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Diet for the treatment of pancreatitis of the pancreas. Fasting and acute pancreatitis. General diet rules

During an exacerbation of the disease, a person experiences severe pain in the stomach, hyperactivation of enzymes occurs in his body, which become aggressive to environment: they corrode the walls of blood vessels, digest pancreatic tissue, and if they end up in the blood, they attack nearby organs. The disease often leads to decreased immunity, obesity, and the risk of formation of low-quality tumors, so nutrition for pancreatitis is constant diet, entering a person’s life forever.

Therapeutic nutrition for chronic pancreatitis and cholecystitis

Pancreatitis is a problem with the pancreas, and cholecystitis is a disease of the gallbladder. The symptoms of these diseases are similar, and their diet is the same. Nutrition for pancreatitis or cholecystitis directly depends on the stage of the disease. At chronic illness the main goal that needs to be achieved when eating is the rest of the pancreas and gall bladder, so the diet provides complete failure from:

  • Alcohol.
  • Salty.
  • Fried.
  • Smoked.
  • Spicy.
  • Canned food.
  • Chocolate.
  • Sausages.

When pancreatitis is in chronic stage, doctors recommend the following dishes to the patient:

  • meat, steamed fish;
  • vegetarian first courses;
  • porridges and stewed vegetables;
  • fruits with minimal acidity;
  • cottage cheese;
  • still mineral water, jelly.

Proper nutrition during acute pancreatitis or exacerbation of chronic

In case of exacerbation of chronic cholecystitis or pancreatitis, fasting is indicated for the first two days. You are only allowed to drink about 200 ml of alkaline mineral water or rosehip decoction 5-6 times a day. If the exacerbation is too severe, then drinking is prohibited, and nutrition is administered intravenously. Two days later, for the next week, a special diet for pancreatitis is introduced - diet No. 5p, which includes several options. Sample menu diet No. 5p:

  1. Breakfast first: steam omelette without yolks, oatmeal, which should be mashed, tea.
  2. Second breakfast: low-fat cottage cheese, rosehip decoction.
  3. Lunch: boiled meat, rice soup, wheat cracker, fruit jelly.
  4. Afternoon snack: baked apples.
  5. Dinner: steamed carrot soufflé, boiled sea ​​fish, tea.
  6. Dinner two: rosehip decoction.

Features of dietary nutrition after an attack

Diet is the main way to treat pancreatitis, so after an attack, the patient undergoes tests to monitor pancreatic enzymes, and then, depending on their condition, the doctor prescribes dietary nutrition. As enzymes decrease, the diet expands and already on the 3rd day it is allowed to eat 4 to 6 times a day in small portions, so as not to provoke a new attack of pancreatitis and not to overload the pancreas. The photo shows where the pancreas is located:

What is indicated after an attack?

  • Boiled, baked, steamed food. Fish should be only low-fat varieties, for example, sturgeon, carp, silver carp or catfish.
  • From meat products choose low-fat varieties: chicken, rabbit, turkey, beef. Fatty meat is annoying abdominal cavity, provoking painful sensations.
  • You are allowed to drink weak tea, freshly squeezed juices, and kefir. But juices must be diluted with water so as not to provoke a new attack.

Diet after an attack of pancreatitis should be rich in proteins that the stomach needs, so doctors recommend introducing foods such as skim cheese, one egg per week, low-fat hard cheese, mashed potatoes, compotes, low-fat milk, yoghurts. The diet should contain a lot of greens, fresh vegetables, fruits, little sugar, salt. Such nutrition will allow the patient after an attack of pancreatitis to quickly enter the usual rhythm of life.

Baby food regimen for pancreatitis

Although it is generally accepted that pancreatitis is adult disease, children get it no less often. Gastroenterologists are sounding the alarm; children are increasingly turning to doctors with chronic pancreatitis. Feeding a child with such a dangerous diagnosis combines two main postulates: food should be warm, and feeding should be done in several doses. Nutrition should be gentle: reduce the amount of carbohydrates and increase protein intake. It is advisable to give food to a child in pureed form, especially during exacerbation of pancreatitis.

