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Therapeutic nutrition in pancreatitis. Diet number 5p

Diet menu for pancreatitis

Pancreatitis is a common disease of the internal organs. The pathology is treated not only with drugs, but also with dietary nutrition, including the 5 pence diet. The weekly menu for pancreatitis requires the elimination of most foods from the diet, and also consists of special cooking methods. The task of dietary nutrition is to bring the pancreas into normal operation.

What is the 5p diet

Therapeutic diet 5p in pancreatitis is important at any stage of the disease and can lead to a decrease in stagnation of bile in the ducts, suppress hyperfermentemia and reduce bile sensitivity.

If there are signs of pathology, the 5p table has a beneficial effect not only in acute manifestations. With a chronic course, such a diet will help improve the metabolic processes in the gland, resume their work and a disturbed diet, and prevent the occurrence of relapses and the progression of the disease.

The diet starts on the 4th day after the relapse. Before the therapy you need to starve for 3 days. Table 5p in the pathology of pancreatitis is prescribed along with treatment with drugs. Such a dietary regimen involves abandoning most of the dishes that can complicate the patient's situation.

Products used in the preparation of dishes for pancreatitis must be crushed or ground. They are both stewed and boiled. Thanks to these cooking methods, protein increases, the content of carbohydrates, fats and substances with extractive properties, which have a high cellulose content, decreases, stimulating the activity of the digestive glands.

The diet is divided into 2 phases. There are no characteristic differences between the tables, but the diet under No. 1 is softer and lighter, it does not allow the use of individual products that are allowed to be eaten in diet No. 2.

Diet 5p part one

With pancreatitis, Table 1 is given when there is an acute form of the disease and a sharp exacerbation of chronic pancreatitis. Thanks to Table 5 according to Pevzner, the iron is accelerated as much as possible and the pain syndrome is eliminated.

Diet 5 for pancreatitis is sparing and is prescribed for 3 days after a hunger strike. However, since such a table does not meet the physiological standards of food intake and the needs of the patient, it is prescribed for the 5th day.

With chronic pancreatitis, the content of the 5th table includes low-calorie intake with the presence of proteins, fats and carbohydrates.

With this disease, the diet of an adult involves multiple food intake - up to 8 times, and the proportions necessary for health are 100-300 grams.

All products are boiled and have a liquid consistency, and on the 6th day the menu for pancreatitis is replenished with semi-viscous products.

Due to the fact that liquid and carbohydrate dishes have an insignificant stimulant of pancreatic and gastric secretion, after the hunger strike the table is replenished with carbohydrate products.

The 5p diet for chronic pancreatitis consists of the following dishes:

  1. Mucous soups, the basis of which can be various cereals, decoctions of vegetables.
  2. Grated liquid grain boiled in water.
  3. Light tea with sugar.
  4. Mousse, jelly, jelly made on the basis of fruit juice on xylitol.
  5. Vegetable puree without the use of oil.
  6. Steamed Vegetable Puddings.
  7. Compote with dried fruits.
  8. Crackers, stale white bread.
  9. Cracker.

After 2 days after the end of the carbohydrate diet 5 in chronic pancreatitis, protein foods are allowed to be introduced.

  1. Prepare creamy soups, which can be based on boiled meat.
  2. Egg as a steam omelet, cooked soft-boiled, protein omelet.
  3. Steamed Meatballs, Beef, Chicken, Fish Dumplings.
  4. Creative puddings.
  5. Butter used in ready meals.

When the pain subsided, the acute symptoms of pancreatitis were relieved, the treatment of Table 5 gave positive results, the diet is gradually expanded and nutritional therapy No. 2 is prescribed, which is indicated after an exacerbation and a mild manifestation a chronicIllness.

To understand what the fifth table implies, what the doctor can and cannot tell you individually after the examination.

Diet 5p part two

The follow-up treatment table 5 for pancreatitis is recommended for a longer period of time - up to one year. Diet will help prevent pathological attacks in the future.

Table number 5 also implies thermal, mechanical and chemical principles of preparation that help reduce the digestive stimulation of the affected organ.

The energy level is low. The amount of proteins, vitamins with lipotropic substances is slightly higher than in the healing diet No. 1. With pancreatitis, limited-volume dishes should contain:

You can not eat fried foods, and those that can cause profuse gas formation, fermentation of the stomach and intestines.

