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» Pancreatitis and therapeutic diet. Nutrition for pancreatitis: a list of products Menu for a week with a diseased pancreas

Pancreatitis and therapeutic diet. Nutrition for pancreatitis: a list of products Menu for a week with a diseased pancreas

Diet for pancreatitis is one of the first and main measures that are taken after diagnosis. It is aimed at reducing the suffering associated with inflammation and ensuring the least irritation of the gastric mucosa. Products must be properly cooked - no deep frying, no baking to a crispy dark crust. Only boiled, steamed, baked food without fat will enter the menu shown for inflammation of the pancreas.

Especially for patients with pancreatitis, diet No. 5p was created: the first option is used during the acute course of the disease, and the second as the basis of nutrition in the chronic form.

This nutrition scheme creates the conditions necessary to ensure the normal functioning of the pancreas, and contributes to:

  • lowering the irritating effect on the gallbladder;
  • preventing the accumulation of fat in the cells of the liver and pancreas;
  • reduce irritation of the digestive tract.

Diet for acute pancreatitis

During the acute course of the disease and as a diet for exacerbation of pancreatitis, the first version of table No. 5p is shown.

The basic principles of nutrition here are as follows:

  1. maximum inclusion in the menu of semi-liquid and grated food;
  2. avoiding the use of dishes and drinks at very low or high temperatures, it should be in the range of 20–50 ° C;
  3. frequent (6 to 8 times a day) meals in small portions (about 300 g each).
  4. The body receives about 40 g of fats, 600 g of proteins and 250 g of carbohydrates per day.
  5. Salt intake is limited to 7–10 g, and the required amount of fluid to drink should be about 2 liters.

Important!
Due to its low energy value, which ranges from 1500 to 1700 kilocalories, and incomplete compliance with nutrient intake standards, the diet is not recommended to be used for more than a week.

Diet for acute pancreatitis - a description of an approximate menu for three weeks

The first week usually begins with two days of fasting, during which you can only drink water. It is desirable that it be low-mineralized alkaline water, which should be consumed 1 glass 5 times a day. Exit this mode should be after the symptoms subside gradually, starting with lean crackers (no more than 50 g per day), rosehip broth or oats.

Menu from 3 to 5 days

Breakfast- biscuits, tea.
morning snack- dried bread with oatmeal broth.
Dinner- vegetable puree soup without adding fat, rosehip broth.
afternoon tea- jelly from sweet fruits.
Dinner- semolina porridge cooked in milk and water.
Evening snack- crackers with tea.
At this stage, the nutritional value should be no more than 800 kilocalories. Fats are completely excluded, proteins are cut down to 15 g per day, and the amount of carbohydrates consumed is no more than 200 g.

Should know!
For patients with acute pancreatitis, oatmeal jelly is very useful, especially made from sprouted grains.

Diet from 6 to 15 days

Breakfast- steamed pumpkin pudding.
morning snack- low-fat cottage cheese in the form of a soufflé, tea.
Dinner- puree soup with rice, chicken and carrots, protein omelet.
afternoon tea- jelly from fruit or berry juice.
Dinner- meat soufflé, grated oatmeal with a teaspoon of butter, tea.
Evening snack- a glass of yogurt (if tolerated) with a teaspoon of honey.
In the second week, honey is added to the menu and up to 10 g of fat per day. The volume of proteins rises to 50 g, and carbohydrates - up to 250 g. The daily calorie content is already 1000 kilocalories.

Diet for exacerbation of pancreatitis for 16–25 days

Breakfast- mashed rice porridge, boiled in water, fat-free cottage cheese, tea.
morning snack- apple mousse without skin.
Dinner- soup with grated pearl barley with fish meatballs, squash soufflé, rosehip broth.
afternoon tea- fruit and berry jelly.
Dinner- vermicelli casserole, steamed meat cutlets, tea.
Evening snack- 50 g prunes.
From the third week, the diet for pancreatitis increases in nutritional value: up to 350 g of carbohydrates, 60 g of proteins, 20 g of fat and more than 1000 kilocalories.

Advice!
A healthy breakfast option is one tablespoon of buckwheat flour infused with a glass of kefir.

Diet for chronic pancreatitis

This version of the treatment table No. 5p can be used for a long time. With a moderate energy value of the diet in the range of 2400–2700 kilocalories, the diet is rich in all vital substances. The diet for pancreatitis during the remission period is characterized by an increased content of protein, which is necessary for the construction of new cells and strengthening the pancreas. Its volume should be about 140 g, and most of it should be animal proteins. The approximate amount of carbohydrates in the diet is 300 g, and fats - no more than 80 g.

Important!
Vegetables and fruits rich in fiber should be cooked before eating.

The diet for chronic pancreatitis allows the use of the following foods:

slightly stale bread made from wheat flour;
veal, dietary poultry and rabbit meat;
fish (preferably river);
egg white;
low-fat dairy products;
thermally processed dishes from potatoes, zucchini, cauliflower, carrots, pumpkins and beets;
cereals (oatmeal, buckwheat, semolina, rice);
vermicelli;
black, green tea, rosehip decoction, compote of sweet fruits and berries;
non-acid varieties of apples, pears, apricots;
mostly butter and a little vegetable oil.

alcohol;
broth from meat, mushrooms or fish;
borscht with sorrel, cabbage soup with sour cabbage;
offal, lard;
smoked meats;
foods with excess salt;
pork, duck, goose meat and fatty fish;
egg yolk;
fresh and fried flour products, muffin;
dairy products with high fat content;
radish, garlic, green onions, sorrel;
mushrooms, legumes;
hot spices, ketchup;
coffee, cocoa.