If you are ill, children should not be given:

  • Fish, meat or mushroom broths.
  • Canned food, marinades, spices.
  • Fatty, spicy, fried, smoked.
  • Fresh fruits, sorrel, juices, berries.
  • Products containing increased protein.
  • Carbonated drinks.
  • Strong coffee, tea.
  • Creamy, pasta.
  • Fresh bread.

Children with pancreatitis are allowed:

  • Low-fat dairy products.
  • Milk diluted with water.
  • Vegetable purees, soups.
  • Oatmeal, buckwheat porridge.
  • Omelette, steamed cutlets.
  • Lean fish, meat.

To avoid the development of this dangerous disease, as a measure to prevent the appearance of gastritis, a child should be taught proper nutrition from the first years of life, avoid overeating, minimize the amount of sweets, soda, fast food, chips, etc. junk food. Regularly carry out worm prevention and follow correct mode nutrition. We learn from Dr. Komarovsky from the video below what a child’s diet should be so that he does not have problems with the gallbladder:

Foods that can be included in the diet

For pancreatitis or cholecystitis, the daily diet should contain:

  1. Carbohydrates, no more than 200 g.
  2. Fats, no more than 60 g, proteins 150 g, of which vegetable – 30%, and animal – 70%.

The main factor in the development of these diseases is poor nutrition, therefore, the diet should be followed not for 3-4 months, but for the rest of your life, so as not to provoke more serious illnesses. Meals should be fractional, that is, you need to eat small portions every two or three hours. It is recommended to consume no more than 3 kg of food and at least 2 liters of water per day.

The right products not only will they weaken pancreatitis and put it into remission, but will also be an excellent measure to prevent its further development. Foods that doctors recommend including in the diet for pancreatitis:

  • Grape.
  • Herbal infusions.
  • Steamed vegetables.
  • Low-fat dairy products.
  • Non-acidic fruits.
  • Liquid porridges: oatmeal, buckwheat, semolina, rice.
  • Steamed egg white omelettes.
  • Baked pears and apples.
  • Unrefined vegetable oil.
  • Natural yogurt without any additives, best prepared at home.
  • Tomatoes.
  • Vegetable soups.
  • Stale bread.
  • Lean meat and fish.

Diet recipes for pancreatitis of the pancreas

If you have a certain imagination and desire, then maintaining proper nutrition for pancreatitis is easy. Especially now when modern technologies made our life easier, and in stores we can buy steamers, yogurt makers, multicookers and other modern equipment for healthy nutrition no longer a problem. For patients with chronic pancreatitis, delicious meat salads with vegetables, various puddings and souffles are relevant. We offer a couple of simple ones for your consideration. delicious recipes:

To prepare it, you need to take a ripe, sweet pumpkin, cut off the peel, cut into large cubes and pour water in a saucepan so that it completely covers the vegetable. Boil the pumpkin for about 20 minutes, then add 7 tablespoons of washed rice, mix and cook until tender. Then add a glass of milk to the pumpkin-rice porridge and bring to a boil. If you stir the porridge until smooth, it will come out very light and tasty dish.

  • Cauliflower soup is a delicious dish for pancreatitis.

It will require a medium cauliflower, previously disassembled into inflorescences, which are mixed with chopped onions and carrots. Vegetables are boiled in water and milk, mixed 1:1 until tender, and then blended in a blender, salted a little, sprinkled with grated hard cheese. Our tender soup is ready! Be healthy!

Pancreatitis is a disease of the pancreas that leads to serious disruption of the digestive system. However, such a diagnosis is not a death sentence. The disease can be treated if it is detected in time and important role Diet therapy plays a role in the treatment of pancreatitis: proper diet and systematic nutrition.

Attention! We'll talk about diet chronic pancreatitis outside of exacerbation, because acute inflammation pancreas or exacerbation of chronic disease implies the appointment of fasting for 1-3 days.

Pancreas - important element digestive system, and its treatment is ineffective without serious adjustments in eating habits

What can you eat if you have pancreatitis?

The menu for pancreatitis can be very varied, it can be:

  • salads;
  • puree;
  • vegetable soups;
  • low-fat meat dishes;
  • vegetable oils;
  • low fat dairy products;
  • milk oatmeal;
  • buckwheat with milk;
  • pumpkin porridge;
  • chicken egg whites;
  • compotes;
  • fresh fruits and berries;
  • dried fruits;
  • Not sour apples containing a lot of iron;
  • White bread.

