Pancreas, diet - what is possible, what is not. Doctor's advice. What can you eat with pancreatitis: diet, meat, fish, fruits, vegetables, milk, eggs What can you eat with an exacerbation of the pancreas

Pancreatitis is an inflammatory disease of the pancreas. Since the gland is directly involved in the digestion of food, nutrition is of primary importance in treatment. Everyone suffering from this disease is concerned about the question - what can you eat with pancreatitis and what foods are most useful for pancreatitis? It also depends on the form of the disease, since foods that can be eaten with a stable remission can be absolutely contraindicated in acute inflammation of the gland and exacerbation of the chronic form of the pathology.

Diet for exacerbation and acute form of pancreatitis

With an exacerbation of the disease, it is recommended not to eat at all for the first three days in order to ensure maximum rest for the pancreas. Further, in small doses, it is necessary to introduce the most acceptable products so as not to aggravate the already serious condition of the patient.

After 10 days have elapsed from the onset of the disease and as the pain subsides, it is necessary that the diet contains dishes that are safe for inflammation of the gland, but at the same time provide the body with the necessary substances.

Nutrition of patients with pancreatitis should be regular, in small portions. It is desirable to use dishes not hot and not cold, with a temperature of 40 to 45 ° C.

What foods are allowed for acute pancreatitis

Dishes used in pancreatitis should contain a lot of proteins and vitamins, with a small amount of carbohydrates and fat. The diet implies a reasonable restriction of salt in dishes, it is also necessary to drink about 2 liters of pure water daily.

Water ensures the normal functioning of all organs and systems of the human body.

The list of allowed foods for acute pancreatitis includes:

Green tea not only has a pleasant taste, but also contains many substances useful for the body.

With inflammation of the pancreas, boiled, stewed or steamed dishes should be consumed. You can bake foods without fat. It is also recommended to eat grated or chopped food, so it is easier to digest.

Exacerbation: what not to eat with pancreatitis

The diet in the acute form of the disease categorically prohibits fried, fatty, spicy and too salty foods. They can cause inflammation of an already weakened pancreas.

List of prohibited products:

With inflammation of the pancreas, you will have to give up sweets, chocolate, confectionery products with a high sugar content

Despite the seemingly mild taste, spinach is one of the foods that are on the list of absolutely prohibited in any form of pancreatitis. In addition to a huge amount of vitamins, spinach contains solid fiber and oxalic acid, which make it difficult to digest food and cause inflammation of the mucous membranes of the digestive system. Spinach also contributes to the accumulation of bile in the ducts, which is one of the causes of pancreatitis.

Chronic pancreatitis: what can you eat

The diet of patients with stable remission, suffering from a chronic form of inflammation of the gland for many years, allows some relief. In addition to the list of allowed foods during an exacerbation, it is additionally allowed to eat:

• Flax seeds and oil, which have an anti-inflammatory effect on the pancreas due to their antioxidant properties. They also serve to prevent constipation, which patients often suffer from. You need to drink oil or a decoction of seeds with meals.

Flaxseed oil has a healing effect on the entire body

• Fruits: pears, bananas, melon, sweet grapes, lingonberries, dried fruits.
• Prunes, which activate the metabolism in the body and remove toxins, which helps to treat pancreatitis.
• Seafood: shrimp, squid and mussels, which contain many useful minerals and vitamins for the body.
• Sprouted wheat. It is especially useful for pancreatitis to drink jelly from it, due to its healing properties.
• Coffee and cocoa, preferably with milk.
• Spices: cinnamon, turmeric.
• Celery, dill, parsley.
• Peanuts, cashews, walnuts.
• High quality boiled sausage.
• Onion, eggplant (after heat treatment).

Carbonated mineral water can have a negative effect on the digestive system

What else to eat and drink with pancreatitis

Allows the use of mineral water for medicinal purposes. Drinking mineral water directly from the source will be effective, but bottled water is also suitable, but you need to drink it some time after opening in order for the gas to come out. The duration of the intake and dosage should be determined by the doctor, choosing on your own - which mineral water to drink with pancreatitis - is not recommended.

Drink water slowly, in small sips, not in one gulp. The mineral waters Essentuki 17, Arkhyz, Slavyanovskaya, Borjomi are especially useful.

A useful product for chronic pancreatitis is black cumin, in the form of oil or seed tincture. It has a choleretic effect and the ability to dissolve dry bile that accumulates in the bile ducts due to inflammation of the pancreas. But we must remember that black cumin is categorically contraindicated in case of exacerbation of the disease.

Cinnamon has healing properties in the treatment of chronic pancreatitis, which cleanses the entire biliary system and improves digestion, which helps the pancreas with inflammation. You can use it in the remission stage both as a seasoning and drink it in the form of a tincture, for which a tablespoon of spice is taken in a glass of water.

Rosehip decoction strengthens the immune system and helps reduce the symptoms of inflammation

If there are no individual contraindications, then rose hips, in the form of an infusion or decoction, will be an excellent healing drink for pancreatitis. Rosehip produces a choleretic effect and kills bacteria. You can drink it both during the day and before bed.

Diet plays a very important role in how quickly the patient will get out of the stage of exacerbation of pancreatitis, and how stable his remission will be. It is very important not only not to use foods that are prohibited for inflammation of the pancreas, but also to use the correct methods of preparing permitted dishes. You also need to drink enough fluids, and consult a general practitioner or gastroenterologist about any changes in the diet.

The video tells about the rules for making an omelette in a double boiler:

Pancreatitis disrupts the usual way of life, forcing you to completely rebuild your schedule. This trend is especially true for the food industry. Diet for pancreatitis is the main guarantee of successful treatment of patients. The importance of proper nutrition cannot be overestimated. No medication or surgery guarantees a cure for pancreatitis if you do not follow a regular diet.

First meal

The first course is served for lunch without fail. Vegetarian soups (boiled in a vegetarian vegetable broth) or soups boiled in a lean meat broth are allowed. Once a week, you can eat soup with pieces of lean fish. The first course is served warm, but not hot.

Meat varieties

The diet of a patient with pancreatitis should include a sufficient amount of protein food of animal origin. To do this, the diet includes lean meats: beef, chicken, turkey, rabbit, veal. Cutlets, steaks, steamed meatballs are prepared from them. Based on them, the broth for the first courses is boiled. Meat is also consumed boiled, but in no case fried. Meat is prepared without the addition of spices and spices, with a minimum amount of salt.

Fish varieties

The fish is boiled or steamed in whole pieces, you can also make steam cutlets from it. Preference is given to low-fat varieties of fish: pike, cod, flounder, pollock. Fish soufflé is a great idea for dinner or a snack. This protein dish will saturate the necessary amount of energy, while it is low-fat, which means it will not cause secretion in the pancreas.

Cereals and pasta

When dieting, the following types of cereals are allowed:

• Buckwheat;
• Rice;
• Oatmeal;
• semolina;
• Corn;
• barley.

Of these, cereals are prepared for breakfast or as a side dish for the main course. Porridges are boiled both in water and in milk, without adding sugar. Pearl barley and millet are excluded, as they do not have the best effect on the functioning of the pancreas.

Pasta is better to buy from durum wheat, they have a high content of fiber and complex carbohydrates. Boiled pasta is served with a spoonful of olive oil or a piece of butter, slightly salted. They are served for lunch as a side dish, but they should not be consumed for dinner, as this will give a high load on the gastrointestinal tract before bedtime.

Vegetables

The main component of the diet of a patient with pancreatitis is vegetables. They make up the majority of all food consumed. They are served baked, boiled, stewed for breakfast, lunch or dinner. Raw vegetables are used as a snack at any time of the day. It is very useful to cook soups in vegetable broth. Suitable for almost all types of vegetables:

• Carrot;
• Beet;
• Potato;
• Celery;
• Pepper (but not hot);
• Zucchini;
• eggplant;
• Cabbage;
• Peas;
• Tomatoes.

