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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 nutritional nutrition is to bring the pancreas into normal operation.

What is the 5p diet

5p therapeutic diet for pancreatitis is important at every stage of the disease and can cause a decrease in bile stasis in the ducts, suppress hyperfermentemia, and reduce bile sensitivity.

During pathological signs, the 5p table has a good effect not only during acute manifestations. In a chronic course, such nutrition will help improve metabolic processes in the gland, continue its work and interrupted diet, and prevent the recurrence and development of the disease.

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

Products used in the preparation of dishes for pancreatitis should be crushed or ground. Both are steamed and boiled. Thanks to this cooking method, protein increases, levels of carbohydrates, fats and substances with extractive properties, which have a high level of cellulose, decrease, stimulating the activity of the digestive glands.

Nutrition is divided into 2 levels. 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.

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

Diet 5 for pancreatitis is economical and prescribed after a 3-day hunger strike. But since such a schedule does not meet the physiological standards of food consumption and needs for the patient, it is set for the 5th day.

In chronic pancreatitis, the contents of the 5th table include low-calorie intake with the presence of protein, fat and carbohydrates.

With this disease, the adult diet involves taking multiple meals - up to 8 times and the proportion required for health is 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.

As a result of the fact that liquid and carbohydrate dishes have an insignificant stimulant of pancreatic and gastric secretions, after the passing of the hunger strike, the table is replenished with carbohydrate products.

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

  1. Mucous soup, the basis of which can be various grains, boiled vegetables.
  2. Grated liquid grains cooked in water.
  3. Light tea with sugar.
  4. Mousse, jelly, jelly, made on the basis of fruit juice on xylitol.
  5. Squeeze from vegetables without using oil.
  6. Steamed vegetable pudding.
  7. Compote with dried fruits.
  8. Crackers, stale white bread.
  9. Crackers.

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

  1. Prepare a creamy soup that can be based on stewed meat.
  2. Eggs as steam omelets, soft boiled, protein omelets.
  3. Steamed meatballs, beef, chicken, fish quenelles.
  4. Creative pudding.
  5. Butter is used in prepared dishes.

When the pain has decreased, the acute symptoms of pancreatitis have been relieved, the treatment of table 5 has given positive results, then the diet is gradually developed, prescribing nutritional therapy No. 2, which is indicated after exacerbation and mild manifestations of chronic diseases.

To understand what is included in the fifth schedule, what the doctor can and cannot tell you individually, after the examination.

The 5p diet part two

Schedule 5 follow-up therapy for pancreatitis is recommended for a long period of time - up to a year. Diet will help prevent pathological attacks in the future.

Table number 5 also implies the principle of heat, mechanical and chemical preparation, which helps to reduce the digestive stimulation of the affected organs.

Energy levels are low. The amount of protein, vitamins with lipotropic substances is somewhat higher than that associated with therapeutic diet No. With pancreatitis, meals in limited quantities should have:

You can not take fried foods, and those that can cause strong gas formation, stomach and intestinal fermentation.

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

Food preparation products

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

  1. Yesterday's bread, made from flour grade 1-2, to avoid flatulence, as well as dry cookies without sugar.
  2. Vegetable grain soup. Groats in the first dish should be ground. It is allowed to take buckwheat, rice, semolina porridge, pasta. Vegetable ingredients are separated - potatoes, carrots. As a dressing, use sour cream or butter.
  3. Lean meats are rabbit, chicken, beef, veal, and chicken. It is important that the product does not contain fat, tendons, skin. Dishes are prepared by steam, in the form of grated, chopped, boiled and baked. You can eat beef, rabbit, zucchini, stuff it with chicken, make steamed meatballs.
  4. Lean fish, steamed or boiled. You can't let fish in, because it contains a lot of extractives, compared to boiled products.
  5. Protein omelette, one hard-boiled egg.
  6. Dairy products with a minimum percentage of fat. Since milk is less accepted by the stomach, use it only in the preparation of milk porridge, sauces, soups. It is allowed to use cottage cheese, prepare puddings, casseroles from it. Eat lightly 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 kissels, jellies, jams. Dry fruits are 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, juice dissolved in water, rosehip soup.
  9. After a pancreatic attack, gradually include fat in the diet. At first, up to 20 grams of butter for dressing, and then vegetable oil, in the amount of 15 grams.

When a diet is recommended for pancreatic pancreatitis, 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 already known, the therapeutic diet for the pathology of pancreatitis involves a slow expansion of the schedule. In the early stages, diet therapy includes grated 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 course remains unchanged, but it is still allowed to eat salads from fresh vegetables. The number of products is also increasing.