Diet for pancreatitis - a sample sample menu

Monday:
Breakfast- protein steam omelette, buckwheat porridge, chicory coffee.
morning snack- cottage cheese pudding, tea.
Dinner- potatoes stewed with fish meatballs and Bechamel sauce, rosehip broth.
afternoon tea- berry jelly.
Dinner- oatmeal, steam meat cutlets, apricot compote.
Evening snack- a glass of low-fat kefir.

Tuesday:
Breakfast- semolina porridge with diluted milk, biscuit cookies, tea.
morning snack- steam cheesecakes with low-fat sour cream, chicory coffee.
Dinner- mashed potato soup with rabbit meatballs, stewed zucchini, pear compote.
afternoon tea- baked apple, tea.
Dinner- cauliflower casserole, fish soufflé, tea.
Evening snack- prunes.

Wednesday:
Breakfast- rice porridge with apricot puree, tea.
morning snack- protein omelet, oatmeal jelly.
Dinner- pumpkin puree soup, buckwheat, compote.
afternoon tea- biscuits, fruit jelly.
Dinner- potato and fish casserole, carrot puree, tea.
Evening snack- lean cracker, kefir.

Thursday:
Breakfast- carrot-apple puree, biscuit cookies, tea.
morning snack- Dessert made from calcined cottage cheese whipped with yogurt.
Dinner- boiled veal, vegetable soup, compote.
afternoon tea- protein omelette, decoction of dried fruits.
Dinner- rice porridge with pumpkin, fish baked with milk sauce, tea.
Evening snack- yogurt.

Friday:
Breakfast- oatmeal porridge seasoned with butter, tea with apricot marshmallow.
morning snack- carrot-curd casserole, chicory coffee.
Dinner- mashed potato soup, fish roll, cauliflower, whipped in a blender, tea.
afternoon tea- baked apple, rosehip broth.
Dinner- chicken meatballs, salad with boiled beets, compote.
Evening snack- kefir.

Saturday:
Breakfast- crackers, pear soufflé, tea.
morning snack- cottage cheese dessert with the addition of xylitol.
Dinner- fish soup, boiled fish, mashed potatoes.
afternoon tea- sweet fruit jelly.
Dinner- meat cake, rice porridge, kefir.
Evening snack- biscuits with tea.

Sunday:
Breakfast- steam omelet, pear puree, tea.
morning snack- lean mannik, chicory coffee.
Dinner- stewed fish, buckwheat soup, rosehip broth.
afternoon tea- fruit and berry jelly.
Dinner- potato and chicken breast casserole seasoned with low-fat yogurt, compote.
Evening snack- yogurt.

Pancreatitis is one of the most popular diseases of the internal organs. He is treated not only with medicines, 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 purpose of the diet is to normalize all the 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 that are prepared in a certain way. An important role is played by the multiplicity of meals and the temperature of the dishes 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 present time. It is prescribed for exacerbation of pancreatitis. It 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 liver. Promotes the accumulation of glycogen, unloads cholesterol and fat metabolism. Stabilizes the work of the gastrointestinal apparatus.

Feature of cooking table No. 5p

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

The diet is restricted to fats and carbohydrates. The main diet consists of protein foods. Dishes with oxalic acid, containing a lot of cholesterol, with coarse fiber and containing purines, are excluded from the menu. Remove 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 starvation, during a period of unstable remission.

Principles of the diet table No. 5p

Diet number 5p is designed to stabilize the pancreas. It spares the stomach and intestines as much as possible, relieves pain, reduces the reflex excitability of the bile organ. When it is observed, it is necessary to adhere to the following principles:

  • before the diet you need to fast from 3 to 7 days;
  • the mode of eating food 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 that will contain all the vitamins and minerals necessary for the body;
  • all food should be semi-liquid and grated;
  • temperature regime of ready-to-eat meals - 20-25 °С;
  • the consumption of fats and carbohydrates is minimized.

For therapy to be effective, all the rules of therapeutic nutrition should be observed. Do not break the prohibitions until a 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 given 50 g, fats -70 g, proteins - 100 g. No more than 10 g of salt are consumed per day.

Allowed Foods

Requires compliance with all the necessary rules diet number 5p. Soups here are recommended to take vegetable, with the addition of cereals. You can not 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 eat unsweetened cookies.

Vegetables are eaten boiled or grated. Lean meats and lean fish are allowed. You can eat soft-boiled eggs, as well as steamed scrambled eggs, but not more than once a day. All cereals are cooked in milk with a low fat content 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. Sample menu involves the use of fruits and berries. They can be eaten in the form of jelly, raw - mashed 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 dish, as well as butter - no more than 30 g per day.

