Pancreatitis is a common visceral disease. Pathology is not only treated with medication, but also with dietary nutrition, including the 5p diet. The weekly menu for pancreatitis requires eliminating most foods from the diet and also includes special cooking methods. The task of dietary nutrition is to keep the pancreas functioning properly.
What is the 5p diet
Therapeutic dietary 5p for pancreatitis is important at every stage of the disease, reduces cholestasis in the bile ducts, suppresses hyperfermentemia, and reduces bile sensitivity.
During signs of pathology, the 5p sheet has beneficial effects not only during acute manifestations. In a chronic course, this nutrient will help to improve the metabolic processes of the gland, restore its work and disordered diet, and prevent recurrence and progression of the disease.
The diet was started on day 4 after relapse. Before treatment, you will need to fast for 3 days. Table 5p in pancreatitis pathology is prescribed with drug therapy. This dietary diet involves forgoing most dishes that may complicate the patient's situation.
Products used to prepare pancreatitis dishes need to be crushed or ground. They are both steamed and boiled. As a result of these cooking methods, protein increases and levels of carbohydrates, fats and substances with extractive characteristics (with high levels of cellulose) decrease, thereby stimulating the activity of the digestive glands.
The diet is divided into 2 phases. There were no characteristic differences between the tables, but diet 1 was softer and lighter, and individual products permitted on diet 2 were not allowed.
Diet 5p Part 1
For pancreatitis, Table 1 shows the acute form of the disease and the acute exacerbation of chronic pancreatitis. As according to Pevzner's Table 5, iron is accelerated as much as possible and the pain syndrome is eliminated.
Diet 5 for pancreatitis is on a diet and is prescribed after a 3-day fast. But since such a table does not meet the physiological criteria for food consumption and the patient's needs, it is prescribed on the 5th day.
In chronic pancreatitis, Table 5 includes low caloric intake and the presence of protein, fat, and carbohydrates.
For this disease, the adult diet involves a variety of food intakes - up to 8 servings in the proportions 100-300 grams required for health.
All products were boiled and had a liquid consistency, and on day 6, the menu for pancreatitis was supplemented with semi-viscous products.
Since liquid and carbohydrate dishes have minimal stimulating effect on pancreatic and gastric secretions, the carbohydrate product on the table is full of energy after the fast is over.
The 5p diet for chronic pancreatitis includes the following dishes:
- Mucilage soup, the base of which can be various grains, vegetable soups.
- Ground liquid grains cooked in water.
- Light tea with sugar.
- Mousse, jelly, jelly, made on the basis of xylitol juice.
- Vegetable puree without oil.
- Steamed vegetable pudding.
- with dried fruit preserves.
- Biscuits, white bread.
- biscuit.
Introduction of protein foods was allowed after 2 days after the expiration of carbohydrate diet 5 in chronic pancreatitis.
- Prepare creamy soups that can be based on boiled meat.
- Eggs are served as steam omelettes, poached eggs, protein omelettes.
- Steamed meatballs, beef, chicken, fish balls.
- Creative pudding.
- Butter is used in prepared dishes.
When the pain was relieved, the acute symptoms of pancreatitis were relieved, and the treatment in Table 5 gave positive results, then the diet was gradually expanded, and nutritional therapy No. 2 was prescribed, which was indicated after the deterioration of the disease and mild manifestations. a chronic disease.
Learn about the fifth table, what your doctor can and cannot tell you on your own after the exam.
Diet 5p Part II
Subsequent treatment of pancreatitis is recommended for long-term use Table 5 - up to one year. Diet will help prevent future episodes of pathology.
Table 5 also hints at the thermal, mechanical, and chemical principles of preparation, which help reduce digestive irritation to affected organs.
Energy levels are low. The content of protein, vitamins and fatty substances is slightly higher than the therapeutic diet 1 . For pancreatitis, limited volume dishes should have:
You can't eat fried foods and those that cause strong gas formation, stomach and intestinal fermentation.
Dishes are steamed or cooked. Initially, use ground food, then chop.
food preparation products
The pancreatitis pathology diet includes many acceptable table 5 products:
- Yesterday's bread, made with grade 1-2 flour, to avoid flatulence, and dry cookies with no added sugar.