Food must be fresh and the meal schedule must be consistent

What not to eat if you have pancreatitis

Importance proper nutrition for diseases of the digestive system it is difficult to overestimate. When choosing food you should be guided by the following rules. Food should not be:

  • heavy (containing pork or beef fats);
  • acute;
  • salty;
  • sour;
  • smoked or fried.

Note. It should also be noted that it is better to exclude canned foods from the diet.

The diet for pancreatitis of the pancreas should include a balance of:

  • fat - no more than 80 g per day;
  • carbohydrates - no more than 380 g per day.

A diet for pancreatitis is prescribed by the attending physician after diagnosing the disease. Such changes in the patient’s life do not mean that you can’t eat tasty food, you just have to give up some dishes and products.

Diet No. 5p for pancreatitis of the pancreas

This diet was developed during Soviet times by Soviet nutritionists and includes not only a list of acceptable foods, but also recipes for dishes that best contribute to speedy recovery. On its basis, diet No. 5p was developed for pancreatitis of the pancreas and cholecystitis, because these diseases often go hand in hand.

Important! The norm of proteins should be no more than 560 g, fats up to 420 g and carbohydrates no more than 1400 g per week. Total fluid intake (including liquid in first courses) should not exceed 14 liters.

The uniqueness of this diet is that the dishes are prepared mainly from pureed products.

The diet may include:

  • soups with pureed vegetables;
  • steamed meat or fish cutlets;
  • boiled lean meats;
  • boiled fish;
  • white, slightly stale bread;
  • pureed vegetables (steamed, boiled or stewed);
  • liquid porridge from any cereals, except millet and pearl barley;
  • chicken egg omelet;
  • scrambled eggs;
  • cottage cheese casseroles;
  • boiled pasta.

Diet for exacerbation of pancreatitis

In the case of an acute course of the disease, treatment prescribes complete abstinence from food in the first 1-3 days of exacerbation. In this case nutrients served by drip into a vein. You can consume still water and rosehip infusion, but not more than 1 liter per day. When remission begins, the menu is added as described above.

Important. How long should you follow a diet for pancreatitis? In acute forms of the disease, the diet must be followed for 2 to 6 months, including the period of treatment. In case of chronic pancreatitis, the diet should be followed for life.

Nutrition for pancreatitis of the pancreas: menu for the week

Very important for effective treatment follow the diet. For patients with gastroenterological diseases, five meals a day are usually prescribed. The menu for pancreatitis may be as follows.

Breakfast (options):

  • beet salad, dried fruit compote or fresh fruit;
  • cottage cheese with milk, rosehip tincture;
  • steamed chicken egg omelet;
  • tea with biscuits or oatmeal cookies;
  • oatmeal with or without milk, jelly;
  • pumpkin porridge;
  • Buckwheat porridge with steamed cutlet.

Breakfast is the basis for the whole body. Therefore, nutritionists recommend starting the day with a carbohydrate-rich oatmeal.

Second breakfast (options):

  • boiled rice with raisins;
  • carrot salad (without vinegar);
  • baked apple, maybe with dried apricots;
  • carrot-pumpkin puree;
  • boiled beets;
  • beaten egg whites.

Lunch (options for first and second courses):

  • lean (vegetable) soup or borscht;
  • chicken soup;
  • rice with fish;
  • beef cutlets steamed or boiled lean meat;
  • casserole with cottage cheese;
  • steamed chicken cutlets;
  • Navy pasta with lean meat.

Afternoon snack (options):

  • fruit jelly;
  • roll with vegetables;
  • jelly;
  • fruit pudding;
  • baked potato;
  • sandwich with hard cheese and light butter;
  • bean or pea puree.

Dinner (options):

  • apple puree or yogurt;
  • rice with raisins;
  • matsoni and vinaigrette;
  • cauliflower stewed in water or pureed soup made from it, yogurt;
  • kefir;
  • omelette, fermented baked milk.