Food that is banned

Diet No. 5p has many restrictions in eating. Foods that are forbidden to eat in the treatment of 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;
  • caviar from fish;
  • radish, turnip, radish, sorrel and spinach;
  • dairy products, including yogurt;
  • flour products;
  • sour and spicy dishes;
  • mushrooms in any form;
  • salted and pickled dishes;
  • dairy products with a lot of fat;
  • canned food;
  • sweets;
  • citrus;
  • 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 can’t eat - this was discussed above, and then we will 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 be more than 1700 kcal. All food is liquid and pureed. Under the ban is food that can stimulate the secretory function of the pancreas. This meal lasts about a week.

In diet No. 5b, calorie content rises 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 an exacerbation of pancreatitis, the menu should be as follows.

Monday. In the morning, for breakfast: a steamed omelet made from one yolk and two proteins, plus a decoction of rose hips. For the 2nd breakfast, they eat a baked pear. At lunchtime - borscht, meatballs 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 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 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 - jelly made from berries. Snack: low-fat cottage cheese and compote, cooked 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. In the morning: syrniki with dried apricots, plus cheese and rose hip tea. During 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 vegetable casserole and boiled chicken, drink weak tea. Before going to bed: berry juice with unsweetened biscuits.

Thursday. In the morning: steamed scrambled eggs from two proteins and a tomato. A glass 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 have supper with beetroot salad with prunes and lean boiled meat plus tea with milk. At night: a glass of fermented baked milk.

Friday. In the morning: semolina porridge, weak tea and bread with hard cheese. 2nd breakfast: cottage cheese with sour cream, pumpkin juice. At lunchtime, soup with vegetables and noodles, boiled low-fat fish with zucchini and cauliflower are recommended. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm carrot salad plus berry jelly is offered. You can dine 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 2nd breakfast is based on carrot puree with jam. Lunch consists of vegetarian borscht, turkey steam cutlets, and weak tea with lemon. For an afternoon snack, jelly from berries is recommended. For dinner - macaroni and cheese soup, pumpkin salad with apples and tea with one spoon of honey. Before going to bed - 250 g of fermented baked milk.

Sunday. In the morning: oatmeal in milk, fruit grated with cottage cheese, plus jelly. For a second breakfast, one apple baked in the oven is relied upon. Lunch: zucchini soup, rabbit baked in sour cream and buckwheat, tea. Afternoon snack: unsweetened cottage cheese mousse with carrot juice. They have dinner with fish dumplings, boiled rice and tea with a slice of lemon. Before going to bed: fruit jelly.

Unwashed Food Option: One Day Menu

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

  • Breakfast. Loose buckwheat plus vinaigrette without the addition of pickles and sauerkraut. Boiled pureed meat. As a drink, semi-sweet tea is recommended.
  • 2nd breakfast. Tea with biscuits and some prunes.
  • Dinner. Soup from allowed vegetables. Boiled potatoes with a piece of boiled chicken. As a dessert - an apple and weak tea.
  • afternoon tea. Low-fat homemade cottage cheese and compote, cooked from dried fruits.
  • Dinner. Vermicelli with boiled fish and tea.
  • Before going to bed. Tea with milk and one cracker.

Two days after the exacerbation of pancreatitis, doctors advise drinking warm mineral water (Borjomi or Slavyanskaya) up to one liter per day. Rosehip decoction will be useful. From the third day, if the patient's health has improved, they introduce liquid cereals and mucous soups, 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 subside, use the following menu:

  • Breakfast. Pureed buckwheat or rice porridge, from drinks - milk jelly.
  • Lunch. Fruit jelly and a glass of Borjomi mineral water.
  • Dinner. Oatmeal soup, carrot puree and steamed meat soufflé. Weak tea.
  • afternoon tea. Protein steam omelette plus a decoction of rose hips.
  • 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 placed in a pan. Grated carrots, chopped onions, pumpkin and tomatoes are added to it. Vegetables are poured into 300 g of water, salted and stewed over medium heat for about twenty minutes. The finished dish is sprinkled with herbs.
  • Baked fish. Low-fat fish is cut into pieces and placed in foil. Next, 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 stewed 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.

Chronic pancreatitis (diet No. 5p is very effective for this disease) in the acute stage is treated not only with medicines, but also with appropriate 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 cause 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 ground, coarse pieces will irritate the internal organs. From greens, parsley and dill are allowed.

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

Pancreatitis of the pancreas is a fairly common phenomenon. A distinctive feature of this disease is acute pain in the stomach and a violation of the quality functioning of the pancreas.

To overcome the pain defect and treat this disease, a special therapeutic diet was developed. It contains a specially selected menu and recommended foods. They help the healing process, and at the same time do not harm the body.

The effectiveness of the diet for pancreatitis


Chronic pancreatitis and its acute forms cause great discomfort to the whole body. Symptoms of this disease are acute pain in the abdomen, weakness, nausea and vomiting.

With pancreatitis of the pancreas, adherence to a therapeutic diet- necessarily. Therapeutic nutrition allows you to relieve pain, tidy up the digestive system and improve the functioning of the gastrointestinal tract.

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Diet Efficiency is that the proposed menu and special foods treat the pancreas and produce a kind of "unloading" of the entire digestive system.


Many nutritionists say that an effective introduction to this diet should be special curative fasting. It should begin immediately after the symptoms of this pancreatitis of the pancreas are detected. You need to fast for 2-3 days (depending on the pain syndrome) and then start a diet.

Fasting with pancreatitis is useful Oh, because when you take food, there is a strong load on the body. This causes inflammation and pain in the stomach area. Therefore, this method of entering the diet is so important and effective.

