Pancreatitis is a common disease of internal organs. The pathology is treated not only with drugs, but also with dietary food, including the 5p diet. The weekly menu for pancreatitis requires the exclusion of most foods from the diet, as well as special cooking methods. The task of dietary food is to bring the pancreas to normal functioning.
What is the 5p diet
Therapeutic diet for pancreatitis 5p is important at every stage of the disease and can lead to a decrease in bile stagnation in the ducts, suppress hyperfermentemia and reduce the sensitivity of bile.
During pathological symptoms, the 5p table has a beneficial effect, not only during acute manifestations. In a chronic course, such nutrition will help to improve metabolic processes in the gland, restore its work and a disturbed diet, and prevent the occurrence of relapses and the development of the disease.
The diet starts on the 4th day after relapse. You must fast for 3 days before therapy. In the pathology of pancreatitis, Table 5p is prescribed together with drug treatment. Such a dietary diet involves giving up most of the foods that can complicate the patient's condition.
For pancreatitis, it is necessary to crush or grind the products used in the preparation of dishes. They are both steamed and boiled. Thanks to these cooking methods, protein increases, the level of carbohydrates, fats and extractive substances with a high amount of cellulose decreases, and it stimulates the activity of the digestive glands.
The diet is divided into 2 stages. There are no characteristic differences between the tables, but diet number 1 is softer and lighter, it does not allow the use of individual products that are allowed to be eaten in diet number 2.
Diet 5p first part
With pancreatitis, table number 1 is indicated in case of an acute form of the disease and an acute exacerbation of chronic pancreatitis. According to Pevzner, thanks to the 5th table, iron is accelerated as much as possible and the pain syndrome is eliminated.
Diet for pancreatitis is 5 economical and prescribed after 3 days of hunger strike. However, since such a table does not meet the physiological standards of food consumption and the patient's needs, it is set for the 5th day.
In chronic pancreatitis, the content of table 5 includes a low-calorie intake with the participation of proteins, fats and carbohydrates.
With this disease, the adult diet involves a lot of 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 menu for pancreatitis is filled with semi-viscous products.
Due to the fact that liquid and carbohydrate foods have an insignificant stimulant of pancreatic and gastric secretion, after the hunger action has passed, the table is filled with carbohydrate products.
The 5p diet for chronic pancreatitis consists of the following foods:
- Mucous soups, which can be broths of various cereals and vegetables.
- Grated liquid grains cooked in water.
- Light tea with sugar.
- Mousse, jelly, jelly made on the basis of fruit juice on xylitol.
- Vegetable puree without oil.
- Steamed vegetable puddings.
- Compote with dried fruits.
- Crackers, white stale bread.
- Cracker.
In chronic pancreatitis, the introduction of protein foods is allowed 2 days after the end of 5 periods of the carbohydrate diet.
- Prepare creamy soups that can be based on boiled meat.
- Eggs like a steam omelette, boiled soft-boiled, protein omelette.
- Steamed meatballs, beef, chicken, fish quenelles.
- Creative puddings.
- Oil used in prepared foods.
When the pain subsides, the acute symptoms of pancreatitis are eliminated, the treatment of the 5th table gave positive results, then the diet is gradually expanded, prescribing nutritional therapy No. 2, indicated after exacerbation and mild manifestations. chronic disease.
To understand what the fifth table contains, what the doctor can and cannot tell you individually after the examination.
Diet 5p second part
Further therapy schedule for pancreatitis is recommended for a long time - up to a year. The diet will help prevent pathological attacks in the future.
Table No. 5 also provides thermal, mechanical, and chemical principles of preparation that help reduce digestive stimulation of the affected organ.
Energy level is low. The amount of proteins, lipotropic substances and vitamins is slightly higher compared to therapeutic diet number 1. With pancreatitis, there should be a limited amount of food:
You can not consume fried foods and those that can cause a strong formation of gases and fermentation of the stomach and intestines.
Food is steamed or boiled. Use grated food first, then chop.