Important! The interval between meals should not be more than 3 hours. Systematic nutrition is already 80% of the success of effective treatment of gastroenterological diseases.

Recipes for pancreatitis of the pancreas

Below are the recipes simple dishes allowed for pancreatitis.

Oatmeal

100 g of oatmeal for two glasses of milk or water. The liquid is poured into the pan and brought to a boil, after which the oatmeal is added. Cook over low heat for 5-10 minutes. After which it is removed from the heat and left for 20-25 minutes.

Steamed omelette

Prepare like a regular omelette. Take 2-3 chicken eggs, beat them, add 30-50 ml of milk, pour the mixture into a hot frying pan and cover with a lid for 5-7 minutes. After which the omelette should be turned over, remove the frying pan from the stove and bring to readiness under the lid. After 7-10 minutes the omelette is ready.

Beet salad

Take the beet root, wash it thoroughly and place it in a pan. The root crop is filled with water so that it covers it by 2 fingers. The beets are cooked for about an hour.

Advice! You can check readiness by piercing it with a knife or fork; If the knife goes in easily, it means the beets are ready.

The finished vegetable should be cooled (it is best to boil the beets in the evening), to do this you can place it in cold water for 20-25 minutes. Then you need to peel it and grate it on a coarse grater. You can pour a little liquid low-fat sour cream or cream on top.

Liquid buckwheat porridge with steamed cutlet

For 100 g of buckwheat, 2.5 glasses of water. The cereal must be washed several times and filled with water. Put on fire and cook for 15-20 minutes until done.

Take 200 g of minced chicken without onions and form cutlets (4-5 pieces). You can roll them in semolina, after which they are placed in a double boiler. Prepare in 30-40 minutes. You can add water as needed, but then it will take longer to cook the cutlets.

Advice! If you don't have a steamer, you can cook the cutlets in a saucepan. To do this, 300-400 g of water is poured into the pan, and the cutlets themselves are placed in a colander, which is placed in a pan of boiling water and covered with a lid. Water should not touch the cutlets.

Cottage cheese casserole

To prepare it you will need:

  • 250 g cottage cheese;
  • 2-3 chicken eggs;
  • 1 tbsp. spoon of sugar;
  • 2.5 tbsp. spoons of semolina.

The cottage cheese is thoroughly mixed with the eggs, after which sugar is added. After mixing these ingredients, add semolina and mix until smooth. The resulting mixture should be left for 15-20 minutes. The oven is heated to a temperature of 180 degrees. The casserole takes half an hour to prepare.

Important! Cottage cheese, like oatmeal, are foods rich in slow carbohydrates, therefore they are not recommended to be eaten for dinner in order to avoid the development of obesity.

Bean puree

For 250 g of beans you will need one chicken egg, 30 g of butter and soy sauce to taste.

Secret! It is best to soak the beans the night before. Soaked beans cook much faster, and this approach also avoids flatulence.

The beans should be washed several times, removing everything unsuitable for food. Filled with drinking water, it needs to be soaked for 10 to 12 hours, and it is advisable to change the water every 2 hours. For 250 g of beans you need 750 ml of water. After the beans swell, they are washed with running water and transferred to a saucepan or saucepan, filled with drinking water in a ratio of 1:3. After the water boils, reduce the heat and cook the dish for 1.5-2 hours until cooked, depending on the type of beans. The liquid is drained.

You can grind the beans in a blender or meat grinder. After this, egg and butter are added to the puree. All this is whipped until smooth. Instead of salt, soy sauce is best. Can be served with a side dish or vegetable salad.

Even with chronic pancreatitis, you can sometimes afford favorite dish, the main thing is to do everything right

Note. This information will be useful for salty food lovers. It is worth giving up excessively salty foods for 10 days and replacing them with soy sauce or other products containing salt or having a salty taste, and a person will no longer crave excessively salty foods, because... receptors will sense the taste to the fullest.

Conclusion

Pancreatitis, whether acute or chronic, does not mean at all that the patient will be prescribed to eat only lean broths. Even with chronic pancreatitis, a patient can indulge in both barbecue and sturgeon, but it should be remembered that this can only be done during a period of stable remission and not every day. A diet for pancreatitis in adults can be not only healthy, but also tasty.

