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Therapeutic nutrition for pancreatitis. Diet number 5p

Diet menu for pancreatitis

Pancreatitis is a common disease of internal organs. Pathology is treated not only with drugs, but also with dietary food, 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 bring the pancreas to normal functioning.

What is the 5p diet?

The 5p therapeutic diet 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 bile sensitivity.

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

The diet starts on the 4th day after recovery. Before the therapy, you will have to starve for 3 days. Table 5p in the pathology of pancreatitis is described along with drug treatment. Such a dietary diet includes the abandonment of most dishes that can complicate the patient's situation.

Products used in the preparation of dishes for pancreatitis will need to be crushed or ground. Both are steamed and boiled. Thanks to these cooking methods, protein increases, the level of carbohydrates, fats and substances with extractive properties, which have a high level of cellulose, are reduced, 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 easier, it does not allow the use of individual products that are allowed to be eaten in diet no. 2.

The 5p diet part one

With pancreatitis, table number 1 is indicated if 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 prescribed after a hunger strike for 3 days. But since such a table does not meet the physiological standards of food consumption and the need for the patient, it is prescribed for the 5th day.

In 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 adults includes multiple intake of food - 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 supplemented with semi-viscous products.

As a result of the fact that liquid and carbohydrate dishes have an insignificant stimulator of pancreatic and gastric secretion, after passing the hunger strike, the table is filled 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 stews.
  2. Liquid ground grains 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 using oil.
  6. Steamed Vegetable Pudding.
  7. Dried fruit compote.
  8. Biscuits, stale white bread.
  9. Cracker.

After 2 days after the expiration of the carbohydrate diet 5 in chronic pancreatitis, the introduction of protein foods is allowed.

  1. Prepare creamy soups that can be based on stewed meat.
  2. Egg as a steam omelette, soft boiled protein omelette.
  3. Steamed meatballs, beef, chicken, fish fillets.
  4. Creative puddings.
  5. Butter used in prepared dishes.

When the pain has subsided, the acute symptoms of pancreatitis have eased, the treatment of table 5 has given positive results, then the diet is gradually expanded, prescribing nutritional therapy no. 2, which is indicated after an irritation 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.

The 5p diet part two

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

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

Power level is low. The amount of proteins, vitamins with lipotropic substances is somewhat higher than in relation to the therapeutic diet no. 1. With pancreatitis, vessels in a limited volume should have:

You can not consume fried foods, and those that can lead to a strong formation of gases, fermentation of the stomach and intestines.

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

Food preparation products

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

  1. Yesterday's bread was made from 1-2 grade flour to avoid swelling, as well as dry cookies without sugar.
  2. Cereal soup with vegetables. Cereals in the first dish must be ground. It is allowed to consume buckwheat, rice, semolina porridge, pasta. Vegetable ingredients are isolated - potatoes, carrots. As a sauce, 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 with steam, in the form of minced, minced, boiled and baked. You can eat beef, rabbit, zucchini, chicken stuff, make steamed meatballs.
  4. The fish is lean, steamed or boiled. You can't let the fish in, because it contains a lot of extracts, compared to a boiled product.
  5. Protein omelet, 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 milk porridges, sauces, soups. It is allowed to use cottage cheese, preparing puddings, casseroles from it. Eat soft grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined curd.
  7. Sweet apples baked in the oven. Using fruits and berries, it is allowed to cook kisses, jellies, jams. Dried fruits are eaten chopped. It is recommended to use fresh berries with chopped fruit.
  8. From drinking during dietary treatment, light tea is allowed, sugar consumption should be halved, liquids dissolved in water, rose juice.
  9. After a pancreatic attack, gradually introduce fats into the diet. First, up to 20 grams of butter for the sauce, and then 15 grams of vegetable oil.

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

Sample weekly meal plan

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

Moving to the second version of the diet table, the main dishes remain unchanged, but it is still allowed to eat salad from fresh vegetables. 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. in day.

The menu is signed with days in case of illness. The names of products and dishes for pancreatitis for a week are different.

1 day

  1. Breakfast - ground 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 days

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

3 days

  1. Breakfast - oatmeal 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 of minced meat, potatoes, low-fat sour cream, bread and compote.
  6. The second dinner is kefir.

Day 4

  1. Breakfast - protein steam omelet 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, curd jam, compote.
  2. Lunch - scrambled eggs with juice.
  3. Lunch - meat soup, cutlets, boiled rice with a piece of butter, compote.
  4. Snack - chicken breast noodles.
  5. Dinner - hake cutlets with mashed vegetables, apricot juice.
  6. The second dinner is kefir.

