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Therapeutic nutrition for pancreatitis. diet number 5p

diet menu for pancreatitis

Pancreatitis is a common disease of the internal organs. Pathology is treated not only with drugs, but also with dietary nutrition, including the 5p 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 make the pancreas work normally.

What is the 5p diet?

Therapeutic diet 5p for pancreatitis is important at every stage of the disease and can lead to a decrease in bile stasis in the ducts, suppresses hyperfermentemia and reduces the sensitivity of bile.

During signs of pathology, the 5p table has a beneficial effect not only during acute manifestations. In a chronic course, such nutrition will help improve metabolic processes in the gland, resume its work and altered diet, and prevent the occurrence of recurrences and the progression of the disease.

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

Products used in the preparation of dishes for pancreatitis will need to be crushed or crushed. Both are steamed and boiled. Thanks to these cooking methods, the protein increases, the level of carbohydrates, fats and extractive substances, which have a high level of cellulose, decreases, stimulating the activity of the digestive glands.

The diet is divided into 2 stages. 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 under diet No. 2.

5p diet part one

With pancreatitis, table number 1 is indicated if there is an acute form of the disease and an acute exacerbation of chronic pancreatitis. Thanks to table 5 according to Pevzner, the iron is maximally accelerated and the pain syndrome is eliminated.

Diet 5 for pancreatitis is moderate and is prescribed after a 3-day hunger strike. But since such a table does not meet the physiological standards of food consumption and the patient's need, it is prescribed for the fifth day.

In chronic pancreatitis, the content of Table 5 includes a low calorie intake with the presence of protein, fat and carbohydrates.

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

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

As a result of the fact that carbohydrate and liquid dishes have an insignificant stimulant of pancreatic and gastric secretion, after the passage of 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, vegetable decoctions.
  2. Shredded liquid cereals cooked in water.
  3. Light tea with sugar.
  4. Mousse, jelly, jelly, made on the basis of fruit juice in xylitol.
  5. Vegetable puree without the use of oil.
  6. Steamed vegetable dumplings.
  7. Compote with dried fruits.
  8. Crackers, stale white bread.
  9. Cracker.

After 2 days after the expiration of the 5-carbohydrate diet in chronic pancreatitis, it is allowed to introduce protein foods.

  1. Prepare creamy soups that can be based on boiled meat.
  2. Egg in the form of an omelette steamed, boiled, soft-boiled, protein omelette.
  3. Steamed meatballs, beef, chicken, fish quenelles.
  4. Creative desserts.
  5. Butter used in prepared dishes.

When the pain has subsided, the acute symptoms of pancreatitis have been relieved, the treatment in Table 5 has given positive results, then the diet is gradually expanded, prescribing nutritional therapy No. 2, which is indicated after an exacerbation and a mild manifestation of a chronic disease.

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

5p diet part two

Table 5 follow-up therapy for pancreatitis is recommended for a long period of time, up to one year. The diet will help prevent attacks of pathology in the future.

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

The energy level is low. The amount of protein, vitamins with lipotropic substances is somewhat higher than in relation to therapeutic diet No. 1. With pancreatitis, dishes in a limited volume should have:

You can not eat fried foods, and those that can lead to strong gas formation, fermentation of the stomach and intestines.

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

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 1-2 grade flour, to avoid swelling, as well as dry biscuits without sugar.
  2. Vegetable cereal soups. The grains in the first dish must be ground. It is allowed to eat buckwheat, rice, semolina porridge, pasta. Vegetable ingredients are isolated: potatoes, carrots. As a dressing, use sour cream or butter.
  3. Lean meats are rabbit, chicken, beef, veal, and poultry. It is important that the product does not contain fat, tendons, skin. Dishes are prepared steamed, grated, minced, boiled and baked. You can eat beef, rabbit, zucchini, stuffed with chicken, make steamed dumplings.
  4. The fish is lean, steamed or boiled. You can not let the fish in, because it contains a lot of extracts, compared to a boiled 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 in the preparation of porridge, sauces and soups with milk. It is allowed to use cottage cheese, prepare puddings, stews from it. Eat soft grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined cottage cheese.
  7. Baked sweet apples. Using fruits and berries, it is allowed to cook kissel, jelly, jam. The dried fruits are eaten grated. It is recommended to use fresh berries with grated fruit.
  8. From drinking during dietary treatment, light tea is allowed, sugar consumption should be halved, juices are dissolved in water, rosehip broth.
  9. After an attack of the pancreas, gradually include fat in the diet. Initially, up to 20 grams of butter for dressing, and then vegetable oil - in the amount of 15 grams.

