Diet for pancreatitis Table 5. Menu for the week

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Inflammation of the pancreas is an extremely painful process that occurs due to various reasons. An acute attack can be triggered by certain medications, poisoning, allergies, abdominal injuries, infections, frequent overeating, and pregnancy.

Inflammation of the pancreas is an extremely painful process that occurs due to various reasons. An acute attack can be triggered by certain medications, poisoning, allergies, abdominal injuries, infections, frequent overeating, and pregnancy.

Chronic pancreatitis becomes a complication of problems such as:

• gastrointestinal diseases;
• vascular diseases;
• diabetes;
• hypertonic disease.

The attacks are accompanied by very severe pain in the abdominal area. Diarrhea, nausea, vomiting (with bile), sudden jumps in blood pressure, bluish skin, and flatulence are often observed in parallel.

Undoubtedly, pancreatitis greatly impairs the quality of life, because it reduces the absorption of nutrients necessary for the normal functioning of the body, and therefore negatively affects overall health.

The essence of table number 5p

For pancreatitis, 2 Pevzner tables are prescribed. In the acute form of the disease (without complications), during the first 2-4 days they adhere to diet number 0 - fasting. If the patient's condition improves, they move on to diet number 5.

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If the patient becomes worse or complications of the underlying disease develop, eating is contraindicated.

Table 5 p is prescribed to patients with pancreatitis in order to reduce the production of enzymes by the pancreas. The affected organ actively produces secretion with an increased enzymatic composition. It is dangerous because it can destroy gland tissue, less often than other organs, which causes severe and irreversible consequences both for the pancreas and for the body as a whole.

The diet is characterized by a high concentration of protein in the diet, but a reduced content of carbohydrates (especially sugar) and fats. The consumption of cholesterol-containing foods, essential oils, foods with extractive substances, purines, refractory fats, and coarse fiber is sharply limited.

Dietary food can be prescribed in 2 options. The choice depends on the general condition of the patient, the affected pancreas (prevalence of the lesion), the presence of concomitant pathologies (cholecystitis and/or cholelithiasis, insufficiency of the functions of other organs and systems).

The essence of the 5p table comes down to minimizing damage to the pancreas and other organs, stimulating restoration processes in the body, and restoring gland function.

Chemical composition of the diet for inflammation of the pancreas for a day:

• energy value of consumed products (calorie content) – 2600 kcal (kilocalories);
• carbohydrate content – ​​350 g;
• sugar consumption – up to 40 g;
• protein content - up to 120 g, but not less than 70 g. 60% should be animal proteins;
• proportion of fats – 70-90 g. 20% should be vegetable fats;
• salt consumption is limited to 10 g;
• It is recommended to drink 1.5-2 liters of liquid.

Important! The calculation is given for the average person who is not exposed to significant physical activity.

5 p first part

Dietary nutrition is prescribed from 3-4 days after the patient’s condition has improved and the enzymatic activity of the secretion of the affected organ has decreased. At this time, there is a decrease in clinical symptoms (pain symptoms, organ failure, disruption of the digestive tract, etc.).

The first part (1st option) of the diet has a low energy level. Proteins predominate, the proportion of carbohydrates and fats is reduced.

The patient should eat small meals often.

The recommended frequency of meals is 5-6 times/day. Considering the time range, the patient needs to eat every 3-4 hours. The consistency of the food should be semi-watery or watery.

You need to follow this table until your condition improves significantly or until pancreatitis enters the chronic stage.

Important! There are restrictions on the temperature of food - it should not be hot or cold.

5 p second part

The diet is less rigid than the previous version. It is prescribed after a noticeable improvement in the condition (minimization of clinical manifestations of pancreatitis) or chronic pancreatic disease.

The use of the second part of the table number 5 p comes down to maintaining stable functioning of the gastrointestinal tract, reducing the rate of pancreatitis, and preventing complications.

The diet allows you to speed up the recovery processes in the gland and stabilize the level of enzyme secretion.

The calorie content of the food is not high. The diet limits the content of fats, carbohydrates, essential oils, and salts. The concentration of proteins, vitamins, substances that improve the function of the liver, pancreas, gall bladder, and intestines has been increased. Avoid eating fried foods and foods that cause increased formation of gases that enhance fermentation processes in the intestines.

Indications

The main indication for prescribing dietary table number 5p according to Pevzner is the chronic course of pancreatitis (inflammation of the pancreas) or the period of stabilization of a patient with an acute form of the disease.

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Diet helps relieve the following symptoms of the disease:

• stomach ache;
• malaise;
• general weakness;
• cardiopalmus;
• disorders of the gastrointestinal tract.