- Vegetable Grain Soup. The nibs in the first course should be ground. Buckwheat, rice, semolina porridge, and pasta are allowed. Vegetable 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 is free of fat, tendon, skin. Dishes are steam prepared, grated, chopped, boiled and baked. You can eat veal, rabbit, zucchini, chicken, and make steamed meatballs.
- The fish is lean, steamed or boiled. You can't let fish in because it contains a lot of extracts, compared to poached products.
- A protein omelet with a hard-boiled egg.
- Lowest-fat dairy products. Since the stomach has a poor tolerance for milk, it should only be used when preparing milk porridge, sauces, soups. Cheese is allowed, from which puddings, casseroles are prepared. Eat mildly grated cheese. If the patient is calcium deficient, they must eat calcined cheese.
- Sweet apples baked in the oven. Using fruits and berries, it is possible to cook Kissels, jellies, jams. Dried fruit is grated for consumption. Fresh berries and grated fruit are recommended.
- Drink during dietary therapy, light tea is allowed, sugar consumption should be halved, fruit juice dissolved in water, rosehip broth.
- After a pancreatic attack, gradually add fat to your diet. Initially, up to 20 grams of butter for flavoring, followed by 15 grams of vegetable oil.
When a pancreatitis diet is recommended, the one-week dimensional menu is individually tailored by the expert based on the patient's physical characteristics.
Weekly Meal Plan Example
It is well known that therapeutic diets for pancreatitis pathology involve slow expansion of the dining table. In the initial phase, dietary therapy consists of ground food and cooked vegetables. 200 grams of bread and 20 grams of sugar are allowed per day.
Switching to the second version of the diet chart, the main course remains the same, but fresh green salads are still allowed. The number of products is also increasing.
- Bread - rye 100 g, wheat - 200 g.
- Sugar - 40 g.
- Butter up to 30 grams. every day.
In case of sickness, the menu is signed by the day. Products and dishes with different names for pancreatitis of the week.
1 day
- Breakfast - mashed rice porridge, cheese, tea.
- Lunch - an apple and cheese cooked in the oven.
- Lunch - oatmeal soup, meatballs, vegetable puree, preserves.
- Snack - croutons with fruit drink.
- Dinner - scrambled eggs, lemon tea.
- The second dinner was milk that night.
2 days
- Breakfast - cheesecake with dried apricots, cheese, tea.
- Lunch - Apple Cider Oatmeal.
- Lunch - meatballs, pumpkin porridge, green tea.
- Snack - rice pudding.
- Dinner - Vegetable casserole and boiled chicken breast, tea.
- The second dinner was biscuits, fruit drinks.
3 days
- Breakfast - semolina porridge with butter and sugar, bread, tea.
- Lunch pudding with ryazhenka.
- Lunch - vermicelli soup, grilled chicken with vegetables.
- Snack - yogurt and oven baked apples.
- Dinner - Minced meat casserole, potatoes, low-fat sour cream, bread and preserves.
- Second dinner was kefir.
Day 4
- Breakfast - protein steam omelet with tomato, tea.
- Lunch - unsalted cucumber, cabbage, balsamic vinegar for bread.
- Lunch - steamed cod, rice soup, tomato sauce.
- Snacks - cheeses and preserves, cooked from dried fruit.
- Dinner - poached beets with plums, ground beef, tea.
- The second dinner was ryazhenka.
Day 5
- Breakfast - rice porridge, cheese jam, preserves.
- Lunch - scrambled eggs in sauce.
- Lunch - broth, schnitzel, cooked rice with a dollop of butter, preserves.
- Snack - Chicken breast dumplings.
- Dinner - cod fillet with vegetable puree, apricot juice.
- Second dinner was kefir.
Day 6
- Breakfast - rice, steamed meat dumplings, tea.
- Lunch - cheese, jelly.
- Lunch - Vegetable soup on the diet table with grated vegetables, turkey steak, mashed potatoes and juice drinks.
- Snacks - biscuits, tea.
- Dinner - semolina, scrambled eggs, weak tea.
- The second dinner was half a glass of mineral water.
Day 7
- Breakfast - mannik with raisins, cheese pudding, milk tea.
- Lunch - cabbage, rice.
- Lunch - oatmeal soup, cabbage rolls with cabbage rolls, sour cream, kissel.
- Snacks - cottage cheese, juice.
- Dinner - porridge, mineral water.
- Second dinner was carrot juice.