Read also: Alcoholic pancreatitis

During periods of exacerbation, vegetables are boiled and rubbed on a grater or chopped in a blender, giving the dishes the consistency of mashed potatoes. This facilitates digestion, reduces the load not only on the pancreas, but also on the gallbladder (the latter often becomes inflamed with pancreatitis).

Sweet berries and fruits

They are an important component of nutrition. They contain a large amount of useful mineral salts and vitamins. However, with a disease, the list of fruits is very limited. This is due to the fact that they contain substances that are difficult to digest. In addition, they contain a large amount of sugar (glucose and fructose), which causes an insulin load on the gland.

In the phase of exacerbation of the disease, it is better to refuse to eat berries and fruits altogether. If desired, you can have a snack with an apple or a pear, but first they need to be baked. These products are not served raw.

The following fruits are allowed in the remission phase:

• Apples;
• Pears;
• Garnet;
• Banana;
• apricots;
• Strawberry;
• Persimmon;
• Cherry.

You can eat no more than one fruit per day. Before serving, the fruit is baked. The same goes for berries. An alternative to such products is children's fruit and berry purees, but you should not get carried away with them either.

Milk and dairy products

Milk contains a large amount of protein and essential fats. However, whole milk is very difficult to digest. In pancreatitis, drinking milk causes intestinal discomfort, increased gas and bloating, and even vomiting. Therefore, only sour-milk drinks are recommended for consumption. Among them:

• Kefir (preferably fat-free);
• Ryazhenka;
• Bifidoc;
• Skim cheese;
• Sour cream;
• natural yogurt;
• Cheese (no more than one piece per day);

These products are used as a snack, however, the lion's share of fermented milk products should be for dinner, as they are easy to digest and digest. Casseroles, souffles are prepared from low-fat cottage cheese, but you can also serve it with a small amount of fruits or berries and a teaspoon of honey for sweetness.

With regards to whole milk, it can and should be added when cooking (when preparing cereal cereals, milk soups, casseroles). And it is better to refuse the use in its pure form completely.

Read also: Pancreatitis, cholecystitis and potato juice - what do they have in common?

The drinks

Another point of the diet: what drinks can be consumed with pancreatitis. All types of tea are allowed (black, green, berry, leaf, herbal). Decoctions (herbs, rose hips, bran), berry and milk jelly, compotes, diluted juice and no more than one glass per day are also allowed.

However, the best drink for pancreatitis was and remains mineral water. Such an alkaline drink is the first aid for attacks of pain and in the first days of exacerbation of pancreatitis. Water replenishes the fluid balance in the patient's body, and the mineral salts included in its composition enrich the cells of the body with the missing microelements. At least one and a half liters of mineral water are consumed per day.

Sweets and desserts

Sometimes you can afford sweets. For this, marshmallows, marshmallows or marmalade are suitable. However, do not get carried away with these products, allow yourself them in a small amount no more than once a week. If you really want something sweet, then have a snack with a baked fruit (for example, a pear), prepare yourself a berry jelly, or drink a glass of juice (jelly or compote). Thus, preference is given to "natural" sweeteners.

With regards to the use of honey, doctors still cannot come to an unambiguous decision. In the remission phase, honey is used as a sweetener for tea, casseroles, cottage cheese, but not more than one teaspoon. This is due to the fact that honey causes the production of insulin by a diseased gland, which ultimately adversely affects the organ.

In the exacerbation phase, sweet foods are completely excluded. After the process subsides, sweet foods should not be consumed for ten days. In the remission phase, all of the above can be added to the diet, but the patient must carefully monitor the amount of sugary foods consumed.

Important! In chronic pancreatitis, for a complete recovery, only proper nutrition, adherence to all the principles of a sparing diet, may be enough. By choosing the right foods, you can not only delay the next exacerbation, but also get rid of the symptoms and signs of the disease.

Why You Should Diet

A common question among patients is: how will food restriction help me? And this is not surprising, for many of us it is much easier to take one pill in the hope that it will save us from all sores. With pancreatitis, such tactics will be fundamentally the wrong decision.

In case of inflammation, it is important to create functional rest for the pancreas, and this is possible only if there is a complete rejection of food and dishes that cause increased enzymatic activity of this organ. Under conditions of complete functional rest, favorable conditions are created for the restoration of damaged tissue, the outflow of pancreatic juice improves, and blood circulation improves. All this eventually leads to the removal of inflammation and the main symptoms of the disease. In some cases, the disease enters the stage of stable remission, that is, it completely ceases to disturb the patient.

What can you eat with pancreatitis? - this question certainly arises before those who have suffered an attack of acute pancreatitis or suffer from a chronic form of the disease, accompanied by unbearable pain. Here you will find answers about what not to eat, what products should be categorically avoided, and what can you eat with pancreatitis.

What can you eat with pancreatitis

Patients suffering from chronic pancreatitis are forced to comply for many years. No. 5p. may have individual preferences, sufficient in daily calorie content, complete in terms of the amount of proteins, fats, carbohydrates and minerals. The diet is fractional, products that mechanically irritate the mucous membrane of the digestive tract and have a juice effect are excluded.

In case of exacerbation of chronic pancreatitis, fasting is recommended in the first 3 days.. During this period, you can drink without gas, rosehip broth - in small portions of about 1 liter per day.

• From 4 to 6 days, it is allowed to drink unsweetened tea with crackers, mashed unsalted mucous soups, you can eat mashed buckwheat (or rice) porridge in milk, diluted by half with water, steam protein omelet.
• From day 6, you can add to cottage cheese, butter (up to 10-15 g per day), stale white bread, mashed vegetable soups or mashed potatoes without cabbage (carrots, beets, potatoes can be used in cooking).
• From 7-8 days, meat and fish of low-fat varieties are added to the diet in the form of steam soufflés from boiled products, on the 9-10th - in the form of steam meatballs, dumplings.

During the recovery period after an exacerbation and outside of an exacerbation, it is recommended to observe the following.

Remember! Food taken at emotionally prosperous moments is absorbed better, and, on the contrary, if the patient is in a depressed state, then this state will interfere with the process of digestion, assimilation and the lack of a therapeutic effect from nutrition.

Tasks of modern dietology — increase the effectiveness of therapeutic measures, eliminate unwanted side effects of medications, maximally facilitate and unload the functions of damaged organs and systems, help restore disturbed processes and normalize the functional state of the pancreas (in this case) and other organs of the gastrointestinal tract.

A prerequisite in clinical nutrition for pancreatitis is the patient's compliance with the diet prescribed by the doctor.

If you are taking enzyme preparations (Creon, Mezim-forte), you should remember a few rules:

• take with meals
• drink plenty of pure water,
• separately from antacids,
• in accordance with the expiration date indicated on the package (enzymes quickly lose activity).

Write, the most frequently asked questions on the topic of what you can eat with pancreatitis, prohibited and permitted foods, will be published. Your questions and discussions in the comments help people suffering from this disease to navigate the diet. The topic of what you can eat with pancreatitis will be devoted to 87% of the pages of this site - read, discuss in the comments. I will be grateful if you share this article on social networks:

Discussion: 99 comments

Hi! doctor, I decided to at least eat right, it seems to me that proper nutrition is a big part of the treatment. I would be grateful for the advice. Thank you!

Tatyana, regarding the treatment of chronic pancreatitis. Dietary nutrition for pancreatitis is a prerequisite in the treatment of pancreatitis. I repeat that it is possible to treat chronic inflammation of the pancreas (or maintain remission) only with strict adherence to the diet, without the use of drugs. And the opposite, to treat with pills, but not to follow a special diet - these are futile actions, a cure is impossible.

Hello. Thanks for the info. Now I will know what is possible and not. I already had three attacks within half a year. It used to happen once every 10-15 years. Your article is vital. I'm afraid of diabetes. Now if I drink sweet tea my head starts to spin. THANK YOU!

Ruslana, I wish you good health.