The first part of the diet is applicable for the treatment of convalescent patients, patients with a tendency to transition from acute pancreatitis to chronic. The second part is used in the treatment of patients with chronic disease.

Pros of diet for pancreatitis

The pancreas produces enzymes that are released into the duodenum and participate in the process of digesting food. With pancreatitis, due to such provoking factors as alcohol abuse, exacerbation of cholelithiasis, the outflow of pancreatic juice does not occur, and enzymes begin to act directly on the gland, i.e. the process of self-digestion begins.

The disease is characterized by acute pain in the area where the gland is located, accompanied by nausea and vomiting. Table No. 5 excludes difficult-to-digest foods to ease the work of the inflamed organ.

If the patient does not comply with the diet, salty and fatty foods irritate the gastric mucosa and increase the level of acidity, and since the gland does not work fully, food is poorly digested and takes a long time, and the patient’s well-being worsens.

Some patients suffer from a shortage of tasty, but harmful foods, which can not be completely excluded, you just have to learn how to prepare them correctly.

Table No. 5 allows people who are obese to lose weight. Patients who strictly adhere to the diet lose up to 5 kg per week.

Contraindications

Compliance with the 5 p diet in any form is strictly contraindicated in case of kidney disease:

• glomerulonephritis;
• pyelonephritis;
• glomerulonephritis;
• any form of renal failure (acute, chronic).

Table 5p will have to be abandoned if hepatitis activates (transformation from chronic to acute).

This is due to the increased load on the organ, which is unable to cope with lost food, especially its protein content.

The presence of constipation due to insufficient fatty acids in the diet or intestinal dysfunction is an indication for stopping the diet.

5p table is prohibited when:

• the presence of intestinal diverticula (pouch-like protrusions of the intestinal wall);
• polyps in the intestines or stomach;
• oncological diseases;
• organic pathologies of the intestine, disorders of the regulation of its work on the part of the nervous system;
• after removal of a significant amount of intestines or stomach.

Diet rules

All diet dishes should be boiled, baked or steamed. It is prohibited to eat food prepared in any other way or prepared using combined cooking products (for example, frying and then baking).

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Food should not injure or irritate the organs of the gastrointestinal tract - it should not be hard or dry, its temperature should be within 23-35 ⁰ C (thermal sparing method). Harsh, too hard foods that can damage the walls of the digestive tract are prohibited.

Purine-containing products (smoked meats, wild bird meat, duck, goose, animal entrails) and foods rich in oxalic acid (spinach, rhubarb, lemons, leeks, sorrel, sprouted wheat grains, peanuts, parsnips) are excluded - a method of chemical sparing.

Foods rich in fiber (vegetables, a number of fruits) should be ground or crushed in a blender, ground in a meat grinder - a method of mechanical sparing. In patients with pancreatitis, fiber has a negative effect on the digestive tract, because. excessively irritates the intestinal walls.

Since sugar consumption is limited, it is recommended to use sweeteners. They do not load the pancreas, which speeds up its recovery.

Sugar can be replaced:

• xylitol;
• sorbitol;
• fructose;
• steviositis;
• erythritol;
• aspartame;
• sucralose;
• saccharin.

The diet should only be prescribed, modified or discontinued by a physician. It is forbidden to resort to it yourself, change it, violate the regime or stop following the therapeutic diet. Otherwise, there is a high probability of developing a health-threatening condition.

The components of the dietary table are selected by the doctor in accordance with the patient’s taste preferences. You can eat the same foods several times a day. The main thing is not to deviate from the recommended daily dosage of proteins, fats, carbohydrates, salt, and water balance.

For chronic pancreatitis, it is recommended to perform special exercises. Since energy is spent on their implementation, the caloric intake of the diet can be changed. You must notify your doctor about performing a set of exercises. If necessary, he will adjust the diet.

We recommend watching a video from therapist Natalya Nikolaevna Chainikova, who will talk about the variety of diet 5 according to Pevzner and give examples of permitted and prohibited foods.

General rules of the “5th table” diet

The developer of a complex of diets for patients with various diseases was nutritionist and gastroenterologist M.I. Pevzner, who outlined a list of permitted and prohibited foods for each disease.

The characteristics of the diet according to Pevzner “Table number 5” are as follows:

1. Eating food with a normal content of proteins and carbohydrates.
2. Reduction or complete refusal (depending on the degree of pathology) from fat-containing foods.
3. Using boiling, stewing, baking in cooking. Ingredients with a lot of fiber should be pureed or finely chopped.
4. Prohibition on eating cold foods (aspic, jelly, ice cream, etc.).
5. Exclusion from the diet of foods high in oxalic acid and purines.
6. Moderate salt intake.