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

The menu is signed by day in case of illness. Names of products and dishes for pancreatitis for a week are different.

1 day

  1. Breakfast - mashed rice porridge, cottage cheese, tea.
  2. Lunch - apples cooked in the oven with cottage cheese.
  3. Lunch - oatmeal soup, meatballs, pureed vegetables, compote.
  4. Snack - croutons with fruit drinks.
  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 with apple juice.
  3. Lunch - meatballs, pumpkin porridge, green tea.
  4. Snack - rice pudding.
  5. Dinner - vegetable casserole and boiled chicken breast, tea.
  6. 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 - vermicelli soup, grilled chicken meat with vegetables.
  4. Snack - yogurt and an apple baked in the oven.
  5. Dinner - 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 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, minced beef, tea.
  6. The second dinner was ryazhenka.

Day 5

  1. Breakfast - porridge with rice flour, jam for cottage cheese, compote.
  2. Lunch - scrambled eggs with juice.
  3. Lunch - meat soup, chops, boiled rice with a piece of butter, compote.
  4. Snack - chicken breast dumplings.
  5. Dinner - cut hake with pureed 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 the diet table with grated vegetables, pieces of turkey, mashed potatoes and a 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, juice.
  5. Dinner - rice porridge, mineral water.
  6. Second dinner is carrot juice.

Dietary diet for the pathology of pancreatitis should have a large supply of food during the day. Recipes for meals for each day will change 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 schedule, with the presence of a variety of dishes, so it is easy for patients to make a weekly diet.

Vegetarian cream soup

The recipe contains the following products:

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

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

Beat the finished dish with a blender. Can eat with crackers.

Vegetable ragout

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

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

Fish baked in the oven

When dieting, you need a low-fat type of fish. The product is cut into several parts and placed on a baking sheet. Next, cut the onion, grate the carrot. Arrange the vegetables on top of the fish, sprinkle with lemon juice, salt.

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

Such a diet 5 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. recipe. What can and what can not?

Pancreatitis is one of the most common diseases of the internal organs. He was treated not only with drugs, but also with special nutrition, which included 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 bile-forming organs. The food system here requires the consumption of certain foods that are prepared in a certain way. An important role is played by the frequency of eating and the temperature of the food eaten.

Diet No. 5p (menu for a week with pancreatitis) was developed in 1920 by general practitioner M. I. Pevzner and has not lost its relevance at this time. It is prescribed for exacerbation of pancreatitis. It can not only provide the patient with good nutrition, but also to normalize the function of the pancreas. It has a positive effect on the secretion of bile and the liver. Promotes glycogen accumulation, unloads cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal tract.

Cooking table features No. 5p

Dishes in diet No. 5p should have an increased content of pectin, liquid, lipotropic components and dietary fiber. For the treatment period, a fractional feeding regimen is introduced, the patient eats 5-6 times a day. Products are steamed, baked or boiled. During cooking, vegetables do not brown. Food rich in fiber is brushed, the rest is finely chopped.

The diet limits fat and carbohydrate intake. 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. Remove 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.

Food should be taken warm. Cold and hot foods are contraindicated.

Indications for 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.

Principle of diet table No. 5p

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

  • 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, which will contain all the vitamins and minerals necessary for the body;
  • all food should be semi-liquid and grated;
  • temperature regime of ready-to-eat dishes - 20-25 ° С;
  • Fat and carbohydrate consumption is reduced to a minimum.

For the therapy to be effective, all the rules of therapeutic nutrition must be followed. You should not break the ban 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 is consumed per day.

According to the vitamin content, 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. The soup here is recommended to take vegetables, with the addition of grains. You can't add roast to them. It is allowed to eat buckwheat, rice, vermicelli, oats and semolina. Bread must be overnight wheat, from grade 1-2 flour. You can use sugar-free cookies.

Vegetables are eaten boiled or grated. The use of lean meat and low-fat fish is allowed. You can eat soft-boiled eggs, as well as steamed scrambled eggs, but not more than once a day. All grains are cooked in low-fat milk or water. Baked and crushed 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 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 too strong, or rosehip soup, natural juice diluted with water without added sugar. Vegetable oil is allowed - 15 g per meal, as well as butter - no more than 30 g per day.