When a diet for pancreatic pancreatitis is recommended, a specialist individually develops a dimensional menu for a week, based on the characteristics of the patient's body.

Sample weekly meal plan

As is known, the therapeutic diet for the pathology of pancreatitis implies a slow expansion of the picture. At the initial stage, dietary therapy includes grated food 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 fresh vegetable salads. The volume 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 signed per day in case of illness. The names of products and dishes for pancreatitis for a week are different.

1 day

  1. Breakfast: mashed rice porridge, cottage cheese, tea.
  2. Lunch: a baked apple 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 days

  1. Breakfast: cheesecakes with pieces of dried apricots, cheese, tea.
  2. Lunch: porridge with apple juice.
  3. Lunch: dumplings, pumpkin porridge, green tea.
  4. Snack - rice pudding.
  5. Dinner - vegetable casserole and boiled chicken breast, tea.
  6. The second dinner is cookies, fruit drink.

3 days

  1. Breakfast: semolina porridge with butter and sugar, bread, tea.
  2. Lunch pudding with ryazhenka.
  3. Lunch: noodle soup, baked chicken meat with vegetables.
  4. Snack: yogurt and a baked apple.
  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 steam omelet with tomato, tea.
  2. Lunch - vinaigrette without salted cucumbers, cabbage, bread.
  3. Lunch: steamed cod, rice soup, tomato juice.
  4. Afternoon snack: cottage cheese and compote, cooked with dried fruits.
  5. Dinner: boiled beets with prunes, minced meat, 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 meatballs.
  5. Dinner - Hake cutlets with vegetable puree, apricot juice.
  6. The second dinner is kefir.

day 6

  1. Breakfast: rice, steamed meat dumplings, tea.
  2. Lunch: cottage cheese, jam.
  3. Lunch: vegetable soup on a diet table with grated vegetables, turkey cutlet, mashed potatoes and a fruit drink.
  4. Snack - cookies, tea.
  5. Dinner: grits, 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, tea with milk.
  2. Lunch: boiled cabbage, rice.
  3. Lunch: porridge soup, cabbage rolls 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 dietary diet for the pathology of pancreatitis should have a large amount of food during the day. Recipes for dishes for every day will transform the table and allow you to make it diverse.

Recipes for the 5p diet

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

vegetarian cream soup

The recipe contains the following products:

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

Cut the onion and pour with boiling water. You can dry the vegetable a little in a pan. Put the broth on the stove, add the onions, the prepared vegetables and add a little salt. Cook for 40 minutes.

Beat the finished dish with a blender. You can eat with cookies.

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. Cook over medium heat for about 20 minutes. Sprinkle plate with dill when serving.

Baked fish

When you are on a diet, you will need a type of fish that is low in fat. The product is cut into portions and placed on a baking sheet. Next, chop the onion, grate the carrot. Put the vegetables on the fish, sprinkle with lemon juice, salt.

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

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

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

Pancreatitis is one of the most common diseases of the internal organs. They treat him not only with drugs, 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 often used for pathologies of the liver, pancreas, intestines, stomach and bile-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 dishes consumed play an important role.