Thank you Natalya for your site. I accidentally stumbled upon it .... Mom has acute pancreatitis. Soon they should be discharged from the hospital .. I will definitely use your recipes ... otherwise I broke my whole head .. what to feed .... and I was very interested in oatmeal jelly ... I think. .what if we drink it won't get worse???/Elena

Elena, Izotov's oatmeal jelly recipe is one of the best traditional medicine recipes. Doctors-experts on the First Channel of the Central Television in the program "Habitat" confirmed the healing properties of Izotov's jelly and the effectiveness of the treatment of diseases of the gastrointestinal tract (GIT) - here about it >> . Other media publications about oatmeal jelly - here >>

Natalia, thank you very much for such a necessary site. I am a diabetic with experience and + 3 years of chronic pancreatitis. I came here by accident, my friends suggested looking for oatmeal jelly. I learned a lot about nutrition. Thank you for the recipes for dietary dishes.

Tamara, thanks for the feedback!

Hello, I have a question about diet. Where is the source from? I saw a lot of diets on different sites, but the doctor did not give me a list (as for example with GERD). Many diets allow milk and sour cream. In fact, I eat them quite often. As well as eggs (mostly soft-boiled). I don't feel any discomfort. But if I eat stewed beef in small or large pieces - it doesn’t matter, an attack begins. And even if I boil it first. The question is to blindly follow the diet (if so, which one - I will repeat on different sites of discrepancies). Or listen to your body? Can I do hidden harm to the body if I eat foods that make me feel comfortable, but which are prohibited in your version of the diet. And again, I repeat, where does the source of the diet come from? Is this according to Posner? But I didn’t see any restrictions on milk and sour cream in him .... For me, this is a very important question, since the list of allowed foods is already very scarce ...: (Where can I get the original of his diet, do you happen to know? Thank you

Yes, again, without aggravation, I read half a glass of dry wine is allowed - and in your version, alcohol is completely excluded. I tried - no discomfort. Maybe your version of the diet is designed to stop an attack? Posner seems to have 2 versions - during an exacerbation and less severe in the remission stage. And it’s so sad that you want to shoot yourself from these wiped soufflés and other rubbish ... (Sometimes you think what for such a life at all - not to drink, not to smoke, not to eat yummy ((

And another question - do not tell me where you can get delicious recipes for pancreatitis? I saw only some outdated Soviet versions like "snowballs", mousses, etc. I love to cook and eat delicious, I don’t want to feel flawed now, reading another dull version of steam cutlets. I believe that haute cuisine for pancreatitis is also available 🙂

Evgeny, indeed, the basis of the recipes presented on the site is diet No. 5p according to the classification of Manuil Isaakovich Pevzner (the founder of diet therapy and clinical gastroenterology). Diet No. 5p has two options: diet No. 5p (first option) - during an exacerbation of pancreatitis and diet No. 5p (second option) - during remission, if there is a persistent remission for more than 0.5 years - diet No. 5.
There are books on diet therapy for pancreatitis, reference books. I have a higher education - a biophysicist and retraining and improvement courses in the specialty of nutrition. This is the source of knowledge.
Now regarding milk and dairy products. Indeed, dairy products are part of numerous therapeutic diets. However, pancreatic disease is often accompanied by lactase deficiency. It is very good that you do not suffer from lactase deficiency. This means that your body produces the enzyme lactase in sufficient quantities. Lactase breaks down lactose (milk sugar) into monosaccharides - glucose and galactose. With a lack of lactase (enzyme), milk and dairy products (lactose = milk sugar) are not absorbed. Symptoms appear - bloating, flatulence, abdominal pain, nausea is possible.
About alcoholic drinks. It is strictly forbidden to take alcohol. Even in minimal quantities, even low-alcohol drinks. The fact is that the pancreas does not produce enzymes that break down alcohol. Alcohol enhances the secretion of the pancreas (sap secretion). Pancreatic juice cannot enter the duodenum due to inflammation and narrowing of the outflows. As a result, self-digestion of the organ occurs.
Further, that you are tired of tasteless "steam cutlets". However, that dishes that have a bright, rich taste have the ability to cause the activity of the digestive system. At the heart of all the requirements of dietary nutrition is the implementation of maximum rest for the pancreas. Therefore, fatty, spicy, sour and ... dishes, hot and cold, should be eaten often and in small portions. Diversity in nutrition is the solution to satisfying gastronomic tastes.
The most important thing! It is impossible to cure pancreatitis only with medical preparations. Diet is the most important and indispensable component in treatment.

The article is very useful, thanks Natalia. And I have the following question, the doctor diagnoses chronic pancreatitis. Ultrasound of the abdominal cavity revealed no pathologies, pancreatic amylase 306.0, but almost every day I have pain in the left hypochondrium. I try to follow the diet. Now I am preparing for IVF, respectively, this is hormone therapy. Can this somehow affect my pancreas, and what should I do? Thanks in advance for your reply.

Tatyana, I think that a face-to-face consultation with a gastroenterologist (pancreatologist) is required.

Hello Natalia! Thank you so much for your great work, which helps to maintain health! Your site provides comprehensive information necessary for successful treatment. The dishes offered are exquisite, delicate, and the recipes are set out by you in such a way that it feels as if nothing is tastier than simply and cannot be! The dietary food recommended by you gives excellent results!

Marina, thanks for the feedback. Stay healthy!

Hello Natalia! Thank you so much for your wonderful site and great work!
I learned a lot of new things for myself, in particular, that in chronic pancreatitis in the initial stage there are constipations and you need a completely different menu than my doctor recommended and from which constipation only intensified.
Please tell me if it is possible for me to use freshly squeezed vegetable juices, which previously helped me. Is it possible to drink "Narina" 2.7%, eat yeast-free bread from sprouted wheat, whole grain oatmeal?
Maybe you can also tell me the source of information about this, I can not find it.
Many thanks in advance and good luck to you!
Victoria

It would be more convenient if you could print your recipes. Thanks for the helpful tips.

Thank you for such a wonderful site! I was very surprised when I read about the fact that sea buckthorn is not allowed. On many sites about pancreatitis, it is not something that is not forbidden - it is recommended. I liked that you not only wrote that it was impossible, but also explained why.

Hello, please tell me why you can’t have white cabbage with an exacerbation of the pancreas?

Julia, really white cabbage is contraindicated in pancreatitis. White cabbage can cause exacerbation of pancreatitis.
This vegetable contains a large amount of fiber, essential oils. Which helps to increase the secretory activity of the stomach and pancreas. In case of pancreatitis, maximum rest of the pancreas should be maintained, i.e. Juicy foods should be avoided. Secondly. With pancreatitis, enzymes are not produced enough, therefore cabbage fibers are not fully digested. This leads to bloating, flatulence, and pain.

Thank you for your site. bookmarked it. I will be treated after the wrong way out of fasting - I had a good attack. I have been starving for 30 years, but I was at a party and thought: it will pass, but ... I again sat down on hunger and, thank God, crawled out without much loss, but I want to go on a diet, but everything is accessible and understandable with you.

Marina, I wish you good health! Thanks for the recognition.

Natalia! Good afternoon! Thanks for the very good information. I have hr. pancreatitis 7 years. I maintain the condition with mineral water Essentuki-4 times a year, courses of treatment with medicines. Please tell me how often it is necessary to carry out treatment with enzymes - according to the state of the body or courses? And can lifting weights (accidentally happened) cause an exacerbation of xp. pancreatitis? Thank you for your attention.

Natalia, thank you very much for your site. Over the past month, I have lost more than 3 kg of weight due to lack of appetite and the disgusting diet No. 5, which the gastroenterologist slipped me, but it turns out there are only DELICIOUS options. I hope I feel a little better now!

Good afternoon. Tell me the doctor diagnosed chronic pancreatitis and prescribed a strict diet. Your article describes that in acute pancreatitis, you should first fast for the first three days, and later start eating 5-6 times a day while adhering to a strict diet. The question is can I eat 2 meals a day, eating the same portions at a time as when eating 5-6 times a day? Or after a three-day fast you need to eat only 5-6 times a day? It’s just that because of work I can’t take food with me, and eating food in the canteen is harmful. So I thought maybe it’s better not to eat at work at all than to eat junk food.