Day 6

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

Day 7

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

Dietary diet for the pathology of pancreatitis should have a large supply of food during the day. Recipes for dishes for every day will transform the table and allow you to make it diverse.

Recipe 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, so it is easy for the patient to make a weekly diet.

Vegetarian cream soup

The recipe contains the following products:

  • carrots - 2 pieces;
  • potatoes - 250 gr;
  • vegetable soup - 0. 7 l. ;
  • celery - 2 stems;
  • olive oil - one tablespoon;
  • onion - half.

Cut the onion and pour boiling water over it. You can slightly dry the vegetables in a pan. Put the meat 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 crackers.

Vegetable stew

You will need 5 diced potatoes and put them in a pot. Send him grated carrots and chopped onions, squash and tomatoes.

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

Baked fish in the oven

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

We wrap the container with metal foil and put it in the oven for half an hour.

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

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

Pancreatitis is one of the most common diseases of internal organs. He is treated not only with medicines, but also with special food, which includes diet no. 5 p. 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 functions of the pancreas.

What is the 5p diet for?

Therapeutic food is often used for pathologies of the liver, pancreas, intestines, stomach and biliary organs. The food system here requires the use of certain foods that are prepared in a certain way. An important role is played by the frequency of meals and the temperature of the dishes consumed.

Diet no. 5p (menu for a week with pancreatitis) was developed in 1920 by general physician M. I. Pevzner and has not lost its relevance in the present time. It is prescribed for exacerbation of pancreatitis. He 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 and liver secretion. It promotes the accumulation of glycogen, unloads cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal system.

Cooking table feature no. 5 p

Dishes in diet no. 5p should have an increased content of pectins, liquid components, lipotropic and dietary fiber. During the treatment period, a partial feeding regime is introduced, patients receive food 5-6 times a day. Products are steamed, baked or boiled. During cooking, the vegetables are not fried. Foods rich in fiber are hidden, the rest is 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, with thick fiber and which contain purines, are excluded from the menu. Avoid 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.

Food should be taken warm. Cold and hot food is contraindicated.

Indications for dietary food

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

Principles of diet chart no. 5 p

Diet number 5p is designed to stabilize the pancreas. It spares the stomach and intestines as much as possible, relieves pain, reduces the reflex excitability of the biliary organ. When observed, it is necessary to adhere to the following principles:

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

For the therapy to be effective, all the rules of therapeutic nutrition must be observed. You should not break the holds until a full 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 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, 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

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

Vegetables are eaten boiled or chopped. The use of lean meat and fish of low-fat varieties is allowed. You can eat soft-boiled eggs, as well as steamed eggs, but not more than once a day. All cereals are cooked in low-fat milk or water. Baked and crushed apples, low-fat dairy products and their dishes are allowed.

Diet no. 5p also includes boiled vermicelli in the diet. The sample menu includes the use of fruits and berries. They can be eaten in the form of jelly, raw - pureed or baked. With such a diet, they drink tea with lemon, not too strong, or rose juice, natural juices diluted with water without added sugar. Vegetable oil is allowed - 15 g per plate, as well as butter - no more than 30 g per day.

Food that is forbidden

Diet no. 5p has many dietary restrictions. Foods that are forbidden to eat in the treatment of pancreatitis are as follows:

  • fatty meat and fish soup;
  • any alcohol, as well as strong tea and coffee;
  • cold, hot and carbonated drinks;
  • smoked products, sausages and sausages;
  • freshly baked bread and rye;
  • fish caviar;
  • radish, turnip, radish, sorrel and spinach;
  • dairy products, including yogurt;
  • flour products;
  • sour and spicy dishes;
  • mushrooms in any form;
  • salty dishes and pickles;
  • high-fat dairy products;
  • Canned food;
  • sweets;
  • citrus fruits;
  • Grapes Juice;
  • fast food, chips, nuts and cookies.

Despite bans on many products, diet no. 5p (table) is very effective in the treatment of pancreatitis. What you can, what you cannot 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 for acute pancreatitis - No. 5a, and the second for chronic - No. 5b.

In diet no. 5a, the daily intake of calories should not be more than 1700 kcal. All food is juicy and ripe. Under the ban is food that can stimulate the secretory function of the pancreas. This meal lasts about a week.