Diet Table No. 5 with pancreatitis is based on the use of certain foods. The menu and diet of this method of treating the pancreas will be discussed further.

Nutrition rules


Nutrition rules for pancreatitis of the pancreas:

  1. eat food of the same consistency, preferably homogeneous (porridge, soup ..);
  2. portions should be small;
  3. you must constantly drink (clean water, decoctions, green tea);
  4. eat food in liquid or creamy form (mashed potatoes, jellies, pureed soups, broths).
  5. eat 5-6 times a day;
  6. exclude: sweet, salty, fried and smoked;
  7. avoid eating raw foods (vegetables/fruits)
  8. include in the diet small portions of food that does not stimulate increased production of gastric juice (dried bread, unsweetened bagel - in small quantities).

Diet rules for acute pancreatitis similar to chronic. In the chronic form of pancreatitis of the pancreas, therapeutic fasting lasts 3-4 days.

The menu and food intake with this diet is more strict. Light broths and cereals are acceptable. All this should be accompanied by abundant drinking of teas and pure water.

What can and cannot be eaten?


Foods that can be consumed on a diet Table number 5 for pancreatitis :

  • finely chopped boiled meat (veal, chicken, rabbit meat): steamed cutlets, soufflé
  • steamed or boiled fish;
  • cereals: buckwheat, rice, semolina, oatmeal;
  • milk: kefir, fermented baked milk or curdled milk 1-5% no more.
  • eggs (soft-boiled), but eat in small quantities.
  • vegetables baked or steamed;
  • fruits baked or in the form of compotes;
  • from sweet: jelly, marshmallow;
  • bread (white dried - eat in small quantities);
  • drinks (tea, pure water, decoctions).


So, a diet for pancreatitis of the pancreas, what you can not eat:

  • meat and fish of fatty varieties;
  • roast;
  • salty;
  • smoked;
  • flour (except for the above);
  • preservatives;
  • from milk: cottage cheese, sour cream, milk (any fatty milk);
  • eggs (hard boiled, scrambled eggs);
  • raw fruits and vegetables;
  • alcohol;
  • sweets and drinks (not included in the list of permitted).

Diet rules for pancreatitis must be carefully observed. No deviations from the presented menu.

The diet in the chronic form consists of vegetables, which do not lead to increased production of gastric juice. Therefore, if you make changes to the proposed menu, the disease will increase with renewed vigor.

With an exacerbation pancreatic pancreatitis diet becomes more strict. We try eat more light, “watery” soups and cereals.

It is necessary to exclude the possibility of inflammation in the stomach. Accordingly, he needs to facilitate his work with the help of a specially thought-out “lightweight” menu.

Sample menu and diet for the week


daily rate calories in the treatment of this disease should be - 700-800 calories.

  • The use of food products containing fats - 0;
  • The amount of carbohydrates - up to 200 g;
  • Protein intake - up to 15 g.

We drink 2 - 2.5 liters of fluid every day, throughout the week.

In the treatment of acute forms of pancreatitis, the diet and the menu included in it has its own characteristics.

Acute pancreatitis, the symptoms of which cause unbearable pain, should be accompanied by pre-fasting for 3-4 days. Then begins the introduction to the menu and the daily diet of special foods.

Sample diet menu for pancreatitis for 7 days as follows:

Meals are described for the whole day:

1-2 day

  • 30 g of dried bread (no more);
  • vegetable or potato puree without oil
  • porridge (oatmeal, buckwheat);
  • dry biscuits;
  • tea, water, jelly.

3-4 day

  • oatmeal or decoction on rice;
  • puree without oil (potato);
  • liquid porridge (semolina, oatmeal, buckwheat);
  • dried bread - no more than 30 g.

5-6 day

  • steamed omelet;
  • curd soufflé (0-1.5% fat content);
  • soup is light;
  • vegetable puree
  • vegetable puddings or pureed apples are allowed for sweets
  • green tea.

Day 7

  • oatmeal;
  • cottage cheese soufflé (low fat);
  • steamed vegetables;
  • light soup - puree
  • baked apples;
  • black or green tea.

During the week, every day we drink a lot of water, various teas and decoctions.

Diet Table number 5 for the treatment of pancreatitis


For diseases of the stomach and pancreas, a special diet "Table No. 5" was developed.

Eating with this Table 5 method should include more steamed foods.

The focus of the diet "Table number 5" and method of treatment, consist in the exclusion from the diet of foods that stimulate the production of pancreatic fermentation.

"Table number 5" includes a balanced menu for the week, which will allow the body to improve and prevent further resumption of pain.

So, diet Table 5 - a menu for every day with pancreatitis, cholecystitis and gastritis (breakfast, lunch, dinner):

  1. steamed omelet, dried slice of bread and tea;
  2. buckwheat porridge with boiled zucchini.
  3. a little oatmeal and 100 g of boiled beetroot salad (without oil).
  1. low-fat cottage cheese - 3-7%, a slice of dried bread, tea;
  2. boiled brisket with steamed vegetables; vegetable soup;
  3. baked apples.
  1. low-fat yogurt;
  2. buckwheat and lean fish for a couple;
  3. vegetable soup and a slice of dried bread;
  1. steamed omelet, rosehip tea;
  2. boiled chicken meat, vegetable puree, dried slice of bread;
  3. apple soufflé.
  1. oatmeal, low-fat cottage cheese, green tea;
  2. steamed vegetables and fish (low fat);
  3. steam omelet.
  1. semolina;
  2. steamed meat (brisket) and boiled rice;
  3. vegetable puree.
  1. low-fat cottage cheese, dried crackers;
  2. boiled lean meat and a small portion of buckwheat;
  3. 2 baked apples.