Andrew, be sure to follow principles of dietary nutrition in pancreatitis. Diet No. 5p - performs a healing role. Without strict adherence to the diet, it is impossible to relieve inflammation of the pancreas and restore the functional activity of the organ. And, on the contrary, non-compliance with the diet leads to relapses of the disease and to pancreatic necrosis.
Therefore, it is strictly necessary to eat 5-6 times a day.
You can take pre-cooked food with you to work.

Hello. And can you eat soups if they are made from chicken without fat and vegetables? Or after cooking them, you can only eat meat and vegetables, and pour out the broth?

Andrey, if you have a period of stable remission and the doctor has allowed you to switch from diet No. 5p to diet No. 5, then chicken soup is allowed
For example, this recipe is included in diet number 5:

1. Boil chicken breast, cool, skip 2-3 times through a meat grinder.
2. Add some broth and mix well.
3. Cook rice until fully cooked. Rub through a sieve.
4. Bring milk to a boil.
5. Combine milk, rice and chicken puree. Mix.
6. Add salt and bring to a boil.
7. Season the finished soup with oil.

1. Is it possible to eat dumplings if the meat is not fatty and without spices?

   Andrei, dumplings are contraindicated in pancreatitis, even during a period of persistent remission.
   Meatballs, steam cutlets are allowed, but dumplings are contraindicated.
   If you still decide to eat dumplings, i.e. you do not have the strength to resist your desires, and the disease is in a period of stable remission, then:

   • dumplings should be homemade, not store-bought. In store dumplings, meat is not of particularly high quality, flavor enhancers, various spices, seasonings and additives are added. All this will load the pancreas.
   • minced meat for homemade dumplings is best prepared from chicken breast, or beef. Films are removed from the tenderloin, the meat is twisted 2-3 times using a meat grinder. Onions, garlic, pepper are not allowed to be added to minced meat.
   • limit the portion to the smallest possible, for the first time 5-7 pieces are enough. If, after eating, discomfort and pain do not occur, then next time you can increase the serving to 10 pieces. But don't eat dumplings more than once every 2 weeks

   I repeat. dumplings are contraindicated in pancreatitis.

   Hello again. Can you eat bananas?

   Andrey, bananas are not included in diet No. 5p, but diet No. 5 is allowed.
   Therefore, if you have chronic pancreatitis in remission, then you can include a banana in your diet.
   The recommended amount is no more than 100 grams, which means 1 banana per day.
   It is not recommended to take a banana in the morning on an empty stomach.
   I like to include banana in my meals.
   For example, banana with cottage cheese - very tasty! You can chop with a blender and add a banana to kefir, yogurt or other fermented milk product. But you should not add a banana to milk, because milk with pancreatitis is not digested well enough.
   Banana can be added to porridge.

   tell me what kind of bread can I eat with chronic pancreatitis? can I eat bran, with sprouted grains?

   Victor, what kind of bread and flour products are allowed in the diet for pancreatitis with pancreatitis you will find here >> .
   Wheat bread can be included in the diet for pancreatitis in the stage of stable remission, but in limited quantities. You should not eat during an exacerbation, with individual intolerance, if the bread contains additives.

   Hello. My daughter is 4.5. Did an ultrasound - Conclusion: Diffuse changes in the pancreas (reactive). There is an unpleasant smell from the mouth, recently he complains of pain in the abdomen. What does this mean and what should be done? Thanks

   Gayane, diffuse changes in the pancreas are not a diagnosis. You can read about it here >> .
   You write that measurements are reactive. This means that changes in the pancreas are caused by some kind of disease. This can wash diseases of the liver, gallbladder, duodenum, etc. In addition, your daughter has pain in the tummy.
   I recommend that you undergo an in-depth examination, your daughter may have reactive pancreatitis (or rule out this disease).
   In any case, pay special attention to the nutrition of the child. No products containing dyes, preservatives. Not allowed: spicy, salty, fried, fatty, carbonated drinks, ice cream. Give preference to natural products. Follow the diet. Eating 4-6 times a day.
   Regarding bad breath. The smell from the mouth in children is due to the vital activity of bacteria. Odor localization - mouth, nose, teeth. It follows that the cause of the smell should be sought in diseases of the nose, mouth and throat. Bad breath and gastrointestinal diseases are not interconnected (although there are other opinions)

   Natalia, I want to ask:
   1. In the section “Food. Recommendations for diet therapy” you write: “... Excluded: ... lactic acid drinks, ...” And in the section “Diet for chronic pancreatitis” you indicate: “Much more useful ... .. fresh fermented milk products.” How do these 2 conflicting recommendations of yours agree with each other and answer - both! - safe and proper nutrition for those suffering from pancreatitis?
   2. You write: “In case of exacerbation of chronic pancreatitis, fasting is recommended. During this period, you can drink mineral water without gas. However, on the bottles of mineral water and Slavyanovskaya, and Essentuki and all the others, it is indicated: Use only without exacerbation. Where is the truth?

   Marianne,
   dairy products should be low fat(fat-free), and fresh. Otherwise, patients complain of discomfort, bloating, flatulence.
   Therefore, some discrepancy is observed indeed. To avoid confusion, I added an explanatory link to this paragraph. Thank you.
   Regarding mineral water. Mineral water for pancreatitis, even during the acute phase are shown. But you must follow the rules. Mineral water must be:
   alkaline (hydrocarbonate) low and medium mineralization - "Borjomi", "Essentuki No. 17", "Slavyanovskaya", "Smirnovskaya" and the like;
   degassed (freed from gas);
   warm (warmed up);
   Under these conditions, mineral water has an anti-inflammatory property, lowers the secretion of the pancreas and, as a result, pain is reduced.

   Hello Natalia!
   Please tell me if coconut and almond milk can be used in a diet for pancreatitis.

   Marina, often coconut and almond milk are misunderstood as medicines.
   In fact, both coconut and almond milk can harm an inflamed pancreas.
   Coconut and almond milk are prohibited in the acute phase of the process, because it strongly stimulates the pancreas. They have a choleretic effect, stimulate pancreatic secretion. The main disadvantage of these drinks is the very high content of saturated fats.
   The opinion that coconut and almonds are useful for pancreatitis due to the content of mineral salts, vitamins, proteins in them that help restore pancreatic function is erroneous. However, coconut milk does more harm to the body than good, not only in pancreatitis, but also harms the cardiovascular system - it contributes to the development of atherosclerosis. Almonds are also good for the heart, because they contain magnesium and potassium, which are necessary for the normal functioning of the heart.
   In the phase of persistent remission of pancreatitis, after switching from diet #5p to diet #5, you can add almond and coconut milk to your meals with restriction(for making sauces, desserts)
   The advice is given for information and does not constitute medical advice. You can find out from your doctor what is right for you.

   Hello Natalia! Please tell me whether it is possible to ask questions about contraindications of drugs for pancreatitis on this page. Perhaps other visitors to the site have similar questions. For example, oriental medicine preparations contain spices. Is it possible to take Persen: there are no contraindications in the instructions for taking it with pancreatitis, but there is a contraindication for diseases of the biliary tract, and here everything is interconnected, can its components - valerian, lemon balm, mint - be harmed in combination or separately. How do antibiotics affect the pancreas? Thank you.

   Natalia, please tell me how to distinguish chronic pancreatitis from a single case. The fact is that I sometimes had heaviness in my stomach, sometimes after a fatty one I could feel nauseous, but it quickly passed. And about a month ago, my stomach began to hurt all the time and, according to the description, it looks like pancreatitis, I didn’t go to the doctor then, I just ate boiled chicken for a while and everything went away after about a week, but now two weeks have passed and such a heaviness happened again, went already to the doctor, the doctor confirmed pancreatitis and prescribed diet No. 5p for a fading exacerbation, Creon during meals 3-4 times. It becomes easier, almost does not bother the pain. But! a few questions remain.

