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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 includes 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 the sensitivity of bile.

During the 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 a disturbed diet, and prevent the occurrence of relapses and the progression of the disease.

The diet begins on the 4th day after the relapse. Before the therapy, you will have to starve for 3 days. Table 5p in the pathology of pancreatitis is prescribed together with treatment with drugs. Such a dietary diet involves 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. They are both steamed and boiled. Thanks to these cooking methods, proteins increase, the level of carbohydrates, fats and substances with extractive characteristics, which have a high level of cellulose, decreases, stimulating the activity of the digestive glands.

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

Diet 5p first part

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, iron is accelerated as much as possible and the pain syndrome is eliminated.

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

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

With this disease, the diet of adults provides for the intake of more 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 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 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. Grated liquid cereals cooked in water.
  3. Light tea with sugar.
  4. Mousse, jelly, jelly, based on fruit juice on xylitol.
  5. Vegetable puree without the use of oil.
  6. Steamed vegetable puddings.
  7. Compote with dried fruit.
  8. Crackers, stale white bread.
  9. Cracker.

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

  1. Prepare creamy soups that can be boiled.
  2. Egg as a steamed omelette, boiled soft-boiled, protein omelette.
  3. Steamed meatballs, beef, chicken, fish quenelles.
  4. Creative puddings.
  5. Butter used in prepared dishes.

When the pain subsided, the acute symptoms of pancreatitis were relieved, the treatment of table 5 gave positive results, then the diet is gradually expanded, prescribing nutrition 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

Follow-up therapy table 5 for pancreatitis is recommended for a long time, up to one year. The diet will help prevent bouts 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 proteins, vitamins with lipotropic substances is slightly higher than in the therapeutic diet No. 1. With pancreatitis, dishes in a limited volume should have:

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

The dishes are steamed or boiled. Initially, use grated and then chopped foods.

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 with 1-2 degrees flour, to avoid swelling, as well as dry sugar-free biscuits.
  2. Vegetable cereal soups. Groats in the first dish should be ground. It is allowed to consume buckwheat, rice, semolina porridge, pasta. Vegetable ingredients are isolated: potatoes, carrots. As a topping, 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. The dishes are steamed, grated, chopped, boiled and baked in the oven. You can eat veal, rabbit, zucchini, stuff with chicken, make steamed meatballs.
  4. The fish is lean, steamed or boiled. You can't get 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 baby food, sauces, soups. It is allowed to use cottage cheese, make puddings, casseroles from it. Eat some mild grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined cottage cheese.
  7. Sweet apples baked in the oven. Using fruits and berries, it is allowed to cook kissel, jelly, jam. Dried fruit is eaten grated. It is recommended to use fresh berries with grated fruit.
  8. From drinking during diet treatment, light tea is allowed, sugar consumption should be halved, juices dissolved in water, rosehip broth.
  9. After a pancreatic attack, gradually include fats in your diet. Initially, up to 20 grams of butter for dressing, then vegetable oil, in the amount of 15 grams.

When a diet is recommended for pancreatic pancreatitis, a specialist individually develops a dimensional menu for a week, 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 widening of the table. In 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.

Moving on 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 during the day in case of illness. The names of products and dishes for pancreatitis for a week are different.

1 day

  1. Breakfast: mashed rice, cottage cheese, tea.
  2. Lunch: an apple baked in the oven with ricotta.
  3. Lunch: oat soup, meatballs, vegetable puree, compote.
  4. Snack - croutons with fruit drink.
  5. Dinner: scrambled eggs, lemon tea.
  6. The second supper 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 - vegetable casserole and boiled chicken breast, tea.
  6. The second dinner is biscuits, fruit drink.

Three days

  1. Breakfast - semolina porridge with butter and sugar, bread, tea.
  2. Pudding for lunch with ryazhenka.
  3. Lunch - vermicelli soup, baked chicken meat with vegetables.
  4. Snack - yogurt and a baked apple.
  5. Dinner: A casserole with ground beef, potatoes, lean 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. Snack: ricotta and compote, cooked with dried fruit.
  5. Dinner: boiled beets with prunes, minced meat, tea.
  6. The second supper 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 vegetable puree, apricot juice.
  6. The second dinner is kefir.

Day 6

  1. Breakfast: rice, steamed meat dumplings, tea.
  2. Lunch - cottage cheese, jelly.
  3. Lunch - vegetable soup on a diet table with grated vegetables, turkey cutlet, 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, cabbage rolls with boiled meat, sour cream, kissel.
  4. Snack - cottage cheese, fruit juice.
  5. Dinner: rice porridge, mineral water.
  6. The second dinner is carrot juice.

Dietary diet for pancreatitis pathology should have a large supply of food by day. Dish recipes for every day will transform the table and allow you to make it different.

Recipes for the 5p diet

The 5p diet for pancreatitis is the most common variant 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 pcs. ;
  • potatoes - 250 gr. ;
  • vegetable broth - 0, 7 l. ;
  • celery - 2 stalks;
  • olive oil - one tablespoon;
  • onion - half.

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

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

Vegetable Ragu

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

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

Baked fish

During the diet, you will need a low-fat type 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 top of the fish, sprinkle with lemon juice, salt.

Wrap the pan in foil and put 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 meal.

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. It is treated 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 functions of the pancreas.

What is the 5p diet for?

