially when mixed with fresh carrot juicepress. You can also eat cooked or baked tomatoes. But in everything, it is necessary to exercise moderation: the abuse of foods, even healthy ones, 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 it will be even worse, since secondary reactive pancreatitis will develop, as in the case of cholelithiasis. Excess bile will be released into the common pancreatic duct, where it will activate pancreatic enzymes, which will digest not the food contained in the small intestine, but the gland itself. The result is acute pancreatitis, a stretcher, an operating table for pancreatic necrosis, and then either 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 Table 5P indications 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 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; 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. Once 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.
Cabbage
Is it possible to eat cabbage and broccoli if you have pancreatitis? Cauliflower, broccoli, Chinese cabbage can be eaten, but it is best cooked or boiled. Ordinary white cabbage, which we are most familiar with, contains very tough fiber, so it is forbidden to eat it raw, but after heat treatment it can also be rarely eaten. And of course, remember to avoid fried vegetables. And it is better to avoid sauerkraut, as it strongly irritates 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 of nutritionists is yes, it is the healthiest of all types, because it contains a very large amount of cobalt and nickel, without which normal functioning of the gland is impossible. Is it possible to eat seaweed if you have pancreatitis? Yes, . . . only to residents of Southeast Asia (Japan), because the enzyme systems there are different from those in Europe. Even when it comes to medications available in Japanese pharmacies, they indicate that they might not help Europeans. Therefore, you should not eat algae during pancreatitis, especially during an exacerbation. It 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 lead to worsening inflammation. Therefore, algae, like mushrooms, are not given to children under 12 years of age (they do not have the appropriate enzymes) and they are contraindicated in cases of pancreatitis.
What fruits can you eat for pancreatitis?
It is undesirable to consume all sour fruits, especially those containing coarse fiber, especially during exacerbations. You can eat fruit 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 permitted fruits per day. Of course, in terms of the content of nutrients, vitamins and minerals, they have no equal and that is why they are useful for the gland, but the presence of coarse fiber harms its functioning:
- You can eat: strawberries, sweet green apples, papaya, pineapples, avocados, watermelons
- You cannot eat: pears, citrus fruits of all types, sour apples, peaches, plums, mirabelle plums, mangoes
- During remission, experiments with the consumption of various fruits are allowed, provided that they are heat treated - in a water bath, in the oven.
There are certain rules when and how to eat fruits with pancreatitis:
- Permitted fruits should be chopped, ground and crushed as carefully as possible.
- Best consumed after cooking in the oven or steaming
- You should eat no more than one fruit per day
- You need to know exactly the list of allowed and prohibited fruits and know what medications to take if you accidentally eat a fruit you don't want.
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 tolerate strawberries in small quantities, but everything is individual. It is best to avoid eating bananas.
Is it possible to drink alcohol with pancreatitis?
The pancreas categorically rejects any alcoholic beverage. 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 excessive alcohol consumption, fatty snacks or a long joyful feast.
In chronic pancreatitis, when drinking alcohol, there is a high risk of repeated attacks of acute pancreatitis, leading to serious functional and anatomical destruction of the pancreas. And as you know, unlike the liver, this gland is not completely restored. And with each use of alcohol, the formation of foci of fibrosis progresses, which essentially 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 doesn't like fatty foods, smoked foods, foods high in protein or fat.
- Meat.Therefore, fatty meats (pork, duck, goose), especially kebabs, cutlets, sausages, stews and canned foods should be excluded.
- Fish.Oily 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 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 and preservatives
They do not spare the pancreas either. On the shelves of our supermarkets there are practically no products without the chemical additives listed above, which is why the number of patients with pancreatitis of varying degrees of severity has been growing steadily. It becomes especially scary for children, because they also consume large amounts of harmful chemicals called "kids' yogurts" (stuffed with preservatives, flavorings and flavor enhancers), children's smoked sausages, "children's sausages"» - by definition, there cannot be children's sausages. , Children should not eat such foods at all! ! ! And then we wonder why a 10 year old child has pancreatitis?
Milkman
Glazed cheese curds, fatty varieties of cottage cheese, cheeses, especially smoked and salty ones, should not be consumed. 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, whichgo through several stages of chemical processes, making it very difficult for the gland. these products enter the body.
