Nutritional therapy for pancreatitis. Diet number 5p

Pancreatitis is a common disease of internal organs. Pathology is not only treated with drugs, but also with a nutritious diet including the 5p diet. The weekly menu for people with pancreatitis requires the elimination of most foods from the diet, and also includes special cooking methods. The job of the diet is to get the pancreas to function properly.

What is the 5p diet?

The 5p treatment diet for pancreatitis is important at all stages of the disease and can lead to a reduction in bile stasis in the ducts, suppression of hypertension, and decreased bile sensitivity.

In markers of pathology, panel 5p has a useful effect not only in acute manifestations. In the chronic phase, such a diet will help to improve the metabolism in the gland, resume its work, and the diet is disturbed, and at the same time prevent the occurrence of relapses. development and progression of the disease.

The diet was started on day 4 after relapse. Before the treatment, you will have to fast for 3 days. Table 5p in pancreatitis is prescribed along with drug therapy. Such a diet that involves the abandonment of most dishes can further complicate the patient's situation.

Products used to prepare pancreatitis dishes will need to be ground or ground. They are both steamed and boiled. Thanks to these cooking methods, protein is increased, the content of carbohydrates, fats and extractive substances, with a high content of cellulose, is reduced, stimulating the activity of the digestive glands.

The diet is divided into 2 phases. There is no characteristic difference between the panels, but diet #1 is softer and lighter, it does not allow the use of individual products that are allowed to be eaten in diet #2.

Diet 5p part one

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

Diet 5 for pancreatitis is very minimal and is prescribed after a hunger strike for 3 days. But since such a table does not meet the physiological criteria of food consumption and patient needs, it is prescribed for the 5th day.

In chronic pancreatitis, the contents of the 5th panel include low calories in the presence of proteins, fats and carbohydrates.

With this disease, the adult diet includes a lot of food - up to 8 times, and the ratio necessary for health is 100-300 grams.

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

Due to the fact that liquid and carbohydrate dishes have a negligible stimulating effect on the pancreas and stomach, after a hunger strike, the table will be replenished with carbohydrate products.

The 5p diet for people with chronic pancreatitis includes the following items:

1. Soups are mucilaginous, the basis of which can be various grains, vegetable broths.
2. Ground liquid cereal cooked in water.
3. Light tea with sugar.
4. Mousse, jelly, jelly, made on the basis of juice on xylitol.
5. Puree from vegetables without using oil.
6. Steamed vegetable pudding.
7. Compote with dried fruit.
8. Crackers, white bread.
9. Cracker.

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

1. Preparation of cream soup can be based on boiled meat.
2. Eggs as a steamed omelette, soft boiled, protein omelette.
3. Steamed meatballs, beef, chicken, fish quenelles.
4. Creative pudding.
5. Butter is used in prepared foods.

When the pain has subsided, the symptoms of acute pancreatitis have been relieved, treatment in Table 5 gives positive results, then expand the diet, prescribe nutritional treatment No. present mild. a chronic illness.

To understand what the fifth table includes, your doctor can and can't tell you specifically, after the exam.

5p diet part two

Table 5 follow-up treatment for pancreatitis is recommended for a long time - up to a year. Diet will help prevent future attacks of pathology.

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

Low energy level. The amount of protein and lipotropic vitamins is somewhat higher than the No. 1 treatment diet. For pancreatitis, limited-volume dishes should include:

You cannot eat fried foods, and these foods can lead to strong gas formation, stomach and intestinal fermentation.

Dishes are prepared with steam or boiled. Use ground food at first, then finely chop it.

Food processing products

The pancreatitis diet includes some acceptable table 5 products:

1. Yesterday's bread, made with grade 1-2 flour, to avoid flatulence, as well as unsweetened dry biscuits.
2. Vegetable cereal soup. The grooves in the first dish should be pureed. It is allowed to eat buckwheat, rice, tapioca porridge, pasta. Vegetable ingredients are isolated - potatoes, carrots. To make the 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 or skin. Dishes are prepared by steaming, in the form of grated, chopped, boiled and grilled. You can eat veal, rabbit, zucchini, stuffed with chicken, make steamed meatballs.
4. Lean fish, steamed or boiled. You can not put fish in, because it contains more peripheral substances than boiled products.
5. Protein omelette, a soft hard-boiled egg.
6. Dairy products have a minimal percentage of fat. Since milk is poorly tolerated by the stomach, it should only be used to prepare milk dishes, sauces, soups. It is allowed to use small cheeses, make puddings, casseroles from it. Eat lightly grated cheese. If the patient has a calcium deficiency, it is necessary to eat baked cheese.
7. Sweet apples baked in the oven. Using fruits and berries, it is allowed to cook kisses, jellies, jams. Dried fruit is grated. It is recommended to use fresh fruits with pureed fruit.
8. From drinking during diet therapy, it is allowed to drink light tea, sugar consumption should be halved, juices dissolved in water, rosehip broth.
9. After a pancreatic attack, gradually include fat in the diet. Initially, up to 20 grams of butter to mix, and then vegetable oil, in the amount of 15 grams.