Food preparation products
Diet for the pathology of pancreatitis consists of a number of acceptable table products number 5:
- Yesterday's bread, made of 1-2 types of flour, so that it does not swell, as well as sugar-free dry cookies.
- Vegetable and grain soups. Cereals should be ground in the first bowl. It is allowed to consume buckwheat, rice, semolina, pasta. Vegetables are isolated - potatoes, carrots. As a dressing, use sour cream or butter.
- Lean meats are rabbit, chicken, beef, veal and poultry. It is important that the product does not contain fat, tendons, or skin. Food is prepared by steam method, fried, chopped, boiled and baked. You can eat veal, rabbit, pumpkin, you can stuff it with chicken, you can make steamed dumplings.
- Fish is steamed or boiled without oil. You can't leave the fish inside because it has a lot of extractives compared to the boiled product.
- Protein omelet, one soft-boiled egg.
- Dairy products with a minimum fat percentage. Since milk is poorly tolerated by the stomach, use it only in preparing milk porridges, sauces, soups. It is allowed to use cottage cheese, puddings, stews. Eat soft grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined cottage cheese.
- Sweet apples baked in the oven. Using fruits and berries, it is allowed to cook kissels, jellies, jams. Dried fruits are eaten grated. It is recommended to use fresh berries with fried fruits.
- During diet treatment, light tea is allowed to drink, sugar consumption should be reduced by half, water-soluble juices, rose hip juice.
- After a pancreatic attack, gradually introduce fats into the diet. First, up to 20 grams of butter for dressing, and then 15 grams of vegetable oil.
When a diet for pancreatic pancreatitis is recommended, a one-week menu is prepared individually by a specialist, based on the characteristics of the patient's body.
Example of a weekly meal plan
As it is already known, the therapeutic diet for the pathology of pancreatitis involves a slow expansion of the table. At the initial stage, diet therapy includes fried foods 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 dishes remain unchanged, but it is still allowed to eat salad from fresh vegetables. The volume of products is also increasing.
- Bread - rye 100 g. , Wheat - 200 g.
- Sugar - 40 g.
- 30 g of butter. per day.
In case of illness, the menu is signed with the day. The names of products and dishes for pancreatitis during a week are different.
1 day
- Breakfast - rice porridge, cottage cheese, tea.
- Lunch - apples baked in the oven with cottage cheese.
- Lunch - oat soup, meatballs, vegetable puree, compote.
- Snack - croutons with fruit drink.
- Dinner - omelette, tea with lemon.
- The second dinner is milk for the night.
2 days
- Breakfast - cheesecakes with dried apricots, cheese, pieces of tea.
- Lunch - oatmeal with apple juice.
- Lunch - meatballs, pumpkin porridge, green tea.
- Snack - rice pudding.
- Dinner - vegetable stew and boiled chicken breast, tea.
- Second dinner is cookies, fruit drink.
3 days
- Breakfast - semolina porridge with butter and sugar, bread, tea.
- Dinner pudding with ryazhenka.
- Dinner - vermicelli soup, chicken cooked with vegetables.
- Snack - yogurt and apples baked in the oven.
- Dinner - stew with minced meat, potatoes, low-fat sour cream, bread and compote.
- The second dinner is kefir.
4th day
- Breakfast - protein steam omelet with tomatoes, tea.
- Lunch - pickled cucumber, cabbage, vinaigrette without bread.
- Lunch - steamed cod, rice soup, tomato juice.
- Snack - cottage cheese and compote made from dried fruits.
- Dinner - boiled beets with prunes, minced beef, tea.
- The second dinner is ryazhenka.
Day 5
- Breakfast - porridge with rice flour, jam for cottage cheese, compote.
- Lunch - boiled eggs with juice.
- Lunch - meat soup, cutlets, boiled rice with a piece of butter, compote.
- Snack - pieces of chicken breast.
- Dinner - hake cutlets with mashed vegetables, apricot juice.