You need to eat 5 times a day in small portions. In the morning, before breakfast, it is recommended to drink a glass of water.

For cholecystitis

In case of chronic cholecystitis, the following food intake rules are observed:

1. Eat at the same time at least 5 times a day to stimulate the flow of bile.
2. Take more than 700 g of food at a time, no more than 3.5 kg per day.
3. Drink about 2 liters of liquid per day (including tea with lemon).
4. Avoid foods that contain complex carbohydrates.
5. Boil or steam food.
6. Do not eat too hot foods.

For cholelithiasis

Diet 5p is a variation of table No. 5 and is recommended for diseases of the gallbladder and pancreas.

Diet features:

• do not overeat or starve, eat according to the clock;
• do not use spices and seasonings when cooking;
• limit consumption of simple fats;
• include permitted fruits and vegetables in the main diet;
• Avoid fried foods completely.

After gallbladder removal

If the gallbladder is removed, you must adhere to the 5a diet, the features of which are:

• reducing to a minimum the amount of fat consumed;
• chopping prepared foods (cutting them into small cubes, grating them or grinding them in a blender);
• excluding mushrooms, fatty fish and meat, legumes from the diet;
• a ban on ready-made store-bought sauces (mayonnaise, ketchup, mustard, horseradish, adjika);
• eating boiled vegetables.

Authorized Products

Nutrition should be based on recommended products. They are not only healthy, but also have good taste. You can combine them and prepare a variety of dishes with them. We provide a table of the groups of foods allowed for regular consumption for pancreatitis (included in the first and second types of diet number 5 p).

Products should be low-fat and non-acidic. It is recommended to puree vegetables. Fruits can be consumed finely chopped, grated, or in puree form. Carbonated drinks and water are prohibited. All juices must be diluted with water in a juice/water ratio of 60/40%. Low-fat varieties of meat and meat products are recommended.

Answers to frequently asked questions

Is it possible to eat dumplings?

You can eat dumplings in small quantities and no more than 1-2 times a month. The dish must be made from premium flour and minced lean lean beef or lean chicken. You can serve a little low-fat sour cream with the dumplings.

It is prohibited to use hot seasonings. It is contraindicated to eat dumplings with fatty sauces, mustard, and vinegar.

Includes table number 5 honey?

Due to the minimal sugar content in the product (1-4%), honey is an alternative to traditional sugar and sweetener substitutes. The high content of fructose and glucose in the product allows you to reduce the load on the secretory system of the pancreas and speed up its recovery.

Is monastery tea effective in treatment?

The exact composition of tea is unknown; each manufacturer makes amendments to the recipe. Scientific medicine is skeptical about such products. Their effectiveness is questionable. Therefore, it is impossible to recommend drinking monastery tea.

We invite you to watch a video from Dr. Evdokimenko, who will talk in more detail about nutrition for pancreatitis.

Foods that should be included in diet No. 5

Diet 5a is universal in that it is suitable for therapeutic nutrition for both adults and children. The basis should include only healthy and easily digestible foods:

1. Chicken, turkey, rabbit or beef. This meat is considered dietary, it is easy for the stomach to digest and it carries the necessary protein to maintain a healthy body.
2. Fish is a source of calcium, but with pancreatitis it is important that it be lean, that is, with a minimum amount of fat. These species include pike, pike perch, pollock, hake, and notothenia.
3. Low-fat cottage cheese, kefir, yogurt. It is better to buy dairy products with a certain fat content in the store, because homemade preparation does not guarantee a certain amount of fat. But you should pay attention to expiration dates, since expired dairy products can do much more harm than good from fresh ones.
4. Porridge. Among the cereals that should be included in table number 5 are rice and buckwheat, oatmeal, and semolina. They can be combined with each other. You can also add a small amount of butter.
5. Soups. The main thing in diet five soups is to prepare dishes with a light broth, that is, rich liquids should never be used due to the large amount of gelatin. An excellent option would be rice soup, milk soup with pasta, buckwheat or green peas.
6. Vegetables. Almost all vegetables can be consumed on diet 5b, except cabbage, garlic, and pepper. But they must undergo heat treatment. Only boiled potatoes, zucchini, carrots, onions, pumpkin, and beets can be eaten.
7. Fruits are also best consumed in the form of compotes and mousses. Sweet varieties of apples, apricots, cherry plums, raspberries, and blueberries are allowed. But do not lean on berries with small grains, such as strawberries, raspberries, currants, and gooseberries.
8. Stale bread and diet cookies. They take only yesterday's bread, preferably from gray varieties of wheat without bran. To somehow sweeten the tea party, they use biscuits.

