Therapeutic nutrition in case of pancreatitis. Diet number 5p

27 July 2022

Pancreatitis is a common disease of internal organs. The 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 consists of special cooking methods. The task of dietary nutrition is to bring the pancreas into normal functioning.

What is the 5p diet

The therapeutic diet for pancreatitis 5p is important at all stages of the disease and can lead to a decrease in bile congestion in the ducts, suppress hyperfermentemia and reduce the sensitivity of bile.

During signs of pathology, the 5p table exerts its beneficial effect not only in acute manifestations. In the case of a chronic course, such nutrition helps to improve the metabolic processes of the gland, to continue its work and the disturbed diet, and also prevents the recurrence and progression of the disease.

The diet starts on the 4th day after the relapse. You must fast for 3 days before the therapy. In the pathology of pancreatitis, table 5p is prescribed along with drug treatment. Such a diet includes the elimination of most foods that can complicate the patient's condition.

Products used to prepare pancreatitis foods must be crushed or ground. Both are steamed and cooked. Thanks to these cooking methods, the protein increases, the levels of carbohydrates, fats and extractives, which have a high cellulose content, are reduced, stimulating the functioning of the digestive glands.

The diet is divided into 2 sections. There are no typical differences between the tables, but diet number 1 is softer and lighter, it does not allow the consumption of certain products in diet number 2.

Diet 5p first part

In the case of pancreatitis, Table 1 is indicated if there is an acute form of the disease and a sharp exacerbation of chronic pancreatitis. According to Pevzner, thanks to Table 5, iron is accelerated to the maximum extent possible, and the pain syndrome disappears.

The 5-day diet for pancreatitis is gentle and prescribed after a 3-day hunger strike. But since such a table does not meet the physiological norms of food consumption and the needs of the patient, it is prescribed for the 5th day.

In case of chronic pancreatitis, the content of Table 5 includes a low calorie intake in the presence of proteins, fats and carbohydrates.

For this disease, the adult diet includes multiple food intake - 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 pancreatitis menu is filled with semi-viscous products.

As a result of the fact that liquid and carbohydrate foods stimulate insignificant pancreatic and gastric secretion, after the end of the hunger strike, the table is expanded with carbohydrate products.

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

Mucous soups, which can be based on various cereals and vegetable broths.
Grated liquid cereals cooked in water.
Light tea with sugar.
Made on the basis of mousse, jelly, jelly, xylitol, fruit juice.
Vegetable puree without using oil.
Steamed vegetable puddings.
Compote with dried fruits.
Biscuits, white, stale bread.
Biscuit.

2 days after the expiration of the carbohydrate diet, protein-containing foods are allowed in chronic pancreatitis.

Let's make creamy soups, which can be made from boiled meat.
Eggs as a steam omelette, soft-boiled protein omelette.
Steamed meatballs, beef, chicken, fish quenelle.
Creative puddings.
Butter used for ready meals.

When the pain subsided, the acute symptoms of pancreatitis subsided, the treatment according to Table 5 gave a positive result, then the diet is gradually expanded, prescribing nutritional therapy number 2, which is recommended after the aggravation and mild manifestation of the disease. chronic illness.

To understand what the fifth table contains, what the doctor can and cannot say individually, after the examination.

Diet 5p second part

Pancreatitis follow-up therapy table 5 is recommended for a long time - up to a year. The diet helps to prevent attacks of pathology in the future.

Table 5 also contains the 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 proteins and vitamins with lipotropic substances is slightly higher than in therapeutic diet No. 1. In case of pancreatitis, vessels of limited volume should have:

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

Food is cooked or steamed. Initially, use grated and then finely chopped food.

Food preparation products

The diet of the pathology of pancreatitis consists of a number of acceptable table products number 5:

Yesterday's bread, made of 1-2 class flour, to avoid bloating, and sugar-free dry biscuits.
Vegetable grain soups. The semolina in the first container must be ground. Consumption of buckwheat, rice, semolina porridge, pasta is allowed. Vegetable ingredients are separated - potatoes, carrots. Use sour cream or butter as a topping.
Lean meats are rabbit, chicken, beef, veal and poultry. It is important that the product does not contain fat, tendons or skin. Food is steamed, grated, chopped, boiled, fried. You can eat veal, rabbit, zucchini, stuff chicken, and prepare steamed meatloaf.
The fish is lean, steamed or boiled. Fish should not be allowed in because it contains many extracts compared to the cooked product.
Egg white omelette, a soft egg.
Low-fat dairy products. Since milk is poorly tolerated by the stomach, it is only used to make milky porridge, sauces and soups. The use of cottage cheese, the preparation of puddings and casseroles is permitted. Eat mild grated cheese. If the patient suffers from calcium deficiency, calcined cottage cheese should be eaten.
Sweet apple baked in the oven. Fruits and berries can be used to make kissel, jelly, and jam. Dried fruits are eaten grated. It is recommended to use fresh berries with grated fruit.
During the dietary treatment, light tea is allowed, sugar consumption must be reduced by half, fruit juices dissolved in water, rosehip soup.
After a pancreatic attack, gradually introduce fats into your diet. At the beginning, no more than 20 grams of butter for dressing, then vegetable oil, in the amount of 15 grams.

