Therapeutic nutrition for pancreatitis. Diet number 5p

Pancreatitis is a common disease of internal organs. Pathology is treated not only with drugs, but also with diet, 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 work.

What is the 5p diet

Therapeutic diet 5p for pancreatitis is important at every stage of the disease and can lead to a reduction in bile congestion 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 a diet will help to improve the metabolic processes in the gland, restore work and disturbed nutrition, and prevent recurrence and progression of the disease.

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

Products used in the preparation of dishes for pancreatitis will have to be chopped or ground. And they are steamed and boiled. Thanks to these cooking methods, protein is increased, the level of carbohydrates, fats and substances with extractive properties, which have a high level of cellulose, are reduced, stimulating the work of the digestive glands.

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

The 5p diet part one

In 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 economical 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 needs of the patient, the 5th day is prescribed.

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 implies multiple intake of food - up to 8 times, and the proportions necessary for health are 100-300 grams.

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

As a result of the fact that liquid and carbohydrate meals have an insignificant stimulus of pancreatic and gastric secretion, after the hunger strike is over, the table is filled with carbohydrate products.

Diet 5p 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 boiled in water.
3. Light tea with sugar.
4. Mousse, jelly, jelly, made on the basis of fruit juice with xylitol.
5. Vegetable puree without using oil.
6. Steamed vegetable puddings.
7. Compote with dried fruit.
8. Crackers, white stale bread.
9. Crackers.

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

1. Prepare creamy soups that can be based on boiled meat.
2. Egg as a steam 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 subsides, the acute symptoms of pancreatitis are alleviated, the treatment from table 5 gave positive results, then the diet is gradually expanded, nutritional therapy no. 2 which is indicated after worsening and mild manifestations of chronic disease.

To understand what the fifth table covers, 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 longer period of time - up to a year. Diet will help prevent future attacks of pathology.

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

Energy level is low. The amount of protein, vitamins with lipotropic substances is slightly higher than in relation to the therapeutic diet no. With pancreatitis, meals in a limited amount should have:

You can not consume fried food, which can lead to strong gas production, fermentation of the stomach and intestines.

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

Food preparation products

Diet for pancreatitis pathology consists of a number of acceptable table products no. 5:

1. Yesterday's bread, made with flour 1-2 degrees, to avoid bloating, as well as dry biscuits without sugar.
2. Vegetable grain soups. Grits in the first dish should be ground. Consumption of buckwheat, rice, semolina, pasta is allowed. Vegetable ingredients - potatoes, carrots - were isolated. Use sour cream or butter as a topping.
3. Lean meat is rabbit, chicken, beef, veal and poultry. It is important that the product does not contain fat, tendons, skin. Dishes are steamed, grated, chopped, boiled and baked. You can eat veal, rabbit, zucchini, stuff with chicken, make steamed meatballs.
4. Fish is lean, steamed or boiled. You should not let the fish in, because it contains a lot of extracts, compared to the cooked product.
5. Protein omelette, one soft-boiled egg.
6. Dairy products with a minimum percentage of fat. Since the stomach does not tolerate milk well, use it only in the preparation of milk porridges, sauces, soups. It is allowed to use fresh cheese, to prepare puddings and casseroles from it. Eat mild grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined fresh cheese.
7. Sweet apples baked in the oven. Using fruits and berries, it is allowed to cook kissel, jelly, jam. 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, juices dissolved in water, rosehip broth.
9. After a pancreatic attack, gradually introduce fat into your diet. At first, up to 20 grams of butter for dressing, and then vegetable oil, in the amount of 15 grams.

When a diet for pancreatitis of the pancreas is recommended, a dimensional menu for a week is made individually by a specialist, 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 phase, diet therapy includes grated food and boiled vegetables. It is allowed to eat 200 grams of bread and 20 grams of sugar per day.

By switching to another version of the dietary table, the main dishes remain unchanged, but it is still allowed to eat fresh vegetable salads. The product range 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, cottage cheese, tea.
2. Lunch - an apple cooked in the oven with cottage cheese.
3. Lunch - oatmeal soup, meatballs, pureed vegetables, compote.
4. Snack - croutons with a fruit drink.
5. Dinner - scrambled eggs, tea with lemon.
6. The second dinner is milk for the night.

