Therapeutic table number 5 for pancreatitis: what foods can be, what can not and an approximate menu for the day
Any disease associated with gastrointestinal pathology requires compliance with therapeutic nutrition. Pancreatitis is no exception, since it is a disease of the inflammatory pancreas.
Few people know that for therapy in such cases, table № 5 and table № 5П are prescribed, the observance of which is necessary to alleviate the patient's condition.
Why follow a diet?
The purpose of meeting table number 5 in pancreatitis is to normalize the pancreas, creating a maximum rest, reducing the excretory function. It is also important to reduce the excitability of the gallbladder and prevent fatty liver infiltration.
The diet helps patients to cope with blunt everyday epigastric pains, nausea, flatulence and diarrhea associated with impaired digestion and acid formation in the stomach. If to approach correctly to its or her application, recovery comes much more quickly, and the disease does not pass in the chronic form.
Dietary nutrition is prescribed for a period of 3 to 6 months.
General characteristics of the diet and its energy value
Treatment table number 5 in pancreatitis is characterized by an increased content of protein, vitamins, lipotropic substances and reduced fat content with carbohydrates in the form of sugar. Excluded from the diet are fried, very cold or hot dishes, as well as cholesterol. Sharply limited use of essential oils, purines, coarse fiber and refractory fats.
Caloric content and chemical composition of the diet:
- proteins - 90-100 g( 60-65% of animal origin);
- carbohydrates - 300-400 g( 40-70 g of sugar);
- fats - 80-90 g( 25-30% vegetable);
- sodium chloride - 10 g;
- salt - 10 g;
- free liquid - 1,5-2 l;
- can be xylitol and sorbitol up to 40 g;
- energy value of 11.7-12.2 MJ or 2800-2900 kcal.
It is recommended to prepare dishes in a boiled form, bake without crusting or steam stew. It is necessary to wipe vegetables rich in fiber and meaty meat. It is forbidden to pass flour and vegetables.
Power is provided by the mode, in fractional portions, 5-6 times a day.
What foods and dishes can and can not be?
According to Pevzner, table number 5 is reduced to providing complete rest to the patient and refraining from eating in the first day of the disease. During this period, you can drink small amounts of rose hips, mineral water without gas or weak tea.
In the following days with pancreatitis adhere to a strict diet, which includes the following foods and dishes:
- Snacks. Salads from fruits, seafood or fresh vegetables with vegetable oil, jellied fish( boiled), vinaigrette, lean ham or cheese, diet sausage, boiled fish and meat.
- Soups. Anchor, cereals on vegetable broth, borsch, dairy with macaroni, vegan soup.
- Bread and pastry products. Rye bread or wheat flour from 1st and 2nd grade, all unsuitable products with cottage cheese or apple stuffing, biscuits dry and long biscuits.
- Dairy products. Low-fat cottage cheese and casseroles from it, kefir, sour cream( in the form of seasoning), milk, curdled milk, faint cheese.
- Meat, fish, poultry. Low-fat pork, beef, lamb, rabbit, turkey or chicken in boiled pieces with chunks. Birds by-products. Fish of low-fat varieties( perch, cod, pike) in the form of souffle, dumplings or baked after boiling. You are allowed to eat cold meat, boiled meatloaf, and jellied.
- Groats. Plov, dairy and milk porridge, pudding, krupenik from any kind of groats. Macaroni products of the highest quality.
- Vegetables. Preference is given to the fact that they do not cause bloating and contain little fiber: cauliflower, zucchini, potatoes, beets, green peas. They are used in a raw, stewed or boiled form.
- Eggs. One per day in the form of a steam omelet or soft-boiled.
- Beverages. Vegetable juices are natural, coffee with milk, tea, berry fruit, herbal tea, jelly.
- Sweets, fruits. Dried fruits, various non-acid fruits and berries, jujube, honey, jelly, pastille.
doctors forbid patients to be observed in pancreatitis therapeutic table №5, eat fried and spicy dishes, mushrooms, sweet cakes, beans, sorrel, and canned meats. Alcoholic drinks, soda, pickled vegetables, cream and fermented baked milk are also excluded. It is necessary to refuse forever from sharp seasonings, garlic, mustard, ketchup and mayonnaise.
Pancreatitis is a very insidious disease, so even approved products can cause an increase in symptoms. To prevent this from happening, it is necessary to observe the time interval of feeding( not more than 3 hours) and to control the amount of food eaten at a time.
Sample menu in compliance with table №5
Patients with pancreatitis permitted fractional meal on the second day of the acute period of the disease. In the first time for breakfast, it is best to prepare liquid porridges on water or drink fat-free yogurt with breadcrumbs, so as not to load the inflamed organ. Add salt to food must be gradual, starting with the third day, bringing the daily rate of up to 8-10 g
sample diet menu №5 pancreatitis
first day
Breakfast: oatmeal porridge or rice water, boiled beef, Piece of whole grain bread, Borjomi without gas or broth of wild rose.
Second breakfast: baked apple, cottage cheese pudding, crackers and tea without sugar.
Lunch: vegetarian soup made of vegetables, fish steam cutlet, mashed potatoes, white dried bread, stewed fruit.
Snack: steam omelet and low-fat drinking yogurt.
Dinner: meatballs from chicken meat, vegetables stewed, rye bread, cheesecake with cottage cheese, jelly.
At night, a glass of yogurt or curdled milk.
second day
Breakfast: oatmeal with boiled meat, a salad of fresh vegetables, tea.
Second breakfast: fruit salad dressed with yogurt, herbal tea.
Lunch: pearl barley soup, meat roll, boiled pasta, jelly with biscuits, white bread.
Snack: cottage cheese casserole with raisins, broth of wild rose.
Dinner: boiled potatoes with steam fish cutlet, bread with bran, tea with milk, fruit.
At night, a baked apple.
After withdrawal of symptoms of acute pancreatitis, patients are gradually transferred to the table number 5P, which must be observed to prevent recurrence of the disease.
Medical practice shows that some patients ignore the principles of therapeutic nutrition, leading the inflammatory process to complications. Despite the significant limitations of the diet, the allowed list of foods allows you to eat quite a variety. The main thing is that people are not lazy and want to quickly return the precious health.