   Is it chronic or is it a one-time exacerbation? (usually I eat quite right - I drink very little, this time the aggravation of these pains happened after I ate at lunch, and then only at 8 o'clock in the evening and also a salad with seasonings - salt, sour cream, tomatoes ... in general, everything no need ... There would be no need to cook porridge ...)
   If chronic, is it possible to completely recover from this? - Diet or medication?
   And what if chronic, then sweet is generally impossible in any form?
   And yet - is it possible to endure hunger in chronic pancreatitis or is it not necessary to allow it? And what to eat if you had to make a big gap between meals (which actually provoked the pain this time)

   And yet - if there are no unpleasant sensations from this or that food - does it mean that it can be eaten (of course, add a little and carefully)?
   Thank you very much in advance for your answer and for explaining everything in such a competent and understandable way.

   Sophia, the diagnosis of the disease is made as a result of the examination. Your doctor told you it was pancreatitis. You described the periodicity of the onset of discomfort associated with eating, in this regard, it seems that this is chronic pancreatitis. Chronic pancreatitis is a progressive disease, that is, over time, there is an increasing destruction of the pancreas. Chronic pancreatitis is characterized by a phase course of the disease, i.e. has phases of exacerbations and phases of remissions. Every effort should be made to ensure that the remission is stable in order to delay the onset of the exacerbation phase in time. To cope with this task, you should follow the doctor's recommendations - take enzyme preparations, if they are prescribed, strictly adhere to dietary principles, follow the memo. . Avoid stress, states of emotional and mental stress. Observe the regime of work and rest. Keep track of your night's sleep.
   Avoid long breaks in eating. Meals should be 5-6 times a day.
   You can eat sweets with pancreatitis, but it should be limited.

   Natalia, thank you, I will get used to the diet. I decided to take the issue seriously and in this regard, I, as for sure, and the rest will be interested to know more:
   in the period of remission, when nothing bothers you, is it permissible to eat stewed vegetables (stew on water, in vegetable broth, without heavy sauces)?
   I am a big lover of vegetables and fruits. I learned that white cabbage is not allowed, but as for eggplants, tomatoes, cucumbers - I didn’t quite understand - can they be cooked in remission? And in general, in the remission stage, fresh vegetables are also impossible? fruits - non-sour apples, pears, bananas? I understand that citrus fruits are not ...
   Chicken broth is also in remission - can I?

   I really hope for your help, I do not exclude that there will be more questions. And so many, many times thank you again. Oh, if only I could thank you!

   Hello Natalia, thank you for your valuable advice, I was discharged from the hospital - diagnosis: acute biliary pancreatitis, choledocholithiasis, purulent cholangitis. I figured out the diet, the question is: is it possible to boil a doctor's sausage and your attitude to weak coffee with milk.

   Larisa, the attending physician can answer the question of what you can eat.
   General recommendations are:

   • If you are in a state of stable remission and diet No. 5 is prescribed for you, then weak coffee with milk and boiled doctor's sausage is possible.
   • If you are shown diet No. 5p, then you can’t have coffee or sausage.

   Diet No. 5p should be followed for at least 0.5 years after acute pancreatitis.

   Thank you, given the whole bunch of my diagnoses, I think I should refuse, it's better to play it safe.

   Many thanks for the site, with such detailed, valuable, detailed necessary information, for a person who has experienced attacks of pancreatitis! Not a single doctor has told in such detail how to eat in the first week after an attack and then what plan, only general phrases, but here there is a detailed strategy and recipes. THANK!

   Hello Natalia! Please tell me if we can have boiled asparagus.
   Another question, please: I heard from a patient suffering from pancreatitis that instead of tea and coffee she drinks a ginger drink or brews chicory, is this not a mistake?

   Marina, if your pancreatitis has not reached the phase of stable remission, then asparagus, ginger and chicory are prohibited foods.
   Asparagus has coarse fibers that are difficult to digest, resulting in pain, bloating, and flatulence. Ginger is a spicy seasoning that causes active secretory activity of the pancreas, which contradicts the requirement of diet therapy - food should provide the maximum possible rest to the diseased organ. Chicory also enhances the secretion of the digestive organs, not as pronounced as ginger, but nevertheless is a prohibited product in acute pancreatitis, exacerbation of chronic or chronic pancreatitis in the stage of unstable remission.
   When a period of stable remission occurs, the doctor will allow the transition from diet No. 5p to diet No. 5. Diet No. 5 does not include these products either. However, there are examples when patients include young boiled asparagus or chicory drink in their menu. You should know that the quantity of these products should be minimal and of good quality. I’ll say it again - this is an individual approach, for one, asparagus (or chicory) will go well; for another, it can cause an exacerbation. But ginger, I think, should not be included in the menu as part of any dishes.

   Good afternoon ... as I understand from the information of various sites (and you wrote that chronic pancreatitis is a progressive disease, and then the condition of the pancreas will only get worse), will this disease shorten the life of your husband? He was diagnosed 3 years ago after poisoning, he never drank or smoked, all these three years on a diet, sometimes he allows himself sweets or sandwiches (fried and smoked - never), periodically pricks a little, sometimes presses, but in general nothing worries, for these three years there has never been an exacerbation with pain, only slight discomfort. It turns out that in 10-15 years, in any case, everything will be bad?….

   Anna, indeed pancreatitis is a progressive disease. According to some doctors, destructive changes in the pancreas occur even during remission. The pancreas is such an organ that even an experienced doctor cannot predict. In order for the remission to be long, and the destructive changes in the organ to be minimal, you should strictly adhere to diet No. 5 (during stable remission) or diet No. 5p (unstable remission and exacerbations). You should control your emotional background - avoid anxiety, stress. It is useful for patients with pancreatitis to do breathing exercises, which activates abdominal breathing.

   Thank you. If there is not and will not be a clear forecast, the hope that life will not be shortened so much, at least is there? …

   Anna, I completely agree with Natalia. Diet is the foundation. Once on an ultrasound, the doctor told me, I see you are on a diet ... Do not worry so much about your husband, everything will be fine.

   I sincerely thank you, Natalia, and you, Lev. We are 27 years old, we want the whole life to be ahead, but when you read about the survival forecast of 10-year-old, 15-year-old, it becomes so bad. Thank you very much.

   Anna. Don't listen to anyone and don't worry. I have 10 years behind me, and I allow myself something like that on holidays. Diet. It is important to monitor bowel movements. If the stool is normal and there is no pain, then there is no reason to worry. Be healthy!

   Leo, thank you. My husband has constipation. Serious pain he had never since the diagnosis, only then, for the first time. Sometimes it can suppress (like a feeling of heaviness) or slightly prick. And for the most part, everything is fine. May you have many, many more years to come. Health to you from the bottom of my heart.

   Hello. My grandmother was diagnosed with acute pancreatitis. After discharge from the hospital, they began to drink the prescribed pills (but after a few days, the extract was not immediately given). after a day of taking pills (Duspatalin, Festal), vomiting began, blood pressure and sugar rose. Is it because of the pills? Or is something bad starting

   Veronica, get tested for diabetes.

   Hello Natalia. Thanks for the site, a lot of useful information, bookmarked. My wife had pancreatic necrosis, now she is being treated, the doctors said it turns into chronic pancreatitis. I reviewed many sites on a diet after pancreatic necrosis. Tell me please, I can’t figure out yet whether she can eat chicken and fish soups if they are made from chicken breast or low-fat fish, with the addition of allowed vegetables. After resuscitation, doctors allowed her chicken broth in small portions, and soups on meat and fish broth are prohibited in diets. Thanks, I'll wait for an answer.

   That is, if she has diabetes, then the pills are contraindicated?
   And what happens if these two diagnoses are together? Diet?

   Andrei, after pancreatic necrosis, you should follow a diet for a long time. Often surgeons recommend broths in order to improve the body as a whole. However, the inflamed pancreas is a very demanding, capricious and unpredictable organ. Broths are not allowed by the #5p diet, but are allowed by the #5 diet. Diet No. 5 is prescribed for pancreatitis in the stage of stable remission, i.e. when there were no exacerbations for more than 0.5 years. The transition from diet No. 5p to diet No. 5 occurs with the permission of the attending gastroenterologist.

   Veronica, you need to get tested. Two diagnoses together can be, it is necessary to take medications prescribed by a doctor. Diet is required. Diet in these diseases plays a therapeutic role.