2 day

1. Breakfast - cheesecakes 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. Pudding for lunch with ryazhenka.
3. Lunch - vermicelli soup, roasted 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 steamed omelette with tomatoes, tea.
2. Lunch - vinaigrette without pickles, cabbage, bread.
3. Lunch - steamed cod, rice soup, tomato juice.
4. Snack - fresh cheese and compote, cooked from dried fruit.
5. Dinner - boiled beets with prunes, chopped beef, tea.
6. The second dinner is ryazhenka.

5th day

1. Breakfast - porridge with rice flour, jam for fresh 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 pureed vegetables, apricot juice.
6. The second dinner is kefir.

6th day

1. Breakfast - rice, steamed meat dumplings, tea.
2. Lunch - fresh cheese, jelly.
3. Lunch - vegetable soup on the 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.

7th day

1. Breakfast - mannik with raisins, cottage cheese pudding, tea with milk.
2. Lunch - boiled cabbage, rice.
3. Lunch - oatmeal soup, rolls with boiled meat, sour cream, sour cream.
4. Snack - fresh 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 amount of food per day. Recipes for dishes for every day will transform the table and allow you to make it diverse.

Recipes for the 5p diet

Diet 5p for pancreatitis is the most common variant of the table, with the presence of a large number 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 soup - 0. 7 l. ;
• celery - 2 stalks;
• olive oil - tablespoon;
• Onion - half.

Slice the onion and pour boiling water over it. You can dry the vegetables a little in the pan. Put the broth on the stove, add onions, prepared vegetables and 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 potatoes cut into cubes and placed in the cauldron. Send him grated carrots and chopped onions, pumpkin and tomatoes.

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

Fish baked in the oven

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. Then chop the onion, grate the carrot. Arrange the vegetables on the fish, sprinkle with lemon juice, salt.

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

This diet of 5 recipes for pancreatitis makes the menu diverse, 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 internal organs. It is treated not only with drugs, but also with a special diet, which includes diet no. 5 p. The menu for a week with pancreatitis requires the exclusion of many products, as well as a special cooking method. 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-producing 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 meals 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 today. It is prescribed for exacerbation of pancreatitis. It is able not only to provide the patient with good nutrition, but also to normalize the functions of the pancreas. It has a positive effect on the secretion of bile and liver. It stimulates the accumulation of glycogen, relieves cholesterol and fat metabolism. It stabilizes the work of the gastrointestinal apparatus.

Feature of the cooking table no. 5 p

Dishes in the diet no. 5p should have an increased content of pectin, liquid, lipotropic components and dietary fiber. During the treatment, a regime of fractional meals is introduced, patients take food 5-6 times a day. Products are steamed, baked or boiled. Vegetables do not brown during cooking. Food rich in fiber is wiped, the rest is finely chopped.

The diet limits fat and carbohydrate intake. The main diet consists of protein products. Dishes with oxalic acid, which contain a lot of cholesterol, with coarse fibers and which contain purines, are excluded from the menu. Eliminate foods that are high in essential oils and fried foods. Salt should not be consumed more than 10 g per day, and water - up to two liters.

Meals should be taken warm. Cold and hot food is 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 fasting, during unstable remission.

Principles of dietary table 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 irritability of the biliary organ. When doing so, the following principles must be adhered to:

• before the diet you must fast from 3 to 7 days;
• the diet should be fractionated, 5-6 times a day;
• you must 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 the body needs;
• all food should be semi-liquid and grated;
• temperature regime of ready meals - 20-25 ° C;
• consumption of fat and carbohydrates is reduced to a minimum.

In order for the therapy to be effective, it is necessary to follow all the rules of the therapeutic diet. You should not violate the prohibitions until there is complete remission or recovery.

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. Do not consume more than 10 g of salt 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 food

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

Vegetables are eaten boiled or grated. The use of lean meat and fish of low-fat varieties is allowed. You can eat soft-boiled eggs, as well as steamed scrambled eggs, but 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 made from them are allowed.

Diet no. 5p also includes cooked vermicelli in the meal. A sample menu includes the use of fruits and berries. They can be eaten in the form of jelly, raw - mashed or baked. Along with such a diet, drink tea with lemon, not very strong, or rosehip broth, natural juices 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.