Therapeutic nutrition is often used for pathologies of the liver, pancreas, intestines, stomach and organs that form bile. 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 the general practitioner M. I. Pevzner and has not lost its relevance at the moment. It is prescribed for the 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 secretion and the liver. Promotes the accumulation of glycogen, releases cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal system.

Feature of kitchen table No. 5p

The dishes of the diet No. 5p should have a higher content of pectins, liquid, lipotropic components and dietary fiber. For the treatment period, a fractional diet is introduced, patients take food 5-6 times a day. The products are steamed, baked or boiled. During cooking, the vegetables are not browned. Foods rich in fiber are cleaned, the rest are finely chopped.

The diet limits the intake of fats and carbohydrates. The main diet consists of protein products. Excluded from the menu are dishes with oxalic acid, containing a lot of cholesterol, with coarse fibers and containing purines. Remove foods that contain 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 taken hot. Cold and hot foods are contraindicated.

Indications for dietary nutrition

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

Principles of the Dietary Table No. 5p

Diet number 5p is designed to stabilize the pancreas. Spares the stomach and intestines as much as possible, relieves pain, reduces the reflex excitability of the biliary organ. When observed, the following principles must be adhered to:

  • before the diet it is necessary to fast for 3 to 7 days;
  • the way of eating should be divided, 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 organism;
  • all food should be semi-liquid and grated;
  • temperature regime of ready meals - 20-25 ° С;
  • the consumption of fats and carbohydrates is minimized.

In order for the therapy to be effective, all the rules of therapeutic nutrition must be observed. You shouldn't break the prohibitions until remission or complete 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 given 50 g, fat -70 g, protein - 100 g No more than 10 g of salt are consumed per day.

According to the vitamin content, 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 of diet number 5p. The soups here are recommended for the intake of vegetables, with the addition of cereals. You can't add the roast to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. Bread should be yesterday's wheat, from 1-2 grade flour. You can use unsweetened cookies.

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

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

Forbidden food

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

  • fatty broths of meat and fish;
  • 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;
  • dairy products with a lot of fat;
  • 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 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

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

In diet No. 5a, the daily calorie intake should not exceed 1700 kcal. All food is liquid and pureed. 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 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 food is 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 omelette made from one egg yolk and two proteins, plus a decoction of rose hips. For the second breakfast they eat a baked pear. For lunch - borscht, low-fat fish balls and boiled rice. In the afternoon it is recommended to have a snack with crackers and drink a glass of milk. Dinner should be boiled chicken breast, Hercules porridge and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Morning: Mannik with raisins plus low-fat berry and cottage cheese pudding and low-fat milk tea. 2nd breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, for the second course: cabbage rolls with boiled meat. From drinks: berry-based jelly. Snack: low-fat cottage cheese and compote, cooked with dried fruit. 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, cheese and rosehip tea. During the second breakfast, they eat buckwheat porridge with apple juice. Beef meatballs with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening they eat vegetable casseroles and boiled chicken, drink weak tea. Before bed: berry juice with unsweetened cookies.

Thursday. In the morning: steamed scrambled eggs from two proteins and a 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 dine on beet salad with prunes and lean boiled plus tea with milk. At night: 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. For lunch we recommend the vegetable soup and noodles, the lean boiled fish with courgettes and cauliflower. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm salad of carrots and 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: ricotta pudding and a glass of milk. The 2nd breakfast is based on carrot puree with jam. Lunch consists of vegetarian borsch, steamed turkey cutlets, and weak lemon tea. For an afternoon snack we recommend the berry jelly. 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, grated fruit with cottage cheese and jelly. For a second breakfast, a baked apple should be served. Lunch: zucchini soup, baked rabbit with sour cream and buckwheat, tea. Afternoon snack: unsweetened ricotta 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 food option: one day menu

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

  • Breakfast. Loose buckwheat plus vinaigrette without adding pickles and sauerkraut. Mashed boiled meat. As a drink, semi-sweet tea is recommended.
  • 2nd breakfast. Tea with biscuits and plums.
  • Dinner. Vegetable soup allowed. Boiled potatoes with a piece of boiled chicken. As a dessert: an apple and a weak tea.
  • afternoon tea. Homemade low-fat cottage cheese and compote, cooked with dried fruit.
  • Dinner. Vermicelli with boiled fish and tea.
  • Before going to bed. Tea with milk and a cracker.

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

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.
  • The lunch. Fruit jelly and a glass of mineral water;
  • Dinner. Oat soup, carrot puree and steamed meat soufflé. Weak tea.
  • afternoon tea. Steamed protein omelette plus a decoction of rose hips.
  • Dinner. Buckwheat puree, ricotta soufflé.
  • Second dinner. A glass of mineral water with crackers.

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) are cut into cubes and placed in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. The vegetables are poured into 300 g of water, salted and stewed over medium heat for about twenty minutes. The finished dish is sprinkled with aromatic herbs.
  • Cooked fish. Lean fish is cut into pieces and put in foil. After that, the onion is chopped and the carrots 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 stewed 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 drugs, but also with adequate nutrition. Doctors recommend taking diet No. 5p with all responsibilities. Do not get carried away with sweets without a prescription, as the use of sugar in an amount exceeding 60 g can cause an exacerbation of pancreatitis.

It is useful to drink mineral water during therapeutic nutrition. It is recommended to consume it hot before going to bed, in small sips. All food should be ground, coarse pieces irritate the internal organs. From vegetables, parsley and dill are allowed.

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