Forbidden food

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

  • fatty meat and fish soups;
  • any alcohol, as well as strong tea and coffee;
  • cold, hot and carbonated drinks;
  • smoked products, sausages and sausages;
  • freshly baked bread and rye;
  • caviar from fish;
  • turnips, turnips, turnips, chocolate 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;
  • candy;
  • citrus;
  • grape juice;
  • fast food, chips, nuts and crackers.

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

Types of medical nutrition

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

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

In diet No. 5b, the calorie content increases to 2700 kcal. The amount of protein, carbohydrates and fat increases. All soups and stews 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 exacerbation of pancreatitis, the menu should be as follows.

Monday. In the morning, for breakfast: a steamed omelet made from one egg yolk and two proteins, plus rose hip stew. For the 2nd breakfast, they eat a baked pear. At lunch - borscht, meatballs made 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 should be boiled chicken breast, porridge from Hercules and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Morning: Mannik with raisins and pudding with berries and low-fat cottage cheese, and tea with low-fat milk. Second breakfast: boiled rice and cabbage. For lunch, 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 carrot juice.

Wednesday. In the morning: syrniki with dried apricots, plus cheese and rose hip tea. During the 2nd breakfast, they eat buckwheat porridge with apple juice. For lunch, beef roti with pumpkin puree and green tea is served. Rice pudding is perfect for an afternoon snack. In the evening they eat vegetable casserole and boiled chicken, drink weak tea. Before bed: berry juice with sugar-free cookies.

Thursday. In the morning: scrambled eggs steamed from two proteins and tomatoes. A glass of weak tea. For the 2nd breakfast there is vinaigrette without sauerkraut and pickles, a piece of bread. For lunch, boiled cod fish, rice soup and tomato juice are served. In the afternoon, they eat berry jelly and drink tea without sugar. They had dinner with beet salad with prunes and lean boiled meat 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. 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 an afternoon snack, a warm carrot salad with berry jelly is offered. You can dine on cottage cheese and buckwheat, and drink green tea. Second dinner: 250 g of milk with breadcrumbs.

SaturdayFor breakfast: cottage cheese pudding and a glass of milk. The 2nd breakfast is based on carrot puree with jam. Lunch consisted of vegetarian borscht, turkey steam cutlet, and weak tea with lemon. For an afternoon snack, jelly from berries 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, grated fruit with cottage cheese, plus jelly. For the second breakfast, an apple baked in the oven should be served. Lunch: zucchini soup, rabbit baked in sour cream and buckwheat, tea. Afternoon snack: sugar-free cottage cheese mousse with carrot juice. They had dinner with fish dumplings, boiled rice and tea with a slice of lemon. Before bed: fruit jelly.

Unwashed Food Options: Daily Menu

As soon as the pain begins to subside, you can introduce unpounded dishes into the diet. The budget menu will look like this:

  • Breakfast. Loose buckwheat plus vinaigrette without added pickles and sauerkraut. Boiled pureed meat. As a drink, semi-sweet tea is recommended.
  • 2nd breakfast. Tea with biscuits and some prunes.
  • dinner. Soups from vegetables are allowed. Boiled potatoes with a piece of boiled chicken. As a dessert - apples and weak tea.
  • tea time. Low-fat homemade cottage cheese and compote, cooked from dried fruits.
  • dinner. Vermicelli with boiled fish and tea.
  • Before going to sleep. Tea with milk and a cracker.

Two days after the exacerbation of pancreatitis, the doctor advises drinking warm mineral water up to one liter a day. Decoction of rosehip will be useful. From the third day, if the patient's health improves, they introduce liquid cereal and mucus soup, as well as vegetable puree and jelly.

Diet No 5p according to Pevzner

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

  • Breakfast. Pure buckwheat or rice porridge, from drinks - milk jelly.
  • Lunch. Fruit jelly and a glass of mineral water;
  • dinner. Oat soup, carrot puree and steamed meat soufflé. Weak tea.
  • tea time. Protein steam omelet topped with rose hip stew.
  • dinner. Pure buckwheat porridge, cottage cheese 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: recipe

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

  • Vegetable stew. Large potatoes (5 pieces) cut into cubes and put in the pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. 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.
  • Grilled fish. Low-fat fish is cut into pieces and placed in foil. Next, onions are chopped and 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 boiled until soft in the oven.

This #5p diet recipe for every day will help diversify the menu. They will give you a sense of fullness and satisfaction.

The doctor's main recommendation

Chronic pancreatitis (diet No. 5p is very effective for 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 responsibilities. Do not get carried away with sweets without a doctor's prescription, because the consumption of sugar in an amount of more than 60 g can cause exacerbation of pancreatitis.

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

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