Food that is forbidden

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

• 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 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 sour dishes;
• high-fat dairy products;
• canned food;
• sweets;
• citrus fruits;
• grapefruit juice;
• fast food, chips, nuts and crackers.

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.

A type of medical nutrition

Diet no. The 5p comes in two versions. The first is 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. Food that can stimulate the secretory function of the pancreas is prohibited. This meal 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 decoctions are excluded in order to reduce the release of pancreatic secretions. All food is taken in pureed 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 of one yolk and two proteins, plus rosehip broth. For the second breakfast, they eat a baked pear. During lunch - borscht, lean fish meatballs 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 pudding with berries and low-fat fresh cheese, and tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch, vegetarian soup is recommended, for others: sarmice with boiled meat. From drinks - berry jelly. Snack: low-fat cottage cheese and compote, cooked from dried fruit. In the evening, for dinner, they cook rice porridge with a little fat milk and drink a glass of mineral water. Before going to bed: 250 g of carrot juice.

Wednesday. In the morning: cheese cakes with dried apricots, plus cheese and rosehip tea. During the 2nd breakfast, they eat buckwheat porridge with apple juice. Beef patties with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening, they eat vegetable casserole and boiled chicken, and drink weak tea. Before going to bed: berry juice with unsweetened biscuits.

Thursday. In the morning: boiled eggs made of two proteins and tomatoes. A glass of weak tea. For the 2nd breakfast, vinaigrette without sauerkraut and pickles, a piece of bread. For lunch, boiled cod, rice soup and tomato juice are served. In the afternoon they eat berry jelly and drink unsweetened tea. They have dinner with beetroot salad with prunes and lean boiled meat and 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: fresh cheese with sour cream, pumpkin juice. For lunch, we recommend soup with vegetables and noodles, boiled lean fish with zucchini and cauliflower. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm carrot salad and berry jelly is offered. You can dine with fresh 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 second breakfast is based on carrot puree with jam. Lunch consists of vegetarian borscht, steamed turkey cutlets and weak tea with lemon. Berry jelly is recommended for an afternoon snack. For dinner - macaroni and cheese soup, pumpkin salad with apples and tea with a teaspoon 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, you should serve one apple baked in the oven. Lunch: zucchini soup, rabbit baked in sour cream and buckwheat, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They have dinner with 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 starts to subside, you can introduce unsalted foods into your diet. An approximate menu would look like this:

• Breakfast. Bulk buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Boiled pureed meat. Semi-sweet tea is recommended as a drink.
• 2nd breakfast. Tea with biscuits and prunes.
• Dinner. Soup from allowed vegetables. Boiled potatoes with a piece of boiled chicken. For dessert - an apple and weak tea.
• afternoon tea. Low-fat homemade fresh cheese and compote, cooked from dried fruit.
• Dinner. Vermicelli with boiled fish and tea.
• Before sleeping. Tea with milk and one cracker.

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

Diet no. 5p per Pevzner

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

• Breakfast. Mashed buckwheat or rice porridge, from drink - milk jelly.
• Lunch. Fruit jelly and a glass of mineral water;
• Dinner. Oatmeal soup, carrot puree and steamed meat souffle. Weak tea.
• afternoon tea. Protein steamed omelette plus rosehip broth.
• Dinner. Pureed buckwheat porridge, cottage cheese souffle.
• Second dinner. A glass of mineral water with crackers.

Pevzner's diet does not include the use of salt, and the daily dose of sugar is 20 g.

Diet number 5p: recipes

For diet no. The following dishes are suitable for 5p:

• Vegetable stew. Cut large potatoes (5 pieces) into cubes and put them in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added. The vegetables are poured with 300 g of water, salted and stewed on medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
• Baked fish. The lean fish is cut into pieces and placed in foil. Then the onion is chopped, and the carrot is rubbed. Vegetables are placed on the fish, everything is sprinkled with lemon juice and sprinkled with salt. Fish with vegetables is wrapped in foil and stewed in the oven until soft.

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

The main recommendations of the doctor

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

It is useful to drink mineral water during the therapeutic diet. It is best consumed warm before going to bed, in small sips. All food should be ground, coarse pieces will irritate the internal organs. Parsley and dill are allowed as greens.

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