Therapeutic nutrition in pancreatitis. Diet number 5p

27 July 2022

Pancreatitis is a common disease of internal organs. Pathology is treated not only with drugs, but also with dietary nutrition, including the 5p diet. The weekly menu for pancreatitis requires the elimination of most foods from the diet, and also consists of special cooking methods. The task of dietary nutrition is to bring the pancreas to normal work.

What is the 5p diet

Therapeutic diet 5p in pancreatitis is important at every stage of the disease and can lead to a decrease in bile stasis in the ducts, suppresses hyperenzymatemia and reduces the sensitivity of bile.

With signs of pathology, table 5p has a beneficial effect not only in acute manifestations. In a chronic course, such nutrition will help to improve the metabolic processes in the gland, resume its work and disturbed diet and prevent relapses and progression of the disease.

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

Products used in the preparation of dishes for pancreatitis will need to be crushed or ground. Both are steamed and boiled. Thanks to these cooking methods, the protein increases, the level of carbohydrates, fats and substances with extractive properties, which have a high level of cellulose, stimulate the activity of the digestive glands.

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

Diet 5p 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 gentle and is prescribed after a hunger strike for 3 days. But since such a table does not meet the physiological standards of food consumption and the patient's need, it is prescribed for the 5th day.

In chronic pancreatitis, the content of the 5th table includes a low-calorie intake with the presence of proteins, fats and carbohydrates.

In this disease, the diet for adults includes multiple intake of food - up to 8 times and the necessary proportions 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 replenished with semi-viscous products.

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

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

Mucous soups, the basis of which can be various cereals, vegetable broths.
Grated liquid cereal cooked in water.
Light tea with sugar.
Mousse, jelly, jelly made on the basis of fruit juice on xylitol.
Mashed vegetables without using oil.
Steamed vegetable puddings.
Compote with dried fruits.
Crackers, white stale bread.
A cracker.

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

Prepare creamy soups that can be based on boiled meat.
Egg as a steamed omelette, soft-boiled, protein omelette.
Steamed meatballs, beef, chicken, fish doners.
Creative puddings.
The oil is used in prepared dishes.

When the pain subsides, the acute symptoms of pancreatitis are alleviated, the treatment of table 5 has given positive results, then the diet is gradually expanded by prescribing food therapy No. 2, which is indicated after an exacerbation and a mild manifestation of a chronic disease.

To find out what the fifth table includes, what the doctor can and cannot tell you individually, after the examination.

The 5p Diet Part Two

Follow-up therapy table 5 for pancreatitis is recommended for a long period of time - up to one year. The diet will help prevent attacks of pathology in the future.

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

Energy level is low. The amount of proteins, vitamins with lipotropic substances is slightly higher than in relation to the therapeutic diet No. 1. In pancreatitis, meals in a limited volume should have:

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

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

Food preparation products

The diet for pancreatitis pathology consists of a number of acceptable table products No. 5:

Yesterday's bread made from flour of 1-2 degrees to avoid swelling, as well as dry biscuits without sugar.
Vegetable grain soups. The grains in the first dish must be ground. It is allowed to consume buckwheat, rice, semolina porridge, pasta. Plant ingredients 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, skin. Dishes are steamed, grated, sliced, boiled and baked. You can eat beef, rabbit, zucchini, stuff with chicken, make steamed meatballs.
The fish is lean, steamed or boiled. You cannot drop the fish as it contains a lot of extracts compared to a cooked product.
Protein omelettes, one soft-boiled egg.
Dairy products with a minimum percentage of fat. Since milk is poorly tolerated by the stomach, use it only for preparing milk porridges, sauces, soups. It is allowed to use cottage cheese, to prepare puddings, casseroles from it. 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 kiss, jelly, jam. Dried fruits are eaten grated. It is recommended to use fresh fruit with grated fruit.
From drinking during dietary treatment, light tea is allowed, sugar consumption should be reduced by half, juices dissolved in water, rosehip broth.
After a pancreatic attack, gradually include fat in the diet. Initially up to 20 grams of oil for dressing, and then vegetable oil in the amount of 15 grams.

When a diet for pancreatic pancreatitis is recommended, the size menu for a week is developed by a specialist individually, 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 mass. In the initial stage, dietary therapy includes grated 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 dietary table, the main dishes remain unchanged, but it is still allowed to eat salads from fresh vegetables. The volume of products is also increasing.

Bread - rye 100 g, wheat - 200 g.
Sugar - 40 g.
Oil up to 30 g per day.