Pancreatitis is one of the most popular diseases of internal organs. It is treated not only with medications, but also special food, which includes diet No. 5p. The menu for a week for pancreatitis requires the exclusion of many foods, as well as a special method of preparing dishes. The goal of the diet is to normalize all functions of the pancreas.

What is diet No. 5p intended for?

Medical nutrition often used for pathologies of the liver, pancreas, intestines, stomach and bile-forming organs. The food system here requires the consumption 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 food consumed.

Diet No. 5p (weekly menu for pancreatitis) was developed in 1920 by general practitioner M.I. Pevzner and has not lost its relevance at present. It is prescribed for exacerbation of pancreatitis. She is able not only to provide the patient good nutrition, but also to normalize the functions of the pancreas. Positively affects bile secretion and liver. Promotes the accumulation of glycogen, relieves cholesterol and fat metabolism. Stabilizes the functioning of the gastrointestinal system.

Features of preparing dishes at table No. 5p

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

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

Food should be taken warm. Cold and hot foods are contraindicated.

Indications for dietary nutrition

Diet No. 5p (weekly menu for pancreatitis) is indicated for patients with acute and chronic pancreatitis, after therapeutic fasting, during a period of unstable remission.

Principles of dietary table No. 5p

Diet No. 5p is intended to stabilize the functioning of the pancreas. It spares the stomach and intestines as much as possible, relieves pain, and reduces the reflex excitability of the bile organ. When observing this, the following principles must be adhered to:

  • before the diet you need to fast for 3 to 7 days;
  • the eating regimen 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 everything necessary for the body vitamins and minerals;
  • all food should be semi-liquid and ground;
  • temperature regime of ready-to-eat dishes is 20-25 °C;
  • the consumption of fats and carbohydrates is reduced to a minimum.

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

Diet No. 5p: chemical composition

Diet No. 5p must have daily calorie content 1700-2500 kcal. The menu allocates 50 g for carbohydrates, 70 g for fats, and 100 g for proteins. Consume no more than 10 g of salt per day.

Allowed foods

Diet No. 5p requires compliance with all the necessary rules. It is recommended to take vegetable soups here, with the addition of cereals. You can't add frying to them. You are allowed to eat buckwheat, rice, noodles, oatmeal and semolina. The bread should be yesterday's wheat, from 1-2 grade flour. You can use unsweetened cookies.

Vegetables are eaten boiled or grated. Allowed to use lean meat and low-fat fish. You can eat soft-boiled eggs, as well as steamed omelettes, but not more than once a day. All porridges are prepared with low-fat milk or water. Baked and chopped apples, low-fat dairy products and dishes made from them are allowed.

Diet No. 5p also includes boiled vermicelli in the diet. The sample menu involves the use of fruits and berries. They can be eaten in the form of jelly, raw - pureed or baked. With this diet, they drink tea with lemon, not very strong, or rosehip decoction, diluted with water natural juices no added sugar. Allowed vegetable oil- 15 g per one dish, as well as creamy - no more than 30 g per day.

Banned foods

Diet No. 5p has many restrictions on food. Foods that are prohibited to eat when treating pancreatitis are the following:

  • fatty meat and fish broths;
  • any alcohol, as well as strong tea and coffee;
  • cold, hot and carbonated drinks;
  • smoked products, sausages and frankfurters;
  • freshly baked and rye bread;
  • fish caviar;
  • radishes, turnips, radishes, sorrel and spinach;
  • fermented milk products, including yogurt;
  • flour products;
  • sour and spicy dishes;
  • mushrooms in any form;
  • salted and pickled dishes;
  • dairy products with big amount fat;
  • canned food;
  • sweets;
  • citrus;
  • grape juice;
  • fast food, chips, nuts and crackers.

Despite the prohibitions of many foods, diet No. 5p (table) is very effective in the treatment of pancreatitis. What you can and cannot eat - this was discussed above, and then we'll talk about the menu for 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 pancreatitis - No. 5b.

In diet No. 5a, the daily calorie intake should not be more than 1700 kcal. All food is liquid and pureed. Foods that can stimulate the secretory function of the pancreas are prohibited. This diet lasts about a week.