Dishes are steamed or boiled. First, use grated, and then chopped food.

food preparation products

The diet for the pathology of pancreatitis consists of a number of acceptable table products No. 5:

  1. Yesterday's bread, made from flour of 1-2 grades to avoid bloating, as well as dry biscuits without sugar.
  2. Vegetable Cereal Soups. Groats in the first dish should be ground. It is allowed to eat buckwheat, rice, semolina porridge, pasta. Vegetable ingredients are isolated - potatoes, carrots. Use sour cream or butter as a dressing.
  3. Lean meats include rabbit, chicken, beef, veal and poultry. It is important that the product does not contain fat, tendons, skin. Dishes are prepared using the steam method, in grated, chopped form, boiled and baked. You can eat veal, rabbit, zucchini, stuff with chicken and cook steamed meatballs.
  4. The fish is lean, stewed or boiled. You cannot let the fish in, as it contains a lot of extractives compared to a cooked product.
  5. Protein omelettes, a soft-boiled egg.
  6. Dairy products with a minimum percentage of fat. Since milk is poorly tolerated by the stomach, use it only to prepare milk porridges, sauces, soups. It is allowed to use cottage cheese, prepare puddings and casseroles from it. Eat mild grated cheese. If the patient has calcium deficiency, then it is necessary to eat calcined cottage cheese.
  7. Sweet apples baked in the oven. It is allowed to cook kissel, jelly and jam with fruits and berries. Dried fruits are eaten grated. It is recommended to use fresh berries with grated fruit.
  8. From drinking during the diet treatment, light tea is allowed, sugar consumption should be halved, juices dissolved in water, rosehip broth.
  9. After a pancreatic attack, gradually introduce fats into the diet. First, up to 20 grams of butter for dressing, and then vegetable oil in the amount of 15 grams.

If a diet for pancreatic pancreatitis is recommended, then a dimensional menu for a week is developed by a specialist individually, based on the characteristics of the patient's body.

Example of a weekly meal plan

As already known, the therapeutic diet for the pathology of pancreatitis involves a slow expansion of the table. At the initial stage, diet therapy includes grated foods and boiled vegetables. It is allowed to eat 200 grams of bread and 20 grams of sugar per day.

When switching to the second version of the diet table, the main dishes remain unchanged, but it is still allowed to eat salads from fresh vegetables. The quantity of products is also increasing.

  1. Bread - rye 100 gr. , wheat - 200 gr.
  2. Sugar - 40 gr.
  3. Butter up to 30 gr. per day.

The menu is signposted on a daily basis in the event of illness. The names of products and dishes for pancreatitis for a week are different.

1 day

  1. Breakfast - rice porridge, cottage cheese, tea.
  2. Lunch - an apple cooked in the oven with cottage cheese.
  3. Lunch - oatmeal soup, meatballs, mashed vegetables, compote.
  4. Snack - croutons with fruit drink.
  5. Dinner - scrambled eggs, tea with lemon.
  6. The second dinner is milk for the night.

2 day

  1. Breakfast - cheesecake with pieces of dried apricots, cheese, tea.
  2. Lunch - porridge with apple juice.
  3. Lunch - meatballs, pumpkin mash, green tea.
  4. Snack - rice pudding.
  5. Dinner - casserole with vegetables and boiled chicken breast, tea.
  6. The second dinner is biscuits, fruit drink.

3 days

  1. Breakfast - semolina porridge with butter and sugar, bread, tea.
  2. Lunch pudding with ryazhenka.
  3. Lunch - vermicelli soup, baked chicken with vegetables.
  4. Snack - yogurt and an apple baked in the oven.
  5. Dinner - a casserole with minced meat, potatoes, low-fat sour cream, bread and compote.
  6. The second dinner is kefir.

day 4

  1. Breakfast - protein steamed omelette with tomatoes, tea.
  2. Lunch - vinaigrette without salted cucumbers, cabbage, bread.
  3. Lunch - steamed cod, rice soup, tomato juice.
  4. Snack - cottage cheese and compote, cooked from dried fruits.
  5. Dinner - boiled beets with prunes, chopped beef, tea.
  6. The second dinner is Ryazhenka.

day 5

  1. Breakfast - porridge with rice flour, jam for cottage cheese, compote.
  2. Lunch - scrambled eggs with juice.
  3. Lunch - meat soup, cutlets, boiled rice with a piece of butter, compote.
  4. Snack - chicken breast dumplings.
  5. Dinner - hake cutlets with mashed vegetables, apricot juice.
  6. The second dinner is kefir.

day 6

  1. Breakfast - rice, meat steam dumplings, tea.
  2. Lunch - cottage cheese, jelly.
  3. Lunch - vegetable soup on a diet table with grated vegetables, turkey escalope, mashed potatoes and fruit drink.
  4. Snack - crackers, tea.
  5. Dinner - semolina, scrambled eggs, light tea.
  6. The second dinner is half a glass of mineral water.

day 7

  1. Breakfast - Mannik with raisins, cottage cheese pudding, milk tea.
  2. Lunch - boiled cabbage, rice.
  3. Lunch - oatmeal soup, stuffed cabbage with boiled meat, sour cream, kissel.
  4. Snack - cottage cheese, juice.
  5. Dinner - rice porridge, mineral water.
  6. The second dinner is carrot juice.