- The second dinner is kefir.
6th day
- Breakfast - rice, steamed dumplings with meat, tea.
- Lunch - cottage cheese, jelly.
- Lunch - vegetable soup on the diet table with fried vegetables, turkey cutlet, mashed potatoes and fruit drink.
- Snack - crackers, tea.
- Dinner - semolina, omelette, light tea.
- The second dinner is half a glass of mineral water.
7th day
- Breakfast - mannik with raisins, curd pudding, tea with milk.
- Lunch - boiled cabbage, rice.
- Lunch - oatmeal soup, cabbage rolls with boiled meat, sour cream, kissel.
- Snack - cottage cheese, juice.
- Dinner - rice porridge, mineral water.
- The second dinner is carrot juice.
Dietary diet for the pathology of pancreatitis should have a large amount of nutrients during the day. Recipes for meals for every day will change the table and allow you to diversify it.
Recipes for the 5p diet
The 5p diet for pancreatitis is the most common variation of the table with the presence of a wide variety of dishes, so it is easy for the patient to prepare a weekly diet.
Vegetarian cream soup
The recipe contains the following products:
- carrot - 2 pieces;
- potatoes - 250 g;
- vegetable juice - 0. 7 l;
- celery - 2 stalks;
- olive oil - one spoon;
- onion - half.
Chop the onion and pour boiling water over it. You can dry the vegetables a little in the pan. Put the broth in the oven, add the onion, prepared vegetables and add a little salt. Cook for 40 minutes.
Beat the finished dish with a mixer. You can eat it with crackers.
Vegetable ragout
You will need 5 potatoes cut into cubes and placed in a pot. Send him grated carrots and chopped onions, zucchini and tomatoes.
Pour the vegetables with water and salt. Cook on medium heat for about 20 minutes. When serving, sprinkle the dish with dill.
Fish baked in the oven
When dieting, you will need a low-fat type of fish. The product is cut into pieces and placed in a baking dish. Then chop the onion, 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.
Such a diet for pancreatitis makes the 5-recipe 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 is diet No. 5p. A weekly menu with pancreatitis requires the exclusion of many products, as well as a special way of eating. 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 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 used.
Diet No. 5p (one-week menu with pancreatitis) was developed by the general practitioner M. I. Pevzner in 1920 and has not lost its relevance today. It is prescribed for exacerbation of pancreatitis. It not only provides the patient with good nutrition, but is also able to normalize the functions of the pancreas. It has a positive effect on bile secretion and liver. It promotes the accumulation of glycogen, reduces cholesterol and fat metabolism. It stabilizes the work of the gastrointestinal tract.
5p dining table feature
Meals on diet No. 5p should have an increased content of pectins, liquid, lipotropic components and dietary fiber. For the duration of the treatment, fractional meals are used, patients eat 5-6 times a day. Products are steamed, baked or boiled. Vegetables are not fried while cooking. Fiber-rich foods are removed, and the rest are finely chopped.
The diet limits the intake of fats and carbohydrates. The main diet consists of protein products. Foods with a lot of cholesterol, coarse fiber and oxalic acid containing purines are excluded from the menu. Eliminate foods with a lot of essential oils and fried foods. Salt should be consumed from 10 g and water up to two liters per day.
Food should be taken hot. Cold and hot food is contraindicated.
Tips for diet food
Diet No. 5p (one-week menu with pancreatitis) is indicated for patients with acute and chronic pancreatitis, after therapeutic starvation, during unstable remission.
Principles of diet chart number 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 excitement of the bile organ. When observing, the following principles should be observed:
- before the diet, you need to fast for 3 to 7 days;
- the eating regimen should be fractional, 5-6 times a day;
- It is necessary to eat in small portions up to 300 g;
- food should be steamed, boiled or baked;
- a balanced diet containing all the vitamins and minerals needed by the body should be used;
- all food should be semi-liquid and fried;
- temperature regime of ready meals - 20-25 ° С;
- the consumption of fats and carbohydrates is minimized.