Beverages
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. 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, 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 his feelings; if there is the slightest discomfort after consuming it, you should throw it away.
- Confectionery- sweets, pastries, chocolate - put a lot of strain on the pancreas.
- Eggs.Hard-boiled eggs or fried eggs are contraindicated.
- Vegetables.Coarse, hard and spicy vegetables like radish, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, peppers, onions (raw) cannot be eaten in any form. The remaining vegetables are very necessary, but only boiled or steamed.
- Fast food.Such foods are dangerous even for an absolutely healthy person, and if we talk about pancreatitis, then there are practically "toxic" finished 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 too sweet ones - 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. And apart from an exacerbation, it is very important to know how much, how often, when and what a person suffering from pancreatitis eats.
It is very important to follow certain rules and diets, 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 eat certaintypes 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, preferably 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 prepare vegetable stews or vegetarian soups. White cabbage should be limited and only consumed boiled or stewed.
- Fruits: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 no more than 1 piece of watermelon or melon.
- Milk:Many people don't 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 pancreatic diseases, whole milk can cause both 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. It is very convenient and quick to prepare various stews and lazy dumplings from cottage cheese. Sour cream and fatty, tangy hard cheeses are excluded, so only cheeses like Gouda and mozzarella remain.
- Meat:with meat products everything is clear - no fat, so only lean veal, chicken (without skin), turkey, boiled rabbit meat remains, you can also make soup with dumplingsof meat, soufflé and steamed cutlets.
- Eggs:no more than 2 eggs per week and only soft-boiled, it is very difficult for the pancreas to cope with the yolk, so it is better to eat only the white.
- Porridge, cereals, pasta:It is the most dietary food. Oatmeal, buckwheat, semolina and rice porridge are healthy. Barley and millet are excluded because they are very difficult to digest cereals. Pasta can also be eaten against pancreatitis, with the addition of a small amount of sunflower or butter.
- Fish:Additionally, the fish should be lean, boiled or baked, you can make steamed cutlets. Zander, 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 only be cookies, 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 abandon all store-bought sweets: in addition to sugar, they contain such harmful chemicals that it is very difficult for the pancreas to cope with them. It is possible to occasionally treat yourself to marmalade, marshmallows or marshmallows.
- Beverages:Only weakly brewed tea, preferably green, compote, jelly, decoctions of medicinal herbs, rose hips. Mineral water is very useful for this disease.
Question Answer:
Is it possible to have goat's milk?
Goat's milk is a rather 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 more suited to its use. But if you are not used to it, goat's milk can cause digestive problems. Therefore, when introducing this type of milk and products made from it, one should 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.
Is it possible to have matsoni?
Matsoni, like other fermented milk products, is not contraindicated in chronic pancreatitis. The whole point will be in the fat content of the milk from which it (he) is prepared. Milk that is too rich is of course not desirable.
Is it possible to make yeast pastries, puff pastry and gingerbread?
During periods of exacerbation of pancreatitis, baking with yeast is not indicated. During remission, yeast baked goods should be dosed judiciously. Puff pastry is not contraindicated. In gingerbread cookies, the first place will be the degree of sugar (in case of insulin problems and pancreatitis) and the icing with which they are covered. Cheap confectioneries often use icing based on refractory fats (coconut and palm oils), which does not improve the health of the pancreas.
Can I have some cinnamon?
Cinnamon is a spice sold only in specialized stores or supplied 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 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, therefore 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 in case of pancreatitis if they are boiled or stewed. It is better not to eat these fried foods.
Is it possible to have melted cheese, coffee, chocolate, bread?
It is advisable to choose processed cheese without spicy seasonings and with a large number of emulsifiers and preservatives. You should not overdo chocolate. You can eat bread. Coffee is not recommended regularly and during exacerbations. The solution is to add milk and rarely drink from 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. Without fanaticism.
Is it possible to pickle cabbage?
Cabbage brine is contraindicated as a hangover remedy because alcohol destroys the pancreas. In general, apart from the exacerbation of pancreatitis, in the absence of inflammation of the stomach or duodenum, a few spoons of brine cannot 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 of a few pieces per day several times a week.