If a diet is recommended in the case of pancreatic pancreatitis, a specialist prepares a weekly dimensional menu based on the characteristics of the patient's body.

Sample weekly meal plan

As is already known, the therapeutic diet of the pathology of pancreatitis involves a slow expansion of the table. At the initial stage, diet therapy includes grated food and boiled vegetables. You may eat 200 grams of bread and 20 grams of sugar per day.

When switching to the second version of the diet table, the main dishes remain unchanged, but it is still allowed to eat salads made from fresh vegetables. The amount of products is also increasing.

Bread - rye 100 gr. , Wheat - 200 gr.
Sugar - 40 gr.
Butter up to 30 gr. daily.

The menu is signed for the day in case of illness. Pancreatitis products and food names are different for a week.

One day

Breakfast - mashed rice porridge, cottage cheese, tea.
Lunch - baked apples with cottage cheese.
Lunch - oatmeal soup, meatballs, vegetable puree, compote.
Snack - croutons fruit drink.
Dinner - scrambled eggs, tea with lemon.
The second dinner is milk for the night.

2 days

Breakfast - cheesecake with pieces of dried apricots, cheese, tea.
Lunch - porridge with apple juice.
Lunch - meatballs, pumpkin porridge, green tea.
Snack - rice pudding.
Dinner - vegetable casserole and boiled chicken breast, tea.
The second dinner is cookies and fruit drink.

3 days

Breakfast - semolina porridge with butter and sugar, bread, tea.
Lunch pudding with ryazhenka.
Lunch - vermicelli soup, fried chicken with vegetables.
Snack - yogurt and baked apple.
Dinner - casserole of minced meat, potatoes, low-fat sour cream, bread and compote.
The second dinner is kefir.

4 days

Breakfast - protein steam omelette with tomatoes and tea.
Lunch - pickled cucumbers in vinaigrette, cabbage, without bread.
Lunch - steamed cod, rice soup, tomato juice.
Snack - cottage cheese and compote, cooked from dried fruits.
Dinner - boiled beets with prunes, chopped beef, tea.
The second dinner is ryazhenka.

5 days

Breakfast - porridge with rice flour, jam for cottage cheese, compote.
Lunch - scrambled eggs with fruit juice.
Lunch - soup, slice, boiled rice with a piece of butter, compote.
Snack - chicken breast dumplings.
Dinner - hake slice with pureed vegetables, apricot juice.
The second dinner is kefir.

6 days

Breakfast - rice, steamed dumplings with meat, tea.
Lunch - cottage cheese, jelly.
Lunch - vegetable soup on a diet table with grated vegetables, turkey slices, mashed potatoes and fruit drink.
Snack - biscuits, tea.
Dinner - semolina, scrambled eggs, light tea.
The second dinner is half a glass of mineral water.

7 days

Breakfast - mannik with raisins, curd pudding, milk tea.
Lunch - boiled cabbage, rice.
Lunch - oatmeal soup, cabbage roll with boiled meat, sour cream, small.
Snack - cottage cheese, fruit juice.
Dinner - rice porridge, mineral water.
The second dinner is carrot juice.

In the case of the pathology of pancreatitis, the dietary diet should include a large amount of food per day. Recipes for everyday dishes transform the table and make it diverse.

Recipes for the 5p diet

The 5p diet for pancreatitis is the most common version of the table, with the presence of a variety of foods, so the patient can easily prepare a weekly diet.

Vegetarian cream soup

The recipe includes 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 into small pieces and pour boiling water over it. The vegetable can be dried a little in a pan. Put the soup on the stove, add the onion, the prepared vegetables, and season with salt. Cook for 40 minutes.

Mix the finished food with a blender. You can eat it with crackers.

Vegetable stew

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

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

Fish baked in the oven

During the diet, you will need low-fat fish. The product is cut into parts and placed on a baking sheet. Then cut the onion into small pieces and grate the carrot. Arrange the vegetables on top of the fish, sprinkle with lemon juice and salt.