When a diet is recommended for people with acute pancreatitis, a one-week afternoon menu is individually developed by a specialist, based on the characteristics of the patient's body.

Weekly meal plan template

As is known, the therapeutic diet for pancreatitis involves slow panel expansion. In the early stages, dietary therapy consists of mashed food and boiled vegetables. It is allowed to eat 200 grams of bread and 20 grams of sugar per day.

Switching to the second version of the diet table, the main dishes do not change, but salads from fresh vegetables are still allowed. Product volume is also increasing.

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

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

1 day

1. Breakfast - rice porridge, cheese, tea.
2. Lunch - an apple cooked in the oven with cheese.
3. Lunch - oatmeal soup, meatballs, vegetable puree, flour.
4. Snack - toast with fruit drink.
5. Dinner - scrambled eggs, lemon tea.
6. The second dinner is milk for the evening.

2 days

1. Breakfast - cheesecake with pieces of dried apricots, cheese, tea.
2. Lunch - oat porridge with apple juice.
3. Lunch - meatballs, pumpkin porridge, green tea.
4. Snack - rice cake.
5. Dinner - vegetable casserole and boiled chicken breast, tea.
6. The second dinner is biscuits, juice.

3 days

1. Breakfast - porridge with butter and sugar, bread, tea.
2. Lunch pudding with ryazhenka.
3. Lunch - vermicelli soup, grilled chicken with vegetables.
4. Snack - yogurt and an apple baked in the oven.
5. Dinner - a casserole with minced meat, potatoes, low-fat sour cream, bread and chips.
6. The second dinner is kefir.

4th

1. Breakfast - protein steamed omelette with tomatoes, tea.
2. Lunch - vinaigrette without pickled cucumbers, cabbage, bread.
3. Lunch - steamed cod, rice soup, tomato juice.
4. Snack - cheese and dough mix, cooked from dried fruit.
5. Dinner - boiled radish with prunes, minced beef, tea.
6. The second dinner is ryazhenka.

Day 5

1. Breakfast - porridge with rice flour, cheese jam, monosodium glutamate.
2. Lunch - scrambled eggs with juice.
3. Lunch - meat soup, cutlets, boiled rice with a piece of butter, soft drink.
4. Snack - chicken breast dumplings.
5. Dinner - hake cutlet with vegetable puree, apricot juice.
6. The second dinner is kefir.

6th

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

7th

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

The diet for pancreatitis should provide large amounts of food per day. Recipes for everyday dishes will transform the table and allow you to make it diverse.

Recipe for the 5p . diet

The 5p diet for people with pancreatitis is the most common variation table, with a variety of dishes so patients can easily follow a weekly diet.

Vegetarian cream soup

The formula includes the following products:

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

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

Beat the finished dish with a blender. You can serve it with crackers.

Vegetable ragout

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

Pour vegetables with water, salt. Cook over medium heat for about 20 minutes. Sprinkle dill on a plate when serving.

Grilled fish in the oven

When dieting, you'll need low-fat fish. The product is cut into pieces and placed on a baking tray. Next, you chop the onion, grate the carrot. Arrange the vegetables on top of the fish, drizzle with lemon juice and salt.

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

Such a 5-recipe diet for pancreatitis makes the menu diverse, patients will be satisfied and enjoy the meal.

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

Pancreatitis is one of the most common diseases of internal organs. He was not only treated with drugs but also with a special diet, including the #5p diet. The menu for a week with people with pancreatitis needs to exclude many products, as well as special processing. The purpose of the diet is to normalize all the functions of the pancreas.

5p diet for what?

Nutritional therapy 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 prepared in a certain way. An important role is played by the frequency of meals and the temperature of the dishes consumed.

