Therapeutic nutrition for pancreatitis. 5p scheme number

27 July 2022

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

What is the 5p diet

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

During signs of pathology, the 5p array has a beneficial effect not only during acute manifestations. In a chronic course, such nutrition will help improve metabolic processes in the gland, return to work and disturbed diet, and prevent the occurrence of recurrences and progression of the disease.

The diet begins on the 4th day after the relapse. Before therapy, you will have to starve for 3 days. Table 5p in the pathology of pancreatitis is prescribed with drug treatment. Such a dietary regime involves abandoning most of the dishes that can complicate the patient's situation.

Products used in the preparation of dishes for pancreatitis will need to be ground or ground. They are both steamed and boiled. Thanks to these cooking methods, proteins increase, the level of carbohydrates, fats and substances of an extractive nature, which have a high level of cellulose, decreases, stimulating 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 allowed to be eaten in diet No. 2.

5p diet part one

With pancreatitis, table number 1 is indicated if there is an acute form of the disease and a strong exacerbation of chronic pancreatitis. Thanks to table 5 according to Pevzner, the iron is accelerated to the maximum and the pain syndrome is eliminated.

Diet 5 for pancreatitis is sparing and is prescribed after a 3-day hunger strike. But since such a picture does not meet the physiological norms of food consumption and the patient's need, it is prescribed for the 5th day.

In chronic pancreatitis, the contents of the 5th table include low calorie intake with the presence of proteins, fats and carbohydrates.

With this disease, the adult diet involves several food intakes - 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 replenished with semi-viscous products.

Due to the fact that liquid and carbohydrate dishes have an insignificant stimulant of pancreatic and gastric secretion, after the passage of the hunger strike, the table is replenished 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 decoctions.
Grated liquid cereals cooked in water.
Light tea with sugar.
Mousse, jelly, jelly, based on fruit juice on xylitol.
Vegetable puree without oil.
Steamed vegetable puddings.
Compote with dried fruits.
Crackers, stale white bread.
Cracker.

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

Prepare creamy soups which can be based on boiled meat.
Egg in the form of steamed omelet, soft-boiled, protein omelette.
Steamed dumplings, beef, chicken, fish dumplings.
Creative puddings.
Butter used in prepared meals.

When the pain subsided, the acute symptoms of pancreatitis were relieved, the treatment of table 5 gave positive results, then the diet is gradually expanded, prescribing nutritional therapy No. 2, which is indicated after an exacerbation anda mild manifestation of a chronic illness.

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

5p diet part two

Follow-up treatment table 5 for pancreatitis is recommended for a long time - up to a year. Diet will help prevent attacks of pathology in the future.

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

The energy level is low. The amount of protein, vitamins with lipotropic substances is somewhat higher than compared to therapeutic diet No. 1. With pancreatitis, dishes in a 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.

Dishes are steamed or boiled. Initially, use grated food, then chopped.

food preparation products

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

Yesterday's bread, made with flour of grades 1-2, in order to avoid bloating, as well as dry biscuits without sugar.
Cereal soups with vegetables. Groats for the first course should be ground. It is allowed to eat buckwheat, rice, semolina porridge, pasta. 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 does not contain fat, tendons, skin. Dishes are prepared in steam, in grated, chopped, boiled and baked form. You can eat veal, rabbit, zucchini, stuff with chicken, make steamed meatballs.
The fish is lean, steamed or boiled. You can not let the fish in, because it contains a lot of extracts, compared to a boiled product.
Protein omelettes, a soft-boiled egg.
Dairy products with a minimum percentage of fat. Since milk is poorly tolerated by the stomach, use it only in the preparation of milk porridges, sauces, soups. It is allowed to use cottage cheese, prepare puddings, casseroles from it. Eat soft grated cheese. If the patient suffers from calcium deficiency, it is necessary to eat calcined cottage cheese.
Baked sweet apples. Using fruits and berries, it is allowed to cook kissel, jelly, jam. Dried fruits are eaten grated. It is recommended to use fresh berries with grated fruit.
To drink during dietary treatment, light tea is allowed, sugar intake should be reduced by half, juices dissolved in water, rosehip broth.
After a pancreatic attack, gradually include fats in the diet. Initially, up to 20 grams of butter for dressing, then vegetable oil - 15 grams.

When a diet is recommended for pancreatic pancreatitis, a dimensional menu for a week is developed by a specialist individually, depending on the characteristics of the patient's body.

Sample Weekly Meal Plan

As is already known, the therapeutic regimen for the pathology of pancreatitis involves a slow expansion of the picture. At the initial stage, diet therapy includes grated food and boiled vegetables. It is allowed to eat 200 grams of bread and 20 grams of sugar per day.

Switching to the second version of the 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 gr. , Wheat - 200 gr.
Sugar - 40 gr.
Butter up to 30 gr. per day.

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

One day

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

2 days

Breakfast - cheesecakes with pieces of dried apricots, cheese, tea.
Lunch - oatmeal 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, a fruit drink.