In diet no. 5b, the calorie content increases to 2700 kcal. The amount of proteins, carbohydrates and fats increases. All liquids and decoctions are excluded to reduce the release of pancreatic secretions. All food is taken in puree 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. In the morning, for breakfast: a steamed omelet made of one egg yolk and two proteins, plus a stew of rose hips. For the second breakfast they eat a ripe pear. At lunch time - borscht, meatballs made from low-fat fish and boiled rice. In the afternoon, it is recommended to eat a snack of crackers and drink a glass of milk. Dinner is supposed to be boiled chicken breast, porridge from Hercules and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Breakfast: Mannik with raisins plus pudding with berries and low-fat cottage cheese, and tea with low-fat milk. Second 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. Snack: low-fat cottage cheese and compote, cooked from 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. Breakfast: syrniki with dried apricots, plus cheese and rose tea. During the second breakfast, they eat buckwheat porridge with apple juice. Beef noodles with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening they eat stew with vegetables and boiled chicken, drink weak tea. Before going to bed: berry juice with sugar-free cookies.

Thursday. In the morning: steamed eggs from two proteins and a tomato. A weak cup of tea. For the second breakfast vinaigrette without sauerkraut and pickles, a piece of bread. Boiled cod, rice soup and tomato juice is served for lunch. In the afternoon, they eat jelly with berries and drink tea without sugar. They have dinner of beetroot salad with prunes and lean boiled meat plus tea with milk. At night: a glass of fermented baked milk.

Friday. In the morning: oatmeal, weak tea and bread with hard cheese. Second breakfast: cottage cheese with sour cream, pumpkin juice. For lunch, we recommend soup with vegetables and noodles, low-fat boiled fish with zucchini and cauliflower. You can add fresh fruit and tea without sugar. For an afternoon snack, a warm carrot salad plus berry jelly is available. You can have dinner with cottage cheese and buckwheat, as well as drink green tea. Second dinner: 250 g of milk with bread crumbs.

Saturday. For breakfast: cottage cheese pudding and a glass of milk. The second breakfast is based on mashed carrots with jam. Lunch consists of vegetarian borscht, steamed turkey cutlets and weak tea with lemon. For an afternoon snack, berry jelly is recommended. For dinner - macaroni and cheese soup, pumpkin salad with apples and tea with a spoonful of honey. Before going to bed - 250 g of fermented baked milk.

Sunday. In the morning: oatmeal with milk, chopped fruit with cottage cheese, plus jelly. For a second breakfast, an apple baked in the oven is supposed to be served. Lunch: zucchini soup, baked rabbit in sour cream and buckwheat sauce, tea. Afternoon snack: sugar-free curd mousse with carrot juice. They have fish noodle dinner, boiled rice and tea with a slice of lemon. Before going to bed: fruit jelly.

Unwashed food option: Menu of a day

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

  • Breakfast. Loose buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Mashed boiled meat. Semi-sweet tea is recommended as a drink.
  • 2nd breakfast. Tea with biscuits and some prunes.
  • 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 you go to bed. Tea with milk and a cracker.

Two days after the exacerbation of pancreatitis, doctors advise drinking warm mineral water up to one liter a day. Rose decoction will be useful. From the third day, if the patient's health has improved, liquid cereals and mucoid soups, as well as vegetable purees and jelly, are introduced.

Diet No. 5p according to Pevzner

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

  • Breakfast. Buckwheat porridge or rice porridge, from drinks - milk jelly.
  • Lunch. Fruit jelly and a glass of mineral water;
  • Dinner. Oatmeal soup, mashed carrots and steamed meat souffle. Weak tea.
  • afternoon tea. Protein steamed omelette plus a stew of rose hips.
  • Dinner. Buckwheat porridge, curd souffle.
  • The second dinner. A glass of mineral water with crackers.

The Pevzner diet does not include 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:

  • Stew with vegetables. Large potatoes (5 pieces) are cut into cubes and placed in a pan. Add chopped carrots, chopped onions, pumpkin and tomatoes. The vegetables are poured into 300 g of water, salted and boiled on medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
  • Baked fish. Low-fat fish is cut into pieces and placed on foil. Then the onion is chopped and the carrots are rubbed. The 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 in the oven until tender.

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 phase is treated not only with drugs, but also with proper nutrition. Doctors advise you to follow diet no. 5p with all responsibility. Do not indulge in sweets without a doctor's prescription, as the use of sugar in an amount of more than 60 g can cause an exacerbation of pancreatitis.

It is useful to drink mineral water during therapeutic feeding. It is best to consume it warm before going to bed, with small sips. All food must be ground, coarse pieces will irritate the internal organs. From greens, parsley and dill are allowed.

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