The diet for the pathology of pancreatitis should include a large amount of food during the day. Recipes for dishes for every day will transform the table and allow you to diversify it.

Recipes for the 5p diet

The 5 pence diet for pancreatitis is the most common variation of the table with a variety of dishes, making it easy for the patient to create a weekly diet.

Vegetarian Cream Soup

The recipe contains the following products:

  • carrots - 2 pcs. ;
  • potatoes - 250 gr. ;
  • vegetable broth - 0. 7 l . ;
  • celery - 2 stalks;
  • olive oil - a tablespoon;
  • Onion - half.

Cut the onion and pour boiling water over it. You can dry the vegetables a little in a pan. Put the broth on the stove, add the onions and the prepared vegetables and add a little salt. Boil 40 minutes.

Beat the finished dish with a mixer. You can eat with crackers.

vegetable ragout

You will need 5 potatoes, cut into cubes and put in a cauldron. Send him grated carrots and chopped onions, pumpkins and tomatoes.

Pour vegetables with water, salt. Simmer on medium heat for about 20 minutes. When serving, sprinkle the dish with dill.

Fish baked in the oven

During a diet, you need a low-fat variety of fish. The product is cut into portions and placed on a baking sheet. Next, chop the onion, grate the carrot. Arrange the vegetables on the fish, drizzle with lemon juice, season with salt.

Wrap the dish in foil and put in the oven for half an hour.

Such diet 5 recipes for pancreatitis will diversify the menu, and the patient will be satisfied and enjoy the food.

Diet number 5p: menu for a week with pancreatitis. recipes. What is possible and what is not?

Pancreatitis is one of the most common diseases of the internal organs. He is treated not only with medication, but also with special nutrition, which includes Diet No. 5p. The menu for a week with pancreatitis requires the exclusion of many products, as well as a special way of cooking. The purpose of the diet is to normalize all the functions of the pancreas.

What is the 5p diet for?

Therapeutic nutrition is widely used in diseases of the liver, pancreas, intestines, stomach and gall-forming organs. The food system here requires the use of certain foods that are prepared in a certain way. The frequency of meals and the temperature of the food consumed play an important role.

Diet No. 5p (weekly menu for pancreatitis) was developed by family doctor M. I. Pevzner in 1920 and has not lost its relevance to this day. It is prescribed to exacerbate pancreatitis. It is able not only to provide the patient with good nutrition, but also to normalize the functions of the pancreas. It has a positive effect on bile secretion and the liver. Promotes the accumulation of glycogen, relieves cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal apparatus.

Feature of the cooking table No. 5p

Dishes in the No. 5p diet should have an increased content of pectins, liquid, lipotropic components and fiber. For the period of treatment, a fractional meal regimen is introduced, patients eat food 5-6 times a day. Products are steamed, baked or boiled. Cooking does not brown vegetables. High-fiber foods are wiped, the rest finely chopped.

The diet limits the intake of fats and carbohydrates. The main diet consists of protein products. Dishes with oxalic acid, which contain a lot of cholesterol, coarse fiber and purines, are excluded from the menu. Remove foods high in essential oils and fried foods. Salt should be consumed no more than 10 g per day, and water - up to two liters.

Meals should be taken warm. Cold and hot dishes are contraindicated.

Notes on dietary nutrition

Diet No. 5p (menu for a week with pancreatitis) is indicated for patients with acute and chronic pancreatitis after therapeutic starvation during unstable remission.

Principles of the Diet Table No. 5p

Diet number 5p is intended to stabilize the pancreas. It protects the stomach and intestines as far as possible, relieves pain and reduces the reflex excitability of the bile organ. If it is adhered to, the following principles must be adhered to:

  • before the diet you need to fast from 3 to 7 days;
  • the way of eating should be fractional 5-6 times a day;
  • You need to eat in small portions up to 300 g.
  • Dishes should be steamed, boiled or baked;
  • a balanced diet should be introduced, containing all the vitamins and minerals necessary for the body;
  • all food should be semi-liquid and grated;
  • temperature regime of ready meals - 20-25 ° С;
  • the consumption of fats and carbohydrates is reduced to a minimum.