Prohibited Products

Both types of dietary table include prohibited foods. In the first version of the 5p table there are more of them, the second type is softer.

Prohibited foods for the first part of the diet:

The second part of the dietary table number 5p according to Pevzner is inferior to the first in terms of restrictions. The diet allows you to eat:

• bananas;
• low-fat milk soups;
• finely chopped fruits;
• boiled and/or steamed chopped vegetables.

For any type of diet, it is prohibited to consume alcohol in any form, coffee and caffeine-containing products.

Weekly menu for adults

By following dietary table number 5p, you can eat a balanced and tasty diet. Your diet can be tailored to suit your individual taste preferences. Before planning a diet, it is recommended to consult a doctor or nutritionist.

We present to your attention an approximate menu for a week for the average adult:

Monday:

• breakfast - oatmeal soup, crackers with low-fat milk;
• 2 breakfast - low-fat cottage cheese, cocoa with milk;
• lunch – vegetable soup, chicken fillet, vegetable puree, juice diluted with water;
• afternoon snack – crackers, baked apple, still mineral water;
• dinner - steamed protein omelet, mashed potatoes, weak black tea;

Tuesday:

• semolina in water, weak black tea, baked apple with low-fat cottage cheese;
• lunch - fruit puree, ½ glass of low-fat cow's milk with crackers;
• lunch – beef roll, potato soup, juice with water;
• afternoon snack – grated vegetable salad (carrots, beets), compote;
• dinner - buckwheat porridge, meatballs, vegetable caviar, ½ glass of low-fat milk;

Wednesday:

• 1 meal – baked pie with cottage cheese, semolina porridge with milk, weak black tea without sugar;
• Meal 2 – oatmeal or Hercules;
• Meal 3 – creamy soup with cheese, vegetable stew, steamed beef dumplings;
• Meal 4 – grated vegetable salad;
• Meal 5 – baked boneless hake, boiled buckwheat porridge, vegetable stew;

Thursday:

• breakfast - low-fat cottage cheese with raisins, 2 pancakes with cottage cheese (dietary pancake recipes), cocoa with milk;
• Meal 2 – baked apple with cottage cheese, weak green tea without sugar;
• lunch – chicken fillet, boiled rice porridge, pumpkin pudding, juice diluted with water;
• afternoon snack – cocoa with milk, dry biscuit;
• Meal 5 – boiled buckwheat porridge, baked pollock with vegetables, weak green tea;

Friday:

• breakfast – protein omelet, boiled vegetable salad, juice to taste, diluted with water;
• Meal 2 – salad of apples, peaches, raisins;
• lunch – rice soup, baked flounder, weak unsweetened black tea;
• afternoon snack - pudding with apple;

Saturday:

• breakfast - semolina porridge with low-fat milk, baked apples with cottage cheese, weak green tea;
• lunch – salad of boiled vegetables with sunflower oil;
• 3rd meal – soup with noodles and lean beef, beef dumplings, juice diluted with water;
• afternoon snack – grated apples with honey;
• Meal 5 – chicken fillet with baked vegetables, egg white omelet, compote;

Sunday:

• 1 meal – boiled buckwheat porridge with chicken fillet or breast, baked apple with cottage cheese, cocoa with milk;
• lunch - fruit salad;
• lunch – steamed hake, mashed potatoes, vegetable soup, dried fruit compote;
• Meal 4 – cottage cheese casserole with apples and raisins, diluted juice;
• dinner - mashed potatoes, lean lean beef roll, pudding with apples and pumpkin, weak green tea.

Table of foods for pancreatitis

The diet contains clear instructions about what you can and cannot eat. It is necessary to strictly adhere to the table of permitted and prohibited products, without allowing any concessions.

Authorized Products

The table of recommended foods and dishes for exacerbation and chronic form of pancreatitis is as follows:

Fully or partially limited products

The table lists dishes and products that are prohibited in case of pancreatic dysfunction:

Some foods can only be eaten in small quantities and no more than 2 times a week. These include boiled sausages, bananas, pomegranates, candied fruits, nuts, and soy sauce.

Menu for children

For a child, nutrition is selected together with a pediatrician, gastroenterologist, and nutritionist. The protein content in products should exceed that in the menu for adults, since the patient continues to grow, and proteins are the main “building” material for the body.