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

5 recipes of such a diet for pancreatitis will make the menu diverse, and the patient will be satisfied and enjoy eating.

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 special nutrition, which includes 5p. diet no. A menu for a week with pancreatitis requires the exclusion of many products, as well as a special cooking method. The goal of the diet is to normalize all functions of the pancreas.

What is the 5p diet good for?

Therapeutic nutrition is often used in pathologies of the liver, pancreas, intestines, stomach and biliary organs. The food system here requires the use of certain foods that are prepared in certain ways. The frequency of meals and the temperature of the food eaten play an important role.

The 5p. diet no. It is prescribed for exacerbation of pancreatitis. Not only can it ensure good nutrition for the patient, but it also normalizes the functions of the pancreas. It has a beneficial effect on bile secretion and the liver. It promotes the accumulation of glycogen, relieves cholesterol and fat metabolism. It stabilizes the work of the digestive system.

5p. feature of cooking table no

Foods included in the 5p diet should have increased pectins, liquid, lipotropic components and dietary fiber content. During the treatment, a partial meal plan is introduced, the patients eat 5-6 times a day. The products are steamed, fried or boiled. Vegetables do not brown when cooked. We wipe off fiber-rich foods, and chop the rest into small pieces.

The diet limits the intake of fats and carbohydrates. The main diet consists of protein products. Foods with oxalic acid, high cholesterol, coarse fiber and purines are left off the menu. Avoid foods with a lot of essential oils and fried foods. You should consume no more than 10 g of salt and no more than two liters of water per day.

Food should be eaten warm. The consumption of hot and cold foods is contraindicated.

Indications of dietary nutrition

The 5p diet (one-week menu in pancreatitis) is recommended for patients with acute and chronic pancreatitis, after therapeutic starvation, during unstable remission.

Basic principles of the diet chart 5p

Diet number 5p is designed to stabilize the pancreas. It protects the stomach and intestines as much as possible, relieves pain, and reduces the reflex irritability of the biliary system. When observing this, the following principles must be observed:

you must fast for 3-7 days before the diet;
the way of eating should be fractional, 5-6 times a day;
should be eaten in small portions, no more than 300 g;
food should be steamed, boiled or fried;
a balanced diet should be introduced, which contains all the vitamins and minerals the body needs;
all food should be semi-liquid and grated;
temperature system for ready-to-eat foods - 20-25 ° С;
the consumption of fats and carbohydrates is reduced to a minimum.

In order for the therapy to be effective, all the rules of therapeutic nutrition must be followed. Do not break the prohibitions until complete remission or recovery occurs.

Diet number 5p: chemical composition

The daily calorie content of the 5p diet should be 1700-2500 kcal. The carbohydrates in the menu are 50 g, fats - 70 g, proteins - 100 g. They consume no more than 10 g of salt per day.

According to the vitamin content, retinol in the menu is 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.

Approved foods

The 5p diet requires compliance with all the necessary rules. It is recommended to eat vegetables with the addition of cereals to the soups here. You can't add fried foods to them. Buckwheat, rice, vermicelli, oatmeal and semolina are allowed. The bread should be yesterday's wheat, made of 1-2 class flour. You can use unsweetened 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 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 foods made from them are allowed.

The 5p. Diet No. 1 also includes boiled vermicelli in the diet. The sample menu involves the use of fruits and berries. They can be consumed in the form of jelly, raw - mashed or fried. Along with such a diet, they drink lemon tea, not too strong, or rosehip soup, natural fruit juices diluted with water without added sugar. Vegetable oil is allowed - 15 g per container, as well as butter - up to 30 g per day.

Forbidden food

The 5p. diet no. contains many restrictions in eating. In the treatment of pancreatitis, it is forbidden to eat foods:

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;
radishes, turnips, radishes, sorrel and spinach;
dairy products, including yogurt;
flour products;
sour and spicy foods;
mushroom in any form;
salted and pickled foods;
high-fat dairy products;
conserve;
sweetness;
citrus fruits;
grape juice;
fast food, chips, nuts and crackers.

Despite the prohibition of many products, diet number 5p (table) is very effective in the treatment of pancreatitis. What you can and cannot eat - we discussed this above, and then we will talk about the menu for the treatment of pancreatitis.