In diet No. 5b, calorie content increases 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 pureed.

Diet No. 5p: weekly menu for pancreatitis

During the week, if pancreatitis worsens, the menu should be as follows.

Monday. In the morning, for breakfast: a steamed omelet made from one yolk and two whites, plus a decoction of rose hips. For the 2nd breakfast they eat baked pear. At lunchtime - borscht, meatballs made from lean fish, and boiled rice. In the afternoon, it is recommended to have a snack with crackers and drink a glass of milk. Dinner includes boiled chicken breast, Hercules porridge and weak black tea. Before going to bed, drink 250 g of low-fat kefir.

Tuesday. Morning: manna with raisins plus pudding with berries and low-fat cottage cheese, as well as tea with low-fat milk. 2nd breakfast: boiled rice and cabbage. For lunch we recommend vegetarian soup, for main course: cabbage rolls with boiled meat. Drinks include jelly made from berries. Afternoon snack: low-fat cottage cheese and compote made from dried fruits. In the evening, for dinner, prepare rice porridge with low-fat milk and drink a glass of mineral water. Before bed: 250 g of carrot juice.

Wednesday. In the morning: cheesecakes with dried apricots, plus cheese and rosehip tea. During the 2nd breakfast, eat buckwheat porridge with apple juice. For lunch they serve beef cutlets with pumpkin puree and green tea. Rice pudding is perfect for an afternoon snack. In the evening they eat vegetable casserole and boiled chicken fillet, drink weak tea. Before bed: berry juice with unsweetened cookies.

Thursday. In the morning: steamed omelette of two whites and 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 and rice soup are prepared and served tomato juice. At midday they eat berry jelly and drink unsweetened tea. Dinner is 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 lean fish with zucchini and cauliflower. You can add fresh fruit and unsweetened tea. For an afternoon snack, a warm carrot salad plus berry jelly is offered. You can have dinner with a bowl of cottage cheese and buckwheat, and also drink green tea. 2nd dinner: 250 g of milk with crackers.

Saturday. For breakfast: curd pudding and a glass of milk. For the 2nd breakfast there is carrot puree with jam. Lunch consists of vegetarian borscht, steam cutlets made from turkey, and weak tea with lemon. For an afternoon snack, berry jelly is recommended. For dinner - macaroni and cheese soup, pumpkin salad with apples and tea with one spoon of honey. Before bed - 250 g of fermented baked milk.

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

Unprocessed food option: one day's menu

As soon as the pain begins to subside, you can introduce unprocessed foods into your diet. An approximate menu will look like this:

  • Breakfast. Loose buckwheat plus vinaigrette without adding pickles and sauerkraut. Boiled pureed meat. Semi-sweet tea is recommended as a drink.
  • 2nd breakfast. Tea with cookies and some prunes.
  • Dinner. Soup made from permitted vegetables. Boiled potatoes with a piece of boiled chicken. For dessert - an apple and weak tea.
  • Afternoon snack. Low-fat homemade cottage cheese and compote made from dried fruits.
  • Dinner. Vermicelli with boiled fish and tea.
  • Before going to bed. Tea with milk and one cracker.

Two days after an exacerbation of pancreatitis, doctors advise drinking warm mineral water (“Borjomi” or “Slavyanskaya”) up to one liter per day. A rosehip decoction will be useful. From the third day, if the patient’s well-being has improved, liquid porridges and mucous soups are administered, as well as vegetable purees and jelly.

Diet No. 5p according to Pevzner

The Pevzner diet suggests using the following menu when the symptoms of exacerbation of pancreatitis subside:

  • Breakfast. Mashed buckwheat or rice porrige, 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 snack. Protein steam omelette plus rosehip decoction.
  • Dinner. Rubbed buckwheat, curd soufflé.
  • Second dinner. A glass of mineral water with crackers.

The Pevzner diet does not involve the use of salt, but daily dose sugar is 20 g.

Diet No. 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 with 300 g of water, salted and simmered 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, chop the onion and grate the carrots. Vegetables are placed on top of the fish, everything is sprayed lemon juice and sprinkle with salt. The fish and vegetables are wrapped in foil and stewed in the oven until cooked.