   Natalia Thank you for your reply. I would like to clarify; in the hospital, she is occasionally offered rice or pasta with chicken sauce. Also rice casserole, I just don't think they separate the yolk from the white when they make the casserole. Can she eat it?

   Andrei, I don’t know how much time has passed since the acute condition.
   A rough estimate is:

2. at first, the patient is recommended hunger (and this is not necessarily 2-3 days, it may be longer in the hospital).
3. further diet No. 5p the first, wiped option - duration 2-3 weeks (all food is wiped)
4. then diet No. 5p is the second, not wiped option - the duration is about six months (pasta can also be included here, but meat sauces are not recommended). If during this time relapses (exacerbations) are observed, then longer.
5. If a period of stable remission has come, then diet No. 5 is prescribed, which should be followed for years.

Natalia is very grateful to you for your answer, now everything about the diet has become very clear. Thank you! For information: I stayed in the intensive care unit for a week after the operation, to improve my condition I was transferred to the ward. I have been in the ward for 3 weeks, there are no acute pains, they say on ultrasound, the pancreas, while inflamed, turns into a chronic process. But the temperature has been holding for a month, jumping 37-38.5. As I now understand, there are errors in the diet, because the hospital will not cook for her personally. There was at first the 0th table, but for some reason now they have placed the 4th table; from the proposed menu, she does not eat everything, but she constantly eats the same thing; She just doesn't have an appetite anymore.

Hello Natalia! New exotic fruits appear in stores, litchi are bought in large quantities, but can they be included in the diet for pancreatitis, it seemed to me that they have a laxative effect?

There are now a lot of good recipes on the Internet that can be used for gastritis and other diseases of the stomach. But it is clear that a diet is not a direct medicine, I took Helinorm, it helped, for a year now there have been no exacerbations. But I still follow the diet so as not to provoke.

Polina, I will answer that "diet is not a direct medicine."
In case of inflammation of the pancreas, diet is the best medicine.
The acute period is medicated, it is treated in a hospital in the surgical department, and then the restoration of the pancreas is possible only if a special diet is observed, which has a therapeutic effect.

Good day, Natalia! I really want to ask for your e-mail, or rather a phone number, in order to ask a few questions about Kisel Momotov. Now he is wandering with me, and will soon filter. Please allow me to contact you!

Sincerely, Milena.

Milena, my e-mail: and [email protected] You can write to these email addresses, I check them 2 times a day. But your questions may be of help to someone, so wouldn't it be better to ask them right under the article? But you can also write by e-mail, whichever is more convenient for you 🙂

Good afternoon, Natalia!
Everywhere they write that vegetable soups are allowed on a diet, but you indicate that vegetable broths are not allowed. But how then to cook? Boil vegetables separately and then pour water even if it's just potatoes and carrots?
And one more question. Soup curds processed too it is impossible?

Good afternoon! Tell me please. It hurts on the maiden side between the ribs, ultrasound showed signs of chronic pancreatitis, FGD showed gastritis. On Friday, we ate khinkali at work and on Saturday a green (emerald) stool had already formed, on Sunday it smoothly flowed into liquid stool. An unpleasant odor comes from the mouth. Hiccups start in the morning. Sometimes belching. Prompt please, doctors cannot give the exact answer with me it is created. And what diet should I follow to get rid of colic in the left part under the ribs. And what should be my next steps?

Hello. Tell me please, is it possible to eat beets in their pure form. It is written that borscht is not allowed, but how easy it is with beets?

Victoria, there is an article on the site - Is it possible to eat beets with pancreatitis - https://website/dieticheskoe-pitanie/svekla-pri-pankreatite.html
The same article contains recipes for dietary beetroot dishes that can be included in the menu for chronic pancreatitis.
With pancreatitis, fresh beets are contraindicated, as well as beetroot juice - why read in the same article.
If you use the SEARCH form and write in it - beets, you will find all the articles on the site on the topic.

Thank you for your answer！What about avocados？It seems that everything is clear in terms of a set of products, but what about physical activity？Can it somehow affect the disease？

oh, and cigarettes？Do they somehow contribute to the deterioration？We know that smoking kills）

Hello Natalia! Is it possible with chronic pancreatitis black cumin oil is said to be healing. Thank you in advance.

Good evening Natalia. Please tell us, we had the flu for 2.3 years.
The disease gave complications to the pancreas, pancreatitis was diagnosed. What foods can be given, cottage cheese and milk are not eaten, cereals too, and is it possible to give apples? Thanks in advance.

Hello! Thank you for the information and for answering questions.
I have chronic pancreatitis, now in the acute stage.
Such questions: is it possible to do without medicines, following only a diet?
And one more thing: is it really possible to forget about this disease one day, if you eat right and play sports all the time? Or is it still for life, and will inevitably get worse? I am now 29, I suffered several attacks, I was not treated by anything, I just did an ultrasound, where I was diagnosed with chronic pancreatitis. The last exacerbation was 3 months ago, and now.
I drank a decoction on corn stigmas, on the advice of a doctor. Tell me, is this decoction good for the pancreas, and is it possible to drink it during an exacerbation? Thank you.

Good afternoon! I have had chronic pancreatitis for many years, but when amylase tests showed 500 pains, there was no pain .... it was many years ago, the story is long, but I have autoimmune thyroiditis with hypothyroidism, but antibodies to peroxidase are small now ... but ANA is on today is 1:3200, this is considering that I was on medrol for a month and the situation has not changed. I'm leading to the fact that doctors suspect autoimmune pancreatitis, and the podzhel becomes inflamed from scratch, I don't drink a constant diet, I don't smoke ... the treatment is only symptomatic .... can you tell me what else can I try in my situation?

read everything you can eat. After that, I didn't even want to live. And you can't eat anything. was a corporate party at work. Everyone ate, and I sat looking at my colleagues. because there is nothing to eat. Drinking is violet to me. What I didn’t drink before, what now. Almost all salads are with mayonnaise, except for vinaigrette, which should be with white beans instead of peas, smoked sausage, fatty cheese, sweet juices, chocolate candies, peppers are not allowed. there are only tomatoes with cucumbers. Bread and that only with breadcrumbs. And this is what you call life? even my favorite caviar is not allowed.

Very detailed article! Thanks
For prevention, I still take medication.

If you suffer from pain during an exacerbation of pancreatitis, then I personally sleep only with oatmeal, and of course I follow a diet. It is better to eat nothing at all in case of severe pain. Only water. (Cold-hunger and peace)

with pacriatitis, is there a lump in the throat, it usually appears at night, when you get up, it goes away, a little and there is a burning sensation, it mostly happens at night, thanks

Hello! Help me figure it out, I went to the hospital with abdominal pain with stools of undigested food and burning in the sacrum, I was diagnosed with post-infection irritable bowel syndrome. They began to inject antibiotics, after a 5-day course of antibiotics, drug-induced hepatitis began, I turned yellow, the pain in the right hypochondrium was strong, they began to give me hypoprotectors the pain left the right rib and appeared in the left rib, and now it’s completely encircling, the stomach is swollen, callas with mucus and undigested food. The ultrasound was done 2 times, they say everything is within the norm

Hello Natalia! Your site is a life saver! Thank you for your titanic work and for patiently answering all the difficult answers. My question is: after fasting, you need to take food 5-6 times a day, and drugs such as pancreatin or creon also need to be taken with each meal or, as indicated above, 3 times a day? Thank you in advance.

Dear Natalia! I accidentally came across your site and was delighted. I learned so much useful information about pancreatitis and diet. Thank you so much for your attention and understanding answers! I wish you health, happiness and prosperity!!