For the therapy to be effective, all the rules of therapeutic nutrition must be followed. You should not break the restrictions until complete remission or recovery occurs.
Diet No. 5p: chemical composition
Diet No. 5p daily calorie content should be 1700-2500 kcal. The menu contains 50 g of carbohydrates, 70 g of fats, and 100 g of proteins. Do not consume more than 10 g of salt per day.
According to the content of vitamins, the menu should contain about 10 mg of retinol, 10 mg of thiamine, 2 mg of riboflavin, 1. 6 mg of nicotinic acid, 150 mg of vitamin C, 3 g of sodium, 1. 3 g of phosphorus, and calcium. - 0. 8 g, magnesium - 0. 5 g, iron - 0. 03 g.
Allowed foods
Diet number 5p requires compliance with all necessary rules. Here, it is recommended to take vegetables with the addition of grains to the soups. You cannot add roasting to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. Bread should be yesterday's wheat, 1-2 sot of 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 eggs, but not more than once a day. Whole grains are cooked in milk with low fat 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. A sample menu includes the use of fruits and berries. They can be eaten as jelly, raw - mashed or cooked. With such a diet, they drink lemon tea, not too strong or rose water, natural juices diluted with water without adding sugar. Vegetable oil is allowed - 15 g per meal, as well as fat - no more than 30 g per day.
Forbidden foods
Diet No. 5p has many restrictions on food. Foods that are forbidden to eat in the treatment of pancreatitis are the following:
- fatty meat and fish broths;
- any alcohol, as well as strong tea and coffee;
- cold, hot and carbonated drinks;
- smoked products, sausages and sausages;
- freshly baked and rye bread;
- caviar from fish;
- radish, turnip, radish, sorrel and spinach;
- dairy products, including yogurt;
- flour products;
- sour and spicy foods;
- mushrooms in any form;
- salty and salty foods;
- high-fat dairy products;
- Canned food;
- sweets;
- citrus;
- 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 do, what you cannot eat - this was discussed above, then we will talk about the menu in the treatment of pancreatitis.
Type of medical nutrition
Diet No. 5p is available in two versions. The first is used for acute pancreatitis - No. 5a, and the second for chronic - No. 5b.
Daily calorie intake in diet number 5a should not exceed 1700 kcal. All food is liquid and pureed. Under the ban are foods that can stimulate the excretory function of the pancreas. This dish lasts for 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 broths are excluded to reduce the release of pancreatic secretion. All meals are taken in the form of puree.
Diet number 5p: menu for a week with pancreatitis
With exacerbation of pancreatitis during the week, the menu should be as follows.
Monday. For breakfast in the morning: a steamed omelet made of one yolk and two proteins, plus hip broth. On the 2nd breakfast, they eat a baked pear. Lunch time - borsch, dumplings 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, you need to drink 250 g of low-fat kefir.
Tuesday. Morning: Mannik with grapes, pudding with berries and low-fat cottage cheese, tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. Vegetarian soup is recommended for lunch, and for the second: cabbage rolls with boiled meat. Jelly made from drinks - berries. Snack: low-fat cottage cheese and compote made 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 root juice.
Wednesday. Morning: syrniki with dried apricots, plus cheese and rose hip tea. During the 2nd breakfast, they eat buckwheat porridge with apple juice. Beef dumplings with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening, they eat vegetable stew and boiled chicken, and drink weak tea. Before going to bed: berry juice with sugar-free biscuit.
Thursday. Morning: steamed egg from two proteins and one tomato. A cup of weak tea. For the 2nd breakfast, there is sauerkraut and non-acidic vinaigrette, a piece of bread. Boiled cod, rice soup and tomato juice are served for lunch. In the afternoon they eat berry jelly and drink tea without sugar. They have dinner with beet salad with prunes and boiled meat without fat and tea with milk. Night: a glass of fermented cooked milk.
fridayMorning: semolina porridge, weak tea and bread with hard cheese. 2nd breakfast: cottage cheese with sour cream, pumpkin juice. Soup with vegetables and noodles, boiled low-fat fish with zucchini and cauliflower are recommended for lunch. You can add fresh fruit and unsweetened tea. Warm carrot salad and berry jelly are offered as an afternoon snack. You can have dinner with cottage cheese and buckwheat, and also drink green tea. 2nd dinner: 250 g of milk with bread crumbs.
