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Can patients with cholecystitis eat soy products?

BY Berton Gladstone 2020-05-07

   Some netizens asked me such a question by email: I am a middle-aged woman. Soy milk and soy products are undoubtedly necessary for calcium supplementation. But I suffer from cholecystitis. Some people suggested that I eat less or do not know soy products, saying that it is acidic food is not good for cholecystitis. I used to like it but now I basically don’t eat soy products. Can I eat soy products? Or drink soy milk.

   For patients with chronic cholecystitis (acute cholecystitis patients need to consider more), the dietary factors related to the disease are mainly fat. The gallbladder is an organ that stores bile. After being secreted by hepatocytes, bile converges into the gallbladder through various levels of bile ducts to store (and concentrate). After eating, it stimulates the gallbladder to contract, and the bile is discharged into the duodenum to participate in the digestion and absorption of food (mainly fat). The strongest stimulation of the gallbladder contraction in the diet is fat, and foods rich in fat will make the gallbladder contract strongly. The strong contraction of the gallbladder promotes the complete discharge of bile on the one hand, which is obviously beneficial to reduce inflammation of the gallbladder; on the other hand, it also aggravates the pain (abdominal discomfort or pain) caused by gallbladder inflammation.

   That is to say, fat has advantages and disadvantages for patients with cholecystitis, so if you want to limit fat, you must consider the specific situation of the patient. Patients with severe abdominal pain should reduce their fat intake, such as eating egg whites (no egg yolks), drinking skim milk (not full-fat milk), eating shrimp or seafood or soy products (not eating meat), and cooking less oil Wait. If the abdominal pain is not serious, that is, after eating foods containing a certain amount of fat, such as egg yolk, whole milk, lean meat, or the pain does not increase, or the pain is mild, then you can eat these foods containing a certain amount of fat, not only harmless, It can also benefit from it, both supplementing nutrition and reducing gallbladder inflammation.

As for the soy products asked by this netizen, such as soy milk or tofu, the fat content is much lower than that of meat, egg and milk (of course it is much higher than that of gruel, steamed bread and rice), gallbladder People with inflammation are edible. The patient conservatively said that as long as you eat soy milk, tofu and other soy products, abdominal pain has not increased, then you can eat them. In fact, patients with cholecystitis do not need to actively taboo any food, as long as the abdominal pain does not increase after eating (of course, nutritional balance should always be paid attention to), only foods that make abdominal pain significantly worse after eating need to be taboo (if this If the situation occurs frequently, then you have to see a doctor and take medicine).

  If tofu is an acidic food and it makes a little sense, then it is downright nonsense to say that acidic food is not good for cholecystitis. Bile (the main ingredient is bile acid) is acidic, so you can''t eat acidic food? Acidic food increases bile secretion? Bile secretion increases gallbladder inflammation? These are all nonsense. Lenin said that a fool can''t solve the problem posed by ten smart people. I have to say that the nutritional advice given by many people is pure fool advice. If you don''t meet a more stupid person, you won''t believe it.

   Learn a little simple physiology, especially those who give advice to others if they don’t move.

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