The diet of pancreatitis pathological diet should have a large amount of food supply every day. Everyday dish recipes will change the table and give you variety.
5penny Diet Recipe
The 5p diet for pancreatitis is the most common variation on the table, with a wide variety of dishes, making it easy for patients to eat weekly.
Vegan Cream Soup
This formula contains the following products:
- carrots - 2;
- Potatoes - 250 g.
- Vegetable soup - 0. 7 l. ;
- Celery - 2 stalks;
- olive oil - one tablespoon;
- Onion - half.
Chop the onion and pour into the boiling water. You can dry the vegetables slightly in the pan. Put the broth on the stove, add the onions, prepared vegetables, and a pinch of salt. Cook for 40 minutes.
Blend the finished dish with a blender. You can eat it with cookies.
Vegetable Stew
You will need to cube 5 potatoes and put them in a large pot. Give him grated carrots and chopped onions, squash, and tomatoes.
Pour the vegetables into the water and salt. Simmer on medium heat for about 20 minutes. Sprinkle with dill when serving.
fish baked in the oven
When dieting, you need a low-fat fish. Cut the product into sections and place on a baking sheet. Next, chop the onions and grate the carrots. Put the vegetables on the fish, sprinkle with lemon juice and salt.
Wrap the plate in foil and place in the oven for half an hour.
This diet 5 pancreatitis recipes, so that the menu is varied, so that patients can eat well.
Diet No. 5p: A week's menu for pancreatitis. recipe. What is possible and what is impossible?
Pancreatitis is one of the most common visceral diseases. Not only did he receive medication, but he also received special nutritional therapy, which included the No. 5 diet. The menu for a week of pancreatitis requires the exclusion of many products, as well as special cooking methods. The purpose of the diet is to normalize all the functions of the pancreas.
What is the 5p diet for?
Therapeutic nutrition is commonly used for lesions of the liver, pancreas, intestine, stomach, and bile-forming organs. The food system here needs to use certain foods that are prepared in a certain way. The frequency of meals and the temperature of the dishes eaten play an important role.
The 5p diet (a week's menu for pancreatitis) was developed by general practitioner M. I. Pevzner in 1920 and has not lost its relevance. It is prescribed for exacerbations of pancreatitis. Not only does it provide patients with good nutrition, but it also normalizes pancreatic function. It has a positive effect on bile secretion and liver. Promotes the accumulation of glycogen, unloads cholesterol and fat metabolism. Stabilize the work of the gastrointestinal organs.
Features of the 5p cooking station
Dishes on the 5p diet should increase the content of pectin, liquids, lipophilic components, and dietary fiber. During treatment, a split meal regimen was introduced, with patients eating 5-6 times a day. The product is steamed, roasted or boiled. Vegetables do not brown when cooked. Wipe fiber-rich foods and chop the rest.
Diet restricts fat and carbohydrate intake. The main diet includes protein products. Oxalate dishes with high levels of cholesterol, crude fiber and purines were excluded from the menu. Remove foods and fried foods that contain a lot of essential oils. Salt intake should not exceed 10 grams per day and water intake should not exceed 2 liters.
Meals should be eaten hot. Cold and hot food is strictly prohibited.
dietary nutrition indications
The 5p diet (one-week menu for pancreatitis) is indicated for patients with acute and chronic pancreatitis during unstable remission after therapeutic starvation.
Principles of the 5P Diet Chart
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 excitability of the bile organs. When observing, adhere to the following principles:
- need to fast for 3 to 7 days before dieting;
- The way of eating should be divided, 5-6 times a day;
- You need to eat it in small amounts, up to 300 grams;
- Dishes should be steamed, boiled or grilled;
- A balanced diet should be introduced that contains all the vitamins and minerals the body needs;
- All foods should be semi-liquid and ground;
- Temperature range for ready-to-eat dishes - 20-25 °С;
- Fat and carbohydrate consumption is reduced to a minimum.
For treatment to be effective, all the rules of therapeutic nutrition should be followed. You should not violate the ban until full remission or recovery has occurred.
Diet 5p: Chemical Composition
Diet No. 5p should have a daily calorie content of 1700-2500 kcal. Carbohydrates in the menu are 50 grams, fat - 70 grams, protein - 100 grams. Eat no more than 10 grams of salt per day.