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Here is an example of a menu for every day (it can be adjusted in accordance with children's taste preferences):

Monday:

• breakfast – buckwheat soup, sweet crackers, milk cocoa;
• 2 breakfast – baked apple with cottage cheese;
• lunch – soup with lean chicken, vegetable pudding;
• afternoon snack – sweet cracker, diluted juice;
• dinner – steamed chicken fillet, steamed vegetables with potatoes, low-fat milk;

Tuesday:

• 1 meal – milk rice porridge, protein omelet, low-fat milk;
• lunch – dry biscuit, honey, cocoa;
• lunch – beef dumplings, cream cheese soup, tea;
• afternoon snack – baked apples;
• dinner – vegetable stew or puree, steamed chicken fillet, sweet cracker, milk;

Wednesday:

• breakfast - pudding with fruit, milk rice soup, milk;
• Meal 2 – fruit puree;
• lunch – soup with lean chicken, vegetable salad, steamed chicken dumplings;
• Meal 4 – fruit puree;
• Meal 5 – baked cod, vegetable stew or puree;

Thursday:

• breakfast – cottage cheese casserole with apples, cocoa with milk;
• Meal 2 – banana mousse, low-fat milk;
• lunch – chicken meatballs, buckwheat soup, dry biscuit, compote;
• Meal 4 – milk, cottage cheese pie;
• dinner - mashed potatoes, baked or steamed hake, diluted juice;

Friday:

• 1 meal – protein omelet, baked vegetables, low-fat milk;
• lunch – dry biscuit with honey, juice;
• lunch – vegetable soup, baked hake, weak black tea;
• afternoon snack - fruit pie;
• dinner - protein omelet, boiled porridge, low-fat milk;

Saturday:

• breakfast - milk soup, fruit pie, weak black tea;
• Meal 2 – cottage cheese casserole with fruit; quick recipes for cottage cheese dishes
• Meal 3 – cream cheese soup, boiled chicken fillet, low-fat milk;
• afternoon snack - vegetable pie;
• Meal 5 – chicken meatballs, vegetable stew, juice;

Sunday:

• breakfast – milk soup with noodles, cottage cheese casserole, cocoa;
• lunch – dry biscuit or low-fat cottage cheese;
• lunch - baked cod, vegetable or rice soup, boiled porridge, diluted juice;
• Meal 4 – cottage cheese pie, baked apples with cottage cheese;
• dinner - vegetable stew, boiled chicken breast, noodle casserole (recipes for delicious cottage cheese casserole), diluted juice.

How to correctly create a menu for table No. 5?

To properly compose your diet, you need to know what components should be included in the daily menu:

• Products containing lipotropic substances (choline, lecithin, methionine). These substances are found in cottage cheese, eggs, kefir, milk, oatmeal and lean beef.
• Foods containing a sufficient amount of fiber are, first of all, vegetables and sweet baked fruits, as well as cereals.
• You must drink at least 2 liters of liquid per day. We are talking about clean water without gas.

It is important to adhere to the following rules when creating a menu for every day:

• As first courses, you can prepare a variety of vegetarian soups (vegetable, cereal, pasta, dairy, fruit).
• For the second course, dishes made from lean meat (rabbit, beef, veal, chicken, turkey) and fish (hake, smelt, cod, pike, navaga, pike perch, sea bass) are allowed.
• For breakfast and dinner you can prepare dishes from eggs, cereals, pasta, and vegetables.
• Salads dressed with high-quality vegetable oil are good as appetizers.
• Allowed drinks are tea, rosehip infusion, vegetable juices, and weak coffee.
• Oil is added to dishes little by little as a dressing. You can use olive, refined sunflower and butter.

The number of daily approaches to the table should be five to six. A person should not feel hungry. Food should be consumed slightly warmed. Very hot and cold foods should be avoided.

Diet for concomitant diseases

Pancreatitis is often accompanied by other diseases - cholecystitis (with or without cholelithiasis), cirrhosis of the liver.

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For cholecystitis

For cholecystitis (with/without gallstones), it is recommended to prescribe diet number 5 according to Pevzner. Nutritional value of the table per day:

• proteins – 100 g;
• fats – 80-90 g;
• carbohydrates – 400-450 g;
• calorie content – ​​2.8-3 thousand kcal.

For cirrhosis of the liver

For liver cirrhosis, you need to follow a modified 5 diet according to Pevzner. It eliminates salt, reduces the patient's fat intake by a third, and increases the intake of carbohydrates and fats (except for decompensated cirrhosis). Decompensated disease requires a reduction in protein intake to 20 g/day. You can read more about the diet for liver cirrhosis here.