The menu is listed by days in case of illness. The names of the products and dishes for pancreatitis for a week are different.

One day

Breakfast - mashed rice porridge, cottage cheese, tea.
Lunch - an apple cooked in the oven with cottage cheese.
Lunch - oatmeal soup, meatballs, pureed vegetables, compote.
Snack - croutons with fruit drink.
Dinner - scrambled eggs, tea with lemon.
The second dinner is milk for the night.

2 day

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

3 day

Breakfast - semolina porridge with butter and sugar, bread, tea.
Lunch pudding with stew.
Lunch - noodle soup, roasted chicken with vegetables.
Intermediate breakfast - yogurt and oven-baked apple.
Dinner - casserole with minced meat, potatoes, low-fat sour cream, bread and compote.
The second dinner is kefir.

Day 4

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

Day 5

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

Day 6

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

Day 7

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

Dietary diet for pancreatitis pathology should include a large amount of food during the day. Recipes for meals for every day will transform the table and allow you to make it diverse.

Recipes for the 5p diet

The 5p diet for pancreatitis is the most common variation of the table, with the presence of a wide variety 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 g. ;
vegetable broth - 0. 7 l;
celery - 2 stalks;
olive oil - tablespoon;
onion - half.

Chop the onion and pour boiling water over it. You can dry the vegetable a little in a pan. Put the broth on the stove, add the onion, the prepared vegetables and lightly salt. Cook for 40 minutes.

Beat the finished dish with a blender. You can eat with biscuits.

Vegetable ragout

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

Pour the vegetables with water, salt. Let it simmer on medium heat for about 20 minutes. When serving, sprinkle the dish with dill.

Fish baked in the oven

When you're on a diet, you'll need low-fat fish. The product is cut into portions and placed in a baking tray. Then cut the onion, grate the carrot. Arrange the vegetables on the fish, sprinkle with lemon juice, salt.

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

Such a diet 5 recipes for pancreatitis makes the menu varied and the patient will be satisfied and enjoy the food.

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

Pancreatitis is one of the most common diseases of internal organs. He is treated not only with drugs, but also with special nutrition, which includes diet No. 5p. The menu for a week with pancreatitis requires the exclusion of many products, as well as a special way of cooking. The goal of the diet is to normalize all functions of the pancreas.

What is the 5p diet about?

Therapeutic nutrition is often used for pathologies of the liver, pancreas, intestines, stomach and biliary 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 at the moment. It is prescribed for exacerbation of pancreatitis. He 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 bile secretion and the liver. It promotes the accumulation of glycogen, unloads cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal tract.

Feature of cooking table No. 5p

Dishes in diet No. 5p should have an increased content of pectins, liquids, lipotropic components and dietary fiber. During treatment, a regime of partial feeding is introduced, with patients eating 5-6 times a day. Products are steamed, baked or boiled. Vegetables do not burn when cooking. Fiber-rich foods are wiped, the rest are finely chopped.

The diet limits fat and carbohydrate intake. The main diet consists of protein products. Dishes with oxalic acid, containing a lot of cholesterol, with coarse fiber and containing purines are excluded from the menu. Eliminate foods that have a lot of essential oils and fried foods. Salt should be consumed no more than 10 g per day, and water - up to two liters.

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 diet table No. 5p

Diet number 5p is designed to stabilize the pancreas. It maximally spares the stomach and intestines, relieves pain, reduces the reflex excitability of the biliary organ. When it is observed, the following principles must be observed:

before the diet you need to fast for 3 to 7 days;
the feeding regime should be in parts, 5-6 times a day;
you should eat in small portions, up to 300 g;
dishes must 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-to-eat dishes - 20-25 ° C;
consumption of fats and carbohydrates is reduced to a minimum.

For the treatment to be effective, all the rules for therapeutic nutrition must be followed. You should not violate the prohibitions until complete remission or recovery occurs.

Diet No. 5p: chemical composition

Diet No. 5p should have a daily calorie content of 1700-2500 kcal. Carbohydrates in the menu are 50 g, fats - 70 g, proteins - 100 g. No more than 10 g of salt is consumed per day.

According to the content of vitamins, 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. 3 g, calcium. - 0. 8 g, magnesium - 0. 5 g, iron - 0. 03 g.

Allowed foods

It requires compliance with all the necessary rules diet number 5p. Soups here are recommended to take vegetables, with the addition of cereals. You can't add roast to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. The bread must be yesterday's wheat, from flour 1-2 class. 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 no more than once a day. All cereals are prepared in low-fat milk or water. Baked and crushed apples, low-fat dairy products and dishes made from them are allowed.