Depending on the vitamin content, the retinol in the menu should be around 10 mg, thiamine - 10 mg, riboflavin - 2 mg, niacin - 1. 6 mg, vitamin C - 150 mg, sodium - 3 g, Phosphorus - 1. 3 g, Calcium - 0. 8 g, Magnesium - 0. 5 g, Iron - 0. 03 g.
allowed food
Requires adherence to all necessary dietary rules 5p. The soup here is recommended to be vegetable-based, with grains added. You can't add roast to them. Buckwheat, rice, vermicelli, oats and semolina can be eaten. The bread should be yesterday's wheat, from grade 1-2 flour. You can use unsweetened cookies.
Vegetables can be eaten cooked or grated. Lean and low-fat varieties of fish are allowed. You can have half-boiled eggs or steamed scrambled eggs, but not more than once a day. All cereals are cooked in low-fat milk or water. Baked and crushed apples, low-fat dairy products, and dishes made with them are allowed.
Diet 5p also includes boiled vermicelli in the diet. The example menu involves the use of fruits and berries. They can be eaten in jelly form, raw - mashed or baked. With such a diet, they drink lemon tea, which is not very strong, or rosehip broth, a natural juice diluted with water, with no added sugar. Vegetable oil is allowed - 15 grams per dish, and butter - no more than 30 grams per day.
forbidden food
Diet No. 5p has many dietary restrictions. Foods to fast for the treatment of pancreatitis are as follows:
- Fatty meat and fish soup;
- any alcohol, as well as strong tea and coffee;
- cold, hot and carbonated beverages;
- smoked products, sausages and sausages;
- freshly baked rye bread;
- caviar;
- radishes, turnips, turnips, sorrel, and spinach;
- dairy products, including yogurt;
- noodle products;
- hot and sour dishes;
- mushrooms in any form;
- Salted and pickled dishes;
- dairy products that contain a lot of fat;
- canned food;
- candy;
- Tangerine;
- grape juice;
- Fast food, chips, nuts and cookies.
Although many products are banned, Diet No. 5p (table) is very effective in the treatment of pancreatitis. What you can and can't eat - this has been discussed above, and then we'll discuss the menu for pancreatitis.
Types of Medical Nutrition
Diet No. 5p is available in two versions. The first is for acute pancreatitis - No. 5a and the second is for chronic - No. 5b.
Diet 5a should not exceed 1700 kcal per day. All food is liquid and puree. Foods that stimulate the secretion of the pancreas are prohibited. This meal lasts about a week.
On diet 5b, the calorie content rises to 2700 kcal. Increased amounts of protein, carbohydrates and fats. All broths and decoctions were excluded to reduce the release of pancreatic secretions. All foods are eaten in pureed form.
Diet No. 5p: A week's menu for pancreatitis
Within a week of worsening pancreatitis, the menu should look like this.
on Monday. In the morning, breakfast: a steamed egg made of one yolk and two proteins, topped with rosehip soup. For their second breakfast, they had a roasted pear. Lunch time - borsch, low-fat fish balls and rice. In the afternoon, it is recommended to eat some biscuits and snacks, and drink a glass of milk. Dinner should be boiled chicken breast, Hercules porridge and light black tea. Drink 250 grams of low-fat kefir before bed.
Tuesday. Morning: Mannick raisin and berry pudding and low-fat cottage cheese, and low-fat milk tea. Breakfast two: rice and cabbage. Vegetarian soup is recommended for lunch, the second course: cabbage roll with cabbage. From the drink - jelly made from berries. Snack: Low-fat cottage cheese and preserves cooked with dried fruit. For dinner in the evening, they cook rice porridge with low-fat milk and drink a glass of mineral water. Before going to bed: 250 grams of carrot juice.
Wednesday. Morning: syrniki with dried apricots, cheese and rosehip tea. For their second breakfast, they ate buckwheat porridge with apple juice. Beef patties with pumpkin puree and green tea are served for lunch. Rice pudding is perfect for an afternoon snack. In the evening they eat vegetable casserole and boiled chicken, and drink weak tea. Bedtime: Berry juice and unsweetened cookies.
Thursday. Morning: Steamed scrambled eggs with two proteins and a tomato. A cup of weak tea. Second breakfast was balsamic vinegar without sauerkraut and kimchi, a piece of bread. Boiled cod, rice soup and tomato sauce are served for lunch. In the afternoon, they eat berry jelly and drink unsweetened tea. Their dinner is beetroot salad, plums, lean meat and milk tea. Evening: A glass of fermented toasted milk.
