Dr. Kshitij LochabGastroenterology · Liver · Endoscopy हिंदी

Season guide

Winter and wedding season: a guide for your gut and liver

From November to February, North India eats differently. Wedding feasts run late into the night, parties bring more alcohol, and winter favourites such as parathas with butter, gajar halwa, pinni and gajak are everywhere. At the same time, people drink less water and move less in the cold. These are the months when gastroenterologists see more acidity, constipation, gallstone attacks, pancreatitis after parties and food poisoning from buffets. A few habits keep the season enjoyable.

In short

Eat something light before a wedding or party instead of arriving starving, take one plate and fill half of it with salad and vegetables, and finish eating by about 9 to 10 pm. Drink 8 to 10 glasses of water a day even when you do not feel thirsty, keep walking in the cold, and enjoy winter sweets in small portions. Avoid binge drinking. If you have fatty liver, gallstones, past pancreatitis, diabetes or liver disease, plan ahead.

Through the season

November and December

Weddings and parties

  • Several heavy, late-night feasts a week, often with alcohol
  • Long gaps without food on wedding days, then one huge meal
  • Eat something light before leaving, and walk after the meal

December and January

Peak winter

  • Less water, less walking, more ghee, butter and fried snacks
  • Constipation and weight gain creep up quietly
  • Keep to 8 to 10 glasses of water and a 30-minute walk a day, even indoors

January and February

Lohri, Sankranti and after

  • Gajak, rewri, til ladoo and pinni are rich in sugar and fat
  • Seasonal vegetables and fruit are at their best
  • Fill up on sarson, methi, carrots, guava, oranges and amla

Common problems and what helps

Acidity and heartburn

Late, heavy dinners, fried starters, desserts, alcohol and lying down soon after eating.

What helps

  • Have a light snack at home before going, so you do not overeat at the venue
  • One plate, one round: start with salad and dal, then the main course
  • Try to finish eating by 9 to 10 pm, and wait 2 to 3 hours before lying down
  • Go easy on tea, coffee, colas and alcohol
  • If you take acidity medicines regularly, keep taking them as prescribed

See a doctor if acidity does not settle within a few days, or comes with difficulty swallowing, vomiting, weight loss or black stools. Chest pain with sweating or breathlessness is an emergency, not acidity.

Constipation and bloating

Less water in the cold, less activity, more maida, fried food and sweets, and less fibre.

What helps

  • 8 to 10 glasses of water a day; warm water, soups and herbal tea all count
  • Seasonal fibre: sarson and methi saag, carrots, peas, guava, oranges, bajra roti
  • A 20 to 30 minute walk every day, even in the cold
  • A fixed time for the toilet, ideally after breakfast

See a doctor if constipation lasts more than 2 to 3 weeks, is new after age 45, or comes with blood in the stool, weight loss or severe pain.

Food poisoning from buffets

Cream gravies, paneer, raita, salads and desserts left out for hours at large functions, and reheated leftovers.

What helps

  • Choose food that is steaming hot over dishes that have been sitting out
  • Be careful with cut fruit, chutneys and raita at big functions
  • ORS after every loose stool, and light food such as khichdi and curd rice

See a doctor the same day for blood in the stool, high fever, vomiting that stops you keeping fluids down, or very little urine.

After drinking

Party drinking strains the liver and can trigger gastritis or acute pancreatitis, especially with fatty food.

What helps

  • Avoid binge drinking: four or more drinks in one sitting
  • Eat before drinking, and alternate each drink with water
  • Never drive after drinking, and do not mix alcohol with painkillers
  • If you have any liver disease or past pancreatitis, do not drink at all

Severe upper belly pain spreading to the back, with vomiting, after a party is not 'just acidity': go to the emergency department.

Wedding and party food safety

Large functions cook food hours in advance and keep it warm for a long time. A few checks protect you and your family.

Buffets

Food is safest hot from the kitchen. Paneer, cream gravies, raita, salads and desserts kept at room temperature for more than 2 hours can grow germs.

Water and ice

Drink sealed bottled or filtered water, and be wary of ice and of drinks made with water of unknown source, which can spread hepatitis A and E and typhoid.