Healthy Recipes


The diet for pancreatitis of the pancreas is strict and does not differ in particular diversity. However, this is no reason to despair. There are various ways to enrich the menu of Table number 5.

So, menu recipes useful for pancreatitis for Table number 5:

Steam cutlets



Steam cutlets

Ingredients:

  • chicken breast - 200g;
  • wheat bread - 30 g;
  • milk - 3 tbsp;
  • a pinch of salt and olive oil.

We mix all the ingredients. From the resulting minced meat we sculpt small balls. We put them in a double boiler, pour water and close everything with a lid. Cook until fully cooked.

Milk noodle soup



Milk noodle soup

Ingredients:

  • flour - 10 g;
  • eggs - 2 pcs;
  • butter - 10 g;
  • milk - 300 ml.

It is necessary to knead the dough from the ingredients (milk, flour and water). After that, the resulting consistency must be rolled out. Next, we chop the noodles. After that, cook the resulting noodles in milk.

Steamed protein omelet



Steamed protein omelet

Pancreatitis is an inflammation of the pancreas. Pathology occurs in acute and chronic forms. The condition has quite specific symptoms: severe pain in the left hypochondrium, sometimes of a shingles character, fetid stools, nausea and vomiting.

Diet for pancreatic pancreatitis is one of the main directions in the treatment of pathology. The patient's menu depends on the general state of health and the period of the disease. Adhere to therapeutic nutrition is necessary for several months.

General principles

Nutrition for pancreatitis of the pancreas should be sparing. The basic principles of the diet:

  • fractional nutrition - food should be taken five to six times a day in small portions;
  • dishes should be mashed, which facilitates the process of digestion of food;
  • permitted cooking methods - steaming and boiling;
  • fresh vegetables and fruits are completely prohibited; not past culinary processing;
  • the allowable daily amount of salt is not more than 5 grams;
  • it is obligatory to take infusions and decoctions on rose hips;
  • dishes served to the table should be warm - hot and cold are contraindicated;
  • conservation, semi-finished products, fatty / fried / highly salted dishes and products are completely prohibited.

Departure from the principles of dietary nutrition can provoke the development of an attack of pancreatitis.

Allowed and prohibited products

To reduce the production of pancreatic juice and reduce the load on the inflamed gland, it is necessary to completely exclude from the patient's diet:

  • Soups cooked in rich meat, fish and mushroom broths, as well as complex soups - cabbage soup, pickles, borscht. Cold and dairy are excluded.
  • Bread - today's pastries made from wheat / rye flour, puff and rich products, fried pies, flat cakes.
  • Fatty meat - pork, lamb, duck, goose - sausages, offal, canned food and smoked meats.
  • A fish. Pos ban fatty varieties, smoked, salted.
  • Milk and lactic acid products with a high fat content.
  • Cereals - millet, barley, wheat, corn.
  • Fried and hard boiled eggs.
  • Vegetables - turnips, radishes, garlic, peppers, eggplant, cabbage, spinach.
  • Sweets - jam, ice cream, fresh dates, grapes, bananas, figs.
  • Spicy condiments.
  • Coffee, strong brewed tea, coffee, soda, grape juice.
  • Refractory fats - pork, beef, mutton.

Allowed and prohibited products for pancreatitis

When developing a menu for every day, it is necessary to take into account the recommendations of nutritionists and use only approved products. This:

  • dried loaf, biscuits, homemade crackers;
  • vegetarian soups with the addition of mashed vegetables - potatoes, zucchini, pumpkin, carrots - vermicelli, semolina or oatmeal;
  • lean meats - chicken, rabbit, turkey - in the form of steam cutlets, soufflés, dumplings, beef stroganoffs;
  • low-fat varieties of fish - pollock, carp, cod;
  • cereals - oatmeal, semolina, rice - are used to make cereals, casseroles, puddings;
  • low-fat milk and lactic acid products;
  • steam omelette without yolks;
  • vegetables - potatoes, zucchini, beets, pumpkin, cauliflower, carrots, green peas;
  • sweet berries and fruits in the form of mousses, jelly, puddings, oven-baked apples;
  • sauces - dairy and cooked on vegetable broth (when using flour, the latter is not passivated);
  • butter and vegetable oil;
  • weak tea with lemon, non-carbonated mineral water, decoction of rose hips, juices diluted with water.

Diet for acute pancreatitis

If we talk about which diet is recommended for an acute form of inflammation to the patient, then this is a treatment table 5P. During the first two to four days, a complete hunger is recommended for a person. Only liquid intake is allowed - a decoction of rosehip berries, Borjomi (without gas), weak tea. Then the patient switches to medical nutrition. The menu is allowed to include unsalted, but carbohydrate-rich dishes.