Friday. Morning: semolina porridge, light tea and hard cheese bread. Second breakfast: cheese with sour cream, pumpkin juice. For lunch, low-fat fish cooked in vegetable and noodle soup, zucchini and cauliflower is recommended. You can add fresh fruit and unsweetened tea. For an afternoon snack, serve warm carrot salad and berry jelly. You can dine with cottage cheese and buckwheat, or drink green tea. Second dinner: 250 g milk and bread crumbs.
Saturday. Breakfast: cheese pudding and a glass of milk. The second breakfast consisted of carrot puree and jam. Lunch includes vegetarian borsch, turkey schnitzel, and light lemon tea. For an afternoon snack, berry jelly is recommended. Dinner - Macaroni and Cheese Soup, Apple Pumpkin Salad and a spoonful of honey tea. Before going to bed - 250 g fermented baked milk.
Sunday. Morning: Oatmeal with milk, grated fruit with cheese, and jelly. For the second breakfast, an apple baked in the oven should be served. Lunch: zucchini soup, sour cream buckwheat roast rabbit, tea. Afternoon snack: Unsweetened cheese mousse with carrot juice. Their dinner is fish dumplings, rice and lemon tea. Before bed: jelly.
Unwashed Food Options: One Day Menu
Once the pain begins to subside, you can add unmashed dishes to your diet. The approximate menu looks like this:
- breakfast. Loose buckwheat with balsamic vinegar, without kimchi and sauerkraut. Cooked meat puree. As a drink, semi-sweet tea is recommended.
- Second breakfast. Tea with biscuits and some plums.
- dinner. From allowed vegetable broth. Boil potatoes with a piece of boiled chicken. For dessert - apple and weak tea.
- afternoon tea. Low-fat homemade cottage cheese and preserves cooked with dried fruit.
- dinner. Rice noodles with boiled fish and tea.
- before sleep. Tea with milk and a biscuit.
Two days after pancreatitis worsened, doctors recommended drinking up to one liter of warm mineral water a day. Rosehip soup would work. From day three, if the patient's health improves, they are introduced to liquid grains and mucilage soups, as well as vegetable purees and jellies.
Diet No. 5p according to Pevzner
The Pevzner Diet recommends using the following menu when symptoms of worsening pancreatitis subside:
- breakfast. Buckwheat puree or rice porridge, from the drink - milk jelly.
- Lunch. Jelly and a glass of mineral water;
- dinner. Oatmeal soup, mashed carrots and steamed souffle. Weak tea.
- afternoon tea. Protein steam omelette and rosehip soup.
- dinner. Buckwheat porridge, cottage cheese soufflé.
- Second dinner. A glass of mineral water with biscuits.
The Pevzner diet does not involve the use of salt, and the daily dose of sugar is 20 grams.
Diet Number 5p: Recipes
The following dishes are suitable for the 5p diet:
- stew. Cut large potatoes (5 pieces) into cubes and place in a pan. Add grated carrots, chopped onion, squash and tomatoes. Pour the vegetables into 300 grams of water, marinate with salt, and simmer on medium heat for about 20 minutes. Sprinkle the finished dish with herbs.
- Grilled fish. Low-fat fish was cut into small pieces and placed in foil. Next, the onions are chopped and the carrots are rubbed. Vegetables are on top of the fish, everything is drizzled with lemon juice and sprinkled with salt. Fish and vegetables are wrapped in foil and simmered in the oven until tender.
These everyday #5p diet recipes will help diversify your menu. They will give you a feeling of satiety and satisfaction.
Top Advice from Doctors
Chronic pancreatitis in the acute phase (for which diet 5p is very effective) is not only treated with medication, but also requires appropriate nutritional therapy. Doctors recommend that you take all responsibility for the 5p diet. Don't eat sweets without a doctor's prescription, as using more than 60 grams of sugar can worsen pancreatitis.
It is useful to drink mineral water during therapeutic nutrition. It is best to drink it hot before going to bed, in small sips. All food should be ground, coarse pieces can irritate the guts. From vegetables, parsley and dill are allowed.
The doctor with pancreatitis again advises not to disturb the pancreas and stick to a less-eating menu.