Type of medical nutrition

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

In diet No. 5a, the daily calorie intake cannot exceed 1700 kcal. All food is liquid and pureed. The prohibition includes 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 proteins, carbohydrates and fats increases. All broths 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 made of one yolk and two proteins, plus rosehip decoction. Baked pears are eaten for the 2nd breakfast. At lunchtime - borscht, meatballs made from low-fat fish and boiled rice. In the afternoon, it is recommended to snack on crackers and drink a glass of milk. Dinner is supposed to be boiled chicken breast, Hercules porridge and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Breakfast: Mannik with raisins, pudding with berries and low-fat cottage cheese, and tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. Vegetarian soup is recommended for lunch, and cabbage rolls with boiled meat for dinner. Drinks - jelly made from berries. Snack: low-fat cottage cheese and compote, cooked from dried fruits. In the evening, they cook rice porridge with low-fat milk and drink a glass of mineral water for dinner. Before going to bed: 250 g of carrot juice.

Wednesday. Breakfast: syrniki with dried apricots, cheese and rosehip tea. During the 2nd breakfast, they eat buckwheat porridge with apple juice. For lunch, they serve beef patty with pumpkin puree and green tea. Rice pudding is the perfect 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. Breakfast: steamed scrambled eggs from two proteins and one tomato. A glass of weak tea. For the 2nd breakfast, a vinaigrette of sauerkraut and without pickles, a piece of bread. For lunch, they serve boiled cod, rice soup and tomato juice. In the afternoon, they eat berry jelly and drink unsweetened tea. Dinner is eaten with beetroot salad with prunes and lean boiled meat, as well as milk tea. Night: a glass of fermented baked milk.

Friday. Morning: semolina porridge, weak tea and bread with hard cheese. 2nd breakfast: cottage cheese with sour cream, pumpkin juice. At lunchtime, vegetable soup, chicken soup, boiled low-fat fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. For an afternoon snack, they offer warm carrot salad and berry jelly. You can have cottage cheese and buckwheat for dinner and drink green tea. 2nd dinner: 250 g of milk with breadcrumbs.

Saturday. For breakfast: cottage cheese pudding and a glass of milk. The 2nd breakfast is carrot puree with jam. Lunch includes vegetarian borscht, turkey steamed steak and weak lemon tea. Jelly made from berries is recommended for an afternoon snack. 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. An oven-baked apple should be served for the second breakfast. 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 balls, boiled rice and tea with a slice of lemon. Before going to bed: fruit jelly.

Unwashed food option: a daily menu

Once the pain subsides, you can introduce whole foods into your diet. An approximate menu would look like this:

Breakfast. Loose buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Boiled pureed meat. Semi-sweet tea is recommended as a drink.
2. breakfast. Tea with biscuits and some prunes.
Dinner. Soup from permitted vegetables. Boiled potatoes with a piece of boiled chicken. For dessert - an apple and weak tea.
afternoon tea. Low-fat home-made cottage cheese and cooked from dried fruits.
Dinner. Thread noodles with boiled fish and tea.
Before bedtime. Tea with milk and a biscuit.

Two days after the exacerbation of pancreatitis, doctors advise drinking no more than one liter of warm mineral water per day. Rosehip decoction will be useful. From the third day, if the patient's health has improved, liquid cereals and slimy soups, as well as vegetable puree and jelly, are introduced.

Diet number 5p according to Pevzner

The Pevzner diet recommends that when the symptoms of exacerbation of pancreatitis subside, use the following menu:

Breakfast. Pastry buckwheat or rice porridge, from drinks - 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 concoction.
Dinner. Mashed buckwheat porridge, cottage cheese souffle.
Second dinner. A glass of mineral water and crackers.

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

Diet number 5p: recipes

The following foods are suitable for the 5p diet:

Vegetable stew. Cut the large potatoes (5 pieces) into cubes and put them in a pan. Add the grated carrot, chopped onion, pumpkin and tomato. Pour the vegetables into 300 g of water, add salt and simmer for about twenty minutes over medium heat. The finished dish is sprinkled with herbs.
Fried fish. Cut the low-fat fish into pieces and place in foil. Then cut the onion into small pieces and grate the carrot. Place vegetables on top of the fish, sprinkle everything with lemon juice and sprinkle with salt. The fish with vegetables is wrapped in foil and steamed until soft in the oven.

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

The main recommendations of doctors

Chronic pancreatitis (diet number 5p is very effective for this disease) in the acute stage is treated not only with drugs, but also with proper nutrition. Doctors advise you to take the 5p diet with full responsibility. Do not indulge in sweets without a doctor's prescription, as the use of sugar in quantities greater than 60 g can cause exacerbation of pancreatitis.

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

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