An approximate list of dishes that may be included in the menu:

  • steam omelet on proteins;
  • meat soufflé;
  • dumplings from fish and meat;
  • pureed soups - rice and oatmeal - and vegetarian options for the dish;
  • vegetable purees;
  • mashed cereals - rice, buckwheat, oatmeal;
  • apples in the form of jelly or mousse;
  • fruit drinks from rose hips, cranberries, black currants;
  • tea with milk;
  • cottage cheese and dishes from it;
  • cereal puddings.

Before going to bed, you can offer kefir, yogurt, a glass of water with a spoonful of honey dissolved in it, prunes and raisins.

Sample weekly menu

When compiling a menu for a week, it must be remembered that the patient's diet should be varied. When developing a menu for the patient for the whole week, you can use the following recommendations.


Sample weekly menu for pancreatitis

For breakfast, boiled beet salad and dried fruit compote, 150 grams of low-fat cottage cheese and a decoction of rose hips, steam omelet without yolks, weak tea with biscuits, pureed oatmeal and berry jelly, pumpkin porridge, rosehip drink, cheese with biscuits, rosehip broth, mashed buckwheat porridge, compote.

Second breakfast: well-boiled rice porridge with steamed raisins, carrot salad with vegetable oil, an apple stuffed with dried apricots and baked in the oven, pumpkin and carrot puree, boiled beets, an apple baked with sugar.

Vegetarian soups are allowed for dinner, for example, borscht, boiled fish garnished with well-boiled rice, boiled beef, cottage cheese casserole, chicken meat steam cutlet, pasta with boiled minced meat, sauté. Snack options: allowed fruit jelly, vegetable roll, fresh berry jelly, fruit pudding, oven-baked potatoes, sandwiches with butter and a piece of cheese, bean puree.

Dinner: baked apple puree and low-fat yogurt, rice porridge with raisins, varenets, vinaigrette and yoghurt cheese, steamed cauliflower, a glass of yogurt, zucchini caviar, kefir, steam omelet, fermented baked milk, rice porridge pudding and low-fat yogurt.

By alternating dishes, you can create a “delicious” weekly menu that will provide the body of a sick person with all the necessary substances, but at the same time the pancreas will receive a minimal nutritional load. Some recipes can be found below.

Nutrition in the combined course of pancreatitis with gastritis or cholecystitis

If the underlying disease is accompanied by the development of cholecystitis, then the menu is allowed to include:

  • mucous soups from rice, oatmeal or semolina;
  • pureed cereals boiled in water, it is strictly forbidden to add milk and butter;
  • juices from vegetables, compotes;
  • homemade white bread crackers;
  • pureed boiled meat, fish;
  • low-fat cottage cheese.

With a combined course of pancreatitis and gastritis, the menu should include mashed soups of oatmeal, rice and semolina, in which you can add egg yolk and a little butter, mashed vegetables - potatoes, carrots, beets - with the addition of milk or cream, steam soufflés, meatballs and dumplings from minced meat and fish.

Features of the diet in childhood

The leading principles of the diet in children are fragmentation, the maximum degree of grinding, compliance with the requirements of culinary processing, variety. Small portions, provided that they are served frequently, do not allow the child to feel hunger. In this case, there is no violation of the metabolic process.


With an attack of pancreatitis, adherence to a strict diet is a mandatory step in the successful treatment of pathology.

Daily calorie intake is calculated based on the weight and age of the child. In the remission stage, it is allowed to include fresh vegetables and fruits in the menu (limitedly), but the basis of the diet is cereals with milk, minced meat dishes - chicken, turkey, vegetable soups without meat, boiled or baked fish, boiled vegetables, sour-milk products. In small quantities and daily it is allowed to give the child marshmallows, marmalade, jam, jam, honey.

Important! When introducing a new product into the diet, it is necessary to monitor the condition of the child.

Recipes

We offer you several recipes for dishes that can be prepared with diagnosed pancreatitis.

beef pudding

Grind boiled beef pulp (130 g) in a blender bowl. Add semolina (10 g), whipped protein, yolk and a little water (about 1/3 cup) to the puree. Add a few salt crystals. Lubricate the form with oil, lay out the prepared minced meat and cook in a double boiler.

Fish quenelles

Grind low-fat fish (300 g) in a meat grinder. Grind a quarter of the dried loaf and pour the pieces with milk (100 ml). Squeeze out the bread and mix it with minced meat, add a couple of whipped proteins. Salt and mix thoroughly. Using two spoons, form small balls and boil them in salted water until tender. This will take approximately 15 minutes.

Vegetable puree soup

Boil until fully cooked potatoes (2 pcs.), Carrots and half a small zucchini. Drain the broth into a separate bowl, and grind the vegetables to a puree state with a blender. Pour the puree with broth to the desired consistency and bring to a boil. Boil 3 minutes. Serve warm with a dollop of sour cream.

fish pudding

The fish carcass must be divided into two fillets. First boil and rub through a sieve. Grind the second part in a meat grinder. Combine both masses, put egg yolks, butter, salt. Knead. Divide into serving bowls and steam.

Chicken meat soufflé

Grind boiled chicken meat in a meat grinder. Add egg yolks and butter to minced meat. Thoroughly mix the mass. Then gently fold in the whipped egg whites. Put the mass into a mold and steam.

banana dessert

Dissolve 2 packs of gelatin according to the instructions. Introduce 250 ml of natural yogurt from it. Steam a few bananas and peeled peaches. Line the bottom of the plastic mold with foil. Form the dessert in layers - biscuit crumb, yogurt cream with gelatin, banana-peach puree. Alternate layers. Put the sweet in the refrigerator to solidify the jelly.