These recipes for diet No. 5p for every day will help diversify your 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 medications, but also with appropriate nutrition. Doctors advise you to take diet No. 5p with all responsibility. Do not indulge in sweets without a doctor’s prescription, as consuming sugar in quantities 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 bed, in small sips. All food should be ground, coarse pieces will be irritating internal organs. Parsley and dill are allowed from greens.

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

Pancreatitis is called inflammatory process in the pancreas. There are acute forms and chronic forms of the disease. In this article we will look at the second option.

Etiology of the disease

We eat tasty and healthy

Reasons for the appearance of this disease are liver diseases, as well as gallbladder, overconsumption fatty foods, viral infections, operations on the pancreas (organ), trauma, as well as psychogenic effects - stress, nervous tension, spasmodic vessels and ducts of the gland. But most common cause disease is the use of alcohol along with generous intake food.

Symptoms

Due to changes in the acidity of the environment in the small intestine (shift to the acidic side), the patient experiences heartburn. The most characteristic symptom in chronic pancreatitis there is pain in upper area abdomen, the pain can also be girdling. The pain intensifies after eating spicy, fatty or fried foods. Therefore, for a chronic disease, it is necessary to prescribe a special one.

Diet


Therapeutic fasting

In case of exacerbation, a diet is prescribed, therapeutic fasting and alkaline mineral water. During the period of remission, the energy needs of the body must be covered and specific ratios of fats, proteins and carbohydrates and increased doses of vitamins must be provided.

The amount of protein in the diet should be 100-120 g per day (preference should be given to animal protein (at least 60% of the total)). Sources can be the following dishes: low-fat cutlets and meatballs from rabbit meat, turkey or steamed chicken, or simply boiled meat, non-acidic low-fat cottage cheese, low-fat fish. The diet involves reducing the amount of fat in the diet to 70-85 g per day. If exceeded daily norm Enzyme preparations are required. The diet also limits carbohydrate intake to approximately 300-330 g per day (chocolate, carbonated drinks and ice cream, as well as fresh wheat bread are excluded).

What fats can you eat? Butter(up to 40 grams per day), refined vegetable oil (sunflower) (up to 20 grams per day), a small amount of sour cream or cream.


Diet meat
  • lean meat (rabbit, chicken, turkey), low-fat cottage cheese, low-fat fish;
  • cereals that contain a small amount of fiber (for example, rice porridge made from polished rice), semolina, boiled cereals on the water; buckwheat and wheat porridge in limited quantities;
  • vegetables (pumpkin, potatoes, carrots, zucchini, cauliflower, tomatoes, bell peppers. Red and white cabbage, beets, radishes and radishes in small quantities);
  • fruits (unsweetened apples, baked pears, bananas, strawberries, watermelon, tangerines, pomegranate, dried blueberries, cherries, strawberries. You should limit your consumption of raspberries, peaches, apricots, plums, cherries, grapes, gooseberries, blackberries, dried apricots and raisins);
  • soups made from potato broth or broth from chicken breast. You should not eat okroshka or cabbage soup;
  • you can eat dried rye or wheat bread;
  • jelly, weak tea with milk, fruit juices, rosehip decoction.

Unhealthy food for pancreatitis
  • fresh bread, filled pastries, cookies, pasta and flour products;
  • fat meat;
  • fatty fish and fried fish;
  • canned food, sausages, smoked products;
  • margarine, lard;
  • pulses: peas, beans, chickpeas, lentils. Young green beans allowed in small quantities;
  • curd masses, full-fat cottage cheese and yogurt with high content fat;
  • hard-boiled chicken eggs;
  • mushrooms;
  • dishes with a lot of spices;
  • carbonated drinks and alcohol;
  • caffeinated drinks.

With chronic pancreatitis, you should eat small meals five to six times a day to avoid overeating and excessive stress on the gland. The diet involves preparing dishes from fresh products. Meals are recommended to be taken at the same time every day.

Pancreatitis of the pancreas is a fairly common occurrence. Distinctive feature this disease is sharp pain in the stomach and disruption 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 food products. They help the treatment process without causing harm to the body.