The 5p diet (a week's menu for pancreatitis) was developed in 1920 by general practitioner M. I. Pevzner and has not lost its relevance to this day. It is prescribed for exacerbations of pancreatitis. It can not only provide patients with good nutrition, but also normalize the functions of the pancreas. It has a positive effect on bile and liver excretion. Promotes glycogen accumulation, cholesterol and fat metabolism. Stabilize the work of the digestive system.

Features of cooking table number 5p

The dishes in the number 5 diet should have an increased content of pectin, liquid, liquid components and fiber. During the period of treatment, a divided diet is applied, the patient eats 5-6 times a day. The product is steamed, baked or boiled. When cooked, vegetables do not brown. Foods rich in fiber are wiped clean, the rest is finely chopped.

A diet that restricts the intake of fats and carbohydrates. The main diet consists of protein products. Dishes with oxalic acid, high in cholesterol, with crude fiber and containing purines, are excluded from the menu. Eliminate foods with a lot of oil, fried foods. Salt should not be consumed more than 10 g per day, and water - up to two liters.

Meals should be drunk warm. Hot and cold foods are contraindicated.

Indications for nutritional diet

Diet number 5p (menu for a week in pancreatitis) is indicated for patients with acute and chronic pancreatitis, after fasting therapy, during unstable remission.

Principle of diet chart number 5p

The 5p Diet is designed to stabilize the pancreas. It restores the stomach and intestines as much as possible, relieves pain, reduces reflex irritation of the biliary system. When observed, the following principles should be observed:

• before the diet need to fast for 3 to 7 days;
• the diet 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 grilled;
• Should apply a balanced diet, have enough vitamins and minerals necessary for the body;
• all feed should be semi-liquid and finely ground;
• temperature regime of ready-made dishes - 20-25 ° С;
• the consumption of fats and carbohydrates is reduced to a minimum.

For therapy to be effective, all the rules of therapeutic nutrition need to be observed. You should not violate the prohibitions until the disease is in remission or fully recovered.

Diet number 5p: chemical composition

Diet number 5p should have a daily calorie content of 1700-2500 kcal. Carbohydrates in the menu are provided 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, thiamine - 10 mg, riboflavin - 2 mg, nicotinic acid - 1. 6 mg, vitamin C - 150 mg, sodium - 3 g, phosphorus - 1, 3g, calcium - 0. 8 g, magnesium - 0. 5 g, iron - 0. 03 g.

Food is allowed

Requires compliance with all necessary rules diet number 5p. Soups here are recommended to use vegetables, supplemented with grains. You cannot add barbecue to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. The bread should be yesterday's wheat, from wheat flour 1-2. You can use sugar-free cookies.

Vegetables boiled or grated. The use of lean meats and fish of low-fat varieties is allowed. You can eat soft-boiled eggs, as well as steamed scrambled eggs, but no 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 number 5p also includes boiled vermicelli in the diet. The sample menu involves the use of fruit and berries. They can be eaten in jelly form, raw - mashed or baked. With such a diet, they drink tea with lemon, not too strong, or rosehip broth, a natural juice diluted with water without added sugar. Vegetable oils are allowed - 15 g per dish, as well as butter - no more than 30 g per day.

Prohibited food

The 5p diet has many dietary restrictions. The foods that are forbidden to eat in the treatment of pancreatitis are as follows:

• meat broth, fatty fish;
• any alcohol, as well as strong tea and coffee;
• cold, hot and carbonated drinks;
• smoked products, sausages and sausages;
• rye and freshly baked bread;
• caviar from fish;
• radishes, radishes, radishes, sorrel and spinach;
• dairy products, including yogurt;
• flour products;
• sour and spicy dishes;
• mushrooms in any form;
• salted dishes and pickles;
• high-fat dairy products;
• Canned food;
• Candy;
• citrus;
• Grape juice;
• fast food, chips, nuts and crackers.

Despite the bans of many products, the 5p diet (table) is very effective in treating pancreatitis. What you can, what you can't eat - this was discussed above, then we will talk about the menu in the treatment of pancreatitis.

Medical nutrition type

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

In diet number 5a, the daily calorie intake should not be more than 1700 kcal. All food is liquid and pureed. Under the ban are foods that can stimulate the secretory function of the pancreas. This meal lasts about a week.

In diet number 5b, the calorie content increases to 2700 kcal. The amount of protein, carbohydrates and fat increases. All broths and decoctions are excluded to reduce pancreatic secretion. All food is made in puree form.