Saturday. For breakfast: cottage cheese pudding and a glass of milk. The 2nd breakfast is made on the basis of carrot puree with jam. Lunch consists of vegetarian borscht, turkey steam cutlets and weak tea with lemon. Jelly from berries is recommended for an afternoon snack. For lunch - macaroni and cheese soup, pumpkin salad with apples and tea with a spoonful of honey. Before going to bed - 250 g of fermented cooked milk.
Sunday. 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 with sour cream and buckwheat, tea. Afternoon snack: sugar-free cottage cheese mousse with carrot juice. They have lunch with fish meatballs, boiled rice and a slice of lemon tea. Before going to bed: fruit jelly.
Unwashed Food Selection: A Day's Menu
As soon as the pain begins to subside, you can introduce non-pure foods into the diet. An approximate menu will look like this:
- Breakfast. Loose buckwheat plus vinaigrette without the addition of sauerkraut and sauerkraut. Boiled mashed meat. Semi-sweet tea is recommended as a drink.
- 2nd breakfast. Tea with cookies and some plums.
- Supper. Soup from allowed vegetables. Boiled potatoes with a piece of boiled chicken. As a dessert - apples and weak tea.
- afternoon tea. Low-fat homemade cottage cheese and compote made from dried fruits.
- Supper. Boiled fish and vermicelli with tea.
- Before sleeping. Milk tea and a cracker.
Two days after the exacerbation of pancreatitis, doctors recommend drinking up to one liter of warm mineral water a day. A decoction of rose hips will be useful. From the third day, when the patient's health improves, they offer liquid cereal and slimy soup, as well as vegetable puree and jelly.
Diet number 5p according to Pevzner
The Pevzner diet suggests using the following menu when the symptoms of pancreatitis exacerbation subside:
- Breakfast. Mashed buckwheat or rice porridge, from drinks - milk jelly.
- Lunch. fruit jelly and a glass of mineral water;
- Supper. Oatmeal soup, carrot puree and steamed meat souffle. Weak tea.
- afternoon tea. Protein steamed omelette and rose hip broth.
- Supper. Buckwheat porridge, cottage cheese souffle.
- Second lunch. A glass of mineral water with crackers.
The Pevzner diet does not include the use of salt, and the daily dose of sugar is 20 g.
Diet number 5p: recipes
The following foods are suitable for diet number 5p:
- Vegetable stew. Cut large potatoes (5 pieces) into cubes and put them in a pan. Grated carrot, chopped onion, pumpkin and tomato are added to it. Vegetables are poured into 300 g of water, salted and cooked on medium heat for about twenty minutes. The finished dish is sprinkled with greens.
- Baked fish. Low-fat fish is cut into pieces and placed in foil. Then the onion is chopped and the carrot is 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 baked in the oven until cooked.
These #5p diet recipes for every day will help diversify the menu. They will give you a feeling of fullness and satisfaction.
The main recommendations of doctors
In the acute stage, chronic pancreatitis (diet No. 5p is very effective for this disease) is treated not only with drugs, but also with appropriate nutrition. Doctors advise to adopt diet number 5p with all responsibility. Do not indulge in sweets without a doctor's prescription, because the use of more than 60 g of sugar can lead to exacerbation of pancreatitis.
It is useful to drink mineral water during therapeutic nutrition. It is better to drink it warm with small sips before going to bed. All food should be ground, coarse pieces will irritate the internal organs. Parsley and dill are allowed from greens.
Doctors with pancreatitis advise not to bother the pancreas again and stick to a careful menu.