Diet No. 5p (menu for a week with pancreatitis) was developed in 1920 by the general practitioner M. I. Pevzner and has not lost its relevance today. It is prescribed for exacerbation of pancreatitis. It is capable not only of providing the patient with good nutrition, but also of normalizing the functions of the pancreas. It has a positive effect on the secretion of bile and the liver. It favors the accumulation of glycogen, discharges cholesterol and the metabolism of fats. Stabilizes the work of the gastrointestinal apparatus.

Feature of the kitchen table No. 5p

The dishes of the diet No. 5p should have a higher content of pectins, liquids, lipotropic components and dietary fiber. For the treatment period, a fractional meal regimen is introduced, patients take food 5-6 times a day. The products are steamed, baked or boiled. When cooking, vegetables do not brown. High-fiber foods are cleaned, the rest are finely chopped.

The diet limits the intake of fats and carbohydrates. The main diet consists of protein products. Dishes with oxalic acid, containing a lot of cholesterol, with coarse fiber and containing purines, are excluded from the menu. Cut out foods that have a lot of 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 eaten hot. Hot and cold food is contraindicated.

Indications of 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

The 5p diet is designed to stabilize the pancreas. Protects the stomach and intestines as much as possible, relieves pain, reduces the reflex excitability of the biliary organ. When observing, it is necessary to adhere to the following principles:

  • before the diet you need to fast for 3-7 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, which will contain all the vitamins and minerals necessary for the body;
  • all foods must be semi-liquid and grated;
  • temperature regime of ready-to-eat dishes - 20-25 ° С;
  • the consumption of fats and carbohydrates is reduced to a minimum.

In order for the therapy to be effective, all the rules of therapeutic nutrition must be observed. You should not break the bans until remission or full recovery occurs.

Diet No. 5p: chemical composition

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

According to the content of vitamins, retinol in the menu should be about 10 mg, thiamin - 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 the necessary rules diet number 5p. Soups here are recommended to take vegetables, with the addition of cereals. Roast cannot be added to them. It is allowed to eat buckwheat, rice, noodles, oatmeal and semolina. The bread must be yesterday's wheat, from grade 1-2 flour. You can use cookies without sugar.

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 not more than once a day. All cereals are cooked in low-fat milk or water. Baked and mashed apples, low-fat dairy products and dishes based on them are allowed.

Diet No. 5p also includes boiled noodles in the diet. The sample menu involves the use of fruits and berries. They can be eaten in jelly form, raw, pureed or baked. With such a diet, you drink tea with lemon, not very strong, or rosehip broth, natural juices diluted in water without added sugars. Vegetable oil is allowed - 15 g per dish, as well as butter - no more than 30 g per day.

Forbidden food

The No. 5p diet has many restrictions on eating. The foods that are forbidden to eat in the treatment of pancreatitis are the following:

  • 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 yogurt;
  • flour products;
  • sour and spicy dishes;
  • mushrooms in any form;
  • salty and pickled dishes;
  • full-fat dairy products;
  • canned food;
  • sweet;
  • citrus;
  • grape juice;
  • fast food, chips, nuts and cookies.

Despite the prohibitions on many products, diet No. 5p (table) is very effective in the treatment of 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.

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

In diet No. 5a, the daily calorie intake should not be more than 1700 kcal. All food is liquid and pureed. Under the ban there are foods that can stimulate the secretory function of the pancreas. This meal lasts about a week.

In diet No. 5b, the caloric content rises 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 the form of puree.

Diet number 5p: menu for a week with pancreatitis.

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

Monday. In the morning, for breakfast: a steamed omelet based on one yolk and two proteins, plus a decoction of rose hips. For the second breakfast, they eat a baked pear. At lunchtime - borscht, meatballs made from low-fat fish and boiled rice. In the afternoon, it is recommended to snack on crackers and drink a glass of milk. Dinner is supposed to consist of boiled chicken breast, Hercules porridge, and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Tomorrow: Mannik raisin plus berry pudding with low-fat cottage cheese, and tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, for the second - cabbage rolls with boiled meat. From drinks: jelly made from berries. Afternoon snack: low-fat cottage cheese and compote, cooked with dried fruits. In the evening, for dinner, they cook rice porridge with low-fat milk and drink a glass of mineral water. Before going to bed: 250 g of carrot juice.