Diet No. 5p also includes boiled noodles in the diet. The sample menu includes the use of fruits and berries. They can be consumed in the form of jelly, raw - in puree or baked. With such a diet, they 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 when treating pancreatitis are as follows:

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;
fish roe;
radishes, turnips, radishes, sorrel and spinach;
dairy products, including yogurt;
flour products;
sour and spicy dishes;
mushrooms in any form;
salted and pickled dishes;
high-fat dairy products;
canned foods;
sweets;
citrus fruits;
grape juice;
fast food, chips, nuts and crackers.

Despite the prohibitions of 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 therapeutic nutrition

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

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

In diet No. 5b, the calorie content is increased to 2700 kcal. The amount of proteins, carbohydrates and fats increases. All broths and decoctions are excluded 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 Morning for breakfast: a steamed omelet of one yolk and two whites, plus a decoction of rose hips. For the 2nd breakfast they eat a roasted pear. For lunch - borscht, low-fat fish meatballs and boiled rice. In the afternoon, a light breakfast of biscuits and a glass of milk is recommended. 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: Manic with raisins plus pudding with berries and low-fat cottage cheese and tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, for the second: cabbage rolls with boiled meat. From drinks - berry jelly. Snack: low-fat cottage cheese and compote made from dried fruits. In the evening, for dinner, they cook rice porridge with low-fat milk and drink a glass of mineral water. Before going to bed: 250 g of carrot juice.

Wednesday. Morning: cheesecakes with dried apricots, plus cheese and rosehip tea. During the second 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, drink weak tea. Before bed: berry juice with unsweetened biscuits.

Thursday. Morning: steamed scrambled eggs from two egg whites and one tomato. A cup of weak tea. For the 2nd breakfast, there is a 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 dine on beetroot salad with prunes and lean boiled meat plus tea with milk. At 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. For lunch, soup with vegetables and noodles, boiled low-fat fish with zucchini and cauliflower is recommended. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm carrot salad plus berry jelly is offered. You can have dinner with cottage 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 snack is based on mashed carrots 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 spoonful of honey. Before going to bed - 250 g of fermented baked milk.

Sunday. Morning: oatmeal with milk, fruit grated with cottage cheese, plus jelly. For a second breakfast, an apple baked in the oven should be served. Lunch: zucchini soup, rabbit baked in sour cream and buckwheat, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They dine on fish dumplings, boiled rice and tea with a lemon wedge. Before going to bed: fruit jelly.

Option for unwashed food: One-day menu

As soon as the pain begins to subside, you can introduce non-pureed dishes into the diet. An approximate menu will look like this:

breakfast. Bulk buckwheat plus vinaigrette without adding pickles and sauerkraut. Boiled minced meat. Semi-sweet tea is recommended as a drink.
2nd breakfast. Tea with biscuits and some 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 cottage cheese and compote made from dried fruits.
Dinner. Noodles with boiled fish and tea.
Before bed. Tea with milk and a cracker.

Two days after an exacerbation of pancreatitis, doctors advise drinking warm mineral water up to one liter a day. A decoction of rose hips will be helpful. From the third day, if the patient's health improves, liquid cereals and mucous soups are introduced, as well as vegetable purees and jelly.

Diet No. 5p according to Pevzner

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

breakfast. Buckwheat puree 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 decoction.
Dinner. Pureed buckwheat porridge, cottage cheese souffle.
Second dinner. A glass of mineral water with biscuits.

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

Diet number 5p: recipes

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

Vegetable stew. Cut the large potatoes (5 pieces) into cubes and put them in a tray. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. The vegetables are poured with 300 g of water, salted and stewed over medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
Baked fish. The low-fat fish is cut into pieces and placed in foil. Then the onion is cut and the carrots are grated. Arrange vegetables on top of the fish, sprinkle everything with lemon juice and sprinkle with salt. The fish with vegetables is wrapped in foil and stewed until soft in the oven.

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

The main recommendations of doctors

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 to take diet No. 5p with all responsibility. Do not get carried away with sweets without a doctor's prescription, because the use of sugar in an amount of more than 60 g can cause an exacerbation of pancreatitis.

During the therapeutic meal, it is useful to drink mineral water. It is best consumed warm before going to bed, in small sips. All food must be ground, coarse pieces will irritate the internal organs. Of the greens, parsley and dill are allowed.

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