Compliance with the principles of dietary nutrition in pancreatitis is a prerequisite for achieving stable and prolonged remission. The menu for patients with pancreatitis in adults and children, with the proper approach to development, can be quite diverse and fully satisfy all the needs of the body.

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Pancreatitis is a disease caused by inflammation of the pancreas. The disease can occur in acute and chronic form. The main signs of acute pancreatitis are: a sharp pain in the left hypochondrium, encircling the entire left side, diarrhea, nausea, vomiting. If such symptoms appear, you should immediately seek medical help and call a team of doctors.

The therapeutic diet for this pathology is considered the basis of therapy, since the synthesis of digestive enzymes carried out by the zymogenic tissue of the pancreas directly depends on the composition of the food.

All clinicians agree that in the first days of illness (after an attack), the patient needs hunger. Many doctors like to say that the pancreas loves "cold, hunger and rest."

Dietary nutrition for pancreatitis is compiled in such a way as to achieve maximum chemical, mechanical and thermal sparing of all organs of the gastrointestinal tract.

Frequent and fractional intake of warm food in small portions over a long period of time reduces the load on the digestive tract as a whole and allows the pancreas to fully recover and normalize its functions.

The basic principles of the diet for pancreatitis:

  • 5-6 meals a day;
  • A single serving should not exceed 350 gr;
  • Dishes are served only in grated form;
  • All products are subject to mandatory culinary processing by boiling or steaming;
  • It is unacceptable to eat raw vegetables, fruits or berries, even from the permitted list;
  • The amount of table salt in the diet should not exceed 5 g / day;
  • Be sure to use pure and mineral table and medicinal table water (as prescribed by a gastroenterologist), drinks based on rose hips (infusions, decoctions);
  • All dishes are served only warm, the use of both hot and cold food is contraindicated;
  • Under the ban are fatty, fried, canned, pickled, salted, smoked foods, fast food and convenience foods;
  • The slightest violation of the diet can provoke inflammation of the pancreas and a new attack;
  • Dishes are prepared only from the list of allowed products;
  • An individual diet, taking into account all the characteristics of the patient (age, condition of the pancreas and other organs of the gastrointestinal tract, the presence / absence of other chronic diseases, etc.), is prescribed exclusively by the attending gastroenterologist or an experienced nutritionist.

Therapy of acute pancreatitis is carried out in a hospital. For the treatment of the acute phase of the disease, a diet for pancreatic pancreatitis during exacerbation is necessary, which has significant limitations, and compliance with which is the key to achieving stable remission.

Diet for acute pancreatitis - nutritional features

Depending on the stage of the course of the disease, the diet for pancreatic pancreatitis and the approximate menu differ significantly. During an attack, the patient is prescribed complete fasting for 1-3 days to maximize sparing of the organ. At this stage of the pathology, normalization of enzyme production is necessary.

It is permissible during this period to use alkaline degassed mineral water such as Borjomi in a warm form, ½ cup 6-7 times a day. Starting from 3-4 days, the diet is gradually expanded due to carbohydrate nutrition, including slimy soups on the water, mashed cereals, potato, carrot, pumpkin and squash puree, semi-liquid jelly, weak tea with wheat bread crumbs and a small amount of sugar, infusion wild rose.

From 5-6 days, protein food is added to the carbohydrate food: steamed scrambled eggs, semi-liquid mashed cereals in skim milk, meat and fish steam soufflés, dumplings, meatballs, meatballs, meatballs, cottage cheese with 0% fat content. When the patient feels well, fats are gradually introduced into the diet: unsalted natural butter, which is seasoned with ready-made dishes, for example, cereals.

A strict diet, which has a name, is applied for up to 2 weeks. Next, the patient is transferred to a diet for patients with pancreatitis in remission.