Chaat and street food

Pani puri water and uncovered chutneys are common sources of infection. Prefer freshly cooked, hot items from busy stalls.

Leftovers

Refrigerate leftovers within 2 hours and reheat until steaming hot. Throw away anything that smells sour or has been kept for more than a day or two.

Get help straight away if you have

  • Severe upper belly pain spreading to the back, with vomiting
  • Vomiting blood, or black, tar-like stools
  • Vomiting that does not stop, or passing very little urine
  • Chest pain with sweating or breathlessness
  • Yellow eyes, or confusion and sleepiness in someone with liver disease
  • Severe pain under the right ribs after a heavy meal, with fever

Call 112 or go to the nearest emergency department. Do not try to manage these at home with antacids.

Who should plan ahead

Most people can enjoy the season with a little care. Some conditions need extra attention.

Diabetes

Several rich meals a week and winter sweets push sugar up. Keep sweets to a small piece after a meal, check your sugar more often, do not skip medicines or insulin, and keep up your walks.

Fatty liver and other liver disease

Avoid alcohol completely. Winter weight gain worsens fatty liver, so keep portions and activity steady. With cirrhosis, keep salt low and avoid long gaps without food.

Gallstones and past pancreatitis

Large, fatty, late-night meals are the commonest trigger. Keep feast portions moderate, avoid alcohol, and do not skip meals before a big function.

High blood pressure, heart or kidney disease

Function food and namkeen are salty. Pick plain rice, roti, dal and vegetables over pickles, papad and rich gravies, and keep to any fluid limit your doctor has given.

Older adults and IBS

Cold weather means less water and more constipation. Keep fluids up, eat at regular times, and choose smaller portions at functions.

What to eat this winter

Winter brings some of the best gut-friendly produce of the year. Build everyday meals around it, and keep rich foods for occasions.

Eat more

  • Sarson, methi, palak and bathua saag, with less ghee on top
  • Carrots, peas, radish, cauliflower and sweet potato
  • Guava, oranges, amla and apples
  • Bajra or makki roti with dal or saag
  • Soups, haldi milk with little sugar, chaas, warm water and herbal tea

Cut down

  • Butter or ghee on top of every paratha
  • Gajar halwa, pinni and gajak every day
  • Fried starters at every function
  • Alcohol and late, heavy dinners
  • Packaged soups and namkeen, which are very salty

Good to know

  • One small portion of a winter sweet after a meal is fine; large daily portions add up
  • Walk indoors or climb stairs on very cold or smoggy days
  • Morning sunlight and outdoor walks also help mood and vitamin D
  • Carry water to functions: thirst is weaker in the cold

A simple wedding day

Morning
Water first, then tea with a fruit or a few soaked almonds
Breakfast
Besan chilla, poha, oats or a stuffed roti with curd
Lunch
A light home meal: roti, dal, a vegetable and salad
Before leaving
A small snack such as roasted chana, a fruit or a glass of chaas
At the function
One plate: salad and dal first, then the main course, one small dessert, and water through the evening
Night
Finish eating by about 10 pm if you can, and do not lie down for 2 to 3 hours

After the season: reset your gut

After weeks of rich food, go back to simple home meals for a while: dal, roti or rice, seasonal vegetables, curd and fruit, with plenty of water and a daily walk.

Do not 'detox' with juices, laxatives or fasting. The liver and gut recover on their own with normal, balanced food.

If acidity, bloating, constipation or a change in bowel habit continues for more than two weeks, or you have gained weight and have fatty liver, get checked.

Common questions

Why do I get constipated in winter?

People drink less water when it is cold, move less and eat more refined and fried food. More water, seasonal vegetables and fruit, and a daily walk usually fix it.

Is gajar halwa healthy because it has carrots?

The carrots are healthy, but halwa also has a lot of sugar, ghee and khoya. Enjoy a small bowl now and then rather than every day.

Can I drink alcohol at weddings if I have fatty liver?

It is best not to. Alcohol and fatty liver together speed up liver damage. Choose nimbu paani, coconut water or soda with lime instead.

Should I skip lunch before a big wedding dinner?

No. Arriving very hungry leads to overeating and acidity. Have a normal light lunch and a small snack before you leave.

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