The effectiveness of diet for pancreatitis


Chronic pancreatitis and its acute forms cause great discomfort to the entire body. Symptoms of this disease include acute abdominal pain, weakness, nausea and vomiting.

In case of pancreatitis of the pancreas, adherence to therapeutic diet - Necessarily. Therapeutic nutrition allows you to relieve pain, put things in order digestive system and improve the functioning of the gastrointestinal tract.

Diet effectiveness is that the proposed menu and special food products 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 therapeutic fasting. It should begin immediately after identifying the symptoms of this pancreatitis of the pancreas. You need to fast for 2-3 days (depending on pain syndrome) and then start a diet.

Fasting is beneficial for pancreatitis Oh, because when you eat food, there is a heavy load on the body. This causes inflammation and pain in the stomach area. That's why this method getting into a diet is so important and effective.

Diet Table No. 5 for pancreatitis is based on the consumption of certain foods. Menu and diet this method treatment of 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. need to drink constantly pure water, decoctions, green tea);
  4. eat food in liquid or creamy form (mashed potatoes, jelly, 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 your diet small portions of food that do not stimulate increased production gastric juice(dried bread, unsweetened bagel - in small quantities).

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

The menu and food intake for this diet are more strict. Light broths and porridges are acceptable. All this must be accompanied drinking plenty of fluids teas and clean 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): steamed cutlets, soufflé
  • steamed or boiled fish;
  • cereals: buckwheat, rice, semolina, oatmeal;
  • milk: kefir, fermented baked milk or yogurt 1-5% no more.
  • eggs (soft-boiled), but consume in small quantities.
  • baked or steamed vegetables;
  • fruits baked or in the form of compotes;
  • from sweets: jelly, marshmallows;
  • bread (white dried - consumed in small quantities);
  • drinks (tea, pure water, decoctions).


So, diet for pancreatitis of the pancreas, what not to eat:

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

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

The chronic diet 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.

During exacerbation pancreatitis of the pancreas, the 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 make his work easier with the help of a specially designed “lightweight” menu.

Sample menu and diet for the week


Daily norm calories in the treatment of this disease should be - 700-800 calories.

  • Consumption of foods containing fats - 0;
  • Amount of carbohydrates - up to 200 g;
  • Protein intake - up to 15 g.

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

During treatment acute form pancreatitis, the diet and the menu included in it have their own characteristics.

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

Sample diet menu for pancreatitis for 7 days as follows:

Meals are described for the whole day:

1-2 days

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

3-4 day

  • oatmeal or rice broth;
  • mashed potatoes without oil (potatoes);
  • liquid porridge (semolina, oatmeal, buckwheat);
  • dried bread - no more than 30 g.

5-6 day

  • steamed omelette;
  • curd soufflé (0-1.5% fat);
  • light soup;
  • vegetable puree
  • For dessert, vegetable puddings or pureed apples are allowed
  • green tea.

Day 7

  • oatmeal;
  • cottage cheese soufflé (low-fat);
  • steamed vegetables;
  • light puree soup
  • 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, it was developed special diet"Table No. 5."

Eating food using this method of Table No. 5 should include more products steamed.

The focus of the diet “Table number 5” and the method of treatment are to exclude from the diet foods that stimulate the production of pancreatic fermentation.

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

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

  1. steamed omelette, toasted slice of bread and tea;
  2. buckwheat porridge with boiled zucchini.
  3. a little oatmeal and 100 g of boiled beet 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 steamed fish;
  3. vegetable soup and a slice of dried bread;
  1. steamed omelette, rosehip tea;
  2. boiled chicken, vegetable puree, dried slice of bread;
  3. apple souffle.
  1. oatmeal, low-fat cottage cheese, green tea;
  2. steamed vegetables and fish (low-fat);
  3. steam omelette.
  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 food recipes


The diet for pancreatitis of the pancreas is strict and not particularly varied. However, this is not a reason to be discouraged. Exist various ways, how to enrich the menu of Table number 5.

So, useful menu recipes 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.

Mix all the ingredients. We make small balls from the resulting minced meat. We put them in a steamer, 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 this, the resulting consistency must be rolled out. Next, we chop the noodles. After this, cook the resulting noodles in milk.

Steamed egg white omelette



Steamed egg white omelette