3 days

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

Day 4

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

Day 5

Breakfast - porridge with rice flour, jam for cottage cheese, 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 vegetable puree, apricot juice.
The second dinner is kefir.

Day 6

Breakfast - rice, steamed meatballs, tea.
Lunch - cottage cheese, jelly.
Lunch - vegetable soup on a diet table with grated vegetables, turkey cutlet, mashed potatoes and fruit drink.
Snack - crackers, 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, kissel.
Snack - cottage cheese, juice.
Dinner - rice porridge, mineral water.
The second dinner is carrot juice.

Diet for pancreatitis pathology should have a large amount of food per day. Recipes of dishes for every day will transform the table and allow you to diversify it.

Recipes for the 5p diet

The 5p diet for pancreatitis is the most common variant 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 velouté

The recipe contains the following products:

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

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

Beat the finished dish with a mixer. You can eat with crackers.

Vegetable stew

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

Pour vegetables with water, salt. Simmer over medium heat for about 20 minutes. Sprinkle the dish with dill when serving.

baked fish

When you are on a diet you will need a low fat type of fish. The product is cut into portions and placed on a baking sheet. Next, chop 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 meal.

Diet number 5p: menu for a week with pancreatitis. Receipts. 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 diet No. 5p. The menu for a week with pancreatitis requires the exclusion of many products, as well as a special method of cooking. The goal 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 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 dishes consumed.

Diet No. 5p (menu for a week with pancreatitis) was developed in 1920 by general practitioner M. I. Pevzner and has not lost its relevance today. It is prescribed for exacerbation of pancreatitis. He is able not only to provide the patient with proper nutrition, but also to normalize the functions of the pancreas. It has a positive effect on the secretion of bile and the liver. Promotes glycogen accumulation, unloads cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal tract.

No. 5p hob feature

Dishes of diet No. 5p should have an increased content of pectins, liquid, lipotropic components and dietary fiber. During the treatment period, a split meal diet is introduced, patients take food 5-6 times a day. Products are steamed, baked or boiled. When cooking, the vegetables are not browned. Foods rich in fiber are wiped clean, the rest is finely chopped.

The diet restricts the intake of fats and carbohydrates. The main diet is protein products. Dishes based on oxalic acid, high in cholesterol, coarse fiber and containing purines are excluded from the menu. Eliminate foods that contain 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 hot. Cold and hot foods are contraindicated.

Indications for dietary nutrition

Diet No. 5p (one-week menu with pancreatitis) is indicated for patients with acute and chronic pancreatitis, after therapy deprivation, in 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 observed, it is necessary to adhere to the following principles:

before the diet you need to fast for 3-7 days;
feeding mode should be fractional, 5-6 times a day;
you need to eat in small portions, up to 300 g;
dishes should be steamed, boiled or baked;
a balanced diet should be introduced, which will contain all the vitamins and minerals necessary for the body;
all foods should be semi-liquid and grated;
temperature regime of ready-to-eat dishes - 20-25 ° С;
the consumption of fats and carbohydrates is reduced to a minimum.

For the therapy to be effective, all the rules of therapeutic nutrition must be observed. You should not violate the prohibitions until complete remission or recovery occurs.

Diet 5p: chemical composition

Diet No. 5p should have a daily calorie content of 1700-2500 kcal. Carbohydrates in the menu receive 50 g, fat -70 g, protein - 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.

Authorized foods

Requires compliance with all the rules necessary for diet number 5p. Soups here are recommended to take vegetables, with the addition of cereals. You cannot add roast to them. It is allowed to eat buckwheat, rice, vermicelli, oatmeal and semolina. Bread should be yesterday's wheat, from 1-2 grade flour. 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 boiled eggs, as well as steamed scrambled eggs, but no more than once a day. All cereals are cooked in low fat milk or water. Boiled and mashed apples, low-fat dairy products and their dishes are allowed.

Diet #5p also includes boiled vermicelli in the diet. A sample menu involves the use of fruits and berries. They can be eaten in the form of jelly, raw - crushed or baked. With such a diet, they drink lemon tea, not very strong, or rosehip broth, natural juices diluted with water without added sugar. Vegetable oil is allowed - 15 g per dish, as well as butter - no more than 30 g per day.

Prohibited food

Diet #5p has many dietary restrictions. The forbidden foods to eat in the treatment of pancreatitis are:

fatty meat and fish broths;
any alcohol, as well as strong tea and coffee;
cold, hot and carbonated beverages;
smoked products, sausages and sausages;
fresh bread and rye bread;
fish caviar;
radish, turnip, radish, sorrel and spinach;
dairy products, including yogurt;
flour products;
sour and spicy dishes;
mushrooms in all their forms;
salted and pickled dishes;
high-fat dairy products;
canned food;
sweets;
citrus;
grape juice;
fast food, fries, 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 can't eat - this was discussed above, then we'll talk about the menu in the treatment of pancreatitis.