In order for the therapy to be successful, all the rules of therapeutic nutrition should be observed. You should not break the prohibitions until complete remission or recovery occurs.

Diet No. 5p: chemical composition

Diet No. 5p should have a daily calorie content of 1700-2500 kcal. Carbohydrates in the menu are indicated at 50 g, fats at 70 g, proteins at 100 g, per day no more than 10 g of salt are consumed.

Depending on the content of vitamins, retinol in the menu should be about 10 mg, thiamine - 10 mg, riboflavin - 2 mg, nicotinic acid - 1. 6 mg, vitamin C - 150 mg, sodium - 3 g, phosphorus - 1. 3 g, calcium - 0, 8 g, magnesium - 0. 5 g, iron - 0. 03 g.

Allowed foods

Requires compliance with all necessary rules diet number 5p. Soups here are recommended to eat vegetables with the addition of cereals. You can't add roast to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. Bread should be yesterday's wheat, made from class 1-2 flour. You can use unsweetened cookies.

Vegetables are eaten boiled or grated. The use of lean meat and fish of low-fat varieties is allowed. You can eat soft-boiled eggs, as well as steamed scrambled eggs, but no more than once a day. All cereals are cooked in low-fat milk or water. Baked and shredded apples, low-fat dairy products and dishes from them are allowed.

Diet #5p also includes cooked vermicelli in the diet. The sample menu includes the use of fruits and berries. They can be eaten in the form of jelly, raw - mashed or baked. With such a diet, they drink tea with lemon, not very strong, or rosehip broth, natural juices diluted with water with no added sugar. Vegetable oil is allowed - 15 g per dish, as well as butter - no more than 30 g per day.

Foods that are forbidden

Diet #5p has many restrictions on eating. The following foods must not be consumed during the treatment of pancreatitis:

  • fatty meat and fish broths;
  • any alcohol, as well as strong tea and coffee;
  • cold, hot and carbonated drinks;
  • smoked products, sausages and sausages;
  • freshly baked and rye bread;
  • fish caviar;
  • radish, turnip, radish, sorrel and spinach;
  • dairy products including yoghurt;
  • flour products;
  • sour and spicy dishes;
  • mushrooms in any form;
  • salted and pickled foods;
  • high-fat dairy products;
  • canned food;
  • Sweets;
  • citrus fruits;
  • grape juice;
  • Fast food, chips, nuts and crackers.

Despite the bans on many products, diet No. 5p (table) is very effective in treating pancreatitis. What you can, what you can not eat - this was discussed above, and then we will talk about the menu in the treatment of pancreatitis.

Type of medical nutrition

Diet No. 5p exists in two versions. The first is used in acute pancreatitis - No. 5a, and the second in chronic - No. 5b.

With diet No. 5a, the daily calorie intake should not exceed 1700 kcal. All dishes are liquid and pureed. Foods that can stimulate the secretory function of the pancreas fall under the ban. This meal lasts about a week.

With diet No. 5b, the calorie content increases to 2700 kcal. The amount of proteins, carbohydrates and fats increases. All broths and decoctions are excluded to reduce the release of pancreatic secretions. All foods are taken in pureed form.

Diet number 5p: menu for a week with pancreatitis

During the week, with an exacerbation of pancreatitis, the menu should be as follows.

Monday. For breakfast in the morning: a steamed omelet made from one egg yolk and two proteins, with a rosehip broth. For second breakfast they eat a baked pear. At noon - borscht, meatballs from low-fat fish and boiled rice. In the afternoon, it is recommended to have a snack with crackers and drink a glass of milk. Dinner is to be boiled chicken breasts, porridge from Hercules, and weak black tea. Drink 250 g of low-fat kefir before going to bed.

Tuesday. Morning: Mannik with raisins plus pudding with berries and low-fat cottage cheese and tea with low-fat milk. 2. Breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, for the second, stuffed cabbage with boiled meat. From drinks - jelly from berries. Snack: low-fat cottage cheese and compote cooked from dried fruits. In the evening, for dinner, they cook rice porridge with skim milk and drink a glass of mineral water. Before bed: 250 g carrot juice.

Wednesday. Morning: Syrniki with dried apricots, cheese and rosehip tea. At the second breakfast they eat buckwheat porridge with apple juice. For lunch, beef patties are served with pumpkin puree and green tea. Rice pudding is perfect for an afternoon snack. In the evenings they eat vegetable casseroles and boiled chicken, drink weak tea. Before bed: berry juice with unsweetened biscuits.