Good afternoon. Tell me, please, can blood amylase be constantly slightly increased (maybe from birth)? It's just that I've never taken this test before. Once I was in gastroenterology, they wrote “chronic pancreatitis” in the discharge, without giving any recommendations. Yes, I was not bothered by any pain, discomfort, etc. And now, three years later, my left side began to hurt. She passed the tests - alpha-amylase 156, they said that the exacerbation of pancreatitis. Have appointed or nominated enzymes, a diet. After 2 months of treatment, she retaken biochemistry - amylase 138. She canceled the medications, only followed the diet. After another time - amylase 126, and then after 2 months again higher - 145. The doctor cannot explain why. Tell me, what is the norm of alpha-amylase (I am 31 years old)? And can it be constantly slightly increased in chronic pancreatitis? I just don't know how to lower it. Thanks

I forgot to say: apart from blood amylase, nothing bothers me, I don’t have vomiting, nausea, diarrhea, and never have. The only thing that was - it's pain in the left hypochondrium. And now only hung amylase remains. What can it say? Maybe this is normal for me? Thanks

Is it possible to eat walnuts and almonds, apricots with pancreatitis?

How long to follow the 5p diet which is up to the 10th day?

Update: November 2018

The pancreas is a very small but capricious gland, and if not everything is in order with it, then a person has to refrain from many favorite dishes and products. In order not to bring to acute pancreatitis or to an exacerbation of chronic, you should follow a diet, which is commonly called - table 5P.

What can you eat with pancreatitis? We will talk about this in this article. Consider the most frequently asked questions regarding prohibited and permitted foods for this ailment.

What vegetables can you eat?

Tomatoes

Is it possible to eat tomatoes with pancreatitis? As for tomatoes, here the opinion of nutritionists is divided, some believe that they are very useful, because they contain delicate fiber, which is so necessary for the gastrointestinal tract, remove bad cholesterol from the blood, which is very important for the pancreas.

Others believe that it is worth refraining from using them, especially during an acute process or even a mild exacerbation of chronic pancreatitis. Definitely, you can not eat unripe tomatoes, containing a lot of toxins that load all the organs of the digestive system.

But fresh tomato juice made from ripe tomatoes (not juice from commercial packages, 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 tomatoes stewed or baked. But, in everything, the measure should be observed, the abuse of even useful products can affect the work of the pancreas.

Tomato juice is a 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 in cholelithiasis. Excess bile will be thrown into the common pancreatic duct, where pancreatic enzymes will be activated, which will not digest food in the small intestine, but the gland itself. The result is acute pancreatitis, a stretcher, an operating table for pancreatic necrosis, then either disability or death.

Thus, tomatoes and tomato juice are allowed in remission of chronic pancreatitis, when there is no pain, no swelling on ultrasound, no increase in amylase, diastase, elastase and other signs of inflammation.

All recommendations in this article are indications for the 5P table for chronic pancreatitis during the recovery period after an exacerbation and without an exacerbation. In order not to bring to acute pancreatitis, do not drink alcoholic beverages (especially strong ones) and some medicines.

cucumbers

With pancreatitis, can you eat cucumbers or not? Cucumbers, despite being 90% water, are actually very rich in trace elements and vitamins. It is possible to eat cucumbers with this disease, moreover, for treatment, a cucumber diet is sometimes prescribed for pancreatitis, when a person eats 7 kg of cucumbers per week, while the pancreas is unloaded and inflammatory processes are prevented 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.

Cabbage

Is it possible to eat cabbage, broccoli with pancreatitis? Cauliflower, broccoli, Beijing, you can eat, but better stewed or boiled. Ordinary white cabbage, which is the most familiar to us, has a very hard fiber, so it is forbidden to eat it raw, but after heat treatment, it is also not often possible to eat it. And of course, do not forget that fried vegetables should be discarded. And it is better to refuse sauerkraut, as it greatly irritates the mucous membrane. Beijing cabbage can sometimes be consumed raw, only any kind of cabbage should be introduced into the diet after an exacerbation.

Is seaweed useful, the answer of nutritionists is yes, this is the most useful of all types, since 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 with pancreatitis? Yes, ... only to residents of Southeast Asia (Japan), because there the enzymatic systems are different from European ones. Even on medicines in a pharmacy in Japan, they indicate that Europeans may not be helped. Therefore, it is impossible to eat seaweed with pancreatitis, especially during exacerbation. This is not like other types of cabbage, this product is closer to mushrooms, that is, its utilization will require a massive release of pancreatic enzymes, which will provoke an increase in inflammation. Therefore, sea kale, like mushrooms, is not given to children under 12 years of age (they do not have the appropriate enzymes) and they are contraindicated in pancreatitis.

What fruits can be with pancreatitis?

All sour fruits, especially those with coarse fiber, are not advisable to use, especially during exacerbations. You can eat fruits only 10 days after the onset of remission of pancreatitis. In chronic pancreatitis, it is also not worth abusing various fruits, it is enough to eat 1 of any of the permitted fruits per day. Of course, in terms of the content of useful substances, vitamins and minerals, they have no equal and in this they are useful for the gland, but the presence of coarse fiber harms its functioning:

• You can eat: strawberries, sweet green apples, papayas, pineapples, avocados, watermelons
• Do not eat: pears, all kinds of citrus fruits, sour apples, peaches, plums, cherry plums, mangoes
• During remission, experiments are allowed with the use of various fruits, subject to their heat treatment - in a double boiler, oven.

There are certain rules when and how to eat fruits with pancreatitis:

• Permitted fruits should be crushed, rubbed, crushed as thoroughly as possible.
• It is better to use after baking in the oven or in a double boiler.
• Do not eat more than one fruit per day
• You should know exactly the list of allowed and prohibited fruits and know the medicines that should be taken if an undesirable fruit is accidentally consumed.

Is it possible to eat strawberries, 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 refuse the use of bananas.

Is it possible to drink alcohol with pancreatitis?

The pancreas categorically rejects any alcoholic beverages. Of all the organs of the gastrointestinal tract, this gland is most susceptible to the toxic effects of alcohol. Unlike the liver, it does not contain 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 snacks, a fun long feast.

In chronic pancreatitis, when drinking alcohol, there is a high risk of recurrent 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 does not just become inflamed, but rots.

So, what can not be eaten with pancreatitis?

Fatty food

The pancreas does not like fatty foods, smoked meats, foods high in protein or fat.

• Meat . Therefore, fatty meats (pork, duck, goose), especially their kebabs, meatballs, sausages, stew and canned food, should be excluded.
• 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 rich broth on the bone, 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. 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 in varying degrees of severity has been steadily growing. It becomes especially scary for children, because they also consume large quantities of harmful chemical products called “baby yogurt” (stuffed with preservatives, flavors and flavor enhancers), children's smoked sausage, “baby sausages” - by definition, there can be no children's sausages, Children shouldn't eat these foods! And then we wonder why a 10-year-old child has pancreatitis?

Milk products

Glazed cheese curds, fatty varieties of cottage cheese, cheeses, especially smoked and salted ones, should not be consumed. Ice cream is also contraindicated, especially since recently it has been made not 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 receive such products in organism.

The drinks

• Confectionery- sweets, rich pastries, chocolate - they strain the pancreas very much.
• Eggs . Hard-boiled eggs or fried eggs are contraindicated.
• Vegetables. Such rough, hard and spicy vegetables as radish, garlic, horseradish, lettuce, sorrel, mushrooms, legumes, bell peppers, onions (raw) should not 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 an absolutely healthy person, and if we are talking about pancreatitis, that is, almost “poisonous” finished products are 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 with pancreatitis?

Everyone knows that the pancreas loves during an exacerbation - HUNGER, COLD and REST. 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 a small amount of food, quite often, preferably every 3 hours, limit food intake at night and, of course, not to eat certain types of foods.

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?

Question answer:

Is it possible to have goat milk?

Goat milk is a rather heavy product for the pancreas. Since its fat content exceeds cow's two and a half times. The peoples who traditionally use this product as the main one have enzymatic systems more adapted to its use. But unaccustomed to goat milk can cause digestive disorders. Therefore, when introducing this type of milk and products from it, care must be taken, starting with small portions and gradually increasing them with normal tolerance. The absence of nausea, liquid or mushy stools will indicate that the product is digested normally (see).

Can you have matsoni?

Yogurt, 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 (it) is prepared. Too fat milk is of course undesirable.

Is it possible to make yeast cakes, puff pastry, gingerbread?