Diet number 5p: 1 week menu for people 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 with one yolk and two proteins, plus a decoction of rose hips. For the 2nd breakfast, they ate a baked pear. At lunchtime - borscht, meatballs made from low-fat fish and boiled rice. In the afternoon, snack on crackers and drink a glass of milk. Dinner was supposed to be boiled chicken breast, Hercules porridge and black tea. Before going to bed, take 250 g of low-fat kefir.

Tuesday. Morning: Mannik with raisins and pudding with berries and low-fat cheese and tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, the second: cabbage rolls with boiled meat. From the drink - jelly made from berries. Snack: low-fat 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. Morning: syrniki with dried apricots, cheese and rose tea. For the second breakfast, they eat buckwheat porridge with apple juice. For lunch, beef patties with pumpkin puree and green tea are served. Rice pudding is perfect for an afternoon snack. In the evening they ate stewed vegetables and boiled chicken and drank weak tea. Before going to bed: berry juice with unsweetened biscuits.

Thursday. Morning: Scrambled eggs with two proteins and a tomato. A weak cup of tea. For the 2nd breakfast, there is a vinegar dressing 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 had dinner with beetroot salad with prunes and boiled lean meat with milk tea. At night: a glass of fermented baked milk.

Friday. Morning: Bang flour porridge, Khuc Bach tea and hard cheese bread. Breakfast 2: cottage cheese with sour cream, pumpkin juice. For lunch, it is recommended to have soup with vegetables and noodles, boiled low-fat fish with zucchini and cauliflower. You can add fresh fruit and unsweetened tea. For an afternoon snack, guests can enjoy a warm carrot salad with berry jelly. You can dine on cheese and buckwheat as well as drink green tea. 2nd dinner: 250 g of milk with breadcrumbs.

Saturday. For breakfast: cheese pudding and a glass of milk. The second breakfast is carrot puree with jam. Lunch includes vegetarian borscht, turkey steamed shredded chicken and lemon tea. For an afternoon snack, berry jelly is recommended. For dinner - pasta 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, fruit puree with cheese, and jelly. For the second breakfast, an oven-baked apple is supposed to be served. Lunch: zucchini soup, grilled rabbit with sour cream and buckwheat, tea. Afternoon snack: unsweetened cheese mousse with carrot juice. They ate fish dumplings, boiled rice and tea with a slice of lemon. Before going to bed: fruit jelly.

Unwashed Food Choices: A Menu of the Day

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

• Breakfast. Liquid buckwheat plus vinegar without added pickles and sauerkraut. Minced boiled 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 - an apple and weak tea.
• afternoon tea. Low-fat homemade cottage cheese and cheese, cooked with dried fruit.
• Dinner. Boiled fish vermicelli and tea.
• Before go to bed. Milk tea and crackers.

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

Diet number 5p according to Pevzner

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

• Breakfast. Pureed buckwheat flour or rice porridge, from the drink - royal jelly.
• Lunch. Fruit jelly and a glass of mineral water;
• Dinner. Oatmeal, carrot puree and steamed meat soup. Light tea.
• afternoon tea. Protein steamed omelette plus rose hip decoction.
• Dinner. Pureed buckwheat porridge, fresh cheese soup.
• Second dinner. A glass of mineral water with crackers.

The Pevzner diet uses no salt and a daily sugar intake of 20 g.

Diet number 5p: recipes

The following foods fit into the 5p diet:

• Stewed vegetables. Large potatoes (5 pieces) are cut into cubes and put in the pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. Vegetables pour in 300 g of water, salt and stew over medium heat for about 20 minutes. The finished dish is sprinkled with herbs on top.
• Grilled fish. Low-fat fish is cut into pieces and placed in foil. Next, add chopped shallots and grated carrots. Vegetables are placed on top of the fish, everything is drizzled with lemon juice and sprinkled with salt. Fish with vegetables wrapped in foil and stewed until tender in the oven.

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

The main recommendations of the doctor

Chronic pancreatitis (5p diet is very effective for this disease) in the acute stage is not only treated with drugs but also with appropriate nutrition. Doctors recommend taking the #5p diet with all responsibility. It is not recommended to bring sweets without a doctor's prescription, because the use of sugar in an amount of more than 60 g can provoke an exacerbation of pancreatitis.

It is useful to drink mineral water during nutritional therapy. It is best to drink warm water before going to bed, divided into small sips. All food should be finely ground, coarse pieces will irritate internal organs. From greens, parsley and dill.

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