Thursday. Morning: steamed scrambled eggs made from two proteins and one tomato. A glass of weak tea. For the second breakfast there is a vinaigrette without sauerkraut and pickles, a piece of bread. Boiled cod, rice soup and tomato juice are served for lunch. In the afternoon they eat berry jelly and drink unsweetened tea. They eat beetroot salad with prunes and lean boiled meat, as well as tea with milk. At night: a glass of fermented baking milk.

Friday. In the morning: semolina porridge, weak tea and bread with hard cheese. 2. Breakfast: cottage cheese with sour cream, pumpkin juice. For lunch, soup with vegetables and noodles, boiled lean fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. A warm carrot salad plus berry jelly is offered as an afternoon snack. You can eat cottage cheese and buckwheat, and drink green tea. 2. Dinner: 250 g milk with breadcrumbs.

Saturday. For breakfast: curd pudding and a glass of milk. The 2nd breakfast is based on mashed carrots with jam. Lunch consists of vegetarian borscht, steamed turkey cutlets and weak tea with lemon. Berry jelly is recommended as an afternoon snack. For dinner - macaroni cheese soup, pumpkin salad with apples and tea with a spoonful of honey. Before bedtime - 250 g of fermented baking milk.

Sunday. Morning: oatmeal with milk, fruit grated with cottage cheese and jelly. An apple baked in the oven is to be served as the second breakfast. Lunch: zucchini soup, rabbit baked in sour cream and buckwheat, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They eat fish dumplings, boiled rice and tea with a slice of lemon. Before bed: grits.

Unwashed food option: Daily menu

As soon as the pain subsides, you can introduce unpureed dishes into the diet. An approximate menu would look like this:

  • Breakfast. Loose buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Cooked pureed meat. Semi-sweet tea is recommended as a drink.
  • 2. Breakfast. Tea with biscuits and some plums.
  • Dinner. Allowed vegetable soup. Boiled potatoes with a piece of boiled chicken. For dessert - an apple and weak tea.
  • Afternoon tea. Low-fat homemade cottage cheese and compote cooked from dried fruits.
  • Dinner. Vermicelli with boiled fish and tea.
  • Before going to bed. Tea with milk and a cracker.

Two days after pancreatitis worsens, doctors advise drinking warm mineral water up to a liter a day. Rosehip decoction will come in handy. From the third day, when the patient's health has improved, they introduce liquid cereals and gruel, as well as vegetable purees and jelly.

Diet No. 5p according to Pevzner

The Pevzner Diet suggests that when the symptoms of an exacerbation of pancreatitis subside, the following menu is used:

  • Breakfast. Pureed buckwheat or rice porridge, from drinks - milk jelly.
  • Having lunch. fruit jelly and a glass of mineral water;
  • Dinner. Oatmeal soup, mashed carrots and steamed meat soufflé. Weak tea.
  • Afternoon tea. Protein steam omelet plus rosehip broth.
  • Dinner. Pureed buckwheat porridge, quark soufflé.
  • Second dinner. A glass of mineral water with crackers.

Salt is not used in the Pevzner diet, and the daily dose of sugar is 20 g.

Diet number 5p: recipes

The following dishes are suitable for diet No. 5p:

  • Vegetable stew. Large potatoes (5 pieces) are cut into cubes and put in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added. Vegetables are poured in 300 g of water, salted and stewed over medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
  • Baked fish. Low-fat fish is cut into pieces and placed in foil. Next, the onion is chopped and the carrots are grated. Vegetables are laid on top of the fish, all sprinkled with lemon juice and sprinkled with salt. Fish with vegetables is wrapped in foil and stewed in the oven until soft.

These #5p everyday diet recipes will help diversify the menu. They give you a feeling of satiety and satisfaction.

The main recommendations of doctors

Chronic pancreatitis (diet No. 5p is very effective with this disease) in the acute stage is treated not only with drugs, but also with appropriate nutrition. Doctors advise you to take diet No. 5p with all responsibility. Do not get carried away with sweets without a doctor's prescription, since the use of sugar in an amount greater than 60 g can provoke an exacerbation of pancreatitis.

It makes sense to drink mineral water during therapeutic nutrition. It is best to drink it warm in small sips before going to bed. All food should be ground, coarse pieces irritate the internal organs. Of vegetables, parsley and dill are allowed.

Doctors with pancreatitis advise once again not to disturb the pancreas and to stick to a light diet.