Diet for pancreatitis, what is impossible and possible, table 1

Food and dishes Approved for use Forbidden to use
Bread Dried and dry wheat bread, dry biscuits, dry unsweetened biscuits Rye bread, fresh pastries, muffin, fresh biscuit
Soups and broths Vegetable soups on the water (ground), lean soups, slimy soups from allowed cereals, puree soups, in remission, it is permissible to include soups on a secondary low-fat broth (meat, chicken, fish, but not from bones) in the menu several times a week) Meat, mushroom, fish and strong vegetable broth, do not add onion, garlic and white cabbage, any spices and seasonings to the soup
Milk products Kefir, milk, fermented baked milk, natural yogurt, curdled milk, sour cream, cottage cheese (fat-free) Homemade milk, cream, sour cream, cottage cheese, hard cheese, sweet yoghurts, glazed curds
Meat Lean meat: poultry fillet, rabbit, veal All fatty meats and poultry, poultry skin, lard, pork, lamb, beef and mutton fat
A fish Low-fat river and sea fish (pike, pike perch, carp, crucian carp, bream, hake, hoki, pollock) Fatty fish, herring, red fish, canned food, pickles and smoked products, semi-finished products, offal, sausages (any)
Cereals and pasta Hercules (oatmeal), buckwheat, rice, semolina (cereals are subject to boiling and grinding) Pasta and vermicelli, barley, corn and millet groats
Beverages Herbal teas, herbal infusions, rosehip infusion, chicory drink, mineral alkaline water, weak green tea and mate, jelly, compotes from non-acidic fruits Lemonades and any carbonated drinks, all types of alcohol, energy drinks, strong tea, coffee, cocoa
desserts Marmalade, marshmallows, marshmallow (limited), steamed cottage cheese casseroles and puddings, jam and honey (no more than 2 teaspoons per day), soaked dried apricots and prunes, but no more than 1 handful per day Ice cream, sugar, pastries, cakes, pastry and puff pastry, sweets (all types), cocoa, chocolate, nuts and seeds
Mushrooms Under a strict ban for patients with chronic pancreatitis, there are all types of mushrooms, as well as broths based on them. In the acute phase, fungi are strictly contraindicated
Fruits and berries Baked apples of sweet varieties (without peel), boiled (poached) peaches, apricots, plums, berries (in the form of mashed potatoes) Acid fruits and berries with stones and small grains, all fresh fruits, citrus fruits
Vegetables Potatoes, pumpkin, carrots, zucchini, parsley and dill (add greens to soups 5 minutes before the end of cooking). Beets (added 3-4 weeks after the exacerbation). Fresh cucumbers are administered only in the summer for 2-3 months after an attack. Radishes, radishes, horseradish, tomatoes, eggplants, sweet and hot peppers, spinach, legumes, sorrel, turnips, mustard, garlic, onions, cabbage, celery roots, parsley, parsnips. All fresh and canned fruits, as well as red sauces and ketchups, are strictly prohibited.
Fats Unsalted creamy meat and unrefined cold-pressed vegetable oils are introduced into the diet gradually from 2-3 weeks after the exacerbation Cooking oil, spread, margarine, ghee, refined oils, all types of products containing trans fats, mayonnaise
Eggs It is allowed to use protein omelettes on water or diluted milk from chicken or quail eggs, include the yolk in the diet no more than 2-3 times a week Fried eggs, hard boiled eggs
Spices and seasonings Dried dill and parsley (in hot dishes) All hot and spicy herbs and plants that enhance the secretory function of the stomach

Diet for pancreatitis of the pancreas: a sample menu

Delicious and varied dishes are prepared from the permitted list of products. Try to include as many foods as possible in your daily diet.

We offer several healthy food recipes for patients with pancreatitis:

Steam beef pudding

Puree 120 g of boiled beef (without fasciae, fat and sinews) in a blender, mix with 10 g of semolina, add whipped protein to the minced meat, and then the yolk and a third of a glass of water, lightly salt.

Put the thoroughly mixed mass into the form of a multicooker or double boiler, greased with butter and bring it to readiness in the kitchen unit.

Fish dumplings

Pass 0.3 kg of low-fat sea fish fillet through a meat grinder, add ¼ of a dry loaf previously soaked in half a glass of whole milk to the minced meat, add 2 whipped proteins to the mass, add a pinch of salt and dried parsley.

Boil quenelles (small balls) formed from minced meat in lightly salted water for at least a quarter of an hour.

vegetable puree soup

Boil 2 peeled potatoes, 1 carrot and ½ zucchini in water until cooked, drain the broth, puree vegetables, mix liquid and puree, add finely chopped parsley sprigs (2 pcs.), Boil over low heat for 3 minutes.

Serve the soup warm, seasoned with low-fat sour cream (1 teaspoon or natural yogurt).

banana dessert

Dilute 2 packs of gelatin in a glass of hot water until it is completely dissolved, cool slightly. Introduce ½ l of low-fat natural (without additives and sugar) yogurt into the jelly mass. Steam 2 bananas and 2 peaches (no peel). Line the bottom of an enameled bowl or cake mold with foil, lay out the dessert in layers: crushed biscuit cookies, yogurt-gelatin cream, banana and peach puree. There are several such layers (depending on the diameter of the mold). Send the cake to the refrigerator to set the jelly.

Sample menu for pancreatitis per day (table number 2):

Meals Dishes and drinks
Breakfast Steamed omelette from 1 egg in water, buckwheat porridge (small portion), chamomile tea
Lunch Semolina pudding, baked apple
Dinner Potato cream soup (200 ml), 100 g boiled turkey fillet, pureed in a blender with 1 large boiled and peeled carrot, apricot jelly
afternoon tea 100 g fat-free cottage cheese and slightly poached pulp of 1 banana
Dinner Stewed vegetable stew of carrots, potatoes and pumpkins, seasoned with olive oil and dill (add fat and dill before serving), pike perch baked in foil (portion 120 g), cottage cheese casserole with semolina, weak green tea
Before bedtime A glass of low-fat fermented milk drink of your choice: kefir, acidophilus, bifiliv, acidophilus yogurt, natural yogurt

An exemplary diet menu for pancreatic pancreatitis is intended to show that even in this case, you can eat varied and interesting. I am sure that using a table of products (what you can not and can eat) and some recipes for dishes, it will not be difficult to create your own interesting menu.

Dietary nutrition for inflammation of the pancreas is not only the most effective method in the treatment of this organ, but also a way to prevent the development of chronic pancreatitis, as well as achieve stable remission.

Be healthy!