Wednesday. In the morning: syrniki with dried apricots, plus cheese and rosehip tea. During the second breakfast, they eat buckwheat porridge with apple juice. For lunch, beef patties with pumpkin puree and green tea are served. Rice pudding is perfect for a snack. In the evening they eat vegetable stew and boiled chicken, drink soft tea. Before bed: berry juice with sugar-free cookies.

Thursday. In the morning: two-protein steamed scrambled eggs and a tomato. A glass of mild tea. For the 2nd 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 dine on beet salad with prunes and lean boiled meat plus tea with milk. In the evening - a glass of fermented baked milk.

Friday. In the morning: semolina porridge, weak tea and bread with hard cheese. 2nd breakfast: cottage cheese with sour cream, pumpkin juice. At lunchtime, soup with vegetables and noodles, low-fat boiled fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. For afternoon snack, a warm carrot salad with berry jelly is offered. You can dine on cottage cheese and buckwheat, as well as drink green tea. 2nd dinner: 250 g of milk with breadcrumbs.

Saturday. For breakfast: cottage cheese pudding and a glass of milk. The 2nd breakfast is based on carrot puree with jam. Lunch consists of vegetarian borscht, steamed turkey cutlets, and light lemon tea. For a snack, berry jelly is recommended. For dinner: macaroni and cheese soup, pumpkin salad with apples and tea with a spoonful of honey. Before bedtime - 250 g of fermented baked milk.

Sunday. In the morning: oatmeal with milk, grated fruit with cottage cheese and jam. For a second breakfast, an apple baked in the oven is supposed to be served. Lunch: zucchini soup, baked rabbit with sour cream and buckwheat, tea. Snack: sugar-free cottage cheese mousse with carrot juice. They dine on fish dumplings, boiled rice, and tea with a slice of lemon. Before going to bed: fruit jelly.

Unwashed Meal Option: One Day Menu

As soon as the pain begins to subside, you can introduce crushed dishes into the diet. An approximate menu would look like this:

  • Breakfast. Loose buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Boiled meat puree. As a drink, semi-sweet tea is recommended.
  • 2nd breakfast. Tea with biscuits and some prunes.
  • Dinner. Vegetable soup allowed. 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 with dried fruits.
  • Dinner. Noodles with boiled fish and tea.
  • Before going to bed. Tea with milk and a biscuit.

Two days after the exacerbation of pancreatitis, doctors recommend drinking warm mineral water up to one liter per day. Rosehip decoction will be useful. Starting from the third day, if the patient's state of health has improved, liquid cereals and mucous soups, as well as vegetable purees and jellies, are introduced.

Diet No. 5p according to Pevzner

The Pevzner diet suggests that when the symptoms of exacerbation of pancreatitis subside, use the following menu:

  • Breakfast. Buckwheat puree or rice porridge, from drinks: milk jelly.
  • Lunch. Fruit jelly and a glass of mineral water;
  • Dinner. Oatmeal soup, carrot purée and steamed meat soufflé. clear tea
  • afternoon tea. Protein steam omelette plus a decoction of rose hips.
  • Dinner. Pureed buckwheat porridge, cottage cheese soufflé.
  • Second dinner. A glass of mineral water with cookies.

The Pevzner diet does not involve the use of salt 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) cut into cubes and put in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. Vegetables are poured into 300 g of water, salted and cooked 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 rubbed. Vegetables are placed on top of the fish, everything is sprinkled with lemon juice and sprinkled with salt. Fish with vegetables is wrapped in foil and baked until tender in the oven.

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

The main recommendations of doctors

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

It is useful to drink mineral water during therapeutic nutrition. It is best consumed warm before bedtime, in small sips. All food must be ground, coarse pieces will irritate internal organs. Of vegetables, parsley and dill are allowed.

Doctors with pancreatitis once again advise not to disturb the pancreas and stick to a moderate menu.