During the period of exacerbation of pancreatitis, yeast baking is not indicated. In remission, yeast baking should be reasonably dosed. Puff pastry is not contraindicated. In gingerbread, the degree of sweetening will come first (in case of problems with insulin in pancreatitis) and the icing with which they are covered. Often in cheap confectionery products, icing based on refractory fats (coconut and palm oils) is used, which does not add health to the pancreas.

Can I have cinnamon?

Cinnamon is a spice that is sold only in specialized stores or brought by distributors. What we buy in bags in hypermarkets is a cheaper option called cassia. There have been stories associated with this pseudocinnamon that it helps with type 2 diabetes. This is not actually the work of the pancreas, but the response of insulin receptors in tissues. There is no good evidence for this anywhere. In general, cinnamon enhances the production of gastric juice, being 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 in pancreatitis are not contraindicated if they are boiled or stewed. It is best not to eat these foods when fried.

Is it possible to process cheese, coffee, chocolate, bread?

It is advisable to choose processed cheese without hot spices and a large number of emulsifiers and preservatives. Chocolate should not be abused. You can eat bread. Coffee is undesirable regularly and during exacerbations. The way out is to add milk and drink infrequently in small cups.

Can brown and white rice, olive oil?

You can eat rice. add to salads and other dishes as usual. Without fanaticism.

Can I have cabbage pickle?

Cabbage pickle as a remedy for a hangover is contraindicated, because alcohol destroys the pancreas. In general, outside the exacerbation of pancreatitis in the absence of inflammation in the stomach or duodenum 12, a couple of tablespoons of brine cannot harm, but it is not recommended to drink it in glasses.

Salted fat?

Salo loads the liver and bile ducts more. In this case, the pancreas may suffer secondarily. Against the background of remission of pancreatitis, you can eat fat, but in reasonable portions in a couple of pieces a day a couple of times a week.

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Pancreatitis, especially its chronic form, is one of those diseases in which it is a fundamental factor in the absence of health problems. Any, even the slightest, errors in it can lead to an aggravation of the disease and severe attacks of pain. Therefore, the question of what you can eat with pancreatitis is relevant for all patients.
As a rule, patients are prescribed diet No. 5 for a long time. According to her, patients need to eat only boiled, stewed, baked or steamed food and completely abandon fried, smoked, pickled and canned food. At the same time, it is very important to eat in such a way as not to create a deficiency of proteins, fats or carbohydrates. So the diet of patients must contain products from all food groups.

Vegetables

Cooked vegetables should form the basis of the nutrition of patients. They can be stewed, boiled and baked, but it is best to steam them. Moreover, it is very important to regularly eat soups with weak vegetable broth, since liquid foods should still make up the lion's share of the total diet.

Tip: it is best to grind ready-made vegetables, and turn soups into mashed soups. This will facilitate the process of digestion and reduce the load on the pancreas.

The ideal choice for the patient's table will be:

• Potato,
• Beet,
• Bell pepper,
• Pumpkin,
• Cauliflower,
• zucchini,
• Spinach,
• Green pea,
• Carrot.

Over time, you can gradually start adding tomatoes and white cabbage to vegetable soups, casseroles or other dishes, but they must also be cooked.

Tip: beetroot is very useful for pancreatitis, as it contains a fairly large amount of iodine, which contributes to the resumption of the normal functioning of the pancreas. It is recommended to eat it in ground form daily for two weeks, half an hour before one of the main meals, 150 g each.

Fruits and berries

It is impossible to imagine the life of a modern person without fruits, since they contain a huge amount of vitamins necessary for each body, which ensure the normal functioning of the body. At the same time, some of them are rich in coarse fiber, which makes digestion difficult. Therefore, the list of what fruits can be used for pancreatitis is not too large.
It includes the following treats:

Many are interested in whether bananas are possible with pancreatitis. Most doctors agree that the pancreas is able to cope with the digestion of a small amount of them, but only during remission of the disease. With an exacerbation of pancreatitis, bananas can only aggravate the course of the disease.
The same is true for persimmons. Although its flesh does not have a pronounced sour taste, which makes it possible to include it in the list of permitted foods, you should not buy persimmon during an exacerbation of the disease and at least for a week after that. Then it is allowed to consume no more than 1 fruit per day in baked or stewed form. It is possible to minimize the risks associated with the use of persimmon in pancreatitis by grinding its pulp in any possible way.
Of course, in the presence of chronic pancreatitis, you should not abuse any fruits, since an excessive amount of acids can provoke another exacerbation of the disease. Moreover, you can eat them only 10 days after the onset of remission. The daily norm is the consumption of only one fruit of one kind or another, and only in a baked form. Sometimes patients are allowed to indulge in homemade jelly or berry mousses.

Tip: You can replace the daily amount of baked fruit with one jar of fruit baby food.

Animal products

You can get the essential amino acids necessary for the body and diversify the daily menu for pancreatitis with the help of low-fat varieties of fish and meat. It is best to choose chicken, rabbit, turkey, veal or beef for preparing dietary dishes, and from fish - bream, pike perch, pike, pollock or cod. But, no matter how attractive the fragrant, baked crust or bird skin may seem, it should not be used by the sick.
You can add some variety to your diet with the help of eggs. They can be eaten not only boiled on their own, but also in the form of steam omelettes. Only the classic fried eggs remain banned.

Dairy and sour milk

Dairy products, such as low-fat cottage cheese, sour cream, yogurt, should also be an integral part of the diet of patients. And the constant use of ryazhenka or will help to quickly put a person on his feet.
At the same time, whole milk in pancreatitis is usually poorly tolerated. It can cause indigestion and flatulence, so it should not be consumed in its pure form, but it should be used during cooking. It is best to give preference to goat's milk for pancreatitis, as it has a richer composition and is considered hypoallergenic.
Patients are allowed to eat a small amount of unsalted butter, but they should not be abused, since an abundance of fats can lead to a significant deterioration in a person's condition.

Seafood

As a rule, the dietary table of patients can sometimes be decorated with boiled shrimp, clams, mussels, squid, scallops and seaweed, as they contain a lot of protein. Seafood can make delicious main dishes and salads, but sushi is an undeniable taboo.

Cereals

Pasta and most cereals are not able to have a negative impact on the state of the pancreas. Therefore, pasta and cereals can be safely consumed even with an exacerbation of the disease.
The safest cereals are:

• Buckwheat,
• rice,
• oatmeal,
• Semolina.

Occasionally, the diet can be diversified with barley or corn porridge. Also, with pancreatitis, you can eat wheat bread, but only yesterday or in the form of crackers, and indulge in biscuit cookies.

Tip: it is best to cook porridge with water, or at most with water and milk, taken in a 1:1 ratio.

Drink

Mineral water for pancreatitis is the best that a patient can use to replenish fluid reserves in the body. Therefore, it is recommended to drink at least 1.5 liters of mineral water per day.

Beneficial effects on the state of the pancreas have:

• herbal teas,
• Bran decoction,
• Rosehip decoction.

Chicory is very useful for pancreatitis, or rather, a decoction of its roots. This drink can not only completely replace the coffee forbidden by the diet, but also have a healing effect on the inflamed pancreas, as it has a strong choleretic effect. Moreover, chicory contributes to the normalization of the state of the nervous system and improves heart function. Therefore, a decoction of its roots is shown to be drunk by all patients without exception.
In addition to all of the above, patients are allowed to drink weak tea, juice diluted with water, compotes and jelly.

Sweets

In rare cases, patients can treat themselves to a small amount of marshmallows, marmalade or marshmallows. But, here, the use of honey in pancreatitis is a controversial issue, since it can be used as a tea sweetener during the remission of the disease, but in the presence of endocrine disorders, this is categorically contraindicated.
A delicacy loved by many, nuts, you can eat with pancreatitis. Moreover, they are indispensable companions of patients, since they do not require special storage conditions and therefore are ideal for snacking both at the workplace and at home.

But! During an exacerbation of the disease in chronic pancreatitis, this product should be forgotten until the condition is completely improved.
Thus, all food consumed by a person should be neutral in taste, contain a minimum amount of fat and be prepared without the addition of spices.