Type of medical nutrition

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

In diet No. 5a, the daily calorie intake should not exceed 1700 kcal. All foods are liquid and pureed. Under the prohibition is the food that can stimulate the secretory function of the pancreas. This meal lasts about a week.

In diet No. 5b, the calorie content is 2700 kcal. The amount of proteins, carbohydrates and fats increases. All broths and decoctions are excluded to reduce the release of pancreatic secretions. All foods are taken in mash form.

Diet number 5p: menu for a week with pancreatitis

During the week, with an exacerbation of pancreatitis, the menu should be as follows.

Monday. In the morning, for breakfast: a steamed omelette made up of a yolk and two proteins, plus a rosehip decoction. For the 2nd breakfast, they eat a baked pear. At noon - borscht, meatballs 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 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. Morning: Mannik with raisins plus berry pudding and low-fat cottage cheese, and low-fat milk tea. 2nd breakfast: boiled rice and cabbage. For lunch, a vegetarian soup is recommended, for the second: cabbage rolls with boiled meat. From drinks - jelly made from berries. Snack: low-fat cottage cheese and compote, cooked with dried fruit. In the evening, for dinner, they cook rice porridge with skimmed milk and drink a glass of mineral water. Before going to bed: 250 g of carrot juice.

Wednesday. In the morning: syrniki with dried apricots, plus cheese and rosehip tea. At the 2nd breakfast, they eat buckwheat porridge with apple juice. For lunch, beef patties with pumpkin puree and green tea are served. Rice pudding is perfect for an afternoon snack. In the evening they eat a vegetable casserole and boiled chicken, drink weak tea. Before going to bed: berry juice with unsweetened cookies.

Thursday. In the morning: scrambled eggs steamed from two proteins and a tomato. A glass of light 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 with prune beet salad and lean boiled meat plus milk tea. In the evening: a glass of fermented cooked milk.

Friday. In the morning: semolina porridge, light tea and hard cheese bread. 2nd breakfast: sour cream cottage cheese, pumpkin juice. At lunchtime, vegetable noodle soup, low-fat boiled fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. For afternoon tea, a lukewarm carrot salad with berry jelly is offered. You can dine with cottage cheese and buckwheat, as well as drink green tea. 2nd dinner: 250 g breaded milk.

Saturday. For breakfast: cottage cheese pudding and a glass of milk. The 2nd breakfast is based on mashed carrots with jam. Lunch consists of vegetarian borscht, turkey steam cutlets and light lemon tea. For an afternoon snack, berry jelly is recommended. For dinner - mac 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. For a second breakfast, a baked apple is supposed to be served. Lunch: zucchini soup, rabbit stewed in sour cream and buckwheat, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They dine with fish balls, boiled rice and tea with a slice of lemon. Before going to bed: fruit paste.

Unwashed Food Option: One Day Menu

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

Breakfast. Bulk buckwheat plus dressing without added pickles and sauerkraut. Boiled mashed meat. As a beverage, semi-sweet tea is recommended.
2nd breakfast. Tea with biscuits and some prunes.
Having dinner. Vegetable soup allowed. Boiled potatoes with a piece of boiled chicken. For dessert - an apple and a light tea.
afternoon tea. Homemade low-fat cottage cheese and compote, cooked from dried fruits.
Having dinner. Vermicelli with boiled fish and tea.
Before going to bed. Milk tea and a cracker.

Two days after the exacerbation of pancreatitis, doctors advise drinking warm mineral water up to one liter per day. Rosehip decoction will be useful. From the third day, if the patient's state of health has improved, liquid cereals and mucous soups are introduced, as well as vegetable purees and jelly.

Diet No. 5p according to Pevzner

The Pevzner diet suggests that when the symptoms of exacerbation of pancreatitis disappear, use the following menu:

Breakfast. Buckwheat porridge or mashed rice, from drinks - milk jelly.
Lunch. Fruit jelly and a glass of mineral water;
Having dinner. Oatmeal soup, mashed carrots and steamed meat soufflé. Light tea.
afternoon tea. Protein steam omelet plus a decoction of rose hips.
Having dinner. Pureed buckwheat porridge, cottage cheese soufflé.
Second dinner. A glass of mineral water with crackers.

The Pevzner diet does not involve 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. Large potatoes (5 pieces) are cut into cubes and put in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. Vegetables are poured with 300 g of water, salted and cooked over medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
Cooked fish. Low-fat fish is cut into pieces and placed in foil. Then the onion is chopped and the carrots are 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 until tender 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 you to take diet No. 5p with all responsibility. Do not get carried away with sweets without a doctor's prescription, since the use of sugar in an amount of more than 60 g can provoke an exacerbation of pancreatitis.

It is useful to drink mineral water during therapeutic nutrition. It is best to consume it warm before going to bed, in small sips. All food should be crushed, coarse pieces will irritate internal organs. Of the greens, parsley and dill are allowed.

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